{"id":555,"date":"2024-06-11T10:21:16","date_gmt":"2024-06-11T10:21:16","guid":{"rendered":"https:\/\/terviseleht.eu\/?p=555"},"modified":"2024-06-11T10:36:02","modified_gmt":"2024-06-11T10:36:02","slug":"uus-alzheimeri-ravi-mis-puhastab-aju-amuloidist-on-tulekul","status":"publish","type":"post","link":"https:\/\/terviseleht.eu\/?p=555","title":{"rendered":"Uus Alzheimeri ravi, mis puhastab aju am\u00fcloidist, on tulekul"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">N\u00f5uandev ekspertr\u00fchm soovitas USA ravimitega tegelevale ametkonnale (FDA) uus Alzheimeri t\u00f5ve ravim, mis puhastab aju am\u00fcloidist, heaks kiita.&nbsp;<\/h3>\n\n\n\n<p>Toidu- ja ravimiameti FDA s\u00f5ltumatute n\u00f5unike komitee otsustas \u00fcheh\u00e4\u00e4lselt, et Alzheimeri t\u00f5ve uusima eksperimentaalse ravimi kasud on suuremad kui v\u00f5imalikud riskid.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"819\" height=\"1024\" src=\"https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-819x1024.jpg\" alt=\"\" class=\"wp-image-557\" srcset=\"https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-819x1024.jpg 819w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-240x300.jpg 240w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-768x960.jpg 768w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-1229x1536.jpg 1229w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-1638x2048.jpg 1638w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/06\/pexels-ozanculha-11664823-scaled.jpg 2048w\" sizes=\"(max-width: 819px) 100vw, 819px\" \/><\/figure>\n\n\n\n<p>Photo by Ozan \u00c7ulha<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Isegi tagasihoidlik kasu v\u00f5ib olla riski v\u00e4\u00e4rt<\/h3>\n\n\n\n<p>Alzheimeri t\u00f5vele pole seni ravi ning ka elustiili muutmine ei suuda v\u00e4hendada m\u00e4lukaotust v\u00f5i kognitiivset langust. Eli Lilly toodetud ravim donanemab aeglustas veidi kognitiivset langust haiguse varases staadiumis. Samas riskib inimene selle ravimi kasutusel n\u00e4iteks ajuturse ja verejooksuga. Eksperdid \u00fctlesid, et Alzheimeri t\u00f5ve tagaj\u00e4rjed on nii kohutavad, et isegi tagasihoidlik kasu v\u00f5ib olla riski v\u00e4\u00e4rt.<\/p>\n\n\n\n<p>Ravim p\u00f5hineb levinud teoorial, et Alzheimeri t\u00f5bi algab siis, kui patsientide ajju kuhjuvad am\u00fcloidikogumid, millele j\u00e4rgneb reaktsioonide kaskaad, mis viib neuronite surmani. Vastavalt sellele teooriale peaks olukorda kergendama ravi, mis puhastaks aju am\u00fcloidist.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Mis see donanemab on?<\/h3>\n\n\n\n<p>Viimastel aastatel on USAs heaks kiidetud kaks sarnast am\u00fcloidivastast ravimit &#8211; Eisai ja Biogeni toodetud Leqembi. Viimase riskid ja tagasihoidlikud plussid on sarnased donanemabi omadega. Biogeni toodetud Aduhelm on teine \u200b\u200bravim ja see kiideti heaks 2021. aastal, kuid selle kasutamine l\u00f5petati, kuna puudusid piisavad t\u00f5endid selle kohta, et see v\u00f5iks patsientidele kasu tuua.<\/p>\n\n\n\n<p>Lilly juhtivteadur dr Daniel Skovronsky \u00fctles, et ettev\u00f5te alustab n\u00fc\u00fcd uuringut, kus proovitakse haiguse levik peatada enne s\u00fcmptomite ilmnemist.<\/p>\n\n\n\n<p>Donanemabi, nagu Leqembi, manustatakse intravenoossete infusioonidena ehk lihtsamalt \u00f6eldes tilgutiga. Eksperdid \u00fctlesid, et ravimite m\u00f5ju kognitiivse languse aeglustamisel on nii tagasihoidlik, et see ei pruugi olla patsientidele ja peredele m\u00e4rgatav.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Haigus peatus pooltel katses osalenutel <\/h3>\n\n\n\n<p>Lilly esitas andmed 76-n\u00e4dalasest uuringust, milles osales 1736 inimest. Kognitiivne langus aeglustus donanemabi saanud patsientidel umbes 4,5 kuni 7,5 kuu v\u00f5rra v\u00f5rreldes platseebot saanutega. Ligi pooled donanemabi v\u00f5tnutest j\u00e4id \u00fcheaastase uuringu jooksul samale kognitiivsele tasemele, v\u00f5rreldes 29 protsendiga, kes said platseebot.