Rimwe Chirapa Option
Kune marudzi akasiyana-siyana ekurapwa kwevanhu vane moderation kusvika zvakanyanya psoriasis kana psoriatic arthritis. Chimwe chinhu chiduku chinowanzoshandiswa ejenti chirwere chemafelunomide. Izvo zvinogona kuva zvinonzwisisika kwauri kana chirwere chako chisina kupindura zvakanaka, kana kana iwe usingagoni kutora dzimwe mishonga.
Chii chinonzi Leflunomide?
Leflunomide (zita rekutengeserana Arava) iri mishonga yemuromo inogona kushandiswa kurapa psoriatic arthritis uye kuenzanisa kusvika zvakanyanya psoriasis.
Mishonga yemishonga yemakemikari inonzi N- (4'-trifluoromethylphenyl) -5-methylisoxazole-4-carboxamide.
Dhaka reDAA rakabvumira kupera kwemafuro ekurapa rheumatoid arthritis. Nekunyatsotaura kutaura, nyika haina kumbobvumirwa neDFA kuti iite psoriasis uye psoriatic arthritis-zviyero zvekugadzirira zvakakosha hazvina kuitwa. Zvisinei, zvose zve psoriasis uye rheumatoid arthritis zvinongoraramisa zvirwere zvinogona kukanganisa majoini, uye vanogovera zvimwe zvakafanana zvehupenyu. Zvimwe zvidzidzo zvechiremba zvinoratidza kuti leflunomide inoshanda mukurapa zviratidzo zveganda mu psoriasis uye zviratidzo zviviri zveganda uye pamwe chete kune vanhu vane psoriatic arthritis. Saka vanachiremba dzimwe nguva vanorayira mushonga uyu "kubva pareti."
Leflunomide ndeimwe yekare yemishonga yemishonga inogona kushandiswa kubata mushonga unorema kusvika kune wakanyanya psoriasis uye psoriatic arthritis. Izvo zvinozviisa muboka ne methotrexate, cyclosporine, nemimwe mishonga.
Kunyange zvakadaro, mashekeri haasati ashandiswa sezvinoitwa nemamwe madhiragi. Unogona kunzwa zvinodhaka izvi zvinonzi DMARD kana zvirwere-kuchinja antirheumatic drugs. Kufanana nemishonga iyi, leflunomide haisi imwe yezvinhu zvitsva zve "biologic" zvinowanikwa kubva kumapuroteni evanhu kana emhuka.
Sei Leflunomide Inoshanda?
Leflunomide's method of action is not fully known.
Zvisinei, zvinoratidzika kushanda zvishoma muchikamu nekudzivisa enzyme inodiwa kuti iite DNA itsva (yako inowanikwa mazita ekuberekwa). Kana kuputika kuchiitika, muviri wako unogadzira masimba emuviri ekudzivirira. Nokuderedza DNA, synthesis inogona kuvhara chimwe chekuvhiringidza kunokonzera zviratidzo zve psoriasis uye psoriatic arthritis. Zvisinei, nokuti inoderedza simba rekudzivirira muviri, rinogona kuva nemamwe matambudziko.
Ndinotora sei Leflunomide?
Tora leflunomide nemuromo nechikafu, sezvinorayirwa nachiremba wako. Iyo mishonga inowanikwa mune 10mg, 20mg, uye 100mg mafomu. Paunotanga kutanga chirwere ichi, chiremba wako angakupa chirwere chakakura kudarika chinowanzoitika, chinonzi "kuraira chirwere" (kazhinji 100mg kwemazuva matatu). Mushure mokunge chirwere chechirwere chichikwira mumuviri wako, unotora chirwere chechigadziro chiri pasi (kazhinji 20mg zuva nezuva).
Ndiani Anobatsira Kubva Leflunomide?
Iko kune zvakasiyana-siyana zveimwe mishonga yemitambo yemitambo yekurapa psoriasis, kufanana ne methotrexate. Zvimwe mitsva " biologic " mitsva yakadai seEnbrel (etanercept) inowanikwawo. Vanachiremba vanongorongedza kurasikirwa mushure mekunge mamwe maitiro ekurapwa asina kubudirira. Zvisinei, zvitsva zvinodhaka zvebiologic zvinofanira kutorwa kuburikidza nemuviri, uye zvinodhura kudarika zvirwere zvisiri zvebiologic.
Kana imwe mishonga yemuromo isina kukushandira iwe, iwe unogona kuedza kuedza kurashika usati waenda kune biologic drug. Mune zvimwe zviitiko, chiremba wako angangoratidzira chetlome mumusana kune imwe mishonga yemuromo, yakafanana ne methotrexate.
Vanhu vane psoriasis vane ruzivo vanofanira kushandisa mishonga yepamusoro uye kwete mishonga yemuromo semarara.
Zvinogona Kuitika Kwenyika yeLeflunomide
Zvimwe zvinowanzovhiringidza zvinokonzerwa neflunomide zvinokonzerwa nekutsamwiswa kwezvirumbo zvepamuviri. Somuenzaniso, izvi zvinogona kusanganisira:
- Dhairrhea (yakajairika)
- Nausea
- Kushungurudza mudumbu
Mimwe migumisiro inogona kuitika inosanganisira:
- Rash (kazhinji haina simba)
- Kuora bvudzi
- Yakakura mavhinga eropa (zvichiratidza kuora kwechiropa)
- Kuwedzerwa njodzi yehutachiona
- Yakaderedza masero eropa kana maplatelet (kubva pakuderera kuderera mumapfupa emapfupa)
Zvimwe zvisingaoneki zvidimbu ndezvi:
- Pulmonary fibrosis
- Pain with urination
- Zviratidzo zvehutano zvakadai sekuvhiringidzika kana chirwere
Zviongorori uye Kuongororwa Kurapa Paunenge Uchitora Leflunomide
Usati watanga leflunomide, chiremba wako achatora nhoroondo yako yezvokurapa uye anoita chiitiko chemuviri. Izvi zvinobatsira chiremba wako kuti ave nechokwadi kuti hapana chikonzero icho chesiro chichava chisarudzo chakaipa kwauri. Iva nechokwadi chekuudza chiremba wako pamusoro pemishonga yose yaunotora, kusanganisira pane-in-counter mishonga. Izvi zvinogona kukanganisa kubudirira kwemafuroyo uye zvingangove zvirango.
