Qaadashada waa daawo loo isticmaalo in lagu daweeyo Cudurka Labaad ee Cudurka Kansarka iyo Cudurka Cagaarshow
Qaadashada (Infliximab) waa nooca daroogada loo yaqaanno antibio monoclonal. TNF-alpha (tumor necrosis factor alpha) waxaa laga helaa qaddar badan dadka qaba cudurka Crohn marka loo eego dadka aan lahayn nooc ka mid ah cudurka mindhicirka bararka (IBD) . Qaadashada ayaa joojisa TNF-alpha in ay jirka isticmaasho.
TNF-alpha dhab ahaantii waa cyokokin oo door ka ciyaara geedi socodka bararka.
IBD waa xaalad barar ah, TNF-alpha waxaa la aaminsan yahay inay door ka ciyaarayso habka IBD saameyneyso habdhiska caloosha. Cytokine ayaa u dhexeysa unugyada jidhka ee keena kiimikooyinka "fariimaha."
Sidee loo Qaadaa Qaadashada?
Qaadashada waxaa la siiyaa sida faleebo iyada oo loo marayo line IV, badanaa cisbitaal ama xafiiska dhakhtarka. Faleebo ayaa si tartiib ah loo bixiyaa dhowr jeer (badiyaa 2 saacadood). Dhakhtarka ku xeeldheer Remicade wuxuu bixin doonaa tilmaamo gaar ah oo bukaanku raacayo ka hor ballanta baaritaanka.
Sababta Loogu Talagalay Qaadashada?
Qaadashada ayaa laga yaabaa in loo qoro labada nooc ee ugu sarreysa ee IBD: cudurrada qanjirada dhexdhexaad ama mid daran ama cudurka Crohn. Qaadashada ayaa sidoo kale loo oggol yahay isticmaalka carruurta da'doodu ka weyn tahay 6 jir kuwaas oo qaba cudurka Crohn ee dhexdhexaad ah ama mid qafiif ah oo qafiif ah oo aan ka jawaabeynin daawooyinka kale ee daroogada. Waxaa sidoo kale laga yaabaa in la siiyo dadka qaba cudurka Crohn ee leh fistulas iyo in lagu daweeyo noocyada qaarkood ee rheumatoid arthritis .
Xirfadaha dhoofinta ee TNF-alpha, ka hortagga inay keenaan caabuqa jidhka. Iyadoo TNF-alpha aan awoodin in uu sababo caabuq, qof qaba IBD waxaa laga yaabaa inuu ku dhaco wakhti aan firfircooneyn habka cudurka, oo loo yaqaan furitaan .
Yaa qasab ah inaanan qaadan?
U sheeg dhakhtarkaaga haddii aad waligaa mid ka mid ah xaaladahaan:
- Dareen-celinta xasaasiyadeed ee daaweyn kasta
- Uurka hadda
- Kansarka
- Infekshannada
- Lupus
- Talaalka dhowaan
Saameynada Waxyeelada leh
Dhibaatooyinka caadiga ah ee Remicade waxaa ka mid ah xanuunka caloosha, lallabbo, daal iyo matag. U sheeg dhakhtarkaaga haddii ay waxyeellada ka soo gaarto ama aysan tagin.
Marar dhif ah, waxyeello kale oo halis ah ayaa dhici karta, sida cillad adag, infekshin, wadno-xanuun aan caadi ahayn iyo xanuun malawadka. Dhibaatooyinkaan waa in loo sheegaa dhakhtarkaaga markiiba. Eeg bogga saameeya bogga saameeya raadinta ee liisaska dhammaystiran ee falcelinta qatarta ah.
Daaweynta isdhexgalka
Qaadashada wax badan looma baarin isdhexgalka daroogada. Intii lagu jirey tijaabooyin caafimaad ee Remicade, bukaanjiifka qaar ayaa hore u qaatay antibiyootiko, daawooyinka lidka ku ah, corticosteroids (sida prednisone), 6-MP / AZA iyo aminosalicylates. Bukaannadani ma aysan helin qadar fara badan oo faleebo faleed ah sida kuwii aan qaadan dawooyinka kale.
Si kastaba ha noqotee, dadka qaata Remicade waa in aysan helin wax tallaal ah oo ay ku jiraan fayruusyo nool ama bakteeriya nool (dureyga dureyga xiligaas kuma jiraan fayrus nool). Qaadashada ayaa xakameysa habka difaaca jidhka, iyo qaadashada daawooyinka kale ee xakameynaya nidaamka difaaca waqti isku mid ah waxay kordhin kartaa halista suurtagalka ah ee caabuqa.
Dhakhtar waa in lagala tashto wixii daawooyin kale ah oo la qaato waqti isku mid ah Remicade.
Isdhexgalka cuntada
Ma jiraan isdhexgalo cunto oo la yaqaan.
Miyuu Qaadaa Ammaan Dhameystirka Uurka?
FDA waxay u qoondaysay Qalabka Qaadashada sida daroogada nooca B. Saamaynta Remicade ku leedahay ilmaha aan dhalan looma bartay wax badan. Qaadashada waa in la isticmaalo keliya inta lagu jiro uurka haddii si cad loo baahdo. U sheeg dhakhtarka qoraaya haddii aad uur leedahay intaad qaadanayso Remicade. Waxaa loo maleynayaa in Qaadku aanu u gudbin caanaha naaska. Haweenku waa inay la xiriiraan dhakhtarkooda, laakiin hadda waxa la rumaysan yahay in haweenka qaata Remicade waa inaan laga niyad jabin naasnuujinta ilmahooda, gaar ahaan siinta faa'iidooyinka baahsan ee caanaha naaska loogu talagalay ilmo yar.
Sideen Caawinaad u Helaa Kharashka?
Farmashiyaha Janssen wuxuu leeyahay Barnaamijka Kaalmada Bukaan-socodka si uu uga caawiyo helista caymiska caafimaadka Remicade. Caawimaadda waxaa sidoo kale laga heli karaa ururada IBD ee degaanka.
Ilaha:
Kane S, Ford J, Cohen R, Wagner C. "Maqnaanshaha cudurka infakshanka ee carruurta yaryar iyo caanaha naaska hooyooyinka kalkaalisada ah ee hela daaweynta cudurka Crohn ka hor iyo ka dib dhalmada." J Clin Gastroenterol. 2009 Aug; 43: 613-616.
Remicade.com. "Maxaad u Baahan Tahay Inaad Ka Ogaato Qaadashada". Pharmaceuticals Janssen. 28 Jan 2016.
> Wilhelm SM, McKenney KA, Rivait KN, Kale-Pradhan PB. "Dib-u-eegis lagu sameeyo isticmaalka inflmaxab ee ulcerative colitis." Clin Ther . 2008 Feb; 30: 223-230.