Icyo ari cyo Umuti wa Zahabu: Ibyo Ukoreshwa, Uburyo Ufatwa, Ingaruka Ziwuhesha n'ibindi

Imiti ya zahabu ni imiti yihariye irimo zahabu nyayo abaganga bakoresha mu kuvura indwara ya rubagimpande ikaze iyo izindi miti zitagize icyo zikora. Iyi miti ikora igabanya imikorere y'ubwirinzi bw'umubiri wawe kugira ngo igabanye kubyimba kw'ingingo n'ububabare. Nubwo itajya itangwa cyane muri iki gihe kubera izindi miti mishya, imiti ya zahabu ishobora kugira akamaro kanini ku barwayi bamwe na bamwe bakeneye uburyo bwo kuvurwa bukomeye.

Umuti wa Zahabu ni iki?

Imiti ya zahabu ni imiti itangwa na muganga irimo imyunyu ya zahabu, ari zo zahabu zitegurwa by'umwihariko kugira ngo zikoreshwe mu buvuzi. Ubwoko busanzwe burimo zahabu ya sodium thiomalate (itangwa binyuze mu nshinge) na auranofin (ifatirwa mu kanwa). Ibi ntibisa na zahabu ikoreshwa mu kwambara - zihindurwa mu buryo bwa kemikali kugira ngo zikore nk'umuti mu mubiri wawe.

Muganga wawe ashobora gutekereza ku miti ya zahabu igihe ufite indwara ya rubagimpande ikaze itagize icyo ikora ku zindi miti. Ni igice cy'itsinda ryitwa imiti igabanya indwara ya rubagimpande (DMARDs), bivuze ko itavura gusa ibimenyetso ahubwo igabanya kwangirika kw'ingingo uko igihe kigenda.

Umuti wa Zahabu Ukoreshwa mu kuvura iki?

Imiti ya zahabu ikoreshwa cyane cyane mu kuvura indwara ya rubagimpande, indwara aho ubwirinzi bw'umubiri wawe bwibeshya bugatera ingingo zawe. Bifasha cyane cyane iyo rubagimpande rwawe rukora kandi rutera ububabare bukomeye, kubyimba, no kwangirika kw'ingingo izindi miti zitagize icyo zikora.

Iyi miti ikora neza ku bantu bamaze amezi cyangwa imyaka barwaye rubagimpande kandi bakeneye uburyo bwo kuvurwa bukomeye. Muganga wawe ashobora no kubitekerezaho niba waragize ingaruka zikomeye ku zindi miti ya rubagimpande cyangwa niba ubuvuzi bwawe butabuza kwangirika kw'ingingo.

Mu bice bike, abaganga bashobora kwandika imiti ikoranye zahabu ku zindi ndwara ziterwa n’ubwirinzi bw’umubiri nk’indwara ya psoriatic arthritis, ariko ibi ntibisanzwe cyane. Umwanzuro wo gukoresha imiti ya zahabu bisaba gusuzuma neza uko umubiri wawe umeze n’amateka yawe y’ubuvuzi.

Umuti ukoranye zahabu ukora ute?

Imiti ikoranye zahabu ikora igabanya ubwirinzi bw’umubiri burenze urugero, arirwo rutera kubyimba mu ndwara ya rheumatoid arthritis. Tekereza ko ubwirinzi bw’umubiri wawe buyobye bugatera kwibasira ingingo zawe - zahabu ifasha gutuza urwo ruyobe.

Iyi miti ifatwa nk’ikomeye ku rugero ruciriritse ugereranyije n’izindi miti ivura indwara ya arthritis. Iruta imiti isanzwe igabanya kubyimba ariko ntabwo ikomeye nk’imiti mishya ya biologics. Zahabu yiyongera buhoro buhoro mu mubiri wawe uko igihe kigenda, niyo mpamvu bishobora gufata amezi menshi kugira ngo wumve akamaro kayo kose.

Uburyo nyabwo zahabu ikora ntiburasobanuka neza, ariko bigaragara ko igabanya imikorere y’uturemangingo tumwe na tumwe tw’ubwirinzi bw’umubiri dutera kubyimba kw’ingingo. Ibi bifasha kugabanya ububabare, kubyimba, no gukumira kwangirika kw’ingingo kurushaho uko igihe kigenda.

Nkwiriye gufata umuti ukoranye zahabu gute?