Nemhaka yehutano hwemamwe matambudziko emishonga, vanhu vanotora leflunomide vanoda dzimwe nguva ma laboratory test. Iwe uchada izvi izvi pakutanga usati watanga kurapwa uye panguva dzenguva dzose. Semuenzaniso, iwe unogona kuedza miedzo inotevera:
- Kuzara kwekuverenga ropa (kuongorora masero matsvuku eropa, masero eropa, uye maplatelet)
- Kuongorora kwechiropa, zvakadai seAlt
Vanhu vanotora leflunomide vanodawo kutanga kuongorora kuongorora kuti vaone kuti havana dormant case yechirwere chetachiona. (Zvinodhaka zvakadai seflunomide zvinogona kuita kuti chirwere chiwedzere kushanda.)
Vaccines uye Leflunomide
Vanhu vanotora maflunomu havafaniri kuva nemamwe marudzi emishonga ane chikamu chevirusi inorarama. Izvozvo hazvirevi kuti haufaniri kutora zvirwere zvose-ingobvunza chiremba wako kutanga. Iwe unogona kuwana mamwe majekiseni (akadai seetetanus booster ) usati watanga kutora mafirinomu.
Ndiani Haagoni Kutora Leflunomide?
Iwe haufaniri kutora maflunomide kana iwe unonzi unozivikanwa nemishonga kana chimwe chezvikamu zvayo. Iwewo haufaniri kutora maflunomide kana urwere hwako hwemusununguko hunovhiringidzika nechimwe chei chinotevera:
- Chirwere chekudzivirira immunodeficiency
- Matambudziko aripo nemapfupa ako
- Chirwere chakanyanya, chisina kudzora
Vakadzi vane pamuviri havafaniri kutora maflunomide.
Mwana-Kutakura Zvingaitika uye Leflunomide
Leflunomide inhengo yeChirwere mishonga panguva yekuzvitakura, izvo zvinoreva kuti zviitiko zvinozivikanwa zvechirwere zvinodarika zvimwe zvingabatsirika. Inofungidzirwa kuti iwedzere njodzi yekufa kwe fetus uye kukanganisa kwekuzvarwa. Vose vakadzi vanobereka vana vanogona kuve nekuedzwa kwepamuviri vasati vatanga mishonga. Iwe unofanirwa kuramba uchishandisa kubata pamuviri wakavimbika nguva yose yaunotora leflunomide.
Kana iwe uri kutora leflunomide uye wava nepamuviri, tumira mahofisi echiremba ako pakarepo uvaudze mamiriro ako. Chiremba wako anogona kukupa mazano pamusoro pekugadzirisa njodzi kuve nepamuviri wako. Chiremba wako anogona kukwanisa kupa chirwere chekushandisa zvinodhaka (chinonzi cholestyramine) chinogona kukurumidza kuderedza kuisa kwemajeri. Izvi zvinoderedza dambudziko rekukuvara kumucheche.
Kana uri kutora uye uchingosara uye unoda kuva nepamuviri, taura nachiremba wako usati watanga kuedza kubata pamuviri. Zvinokurudzirwa kuti vakadzi vose vezera rekubereka vanoenda kuburikidza nemishonga yekudzivirira kuti zvikurumidze kuwedzera kwemafi. Izvi zvinonyanya kukosha kuvakadzi vanoedza kuve nemimba. Pasingapfuuri nechitemwa ichi, zvinogona kutora kusvika kumakore maviri kuti zera risati rasvika kuti uwane maitiro akachengeteka emuviri wako mumuviri wako. Vakadzi havafaniriwo kutora mafirinomide panguva yekuyamwisa.
Masayendisiti anotenda kuti kurasikirwa hakuiti kuwedzera kungozi yekuberekwa kwekuberekwa kwevanhu vanorera vana. Zvisinei, izvi zvidzidzo zvemhuka hazvina kuitwa. Kuti udzivise chero ngozi inogona kuitika, varume vanofanira kurega kutora mishonga vasati vamboedza kubata nemudiwa wavo. Zvakakodzera kuti vaende kuburikidza nemishonga yekugadzirisa matanho zvakare.
Shoko Rinobva
Nenzira yakanaka, pane ikozvino pane zvingasarudzwa zvevanhu vane moderation kusvika zvakanyanya psoriasis kana psoriatic arthritis. Leflunomide inogona kuva imwe sarudzo yekufunga kana izvo zvawaedza hazvina kudzora zvakakwana chirwere chako.
> Sources:
> Arava. Kunyora Mashoko . Bridgewater, NJ: Sanofi-Aventis; 2010.
> Leflunomide (Arava). American College of Rheumatology. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Treatings/Leflunomide-Arava. Yakarongwa muna March 2017.
> Menter A, Korman NJ, Elmets CA, et al. Mirayiridzo yekuchengetedza kutungamirirwa kweporioriasis uye psoriatic arthritis: chikamu 4. Mirayiridzo yekuchengetedza vatungamiri uye kurapwa kwe psoriasis nemagariro ekugadzirisa maitiro. J Am Acad Dermatol . 2009; 61 (3): 451-85. doi: 10.1016 / j.jaad.2009.03.027.