2024 Tus sau: Kevin Dyson | [email protected]. Kawg hloov kho: 2023-12-16 23:34
Kev kho mob rheumatoid mob caj dab (RA) txo qis hauv koj lub cev, tiv thaiv koj cov pob qij txha los ntawm kev puas tsuaj, thiab yooj yim cov tsos mob xws li mob thiab txhav. Tab sis qee zaum ib qho tshuaj tsis txaus los tswj RA. Qhov ntawd yog qhov kev kho ua ke los ntawm.
Thaum koj kuaj tau tus mob RA, koj tus kws kho mob yuav pib rau koj los ntawm kev hloov kho cov tshuaj tiv thaiv kab mob (DMARD) hu ua methotrexate. Nws yog cov kws kho mob tau sau thawj zaug rau cov neeg feem coob uas muaj RA vim nws ua haujlwm tau zoo.
Dhau li ntawm methotrexate, ntau DMARDs suav nrog hydroxychloroquine (Plaquenil), leflunomide (Arava), thiab sulfasalazine (Azulfidine).
Yog methotrexate tsis txhim kho koj cov tsos mob, nws tuaj yeem yog lub sijhawm ntxiv ib lossis ntau lwm yam tshuaj rau hauv kev sib xyaw.
Ib ob peb lwm yam tshuaj kho RA, thiab lawv ua haujlwm sib txawv. Kev sib xyaw cov tshuaj no tej zaum yuav ua rau koj cov tsos mob yooj yim dua thiab ua rau koj tshem tawm ntau dua li ib qho tshuaj ib leeg.
Kev sib xyaw tshuaj kho mob
Ntxiv rau DMARDs, hom tshuaj RA tseem ceeb uas tuaj yeem ua ke sib txawv yog:
Biologics. Cov tshuaj no yog hom tshiab ntawm DMARD. Lawv yog cov khoom tsim tawm ntawm cov proteins uas tiv thaiv qhov mob.
chav kawm tshiab ntawm DMARDs no suav nrog abatacept (Orencia), adalimumab (Humira), anakinra (Kineret), baricitinib (Olumiant), certolizumab (Cimzia), etanercept (Enbrel), golimumab (Simponi), infliximab (Remicade), rituximab (Rituxan), sarilumab (Kevzara), tocilizumab (Actemra), thiab tofacitinib (Xeljanz).
Nonsteroidal anti-inflammatory tshuaj (NSAIDs). Cov tshuaj no, xws li ibuprofen thiab naproxen, txo qhov mob thiab mob.
Corticosteroids, lossis steroids. Lawv txwv lub cev tiv thaiv kab mob kom ua rau mob hauv koj lub cev.
Cov tshuaj twg siv los ua ke?
Kev sib xyaw ntawm cov tshuaj uas koj tus kws kho mob tau sau tseg nyob ntawm seb koj tau mob RA ntev npaum li cas thiab koj cov tsos mob hnyav npaum li cas.
Qee yam tshuaj RA ua ke yog:
ob txoj kev kho. Kev kho mob no ua ke nrog methotrexate nrog lwm DMARD, xws li azathioprine (Azasan), cyclosporine, hydroxychloroquine, leflunomide, lossis sulfasalazine. Methotrexate ntxiv rau leflunomide lossis methotrexate ntxiv rau sulfasalazine zoo li yog qhov ua tau zoo tshaj plaws ntawm ob hom tshuaj sib xyaw ntawm cov pa DMARDs. Lwm qhov kev kho mob no suav nrog ob lossis ntau dua cov tshuaj biologic.
DMARD ntxiv rau biologic. Txoj kev sib xyaw ua ke no ntxiv cov tshuaj biologic rau methotrexate. "Biologic" DMARDs feem ntau zoo tshaj thaum ua ke nrog "nonbiologic" DMARD, xws li methotrexate.
Triple therapy. Yog tias ob yam tshuaj tsis txo koj cov tsos mob, koj tuaj yeem hloov mus rau triple therapy nrog peb cov tshuaj. Txoj kev kho triple feem ntau yog methotrexate, sulfasalazine, thiab hydroxychloroquine.
DMARD ntxiv rau cov tshuaj tiv thaiv kab mob. Vim tias DMARDs tuaj yeem siv sijhawm li ob peb lub lis piam lossis ntau hlis los pib ua haujlwm, koj tus kws kho mob yuav muab tshuaj tua kab mob xws li tshuaj tua kab mob. steroid lossis NSAID rau lub sijhawm luv luv. Cov tshuaj no ua haujlwm sai kom txo qhov mob hauv koj lub cev. Lawv tuaj yeem pab cov tsos mob txog thaum koj DMARD pib ua haujlwm.
Txhua tus neeg teb cov tshuaj no txawv me ntsis. Koj tus kws kho mob yuav kho cov kev kho ua ke kom haum rau koj RA. Thiab yog tias thawj qhov kev sib xyaw ua ke koj sim tsis ua haujlwm, koj tuaj yeem hloov mus rau lwm yam.
txiaj ntsig
Txhua cov tshuaj no ua haujlwm sib txawv me ntsis, thiab lawv cov teebmeem tuaj yeem ntxiv. Tau txais kev sib xyaw ua ke ntawm cov tshuaj yuav txhais tau tias tsis tshua mob pob qij txha, txhav, thiab o. Kev sib xyaw ua ke kuj tseem tuaj yeem pab ua kom puas rau koj cov pob qij txha.
