Momwe mungakhalire wathanzi ngati mutenga mankhwala opatsirana pogonana

Zambiri Zamankhwala

Mankhwala ena sizodabwitsa kwa odwala omwe amawafuna. Mankhwala monga biologics, mankhwala oletsa kukana, chemotherapy, ndi corticosteroids amapulumutsa moyo kwa odwala ambiri, koma monga mankhwala ambiri, zodabwitsa za mankhwala izi zimadza ndi zovuta. Ndipo chimodzi mwazovutazi zimafunikira kusintha kwakapangidwe kamoyo.

Zotsatira zake? Mankhwalawa akhoza kuwonjezera chiopsezo chanu chotenga matenda .

Mwanjira ina, adalimumab , mbalambanda , alireza , kapena tacrolimus omwe mukuwatenga atha kusokoneza chitetezo chamthupi chanu. Ndi mankhwala osokoneza bongo.

Zikumveka zowopsa, koma zikutanthauza chiyani?

Kodi zikutanthauza chiyani ngati mankhwala ali ndi immunosuppressant?

Zikutanthauza kuti mankhwalawa amatha kusokoneza zomwe zimachitika mthupi zomwe zimapewa matenda, akutero Jeff Fortner, Wachipatala ., Pulofesa mnzake ku Pacific University ku Forest Grove, Oregon. Akulongosola kuti kulowereraku ndikomwe kumalola kuti mankhwala azigwira ntchito.

Kodi ndichifukwa chiyani izi zimadalira mankhwala, Dr. Fortner akuti. Mwambiri, komabe, mankhwalawa amachititsa kuti chitetezo chanu cha mthupi chitheke kuti thupi lanu lisayambe kuwukira, kumenya nkhondo ndi chilichonse chomwe chingawoneke ngati cholowa chakunja.

Mwachitsanzo, chemotherapy imapha maselo oyera a magazi. Maselo oyera amalimbana ndi matenda, motero magazi oyera ochepa amachepetsa chiopsezo chotenga matenda, Malo Otetezera Matenda (CDC) ikufotokoza. Ndi mankhwala a biologic monga Humira , omwe amagwiritsidwa ntchito pochiza matenda osiyanasiyana monga matenda a Crohn's and rheumatoid arthritis, zimangokhala ndi zotupa zokha, makamaka zotupa za necrosis factor alpha. Steroids ndi mankhwala oletsa kukana amayang'ana ma T-cell, omwe ndi ma lymphocyte omwe amayang'anira kuyankha kwamthupi.

Njira yotsutsa-kukana nthawi zambiri imangokhala kuphulika kwa makina anu kuti athane ndi chilichonse, atero a Ramzi Yacoub, Pharm.D., Wamkulu wa zamankhwala ku SingleCare.

Chabwino, ndiye izi zikutanthauza kuti ngati mukumwa imodzi mwa mankhwalawa mumadwala nthawi iliyonse mukamadutsa wina yemwe amakhala ndi mphuno? Kapena ndi zinthu zazikulu zokha, monga chimfine kapena chifuwa chachikulu? Kodi mufunika kukhala mu bulamu kuchokera pano mpaka pano?

Kodi zotsatira zoyipa zama immunosuppressants ndi ziti?

Mwamwayi, nthawi zambiri, fayilo ya zamakono kuwira sikufunika. Komabe, ndikofunikira kwambiri kumvetsetsa kufunika kokhala ndi chitetezo cha mthupi kuti muthe kudziteteza komanso / kapena banja lanu ndi abwenzi omwe ali pachiwopsezo, akutero Ali Olyaei, Pharm.D ., katswiri wazamankhwala komanso kumuika ku Oregon Health and Science University ku Portland, Oregon.

Zotsatira zoyipa zamankhwala opatsirana pogonana atha kuphatikizanso mavuto am'mimba monga kutsegula m'mimba, mseru, ndi kusanza. Komabe, zotsatira zoyipa kwambiri zakumwa kwa immunosuppressant ndi chiopsezo chotenga matenda.

Izi zitha kutanthauza kugwira kachilombo kali konse mwana wanu amabweretsa kunyumba kuchokera kusukulu kapena kuthekera kwenikweni kuti matenda a chimfine angakufikitseni kuchipatala. Mwinanso mumakhala ndi mavuto obwera chifukwa cha matenda obwera chifukwa cha zakudya, kulumidwa ndi tizirombo, ndi zoopsa zachilengedwe (monga nkhungu). O, ndipo mukudziwa zonsezi kuphulika kwa chikuku posachedwapa ? Mutha kukhala pachiwopsezo, ngakhale mutakhala kuti muli ndi MMR yanu musanamwe mankhwala anu atsopano. Ma immunosuppressants nawonso amakusiyani pachiwopsezo chosowa kwambiri komanso chovuta kuchiza matenda, monga fungus pneumonia ndi mitundu ina ya lymphoma.

Mwakhazikika pakati pa thanthwe ndi malo ovuta, a Dr. Olyaei akutero, ndikuwonjeza kuti kuchuluka kwanu pachiwopsezo kumadalira mankhwala omwe mukugwiritsa ntchito limodzi ndi zina zambiri (ngakhale kafukufuku wina waposachedwa adawonetsa kuti kwa odwala omwe amatenga corticosteroids, mamiligalamu asanu amakula pamlingo wofanana ndi chiwopsezo cha 13% pachowopsa cha matenda).

Momwe mungakhalire athanzi mukamamwa ma immunosuppressants

Ndiye, kodi munthu amene ali ndi chitetezo chamthupi amatani? Nawa maupangiri angapo:

1. Chitani khama potsatira njira zaukhondo monga kusamba m'manja . Aliyense amadziwa kuti kusamba m'manja ndi chinthu chabwino kwambiri chomwe mungachite kuti musadwale, koma ndichoncho Zambiri ndizofunikira kwa iwo omwe ali ndi chitetezo chokwanira komanso aliyense amene angakumane nawo.
2. Onetsetsani kuti mwatsuka zipatso ndi ndiwo zamasamba .
3. Pewani anthu omwe ali ndi matenda opatsirana (musachite manyazi kuuza anthu kuti azikhala patali, mwina).
4. Mungafunike kuvala chigoba nthawi zina (ngati muli pa ndege ndipo anthu akutsokomola, mwachitsanzo), komanso ndibwino kupewa khamu lalikulu.
5. Kukhala ndi nthawi yatsopano pa katemera wanu wonse ndikofunikira kwambiri.
6. Tsatirani moyo wathanzi (kugona mokwanira, kuchita masewera olimbitsa thupi, ndi kudya chakudya chopatsa thanzi).
7. Onetsetsani kuvala magolovesi pochita ndi zinthu monga ndowe za ziweto.

Ngati mukuganiza kuti mwina mukudwala kapena mukuwonetsa zizindikiro zilizonse zotenga kachilombo, pitani kuchipatala nthawi yomweyo. Dongosolo loyembekezera ndikuwona lomwe limagwira ntchito kwa anthu ena ambiri limatero ayi ntchito kwa anthu immunocompromised. Izi ndizowona makamaka ndi malungo.

Ngati ali ndi malungo akulu, ayenera kuthamangira kuchipatala kuti athe kukawona othandizira azaumoyo, a Dr. Olyaei akutero.