I-NSAIDS ne-Methotrexate Ingabangela Ukulahlekelwa Kwezinwele
Ukulahleka kwezinwele kuwumphumela ohlangothini wemithi ethile ye-arthritis. Imithi ye-arthritis ihlanganisa:
- I-Methotrexate (i-Rheumatrex)
- I-Arava (i-leflunomide)
- Enbrel (etanercept) no- Humira (adalimumab)
- Izidakamizwa eziphikisana nezidakamizwa
Indlela Yokuyeka Ukulahlekelwa Kwezinwele Ezihambisana Nemithi
Uma ushiya umuthi okhubazayo, noma ngokuhamba kwesikhathi, ukuchithwa kwezinwele zakho kufanele kuxazululwe kancane kancane izinyanga eziyisithupha kuya kweziyisishiyagalolunye.
Nakuba kungekho ukwelashwa okuqondile kokulahlekelwa izinwele okwenzeka ngenxa yemithi ngaphandle kokuyiyeka, ungayeki ukuthatha imithi yakho uze uxoxe nodokotela wakho.
Uma ukulahlekelwa izinwele kuthinta ukubonakala kwakho nokuzethemba kwakho, udokotela wakho angase azame ukwehlisa umthamo noma ushintshe kwenye imithi ukuze ubone ukuthi lokho kuxazulula inkinga. Uma imithi ithola kahle i-arthritis yakho, ingase ikucele ukuba ulinganisise izinzuzo ezibhekene nemiphumela emibi ngaphambi kokuthatha izinyathelo ezinjalo.
Uma ukuguqula umthamo noma ukushintsha imishanguzo akunakwenzeka, udokotela wakho angakutjela kudermatologist kwezinye izinketho.
I-Methotrexate Ingabangela Ukulahlekelwa Kwezinwele
I-Methotrexate yisidakamizwa esivame ukushiwo isifo sokuguqula i-antirheumatic (DMARD) yesifo se-rheumatoid futhi sibangela ukulahleka kwezinwele kumaphesenti angaba ngu-1 ukuya kwangu-3. I-Methotrexate isebenza ngokumisa amangqamuzana abangela ukuvuvukala ekukhuleni, futhi, ngenxa yalokho, angayeka izinwele zezinwele ezikhulayo futhi.
I-folic acid supplement, evame ukuhlelwa nge-methotrexate, ingasiza ukugcina izinwele zakho ziphilile kodwa azikhuthazi izinwele zokukhula.
I-Leflunomide Ingabangela Ukulahlekelwa Kwezinwele
I-Leflunomide ingenye i-DMARD ejwayelekile ejwayelekile yeziguli zesifo se-rheumatoid arthritis. Isizathu sokulahlekelwa kwezinwele kufana ne-methotrexate futhi senziwa ngamaphesenti angu-10 wabasebenzisi.
I-Etanercept ne-Adalimumab Kungabangela Ukulahlekelwa Kwezinwele
I-Etanercept ne-adalimumab banenhlanhla njengemiphumela emibi futhi. Ngokucacile ukuthi lezi zakhi zezinto eziphilayo ezibangelwa ukulahlekelwa izinwele aziwaphi, kodwa odokotela basolwa ukuthi yilezi zidakamizwa ezishintsha ibhalansi yemvelo yomzimba wezakhi zezithunywa ezibizwa ngokuthi "ama-cytokines."
Ama-NSAID angabangela ukulahlekelwa kwezinwele
Ukulahlekelwa izinwele kusuka kwizidakamizwa eziphikisana nezidakamizwa, okufaka phakathi i-Motrin (ibuprofen), ngokuvamile kuvamile kulokho umphakathi wezokwelapha ubiza i-telogen effluvium. "Lolu hlobo lokulahlekelwa izinwele lwenzeka uma ukucindezeleka okuthile, njengokuthi imithi, kubangela ukuba izimpande zesikhumba ziqhutshwe ngaphambi kwesikhathi zibe yisimo sokuphumula, okuthiwa i-telogen. Ukulahleka kwezinwele ngokungahambi kahle kuzobonakala ngokuqaphela ngemva kwezinyanga ezimbili noma ngaphezulu kusukela ngesikhathi ukucindezeleka kwenzeka - isibonelo, isikhathi lapho imithi iqala khona, "kusho isazi sezinshukela uScott J. Zashin, MD.
Ukulinganisa I-Genetic Pattern kanye neMithi Ye-Arthritis
Uma usuvele uzuze ifa lesikhumba lesilisa noma lesifazane, ifomu lokulahlekelwa izinwele unomphela, ukuthatha izidakamizwa ze-arthritis kungase kubangele noma kuyasheshise.
Ezinye Izizathu Zokulahlekelwa Kwezinwele
Xhumana ne-rheumatologist yakho ngokushesha, uma uzwa ukulahlekelwa izinwele ngokuzumayo noma okuphambene, kufaka phakathi:
- ukulahlekelwa izinwele ngokweqile lapho uqhuma noma ugeza izinwele zakho
- uthola izinwele njalo ekudleni kwakho
- ukubona izinwele eziningi emceleni wakho
Lezi akuzona ezivamile imiphumela emibi yemithi ye-arthritis.
Ukubonisana nodokotela wakho noma dermatologist kungasiza ukuthola ukuthi kukhona yini enye isizathu sokulahlekelwa izinwele, njenge:
- ukungabi nensimbi
- lupus
- isifo se-thyroid
Impendulo eyanikezwa nguScott J. Zashin, MD, uprofesa wothisha wezempilo e-University of Texas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas. UDkt. Zashin ungudokotela ozofika esibhedlela sasePresbyterian yaseDallas nasePlano. Ungumunye we-American College of Physicians kanye ne-American College of Rheumatology kanye nelungu le-American Medical Association. UDkt. Zashin ungumbhali we-arthritis ngaphandle kwemizwa - Isimangaliso se-anti-TNF Blockers kanye nombhali-mbhali we-Natural Arthritis Treatment.
Umthombo:
U-Abedin, u-Shahreen. I-Arthritis Foundation: Ukufinyelela Emthonjeni Wokulahlekelwa Kwezinwele University of Maryland Medical Center: Ukulahleka Kwezinwele (2015)