Kev tiv thaiv tiv thaiv cov pej xeem "tej zaum" yuav xav tau cov tshuaj tiv thaiv COVID-19

Curtis J. Patient webinar: Tshuaj tiv thaiv COVID-19 thiab kev kho mob. Hais lus: Rheumatism Research Foundation. Lub Tsib Hlis 11, 2021 (Virtual Q&A).
Curtis J. Patient webinar: Tshuaj tiv thaiv COVID-19 thiab kev kho mob. Hais lus: Rheumatism Research Foundation. Lub Tsib Hlis 11, 2021 (Virtual Q&A).
Jeffrey R. Curtis, MD, tus thawj tswj hwm ntawm COVID-19 Cov Tshuaj Tiv Thaiv Kev Tiv Thaiv Kev Ua Haujlwm Pab Pawg ntawm American Academy of Rheumatology, tau hais tias cov neeg mob tiv thaiv kab mob yuav "tej zaum" yuav tsum tau siv cov tshuaj tiv thaiv COVID-19 tsis tu ncua yav tom ntej.
Curtis, kws kho mob rheumatologist, kws kho mob kis kab mob, thiab tus xibfwb ntawm cov tshuaj hauv University of Alabama ntawm Birmingham, hais rau cov neeg tuaj koom ntawm Q&A qhov kev tshwm sim tsis ntev los no uas tuav los ntawm Rheumatology Research Foundation tias nws ntseeg tias qhov tshuaj tiv thaiv COVID-19 tuaj yeem ua rau cov neeg mob no.
“Yog lawm, muaj ntau yam kev tshawb fawb, thiab kev tshawb fawb tau hloov mus tas li. Txawm koj xav tias koj paub lub hlis no, lub hli tom ntej yuav txawv, yog li ntawd, kuv xav tias txhua yam peb hais lossis tham txog hmo no nws yuav hloov pauv, "Curtis hais rau cov neeg tuaj koom ntawm lub rooj sib tham virtual. "Kuv tus kheej xav tias tib neeg yuav xav tau kev txhawb nqa. Tej zaum nws yuav tsis yog qhov teeb meem rau txhua tus, tab sis kuv xav tias nws yuav yog ib qho uas tau txais kev txhawb nqa thiab ua rau nws tsis tu ncua. Nws yuav xaus ntau dua lossis tsawg dua li cov tshuaj tiv thaiv kab mob khaub thuas, yog tias tsis yog txhua xyoo, ces koj xav tau nws tsawg kawg txhua xyoo. "
Nws hais ntxiv tias nyob ntawm qhov kev kho mob uas tus neeg mob tau txais, cov tib neeg kuj tseem yuav tau txais txiaj ntsig ntau dua los ntawm kev txhaj tshuaj tiv thaiv kab mob lossis txawm tias rov txhaj tshuaj ntau dua.
"Ib tug neeg hauv kev sib tham tau tsa qhov xwm txheej uas lawv yuav tsis yog koob tshuaj lossis tshuaj tiv thaiv lawv xav tau, yog li nyob ntawm kev kho koj tau txais, qhov no yog qee yam los tham nrog koj tus kws kho mob," Curtis hais. "Tab sis kuv xav ntau heev tias lub tswv yim ntawm boosters zoo li yuav ntxim nyiam."
Thaum nug txog qhov kev cia siab ntawm kev siv Pfizer lossis Moderna koob tshuaj tiv thaiv nrog rau lwm lub tuam txhab kev txhim kho, Curtis teb tias nws vam tias cov kws tshaj lij yuav pom zoo kom tib neeg siv cov tshuaj tiv thaiv no ua thawj zaug tshuaj tiv thaiv.
Nws tau hais tias: "Nws muaj feem ntau tias qhov no yuav tsis muaj kev kawm dav dav nyob rau yav tom ntej." “Kuv muaj kev cia siab tag nrho. Koj yuav tsum ua raws li kev txhawb nqa koj tau txais txij thaum pib. "
Curtis kuj tau tawm tswv yim txog qee yam tshuaj rheumatic, suav nrog rituximab (Rituxan, Genentech) thiab mycophenolate mofetil, uas tuaj yeem txo qhov ua tau zoo ntawm cov tshuaj tiv thaiv COVID-19.
Nws hais tias: "Kuv xav tias Rituximab yuav yog ib qho tshuaj txaus nyiam tshaj plaws." Rituximab muaj txiaj ntsig zoo hauv kev tshem tawm B hlwb thiab ua rau nws nyuaj rau lub cev los tsim cov tshuaj tiv thaiv. Qhov no yog qhov zoo thaum koj kho ib yam dab tsi nrog cov tshuaj tiv thaiv uas koj xav kom tshem tawm, tab sis yog tias koj xav pab lub cev tiv thaiv kab mob tiv thaiv kab mob yav tom ntej, nws yuav tsis yog qhov zoo. ”
