I-Humira Nokukhulelwa: Ukwelapha I-Psoriasis Lapho Ulindele

-Delile

• Uyiphatha kanjani iHumira i-psoriasis?
• Kuphephile ukusebenzisa iHumira ngesikhathi sokukhulelwa?
• Ingabe zikhona ezinye izindlela zokwelashwa kwe-psoriasis eziphephile ngesikhathi sokukhulelwa?
• Yimiphi imiphumela emibi kaHumira?
• Kufanele ngikugweme nini ukusebenzisa iHumira?
• Ukuthatha

I-Psoriasis, ukukhulelwa, neHumira

Abanye besifazane babona ukuthuthuka ezimpawu zabo ze-psoriasis ngenkathi bekhulelwe. Abanye baba nezimpawu eziya ziba zimbi. Izinguquko ezimpawu ze-psoriasis ziyahlukahluka kuye ngomuntu. Bangashintsha ngisho nokukhulelwa ngakunye onakho.

Akunandaba ukuthi ukukhulelwa kuzithinta kanjani izimpawu zakho ze-psoriasis, kungenzeka uyazibuza ukuthi yiziphi izindlela zokwelashwa ze-psoriasis ezingaphepha wena. I-Humira (i-adalimumab) umuthi ojojwayo osetshenziselwa ukwelapha i-psoriasis, kanye nesifo samathambo nesifo samathambo i-psoriatic arthritis. Funda ukuze ufunde kabanzi ngeHumira nokuthi ngabe kuphephile ukusebenzisa ngesikhathi sokukhulelwa.

Uyiphatha kanjani iHumira i-psoriasis?

I-Psoriasis yisimo esivamile sesikhumba esizimele esingaholela ekukhuleni noma ekuvukeleni. Lokhu kungenxa yokuthi i-psoriasis ibangela ukuthi umzimba wakho ukhiqize ngokweqile amaseli esikhumba.

Kumuntu ongenayo i-psoriasis, inzuzo ejwayelekile yeseli amasonto amathathu kuya kwamane. Ngaleso sikhathi, amangqamuzana esikhumba akhula, akhuphukele phezulu, abuyisele amangqamuzana esikhumba awele ngokwemvelo noma ahlanzwe.

Umjikelezo wempilo wamaseli esikhumba womuntu one-psoriasis wehluke kakhulu. Amaseli esikhumba adalwa ngokushesha okukhulu futhi awawi ngokushesha okwanele. Ngenxa yalokhu, amangqamuzana esikhumba ayakha futhi indawo ethintekile iyavuvukala. Lokhu kwakha futhi kungadala izingqimba ezinesikhumba esimhlophe-silvery.

I-Humira iyi-block blocker ye-TNF. I-TNF-alpha wuhlobo lweprotheyini elenza ukuvuvukala okubangelwa yi-psoriasis. Ngokuvimba lawa maprotheni, uHumira usebenza ekuthuthukiseni izimpawu ze-psoriasis ngokunciphisa noma ukubambezela ukukhiqizwa komzimba kwamaseli esikhumba.

Kuphephile ukusebenzisa iHumira ngesikhathi sokukhulelwa?

IHumira kungenzeka iphephe ukusetshenziswa ngabesifazane abakhulelwe. Ucwaningo lweHumira ezilwaneni ezikhulelwe alukhombisanga bungozi enganeni. kubantu akubonisanga ubungozi enganeni. Lezi zifundo zikhombisile ukuthi umuthi weqa i-placenta ngesamba esikhulu kunazo zonke phakathi ne-trimester yesithathu.

Ngaphandle kwalolu cwaningo, ezimweni eziningi odokotela bazonikeza uHumira ngesikhathi sokukhulelwa kuphela uma izinzuzo ezingaba khona zinkulu kunezingozi ezingenzeka ezihambisana nokusebenzisa. Odokotela abaningi abelapha i-psoriasis balandela imihlahlandlela ekhishwe yiNational Psoriasis Foundation. Le mihlahlandlela incoma ukuthi kwabesifazane abakhulelwe abane-psoriasis, imishanguzo yezindaba kufanele izanywe kuqala.

Ngemuva kwalokho, uma lezo zingasebenzi, zingazama ukwelashwa "kolayini wesibili" njengoHumira. Imihlahlandlela ifaka i-caveat, noma kunjalo, ukuthi izidakamizwa ezinjengeHumira kufanele zisetshenziswe ngokuqapha futhi kuphela uma kunesidingo.

