Nā Laikini Injectable vs. Nā Lapaʻau Lāʻau no Psoriatic Arthritis
Anter
Inā ʻoe e noho nei me ka psoriatic arthritis (PsA), loaʻa iā ʻoe he nui o nā koho lapaʻau. Ke ʻimi nei i kahi mea ʻoi loa nou a me kāu mau hōʻailona e hoʻokolokolo a hewa paha.
Ma ka hana pū ʻana me kāu hui olakino a me ke aʻo ʻana e pili ana i nā ʻano lapaʻau like ʻole, hiki iā ʻoe ke hoʻokō i ke kōkua ʻo PsA.
ʻO nā lāʻau i hoʻohewa ʻia no PsA
ʻO nā biologics nā lāʻau i hana ʻia mai nā mea ola, e like me ke kanaka, holoholona, a i ʻole nā microorganism a me nā aʻa.
I kēia manawa ʻeiwa mau lāʻau biologic injectable i loaʻa no PsA:
- adalimumab (Humira)
- certolizumab (Cimzia)
- etanercept (Enbrel)
- golimumab (Simponi)
- infliximab (Remicade)
- ustekinumab (Stelara)
- secukinumab (Cosentyx)
- abatacept (Orencia)
- ixekizumab (Taltz)
ʻO nā biosimilars nā lāʻau i ʻae ʻia e ka ma ke ʻano he koho haʻahaʻa no kekahi mau hanaola olaola i kēia manawa.
Kāhea ʻia lākou he biosimilar no ka mea pili loa lākou, akā ʻaʻole kūlike pololei, i kahi lāʻau lāʻau biologic ʻē aʻe i ka mākeke.
Loaʻa nā biosimilars no PsA:
- ʻO Erelzi biosimilar iā Enbrel
- ʻO Amjevita biosimilar iā Humira
- ʻO Cyltezo biosimilar iā Humira
- Inflectra biosimilar iā Remicade
- ʻO Renflexis biosimilar iā Remicade
ʻO nā pōmaikaʻi nui o nā biologics hiki iā lākou ke ho'ōki i ka hoʻohaunaele i ke kiʻekiʻe o ke kelepona. I ka manawa like, ʻike ʻia nā biologics e hoʻonāwaliwali i ka ʻōnaehana paleʻea, hiki ke waiho iā ʻoe i nā maʻi ʻē aʻe.
Nā lāʻau lapaʻau waha no PsA
Lawe ʻia nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs), corticosteroids, a me nā lāʻau antirheumatic (DMARDs) e ka waha, ʻoiai kekahi mau NSAID hiki ke hoʻohana ʻia ma kahi kiʻekiʻe.
Pākuʻi ʻia nā NSAID:
- ibuprofen (Advil, Motrin IB)
- naproxen (Aleve)
- celecoxib (Celebrex)
ʻO nā pōmaikaʻi nui o nā NSAID i loaʻa i ka hapa nui ma luna o ka pā.
Akā, ʻaʻohe o lākou hopena ʻaoʻao. Hiki i nā NSAID ke hoʻonāukiuki i ka ʻōpū a me ke kahe ʻana o ke kahe. Hiki iā lākou ke hoʻonui i kāu makaʻu o ka puʻuwai puʻuwai a hahau paha.
Aia nā DMARD i:
- leflunomide (Arava)
- cyclosporine (Neoral, Sandimmune)
- methotrexate (Trexall)
- sulfasalazine (Azulfidine)
- apremilast (ʻOtezla)
ʻO Biologics kahi ʻāpana a i ʻole ʻano o DMARD, no laila hana pū lākou e kāohi a hoʻemi paha i ka mumū.
ʻO Corticosteroids pū kekahi:
- prednisone (Rayos)
ʻO ka mea ʻike maʻalahi ʻia e like me nā steroid, hana kēia mau lāʻau lapaʻau e hōʻemi i ka mumū. Eia hou, ʻike ʻia lākou e hoʻonāwaliwali i ka ʻōnaehana pale.
Lawe aku
Aia nā pōmaikaʻi a me nā hopena ʻē aʻe no ka lāʻau injectable a me oral. Hiki i nā kānaka ke ʻike i nā hōʻailona PsA ʻokoʻa, no laila pono ʻoe e hoʻāʻo i kekahi mau lapaʻau ma mua o kou ʻike ʻana i kahi kūpono iā ʻoe.
Hiki i kāu kauka ke hana i nā ʻōlelo aʻoaʻo e pili ana i ka paʻakikī o kāu mau ʻōuli. Hōʻike paha lākou i ka hoʻopili ʻana i nā ʻano lāʻau.