Jekiseni Mishonga vs. Oral Mishonga yePsoriatic Arthritis
Zvemukati
Kana iwe uri kurarama ne psoriatic arthritis (PsA), iwe une akawanda chaizvo maitiro ekurapa. Kutsvaga yakanakira iwe uye zviratidzo zvako zvinogona kutora imwe kuyedza uye kukanganisa.
Nekushanda pamwe nechikwata chako chekuchengetedza hutano uye kudzidza zvakawanda nezve dzakasiyana mhando dzekurapa, unogona kuwana zororo rePsA.
Injodzi mishonga yePsA
Biologics mishonga inogadzirwa kubva kuzvinhu zvekugara, senge munhu, mhuka, kana microorganism maseru nematukisi.
Ikozvino pane mapfumbamwe anojekesa biologic mishonga inowanikwa yePsA:
- adalimumab (Humira)
- certolizumab (Cimzia)
- etanercept (Enbrel)
- golimumab (Simponi)
- infliximab (Remicade)
- ustekinumab (Stelara)
- secukinumab (Cosentyx)
- abatacept (Orencia)
- ixekizumab (Taltz)
Biosimilars mishonga inogamuchirwa neiyo senge yakachipa-sarudzo kune mamwe marapirwo aripo.
Ivo vanonzi biosimilar nekuti ivo vane hukama hwepedyo, asi kwete chaihwo mutambo, kune imwe biologic mishonga yatove pamusika.
Biosimilars inowanikwa yePSA:
- Erelzi biosimilar kuna Enbrel
- Amjevita biosimilar kuna Humira
- Cyltezo biosimilar kuna Humira
- Inflectra biosimilar kuna Remicade
- Renflexis biosimilar kuna Remicade
Iwo mabhenefiti makuru ebiologics ndeyekuti vanogona kumisa kuzvimba padanho remaseru. Panguva imwecheteyo, biologics inozivikanwa kuomesa immune immune, iyo inogona kukusiya iwe uchikanganiswa nezvimwe zvirwere.
Oral mishonga yePsA
Nonsteroidal anti-inflammatory drug (NSAIDs), corticosteroids, uye chirwere-chinogadzirisa antirheumatic zvinodhaka (DMARDs) zvinowanzo kutorwa nemuromo, kunyange mamwe maNSAID anogona kuiswa pamusoro.
NSAID dzinosanganisira:
- ibuprofen (Advil, Motrin IB)
- naproxen (Aleve)
- celecoxib (Celebrex)
Iwo mabhenefiti makuru eNSAIDs ndeekuti mazhinji anowanikwa pamusoro pekambani.
Asi ivo havana vasina mhedzisiro. NSAID dzinogona kukonzera kurwadziwa kwemudumbu uye kubuda ropa. Ivo vanogona zvakare kuwedzera njodzi yako yekurwadziwa kwemoyo kana sitiroko.
DMARD dzinosanganisira:
- leflunomide (Arava)
- cyclosporine (Neoral, Sandimmune)
- methotrexate (Trexall)
- sulfasalazine (Azulfidine)
- apremilast (Otezla)
Biologics ndeye subset kana mhando yeDMARD, saka zvakare inoshanda kudzvinyirira kana kudzikisa kuzvimba.
Corticosteroids inosanganisira:
- prednisone (Rayos)
Zvakare zvinongozivikanwa semaSteroids, aya ekurapa zvinodhaka anoshanda kudzikisa kuzvimba. Zvekare, ivo vanozivikanwa zvakare kunetesa immune system.
Tora woenda nazvo
Iko kune mabhenefiti uye zvingangoitika mhedzisiro yejekiseni uye yemuromo mishonga Vanhu vanogona kuona zviratidzo zvePSA zvakasiyana, saka ungangoda kuedza mashoma marapirwo usati wawana iyo yakakunakira iwe.
Chiremba wako anogona kuita kurudziro zvichienderana nekuoma kwezviratidzo zvako. Ivo vangatopa zano rekubatanidza mhando dzemishonga.