Uburyo ufata umuti ukoranye zahabu biterwa n’ubwoko bw’umuti muganga wawe yakwandikiye. Zahabu y’urukingo (gold sodium thiomalate) itangwa nk’urushinge mu mikaya yawe, akenshi mu kibuno cyangwa mu itako, n’umuganga mu biro by’ubuvuzi.

Ku bijyanye na zahabu y’urukingo, ubusanzwe utangira guhabwa inshinge buri cyumweru mu mezi make ya mbere, hanyuma ugahindura ukajya uhabwa inshinge buri kwezi niba imiti ikora neza. Uzaba ukeneye kuguma mu ivuriro iminota nka 30 nyuma y’urukingo rwose kugira ngo urebe niba hari icyo byagutera ako kanya.

Niba wandikiwe zahabu yo kunywa (auranofin), uzayifata unywa mu kanwa hamwe n’ibiryo kugira ngo ugabanye kuribwa mu gifu. Kuyifata hamwe n’amata cyangwa ifunguro ryuzuye bishobora gufasha kwirinda isesemi. Muganga wawe azatangira akenshi akuguhe urugero ruto hanyuma arushaho kurwongera bitewe n’uko umubiri wawe witwara.

Ntugasibe gahunda cyangwa imiti utabanje kuvugana na muganga wawe. Ibizamini by'amaraso bya buri gihe ni ngombwa mugihe ukoresha imiti ikozwe muri zahabu kugirango igenzurwe niba hari ingaruka ziterwa n'iyo miti kandi urebe niba imiti ikora neza kandi itagira ingaruka.

Nzamara Igihe Kingana Gite Nkoresha Iyi Miti Ikoresha Zahabu?

Ubuvuzi bukoresha imiti ikozwe muri zahabu mubisanzwe ni gahunda y'igihe kirekire ishobora kumara imyaka myinshi niba ikora neza kuri wowe. Abantu benshi bakeneye kuyikoresha byibuze amezi 3-6 mbere yo kubona impinduka zigaragara mu bimenyetso bya artrite.

Muganga wawe azasuzuma uburyo imiti ikora neza buri mezi make. Niba urimo kugira impinduka nziza kandi nta ngaruka zikomeye ufite, ushobora gukomeza kuvurwa imyaka myinshi. Abantu bamwe bakoresha imiti ikozwe muri zahabu imyaka 5 cyangwa irenga niba bakomeza kungukirwa nayo.

Umwanzuro wo guhagarika ubuvuzi bukoresha zahabu biterwa n'ibintu byinshi birimo uburyo bugenzura artrite yawe, niba urimo kugira ingaruka, kandi niba ubundi buryo bushya bwo kuvura bushobora gukora neza kuri wowe. Muganga wawe azakorana nawe kugirango amenye igihe cyiza cyo kuvurwa cyerekeye uko ubuzima bwawe buhagaze.

Ni Izihe Ngaruka Ziterwa n'Imiti Ikoresha Zahabu?

Imiti ikoresha zahabu ishobora gutera ingaruka zitandukanye, kuva ku zoroheje kugeza ku zikomeye, niyo mpamvu kugenzura buri gihe ari ngombwa cyane. Abantu benshi bagira ingaruka zimwe, ariko nyinshi zishobora gucungwa neza hamwe n'ubuvuzi bukwiye.

Dore ingaruka zisanzwe ushobora guhura nazo:

• Uruhu rurashya cyangwa kuribwa
• Ibisebe mu kanwa cyangwa uburyohe bw'icyuma
• Impiswi cyangwa kuribwa mu nda
• Kunanirwa cyangwa intege nke
• Umurondo w'umusatsi ugabanuka

Izi ngaruka zisanzwe mubisanzwe zoroheje kandi zirashobora gukira uko umubiri wawe wimenyereza imiti.

Ingaruka zikomeye zisaba ubufasha bwihuse bw'abaganga kandi zirimo:

• Uburwayi bukomeye bwo ku ruhu cyangwa ibibara byagutse
• Ibibazo by'impyiko (ihinduka mu kunyara)
• Uburwayi bwo mu maraso (gukomereka cyangwa kuva amaraso bidasanzwe)
• Ibibazo bikomeye byo mu kanwa
• Ibibazo by'ibihaha (gukorora bidahagarara cyangwa guhumeka bigoranye)

Ingorane zitabaho kenshi ariko zikomeye zirimo allergie ikomeye, kwangirika kw'umwijima, cyangwa kugabanuka gukomeye kw'umubare w'uturemangingo tw'amaraso. Ibi nibyo bituma muganga wawe azakugenzura cyane akoresheje ibizamini by'amaraso bya buri gihe no kugenzurwa mu gihe cyose uvurwa.

