Muna 2011, apo United States Chakudya neDrug Administration (FDA) yakabvumira Benlysta (belimumab) yaive chinhu chikuru! Benlysta ndiye aiva wokutanga muropa anogamuchirwa ne lupus mumakore anodarika makumi mashanu. Kare zvisati zvaitika, mishonga chete inobvumirwa neDFA kurapa lupus yaiva Plaquenil (hydroxychloroquine), prednisone (1955), uye aspirin (1948). Asi Plaquenil haina kusikwa uye haishandisi chete ye lupus. Inonzi chirwere chepachiropa nokuti chinoshandiswa kudzivirira marariya, uye inoshandiswawo kubata chirwere cherumatoid arthritis.
Paunonzwa nezveBenlysta, iwe unowanzonzwa izwi biologic . Kusiyana nezvinodhaka zvakasikwa kubva kumakemikari zvinokonzerwa, biologic imishonga inogadzirwa kubva kune zvakasikwa semhuka, munhu, kana michina. Benlysta akasiyana nokuti mamwe biologics akauya pamberi payo uye akakundikana se lupus mishonga.
Mukuwedzera, Benlysta ndiyo inotanga kuitirwa chirwere chemapus. Mimwe mishonga inowanzoshandiswa kurapa lupus-like hydroxychloroquine, corticosteroids, methotrexate, azathioprine, cyclophosphamide, uye mycophenolate mofetil-yakagadzirirwa zvimwe zvinangwa kudzivirira masimba ezvirwere zvezvirwere zvakanyanya. Asi sezvo Benlysta ari biologic, yakaumbwa nemapuroteni evanhu, vatsvakurudzi vakakwanisa kukura mishonga inogona kutarisa chikamu chemuviri wezvirwere mumuviri unoita basa mukukonzera zvirwere zve lupus.
Sezvo yekutanga inotarirwa biologic lupus treatment, kwete chete Benlysta anopa imwe nzira yekurapa, asi yakakurudzira humwe hutsva uye hutsva hwekuongorora lupus. Nokuda kwezvikonzero izvi, kugamuchirwa kweDAA kwemishonga iyi inokosha nguva munhoroondo ye lupus tsvakurudzo!
Zvinonzwisisika, mumwe munhu anodzidza nezvaBenlysta kokutanga angada kuziva zvakawanda nezvechirwere ichi. Pasi pane mhinduro dzemibvunzo yakawanda pamusoro peBenlysta.
Benlysta Anoshanda Sei?
Maererano neLupus Research Alliance, Benlysta "inoshanda nekunyaradza pasi yehutachiona hwemapune system ye lupus nekudzivisa puroteni inonzi 'B lymphocyte stimulator (BLyS)' inofungidzirwa kuti iwedzere kupindira kwekuvhiringidza kunokonzera nekukuvadza muviri wehutachi hwakanaka."
Mune mamwe mazwi, BLyS ndiyo chikamu chezvirwere zvemuviri zvinoshandiswa nemishonga. Benlysta inotarisira kudzivirira BLyS kubva pakuvhiringidza kunokonzera maitiro ezvirwere zvemuviri kuti arwise muviri womunhu.
Benlysta inowanzoshandiswa pamwe chete nemimwe mishonga yemapirus (standard therapy). Iko kusanganiswa kwakaratidza kuti kunonyanya kubudirira pakuderedza lupus zviratidzo kupfuura chirwere chemaitiro chete. Zvinoderedza zviratidzo zvinowanzove zvakabatana neganda, muromo, majoini nemasumbu, uye maitiro ezvirwere zvemuviri.
Imwe nzira inobatsira yekushandisa mishonga iyi kuderedzwa kwekushandiswa kwe-corticosteroid. Izvi zvakakosha becase sekurapa kwenguva refu, corticosteroids inozivikanwa kuti inokonzera migumisiro yechipfupa sefupa kurasikirwa uye nhengo yakashata.
Benylsta Anotungamirirwa Sei?
Kusiyana nemamwe mishonga yakawanda yemapirus, Benlysta haisi piritsi. Inoshandiswa nehutachiona (IV) kuputika kana kuburikidza nekuzviuraya.
