Ngakhale kuti chitukuko chachikulu cha mankhwala ndi chitukuko chikupita patsogolo pofufuza chibadwa cha anthu, nyamakazi ya nyamakazi imakhala imodzi mwa matenda aakulu kwambiri ovuta kuchiritsa. Matendawa ali ndi chiyambi chokha, zomwe zimayambitsa chitukuko chake sizinakhazikitsidwe. Pogwirizana ndi izi, asayansi athandiza bungwe la kafukufuku, nthawi zonse kupanga chithandizo choyenera cha nyamakazi ya nyamakazi - mankhwala osokoneza bongo atsopano omwe amathamanga mofulumira kuposa awo oyambirira. Kuonjezera apo, oterewa amachititsa kuti odwala azikhala ndi zotsatira zolakwika zochepa, amalekerera bwino.
Kukonzekera kwa mankhwala amasiku ano a nyamakazi ya nyamakazi
Thandizo la matenda omwe ali pansili ali ndi magulu awiri a mankhwala:
- anti-inflammatory ;
- zofunikira.
Mitundu yoyamba ya mankhwala imapangidwa kuti imve kupwetekedwa mwachangu mwakachetechete ndi zizindikiro zina za nyamakazi ya nyamakazi, mankhwala ake achizindikiro.
Kukonzekera kwakukulu kumachepetsa kuwonjezeka kwa matendawa kapena kusamutsa njira yake kupita ku chikhululukiro, kutsogolera mwachindunji kayendedwe ka chitukuko cha matenda, kuchepetsa ntchito ya chitetezo cha mthupi.
M'malo mwa mankhwala osatha, omwe amachititsa mavuto ambiri, komanso amachita pang'onopang'ono (pa nthawi ya miyezi yambiri), mabakiteriya abwera. Kukonzekera kwa majeremusi mu nyamakazi ya nyamakazi imakhudza ntchito ya chitetezo choteteza thupi, chomwe ndi - kuchepetsa kupanga magetsi a cytokine omwe amachititsa kuti kutupa ndi kuwonongeka kwa mgwirizano. Chinthu chachikulu chomwe chimapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda timatha kukhala ndi kagulu kamodzi kake kamene kamateteza mthupi, popanda kusintha njira zina. Komanso, mankhwala oterewa amakulolani kuti mupeze zotsatira mofulumira kusiyana ndi momwe mudagwiritsire ntchito mankhwala osokoneza bongo, zomwe zatchulidwa kale zikupezeka kale masabata awiri mpaka 4 kuchokera pachiyambi cha kuvomereza.
Mankhwala othandizira mankhwala odwala matenda a nyamakazi amachitanso mankhwala osokoneza bongo omwe ali ndi maselo amtundu wa B-maselo am'thupi omwe amagwiritsidwa ntchito pa chiwonongeko chogwirizana ndi kutukumula. Ndipotu, mankhwala omwe amalembedwawo amalepheretsanso kupanga makina a cytokines, komabe pamayambiriro a mapangidwe awo, "mumphuno."
Mndandanda wa madokotala atsopano ochizira matenda a nyamakazi
Zomwe zimagwiritsidwa ntchito mu gawo lapitalo zikhoza kukhazikitsidwa mwa mitundu yosiyanasiyana molingana ndi momwe amachitira. Lero, mankhwala atsopanowa akugwiritsidwa ntchito pochiza nyamakazi ya nyamakazi:
1. Interleukin-1 inhibitors:
- Kinneret (anakinra).
2. Zomwe zimayambitsa chifuwa cha necrosis kapena TNF-blockers:
- Remicade (infliximab);
- Enbrel (etanercept);
- Humirae (adalimumab).
3. Njira zomwe zimalepheretsa ntchito ya B-lymphocytes:
- Chizindikiro (rituximab).
4. Mankhwala omwe amaletsa kutsegula kwa maselo a chitetezo cha T:
- Orence (abatacept).
Pakali pano, mankhwala onse omwe adatchulidwa amapangidwa kunja ndipo alibe zofanana.
Kodi mankhwala osokoneza bongo atsopano amatha kuthana ndi nyamakazi?
Malinga ndi kafukufuku wa zachipatala ndi ndemanga zambiri za a rheumatologists, komanso odwala awo, mankhwalawa akufulumira ndipo amachititsa kuti athandizidwe bwino ngakhale atagwidwa ndi vuto lalikulu. Kafukufuku wasonyeza kuti munthu mmodzi mwa atatu mwa anthu omwe ali ndi matenda a nyamakazi amatha kukumbukira nthawi zonse akadwala.