Kuchengetedza Kuparadzanisa Kwakakwana Ndiro Chinangwa Chorapa
Makore akawanda apfuura, chirongwa chekuchengetedza chirwere cherheumatoid arthritis chaive chichimiro. Kare kumashure, zvishoma zvaive zvakawanda. Kwemakore, zvisinei, nzira iyi yakasvibiswa kubva pakuzvidzivirira kune utsinye. Asi, nei kuchinja?
Kukosha Kwokutanga, Kukonzera Kurwisana
Kutanga kuongororwa kwerhumatori arthritis kunoonekwa sekukosha nokuti kurapwa kwekutanga neDMARD uye biologics inopa mukana wakanakisisa wekudzivirira kukanganisa pamwe chete, pamwe nekuderedza ngozi yekuremara nekufa kunoenderana nechirwere ichi.
Chikonzero chekutaura uku kunorwadza ndezvekuti, munguva yakapfuura, chikamu chikuru chevarwere vane rheumatoid arthritis vakave vakaremara. Nenzira yakanaka, havasi varwere vose vane rheumatoid arthritis vari pangozi yekukuvadza kwakanyanya nekukuremara.
Kune avo vane zvirwere zvishoma, kurapwa kunorwadza kungasafanira kutanga. Zvisinei, nepo NSAIDs (nonsteroidal anti-inflammatory drugs) inogona kubatsira zviratidzo zverheumatoid arthritis, pane zvishoma kuti varatidze kuti vanobatsira kudzivirira kuwirirana pamwe.
Vashomanana, kana varipo, varwere vane rheumatoid arthritis vanozvigadzirira kurapwa neNSAIDs voga. Kazhinji, varwere vari pangozi yakakosha yekubatana pamwe chete vanobatwa nemishonga yakwegura yeDMARD iyo inofungidzirwa kuva nehuwandu hwemigumisiro yemigumisiro, kusanganisira:
- Plaquenil (hydroxychloroquine)
- Azulfidine ( sulfasalazine )
- Minocin (minocycline) -An antibiotic iyo yakaratidza kubatsirwa muhutatoid arthritis, asi FDA haibvumiri kuti iratidze.
Mishonga inoshandiswa pakuenzanisa kusvika kune yakaoma rheumatoid arthritis inosanganisira zvinotevera (pamwe nemimwe mishonga mitsva muipiyipi):
- Methotrexate (Rheumatrex, Trexall)
- Arava (rakasara)
- Imuran (azathioprine)
- Xeljanz (tofacitinib)
- Enbrel (etanercept)
- Remicade (infliximab)
- Humira (adalimumab)
- Simponi (golimumab)
- Cimzia (certolizumab pegol)
- Actemra (tocilizumab)
- Rituxan (rituximab)
- Orencia (abatacept)
Varwere vane uwandu hunoenderana nehutachiona hwehutachiona hwerthritis vane zvimwe zvinetso kana zvinetso zvinogona kuita nemabasa ehupenyu hwezuva nezuva , kubatana pamwe chete, uye kubatana basa. Pamusana pekushandisa kwenguva yakareba kwenguva refu uye mari shoma, vazhinji rheumatologists vachatanga ne methotrexate seyokutanga DMARD kune varwere vanopa zviratidzo zvishoma kusvika kune zvakasimba. Prednisone inoderedza madhesi anogonawo kuva nechimwe chirwere chinoshandura kubatsirwa.
Zviratidzo uye Zviratidzo zvekuparadzanisa kwakakwana
Kuwana zvipatara zvinogona kuratidza kuwedzera kwengozi yekubatana pamwe chete nekuremara kunotevera kunosanganisira:
- Joint kuzvimba
- Kwenguva yakareba kushungurudzika mangwanani
- Yakatarisa rheumatoid arthritis achiri muduku
- Yakakwirira kwazvo CCP antibody
- Yakakwirira kwazvo rheumatoid factor
- Rheumatoid nodules
- Yakakura C-reactive protein (CRP) uye sedimentation rate
- Radiographic zvisiri izvo (x-rays)
Zvinosuruvarisa, hazvibviri kutaurira nguva dzose kuti ndiani kana kuti haazokudziri pamwe chete kukuvara. Somugumisiro, kana iwe une zviratidzo kana zviratidzo zverheumatoid arthritis, iva nechokwadi chekuti unobvunzurudza ne rheumatologist kuti uwane mushonga unenge wakanakira iwe.
Nzvimbo yeMikana
Pane nguva iyo nguva iyo rheumatoid arthritis kurapwa ine simba guru pakuwedzera kwezvirwere.
Zvinonyanya kukosha kunogona kuva rheumatoid arthritis kuregererwa kana zvimwe zvinokonzerwa nekufambira kwezvirwere izvo zvaizoonekwa pane x-raire kana pamubatanidzwa. Izvi zvakanzi "Window of Opportunity" uye sezvo vatsvakurudzi vadzidza zvakawanda, hwindo rakaderera.
Iko kukurumidzira kushandiswa kwepakutanga kwerheumatoid arthritis kwava kunyatsojeka. Iko maonero ekupedzisira pamusoro pekuti kurapwa kwechisimba kunofanira kutanga "ndiyo yapakutanga iri nani."
Zvinofadza, kuedza kudonha pasi apo hwindo remukana rinotanga uye rovhara murwere mumwe nomumwe harina kuonekwa serinobatsira.
Asi, hapana kukanganisa kuti kuunza chirwere chinotungamirirwa nekukurumidza chinangwa chakajeka. Izvozvo zvinoreva kusabata unfferentiated arthritis , pane dzimwe nguva, nekutarisira kumisa kufambira mberi kwayo kusvika pakuzara kweropa rheumatoid arthritis.
Sources:
Iwindo rekurapa yemukana mu rheumatoid arthritis: rinodaro ravhara here? Karim Raza, Andrew Filer. Annals weRheumatic Diseases. March 10, 2015.
Kuongororwa Kwepakutanga Rumatoid Arthritis. Peji 73. Rheumatoid Arthritis: Kuziva Kwokutanga uye Kuchirwa. Shanduro yechitatu. Kushi, Weinblatt, Kavanaugh. Professional Communications, Inc.