IV Kusanganiswa
Iyi nzira inobvumira mushonga wacho kuti uende zvakananga muropa uye unopinda mudumbu. Kana iyo ikamedzwa mufomu yemapiritsi, inopinda mudumbu uye mapuroteni anokosha anoumba mishonga aizoparadzwa.
Kana uchitungamirirwa neA IV, iwe haugoni kuitungamirira kumba uye unofanira kuenda kune imwe nzvimbo yekupusika sehofisi yechiremba, chipatara, kana nzvimbo inopindira. Iyo inokonzerwa inogona kutora inenge awa, asi yakareba kana prep uye / kana nguva yekucherechedza ichidiwa.
Kune zvitatu zvekutanga, zvinowanzoitika kuti zviitike kamwechete kwevhiki mbiri, uye kamwe kamwe kwevhiki rimwe chete shure kweizvozvo.
Benlysta inofanirwa semishonga yakareba kwenguva refu, uye kana iwe nachiremba wako muchibvumirana kuti zviri kukushandira zvakanaka, regai kuvhara mavhiringiro paunotanga kunzwa zviri nani. Iwe unofanirwa kuramba uchirapa kunyange mushure mekunge iwe uchinzwa zviri nani senzira yekuchengetedza maitiro akanaka.
Kuzvidzora
Pakanga pane maitiro ekupa self-injection chisarudzo, zvinoreva kuti iwe unenge uine sarudzo yekupa Benlysta iwe pachako, kumba. Iyo FDA inobvumira chisarudzo chokutanga chokuzvidzivirira muna 2017, kunyanya kuronga urongwa hwe lupus erythematosus, iyo inowanzojairika ye lupus. Kuita sarudzo kunoda kubhadhara kubva kuchiremba wako uye kunogona kuva nyore kune IV kune vakawanda.
Ndakanzwa Izvo Zvisashandisi veAfrica -America
Zvidzidzo zvepakutanga zvakatungamirira kubvumirano yaBenlysta hazvina kusanganisira vakakwana vaAfrica-America. Izvi hazvirevi kuti mishonga haigoni kukushandira iwe kana iwe uriAfrica-America. Pane zvakasiyana, zvinogona kushanda zvakanaka sezvo munhu wose ane lupus akasiyana.
Iko kune ikozvino kuongororwa kwemakiriniki kunoenderera mberi kutibatsira kuti tidzidze zvakawanda pamusoro pekuti Benlysta anoshanda sei kune veAfrica-America. Iyi miedzo inonyanya kukosha sezvo vakadzi veAfrica -America vari kanowanzoita katatu kuti vawane lupus kupfuura vakadzi vachena.
Taura nechiremba wako kana iwe uchida kuedza Benlysta kana kuti kupinda muchikwata cheBenlysta kuchipatara.
Ko kana Ndine Muviri-Kubatanidzwa?
Apo Benlysta akatanga kugamuchirwa neDFA, zvakanga zvisinganzwisisiki kana mushonga uyu waizobatsira vanhu vane nhengo yekubatanidzwa sa lupus nephritis kana central central system (CNS) lupus. Zvisinei, mune imwe tsvakurudzo yakatsvakurudza, yakawanikwa kuti mumakore mashanu ekutanga ekurapa naBenlysta, mushonga wacho hauna kukonzera kana kuita kuti mungozi iwedzere kuipa, uye inogona kunge inogona kupera chirwere chekuwedzera chinokonzerwa nechirwere chenhengo. Kubvira ichi ichi chaive ruzivo rwakabva kune imwe tsvakurudzo yekuongorora iyo yakabatanidza zvidzidzo zviviri, kutsvakurudza kwakawanda kunobatsira. Kutsvakurudza kuri kuvimbisa, saka kana iwe uine chikwata chekuita uye uchida kuedza Benlysta, taura nehheumatologist yako kuti uone kana vachifunga kuti ichi chinhu chakanaka kwauri.
Ndezvipi Zvikamu Zvakaipira uye Njodzi?
Kufanana nemishonga yose, Benlysta inogona kukonzera migumisiro yechirwere uye inouya nematambudziko. Kambani yezvinodhaka inofanira kunyevera nezvezvose zvinokonzerwa nemigumisiro yemigumisiro, asi izvi hazvirevi kuti iwe uchazviona izvi. Kana iwe unonetseka nezvemigumisiro, zvakakosha kutaura nemunhu wako rheumatologists pamusoro pekunetseka kwako. Mumamiriro ezvinhu apo vanhu vanoona zvinetso, vanogona kusarudza kuramba vari kurapwa kana mimwe migumisiro isiri yakanyanya kana kuti ivo uye chiremba wavo vanofunga kuti kubatsirwa kwechirwere ichi kunopfuura maitiro.
