Humira kunye nokukhulelwa: Ukunyanga iPsoriasis xa ulindele

Umxholo

• Ngaba uHumira uyinyanga njani i-psoriasis?
• Ngaba kukhuselekile ukusebenzisa uHumira ngexesha lokukhulelwa?
• Ngaba zikhona ezinye iindlela zonyango lwe-psoriasis ezikhuselekileyo ngexesha lokukhulelwa?
• Zithini iziphumo ebezingalindelekanga zikaHumira?
• Ndifanele ndiphephe nini ukusebenzisa iHumira?
• Ukuthatha

Psoriasis, ukukhulelwa kunye neHumira

Abanye abantu basetyhini babona ukuphucula kwiimpawu zabo ze-psoriasis ngelixa bekhulelwe. Abanye bafumana iimpawu eziba mandundu. Utshintsho kwiimpawu ze-psoriasis ziyahluka ngokuxhomekeka emntwini. Banokutshintsha nokukhulelwa ngakunye onakho.

Nokuba ukukhulelwa kuyichaphazela njani impawu zakho ze-psoriasis, usenokuzibuza ukuba loluphi unyango lwe-psoriasis olunokuba lukhuselekile kuwe. I-Humira (i-adalimumab) sisiyobisi esingena ngenaliti esisetyenziselwa ukunyanga i-psoriasis, kunye ne-rheumatoid arthritis kunye ne-psoriatic arthritis. Funda ukuze ufunde kabanzi ngeHumira nokuba ngaba kukhuselekile ukusebenzisa ngexesha lokukhulelwa.

Ngaba uHumira uyinyanga njani i-psoriasis?

I-Psoriasis yimeko eqhelekileyo yesikhumba esizimeleyo enokubangela ukukala okanye ukudumba. Kungenxa yokuba i-psoriasis ibangela ukuba umzimba wakho uvelise kakhulu iiseli zolusu.

Umntu ongenayo i-psoriasis, ukufunyanwa kweseli okuqhelekileyo ziiveki ezintathu ukuya kwezine. Ngelo xesha, iiseli zolusu zikhula, ziphakame ziye phezulu, kwaye zithathe indawo yeeseli zolusu eziwele ngokwendalo okanye ezigezelweyo.

Umjikelo wobomi beeseli zolusu kumntu one-psoriasis wahluke kakhulu. Iiseli zolusu zenziwe ngokukhawuleza kwaye aziwi ngokukhawuleza. Ngenxa yoko, iiseli zolusu ziyakha kwaye indawo echaphazelekayo iyavutha. Olu lwakhiwo lunokubangela namabala acwecwe olusu olumhlophe-mhlophe.

I-Humira yi-TNF-alpha blocker. I-TNF-alpha luhlobo lweprotheni enegalelo kukudumba okubangelwa yi-psoriasis. Ngokuthintela ezi proteni, uHumira usebenza ekuphuculeni iimpawu ze-psoriasis ngokunciphisa okanye ukunciphisa imveliso yomzimba yeeseli zolusu.

Ngaba kukhuselekile ukusebenzisa uHumira ngexesha lokukhulelwa?

I-Humira inokuthi ikhuseleke ukuba isetyenziswe ngabafazi abakhulelweyo. Isifundo seHumira kwizilwanyana ezikhulelweyo khange sibonise mngcipheko kumntwana. ebantwini khange ubonise umngcipheko kwimveku engekazalwa. Olu phononongo lubonakalisile ukuba ichiza linqumla kwi-placenta kwelona xabiso likhulu kwinyanga yesithathu.

Ngaphandle kolu phando, kwiimeko ezininzi oogqirha baya kumisela uHumira ngexesha lokukhulelwa kuphela ukuba izibonelelo ezinokubakho zingaphezulu komngcipheko onokubakho wokuwusebenzisa. Uninzi loogqirha abanyanga i-psoriasis balandela izikhokelo ezikhutshwe yiSizwe sePsoriasis Foundation. Ezi zikhokelo zicebisa ukuba kwabasetyhini abakhulelweyo abane-psoriasis, amayeza ezinto ezisemgangathweni kufuneka azanywe kuqala.

Ke, ukuba ezo azisebenzi, banokuzama unyango "lomgca wesibini" njengoHumira. Izikhokelo zibandakanya i-caveat, nangona kunjalo, ukuba iziyobisi ezinje ngeHumira kufuneka zisetyenziswe ngononophelo kwaye kuphela xa kufanelekile.