Konke lokhu kusho ukuthi uma okwamanje uzama ukukhulelwa, ungaqhubeka nokwelashwa noHumira - kepha kufanele ukhulume nodokotela wakho ngakho. Futhi uma ukhulelwa, okuwukuphela kwendlela yokwazi ukuthi kufanele usebenzise uHumira ukuxoxa ngokwelashwa kwakho nodokotela wakho.

Uma wena nodokotela wakho ninquma ukuthi uzosebenzisa uHumira ngesikhathi sokukhulelwa, ungabamba iqhaza kwirejista yokukhulelwa. Udokotela wakho kufanele ashayele inombolo yamahhala ethi 877-311-8972 ukuthola ulwazi mayelana nocwaningo lwe-Organisation of Teratology Information Specialists (OTIS) kanye nerejista yokukhulelwa.

Ingabe zikhona ezinye izindlela zokwelashwa kwe-psoriasis eziphephile ngesikhathi sokukhulelwa?

Udokotela wakho angakutshela ngezinye izindlela zokwelashwa ngesikhathi sokukhulelwa. Isibonelo, ukwelashwa ngezihloko ezifana nama-moisturizers kanye nama-emollients kungazanywa kuqala ukwelapha i-psoriasis ngesikhathi sokukhulelwa. Ngemuva kwalokho, udokotela wakho angancoma ama-steroid asezingeni eliphansi ukuya kwelinganiselayo. Uma kunesidingo, ama-topical steroid topical can be used in the second and third trimesters.

Enye indlela yokwelashwa kwe-psoriasis kwabesifazane abakhulelwe i-phototherapy.

Yimiphi imiphumela emibi kaHumira?

Imiphumela emibi ejwayelekile ye-Humira imnene futhi ifaka phakathi:

• ukuphendula kwesiza somjovo
• ukuqubuka
• isicanucanu
• ikhanda
• izifo eziphezulu zokuphefumula, njenge-sinusitis
• cellulitis, okuyisifo sesikhumba
• izifo zomgudu womchamo

Abantu abaningi baba nemiphumela engemihle ngemuva nje komthamo wabo wokuqala. Ezimweni eziningi ezinjalo, imiphumela emibi iba mibi ngokwedlulele futhi ingabi njalo njalo ngemithamo yesikhathi esizayo.

Kufanele ngikugweme nini ukusebenzisa iHumira?

Noma ngabe ukhulelwe noma cha, akufanele usebenzise uHumira kwezinye izimo. Ungadinga ukugwema ukuthatha lo muthi uma unesifo esibi noma ukutheleleka okuphindaphindiwe noma okungapheli. Lokhu kufaka ukutheleleka nge-HIV, isifo sofuba, isifo sokuhlasela sefungus esifana ne-aspergillosis, i-candidiasis, noma i-pneumocystosis, noma okunye ukutheleleka kwebhaktheriya, igciwane, noma ithuba.

Uma uhlangabezane nezimpawu zokutheleleka okufana nomkhuhlane, ukuphefumula kanzima, noma ukukhwehlela, khuluma nodokotela wakho nganoma iziphi izingozi ezikhona zokusebenzisa uHumira.

Ukuthatha

Uma une-psoriasis, khuluma nodokotela wakho uma ukhulelwa. Nobabili ningaguqula uhlelo lwenu lokwelashwa futhi nixoxe ngokumele nikwenze uma izimpawu zenu ziba zimbi kakhulu. Uma usebenzisa uHumira, udokotela wakho angase asikisele ukuthi uyeke ukuthatha uHumira phakathi ne-trimester yakho yesithathu, njengoba kulapho ukukhulelwa kwakho kuzoba nokuvezwa okuphezulu kakhulu komuthi. Kepha noma ngabe uthini udokotela wakho, qiniseka ukulandela ukuqondisa kwabo.

Kukho konke ukukhulelwa kwakho, thintana nodokotela wakho ubazise nganoma yiziphi izinguquko ezimpawu zakho ze-psoriasis. Bangasiza ukugcina izimpawu zakho zihlolwe futhi bagcine ukukhulelwa kwakho kuphephile kulezi zinyanga eziyisishiyagalolunye ezijabulisayo.