Liiska Daawooyinka Lupus-ka Caadi ah

Qanacsan

• Corticosteroids
• Daawooyinka anti-bararka ee nonsteroidal (NSAIDs)
• Daawooyinka kale
• Acetaminophen
• Opioids
• La hadal dhakhtarkaaga

Hordhac

Nidaamka lupus erythematosus, ama lupus, waa cudur joogto ah oo isdifaaca jirka. Cudurada isdifaaca jirka, habka difaaca jirka ayaa iskiis isu weerara. Lupus waxay sababtaa habka difaaca jirka inuu ugu qaldo unugyada caafimaadka qaba jeermiska, fayrasyada, iyo kuwa kale ee kusoo duulay. Nidaamku wuxuu markaa abuuraa isdifaaca jirka ee weerara xubnaha jirkaaga.

Weerarkani wuxuu saameyn ku yeelan karaa qaybo badan oo jirkaaga ka mid ah wuxuuna badanaa keenaa calaamado. Lupus wuxuu saameyn ku yeelan karaa kala-goysyadaada, xubnahaaga, indhaha, iyo maqaarkaaga. Waxay keeni kartaa xanuun, caabuq, daal, iyo finan. Xaaladdu waxay maraysaa waqtiyo ay firfircooni badan tahay, kuwaas oo loo yaqaanno cilado ama kacsanaan. Waxaa laga yaabaa inaad yeelato calaamado badan muddooyinkan. Lupus sidoo kale wuxuu maraa waqtiyo cafis. Kuwani waa waqtiyada waxqabadka yaraaday markii laga yaabo inaad yaraysid olollada.

Corticosteroids

Corticosteroids, sidoo kale loo yaqaan 'glucocorticoids' ama 'steroids', ayaa kaa caawin kara daaweynta astaamaha lupus. Daawooyinkani waxay matalayaan sida ay u shaqeyso cortisol. Cortisol waa hormoon jirkaagu sameeyo. Waxay kaa caawineysaa inaad la dagaasho bararka waxayna xakameysaa nidaamkaaga difaaca. Nidaaminta nidaamkaaga difaaca jirka waxay fududeyn kartaa astaamaha lupus.

Steroids waxaa ka mid ah:

• horyaal
• kortisone
• hydrocortisone

Guud ahaan, steroids ayaa waxtar leh. Laakiin sida daroogada oo dhan, waxay mararka qaarkood sababi karaan waxyeelo. Kuwaas waxaa ka mid noqon kara:

• miisaanka oo kordha
• haynta dareeraha ama bararka
• finanka
• xanaaq
• hurdo xumo
• caabuqyada
• lafo-beel

Steroids badanaa si dhakhso leh ayey u shaqeeyaan. Dhakhtarkaaga ayaa laga yaabaa inuu ku siiyo daaweyn isteeroydhiska ah oo gaaban illaa daawooyinkaaga muddada-dheer ay shaqada ka bilaabayaan. Dhakhaatiirtu waxay isku dayaan inay qoraan qiyaasta ugu yar ee suurtogalka ah ee steroid muddada ugu gaaban si looga fogaado dhibaatooyinka soo raaca. Markaad u baahan tahay inaad joojiso qaadashada steroids, dhakhtarkaagu wuxuu si tartiib tartiib ah u yareyn doonaa qiyaastaada waqti ka dib si loo yareeyo halista waxyeellooyinkaaga.

Daawooyinka anti-bararka ee nonsteroidal (NSAIDs)

NSAIDs waxaa loo isticmaalaa in lagu daaweeyo xanuunka, caabuqa, iyo qallafsanaanta sababtoo ah lupus. Daawooyinkaan waxaa loo heli karaa iyaga oo laga iibsado dukaanka lagaa iibsado (OTC) iyo daawooyinka laguu qoro. Haddii aad qabto cudurka kalyaha ee lupus, la hadal dhakhtarkaaga kahor intaadan qaadan NSAID. Waxaad u baahan kartaa qadar yar ama dhakhtarkaaga ayaa laga yaabaa inuu kaa rabo inaad ka fogaato daawooyinkan.