Nemhaka yezvipingamupinyi zvinosangana naBenlysta, usati watanga mushonga, taura iwe rheumatologist kana iwe:
- vane zviratidzo zveve kana vakave vaine chirwere, chirwere chemwoyo, kana chirwere chepfungwa
- kudikanwa kana kuti kungotora chirwere, kunyanya chirwere chinorarama
- Iva nemishonga yekurapa
- vari kutora imwe mishonga ye biologic, monoclonal antibodies kana kuti IV inorwara ye cyclophosphamide (Cytoxan®)
- iri pane imwe nzira ipi zvayo yemishonga, herbal supplement, kana vitamini
- vane kana kuti vakambova nehupi yekenza
- vane zvimwe zvirwere
- vane pamuviri kana kuronga kuva nepamuviri, kana kuti iwe uri kunyamwa
Aya mashoko achabatsira chiremba wako kuona kana Benlysta ari kurapa kwakakodzera iwe uye nguva yakanakisisa yokutanga kurapwa. Somuenzaniso, kana uine hutachiwana, vangada kudzorerazve mushonga sezvo chirwere ichi chinowedzera ngozi yehutachiwana.
Kana chimwe chezviitiko izvi zvichiitika apo iwe uchangotanga kushandisa mishonga, iwe unofanira kutaurira rheumatologist yako, zvakare.
Munguva yezvipatara zvinetso, vanhu vanowirwa nemigumisiro, asi haisi nguva dzose iyo yakajeka kana migumisiro yacho inokonzerwa zvakananga nemishonga. Zvisinei, vatsvakurudzi-uye munyaya ino GlaxoSmithKiline (GSK), vanoita zvechirwere-vanofanira kutarisa chero zviratidzo zvisina kunaka izvo vanhu vanowanzoona panguva yekuongorora zvipatara.
Bhenlysta yakawanda inokonzerwa nemigumisiro ndeye
- nausea
- chirwere
- fever
- stuffy kana runny nose
- huro inorwadza
- chifukidzi (bronchitis)
- dambudziko kurara
- gumbo kana kurwadziwa kwemaoko
- kuora mwoyo
- headache (migraine)
- urinary tract infection
- yakaderera ropa dema rekuyera ropa (leukopenia)
- kurutsa
- dumbu kurwadziwa
Kana uchinge uine izvi kana zvakanyanya zvakakomba migumisiro, zvakakosha kutaurira rheumatologist yako pakarepo. Kana ukaona hupenyu huri kutyisa migumisiro, sechirwere chinotarisa chinotadzisa kufema kwako, danai 9-1-1 pakarepo.
Pane zvimwe zvinogona kuitika, zvishoma, zvinovhiringidza. Izvo zvakanyorwa pane webhusaiti ye GSK, asi zvinokoshawo kuti utaure nehrumatologist yako pamusoro peBenlysta nemigumisiro uye njodzi, kazhinji.
Iwe unogona zvakare kugumisa zvakaipa zvakaipa zvemishonga yemishonga yemishonga, kwete Benlysta chete, kune FDA. Enda kune www.fda.gov/medwatch, kana kudana 1-800-FDA-1088.
Ndichakwanise Kubatsira Benlysta Here?
Kunyange zvazvo Benlysta inodhura kurapa, GSK inopa rubatsiro rwemari. Rheumatologist yako inogona kushanda neinishuwarenzi yako uye GSK kuwana rubatsiro rwemari raunoda.
Benlysta Anoshanda Vana Vane Lupus Here?
Hazvizivikanwe kana Benlysta yakachengeteka uye inoshanda kune vana vane lupus. Kune chirwere chinopfuurira chirwere chinonzi lupus kudzidza chiri kuongorora kubudirira uye kuchengeteka kwaBenlysta kune vana vane lupus pakati pemakore emakore mashanu kusvika ku17. Kana mwana wako ane lupus, unogona kutaura nachiremba wako kana zvakakodzera kuvanyorera iyi chidzidzo.
