Zomwe Muyenera Kudziwa Zokhudza Kupewa Chimfine Mukakhala ndi MS

Zamkati

• Kodi kuopsa kwa kutenga chimfine kwa anthu omwe ali ndi MS ndi kotani?
• Kodi chimfine chimalumikizidwa ndi MS kubwerera?
• Kodi anthu omwe ali ndi MS ayenera kulandira katemera wa chimfine?
• Kodi muyenera kulandira katemera wamtundu wanji?
• Kodi mungapewe bwanji kutenga chimfine ndi chimfine?
• Kutenga

Chimfine ndi matenda opatsirana opatsirana omwe nthawi zambiri amayambitsa malungo, kupweteka, kuzizira, kupweteka mutu, ndipo nthawi zina, zovuta zazikulu. Ndizovuta kwambiri makamaka ngati mukukhala ndi multiple sclerosis (MS).

Asayansi agwirizanitsa chimfine ndi kubwereranso kwa MS. Ichi ndichifukwa chake kupeza katemera wa chimfine ndikofunikira. Nthawi yomweyo, ndikofunikira kuti anthu omwe amakhala ndi MS atenge chimfine chomwe sichingasokoneze dongosolo lawo lamankhwala.

Pemphani kuti mudziwe momwe chimfine chingayambitsire anthu omwe ali ndi MS komanso momwe mungadzitetezere.

Kodi kuopsa kwa kutenga chimfine kwa anthu omwe ali ndi MS ndi kotani?

Anthu ambiri omwe ali ndi MS amabwera ndi matenda opuma opuma kawiri pachaka, malinga ndi kuwunika kwa 2015 ku Frontiers in Immunology. Asayansi apeza kuti matenda amtunduwu, monga chimfine ndi chimfine, adachulukitsa chiopsezo cha munthu wokhala ndi MS kuti ayambirenso.

Kuwunikiraku kunanenanso kuti anthu omwe ali ndi MS atenga matenda opuma opuma, pafupifupi 27 mpaka 41% adayambiranso kubwerera mkati mwa milungu isanu. Asayansi apezanso kuti kuthekera kwakubwerera m'mbuyo ndi nyengo, nthawi zambiri kumawonekera kumapeto kwa nyengo.

Kuphatikiza apo, mankhwala ena omwe mwina mumamwa a MS angakhudze chitetezo chanu chamthupi ndikukuyikani pachiwopsezo chachikulu cha zovuta za chimfine.

Kodi chimfine chimalumikizidwa ndi MS kubwerera?

Ngakhale maphunziro ena amafunika, kafukufuku wazinyama akuwonetsa kuti matenda opumira amatha kulimbikitsa kusunthika kwa ma cell amthupi mthupi mwa dongosolo lamanjenje. Izi, izi zimatha kuyambitsanso MS.

Pakafukufuku wa 2017 wofalitsidwa ku PNAS, asayansi adabaya mbewa zomwe zimakonda kudwaladwala ndi fuluwenza A virus. Adapeza kuti pafupifupi 29% ya mbewa zomwe zidalandira kachilomboka zidayamba kuzindikiranso m'masabata awiri atadwala.

Ofufuzawo adayang'aniranso momwe maselo amthupi amatetezera mbewa, ndikuwona zochulukirapo m'katikati mwa manjenje. Amanena kuti matenda opatsirana adayambitsa kusintha kumeneku, ndipo mwina, mwina ndi chifukwa chomwe matenda amakulitsira MS.

Kodi anthu omwe ali ndi MS ayenera kulandira katemera wa chimfine?

American Academy of Neurology (AAN) imawona katemera ngati gawo lofunikira kuchipatala kwa anthu omwe ali ndi MS. AAN amalimbikitsa kuti anthu omwe ali ndi MS amalandira katemera wa chimfine chaka chilichonse.

Komabe, musanalandire katemerayu, ndikofunikira kuti mulankhule ndi omwe amakuthandizani. Nthawi ndi mtundu wa mankhwala a MS omwe mukumwa, limodzi ndi thanzi lanu lonse, zingakhudze zomwe mungasankhe katemera wa chimfine.

Kawirikawiri, AAN imalimbikitsa anthu omwe ali ndi MS kutenga katemera wamoyo, monga katemera wa chimfine. Izi ndizofunikira makamaka kwa anthu omwe amagwiritsa ntchito njira zina zosinthira matenda (DMTs) kuchiza MS.