Ninde utagomba gufata umuti wa zahabu?

Abantu bamwe na bamwe bagomba kwirinda imiti ya zahabu kubera kwiyongera kw'ibibazo bikomeye. Muganga wawe azasuzuma neza amateka yawe y'ubuvuzi mbere yo kugutera uyu muti.

Ntabwo ugomba gufata imiti ya zahabu niba ufite:

• Uburwayi bukomeye bw'impyiko
• Ibibazo bikomeye by'umwijima
• Uburwayi bwo mu maraso cyangwa umubare muto w'uturemangingo tw'amaraso
• Allergie ikomeye yabanje kuri zahabu
• Uburwayi bwo mu mara butuma habaho kubyimba (kuri zahabu yo kunywa)

Muganga wawe azanitonda cyane mu gutera imiti ya zahabu niba utwite, wonka, cyangwa ufite gahunda yo gutwita, kuko iyi miti ishobora kugira ingaruka ku mwana wawe.

Abantu barwaye diyabete, umuvuduko ukabije w'amaraso, cyangwa izindi ndwara zidakira barashobora gufata imiti ya zahabu, ariko bazakenera kugenzurwa by'umwihariko. Buri gihe bwire muganga wawe ibijyanye n'indwara zose ufite n'imiti ufata mbere yo gutangira kuvurwa.

Amazina y'ubwoko bw'imiti ya zahabu

Imiti ya zahabu iboneka mu mazina menshi y'ubwoko, bitewe n'ubwoko bwihariye n'umukora. Ubwoko buterwa (zahabu sodium thiomalate) buzwi cyane nka Myochrysine, mugihe zahabu yo kunywa (auranofin) igurishwa nka Ridaura.

Ubundi bwoko bwa rusange burashobora kuboneka, ariko imiti ya zahabu muri rusange ihenze kurusha imiti myinshi yindi ivura ibibazo by'imitsi. Ubwishingizi bwawe n'inyungu za farumasi bizagena ubwoko bwihariye cyangwa ubwoko bwa rusange uzahabwa.

Buri gihe koresha ubwoko nyabwo n'imiti yanditswe na muganga wawe, kuko imiti itandukanye ishobora kugira ingaruka zitandukanye cyangwa ibisabwa byo kuyikoresha.

Uburyo bwo gusimbuza imiti ya zahabu

Imiti mishya myinshi ubu iraboneka ishobora kugira akamaro cyangwa ikagira ingaruka nke kurusha imiti ya zahabu. Izi nzira zo gusimbuza zirimo methotrexate, akenshi ikoreshwa bwa mbere mu kuvura indwara ya rheumatoid arthritis.

Imiti ya Biologic nka adalimumab (Humira), etanercept (Enbrel), na infliximab (Remicade) ni uburyo bushya bugamije ibice byihariye by'ubudahangarwa. Iyi miti akenshi igira akamaro kurusha imiti ya zahabu ariko irahenze.

Izindi miti gakondo ya DMARD nka sulfasalazine, hydroxychloroquine, na leflunomide nayo ishobora kuba uburyo bwiza bitewe n'uko ubuzima bwawe buhagaze. Muganga wawe azatekereza ku bintu nk'uburemere bw'indwara yawe, izindi ndwara, n'ubwishingizi bwawe mugihe ahitamo uburyo bwiza bwo kukuvura.

Abantu benshi uyu munsi batangira na methotrexate cyangwa biologics mbere yo gutekereza ku miti ya zahabu, ariko imiti ya zahabu iracyashobora kugira akamaro ku barwayi bamwe batitabira neza izindi miti.

Ese imiti ya zahabu iruta methotrexate?

Imiti ya zahabu na methotrexate zombi ni imiti ifite akamaro mu kuvura indwara ya rheumatoid arthritis, ariko methotrexate akenshi ifatwa nk'umuti wa mbere ukoreshwa uyu munsi. Methotrexate ikunda gukora vuba, igira ingaruka zizwi, kandi byoroshye gukurikirana no guhindura.

Imiti ya zahabu ishobora kugira akamaro ku bantu bamwe, cyane cyane abataritabiriye neza methotrexate cyangwa izindi miti ya DMARD. Ariko, imiti ya zahabu isaba gukurikiranwa kenshi kandi ifite ibyago byinshi byo kugira ingaruka zikomeye.