Icho Chichiri Chechipiri Muedzo weBenlysta?
Ehe. Kana iwe uchida mamwe mashoko pamusoro peBenlysta kliniki miedzo, unogona kutaura nehu rumumologist yako kana kuti taura GSK zvakananga. Iwe unogonawo kushanyira clinicaltrials.gov uye kuverenga Benlysta mubhokisi rekutsvaga.
Yakachengeteka here kutora Benlysta kwenguva refu?
Vatsvakurudzi vakaongorora migumisiro yaBenlysta kune vanhu vakatora mishonga kwemakore mashanu uye vakawana kuti, kusvika ikozvino, mishonga yakachengeteka kutora kwenguva iyi. Havana kuwana kuwedzera kwezviitiko zvekare zvakazivikanwa.
Ko kana Ndiri Mucheche kana Kuti Ndinoda Kuberekwa?
Nepo pave pane vakadzi vakaberekerwa kubudirira nevana vane utano pavanotora Benlysta, vatsvakurudzi vachiri kudzidza kana zvakachengeteka kutora Benlysta paanenge ane pamuviri-zvinoita here kuti mishonga inopfuurira pamucheche uye kana zvakadaro, chii chinokonzera? Vatsvakurudzi vakaunganidza uye vakaongorora mamwe mashoko asi mamwe mashoko akadikanwa.
Kana iwe ukava nepamuviri paunenge uchitora Benlysta kana mumwedzi mina mushure mekumira kwechirwere, taurira rheumatologist yako pakarepo, uye uvabvunzewo nezveBelimumab (Benlysta ™) Kuberekwa Registry.
Nokuongorora nekuunganidza deta, registry yakagadzirirwa kubatsira vatsvakurudzi kuti vanzwisise zviri nani Benlysta pave nepamuviri. Imi nevana venyu muchacherechedza zvakanyanya kana mukasarudza kuramba muchirwere.
Mune zvimwe zviitiko, vanhu vanogona kusarudza kugara paBenlysta panguva yese yekuzvitakura kana zvakakosha zvekugara pane zvinodhaka zvinokunda kudarika kunogona kuitika kune mwana.
Kana zvisina kudaro, zvinokurudzirwa kushandisa mushonga wekudzivirira kubata pamuviri kudzivirira kubata pamuviri paunotora Benlysta, kana kusvika mwedzi mina mushure mekumisa mishonga.
Saizvozvowo, hazvizivikanwe kana chirwere ichi chichibva kumubereki kusvika kumwana kuburikidza nekuyamwisa. Mubereki aifanira kusarudza pakati pekuyamwisa kana kutora Benlysta. Kana uri kufunga nezvekuyamwisa, ndapota taura nerheumatologist yako iyo ichakubatsira iwe kuongorora chakanakisisa chako.
Ndingawane sei Current News About Benlysta?
Kuti uwane pamusoro pekutsvakurudza kupi kwezvino kana nhau dzine chokuita naBenlysta, unogona kutaura nachiremba wako. Iwe unogonawo kuita internet kutsvaga, kuve nechokwadi kuti uwane mishonga inotendeseka .
Muchidimbu chako chinotsvakurudza, iwe unogona kupinda nguva yekutsvaga seBenlysta tsvakurudzo 2016 (shandisa gore razvino).
Zvitsva zvitsva zvitsvakurudzo zvingangosanganisira zvibatanidza kuLupus Research Alliance, kana mamwe mazita anozivikanwa eve lupus. Mienzaniso yemapuraneti echokwadi anopup research news MedPage Nhasi uye Lupus News Nhasi. Izvi zvinogonawo kuuya mukutsvaga kwako. (Dzidza zvakawanda pamusoro pekuwana ruzivo rwechokwadi rwehutano pane internet.)
Iwe unogona kuuya pane zvinyorwa zvakabudiswa ne GSK. Nguva dzose inobatsira kuenda zvakananga kumakambani emishonga uye kuona izvo zvabudiswa mahofisi avo vachangobva kubudisa nezvehutano husina kunaka.
Kana iwe uchida kuenda zvakananga ku tsvakurudzo, PubMed iyi webhusaiti yehurumende yeUnited States iyo inopa rusununguko rusununguko rweNational Library of Medicine dheedheni rinonzi Medline. Dzimwe nguva inopa nyaya dzakakwana. Dzimwe nguva zvinopa zvinyorwa. Chinyorwa chidimbu chechikamu.
