Pane Njodzi Yehutachiona Inowedzera Nokushandiswa kweTan Blocker?
Mubvunzo: Pane ngozi yakawedzerwa yehutachiona nekushandiswa kweTNF blockers?
Ndeipi ukama pakati peTAN (tumor necrosis factor) uye utachiona? Pane imwe nyaya iyo murwere wemuongorori wehutano kana zviratidzo zvechipatara zvinenge zvisingatongorongorori TNF blockers ? Uyewo, pane nguva here apo mishonga iyi inofanira kuregwa kana kutorega kwechinguva, zvakadai sokunge murwere ane utonhora, chirwere, utachiona, kana chirwere chinouya?
Mhinduro: TNF blockers ndiwo mushonga unonyatsoshanda we rheumatoid arthritis . Kungofanana nemishonga yose, pane zvingava nemigumisiro. I 5 TNF blockers: Enbrel (etanercept), Humira (adalimumab), Remicade (infliximab), Simponi (golimumab), uye Cimzia (certolizumab pegol) inowedzera dambudziko rekukura kwechifuba (TB). Chikonzero ichi chinoitika ndechokuti tumoroni necrosis factor (TNF) inotora basa rinokosha mumuviri wekudzivirirwa kwezvirwere mumuviri nemaabhakitiriya anokonzera TB. Somugumisiro, zvinokurudzirwa kuti vanachiremba vachengetedze varwere vane chirwere cheganda reTBT musati vatanga kurapwa neTB blocker. Kana pane uchapupu hwekutsvaga kwepakutanga (nzvimbo yakasvibirira yakasimudza ichakura mukati memazuva maviri panzvimbo yekuongorora kweganda), mishonga inogona kugoverwa pamwe neTF blocker kuti ipe kurapwa.
Mukuwedzera, kune humwe uchapupu hunobva kuchirongwa chechirongwa chekuchipatara pamwe nemishumo yekutsvaga kwekutengesa (mitsva inobva kuvarwere uye vanachiremba vakashandisa mishonga mushure mokunge vabvumidzwa neDFA) iyo TNF inodzivirira inowedzera dambudziko rehutachiona hwehutachiona (pamwe nehutachiona) kana yakaenzaniswa kuvanhu vakawanda.
Pasinei nehutano hwakanaka hwechipatara muboka revarume, pane huri kunetseka kuti mishonga iyi inowedzera kuwedzera njodzi yehutachiona hwehutachiona nekuti, kazhinji, vanorwara zvikuru vanopinda muchirongwa chechiremba uye mazhinji maitiro ehutachiona hahuyikwi kana chirwere ichi chiri pa misika.
Heino mhedziso:
- Zvinokurudzirwa kuti TNF idzi dzisati dzitange nemumwe munhu ane chirwere chinoshanda.
- Varwere vane zvirwere zvakakomba zvekare kana zvirwere zvisingagumi vanofanira kudzivisa kushandisa TNF blockers.
- Uyezve, TNF blockers inofanira kuregwa kwekanguva kune avo varwere vanoita zvirwere zvakakomba pavanenge vachishandisa TNF blocker kana avo vanoda mishonga inorwisa mabhakitiriya kuti vabate utachiona hwavo.
Scott J. Zashin, MD akati, "Kana kana kusarega kurapwa mune varwere vane zvirwere zviduku hazvina kunyatsojeka, asi ini ndinowanzokurudzira kusarega kurapwa sezvo ini ndisingafungi kubatsirwa kwokuenderera kurapwa panguva yehutachiona huri nani kupfuura njodzi. hazvirevi mazano kubva kumakambani ekuti kana kuti kwete kumbomira kurapwa.Nokuti pane zvishoma uye zvinopesana nedzimwe nzira yeTNF blockers pamigumisiro yekuvhiya. Muzviitiko zvakawanda, ndinorayira kumira Enbrel masvondo maviri vasati mavhiyiwa, uye torazve 1 vhiki inotevera, kana pasina zviratidzo kana zviratidzo zvehutachiona Huma inofanira kumiswa kwemavhiki maviri mushure mekudzokazve kwevhiki imwechete Remicade inofanira kumiswa masvondo mana isati yasvika uye inotangazve mazuva gumi kusvika kumavhiki mana mushure mekuvhiyiwa. "
Cherechedza: Ndokumbira kubvunza chiremba wako kuti apiwe mazano pamusoro pekuti iwe unofanira kubva warega Enbrel, Humira, Remicade, Simponi, kana Cimzia vasati vavhiyiwa.
Vanachiremba vanogona kunge vane zvakasiyana.
Kunobva:
Scott J. Zashin, MD ndiye chiremba wepiriniki mudzidzisi wechipatimendi paYunivhesiti yeTexas Southwestern Medical School uye chiremba anoenda kuPresbyterian Hospitals ye Dallas uye Plano. Dhiyabhorosi Zashin munyori weArthritis Pasina Pain - Chishamiso cheNADF Blockers uye mubati wenhengo yeAtmal Arthritis Treatment .