I-methotrexate e-arthritis ye-rheumatoid

Odokotela abaningi bathi ngokufanayo ukuthi i-Methotrexate e-rheumatoid arthritis iyona ephumelela kunazo zonke izidakamizwa eziyisisekelo zokulwa nokuvuvukala. Lokhu kukhululeka kahle ukukhushulwa futhi kugcina ukuxolelwa okuqinile kwesifo.

Ukwelashwa kwe-methotrexate i-arthritis ye-rheumatoid

Isidakamizwa savela maduze nje, cishe eminyakeni eyishumi nengxenye edlule. Yibhale ngendlela eyinkimbinkimbi yokwelapha isifo samathambo. Ivimbela ukuhlanganiswa nokulungiswa kwe-DNA, kanye ne-mitosis yamaselula, evumela ukuvimbela ukwanda kwezicubu. Kungenxa yeqembu lama-antimetabolites, okuyi-antitumoral. Ingabe i-immunosuppressive enhle.

Ukusetshenziswa kwe-methotrexate kwi-rheumatoid arthritis kuye kwaba kuhle kusukela kwamasonto okuqala. Ngaphezu kwalokho, idluliselwa kalula kakhulu kunezinye izindlela zokwelapha. Ngokuvamile odokotela ngisho nangaphambi kokuthola ukuxilongwa kokugcina kunqunywe lesi sidakamizwa ukuze ungaphuthelwa isikhathi futhi uzuze ukubuyiswa okuhle ekubuyiseleni kwesiguli.

I-Scheme yokungena kanye nezinhlobo zomkhiqizo wokwelapha

I-Methotrexate iyatholakala emafomu amaningana:

Isilinganiso se-methotrexate ku-arthritis ye-rheumatoid ekuqaleni kokulashwa ngu-7.5-15 mg ngesonto. Kulesi simo, imithi ingcono kakhulu ekulawuleni izixazululo ezintathu, njalo ngamahora angu-12. Kungakapheli izinyanga ezintathu, umthamo ukwandiswa ube ngu-20 mg ngesonto. Kumele kuqashelwe ukuthi kubaluleke kakhulu ukubala ngokunembile inani lemithi yesiguli, ngoba lokhu kungaholela emiphumeleni yezempilo engafanele, isibonelo, isibhamu. Njengoba imfundiso ye-Methotrexate ithi, nge-arthritis ye-rheumatoid umthamo omkhulu awufanele udlule u-25-30 mg ngesonto.

Ekupheleni kwesilinganiso sokuphakanyiswa kwe-methotrexate ku-arthritis ye-rheumatoid kufanele ihliswe ngokucophelela. Lokhu kungenxa yokuthi ukukhanselwa okubukhali kwalesi sidakamizwa kungabangela ukwanda kwesifo. Ukunciphisa umthamo kufanele kube cishe ngu 2.5 mg.

Kulabo abangakwazi ukusebenzisa imithi ngendlela yamathebulethi ngenxa yokubonakala kwe-reflex yokuhlanza, amajojo avame ukushiwo. Kumele kuqashelwe ukuthi ukujova kwe-methotrexate ku-arthritis ye-rheumatoid kuyasebenza kakhulu futhi kuyathandeka. Lokhu kungenxa yokuthi amaphilisi angathinta umsebenzi wepheshana lomzimba, futhi umphumela wabo uqala ngemuva kwesikhathi. Inani lesisombululo esidingekayo kubalwa ngokusekelwe endaweni yomzimba nesisindo sayo. Ngokuvamile, ama-injection anikezwa kanye, futhi kusukela kumqulu u-7.5 kuya ku-15 mg.

Umthelela wesidakamizwa ngokuvamile uvame ukuqala ngesonto 5 lokungeniswa, futhi ukuphakama kwawo kungafinyelela emva konyaka. Njengoba izimali ezengeziwe zinikezwa ama-analgesics akhethekile, kanye nezidakamizwa ezingekho-steroidal ezilwa nokuvuvukala, amafutha okugcoba kanye ne-physiotherapy.

Imiphumela emibi

Ukusetshenziswa kwe-methotrexate ku-arthritis ye-rheumatoid kune uhlu lwemiphumela emibi okufanele uyilungiselele:

Ukungafani kokuthatha lesi sidakamizwa

I-Methotrexate ayivunyelwe kwabesifazane abakhulelwe noma ngesikhathi se-lactation. Ungathathi lo muthi kanye nabantu ababhekene nezifo ezinzulu zesibindi, izinso kanye ne-hemopoiesis.

I-Methotrexate kufanele igwenywe kanye nama-antibiotics alawa maqembu:

Futhi, kufanele uyeke ukuthatha izithako eziphilayo, okungabandakanya insimbi, i-folic acid. Zonke lezi zidakamizwa zingasebenzisana futhi ziholele ekudleni umzimba.