Kukho isisombululo esihle ekutshweni kwakho kunye nakubonkqo
I-aicic dermatitis , eyaziwa nangokuthi i-eczema, iyinto eqhelekileyo, isifo esiqhenqa isikhumba esibangela ukuba isikhumba esibomvu, esiqhenqileyo, esineqabunga, nangesinye isiqhekeza okanye esikhulayo. Ngokuqhelekileyo uqala ebuntwaneni kwaye abanye abantu banokuqhubeka bekhulile. Enyanisweni, ngokwe-American Academy of Dermatology, malunga neyodwa ukuya kweyesithathu yabantu abadala emhlabeni wonke banesifo se-atopic dermatitis.
Isizathu esicacileyo se-atopic dermatitis sisaphikisana kwaye sifundeka, kodwa mhlawumbi siquka ukudibanisa okunzima phakathi kweentlobo zomzimba, isistim somzimba kunye nomsebenzi ongenakonakala we-epidermis-indawo engaphezulu kwesikhumba somntu.
I-aicic dermatitis ikwazi ukulawulwa ngoku:
- Ukunyamekela kancinci , kuquka ukunyusa.
- Ukususwa kwezinto ezibangelwayo kunye nezinto ezihlaselayo.
- Unyango olwenziwe kwilusu, njengemithi ye-steroid yeoli kunye namafutha.
Nangona kunjalo, kwabanye abantu abadala abanomlinganiselo osisigxina kwi-eczema, isifo sabo asiphuculanga kunye nemithi yonyango (okanye ayinakukwazi ukuthatha le miba), ngoko kufuneka injectable engumzimba ifumaneke.
I-Dupixent (dupilumab) yimizimba yokuqala ye-ADA neyodwa ejoyiweyo. Injected njalo kwiiveki ezimbini kwithanga okanye ngaphantsi kwesisu ngaphakathi kwinqanaba elinqatyisiweyo ngaphantsi kwesikhumba-oku kuthiwa yi-injection subcutaneous.
Iindaba ezilungileyo kukuba ugqirha wakho okanye umongikazi unokukufundisa okanye umthandayo indlela yokunika ijojo, ngoko unokukwenza kwintuthuzelo yakho. Kwakulungile ukuba uqaphele ukuba le nyeza ingasetyenziselwa ukudibanisa nemithi yonyango ye-steroid, okanye ingasetyenziswa yodwa.
Indlela i-Dupixent (dupilumab) isebenza ngayo
I-Dupixent (dupilumab) yimiyeza ye-biologic, oko kuthetha ukuba isebenza kuwo wonke umzimba ukuba utshintshe indlela yokusebenza kwe-immune system isebenza ngayo.
Ingumntu-mnye womntu-uhlobo lomntu ochasayo owenziwe kwibhubhoratri.
Emva kokuba ijoyiwe kwaye ifakwe kwigazi, libophezela kwisayithi elithile lokungena kwi-site elalikhusela isenzo seeprotheni ezimbini zomthunywa (interleukin-4 kunye ne-interleukin-13). Ezi ziprotini ziyaziwa ngokuba zidlala indima enkulu ekubunjweni kweentlanzi ze-eczema.
Iimpembelelo zeDuxxent (dupilumab)
Uphando luye lwabonakalisa nje ukunciphisa umgangatho womzimba kunye nobuqili beengcambu ze- eczema kodwa kunye nokunciphisa okukhulu ekutshitshweni, oku kungabangela ukuphazamiseka kakhulu kubantu abane-dermatitis ye-atopic. Ukongezelela, kwiisigaba ezimbini zeeveki ezili-16, iyeza lafunyanwa ukunciphisa iimpawu zokuxhalaba nokuxinwa nokuphucula umgangatho wobomi.
Ingaba kukho naziphi na iimiphumo ezimbi?
Injectable inokubangela ukucaphuka kwesikhumba kwisayithi yejoyi. Nangona kunqabile, kunokunokubangela ukuba iimeko ezinobungozi, kunye neengxaki zamehlo ezinjengeyomile, isohlwayo, iso elincinci (elibizwa ngokuba yi- conjunctivitis ), ukukhupha ijwayidi (ebizwa nge-blepharitis), okanye ukuvuvukala kwe-cornea (ebizwa ngokuba yi-keratitis). Izilonda okanye malunga nomlomo kunye nasemlonyeni (obizwa ngokuba yi- oral herpes ) ziye zabikwa.