Kana iwe ukatsvaga pa PubMeb yeBenlysta, uchawana mitsva yakawanda. Iwe unogona kuderedza migumisiro kuburikidza nekuwedzera kune nguva yako yekutsvaga. Pane kutsvaga Benlysta , tsvaga Benlysta migumisiro , somuenzaniso.
Benlysta Inowanikwa kunze kweUnited States here?
Mukuwedzera pakuwanikwa kuUnited States, Benlysta inowanikwa mumakondinendi matanhatu - North uye South America, Africa, Asia, Europe, uye Australia. Kuti uone kana Benlysta inowanikwa munyika yako chaiyo, taura nerheumatologist yako. Unogonawo kudana GSK. Kutaurirana navo kana iwe uchigara kunze kweU.S., shanyira chikamu chewebsite yeWorldwide uye tsvaga nechekare.
Will Benlysta Anondishandira?
Munhu wose ane lupus munhu akasiyana nevamwe, saka hapana mhinduro isina nyore kumubvunzo uyu.
Taura nehrumatologist yako kuti uone kana vachifunga kuti iwe uri mukana wakanaka wekurapa uku.
Kana iwe uye iwe rheumatologist uchifunga kuti ndiyo nzira yakanaka yekurapa, iwe unofanira kuedza mishonga kuti uone kuti inoshanda sei kwauri. Ramba uchifunga kuti harishandi sezvinoitwa kurapwa saiyo corticosteroids. Inogona kutora vhiki kana mwedzi kuti utange kuona zvigumisiro.
Kufunga nezvaBenlysta? Taura NaRheumatologist Yako
Kana uri kutarisa Benlysta, danho rinotevera nderokutaura nerheumatologist yako. Iwe pachako uchange uine mibvunzo yakawanda panguva yaunotanga kukurukurirana pamusoro pekurapa, uye chero pane imwe nguva shure kweizvozvo, kusanganisira iwe uri kutora mushonga. Nyora pasi mibvunzo yako sezvavanomuka, uye uuye nereji yako yemibvunzo kumusangano wako unotevera. Iwe unogonawo kudana GSK zvakananga kuburikidza neBENLYSTA Gateway pa 1-877-4-BENLYSTA (1-877-423-6597) Muvhuro kusvika Chishanu, 8 AM kusvika 8 PM Eastern Time. Kana zvasvika kune hutano hwako, iwe une kodzero yekuziviswa sezvaunokwanisa.
> Sources:
> Bruce I, Urowitz M, Vollenhoven R, et al. Chiremera chechigariro chenguva refu chinowedzera uye kuchengeteka kune varwere vane SLE vanobatwa ne belimumab pamwe nekuchengetwa kwemazuva ose. Lupus. 2016; 0: 1-11. http://lup.sagepub.com/content/early/2016/02/18/0961203315625119.full.pdf+html.
> Dubey A, Handu S, Dubey S, Sharma P, Sharma K, Ahmed Q. Belimumab: Kutanga Kuchengetedzwa Kwezvakaberekwa Kwezvakagadziriswa kweLupus Erythematosus. Journal of Pharmacology & Pharmacotherapeutics. 2011; Oct-Dec; 2 (4): 317-319. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198539/.
> Landy H, Powell M, Guta D, Eudy A, Petri M. Belimumab Kuberekwa kweRubhaibheri: Prospective Cohort Chidzidzo cheMigumisiro yekuzvitakura. Obstetrics & Gynecology. 2014; 123 (1). http://journals.lww.com/greenjournal/Abstract/2014/05001/Belimumab_Pregnancy_Registry__Prospective_Cohort.130.aspx.
> Vollenhoven R, Petri M, Wallace J, et al. Cumulative Corticosteroid Dose Pamakumi makumi mashanu nemaviri mavhiki muvarwere vane Systemic Lupus Erythematosus: Yakakonzerwa Kuongorora Kubva ku Phase III Belimumab Miedzo. Arthritis & Rheumatology. 2016; 68 (9): 2184-2192. http://onlinelibrary.wiley.com/doi/10.1002/art.39682/abstract.