Rheumatoid Arthritis Mishonga Chinyorwa

Zvemukati

• DMARD uye biologics
• Janus akabatana kinase inhibitors
• Acetaminophen
• Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)
• Ibuprofen (Advil, Motrin IB, Nuprin)
• Naproxen sodium (Aleve)
• Aspirin (Bayer, Bufferin, St. Joseph)
• Kunyorwa NSAIDs
• Diclofenac / misoprostol (Arthrotec)
• Musoro capsaicin (Capsin, Zostrix, Dolorac)
• Diclofenac sodium yakakosha gel (Voltaren 1%)
• Diclofenac sodium topical solution (Pennsaid 2%)
• Opioid marwadzo emishonga
• Corticosteroids
• Immunosuppressants
• Tora woenda nazvo

Mhedziso

Rheumatoid arthritis (RA) ndiyo yechipiri mhando yeArthritis, inobata vangangoita mamirioni 1.5 vekuAmerican. Icho chirwere chinoputira chinokonzerwa ne autoimmune mamiriro. Chirwere ichi chinoitika kana muviri wako ukarwisa mitezo yakabatana ine hutano. Izvi zvinoguma nekutsvuka, kuzvimba, uye kurwadziwa.

Chinangwa chikuru cheRA zvinodhaka ndechekudzivirira kuzvimba. Izvi zvinobatsira kudzivirira kubatana kwemajoini. Verenga pamusoro kuti udzidze nezve dzakawanda nzira dzekurapa RA.

DMARD uye biologics

Zvirwere-kugadzirisa antirheumatic zvinodhaka (DMARDs) zvinoshandiswa kudzikisa kuzvimba. Kusiyana nemimwe mishonga inogadzirisa marwadzo nekuzvimba kwenguva pfupi, maDMARD anogona kudzora kufambira mberi kweRA. Izvi zvinoreva kuti iwe unogona kunge uine mashoma zviratidzo uye zvishoma kukuvara nekufamba kwenguva.

MaDMARD anonyanya kushandiswa kurapa RA anosanganisira:

• hydroxychloroquine (Plaquenil)
• leflunomide (Arava)
• methotrexate (Trexall)
• sulfasalazine (Azulfidine)
• minocycline (Minocin)

Biologics mishonga inobaya jekiseni. Ivo vanoshanda nekuvharira chaiyo nzira yekuzvimba nzira inogadzirwa nemaseru ekudzivirira. Izvi zvinoderedza kuzvimba kunokonzerwa neRA. Vanachiremba vanopa biologics kana maDMARD ari ega asina kukwana kurapa RA zviratidzo. Biologics haina kukurudzirwa kune vanhu vane hutachiona hwehutachiona hwakakanganiswa kana hutachiona. Izvi zvinodaro nekuti vanogona kusimudza njodzi yako yezvirwere zvakakomba.

Iyo inonyanya kujairika biologics inosanganisira:

• abatacept (Orencia)
• rituximab (Rituxan)
• tocilizumab (Actemra)
• anakinra (Kineret)
• adalimumab (Humira)
• etanercept (Enbrel)
• infliximab (Remicade)
• certolizumab pegol (Cimzia)
• golimumab (Simponi)

Janus akabatana kinase inhibitors

Chiremba wako anogona kupa mishonga iyi kana maDMARD kana biologics ikasashanda kwauri. Iyi mishonga inokanganisa majini uye mashandiro emasero ekudzivirira mumuviri. Ivo vanobatsira kudzivirira kuzvimba uye kumisa kukuvara kune majoini uye nyama.

Janus akabatana kinase inhibitors anosanganisira:

• tofacitinib (Xeljanz, Xeljanz XR)
• baricitinib

Baricitinib mushonga mutsva urikuedzwa. Zvidzidzo zvinoratidza kuti zvinoshanda kune vanhu vasina kubudirira nemaDMARD.

