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بزرگترین جشنواره آموزشی و ورزشی مخصوص بیماران دیابتی در شادگان
آذر ۱۳, ۱۳۹۶
نقش ۹۵ درصدی استعمال سیگار در بروز سرطان حنجره
آذر ۱۳, ۱۳۹۶

نکاتی درباره درمان‌های دارویی ام اس

دکتر طیبه عباسیون، نورولوژیست و عضو کمیته علمی انجمن ام اس ایران نکاتی درباره درمان‌های دارویی ام اس گفت.
این نکات به شرح زیر است:

١- داروها مداوا کننده بیماری نیستند بلکه کاهش دهنده حملات و ناتوانی ناشی از بیماری هستند.
معمول ترین داروهایی که جهت کنترل بیماری استفاده می‌شود شامل:
۱٫ اینترفرون بتا
۲٫ گلاتیر امراستات
۳٫ داروهای خوراکی مثل دیمتیل فومارات
۴٫ فینگولیماید و tebagio
۵٫ شیمی درمانی مانند ریتوگسیمب
۶٫ تایسابری و…که این داروها اکثرا خط دوم درمان هستند

– اینترفرون بتا شامل:
– cinnovex-Avonex یا
Betaferon -ziferon
Rebif-Receigen :
گلاتیر امراستات
Copaxone (– Cinnomer – Copomer –osvimerبرندهای ایرانی

اینترفرون بتا و گلاتیر امراستات برای همه افراد مناسب نیستند. اما به طور میانگین این داروها میزان حملات در ام اس عود کننده فروکش کننده را تا حدود ۳۰ تا ۴۰ درصد تا یا کمی بالاتر کاهش میدهند.

برای ام اس ثانویه پیش رونده موضوع متفاوت است و اثر چشمگیری این داروها بجز احتمالا بتافرون و مشابه ایرانی آن و بعضی داروهای جدید مشاهده نشده است .متاسفانه تا به امروز سودمندی این داروها در ام اس اولیه پیش رونده نشان داده نشده است گرچه که برای بعضی از داروهای اخیرا نقشی را در درمان این بیماران عنوان میکنند.
استروئید ( کورتون)
-مناسب برای عود بیماری
-تسریع در بهبودی حمله
این دارو به وسیله تزریق داخل رگ یا به صورت قرص خوراکی داده میشود که بسته به صلاحدید پزشک است و دوره درمان آن، سه تا پنج روز در بعضی موارد بیشتر که باز هم بستگی به صلاحدید پزشک دارد.

دکتر عباسیون در پایان توصیه هایی به بیماران کرد که بدین شرح است:

١-هرگز داروی خود را سرخود قطع نکنید.

٢-حتما دارو را زیر نظر پزشکتان استفاده کنید و جهت بررسی اثر وعوارض دارو و یا پیشرفت بیماری به پزشکتان مراجعه داشته باشید.

٣-بیمارانی که در ابتدای بیماری خوب درمان شده‌اند، در بیست سال آینده، بسیار بهتر از بیمارانی خواهند بود که در ابتدای بیماری خوب درمان نشده‌اند.

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