Ngabe Usizo Lwe-Folic Acid Lwehlisa Imiphumela emibi ye-Methotrexate?

-Delile

• Yini i-methotrexate?
• Yini ifolate?
• Kungani udokotela wami anginikeza i-methotrexate ne-folic acid ndawonye?
• Yini i-folic acid?
• Ingabe i-folic acid iyayithinta indlela i-methotrexate ephatha ngayo i-RA?
• Kungani kubalulekile kimi ukwelapha iRA yami?
• Kuyini ukuthatha?

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-methotrexate?

Uma une-rheumatoid arthritis (RA), kungenzeka ukuthi udokotela wakho ukunikeze i-methotrexate yokwelashwa.

IMethotrexate ngesinye sezidakamizwa ezisetshenziswa kakhulu ukwelapha iRA. Kodwa-ke, inganciphisa amazinga wevithamini ebalulekile emzimbeni wakho okuthiwa i-folate.

Lokhu kuholela emiphumeleni eseceleni ye-methotrexate ebizwa ngokushoda kwe-folate. Udokotela wakho angase asikisele ukuthi uthathe isengezo se-folic acid, okuyindlela eyakhiwe yefolate.

Yini ifolate?

I-Folate ivithamini B enendima emisebenzini eminingi ebalulekile emzimbeni wakho. Isiza umzimba wakho ukwenza amangqamuzana abomvu egazi amasha (ama-RBC) namanye amaseli anempilo. Kuyadingeka futhi ekukhuliseni nasekulungiseni i-DNA.

I-Folate ingatholakala ekudleni okuningi okuhlukahlukene. Lokhu kudla kufaka:

• imifino enamaqabunga, njengesipinashi, i-broccoli, ne-ulethisi
• okra
• i-asparagus
• Amahlumela eBrussels
• izithelo ezithile, njengobhanana, amakhabe, nolamula
• okusanhlamvu, njengophizi, ubhontshisi, udali, ubhontshisi namantongomane
• amakhowe
• inyama yomzimba, efana nesibindi senkomo nezinso
• ijusi lewolintshi nejusi yetamatisi

Yize kukuhle kuwe ukuthola ifolkini ngokudla okwahlukahlukene kwalokhu kudla, ukumane udle okuningi kwalokhu kudla ngeke kwanele ukubambela ifolomu olilahlekelayo kwi-methotrexate.

Kungani udokotela wami anginikeza i-methotrexate ne-folic acid ndawonye?

IMethotrexate iphazamisa indlela umzimba wakho owehla ngayo.

Uma uthatha i-methotrexate, ungathuthukisa amazinga we-folate angaphansi kunokujwayelekile. Lokhu kungenxa yokuthi i-methotrexate ibangela umzimba wakho ukuthi ususe ifolothi eningi njengemfucuza kunokujwayelekile. Lo mphumela ubangela ukuntuleka kwe-folate.

Udokotela wakho angakunika isengezo se-folic acid ukusiza ukuvimbela ukusweleka komuntu. Ezinye izimpawu ezibangelwa ukuntuleka kwamaphutha zihlanganisa:

• i-anemia, noma inani elinciphile lamaseli abomvu egazi (ama-RBC)
• ubuthakathaka nokukhathala
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• isifo sohudo
• izinkinga zesibindi
• i-stomatitis, noma izilonda zomlomo

Yini i-folic acid?

I-Folic acid yifomu elenziwe elenziwe ngomuntu. Ukuthatha i-folic acid kungasiza ekwakheleni, noma kokungezelela, ifolothi elahlekelwa ngumzimba wakho lapho uthatha i-methotrexate.

Izengezo ze-Folic acid, ezithathwa ngomlomo, zingasiza ukunciphisa imiphumela emibi ekushodeni kwe-folate. Ayatholakala ukuze athengwe ekhawunteni, kungaba ku-inthanethi noma esitolo sendawo sendawo.

Khuluma nodokotela wakho. Bangakwazi ukunquma isilinganiso se-folic acid esifanele wena.

Ingabe i-folic acid iyayithinta indlela i-methotrexate ephatha ngayo i-RA?

Ukuthatha i-folic acid nge-methotrexate akunciphisi ukusebenza kwe-methotrexate ekwelapheni i-RA yakho.

Uma usebenzisa i-methotrexate ukwelapha i-RA, kuyasiza ukunciphisa izinhlungu nokuvuvukala ngokuvimba amakhemikhali athile emzimbeni wakho aholela ekuvukeleni. IMethotrexate iyayivimba inganekwane, kepha indlela ephatha ngayo i-RA ibonakala ihlobene kakhulu nokuvimba i-folate.

Ngakho-ke, ukuthatha i-folic acid ukwenzela ifolate oyilahlekelayo ekuthatheni i-methotrexate kusiza ekunciphiseni imiphumela emibi yokushoda kwe-folate ngaphandle kokuthinta ukwelashwa kwakho kwe-RA.

Kungani kubalulekile kimi ukwelapha iRA yami?

I-RA yisifo sokuzimela komzimba. Ukuphazamiseka kokuzimela komzimba kwenzeka lapho amasosha akho omzimba enza amaphutha ezicubu zomzimba wakho kubahlaseli futhi ebahlasela.

Ku-RA, amasosha akho omzimba ahlasela ngqo i-synovium, okuwulwelwesi lwezinwe oluzungeze amalunga akho. Ukuvuvukala kwalokhu kuhlasela kubangela ukuthi i-synovium ikhule.

Uma ungayiphathi i-RA yakho, le synovium ejiyile ingaholela ekuqothulweni uqwanga namathambo. Izicubu ezihlanganisa amalunga akho ndawonye, ​​ezibizwa ngokuthi imisipha nemisipha, zinganciphisa nokwelula.

Lokhu kungadala ukuthi amalunga akho alahlekelwe ukwakheka kwawo ngokuhamba kwesikhathi, okungathinta ukuthi ungahamba kahle kanjani.

Ukuvuvukala okuhambisana ne-RA kungalimaza nezinye izingxenye zomzimba. Lokhu kufaka isikhumba sakho, amehlo, amaphaphu, inhliziyo, nemithambo yegazi. Ukwelapha i-RA yakho kunganciphisa le miphumela futhi kuthuthukise ikhwalithi yakho yokuphila. Funda kabanzi mayelana nokwelashwa kwe-RA.

Kuyini ukuthatha?

Kwesinye isikhathi i-methotrexate iholela ekushodeni kwabantu, okungadala imiphumela emibi ethile ekhathazayo. Kodwa-ke, le miphumela emibi ivame ukugwenywa ngokuthatha i-folic acid.

Ukwelapha i-RA yakho kubaluleke kakhulu, ngakho-ke kufanele wenze ukwelashwa kwakho kube lula ngangokunokwenzeka. Uma udokotela wakho ekuyalela i-methotrexate ye-RA yakho, khuluma nabo ngengozi yakho yokushoda kwama-folate nokuthi kungenzeka usebenzise i-folic acid ukuvimbela imiphumela emibi.