Iyo inowanzoitika mhedzisiro mhedzisiro yemishonga iyi inosanganisira:

• musoro
• Zvirwere zvepamusoro zvekufema, kunge hutachiona hwechivi kana dzihwa
• yakaungana mhino
• dzihwa
• huro inorwadza
• manyoka

Acetaminophen

Acetaminophen inowanikwa pamusoro pekambani (OTC) isina mushonga kubva kuna chiremba wako. Iyo inouya semushonga wemuromo uye rectal suppository. Mimwe mishonga inoshanda zvakanyanya mukuderedza kuzvimba uye kurapa kurwadziwa muRA. Izvi zvinodaro nekuti acetaminophen inogona kubata marwadzo epakati nepakati, asi haina chero basa rinopesana nekuzvimba. Izvi zvinoreva kuti hazvishande zvakanyanya kurapa RA.

Ichi chinodhaka chine njodzi yezvinetso zvakakomba zvechiropa, kusanganisira kutadza kwechiropa. Iwe unofanirwa kutora chete mushonga mumwe une acetaminophen panguva.

Nonsteroidal anti-anogumbura zvinodhaka (NSAIDs)

NSAIDs ndeimwe yemishonga inowanzo shandiswa RA. Kusiyana nekumwe kurwadziwa kunodzora, maNSAID anoita kunge anoshanda zvakanyanya pakurapa zviratidzo zveRA. Izvi zvinodaro nekuti vanodzivirira kuzvimba.

Vamwe vanhu vanoshandisa OTC NSAIDs. Zvisinei, NSAID dzakasimba dzinowanikwa nemishonga.

Zvimwe zvikanganiso zveNSAID zvinosanganisira:

• kusuruvara mudumbu
• maronda
• kukukurwa kana kupisa gomba kuburikidza nedumbu rako kana ura
• kubuda ropa mudumbu
• kukuvara kweitsvo

Muzviitiko zvisingawanzoitika, iyi mhedzisiro inogona kuuraya (kukonzera kufa). Kana iwe ukashandisa maNSAID kwenguva yakareba, chiremba wako anoongorora itsvo yako basa. Izvi zvinonyanya kuitika kana iwe uchitova nechirwere cheitsvo.

Ibuprofen (Advil, Motrin IB, Nuprin)

OTC ibuprofen ndiyo yakajairika NSAID. Kunze kwekunge warayirwa nachiremba wako, haufanire kushandisa ibuprofen kweanopfuura mazuva akati wandei panguva. Kutora mushonga uyu kwenguva refu kunogona kukonzera kubuda kweropa mudumbu. Iyi njodzi yakakura kune vakuru.

Ibuprofen inowanikwa mumasimba ekunyora zvakare. Mune shanduro yemishonga, muyero wacho wakakwirira. Ibuprofen inogona zvakare kusanganiswa neimwe mhando yekurwadziwa mushonga unonzi opioid. Mienzaniso yemishonga iyi yekubatanidza mishonga inosanganisira:

• ibuprofen / hydrocodone (Vicoprofen)
• ibuprofen / oxycodone (Combunox)

Naproxen sodium (Aleve)

Naproxen sodium iOTC NSAID. Inowanzoshandiswa seimwe nzira kune ibuprofen. Izvi zvinodaro nekuti zvinokonzeresa mashoma mhedzisiro. Shanduro yemishonga yechirwere ichi inopa madosi akasimba.

Aspirin (Bayer, Bufferin, St. Joseph)

Aspirin inorwadza yekunzwa kurwadziwa. Inoshandiswa kurapa kurwadziwa kwakapfava, fivhiri, uye kuzvimba. Inogona zvakare kushandiswa kudzivirira kurwisa kwemoyo uye sitiroko.

Kunyorwa NSAIDs

Kana maOTC NSAID asingabvise zviratidzo zvako zveRA, chiremba wako anogona kupa mushonga NSAID. Iyi mishonga yemumuromo. Sarudzo dzakajairika dzinosanganisira:

• celecoxib (Celebrex)
• ibuprofen (mushonga-simba)
• nabumetone (Relafen)
• naproxen sodium (Anaprox)
• naproxen (Naprosyn)
• piroxicam (Feldene)

Dzimwe NSAID dzinosanganisira:

• diclofenac (Voltaren, Diclofenac Sodium XR, Cataflam, Cambia)
• zvinyaradzo
• indomethacin (Indocin)
• ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron)
• etodolac (Lodine)
• fenoprofen (Nalfon)
• flurbiprofen
• ketorolac (Toradol)
• kuvera
• mefenamic acid (Ponstel)
• meloxicam (Mobic)
• oxaprozin (Daypro)
• sulindac (Clinoril)
• salsalate (Disalcid, Amigesic, Marthritic, Salflex, Mono-Gesic, Anaflex, Salsitab)
• tolmetin (Tolectin)

Diclofenac / misoprostol (Arthrotec)

Diclofenac / misoprostol (Arthrotec) mushonga wemuromo unobatanidza iyo NSAID diclofenac ne misoprostol. NSAID dzinogona kukonzera maronda emudumbu. Mushonga uyu unobatsira kuvadzivirira.