OTC NSAIDs waxaa ka mid ah:

• asbiriin
• ibuprofen (Motrin)
• naproxen

Dawooyinka NSAIDs waxaa ka mid ah:

• celecoxib (Celebrex)
• diclofenac (Voltaren)
• diclofenac-misoprostol (Arthrotec) (Fiiro gaar ah: misoprostol maahan NSAID. Waxay caawineysaa kahortaga boogaha caloosha, oo halista u ah NSAIDs.)
• kala duwanaansho (Dolobid)
• etodolac (Lodine)
• fenoprofen (Nalfon)
• flurbiprofen (Ansaid)
• indomethacin (Indocin)
• ketorolac (Toradol)
• ketoprofen (Orudis, Ketoprofen ER, Oruvail, Actron)
• nabumetone (Relafen)
• meclofenamate
• aashitada mefenamic (Ponstel)
• meloxicam (Mobic Vivlodex)
• nabumetone (Relafen)
• oxaprozin (Daypro)
• piroxicam (Feldene)
• salsalate (Disalcid)
• sulindac (Xarun caafimaad)
• tolmetin (Tolmetin Sodium, Tolectin)

Saameynaha ugu caansan ee NSAID-yadaas waxaa ka mid ah:

• lallabbo
• laabjeex
• boogaha caloosha ama xiidmaha
• dhiigbax calooshaada ama xiidmaha

Qaadashada qadar sare oo ah NSAID ama isticmaalidda daawooyinkan waqti dheer waxay kordhisaa halista dhiig-baxa ama boogaha caloosha. Qaar ka mid ah NSAID-yada ayaa ka jilicsan caloosha kuwa kale. Had iyo jeer ku qaado NSAIDs cunto, oo ha u qaadin si toos ah intaadan jiifsan ama seexan. Taxaddarradan ayaa yareyn kara halistaada dhibaatooyinka caloosha.

Daawooyinka kale

Acetaminophen

Daawooyinka OTC sida acetaminophen (Tylenol) ayaa xoogaa kaa caawin kara astaamahaaga lupus. Daawooyinkani waxay xakameyn karaan xanuunka waxayna yareyn karaan qandhada. Guud ahaan, acetaminophen waxay sababi kartaa waxyeelo yar oo dhanka xiidmaha ah marka loo eego daawooyinka la qoro. Laakiin waxay kaloo sababi kartaa dhibaatooyin kelyaha iyo beerka ah. Weydii dhakhtarkaaga waxa qiyaasta saxda ah ee adiga kugu habboon. Qaadashada qiyaasta saxda ah ee muhiimka ah haddii aad qabto cudurka kalyaha ee lupus. Waxaa laga yaabaa inaad u nuglaato waxyeellooyinka ka imanaya acetaminophen.

Opioids

Haddii NSAIDs ama acetaminophen aysan kaa yareyn xanuunkaaga, dhakhtarkaagu wuxuu ku siin karaa opioid. Daawooyinkani waa daawooyinka xanuunka loo qoro. Way awood badan yihiin waxayna caado u noqon karaan. Xaqiiqdii, daroogooyinkaani caadi ahaan ma ahan daaweynta koowaad ee lupus sababtoo ah halista qabatinka. Opioids sidoo kale waxay kaa dhigi kartaa mid hurdo badan. Waa inaadan waligaa ku qaadanin mukhaadaraadkan aalkolo.

Daawooyinkaas waxaa ka mid ah:

• hydrocodone
• codeine
• oxycodone

La hadal dhakhtarkaaga

Daawooyin badan ayaa loo heli karaa daaweynta lupus. Kulligood isku si uma wada shaqeeyaan. Qaarkood waxay yareeyaan xanuunka, caabuqa, iyo calaamadaha kale, halka kuwa kale ay ku shaqeeyaan iyagoo xakameynaya nidaamkaaga difaaca. Calaamadaha iyo darnaanta lupus way ku kala duwanaan karaan dadka, markaa kala hadal dhakhtarkaaga wixii ku saabsan xulashooyinkaaga. Adiga iyo dhakhtarkaaga ayaa abuuri kara qorshe daryeel oo adiga kugu habboon.