Jerin Magungunan Rheumatoid Arthritis

Wadatacce

• DMARDs da ilimin halittu
• Janus hade da masu hana kinase
• Acetaminophen
• Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs)
• Ibuprofen (Advil, Motrin IB, Nuprin)
• Naproxen sodium (Aleve)
• Aspirin (Bayer, Bufferin, St. Joseph)
• Takaddun NSAIDs
• Diclofenac / misoprostol (Arthrotec)
• Maganin kamfani (Capsin, Zostrix, Dolorac)
• Diclofenac sodium gel mai amfani (Voltaren 1%)
• Diclofenac sodium bayani kan kari (Pennsaid 2%)
• Magungunan ciwo na Opioid
• Corticosteroids
• Immunosuppressants
• Awauki

Bayani

Rheumatoid arthritis (RA) shine nau'i na biyu na cututtukan arthritis, wanda ke shafar kusan Amurkawa miliyan 1.5. Cuta ce mai kumburi wanda ke haifar da yanayin rashin lafiyar jiki. Cutar na faruwa ne lokacin da jikinku ya kai hari ga kayan haɗin gwiwa masu lafiya. Wannan yana haifar da ja, kumburi, da zafi.

Babban burin magungunan RA shine toshe kumburi. Wannan yana taimakawa hana lalacewar haɗin gwiwa. Karanta don koyo game da yawancin zaɓuɓɓukan magani don RA.

DMARDs da ilimin halittu

Ana amfani da kwayoyi masu canza cututtukan cututtukan (DMARDs) don rage kumburi. Sabanin sauran magunguna waɗanda ke sauƙaƙa sauƙin zafi da kumburi na ɗan lokaci, DMARDs na iya jinkirta ci gaban RA. Wannan yana nufin cewa ƙila ku sami ƙananan alamun bayyanar da ƙasa da lalacewa a kan lokaci.

Mafi yawan DMARD da ake amfani da su don magance RA sun haɗa da:

• hydroxychloroquine (Wuta)
• tumatur (Arava)
• methotrexate (Trexall)
• sulfasalazine (Azulfidine)
• minocycline (Minocin)

Ilimin ilmin halitta shine magungunan allura. Suna aiki ta hanyar toshe takamaiman hanyoyin kumburi da ƙwayoyin cuta ke yi. Wannan yana rage kumburin da RA ke haifarwa. Doctors sun tsara ilimin halittu lokacin da DMARDs kadai basu isa su kula da alamun RA ba. Ba a ba da shawarar ilimin ilimin halittu don mutanen da ke da mawuyacin tsarin garkuwar jiki ko kamuwa da cuta. Wannan saboda zasu iya haifar da haɗarin kamuwa da ku.

Mafi yawan ilimin ilimin halittu sun hada da:

• abatacept (Orencia)
• rituximab (Rituxan)
• tocilizumab (Actemra)
• anakinra (Kineret)
• adalimumab (Humira)
• karban bayanai (Enbrel)
• infliximab (Remicade)
• cergolizumab pegol (Cimzia)
• golimumab (Simponi)

Janus hade da masu hana kinase

Likitanku na iya ba da umarnin waɗannan magungunan idan DMARDs ko ilimin halittu ba su aiki a gare ku. Wadannan magunguna suna shafar kwayoyin halitta da aikin kwayar halitta ta jiki a jiki. Suna taimakawa hana ƙonewa da dakatar da lalacewar gidajen abinci da kyallen takarda.

Janus hade da haɗin kinase sun haɗa da:

• tofacitinib (Xeljanz, Xeljanz XR)
• baricitinib

Baricitinib wani sabon magani ne wanda ake gwada shi. Nazarin ya nuna cewa yana aiki ne ga mutanen da basu da nasara tare da DMARDs.

