Kuyera Njodzi Nezvipo
Arthritis varwere dzimwe nguva vanotya biologics , inozivikanwawo sebiologic response modifiers. Yekutanga biologic zvinodhaka zvinogamuchirwa neDFA nokuda kwekuvhiringidza marudzi eArthritis yaive anti-TNF mishonga , inowanzonzi TNF (tumor necrosis inhibitor) blockers. Kune mimwe migumisiro yakakomba inobatanidza neTNF blockers, yakadai sehutachiona hwehutachiona uye lymphoma, saka kumwe kutya kwekutya hakusi kwechokwadi.
Asi, hazvina kukodzera here kuongorora njodzi uye kubatsirwe kwehutano ne TNF blockers?
TNF blockers, inonzi inonzi biologic DMARD, inosanganisira Enbrel (etanercept), Humira (adalimumab), Remicade (infliximab), Simponi (golimumab), uye Cimzia (certolizumab pegol). Vane chikwata chakanaka chakanaka / panjodzi. Mune mamwe mazwi, kunyange zvingave zvakakomba migumisiro inogona kukura, hazvisi zvayo. Zvinotarisawo kuti varwere vazhinji vanoona kuchinja kukuru kubva pakutora mishonga.
TNF blockers dzakadzidzwa muvarwere kwemakore uye dzave dziri pamusika kubva muna 1998. Zvinetso zviviri zvakakosha nemishonga iyi zvinosanganisira ngozi yekutakura utachiona kana lymphoma. Kunyange pasina kutora TNF blockers, rheumatoid arthritis varwere vane ngozi yakawedzerwa yokugadzirisa matambudziko aya maviri (utachiona kana lymphoma) achienzaniswa nevanhu vakawanda. Kutaura zvazviri, varwere vane dambudziko rakaoma kwazvo rerheumatoid arthritis vanowanzoita lymphoma kune avo vane chirwere chakaipa.
Pane uchapupu hwekuti biologic zvinodhaka zvinowedzera mukana wekuita zvirwere zvisina kujairika, zvakadai sechirwere chetachiona (TB) . Nokudaro, zvinokurudzirwa kuti varwere vose vaongororwe nekuongorora kweganda uye chifuti x-ray kuti vaone kuti vasati vasangana neTB musati vatanga kurapwa nevharivha yeTFF.
Iwe unofanirwa kuve wakangwarira pamusoro pekutora TNF blockers kana iwe uri chirwere cheshuga chine chirwere cheshuga kana une chimwe chikonzero chekuwedzera mungozi yehutachiwana, zvirwere zvinoramba zvichiitika, kana maronda akazaruka kana maronda.
Vakawanda vanoita zvirwere vanogona kuita zvakanaka kwazvo pamatare eDMARD , akadai sePalaquenil (hydroxychloroquine), Azulfidine (sulfasalazine) kana Rheumatrex (methotrexate) uye angazombofanira kutora blocker yeTFF. Mune varwere vane chirwere chikuru uye vane zvikonzero havafaniri kutora methotrexate (semuenzaniso, chirwere chechiropa), TNF blockers inogona kushandiswa sekutanga kwekurapa.
The Bottom Line
Kana iwe wakanyorerwa neTNF blocker uye uchibvuma kuedza, rangarira kune:
- Ziva zvingave nemigumisiro inobatanidza neNADF blockers.
- Ivai vakangwarira. Ngwarira kune zviratidzo zvitsva zvingave zvakagadzirwa mushure mokutanga TNF blocker.
- Usazvidzivirira zviratidzo zvitsva. Dzokorora kuchinja kune chiremba wako uye rega chiremba wako asarudze kukosha uye chii chinofanira kuitwa.
- Kunyange zvazvo kuziva nekuchenjerera kunokosha pakutanga chero mishonga mitsva, uye kunyanya imwe ine migumisiro yakakomba, ramba uchiyeuka kuti yakawanda migumisiro kana kusagadzikana kusina kunaka. Shandisa kutya kwako neicho.
- Kurukura zvaunofunga nachiremba wako. Chienzanisa zvikomborero zvinotarisana nematambudziko ekurapa neTBF blocker. Funga kuoma kwehutano hwako, maitiro akaoma , uye dzimwe nzira dzokurapa. Pamwe pamwe nachiremba wako, ita urongwa uye unzwisise zvinangwa zvekurapa uyewo chii chichava chechiito kana chimwe chinhu chakaipa chichikura.
Kunobva:
Mhinduro yakapiwa, muchikamu, naScott J. Zashin, MD Dr. Zashin ndiye chiremba wechipatimendi wemubhizimisi paYunivhesiti yeTexas Southwestern Medical School uye chiremba anoenda kuPresbyterian Hospitals yeDallas nePlano. Dhiyabhorosi Zashin munyori weArthritis Pasina Pain - Chishamiso cheNADF Blockers uye mubati wenhengo yeAtmal Arthritis Treatment .