Okufanele Ukwazi Ngale Mithi Ephumelelayo
Ngomuntu onokubuyiselwa kabusha kwe- multiple sclerosis (RRMS) yokubuyiselwa emuva (i-RRMS) ebhekana nokuphindaphinda okuphawulekayo kwezimpawu, ukwelashwa kokuya ngokuvamile kuyisifo se-corticosteroid. Lezi izidakamizwa ezilingisa i-hormone ekhishwa ngokwemvelo yizigulane ezinamandla ukuze kutholakale ukuvuvukala (ubomvu, ukuvuvukala, ubuhlungu). Uma kwenzeka i-MS iphinda ibuyele, i-corticosteroids inciphisa ukuvuvukala ohlelweni oluyisisekelo senzwa-ukuvuvukala okuholela ekubambeni kwezimpawu ze-MS ezifana nobuhlungu bamehlo noma izinkinga zombono , ubuthakathaka bemisipha, nokukhathazeka kwezinkinga.
Ingabe Udinga i-Solu-Medrol?
Ngokuvamile, i-corticosteroid yokuzikhethela ukwelapha i-MS enzima isifo esibizwa ngokuthi iSolu-Medrol (methylprednisolone). (Qaphela ukuthi ngezinye izikhathi udokotela uzobeka lesi sidakamizwa kumuntu onesifo njengobuhlungu obuqhubeka bubi nakakhulu ngokuhamba kwesikhathi, uye waqhubeka waze wafika ekungenakulinganiseki, futhi akazange athole kangcono nezinye izifo.)
I-Solu-Medrol imithi enamandla, futhi ayikho imiphumela emibi, ngakho kubalulekile ukwenza ngokuqinisekile ukuthi kuyadingeka. Isibonelo, kudinga ukucaca ukuthi i-MS yangempela yokubuyela emuva iyaqhubeka. Uma ucabanga ukuthi kungenzeka ukuthi kwenzeke kuwe, nansi ezinye izinto ozizibuzeyo ngalokho okubonayo. Uma uphendula u-yebo kule mibuzo, kungenzeka ukuthi ubuyela emuva.
- Ngabe nginezibonakaliso ezintsha noma izimpawu ngiye ngaqhubeka ngizilimaza?
- Ingabe lokhu kwenzeke ngaphezu kwamahora angu-24 kuya ezinsukwini ezimbalwa?
- Ingabe lezi zimpawu zagcina amahora angaba ngu-24?
- Kube okungenani inyanga kusukela ekuphindeni kwami kokugcina? (Ngamanye amazwi, lezi zimpawu zazingekho noma zizinzile okungenani izinsuku ezingu-30 ngaphambi kokuba zivele noma zibi kakhulu?)
Ukuze uqinisekise ukuthi ubuyela emuva noma ukuyilawula, udokotela wakho angenza i-MRI. Kubonakala sengathi abantu abaningi abane-MS, ikakhulukazi labo abasesiteji sokuqala se-RRMS, banezilonda ezimbalwa ezisebenzayo ezenzekayo ngaso sonke isikhathi.
Lezi yizilonda "ezikhanyayo" phambi kwe-gadolinium (i-ejenti yokuphambene esetshenziselwa ukuhlolwa kwe-MRI) cishe amasonto ayisithupha, bese iphela njengoba ukuvuvukala kudlula. Uma i-MRI ikhombisa kakhulu ukuthi izilonda ezinjalo zimbangela izimpawu, futhi ngokuqinisekile aziboni izimpawu ezizwakalayo ukusebenzisa igama elithi "ukuphindaphinda" esimweni, kungenzeka ukuthi uSolu-Medrol ayadingeki.
Ukuthatha i-Solu-Medrol
Uma le mithi inikezwa ukuphatha ukuphindaphinda kwe-MS, ivame ukunikezwa nge-intravenously-okungukuthi, ngokusebenzisa inaliti ngqo emgqeni-phezu kwezinsuku ezintathu ukuya kwezinhlanu. Kubantu abaningi, i-Solu-Medrol ingaletha ukukhululeka okukhulu kokuphindaphindiwe. Abanye baye bathola ukuthi emva kokukhipha okukodwa kwesidakamizwa, izimpawu ze-MS ezikhungathekisa zikwazi ukuphathwa, noma zinyamalale ngokuphelele. Okungenani, ezinsukwini ezimbili noma ezintathu zenkambo yeSolu-Medrol iningi labantu libika ukuthi izimpawu zabo ziba ngcono kakhulu.
Kungakhathaliseki ukuthi isetshenziselwa yini, iSolu-Medrol ayinayo imiphumela emibi, njengezinkinga zocansi nokuzuzwa kwesisindo, ngakho-ke kwezinye izimo kungase kube ngcono ukulinda ukubuyela emuva (uma ungakwazi ukubekezelela izimpawu noma ukuthola ukuphumula kwesinye ukwelashwa ). Ngokungathathi i-Solu-Medrol ngeke ube engozini yokulimala okungapheli noma imiphumela ehleliwe yesosha ngokusebenzisa ukubuyela emuva, futhi uzogwema imiphumela emibi.
Ungase ubuze nodokotela wakho mayelana nokuthatha i-Solu-Medrol kwifomu lethebhulethi, kunokuba ngokukhipha, okungase kunciphise imiphumela emibi. Kunokucwaninga kokuqala ukukhombisa ukuthi i-methylprednisolone yomlomo ingasebenza ngendlela ephumelelayo ekunciphiseni i-MS ephindaphinda njenge-infusions.
> Imithombo:
> E le Page, et al. "Ukusebenza nokuphepha kwe-Oral Versus Intravenous High-Dose Methylprednisolone e-Multiple Sclerosis Ibuyela emuva, I-Trial-Blind Trial (Randomised-Blind Trial Trial)." I-Lancet . 2015 Sep 5; 386 (9997): 974-81.
> Olek MJ. "Ukwelashwa Kwenyuka Okumangalisayo Kwe-Multiple Sclerosis Kwabantu Abadala." UpToDate 2016.
> Ontaneda D & Rae-Grant AD. Ukuphathwa Kwezingqinamba Ezinzima E-Multiple Sclerosis. U-Ann Indian Acad Neurol . 2009 Okthoba; 12 (4): 264-7.