Musoro capsaicin (Capsin, Zostrix, Dolorac)

Capsaicin topical OTC cream inogona kubvisa marwadzo mashoma anokonzerwa neRA. Unokwiza kirimu ino munzvimbo dzinorwadza pamuviri wako.

Diclofenac sodium yakakosha gel (Voltaren 1%)

Voltaren gel 1% ndeye NSAID yekushandisa kwemusoro. Izvi zvinoreva kuti unozvikwiza paganda rako. Inotenderwa kurapa marwadzo akabatana, kusanganisira mumaoko ako nemabvi.

Ichi chinodhaka chinokonzeresa mhedzisiro kumuromo weNSAIDs. Nekudaro, ingangoita 4 muzana yemushonga iyi inopinzwa mumuviri wako. Izvi zvinoreva kuti iwe unogona kushomeka kuve nemhedzisiro.

Diclofenac sodium topical solution (Pennsaid 2%)

Diclofenac sodium (Pennsaid 2%) mhinduro yemusoro inoshandiswa pakurwadziwa kwemabvi. Unoipuruzira pamabvi ako kuti usunungure kurwadziwa.

Opioid marwadzo emishonga

Opioid ndiwo akasimba ekurwadziwa mishonga pamusika. Ivo vanongowanikwa chete seyakanyorwa mishonga. Vanouya nemumuromo uye jekiseni mafomu. Maopioid anongoshandiswa mukurapa kweRA kune vanhu vane RA yakaoma avo vari kurwadziwa zvakanyanya. Iyi mishonga inogona kuva tsika-kuumba. Kana chiremba wako akakupa mushonga weopioid, ivo vanokutarisa zvakanyanya.

Corticosteroids

Corticosteroids inonziwo steroid. Vanouya semuromo uye jekiseni zvinodhaka. Iyi mishonga inogona kubatsira kudzikisa kuzvimba muRA. Ivo vanogona zvakare kubatsira kudzikisa marwadzo uye kukuvara kunokonzerwa nekuzvimba. Iyi mishonga haina kukurudzirwa kwekushandisa kwenguva refu.

Migumisiro inogona kusanganisira:

• shuga yakakwira muropa
• maronda emudumbu
• BP
• manzwiro emhedzisiro, sekushatirwa uye kufara
• cataract, kana kuvhenekera iyo lens muziso rako
• osteoporosis

Steroid inoshandiswa RA inosanganisira:

• betamethasone
• prednisone (Deltasone, Sterapred, Liquid Yakafanotaurwa)
• dexamethasone (Dexpak Taperpak, Decadron, Hexadrol)
• cortisone
• hydrocortisone (Cortef, A-Hydrocort)
• methylprednisolone (Medrol, Methacort, Depopred, Predacorten)
• kuuchi

Immunosuppressants

Iyi mishonga inorwisa kukuvara kunokonzerwa nezvirwere zve autoimmune senge RA. Nekudaro, iyi mishonga inogona zvakare kuita kuti iwe uwedzere kubata kurwara uye hutachiona. Kana chiremba wako akakupa mumwe wemishonga iyi, vanozokutarisa zvakanyanya panguva yekurapa.

Iyi mishonga inouya mumuromo uye jekiseni mafomu. Zvinosanganisira:

• cyclophosphamide (Cytoxan)
• cyclosporine (Gengraf, Neoral, Sandimmune)
• azathioprine (Azasan, Imuran)
• hydroxychloroquine (Plaquenil)

Tora woenda nazvo

Shanda nachiremba wako kuti uwane kurapwa kweRA kunoshanda zvakanyanya kwauri. Uine sarudzo dzakawanda dziripo, iwe nachiremba wako munogona kuwana imwe inoderedza zviratidzo zveRA uye inovandudza hupenyu hwenyu.