Imithi Ejojwayo vs. Imithi Yomlomo ye-Psoriatic Arthritis

-Delile

• Imithi ejojoweyo ye-PsA
• Imithi yomlomo ye-PsA
• Ukudla okudlela endlini

Uma uphila ne-psoriatic arthritis (PsA), unezinketho eziningi zokwelashwa. Ukuthola okungcono kakhulu kuwe nezimpawu zakho kungathatha ukulinga nephutha.

Ngokusebenza nethimba lakho lokunakekelwa kwezempilo futhi ufunde kabanzi ngezinhlobo ezahlukahlukene zokwelashwa, ungafinyelela ukukhululeka kwe-PsA.

Imithi ejojoweyo ye-PsA

I-biologics yizidakamizwa ezenziwe ngezinto eziphilayo, ezinjengamaseli omuntu, isilwane, noma ama-microorganism nezicubu.

Okwamanje kukhona imishanguzo eyisishiyagalolunye yokujova etholakalayo ye-PsA:

• i-adalimumab (Humira)
• isitifiketi (Cimzia)
• i-etanercept (Enbrel)
• golimumab (Simponi)
• infliximab (i-Remicade)
• ustekinumab (Stelara)
• secukinumab (Cosentyx)
• i-abatacept (i-Orencia)
• ixekizumab (Taltz)

Ama-biosimilars yimithi evunyelwe yi-inketho yezindleko eziphansi kwezinye izindlela zokwelapha zebhayoloji ezikhona.

Zibizwa ngokuthi yi-biosimilar ngoba zihlobene kakhulu, kodwa hhayi ukufana ngqo, nomunye umuthi we-biologic osuvele usemakethe.

Ama-biosimilars atholakalayo we-PsA:

• I-Erelzi biosimilar ku-Enbrel
• U-Amjevita ufana noHumira
• I-Cyltezo biosimilar ku-Humira
• I-Inflectra ifana ne-Remicade
• I-Renflexis biosimilar ku-Remicade

Izinzuzo eziyinhloko ze-biologics ukuthi zingamisa ukuvuvukala ezingeni lamaselula. Ngasikhathi sinye, izazi zebhayoloji ziyaziwa ukuthi zenze buthakathaka amasosha omzimba, angakushiya ungenwe ezinye izifo.

Imithi yomlomo ye-PsA

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID), ama-corticosteroids, kanye nemithi yokulwa nezifo (i-DMARD) ngokuvamile ithathwa ngomlomo, yize amanye ama-NSAID angasetshenziswa ngokwezihloko.

Ama-NSAID afaka:

• ibuprofen (Advil, Motrin IB)
• i-naproxen (Aleve)
• celecoxib (Celebrex)

Izinzuzo eziyinhloko zama-NSAID ukuthi iningi litholakala ngaphezu kwe-counter.

Kepha ayinayo imiphumela emibi. Ama-NSAID angadala ukucasuka kwesisu nokopha. Zingakhuphula nengozi yakho yokuhlaselwa yisifo senhliziyo noma isifo sohlangothi.

Ama-DMARD afaka:

• leflunomide (Arava)
• i-cyclosporine (i-Neoral, iSandimmune)
• i-methotrexate (Trexall)
• i-sulfasalazine (i-Azulfidine)
• i-apremilast (Otezla)

I-Biologics iyi-subset noma uhlobo lwe-DMARD, ngakho-ke futhi isebenza ukucindezela noma ukunciphisa ukuvuvukala.

I-Corticosteroids ifaka:

• i-prednisone (iRayos)

Eyaziwa nangokuthi i-steroids, le mithi kadokotela isebenza ukunciphisa ukuvuvukala. Nakulokhu, futhi bayaziwa ngokunciphisa amasosha omzimba.

Ukudla okudlela endlini

Kukhona izinzuzo nemiphumela emibi engaba khona yemithi ejojwayo neyomlomo. Abantu bangathola izimpawu ze-PsA ngokuhlukile, ngakho-ke kungadingeka ukuthi uzame izindlela zokwelashwa ezimbalwa ngaphambi kokuthola okulungele wena.

Udokotela wakho angenza izincomo ngokuya ngobukhulu bezimpawu zakho. Bangaphakamisa ngisho nokuhlanganisa izinhlobo zemithi.