Rituximab tuaj yeem txo cov tshuaj tiv thaiv kab mob kom ntau dua li ntau lwm yam kev kho mob. Mycophenolate mofetil yog lwm qhov. "Cov no yog ob yam uas kuv yuav ua siab ntev tshaj plaws, kom ntseeg tau tias ib tus neeg muaj kev tiv thaiv zoo tiv thaiv COVID-19."
Raws li Curtis, cov teeb meem suav nrog JAK inhibitors thiab txo cov tshuaj tiv thaiv kab mob, suav nrog ACR COVID-19 Vaccine Clinical Guidance Working Group kuj tau nyiam.
Curtis tau hais tias: "Qhov no yog vim li cas qee tus ntawm lawv hais tias, yog tias ua tau, kev kho mob luv luv yuav muaj txiaj ntsig." "Qhov no tsis yog lus ceeb toom dav dav, koj yuav tsum ua qhov no ntawm txhua tus nqi, tab sis nrog koj tus mob rheumatism Tham nrog tus kws kho mob. ACR tau txais cov lus pom zoo tshiab los ntawm pawg neeg ua haujlwm qhia, thiab cov lus pom zoo no tau ua tiav nyob rau ob peb hnub dhau los. "
Ib txoj kev tshawb fawb tshiab tau tshaj tawm hauv Gut pom tias cov neeg mob uas muaj kab mob plab hnyuv uas tau txais infliximab tau txo qis kev tiv thaiv kab mob rau cov tshuaj tiv thaiv COVID-19 tam sim ntawd tom qab thawj zaug txhaj tshuaj (Remicade, Janssen). Txawm li cas los xij, thaum tib tus neeg mob tom qab tau txais koob thib ob ntawm kev kho mob, cov tshuaj tiv thaiv kab mob zoo li qub.
Raws li Curtis, qhov no tau txuas ntxiv lub sijhawm kom tau txais koob thib ob kom txuag tau koob tshuaj hauv qee lub tebchaws, tsis yog rau IBD thiab infliximab nkaus xwb, tab sis kuj rau cov neeg mob uas muaj ntau yam kab mob autoimmune thiab kev kho mob.
"Yog tias koj nyob hauv ib lub tebchaws thiab Asmeskas tsis yog ib tus ntawm lawv, qhov no yog txhawm rau txuas lub sijhawm los ntawm thawj koob mus rau koob thib ob kom txuag tau koob tshuaj kom txhua tus tuaj yeem tau txais thawj koob tshuaj. Kuv xav tias, Qhov no yuav tsis yog ib lub tswv yim zoo rau cov neeg uas tab tom kho immunomodulatory rau Crohn tus kab mob lossis lupus, vasculitis, mob caj dab lossis lwm yam kab mob. " Curtis. "Qhov tseeb, nws tsis yog infliximab xwb, tab sis kuj Remicade thiab [biosimilars] Inflectra thiab Renflexis. Kuv kuj xav tias ntau yam ntawm peb cov tshuaj yog tib yam. "
Nws hais ntxiv tias tam sim no muaj ntau qhov kev tshawb fawb txog cov lus teb ntawm cov neeg mob uas muaj kab mob autoimmune rau cov tshuaj tiv thaiv COVID-19 tom qab txhaj thawj zaug thiab thib ob. Cov txiaj ntsig tau pom tias ua tiav cov tshuaj tiv thaiv tsuas yog tsim tom qab ua tiav cov koob tshuaj tiv thaiv tiav. teb.
Curtis tau hais tias: "Tam sim no, muaj qee qhov kev tshawb fawb hauv cov ntaub ntawv, lawv kawm dab tsi tshwm sim tom qab noj thawj zaug." Ntau tus neeg txhaj tshuaj tiv thaiv yog OK, tab sis rau ntau tus neeg, cov nyhuv tsis zoo heev. Yog li ntawd, kuv xav tias cov ntaub ntawv tseem ceeb uas kuv tau kawm los ntawm qee cov ntawv sau uas kuv tau tshuaj xyuas yog nyob rau hauv pej xeem sau, thiab qee qhov raug xa mus rau kuv tsis pub leej twg paub, thiab koj yuav tsum lees txais koob thib ob.
"Qhov no yog qhov tseeb tshwj xeeb yog tias koj muaj kab mob autoimmune lossis tau txais kev kho mob uas cuam tshuam rau kev tiv thaiv kab mob, vim tias tshwj tsis yog tias koj ua tiav tag nrho cov kev tshawb fawb raws li qhov xav tau, qee tus neeg yuav pheej pheej hmoo thiab ua ntej qhov kev cia siab tshuaj tiv thaiv yuav ua tiav, Lawv tau txais. koob thib ob.” Nws ntxiv. "Tom qab ntawd, feem ntau hais lus, cov neeg mob rheumatism zoo li muaj kev tiv thaiv zoo tom qab tau txais koob thib ob, tab sis muaj qee qhov kev zam."

https://www.youtube.com/watch?v=-JaasdO90oM

https://www.youtube.com/watch?v=wAS7TSJrNVg