Ngaba i-Biologics lukhetho lokunyanga i-PsA?

Umxholo

• Zisetyenziswa nini i-biologics?
• Ngubani ofanelekileyo kwi-biologics?
• Indawo ye-Psoriasis kunye ne-Index of Severity (PASI)
• Umgangatho weDermatology yoBomi boBomi (DQLI)
• Umda we-psoriatic arthritis
• I-Axial psoriatic arthritis
• Ngubani ongafanelekanga kwi-biologics?
• Ukuthatha

Ushwankathelo

I-Psoriatic arthritis (i-PsA) luhlobo lwe-arthritis oluchaphazela abanye abantu abane-psoriasis. Yifom engapheliyo, evuthayo ye-arthritis ekhula kumalungu amakhulu.

Kwixesha elidlulileyo, i-PsA yayinyangwa ikakhulu ngamayeza atofelwayo kunye nangomlomo. Nangona kunjalo, la machiza awahlali esebenza. Banokubangela neziphumo ebezingalindelekanga ezingathandekiyo. Ngenxa yoku, isizukulwana esitsha samachiza esibizwa ngokuba yi-biologics sisetyenziselwa ukunyanga i-PsA ephakathi.

I-Biologics inamandla, iziyobisi ezithile ezijolise kuzo. Benza ngokuthintela iindlela ezithile zokuvuvukala ezidlala indima kwi-psoriasis.

Zisetyenziswa nini i-biologics?

Kwixesha elidlulileyo, i-biologics yayingasetyenziswanga ngaphandle kokuba ezinye iindlela zonyango bezingasebenzi. Izidakamizwa ezichasayo ezichasayo (i-NSAIDs) kunye neziyobisi eziguqula izifo ezichasayo (i-DMARDs) zinokuthi zichazwe kuqala.

Kodwa izikhokelo ezitsha zincoma ukusebenzisa i-biologics njengonyango lokuqala lwe-PsA. Ngokuxhomekeka kwiimpawu zakho ze-psoriatic arthritis kunye nembali yonyango, ugqirha wakho unokucebisa enye yeebhayoloji ezininzi zoncedo.

Ngubani ofanelekileyo kwi-biologics?

Kuyacetyiswa ukuba i-tumor necrosis factor inhibitor (i-TNFi) ye-biologics isetyenziswe njengokhetho lonyango lokuqala kubantu abane-PsA esebenzayo, okuthetha ukuba iPSA okwangoku ibangela iimpawu.

Izikhokelo ezitsha ezivela kwiKholeji yaseMelika yeRheumatology kunye neSizwe sePsoriasis Foundation zikwacebisa ukuzama i-TNFis kuqala kubantu abangakhange basebenzise olunye unyango ngaphambili.

Isicwangciso sakho sonyango siya kuthi sigqitywe ngobunzima bePSA yakho. Akukho ndlela inokuthenjwa yokufumanisa ukuba ingaba i-PsA inzima kangakanani na. Ugqirha wakho uya kuthi ahlele ukuba i-PsA yakho inzima kangakanani ngokusekwe kwi-psoriasis yakho. Iindlela ezimbini oogqirha abalinganisa ubukhali be-psoriasis zibandakanya ii-indexes ezingezantsi.

Indawo ye-Psoriasis kunye ne-Index of Severity (PASI)

Amanqaku e-PASI anqunywe yipesenti yolusu lwakho oluchaphazelekayo yi-psoriasis. Oku kusekwe kubungakanani bomzimba wakho onamacwecwe. Amacwecwe ziimfumba zesikhumba esiphakamileyo, esinamaxolo, esirhawuzelelayo, esomileyo nobomvu.

Ugqirha wakho uya kumisela amanqaku akho e-PASI ngaphambi nangexesha lonyango. Injongo yonyango kukubona ukunciphisa iipesenti ezingama-50 ukuya kuma-75 kumanqaku akho e-PASI.

Umgangatho weDermatology yoBomi boBomi (DQLI)

Uvavanyo lwe-DQLI lujonga isiphumo se-psoriasis kwimpilo yomntu ngokwasemzimbeni, ngokwengqondo nangokwasentlalweni.

Amanqaku e-DQLI ye-6 ukuya kwe-10 kuthetha ukuba i-psoriasis yakho inefuthe elilinganiselweyo kwimpilo-ntle yakho. Amanqaku amakhulu kune-10 kuthetha ukuba imeko inefuthe elibi kwimpilo-ntle yakho.

Ugqirha wakho unokuthatha isigqibo sokuba ufanelekile kwi-biologics ukuba unemida okanye i-axial psoriatic arthritis.

Umda we-psoriatic arthritis

Umda we-psoriatic arthritis ubangela ukudumba kwamalungu ezingalweni nasemilenzeni. Oku kubandakanya:

• iingqiniba
• izihlahla
• izandla
• iinyawo

I-biologic ethile oyimiselweyo ixhomekeke kubukhali beempawu zakho. Kodwa i-infliximab (i-Remicade) okanye i-adalimumab (i-Humira) lukhetho olukhethiweyo xa ufuna ulawulo olukhawulezayo lwe-psoriasis yolusu.

I-Axial psoriatic arthritis

I-Axial psoriatic arthritis ibangela ukudumba kwamalungu kwezi ndawo zilandelayo:

• umqolo
• isinqe
• amagxa

Ngubani ongafanelekanga kwi-biologics?

Asinguye wonke umntu olungele unyango nge-biologics. Umzekelo, akufuneki uthathe i-biologics ukuba ukhulelwe okanye uncancisa. Kwiimeko ezininzi, akufuneki nokuba uthathe i-biologics ukuba:

• usulelo olubi okanye olusebenzayo
• isifo sephepha
• Intsholongwane kaGawulayo okanye i-hepatitis, ngaphandle kokuba imeko yakho ilawulwa kakuhle
• umhlaza nanini na kule minyaka ilishumi idlulileyo

Ukuba i-biologics ayilulo ukhetho olufanelekileyo kuwe, ugqirha wakho unokuthatha amanye amayeza, njengokuguqula iziyobisi kwi-antirheumatic drug (DMARDs).

Ukuthatha

Ukufumana unyango lwe-PsA kunokukuzisela ukukhululeka kwiimpawu ezibuhlungu. I-Biologics ngamayeza anamandla anokunceda ukunyanga iPSA. Banokuba lukhetho kuwe ukuba une-PsA emodareyithayo ukuya kubukhali, i-peripheral psoriatic arthritis, okanye i-axial psoriatic arthritis.

Qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimpawu zakho kunye nendlela i-PsA ebuchaphazela ngayo ubomi bakho. Ugqirha wakho uya kusebenza ukufumana unyango olufanelekileyo kuwe.