Abubuwan da suka fi dacewa na waɗannan kwayoyi sun haɗa da:

• ciwon kai
• cututtuka na numfashi na sama, kamar cututtukan sinus ko sanyi na yau da kullun
• cunkoson hanci
• hanci mai zafin gaske
• ciwon wuya
• gudawa

Acetaminophen

Acetaminophen yana kan kan layi (OTC) ba tare da takardar likita daga likitanka ba. Ya zo azaman magani ne na baka da kuma tsinkayar dubura. Sauran kwayoyi sun fi tasiri sosai wajen rage kumburi da magance ciwo a RA. Wannan saboda acetaminophen na iya magance ciwo mai sauƙi zuwa matsakaici, amma ba shi da wani aiki na kumburi. Wannan yana nufin ba ya aiki sosai don magance RA.

Wannan magani yana ɗaukar haɗarin matsalolin hanta mai haɗari, gami da gazawar hanta. Ya kamata ku sha guda daya kawai wanda ya kunshi acetaminophen a lokaci guda.

Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs)

NSAIDs suna cikin magungunan RA da akafi amfani dasu. Ba kamar sauran masu ba da zafi ba, NSAIDs sun fi dacewa da maganin alamun RA. Wannan saboda suna hana kumburi.

Wasu mutane suna amfani da OTC NSAIDs. Koyaya, ana samun NSAID masu ƙarfi tare da takardar sayan magani.

Sakamakon sakamako na NSAIDs sun haɗa da:

• ciwon ciki
• ulcers
• yashwa ko kona rami ta cikin ka ko hanjin ka
• zubar jini a ciki
• lalacewar koda

A cikin mawuyacin yanayi, waɗannan illolin na iya zama sanadin mutuwa (sanadin mutuwa). Idan kayi amfani da NSAIDs na dogon lokaci, likitanka zai lura da aikin koda. Wannan yana yiwuwa musamman idan kuna da cutar koda.

Ibuprofen (Advil, Motrin IB, Nuprin)

OTC ibuprofen shine mafi yawan NSAID. Sai dai idan likitanku ya umurce ku, kada kuyi amfani da ibuprofen sama da kwanaki da yawa a lokaci guda. Shan wannan magani na dogon lokaci na iya haifar da zub da jini na ciki. Wannan haɗarin ya fi girma a cikin tsofaffi.

Ibuprofen yana nan a cikin karfin sayan magani kuma. A cikin sigogin takardun magani, sashi ya fi girma. Hakanan ana iya haɗa Ibuprofen tare da wani nau'in magani mai ciwo wanda ake kira opioids. Misalan wadannan magungunan hada magunguna sun hada da:

• ibuprofen / hydrocodone (Vicoprofen)
• ibuprofen / oxycodone (Combunox)

Naproxen sodium (Aleve)

Naproxen sodium shine OTC NSAID. Sau da yawa ana amfani dashi azaman madadin ibuprofen. Wannan saboda yana haifar da ɗan sakamako kaɗan. Sigogin takardun magani na wannan magani suna ba da ƙarfi.

Aspirin (Bayer, Bufferin, St. Joseph)

Asfirin yana maganin jin zafi na baki. Ana amfani dashi don magance ƙananan ciwo, zazzabi, da kumburi. Hakanan za'a iya amfani dashi don hana bugun zuciya da bugun jini.

Takaddun NSAIDs

Lokacin da OTC NSAIDs ba sa taimaka alamun RA, likitanku na iya ba da umarnin NSAID. Waɗannan magungunan baka ne. Mafi yawan zaɓuɓɓukan sun haɗa da:

• celecoxib (Celebrex)
• ibuprofen (takardar sayan-karfi)
• nabumetone (Relafen)
• naproxen sodium (Anaprox)
• naproxen (Naprosyn)
• piroxicam (Feldene)

Sauran NSAIDs sun haɗa da:

• diclofenac (Voltaren, Diclofenac Sodium XR, Cataflam, Cambia)
• rarrabe
• indomethacin (Indocin)
• ketoprofen (Orudis, Ketoprofen ER, Kayan aiki, Actron)
• etodolac (Lodine)
• fenoprofen (Nalfon)
• flurbiprofen
• ketorolac (Toradol)
• meclofenamate
• mefenamic acid (Furewa)
• karin (Mobic)
• oxaprozin (Daypro)
• sulindac (Clinoril)
• salsalate (Disalcid, Amigesic, Marthritic, Salflex, Mono-Gesic, Anaflex, Salsitab)
• tolmetin (Tolectin)

Diclofenac / misoprostol (Arthrotec)

Diclofenac / misoprostol (Arthrotec) magani ne na baka wanda ke haɗa NSAID diclofenac da misoprostol. NSAIDs na iya haifar da gyambon ciki. Wannan magani yana taimakawa hana su.