Ngati mukuyambiranso, dokotala wanu angakulimbikitseni kuti mudikire masabata 4 mpaka 6 kuyambira pomwe zizindikirozo zimayamba katemera.

Ngati mukuganiza zosintha mankhwala kapena kuyamba chithandizo chatsopano, adokotala angakuuzeni kuti mukalandire katemera masabata 4 mpaka 6 musanayambe chithandizo chomwe chingapondereze kapena kusintha chitetezo chanu m'thupi.

Malingana ndi Rocky Mountain MS Center, katemera wa chimfine ali pafupifupi 70 mpaka 90% ogwira ntchito, koma mphamvuyo ikhoza kutsika mwa anthu omwe ali ndi MS omwe amamwa mankhwala omwe amakhudza chitetezo cha mthupi lawo.

Kodi muyenera kulandira katemera wamtundu wanji?

Mwambiri, AAN imalimbikitsa anthu omwe ali ndi MS kuti apeze mtundu wosakhala wamoyo wa katemera wa chimfine. Katemera amabwera mosiyanasiyana:

• Zosakhala zamoyo. Katemera wamtunduwu amaphatikizapo kachilombo kosagwira, kapena kuphedwa, kachilombo kapena mapuloteni okhawo omwe amachokera ku kachilomboka.
• Khalani ndi Moyo. Katemera wokhala ndi moyo amakhala ndi mtundu wofooka wa ma virus.

Chiwombankhanga chomwe chilipo pakadali pano ndi mitundu ina ya katemera, ndipo ambiri amati ndiotetezeka kwa anthu omwe ali ndi MS.

Mphuno ya chimfine ndi katemera wamoyo, ndipo siyikulimbikitsidwa kwa anthu omwe ali ndi MS. Ndikofunika kwambiri kupewa katemera wamoyo ngati mukugwiritsa ntchito, kugwiritsa ntchito posachedwa, kapena mukufuna kugwiritsa ntchito njira zina zosinthira matenda (DMTs) za MS.

National MS Society imazindikira kuti ndi ma DMTs ati, komanso nthawi yothandizira, zomwe zingayambitse nkhawa ngati mukuganiza za katemera wamoyo.

Amaonedwa kuti ndi otetezeka kupeza katemera wa chimfine wosatenthedwa ngakhale mutamwa imodzi mwa mankhwalawa:

• interferon beta-1a (Avonex)
• interferon beta 1-b (Betaseron)
• interferon beta 1-b (Extavia)
• peginterferon beta 1-a (Plegridy)
• interferon beta 1-a (Rebif)
• teriflunomide (Aubagio)
• glatiramer nthochi (Copaxone)
• fingolimod (Gilenya)
• glatiramer nthochi jekeseni (Glatopa)
• alemtuzumab (Lemtrada)
• mitoxantrone hydrochloride (Novantrone)
• dimethyl fumarate (Tecfidera)
• natalizumab (Tysabri)
• ocrelizumab (Ocrevus)

Kwa achikulire azaka 65 kapena kupitilira apo, Fluzone High-Dose ikupezeka. Ndi katemera wosagwira, koma ofufuza sanaphunzire momwe imagwirira ntchito mwa anthu omwe ali ndi MS. Lankhulani ndi dokotala wanu ngati mukuganiza za katemerayu.

Kodi mungapewe bwanji kutenga chimfine ndi chimfine?

Kuphatikiza pa kulandira katemera, mutha kuchita zinthu zambiri kuti muchepetse chiopsezo chotenga chimfine ndi chimfine. Tikukulimbikitsani kuti:

• Pewani kucheza ndi anthu odwala.
• Khalani kunyumba ngati mukudwala.
• Sambani m'manja nthawi zonse ndi sopo kapena madzi kapena choyeretsera choledzeretsa.
• Phimbani mphuno ndi pakamwa mukamayetsemula.
• Thirani mankhwala pamalo omwe amagwiritsidwa ntchito kwambiri.
• Gonani mokwanira ndikudya zakudya zabwino.

Kutenga

Ngati mukukhala ndi MS, ndikofunikira kwambiri kupeza katemera wa chimfine chaka chilichonse. Kambiranani za mankhwala omwe mumamwa ndi dokotala wanu, ndipo sankhani ndondomeko ya nthawi ya katemera wanu wa chimfine.

Fuluwenza imatha kukhala yowopsa kwa anthu omwe ali ndi MS, ndipo imawonjezera chiopsezo chobwereranso. Ngati mukukumana ndi zizindikiro za chimfine, pitani kuchipatala chanu posachedwa.