Muaj qee qhov pov thawj tias cov neeg muaj RA teb zoo dua rau kev sib xyaw tshuaj ntau dua li ib qho tshuaj. Kev noj ob lossis ntau yam tshuaj tuaj yeem txhim kho koj cov tsos mob ntau dua li kev noj ib yam tshuaj.
Risks
Txhua yam tshuaj uas kho RA tuaj yeem ua rau muaj kev phiv. Vim tias DMARDs tamp hauv koj lub cev tiv thaiv kab mob kom yooj yim o, lawv tuaj yeem ua rau koj muaj kev pheej hmoo kis mob.
Lwm cov kev mob tshwm sim los ntawm DMARDs yog:
- Ntaus thiab ntuav
- Zoo plab
- mob siab lossis mob raum
- Teeb meem xeeb tub
- Kev yug me nyuam ntawm tus niam uas noj cov tshuaj no
x
Steroids tuaj yeem ua rau:
- Nyhav nce
- pob txha tsis muaj zog
- ntshav siab
- ntshav qab zib hloov
Kev noj ob lossis ntau dua tshuaj ua ke tsis zoo li yuav ua rau muaj kev phiv ntau dua li kev noj tshuaj ib leeg. Txawm li cas los xij, koj tus kws kho mob yuav saib xyuas koj rau txhua yam teeb meem. Tej zaum koj yuav xav tau kev kuaj ntshav tsis tu ncua kom paub tseeb tias cov tshuaj tsis ua mob rau koj lub siab lossis lwm yam kabmob.
Ua ntej koj pib ntawm kev kho ua ke, nug koj tus kws kho mob txog qhov zoo thiab qhov tsis zoo. Thiab qhia rau koj tus kws kho mob paub yog tias koj muaj kev mob tshwm sim thaum koj tab tom kho.
Pom zoo:
Kev Tswj Kev Mob: Kev Kho Mob Rau Kev Kho Mob Nrog OTC & Cov Tshuaj Kho Mob
tshuaj mob, txawm tias lawv nyob tom khw muag khoom lossis lub zog tshuaj, tuaj yeem pab koj tswj qhov mob thiab lwm yam mob. Lawv yog cov tshuaj muaj zog, yog li nws tseem ceeb heev kom siv lawv nrog kev saib xyuas. Nws yog qhov zoo tshaj plaws los pib nrog cov tshuaj uas muaj kev nyab xeeb tshaj plaws ntawm qhov koob tshuaj qis tshaj plaws rau lub sijhawm luv tshaj plaws thiab ua haujlwm los ntawm qhov ntawd raws li qhov xav tau.
Leej Twg Xav Tau Kev Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho
Kev phais ib nrab lossis tag nrho lub hauv caug hloov lub hom phiaj txhawm rau txhim kho kev ruaj ntseg rau lub hauv caug hnav lossis puas tsuaj los ntawm kev tshem tawm thiab hloov cov pob txha tawg uas ua rau lub hauv caug sib koom nrog cov khoom siv cog qoob loo.
Daim Ntawv Teev Npe: Kev Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Kho Mob, Kev Txhaj Tshuaj
Qee koob tshuaj tiv thaiv kev saib xyuas npog los ntawm cov phiaj xwm feem ntau raws li Txoj Cai Saib Xyuas Nqis Nqis (tsis muaj nqi sib faib): tshuaj tiv thaiv COVID-19 thiab tshuaj tiv thaiv kab mob siab A (cov menyuam yaus 12 lub hlis thiab laus dua, cov neeg taug kev, thiab lwm tus muaj kev pheej hmoo siab) kab mob siab B (me nyuam mos, menyuam yaus thiab cov neeg laus muaj kev pheej hmoo siab) Herpes zoster (60 thiab laus dua) Tib neeg papillomavirus lossis
Kev Tswj Kev Kho Mob FAQ: Tshuaj Kho Mob, Kev Kho Mob, Kho Mob Mob, thiab Ntau Ntxiv
1) Kuv puas yuav tau noj tshuaj kho mob tsuas yog thaum kuv mob heev? No. Tsis txhob tos kom txog thaum mob hnyav kom noj tshuaj kho mob. Mob yog yooj yim los tswj thaum nws mob me. Koj yuav tsum noj koj cov tshuaj noj tsis tu ncua, raws li tau sau tseg.
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Koj tus kws kho mob tau muab tshuaj rau koj. Yuav ua li cas tam sim no? Tej zaum koj yuav tau ua haujlwm nrog ntau tshaj ib tus kws kho mob los kho cov mob xws li ntshav qab zib, mob qog noj ntshav, mob caj dab, lossis kab mob plawv. Lawv yuav ua haujlwm ua pab pawg los muab kev saib xyuas koj xav tau.