Ingozi Yokusuleleka Kusuleleka Ngokusetyenziswa kwe-TNF Blocker?
Umbuzo: Ngaba kukho ingozi eyongeziweyo yokusuleleka ekusebenziseni i-TNF blockers?
Luphi ubudlelwane phakathi kwe- TNF (i-tumor necrosis factor) kunye nosulelo? Ingaba kukho na imeko apho isiguli sonyango isigulane okanye iimpawu zekliniki ziyakunqanda ukucacisa i-TNF blockers ? Kwakhona, ngaba kukho na ixesha apho ezi ziyobisi kufuneka zicime okanye zishiye okwethutyana, njengokuba isiguli sinomkhuhlane, umkhuhlane, ukusuleleka okanye utyando oluzayo?
Impendulo: I- block block ye-TNF yonyango oluchanekileyo lwe- rheumatoid arthritis . Njengawo onke amayeza, kukho iziphumo ezinobungozi. I-block 5 ye-TNF: i- Enbrel (etanercept), i- Humira (adalimumab), i- Remicade (i-infliximab), i- Simponi (golimumab) ne- Cimzia (certolizumab pegol) yandisa ingozi yokuphuhliswa kwesifo sofuba (TB). Isizathu sokuba oku kwenzeke kukuba i-tumor necrosis factor (TNF) idlala indima ebalulekileyo ekukhuseleni komzimba ngokukhusela ibhaktheriya ebangela i-TB. Ngenxa yoko, kucetyiswa ukuba oogqirha bakhenkceze izigulane ezinephepha le-TB ngaphambi kokuqala unyango nge-blocker ye-TNF. Ukuba kukho ubungqina bokubakho kwangaphambili (indawo ebomvu ephakanyisiweyo iya kuphuhliswa kwisithuba seentsuku ezingama-2-3 kwisiza sovavanyo lwesikhumba), amayeza anganikwa inxulumene ne-blocker ye-TNF ukuvumela unyango.
Ukongezelela, kukho ubungqina obuvela kwizifundo zekliniki kunye neengxelo zentengiso (iingxelo ezivela kwizigulane kunye noogqirha abasebenzisa iziyobisi emva kokuba bavunywe yi-FDA) ukuba i-TNF ikhusele ingozi yokusuleleka kwezifo (ngaphezu kwesifo sofuba) xa kuthelekiswa kubemi bonke.
Nangona ziphumo ezifanelekileyo zekliniki kwiqela le-rhumatoid, kusekho nkxalabo yokuba ezi zi yobisi ziyakwandisa ingozi yokusuleleka kwintsholongwane ngenxa yokuba, ngokuqhelekileyo, izigulane ezinempilo zifakwe kwizifundo zeklinikhi kwaye amaninzi amatyala asulelekiyo ayengabonakali xa sele ntengiso.
Nantsi ingezantsi:
- Kucetyiswa ukuba i-TNF blockers ingenakuqaliswa ngumntu onentsholongwane esebenzayo.
- Izigulane ezineentsholongwane eziqhelekileyo okanye iintsholongwane ezingapheliyo kufuneka ziphephe ukusebenzisa i-TNF blockers.
- Ukongezelela, i-block block ye-TNF kufuneka ikhuphe okwesikhashana kulezi zigulane ezenza usulelo olunzulu ngelixa usebenzisa i-blocker ye-TNF okanye abo bafuna i-antibiotics ukuba baphathe unyango lwabo.
UScott J. Zashin, MD uthe, "Ukuba okanye ukuyeka unyango kwizigulane ezinokusuleleka ezincinci akucaci, kodwa ndicetyiswa ukuba ndiphephe unyango njengoko andiyiva ukuba inzuzo yokuqhubekeka unyango ngexesha lokusuleleka liphezulu kunobungozi. akukho ziphakamiso ezivela kwiikhampani malunga nokuba ngaba okanye ukuyeka okwesikhashana unyango. Kukho ulwazi olunqamlekileyo nolwaphikisanayo malunga ne-TNF blockers kwiziphumo zokugqithisa. Kwimeko ezininzi, ndincoma ukuyeka i-Enbrel 1-2 kwiiveki ngaphambi kokuhlinzwa, kwaye uphinde uqhubeke 1 Kwiveki kamva, ukuba akukho zibonakaliso okanye iimpawu zentsholongwane. I-Huma kufuneka imiswe iiveki ezimbini ngaphambi kokuba ibuyeke emva kweveki emva koko.
Qaphela: Nceda uqhagamshelane nodokotela wakho ngcebiso malunga nokuba kufuneka ubeke i-Enbrel, Huma, Remicade, Simponi, okanye iCimzia ngaphambi kokuhlinzwa.
Oogqirha banokuba neemfuno ezahlukileyo.
Umthombo:
UScott J. Zashin, MD nguprofesa oncedisayo ekliniki kwiYunivesithi yaseTexas Southwestern Medical School kunye noogqirha kwiiNgqungquthela zasePresbyterian zaseDallas nasePlano. UDkt. Zashin ungumlobi weArthritis ngaphandle kobuhlungu - Ummangaliso we-TNF Blockers kunye nombhali-mbhali we- Natural Arthritis Treatment .