Ungalukhetha njani Olona nyango lweMS luBalaseleyo kwiNdlela yakho yokuPhila

Umxholo

• Amayeza okuzitofa ngokwakho
• Amayeza okunyuswa
• Amayeza omlomo
• Ukuthatha

Ushwankathelo

Kukho iindlela ezahlukeneyo zonyango lwe-multiple sclerosis (MS) eyilelwe ukutshintsha indlela esiqhubeka ngayo esi sifo, ukulawula ukubuyela kwakhona, kunye nokunceda ngeempawu.

Unyango oluguqula izifo (i-DMTs) ze-MS ziwela kwiindidi ezintathu: ukuzitofa ngokwakho, ukumnika, kunye nomlomo. Amanye ala mayeza anokuthathwa ekhaya, ngelixa amanye kufuneka anikwe kwindawo yeklinikhi. Uhlobo ngalunye lwamayeza lunezibonelelo ezithile kunye neziphumo ebezingalindelekanga ezinokubakho.

Ngokukhetha okuninzi, kunokuba nzima ukugqiba ukuba loluphi unyango onokuzama lona kuqala.

Ugqirha wakho unokukunceda ukuba ulinganise i-pros and cons of each choice and how they impact to your lifestyle. Nalu ulwazi oluthe kratya kuhlobo ngalunye lwamayeza ukukunceda uthathe isigqibo unolwazi.

Amayeza okuzitofa ngokwakho

La mayeza anikezelwa ngenaliti, onokuyenza ngokwakho. Uya kufumana uqeqesho kubuchwephesha bokhathalelo lwempilo kwaye ufunde indlela efanelekileyo yokuzitofa ngokukhuselekileyo.

Amayeza okuzitofa aquka:

• I-glatiramer acetate (iCopaxone, iGlatopa)
• I-interferon beta-1a (iAvonex, iRebif)
• I-interferon beta-1b (iBetaseron, iExtavia)
• i-peginterferon beta-1a (iPlegridy)

Ungawajova la mayeza ngokungaphantsi (ngaphantsi kwesikhumba) okanye kwi-intramuscularly (ngqo kwi-muscle). Oku kunokubandakanya inaliti okanye ipeni yenaliti.

Ukuhamba rhoqo kweenaliti kusuka yonke imihla ukuya kube kanye ngenyanga.

Iziphumo ebezingalindelekanga kuninzi lwamayeza enesitofu azithandeki kodwa zihlala zihlala zibufutshane kwaye ziyalawuleka. Unokufumana iintlungu, ukudumba, okanye ukusabela kolusu kwindawo yenaliti. Uninzi lala mayeza anokubangela iimpawu ezinje ngomkhuhlane, kunye nokungaqhelekanga kovavanyo lwesibindi.

I-Zinbryta lelinye iyeza ebelisetyenziswa. Nangona kunjalo, isuswe ngokuzithandela kwintengiso ngenxa yexhala malunga nokhuseleko, kubandakanya neengxelo zomonakalo wesibindi kunye ne-anaphylaxis.

Ukuba ukhululekile ukuzitofa kwaye ukhetha ukungawathathi amayeza omlomo yonke imihla, unyango olunokutofa inokuba lukhetho olufanelekileyo kuwe. IGlatopa ifuna inaliti yemihla ngemihla kodwa ezinye, ezinje ngePlegridy, zenziwa kancinci rhoqo.

Amayeza okunyuswa

La mayeza anikezelwa ngaphakathi ngaphakathi kuseto lweklinikhi. Awunakho ukubasa ngokwakho ekhaya, ke kuya kufuneka ubenakho ukuya kwindawo yokuqeshwa.

Ukunyanga amayeza kubandakanya:

• alemtuzumab (Lemtrada)
• mitoxantrone (INovantrone)
• natalizumab (iTysabri)
• ocrelizumab (Ocrevus)

Iishedyuli zonyango lokumnika ziyahluka:

• I-Lemtrada inikwa kwizifundo ezibini, ukuqala ngeentsuku ezintlanu zokumiliselwa kulandelwe iseti yesibini emva konyaka kwiintsuku ezintathu.
• INovantrone inikwa rhoqo emva kweenyanga ezintathu, ubuninzi beminyaka emibini ukuya kwemithathu.
• I-Tysabri ilawulwa kanye kwiiveki ezine.

Iziphumo eziqhelekileyo ezichaphazelekayo zibandakanya isicaphucaphu, intloko ebuhlungu kunye nokuqaqanjelwa sisisu. Kwiimeko ezinqabileyo, la mayeza anokubangela iziphumo ebezingalindelekanga ezinzulu ezifana nosulelo kunye nokonakala kwentliziyo. Ugqirha wakho uya kukunceda ulinganise umngcipheko wokuthatha la machiza ngokuchasene nezibonelelo ezinokubakho.

Ukuba ufuna uncedo lwezonyango xa uhambisa amayeza akho kwaye ungafuni ukuthatha iipilisi yonke imihla, amayeza okunyusa kunokuba lukhetho olufanelekileyo kuwe.

Amayeza omlomo

Unokwazi ukuthatha amayeza akho e-MS kwifom yeepilisi, ukuba yile nto uyithandayo. Amayeza omlomo kulula ukuwathatha kwaye lukhetho olufanelekileyo ukuba awuzithandi iinaliti.

Amayeza omlomo afaka:

• cladribrine (iMavenclad)
• idimethyl fumarate (Tecfidera)
• diroximel fumarate (ubungakanani)
• fingolimod (iGilenya)
• I-siponimod (iMayzent)
• iteriflunomide (Aubagio)

Iziphumo ebezingalindelekanga zonyango lwamayeza zingabandakanya iintloko kunye nokuvavanywa kwesibindi okungaqhelekanga.

IAubagio, iGilenya neMayzent zithathwa kanye ngemini. I-Tecfidera ithathwa kabini ngosuku. Kwiveki yakho yokuqala kuLwazi lokuBala, uya kuthatha ipilisi enye kabini ngemini. Emva koko, uya kuthatha iipilisi ezimbini kabini ngosuku.

IMavenclad lonyango olufutshane lwezifundo zomlomo. Kwisithuba seminyaka emi-2, awuyi kuba ngaphezulu kweentsuku ezingama-20 zonyango. Ngeentsuku zakho zonyango, idosi yakho iya kubandakanya ipilisi enye okanye ezimbini.

Ukuthatha amayeza akho njengoko kumiselwe kubalulekile ukuba usebenze. Ke kuya kufuneka ulandele ishedyuli elungelelanisiweyo ukuba uthatha idosi yomlomo yemihla ngemihla. Ukubeka izikhumbuzo ngokwakho kunokukunceda unamathele kwishedyuli kwaye uthathe idosi nganye ngexesha.

Ukuthatha

Unyango oluguqula isifo luyafumaneka ngeendlela ezahlukeneyo, kubandakanya ukuzitofa, ukumnika kunye nokunyanga ngomlomo. Nganye kwezi fom ineziphumo ebezingalindelekanga kunye nezibonelelo. Ugqirha wakho unokukunceda ukhethe iyeza elilungele wena ngokusekwe kwiimpawu zakho, ukhetho, kunye nendlela ophila ngayo.