Maxaad u Baahan Tahay Inaad Ogaato Sida Loo daaweeyo Lupus oo leh Cyclophosphamide
Dhakhtarkaaga ayaa kugula taliyay inaad isticmaashid daawada loo yaqaan 'immunosuppressive drug Cytoxan (cyclophosphamide) haddii lupus uu kugu dhaco. Nidaamka 'dahabiga' ee daaweynta loo yaqaan 'ladar dahab' oo loogu talagalay daawaynta lupus daran waa Cytoxan oo lagu daro cylicosteroid methylprednisolone.
Cytoxan dhab ahaantii waa daawada kansarka, laakiin dadka qaba lupus, waxaa loo isticmaalaa in lagu daweeyo infakshanka kelyaha ee daran (oo ay ku jiraan lupus nephritis ) ama dhibaatooyin kale oo halis ugu jira xubnaha.
Cytoxan waxay leedahay waxyeelo halis ah, oo ay ku jiraan cilladaha dhalashada, sidaas darteed waxaad rabtaa in aad wax badan ka barato.
Sidee Cytoxan u shaqeysaa
Cytoxan waxaa loo adeegsadaa sida kiimiko kiimiko ah oo loogu talagalay kansarrada oo ay ku jiraan lymphomas , myeloma iyo leukemia . Sida laga soo xigtay College College of Rheumatology, waxaa sidoo kale loo soo qoray bukaanshaha rheumatoid-ka daran, ama dhibaatooyinka daran ee lupus , myositis, scleroderma ama vasculitis .
Cytoxan waxay ku jirtaa daroogada daroogada loo yaqaanno alkylating agents. Tani waxay ka dhigan tahay in uu sii yareeyo ama joojiyo koritaanka unugyada malignantiga ah ama unugyada kale ee si deg deg ah u kala qaybsan, sida unugyada dhiigga cad ee jidhka ku soo riixaya inta lagu jiro nabar lupus ah.
Immunosuppressives sida Cytoxan ayaa loo isticmaalaa daaweynta lupus laba sababood oo waaweyn:
- Waa daawooyin xooggan oo gacan ka geysta xakamaynta dhaqdhaqaaqa cudurrada xubnaha jirka.
- Waxay yarayn karaan ama baabi'inayaan baahida loo qabo steroids.
Cytokan waxaa badanaa la bixiyaa oo keliya seddex illaa lix bilood illaa bukaanka uu kudhaco lupus.
Daawada waxaa sida caadiga ah la siiyaa xidid, laakiin waxaa laga qaadi karaa hadal ahaan. Qaadashada afka, qiyaasta waxay ku saleysan tahay xaaladdaada caafimaad, miisaanka, jawaabta daaweynta iyo daaweynta kale ee aad qaadan karto. Dhakhtarkaaga ayaa go'aamin doona qiyaasta saxda ah iyo habka adiga kugu habboon.
Maxay yihiin saameynta daawada ee Cytokan?
Daroogadaasi waxay leedahay saameyno badan oo badan, markaa waa in ay si dhow ula socdaan dhakhtarkaaga.
Dhibaatooyinka soo raaca waxaa ka mid ah:
- Timo khafiif ah
- Maqaarka iyo dhumucdiisuna
- Calaamadeyn maqaarka ama finanka
- Lumitaanka rabitaanka ama culeyska
- Daal
- Qufac
- Gundhigga
- Qandho
- Dawakhaad
- Qarxo
- Neefsasho gaabis ah
- Kala sooc cunaha
- Lalabbo
- Matagid
- Kaadida lakabka / dhiigga
- Nabaro afka, xoqan
- Xanuun wadajir ah
- Nabaro fudud / dhiig-bax
- Saxaro madow / dhiig ah
- Xanuun daran / calool xanuun
- Barar ah anqawyada / cagaha
- Khatarta kordhinta shingles
- Kufsi la'aan
Waa inaad isla markiiba la hadashaa takhtarkaaga haddii aad la kulantid mid ka mid ah waxyaabahaan halista ah: dhiigga ku jira kaadidaada, qandhada, iyo qarqaryo, nabar fudud ama dhiig-bax, neefta oo gaaban ama barar cagaha iyo anqawyada.
Waa inaad sidoo kale ogtahay in Cytoxan yahay kansar. Tan macnaheedu waa in ay la xiriirto horumarinta noocyada kansarka qaarkood, gaar ahaan kansarka kaadiheysta .
Ka hor intaadan bilaabin qaadashada Cytoxan, hubso inaad u sheegto dhakhtarkaaga haddii aad:
- Aad uur leedahay, ama aad ka fiirsanaysid inaad uur yeelatid
- Naas nuujin
- Weligay cudur kelyo ku dhacay
- Ma xasaasiyad u tahay daroogo kasta
Kale Wax Ka Beddeli Kara
Maandooriye yar oo la yiraahdo mycophenolic acid ayaa lagu muujiyay in si weyn loo yareeyo qiyaasta daawada steroid loogu talagalay bukaanada qaba lupus nephritis ama lupus daaweyn u adkaysta. Waxaa loo tixgeliyaa daaweynta koowaad ee lupus neefritis waxayna badanaaba badali kartaa Cytoxan.
> Ilo:
> Cyclophosphamide (Cytoxan). Kulliyadda Maraykanka ee Rheumatology. Maajo 2015.
> Cyclophosphamide. Macluumaadka Mukhaadaraadka MedlinePlus. Sebtember 15, 2011.
> Xakamaynta Immune. Lupus Foundation of America.
> Cudurrada Glomerular. Cudurrada Kelyaha iyo Cudurrada Cudurrada Cudurrada Macmiilka. NIH Daabacaadda Maya 07-4358. Abriil 2006.