Ukukhuphelwa Ngaba Iidakamizwa ezisetyenziselwa ukuphatha izifo zeCrohn kunye ne-Ulcerative Colitis
I-Remicade (infliximab) luhlobo lweziyobisi ezibizwa ngokuba yi-antioclonal antibody. I-TNF-alpha (i-tumor necrosis i-alpha factor) ifumaneka kwimali ephezulu kubantu abanesifo sika-Crohn kunabantu abangenayo nayiphi na isifo sesisu (IBD) . I-Remicade iyeka i-TNF-alpha ekubeni isetyenziswe ngumzimba.
I-TNF-alpha ngokwenene i- cytokine edlala indima kwinkqubo yokuvuvukala emzimbeni.
I-IBD yimeko yokuvuvukala, kwaye i-TNF-alpha ikholelwa ukuba ibamba indima ngendlela ye-IBD echaphazela ngayo inkqubo yesisu. I-cytokine iyahamba phakathi kwamaseli emzimbeni ehambisa imichiza "imiyalezo".
Uyakususwa Kanjani?
I-Remicade inikezwa njenge-infusion ngokusebenzisa umgca we-IV, ngokuqhelekileyo esibhedlele okanye kwi-ofisi yezobugqirha. Ukuxhamla kunikwe ngokukhawuleza ngaphezu kwemininzi (ngokuqhelekileyo i-2 ngaphezulu ngaphezulu) iiyure. Ugqirha ochaza i-Remicade uya kunika nayiphi na imiyalelo ekhethekileyo ukuba izigulane zifanele zilandele ngaphambi kokuba kuqashwe ukunyuswa.
Kutheni i-Remicade ibhalwe phantsi?
I-Remicade inokumiselwa kuzo zombini iinjongo eziphambili ze-IBD: i-moderation i-colitis ye-ulcerative colitis okanye isifo se-Crohn. I-Remicade iphinda ivunyiwe ukuba isebenzise abantwana abangaphezu kweminyaka engama-6 abaye baxhomekeke kwisifo esinzima se-Crohn okanye bathatyathele kwi-colitis yesifo esiswini esingaphenduliyo kwezinye izifo zonyango. Kwakhona kunokuba kunikwe abantu abanesifo sikaCrohn abanesifo se- fistula baze baphathe uhlobo oluthile lwe- rheumatoid arthritis .
Ukukhupha izibophelelo kwi-TNF-alpha, ukukhusela ukuba kungabangela ukuvuvukala emzimbeni. Nge-TNF-alpha engakwazi ukubangela ukuvuvukala, umntu onomsebenzi we-IBD unokufumana ixesha elingasebenziyo kwenkqubo yesifo, ebizwa ngokuba yi- remission .
Ngubani Akufanele Awathabathe?
Tshela ugqirha wakho ukuba unayo na le miqathango ilandelayo:
- Ukuphendulwa kwamanzi kwiyiphi na imithi
- Ukukhulelwa kwangoku
- Cancer
- Izifo
- Lupus
- Ukugonywa kutshanje
Iimpembelelo ezingasemva
Iziphumo eziqhelekileyo ze-Remicade ziquka iintlungu zesisu, isicathulo, isisu nokuhlanza. Tshela ugqirha wakho ukuba nayiphi na imiphumo emibi ingxaki okanye ungahambi.
Ngokuqhelekileyo, ezinye iziphumo ezibi kakhulu ziyakwenzeka, ezifana nobunzima bokuvuthwa, ukusuleleka, ukunyameka kwentliziyo kunye nentlungu. Ezi mpawu zimele zixelelwe ngudokotela wakho ngokukhawuleza. Jonga iphepha leempembelelo ze - Remicade ukuze ufumane uluhlu olupheleleyo lweempendulo ezingalunganga.
Ulwalamano lweMithi
I-Remicade ayizange ifunde ngokubanzi ukusebenzisana kwezidakamizwa. Ngethuba lokuvavanywa kweeklinikhi ze-Remicade, ezinye izigulane sele zithathe i-antibiotics, i-antitivirals, i-corticosteroids (njenge-prednisone), i-6-MP / AZA kunye ne-aminosalicylates. Ezi zi gulane azizange zifumane umlinganiselo omkhulu wokungeniswa kwamagalelo njengalawo angathathi naliphi na ezinye iziyobisi.
Nangona kunjalo, abantu abafumana i-Remicade akufanele bafumane naziphi na izitofu eziqulethe iintsholongwane eziphilayo okanye iintsholongwane (i-influenza yexesha elidlulileyo ayinayo igciwane eliphilayo). Ukukhusela i-anti-anti-system system, kunye nokuthatha ezinye iziyobisi ezikhusela isistim somzimba ngexesha elifanayo kunokunyusa ingozi yokusuleleka.
Ugqirha kufuneka uxoxwe malunga nayiphi na iminye imithi ethathwa ngexesha elifanayo neRicicade.
Ukusebenzisana kokutya
Akukho ukusebenzisana kokutya okuyaziwayo.
Ngaba Uyakhusela Ngokhuseleko Ngethuba Lokukhulelwa?
I-FDA iye yahlukanisa i-Remicade njengesiqhelo seB B. Impembelelo yokuba i-Remicade inomntwana ongakazalwa ingazange ifundwe ngokubanzi. I-Remicade kufuneka isetyenziswe kuphela ngexesha lokukhulelwa xa kuyimfuneko. Yazisa ugqirha ukuba ukhulelwe ngelixa uthabatha i-Remicade. Kucingwa ukuba uRicicade ayidluli ubisi lwebele. Abasetyhini bafanele bahlole iingcali zabo, kodwa okwangoku bacinga ukuba abafazi abafumana i-Remicade akufanele badikibala ekunceliseni iintsana zabo, ngokukodwa banikezele ngeenzuzo ezixhaphakileyo zobisi lwebele kubantwana.
Ndingayifumana Njani Uncedo Ngeendleko?
I-Janssen Pharmaceuticals ineNkqubo yoNcedo lweMonde ukunceda ekufumaneni unyango lwe-Remicade. Uncedo lunokufumaneka kwiinkampani ze-IBD.
Imithombo:
Kane S, Ford J, Cohen R, Wagner C. "Ukungabikho kwe-infliximab kwiintsana kunye nobisi lwebele lwabahlengikazi abafumana unyango kwisifo sikaCrohn ngaphambi nangemva kokusondeza." J Clin Gastroenterol. 2009 Aug; 43: 613-616.
Remicade.com. "Oko Kufuneka Ukwazi Ngokuzikhupha." Janssen Pharmaceuticals. 28 uJuni 2016.
> Wilhelm SM, McKenney KA, Rivait KN, Kale-Pradhan PB. "Ukuhlaziywa kwe-infliximab isebenzisa i-ulcerative colitis." Clin Ther . 2008 Feb; 30: 223-230.