Mlembi: Lewis Jackson
Tsiku La Chilengedwe: 12 Meyi 2021
Sinthani Tsiku: 17 Novembala 2024
Anonim
Kodi Biologics Ndi Njira Yotani Yothandizira PsA? - Thanzi
Kodi Biologics Ndi Njira Yotani Yothandizira PsA? - Thanzi

Zamkati

Chidule

Psoriatic arthritis (PsA) ndi mtundu wamatenda omwe amakhudza anthu ena omwe ali ndi psoriasis. Ndi matenda a nyamakazi osachiritsika, otupa omwe amapezeka m'malumikizidwe akulu.

M'mbuyomu, PsA idathandizidwa makamaka ndi mankhwala ojambulidwa komanso omvera. Komabe, mankhwalawa sagwira ntchito nthawi zonse. Zitha kupanganso zovuta zina. Chifukwa cha izi, mbadwo watsopano wa mankhwala otchedwa biologics ukugwiritsidwa ntchito pochizira PsA yayikulu.

Biologics ndi mankhwala osokoneza bongo, amphamvu. Amachita poletsa njira zina zotupa zomwe zimathandizira psoriasis.

Kodi biologics imagwiritsidwa ntchito liti?

M'mbuyomu, biologics sinkagwiritsidwa ntchito pokhapokha ngati mankhwala ena sanali othandiza. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi mankhwala osintha matenda (DMARDs) amayenera kuperekedwa kaye.

Koma malangizo atsopano amalimbikitsa kugwiritsa ntchito biologics ngati chithandizo choyamba cha PsA. Kutengera ndi matenda anu a nyamakazi a psoriatic komanso mbiri yazachipatala, adotolo angavomereze chimodzi mwazinthu zamoyo kuti zithandizire.


Ndani ali woyenera biologics?

Ndikulimbikitsidwa kuti chotupa necrosis factor inhibitor (TNFi) biologics igwiritsidwe ntchito ngati njira yoyamba yothandizira anthu omwe ali ndi PsA yogwira, kutanthauza kuti PsA yomwe ikuyambitsa zizindikilo.

Malangizo atsopano ochokera ku American College of Rheumatology ndi National Psoriasis Foundation amalimbikitsanso kuyesa TNFis koyambirira mwa anthu omwe sanagwiritsepo ntchito mankhwala ena kale.

Dongosolo lanu lamankhwala lingadziwike ndi momwe PsA yanu ilili yovuta. Palibe njira yodalirika yodziwira kuti PsA ili yovuta bwanji. Dokotala wanu amatha kuwerengera momwe PsA yanu ilili yovuta chifukwa cha psoriasis yanu. Njira ziwiri zomwe madotolo amayesa kuuma kwa psoriasis ndi ma index omwe ali pansipa.

Psoriasis Area ndi Severity Index (PASI)

Malingaliro a PASI amadziwika ndi kuchuluka kwa khungu lanu lomwe limakhudzidwa ndi psoriasis. Izi zimadalira kuchuluka kwa matupi anu. Mabawa ndi zigamba za khungu lokwera, lopindika, loyabwa, louma komanso lofiira.


Dokotala wanu adzazindikira kuchuluka kwanu kwa PASI musanachitike komanso mukamalandira chithandizo. Cholinga cha chithandizo ndikuwona kuchepa kwa 50 mpaka 75 peresenti mu mphotho yanu ya PASI.

Dermatology Quality of Life Index (DQLI)

Kuwunika kwa DQLI kumawunika momwe psoriasis ingakhudzire thanzi la munthu, malingaliro ake, komanso chikhalidwe chake.

Kulemba kwa 6 mpaka 10 pa DQLI kumatanthauza kuti psoriasis yanu imakhudza thanzi lanu. Kulemba moposa 10 kumatanthauza kuti vutoli limakhudza thanzi lanu.

Dokotala wanu amathanso kusankha kuti mukuyenera kulandira biologics ngati muli ndi zotumphukira kapena axial psoriatic arthritis.

Matenda a psoriatic nyamakazi

Matenda a psoriatic am'mimba amayambitsa kutupa kwamafundo mmanja mwanu ndi miyendo. Izi zikuphatikiza:

  • zigongono
  • manja
  • manja
  • mapazi

Biologic yomwe mwapatsidwa imadalira kuopsa kwa zizindikilo zanu. Koma infliximab (Remicade) kapena adalimumab (Humira) ndiye chisankho chomwe mungasankhe mukamayeneranso kuwongolera khungu la psoriasis.


Axial psoriatic nyamakazi

Axial psoriatic nyamakazi imayambitsa kutupa kwama malo m'malo otsatirawa:

  • msana
  • mchiuno
  • mapewa

Ndani sali woyenera biologics?

Sikuti aliyense ali woyenera kulandira chithandizo ndi biologics. Mwachitsanzo, simuyenera kutenga biologics ngati muli ndi pakati kapena mukuyamwitsa. Nthawi zambiri, simuyenera kutenga biologics ngati muli:

  • Matenda opatsirana kwambiri
  • chifuwa chachikulu
  • HIV kapena hepatitis, pokhapokha ngati vuto lanu likuyang'aniridwa bwino
  • khansa nthawi iliyonse mzaka 10 zapitazi

Ngati biologics siyi yoyenera kwa inu, dokotala wanu angaganizire mankhwala ena, monga kusinthira matenda osokoneza bongo (DMARDs).

Kutenga

Kupeza chithandizo cha PsA kumatha kukupatsani mpumulo wofunikira kuzizindikiro zopweteka. Biologics ndi mankhwala amphamvu omwe angathandize kuchiza PsA. Atha kukhala mwayi kwa inu ngati mungakhale ndi PsA yochepa, yamatenda a psoriatic, kapena axial psoriatic arthritis.

Onetsetsani kuti mwauza dokotala wanu za matenda anu onse komanso momwe PsA imakhudzira moyo wanu. Dokotala wanu adzagwira ntchito kuti akupezereni mankhwala oyenera.

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