Uko guhitamo imiti yose biterwa n'uko ubuzima bwawe bumeze, harimo n'uburemere bwa arutiriti yawe, izindi miti wigeze gukoresha, n'ibindi bintu bigushyira mu kaga. Muganga wawe azagufasha kumenya inyungu n'ibibazo bya buri kimwe.

Abantu benshi muri iki gihe bakoresha methotrexate nk'umuti wabo w'ibanze, rimwe na rimwe bavangamo n'indi miti, mu gihe imiti ikoranye zahabu ikoreshwa cyane cyane mu gihe izindi miti zitagize icyo zikora.

Ibibazo bikunze kubazwa ku miti ikoranye zahabu

Ese imiti ikoranye zahabu irakwiriye ku bantu barwaye indwara z'umutima?

Imiti ikoranye zahabu muri rusange irashobora gukoreshwa ku bantu barwaye indwara z'umutima, ariko ni ngombwa kwitonda cyane. Muganga wawe azashaka kugukurikiranira hafi kuko ingaruka zimwe na zimwe ziterwa n'imiti ya zahabu, nk'ukwiyongera kw'amazi mu mubiri cyangwa ibibazo by'impyiko, bishobora kugira ingaruka ku ndwara yawe y'umutima.

Niba urwaye indwara y'umutima, menya neza ko umuganga wawe w'umutima n'umuganga w'amagufi bavugana ku bijyanye n'umuti wawe. Bashobora gukenera guhindura imiti y'umutima wawe cyangwa kugukurikiranira kenshi igihe uri ku miti ya zahabu.

Ninkora iki niba nanyweye umuti ukoranye zahabu mwinshi ku buryo butunguranye?

Niba unyweye umuti ukoranye zahabu mwinshi ku buryo butunguranye, vugana n'umuganga wawe cyangwa ikigo gishinzwe kugenzura uburozi ako kanya. Ntukegere ngo urebe niba wumva urwaye - kuvurwa hakiri kare ni ingenzi mu kwirinda ibibazo bikomeye.

Ku miti ya zahabu iterwa mu nshinge, gukoresha umuti mwinshi ntibishoboka cyane kuko umuganga niwe ugutera inshinge. Ariko, niba wumva utameze neza nyuma yo guterwa urushinge, vugana n'umuganga wawe ako kanya. Ibimenyetso byo gukoresha zahabu nyinshi mu mubiri wawe bishobora kuba harimo isesemi ikabije, kuruka, cyangwa ibibazo byo ku ruhu.

Ninkora iki niba nirengagije gufata umuti ukoranye zahabu?

Niba wirengagije gufata umuti ukoranye zahabu, uwufate ako kanya wibuka, keretse igihe cyo gufata undi umuti kigeze. Ntukafate imiti ibiri icyarimwe kugira ngo usimbure umuti wataye.

Ku izahabu y'urushinge, hamagara ibiro bya muganga wawe kugira ngo usubize gahunda yawe vuba bishoboka. Kudahura n'inkingo birashobora kugabanya imikorere y'imiti yawe, bityo ni ngombwa kuguma kuri gahunda.

Ryari nshobora guhagarika gufata ibiyobyabwenge bya zahabu?

Ntuzigere uhagarika gufata ibiyobyabwenge bya zahabu ako kanya utabanje kuvugana na muganga wawe. Muganga wawe azagufasha kumenya igihe cyiza cyo guhagarika bitewe n'uburyo indwara yawe ya arthritis igenzurwa neza niba urimo guhura n'ingaruka ziterwa n'imiti.

Niba ukeneye guhagarika imiti ya zahabu, muganga wawe ashobora kuzagusaba kugabanya buhoro buhoro urugero cyangwa inshuro aho guhagarara ako kanya. Bazanaganira ku miti isimbura kugira ngo barebe ko indwara yawe ya arthritis ikomeza kugenzurwa neza.

Nshobora kunywa inzoga niba mfata ibiyobyabwenge bya zahabu?

Muri rusange ni byiza kugabanya kunywa inzoga niba ufata ibiyobyabwenge bya zahabu, kuko byombi bishobora kugira ingaruka ku mwijima wawe n'impyiko. Kunywa inzoga mu rugero ruto birashobora kuba byiza kuri bamwe, ariko ugomba kubiganiraho na muganga wawe.

Niba unywa inzoga, muganga wawe ashobora gushaka gukurikirana imikorere y'umwijima wawe neza hamwe n'ibizamini by'amaraso byongereweho. Jya umenya ukuri buri gihe ku bijyanye no kunywa inzoga kwawe kugira ngo batange ubuyobozi bwiza ku miterere yawe.