Maganin kamfani (Capsin, Zostrix, Dolorac)

Kayan shafawa na OTC na Capsaicin na iya rage radadin ciwo da RA ke haifarwa. Kuna shafa wannan cream a wuraren da ke da ciwo a jikinku.

Diclofenac sodium gel mai amfani (Voltaren 1%)

Gel Voltaren 1% shine NSAID don amfani dashi. Wannan yana nufin ka shafa shi a kan fata. An yarda don magance ciwon haɗin gwiwa, gami da cikin hannuwanku da gwiwoyinku.

Wannan magani yana haifar da irin wannan tasirin ga NSAIDs na baki. Koyaya, kusan kashi 4 cikin ɗari na wannan magani ne ke shiga cikin jikin ku. Wannan yana nufin cewa mai yuwuwa ne ka sami illa.

Diclofenac sodium bayani kan kari (Pennsaid 2%)

Diclofenac sodium (Pennsaid 2%) shine magani mai mahimmanci wanda ake amfani dashi don ciwon gwiwa. Za ki shafa shi a gwiwa don rage radadin.

Magungunan ciwo na Opioid

Opioids sune magunguna masu ciwo masu ƙarfi akan kasuwa. Suna wadatar kawai azaman magungunan ƙwaya. Sun zo ne ta sigar baka da allura. Ana amfani da Opioids kawai a cikin RA don mutanen da ke da RA mai tsanani waɗanda ke cikin matsanancin ciwo. Wadannan kwayoyi na iya zama al'ada. Idan likitan ku ya ba ku magungunan opioid, za su kula da ku sosai.

Corticosteroids

Har ila yau ana kiran Corticosteroids steroids. Sun zo ne azaman magunguna da allura. Wadannan kwayoyi na iya taimakawa rage kumburi a cikin RA. Hakanan suna iya taimakawa rage zafi da lalacewar da kumburi ya haifar. Wadannan magungunan ba a ba da shawarar don amfani na dogon lokaci ba.

Hanyoyi masu illa na iya haɗawa da:

• hawan jini
• gyambon ciki
• hawan jini
• cututtukan sakamako na motsin rai, irin su ƙaiƙayi da motsa rai
• cataracts, ko girgije na ruwan tabarau a cikin ido
• osteoporosis

Steroids da ake amfani dasu don RA sun haɗa da:

• dankarinsone
• prednisone (Deltasone, Sterapred, Mai ruwa Pred)
• dexamethasone (Dexpak Taperpak, Decadron, Hexadrol)
• cortisone
• sinadarin hydrocortisone (Cortef, A-Hydrocort)
• methylprednisolone (Medrol, Methacort, popananan mutane, Predacorten)
• tsakar gida

Immunosuppressants

Wadannan kwayoyi suna yaki da lalacewar da cututtukan cututtuka irin su RA. Koyaya, waɗannan magungunan na iya sa ku zama mafi saukin kamuwa da cuta da kamuwa da cuta. Idan likitanku ya ba ku ɗayan waɗannan ƙwayoyin, za su kula da ku sosai yayin jiyya.

Wadannan kwayoyi suna zuwa cikin sifofin baka da allura. Sun hada da:

• cyclophosphamide (Cytoxan)
• cyclosporine (Gengraf, Neoral, Sandimmune)
• azathioprine (Azasan, Imuran)
• hydroxychloroquine (Wuta)

Awauki

Yi aiki tare da likitanka don nemo RA ɗin da ke aiki mafi kyau a gare ku. Tare da wadatattun zaɓuɓɓuka da yawa, ku da likitanku wataƙila ku sami wanda zai sauƙaƙe alamun RA kuma inganta ƙimar rayuwar ku.