Zvaunofanira Kuziva NezveMishonga Inoshamisa
Kune mumwe munhu ane relapsing-remitting multiple sclerosis (RRMS) inosangana nekudengenyeka kwakakomba kwezviratidzo, kuenda- kurapwa kazhinji inonzi corticosteroid. Izvi zvinodhaka zvinoshandisa hormone inowanzobudiswa ne-adrenal glands kubvisa kuvhiringidza (kubwinya, kuzvimba, kurwadziwa). Muchiitiko chekudzoka kweSMS, corticosteroids inoderedza kuputika mukati mehutachiona-kurwisa kunotungamirira kumakumbo eZM zviratidzo zvakadai sekurwadziwa kweziso kana matambudziko ekuona , kushaya simba kwemaviri, uye kunetseka kuenzanisa.
Unoda Solu-Medrol Here?
Kakawanda, iyo corticosteroid yekusarudzwa kwekurapa zvakanyanya MS kudzoka zvakare chirwere chinonzi Solu-Medrol (methylprednisolone). (Cherechedza kuti pane dzimwe nguva chiremba achapa chirwere ichi kune mumwe munhu ane chiratidzo chakadai sekurwadziwa kuri kuwedzera kuipa nekufamba kwenguva, kwave kuchifambira mberi kusvika pakusagadzikana, uye hakuna kuve nani kune dzimwe mishonga.)
Solu-Medrol ine mishonga ine simba, uye haisi kunze kwemigumisiro, saka zvakakosha kuita zvakanyatsokosha kuti zvakakosha. Somuenzaniso, inofanirwa kujekesa kuti chaizvoizvo MS inodzoka zvakare iri kufambira mberi. Kana iwe uchifunga kuti izvi zvingave zvichiitika kwauri, hezvino zvimwe zvinhu zvingazvibvunza pamusoro pezvauri kuona. Kana iwe ukapindura hungu kune mibvunzo iyi, unogona kunge uchidzoka zvakare.
- Ndiri kuva nezviratidzo zvitsva here kana zviratidzo zvandiri kutowedzera kuipa?
- Izvozvi zvave zvichiitika pamusoro pemakore makumi maviri nemaviri kusvika mazuva mashoma here?
- Une zviratidzo izvi zvakapedza maawa anopfuura makumi maviri nemaviri here?
- Izvo zvave zvichive mwedzi mwedzi kubva pakupedzisira kudzoka kwangu zvakare? (Mune mamwe mazwi, vane zviratidzo izvi zvave zvisipo kana kuti zvakagadzikana kwemazuva makumi matatu vasati vasvika kana kuti vakaipa?)
Kuti uone kuti uri kudzoka zvakare kana kuti kuutonga kunze, chiremba wako anogona kuita MRI. Zvinotarisa kuti vanhu vazhinji vane MS, kunyanya avo vari mumatanho ekutanga eRRMS, vane majekiseni mashoma anoshanda achiitika nguva yose.
Izvi ndizvo zvipembenene zvinopenya "pamberi pegadolinium" (iyo inyanzvi inoshandiswa yeMRI inoongorora) kwemavhiki masere, zvino inopera sezvo kuputika kunopera. Apo MRI inoratidza zvirwere zvishomanana zvakadai zvinokonzera zviratidzo, uye zvisingaiti zvichikonzera zviratidzo zvinoshamisa zvokuti kushandisa izwi rokuti "kudzokerazve" kumamiriro acho ezvinhu, Solu-Medrol zvichida haadi.
Kutora Solu-Medrol
Apo iyi mishonga inopiwa kupa chirwere cheSMS zvakare, inowanzopiwa intravenously-kureva, kuburikidza nenyuchi zvakananga mumusana-pamusoro pemakore matatu kusvika mashanu. Kune vanhu vazhinji, Solu-Medrol inogona kuunza huwandu hwekuregererwa kubva pakudzoka zvakare. Vamwe vakaona kuti mushure mekunge kuvharwa kwechirwere ichi, zviratidzo zveM MS zvinokanganisa zvinogona kugadziriswa, kana kutopera zvachose. Pachinyanya kuitika, mukati memazuva maviri kana matatu emusangano weSolu-Medrol vanhu vazhinji vanotaura kuti zviratidzo zvavo zviri nani zvikuru.
Pasinei nokuti zvinoshandiswa sei, Solu-Medrol haisi kunze kwemigumisiro, zvakadai sezvinetso zvepabonde uye kuwedzera kuwedzera, saka pane dzimwe nguva zvingava zviri nani kumirira kudzoka zvakare (kana iwe unogona kutsungirira zviratidzo kana kuwana rubatsiro kubva mune imwe nzira ). Nokusava kutora Solu-Medrol iwe hauzovi pangozi yekukuvara zvachose kana kusara kwemigumisiro yevarwi kuburikidza nekudzokazve, uye iwe uchadzivisa madhara.
Iwe unogonawo kubvunza chiremba wako nezvekutora Solu-Medrol mune fomu yepeplate, panzvimbo yekubata, izvo zvinogona kuderedza pamigumisiro. Pane kuongororwa kutsvaga kuratidza kuti muromo methylprednisolone inogona kunge yakanyatsobudirira pakuderedza huwandu hweSMS huchidzoka sehupusi.
> Sources:
> E le Page, et al. "Kubudirira uye Kuchengetedzwa Kwemazwi Nezvokutadza Kuwedzerwa-Dose Methylprednisolone mu Multiple Sclerosis Relapses, A Randomized Tri-Blind Trial (COPOUSEP)." Lancet . 2015 Nhasi 5; 386 (9997): 974-81.
> Olek MJ. "Kurapwa kweAcute Exacbation of Multiple Sclerosis muVakuru." UpToDate 2016.
> Ontaneda D & Rae-Grant AD. Kutungamirirwa kweAacute Exacbation mu Multiple Sclerosis. Ann Indian Acad Neurol . 2009 Oct; 12 (4): 264-7.