Ungayikhetha Kanjani I-MS Treatment Engcono Kakhulu Yendlela Yakho Yokuphila

-Delile

• Imithi yokuzijova ngokwakho
• Imithi yokumnika
• Imithi yomlomo
• Ukuthatha

Ukubuka konke

Kunezinhlobonhlobo zokwelashwa kwe-multiple sclerosis (MS) eyenzelwe ukushintsha ukuthi isifo siqhubeka kanjani, ukuphatha ukubuyela emuva, nokusiza ngezimpawu.

Izindlela zokwelapha eziguqula izifo (i-DMTs) ze-MS ziwela ezigabeni ezintathu: ukuzilimaza ngokwakho, ukumnika ngomlomo nangomlomo. Eminye yale mithi ingathathwa ekhaya, kanti eminye kufanele inikezwe esimweni somtholampilo. Uhlobo ngalunye lwemithi lunezinzuzo ezithile kanye nemiphumela emibi engaba khona.

Ngezinketho eziningi kangaka, kungaba nzima ukunquma ukuthi iyiphi indlela yokwelashwa ozozama kuqala.

Udokotela wakho angakusiza ukuthi ulinganise ubuhle nobubi bokukhetha ngakunye nokuthi kuthinta kanjani indlela ophila ngayo. Nalu olunye ulwazi ngohlobo ngalunye lwemithi ukukusiza wenze isinqumo unolwazi.

Imithi yokuzijova ngokwakho

Le mithi inikezwa ngomjovo, ongazenzela wona. Uzothola ukuqeqeshwa kochwepheshe bezokunakekelwa kwezempilo futhi ufunde indlela efanele yokuzijova ngokuphepha.

Imithi yokuzilimaza ifaka phakathi:

• i-glatiramer acetate (iCopaxone, iGlatopa)
• i-interferon beta-1a (Avonex, Rebif)
• i-interferon beta-1b (iBetaseron, i-Extavia)
• i-peginterferon beta-1a (iPlegridy)

Ungayijova le mithi ngokunqamula (ngaphansi kwesikhumba) noma nge-intramuscularly (ngqo emisipheni). Lokhu kungabandakanya inaliti noma ipeni lomjovo.

Imvamisa yemijovo isukela nsuku zonke iye kanye ngenyanga.

Imiphumela emibi yemithi ejojowe ayithandeki kepha imvamisa ihlala isikhathi esifushane futhi iyalawuleka. Ungahle uzwe ubuhlungu, ukuvuvukala, noma ukusabela kwesikhumba endaweni yomjovo. Eminingi yale mithi ingadala izimpawu ezinjengomkhuhlane, kanye nokungajwayelekile kokuhlolwa kwesibindi.

I-Zinbryta ngomunye umuthi obusetshenziswa. Kodwa-ke, isuswe ngokuzithandela emakethe ngenxa yokukhathazeka ngokuphepha, kufaka phakathi imibiko yokulimala okukhulu kwesibindi ne-anaphylaxis.

Uma ukhululekile ukujova futhi ukhetha ukungayiphuzi imishanguzo yomlomo nsuku zonke, ukwelashwa okujova kungahle kube ukukhetha okuhle kuwe. IGlatopa idinga imijovo yansuku zonke kepha eminye, efana nePlegridy, yenziwa kancane.

Imithi yokumnika

Le mithi inikezwa ngemithambo yegazi esimweni somtholampilo. Awukwazi ukuziyisa ngokwakho ekhaya, ngakho-ke kufanele ukwazi ukuya kuma-aphoyintimenti.

Imithi yokumnika ihlanganisa:

• i-alemtuzumab (Lemtrada)
• i-mitoxantrone (Novantrone)
• i-natalizumab (Tysabri)
• ocrelizumab (Ocrevus)

Amashejuli wemithi yokumnika iyahlukahluka:

• ILemtrada inikezwa ngezifundo ezimbili, kuqala ngezinsuku ezinhlanu zokumukelwa kulandelwe isethi yesibili unyaka owodwa kamuva kwezinsuku ezintathu.
• INovantrone inikezwa njalo ezinyangeni ezintathu, ubuningi beminyaka emibili kuya kwemithathu.
• I-Tysabri inikezwa kanye njalo emavikini amane.

Imiphumela emibi ejwayelekile ifaka isicanucanu, ikhanda elibuhlungu, kanye nokungakhululeki esiswini. Ezimweni ezingavamile, le mithi ingadala imiphumela emibi efana nokutheleleka nokulimala kwenhliziyo. Udokotela wakho uzokusiza ukukala ubungozi bokuthatha le mithi ngokuqhathaniswa nezinzuzo ezingaba khona.

Uma ufuna usizo lomtholampilo lapho unikeza umuthi wakho futhi ungafuni ukuphuza amaphilisi nsuku zonke, imishanguzo yokumnika ingase ibe yisinqumo esihle kuwe.

Imithi yomlomo

Ungahle ukwazi ukuthatha umuthi wakho we-MS kwifomu lephilisi, uma ngabe yilokho okuthandayo. Imithi yomlomo kulula ukuyithatha futhi iyindlela enhle uma ungazithandi izinaliti.

Imithi yomlomo ifaka:

• i-cladribrine (iMavenclad)
• i-dimethyl fumarate (iTecfidera)
• i-diroximel fumarate (Ubuningi)
• i-fingolimod (Gilenya)
• i-siponimod (Mayzent)
• teriflunomide (Aubagio)

Imiphumela emibi yemithi yomlomo ingafaka ikhanda nokuhlolwa kwesibindi okungavamile.

I-Aubagio, iGilenya neMayzent zithathwa kanye ngosuku. I-Tecfidera ithathwa kabili ngosuku. Esontweni lakho lokuqala kuVumerity, uzophuza iphilisi elilodwa kabili ngosuku. Ngemuva kwalokho, uzophuza amaphilisi amabili kabili ngosuku.

IMavenclad iyindlela yokwelapha yomlomo enenkambo emfushane. Ngokuhamba kweminyaka engu-2, ngeke ube nezinsuku ezingaphezu kwezingu-20 zokwelashwa. Ezinsukwini zakho zokwelashwa, umthamo wakho uzoba nephilisi elilodwa noma amabili.

Ukuthatha imithi yakho njengoba kunqunyiwe kubalulekile ukuthi iphumelele. Ngakho-ke udinga ukulandela uhlelo oluhlelekile uma uthatha imithamo yomlomo yansuku zonke. Ukuzibekela izikhumbuzo kungakusiza unamathele esimisweni futhi uthathe umthamo ngamunye ngesikhathi.

Ukuthatha

Izindlela zokwelapha eziguqula izifo zitholakala ngezindlela ezahlukahlukene, kufaka phakathi ukuzilimaza, ukumnika, kanye nokwelashwa ngomlomo. Elinye lalawa mafomu linemiphumela emibi kanye nezinzuzo. Udokotela wakho angakusiza ukhethe umuthi ofanele wena ngokuya ngezimpawu zakho, okuthandayo, nendlela ophila ngayo.