Konke oku kuthetha ukuba ukuba okwangoku uzama ukukhulelwa, kunokwenzeka ukuba uqhubeke nonyango kunye noHumira - kodwa ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho malunga nayo. Kwaye ukuba ukhulelwe, ekuphela kwendlela yokwazi ukuba kufuneka usebenzise uHumira kukuxoxa ngonyango lwakho nogqirha wakho.

Ukuba wena nogqirha wakho uthatha isigqibo sokuba uya kusebenzisa uHumira ngexesha lokukhulelwa, ungathatha inxaxheba kwirejista yokukhulelwa. Ugqirha wakho kufuneka atsalele inombolo yasimahla engu-877-311-8972 ngolwazi malunga noMbutho weeNgcali zoLwazi ngeTeratology (OTIS) kunye nerejista yokukhulelwa.

Ngaba zikhona ezinye iindlela zonyango lwe-psoriasis ezikhuselekileyo ngexesha lokukhulelwa?

Ugqirha wakho unokukuxelela ngezinye iindlela zokonyango ngexesha lokukhulelwa. Umzekelo, unyango lwezihloko ezinje ngee-moisturizers kunye ne-emollients zinokuzama ukuqala ukunyanga i-psoriasis ngexesha lokukhulelwa. Emva koko, ugqirha wakho unokucebisa nge-dose ephantsi ukuya kumodareyitha ye-steroids. Ukuba kukho imfuneko, iidosi eziphezulu zedosi ephezulu inokusetyenziswa kwiitrimester zesibini nezesithathu.

Olunye unyango olunokubakho kwi-psoriasis kwabasetyhini abakhulelweyo yifototherapy.

Zithini iziphumo ebezingalindelekanga zikaHumira?

Iziphumo eziqhelekileyo ezichaphazelekayo zeHumira zihlala zilula kwaye zibandakanya:

• iimpendulo zesiza senaliti
• irhashalala
• isicaphucaphu
• intloko ebuhlungu
• izifo eziphezulu zokuphefumula, ezifana ne-sinusitis
• i-cellulitis, esisifo solusu
• usulelo lomchamo

Abantu abaninzi bafumana iziphumo ebezingalindelekanga emva nje kwethamo labo lokuqala. Kuninzi lweziganeko ezinjalo, iziphumo ebezingalindelekanga ziba mbi kakhulu kwaye zincinci rhoqo ukulandela idosi yexesha elizayo.

Ndifanele ndiphephe nini ukusebenzisa iHumira?

Nokuba ukhulelwe okanye awukhulelanga, akufuneki usebenzise uHumira kwezinye iimeko. Kuya kufuneka uphephe ukuthatha eli chiza ukuba unesifo esosulelayo okanye usulelo oluphindaphindiweyo okanye olungapheliyo. Oku kubandakanya ukosulelwa yi-HIV, isifo sephepha, isifo sokungunda esinjenge-aspergillosis, i-candidiasis, okanye i-pneumocystosis, okanye olunye usulelo lwebhaktiriya, lwentsholongwane, okanye olungenelelayo.

Ukuba ufumene iimpawu zosulelo olufana nomkhuhlane, ukuphefumla, okanye ukukhwehlela, thetha nogqirha wakho malunga nayo nayiphi na ingozi yokusebenzisa uHumira.

Ukuthatha

Ukuba une-psoriasis, thetha nogqirha wakho ukuba uyakhulelwa. Nobabini ninokuhlengahlengisa isicwangciso sonyango kwaye nixoxe ukuba nenze ntoni xa iimpawu zenu zisiba mandundu. Ukuba usebenzisa uHumira, ugqirha wakho unokucebisa ukuba uyeke ukuthatha uHumira ngexesha lekota yakho yesithathu, njengoko kulapho ukukhulelwa kwakho kuya kubakho ukubonakaliswa okuphezulu kwesiyobisi. Kodwa nokuba ugqirha wakho ucebisa ntoni na, qiniseka ukulandela ukhokelo lwabo.

Ngalo lonke ixesha lokukhulelwa kwakho, hlala uqhagamshelana nogqirha wakho kwaye ubazise ngalo naluphi na utshintsho kwiimpawu zakho ze-psoriasis. Banokukunceda ukugcina iimpawu zakho zijongiwe kwaye ugcine ukukhulelwa kwakho kukhuselekile kwezi nyanga zilithoba zinomdla.