Ukuqeda Isidakamizwa Esetshenziswa Ukubhekana Nezifo ZaseCrohn Ne-Ulcerative Colitis
I-Remicade (i-infliximab) uhlobo lohlobo olubizwa ngokuthi i-antibody monoclonal. I-TNF-alpha (i-tumor necrosis factor alpha) itholakala ngemali ephakeme kubantu abanesifo sikaCrohn kunabantu abangenawo uhlobo lwesifo sofuba (IBD) . I-Remicade iyeka i-TNF-alpha kusukela ekusetshenzisweni komzimba.
I-TNF-alpha empeleni i- cytokine edlala indima enqubweni yokuvuvukala emzimbeni.
I-IBD yisimo sokuvuvukala, futhi i-TNF-alpha ikholelwa ukuthi idlala indima ngendlela iBD ethinta ngayo isimiso semathunjini. I-cytokine ihamba phakathi kwamaseli emzimbeni ehambisa imiyalezo "yamakhemikhali."
Uyakususwa Kanjani?
I-Remicade inikezwa njenge-infusion ngokusebenzisa i-IV line, ngokuvamile e-esibhedlela noma ehhovisi lika-dokotela. Ukumnika ukunikezwa kancane kancane kunamanye amaningana (ngokuvamile ama-2 ngaphezulu) amahora. Udokotela ochaza ukuthi i-Remicade izohlinzeka noma yiziphi iziyalezo ezikhethekile iziguli okufanele zilandele ngaphambi kokuqokwa kwamakhansela.
Kungani Kuthunyelwe I-Remicade?
I-Remicade ingahle ibekwe emibili yezinhlobo eziyinhloko ze-IBD: ukulinganisela kwesifo sochungechunge esiqine noma isifo sikaCrohn. I-Remicade nayo ivunyelwe ukuthi isetshenziswe ezinganeni ezingaphezu kweminyaka engu-6 enesisindo esifanayo nesifo esibi kakhulu se-Crohn noma esilinganiselwe ekubeni nesifo sofuba esiswini esingahambi kwezinye izidakamizwa zokwelashwa. Kungatholakala futhi kubantu abane-Crohn's disease abane- fistula futhi baphathe izinhlobo ezithile ze- arthritis ye- rheumatoid .
Ukubuyisela izibopho ku-TNF-alpha, ukuvimbela ukuthi ingabangeli ukuvuvukala emzimbeni. Njengoba i-TNF-alpha ingakwazi ukubangela ukuvuvukala, umuntu onokubambisana ne-IBD angase athole isikhathi esingasebenzi emsebenzini wenqubo yesifo, ebizwa nangokuthi ukuxolelwa .
Ngubani Okungafanele Awuthathe?
Tshela udokotela wakho uma uke waba nalezi zimo ezilandelayo:
- Ukusabela okwe-allergen kunoma imiphi imithi
- Ukukhulelwa kwamanje
- I-Cancer
- Izifo
- Lupus
- Ukugonywa kwakamuva
Imiphumela emibi engenzeka
Imiphumela emibi evamile ye-Remicade ihlanganisa ubuhlungu besisu, isicasuli, ukukhathala nokuhlanza. Tshela udokotela wakho ukuthi ngabe yimiphi imiphumela emibi ihlupha noma ungahambi.
Ngokuvamile, imiphumela emibi nakakhulu ingenzeka, njengokunzima ukuvuthwa, ukutheleleka, ukushaya kwenhliziyo okungenangqondo kanye nobuhlungu obungama-rectal. Lemiphumela emibi kufanele ibikwe kudokotela wakho ngokushesha. Bheka ikhasi leminye imiphumela yempendulo ye - Remicade ukuze uthole uhlu oluthe xaxa lwempendulo engalungile.
Ukuxhunyaniswa kwemithi
I-Remicade ayizange ifunde kabanzi ngokusebenzisana kwezidakamizwa. Phakathi nezilingo zomtholampilo ze-Remicade, ezinye iziguli zase zithathe ama-antibiotics, ama-antiviral, ama-corticosteroids (njenge-prednisone), ama-6-MP / AZA nama-aminosalicylates. Lezi ziguli azizange zithole inani elikhulu lokusabela kwamagciwane njengalabo ababengathathi ezinye izidakamizwa.
Kodwa-ke, abantu abathola i-Remicade akufanele bathole noma yimiphi imishanguzo equkethe ama-virus aphilayo noma amabhaktheriya (ukuguqulwa komkhuhlane wonyaka akuqukethe igciwane bukhoma). Ukukhumbuza isimiso somzimba sokuzivikela, nokuthatha ezinye izidakamizwa ezivimbela isistimu yomzimba ngesikhathi esifanayo kungandisa ingozi yokutheleleka.
Udokotela kufanele axoxwe nganoma yimuphi omunye umuthi othathwa ngesikhathi esifanayo neRicicade.
Ukusebenzisana kokudla
Akukho ukusebenzisana kokudla okuyaziwayo.
Ingabe Ukuqeda Ukukhulelwa Ngesikhathi Ukukhulelwa?
I-FDA ihlukanisile i-Remicade njengesidakamizwa sohlobo B. Umphumela wokuthi i-Remicade inomntwana ongakazalwa awufundiwe kakhulu. I-Remicade kufanele isetshenziswe kuphela ngesikhathi sokukhulelwa uma kudingeka ngokucacile. Yazisa udokotela uma ekhulelwa ngenkathi uthatha i-Remicade. Kucatshangwa ukuthi i-Remicade ayidluli ubisi lwebele. Abesifazane kufanele bahlole odokotela babo, kepha njengamanje bacatshangwa ukuthi abesifazane abamukela i-Remicade akufanele badikibale ekunceliseni izingane zabo, ikakhulukazi banikezwa izinzuzo ezandakalele zobisi lwebele olusana.
Ngingayithola Kanjani Usizo Ngezindleko?
I-Janssen Pharmaceuticals ineNsiza Yosizo LukaMguli ukusiza ekutholeni usizo lwezokwelapha ukuze kukhishwe i-Remicade. Usizo lungabuye lutholakale ezinhlanganweni ze-IBD zendawo.
Imithombo:
Kane S, Ford J, Cohen R, Wagner C. "Ukungabi khona kwe-infliximab ezinsana nasebisi lwebele kusuka kumama abahlengikazi bethola ukwelashwa kwesifo sikaCrohn ngaphambi nangemva kokubeletha." J Clin Gastroenterol. 2009 Aug; 43: 613-616.
Remicade.com. "Yini Okudingeka Uyazi Ngokuyibuyisela." Janssen Pharmaceuticals. 28 Jan 2016.
> Wilhelm SM, McKenney KA, Rivait KN, Kale-Pradhan PB. "Ukubuyekezwa kokusetshenziswa kwe-infliximab ku-ulcerative colitis." I-Clin Ther . 2008 Feb; 30: 223-230.