Kubalulekile ukuqhagamshelana nodokotela wakho ngokukhawuleza ukuba ufumana iingxaki zembono, ubuhlungu bentlungu, okanye ukukhathazeka kweso.
Kwakhona kubalulekile ukuyeka ukulawula amachiza kwaye ufune unyango xa ufumana iimpawu zokumelana nomzimba njengemingxuma, ukugqabhuka kwesikhumba kunye okanye ungenayo intsholongwane, i-lymph nodes evuvukileyo, intlungu edibeneyo, ukutshitshisa okanye ukuvakalelwa ngokuqhelekileyo. Ngokuqinisekileyo, oko kuchazwe ngasentla akuzona zonke iziphumo ezibi ezibangelwa ngumntu, ngoko qiniseka ukuba uqhagamshelane nodokotela wakho nayiphi na ingxaki okanye iingxaki.
Ekugqibeleni, abanye abantu bahlakulela izizahlulo kwiziyobisi, ezenzeka xa umzimba uvelisa iprotheni ukuze unqande okanye uvimbele umphumo wayo. Oku kunokukrokra ukuba umntu uyayeka ukuphendula kumachiza, kwaye unokuqinisekisa ngokuhlolwa kwegazi.
Yintoni Ndifanele Ndixelele Ugqirha Wam?
Thetha ugqirha wakho malunga nazo zonke iimeko zakho zempilo, ingakumbi ukuba unengxaki yamehlo, ukusuleleka kwintsholongwane, okanye i-asthma. Kwakhona, qiniseka ukuxelela ugqirha wakho ukuba ukhulelwe, uncelisayo, okanye ulungele ukufumana nayiphi na igciwane. Ngenxa yemiphumo yomzimba womntu, kucetyiswa ukuba akukho mntu uthabatha la mayeza afumana nayiphi na imithi yokugoma (umzekelo, umkhuhlane we-intranasal okanye ugonyo lwe-zoster).
Kwakhona kubalulekile ukwabelana nodokotela wakho onke amayeza akho, kuquka naziphi na izidakamizwa ezingaphezulu kwee-counter, ii-vitamins, okanye izongezelelo.
Umfanekiso omkhulu apha ufanele ulungele xa u tyelela i-allerergist yakho. Ngokucokisekileyo kunye nokwabelana ngembali yakho yonyango kunye nodokotela wakho, unokukwazi ukuba ngaba le yonyango elungileyo.
ILizwi
I-atopic dermatitis enobukhulu ingabangela ukuba i-eczema i-patz edibeneyo emzimbeni, enokuzikhupha ngokomzimba nangokwengqondo. I-Dupixent (dupilumab) inikezela ukhetho kulabo bantu abadala abanomlinganiselo othethelelekileyo kwizifo ezinzima kodwa abazange bafumane uxolo olufanelwe neendlela eziqhelekileyo ezifana ne-steroid creams kunye nama-ointments. Ukongezelela, kubonakala kukhuselekile, nangona ingozi eyongeziweyo yeengxaki zamehlo kufuneka ihlaziywe ngakumbi.
Oko kuthethwa, le mayeza ayilona wonke umntu, kwaye ngeli xesha, ligcinwe kwabangenazo ezinye iindlela. Hlala ebhodini njengoko uphando luqhubeka luguqukela kwi-biologics ye-biologics ye-eczema.
> Imithombo:
> I-American Academy yeDermatology. I-Atopic Dermatitis: Ngubani ofumana kunye nezizathu.
> Beck LA et al. I-Dupilumab unyango kubantu abadala abanomdla wokumodareyitha. N Engl J Med . 2014 Julayi 10; 371 (2): 130-9.
> Simpson EL et al. Izigaba ezi-3 zeDupilumab ngokubhekiselele kwi-placebo kwi-atopic dermatitis. N Engl J Med . Ngo-2016 umDhi 15; 375 (24): 2335-2348.
> Spergel JM. (NgoFebruwari 2015). Ulawulo lwenkcazo ephezulu ye-atopic dermatitis (eczema). Ku: U-UpToDate, iDellavalle RP (Ed), UpToDate, Waltham, MA.
> Ulawulo lweZiko lokuTya kunye neDrug. (Matshi 2017). Ukuzalisa ngokupheleleyo Iziqulatho: I- Dupixent .