Daawooyinka la isku duro iyo kuwa afka laga qaato ee loo yaqaan 'Psoriatic Arthritis'

Qanacsan

• Daawada la isku duro ee PsA
• Daawooyinka afka laga qaato ee loo yaqaan 'PsA'
• Qaadid

Haddii aad ku nooshahay cudurka 'psoriatic arthritis' (PsA), waxaad heshay tiro fursado daaweyn ah. Helitaanka midka kuugu fiican adiga iyo astaamahaaga waxay qaadan kartaa tijaabo iyo qalad.

Adoo la shaqeynaya kooxdaada daryeelka caafimaadka iyo barashada wax badan oo ku saabsan noocyada daaweynta kala duwan, waxaad ku guuleysan kartaa gargaarka PsA.

Daawada la isku duro ee PsA

Bayoolaji waa daawooyin laga sameeyo maaddooyinka nool, sida unugyada unugyada aadanaha, xayawaanka, ama kansarka.

Hadda waxaa jira sagaal daawo oo la isku durayo oo loo heli karo PsA:

• adalimumab (Humira)
• certolizumab (Cimzia)
• Fiidinta (Enbrel)
• golimumab (Simponi)
• infliximab (Remicade)
• ustekinumab (Stelara)
• secukinumab (Cosentyx)
• abatacept (Orencia)
• ixekizumab (Taltz)

Biosimilars waa daawooyin lagu ansixiyay ikhtiyaar qiimo jaban oo loogu talagalay qaar ka mid ah daaweynta bayoolojiga jira.

Waxaa loogu yeeraa biosimilar maxaa yeelay waxay aad isugu dhowyihiin, laakiin iskuma waafaqsana, daawo kale oo bayoolaji ah oo horey suuqa ugu jirtay.

Biosimilars ayaa loo heli karaa PsA:

• Erelzi biosimilar ilaa Enbrel
• Amjevita biosimilar ilaa Humira
• Cyltezo biosimilar ilaa Humira
• Iskuxirka biolectimilar ee Remicade
• Renflexis biosimilar ilaa Remicade

Faa'iidooyinka ugu weyn ee cilmiga bayoolajiga ayaa ah inay joojin karaan caabuqa heerka gacanta. Isla mar ahaantaana, cilmiga bayoolajiga waxaa lagu yaqaan inay daciifiyaan habka difaaca jirka, taasoo kuu oggolaaneysa inaad u nuglaato cuduro kale.

Daawooyinka afka laga qaato ee loo yaqaan 'PsA'

Daawooyinka nonsteroidal anti-bararka (NSAIDs), corticosteroids, iyo daawooyinka antirheumatic-ka (DMARDs) wax ka beddelka cudurada guud ahaan afka ayaa laga qaadaa, in kastoo qaar ka mid ah NSAIDs la mariyo.

NSAIDs waxaa ka mid ah:

• ibuprofen (Advil, Motrin IB)
• naproxen (Aleve)
• celecoxib (Celebrex)

Faa'iidooyinka ugu weyn ee NSAIDs ayaa ah in badankood laga heli karo miiska.

Laakiin iyagu ma aha waxyeelo la'aan. NSAIDs waxay sababi karaan calool xanuun iyo dhiig bax. Waxay sidoo kale kordhin karaan halista wadno qabad ama istaroog.

DMARDyada waxaa ka mid ah:

• leflunomide (Arava)
• cyclosporine (Neoral, Sandimmune)
• methotrexate (Trexall)
• sulfasalazine (Azulfidine)
• apremilast (Otezla)

Bayoolaji waa qayb hoosaad ama nooc ka mid ah DMARD, sidaa darteed waxay sidoo kale u shaqeeyaan inay xakameeyaan ama yareeyaan caabuqa.

Corticosteroids waxaa ka mid ah:

• prednisone (Rayos)

Sidoo kale si fudud loogu yaqaan 'steroids', dawooyinkan dhakhtar qoro waxay u shaqeeyaan si loo yareeyo bararka. Mar labaad, waxay sidoo kale caan ku yihiin inay wiiqaan nidaamka difaaca jirka.

Qaadid

Waxaa jira faa iidooyin iyo waxyeelooyin soo raaca daawooyinka laysku duro iyo kuwa afka laga qaato. Dadku waxay ula kulmi karaan calaamadaha cudurka 'PsA' si ka duwan sidii hore, markaa waxaad u baahan kartaa inaad isku daydo dhowr daaweyn ka hor intaadan helin midka adiga kugu habboon.

Dhaqtarkaaga ayaa sameyn kara talooyin ku saleysan darnaanta calaamadahaaga. Xitaa waxay soo jeedin karaan in la isku feedho noocyada daawada.