<\/p>\n\n\n\n<p>Kolm donanemabi kasutavat patsienti surid ajuturse v\u00f5i verejooksu t\u00f5ttu. Lilly teatas, et puuduvad t\u00f5endid, mis viitavad sellele, et ravim p\u00f5hjustas t\u00e4iendavaid surmajuhtumeid.<\/p>\n\n\n\n<p>Lilly otsus l\u00f5petada patsientide ravi niipea, kui ajuskaneering n\u00e4itas, et donanemab oli nende aju am\u00fcloidist vabanenud.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ravimi andmine peatatati, kui am\u00fcloid oli l\u00e4inud<\/h3>\n\n\n\n<p>Lilly selgitas, et ravimi kasutamise j\u00e4tkamine p\u00e4rast am\u00fcloidi kadumist ei aitaks patsiente ja v\u00f5ib olla kahjulik. &#8220;Kui sihtm\u00e4rk on ajust eemaldatud, ei ole donanemabi j\u00e4tkuv annustamine t\u00f5en\u00e4oliselt kasulik ja suurendab ainult ravikoormust ja v\u00f5imalikke riske,&#8221; kirjutas ettev\u00f5te.<\/p>\n\n\n\n<p>Lilly teadlaste hinnangul kulub peaaegu neli aastat, enne kui am\u00fcloidi tase uuesti \u00fcle l\u00e4ve t\u00f5useb.&nbsp;<\/p>\n\n\n\n<p>L\u00f5puks v\u00f5ivad need ravimid olla vaid v\u00f5imalus \u00e4ra oodata t\u00f5hus ravi. Samas v\u00f5ib patsientidele ja nende perekondadele olla t\u00e4htis ka v\u00f5imalus aeglustada Alzheimeri t\u00f5ve kulgu kasv\u00f5i m\u00f5ne kuu v\u00f5rra.<\/p>\n\n\n\n<p>Viide uuringule: <a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2807533\">https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2807533<\/a>  Loe ka <a href=\"https:\/\/terviseleht.eu\/?p=373\" title=\"\">Pikk ketodieet tekitab kudedesse vananenud rakke<\/a><\/p>\n\n\n\n<p>Reklaam<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"600\" src=\"https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/05\/0-Calm-after-Storm-CBD-oil-1500mg-front-described-EE-740193_600x.webp\" alt=\"CBD\" class=\"wp-image-468\" style=\"width:839px;height:auto\" srcset=\"https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/05\/0-Calm-after-Storm-CBD-oil-1500mg-front-described-EE-740193_600x.webp 600w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/05\/0-Calm-after-Storm-CBD-oil-1500mg-front-described-EE-740193_600x-300x300.webp 300w, https:\/\/terviseleht.eu\/wp-content\/uploads\/2024\/05\/0-Calm-after-Storm-CBD-oil-1500mg-front-described-EE-740193_600x-150x150.webp 150w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/><\/figure>\n\n\n\n<p><a href=\"https:\/\/www.hdrop.ee\/?ref=9kjhibz0\">Haiguse, trauma, viiruse v\u00f5i pikaajalise stressi poolt kurnatud keha ergutamiseks!&nbsp;<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u00f5uandev ekspertr\u00fchm soovitas USA ravimitega tegelevale ametkonnale (FDA) uus Alzheimeri t\u00f5ve ravim, mis puhastab aju am\u00fcloidist, heaks kiita.&nbsp; Toidu- ja ravimiameti FDA s\u00f5ltumatute n\u00f5unike komitee otsustas \u00fcheh\u00e4\u00e4lselt, et Alzheimeri t\u00f5ve&hellip; <\/p>\n","protected":false},"author":2,"featured_media":556,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[7,8],"tags":[80,676,372,671,673,672,270,674,675,370,670,577],"class_list":["post-555","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ravi-ja-ravimid","category-vaimne-tervis","tag-aju","tag-ajuturse","tag-alzheimer","tag-amuloid","tag-donanemab","tag-eli-lilly","tag-fda","tag-kognitiivne","tag-platseebo","tag-ravim","tag-ravimid","tag-usa"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts\/555"}],"collection":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=555"}],"version-history":[{"count":2,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts\/555\/revisions"}],"predecessor-version":[{"id":559,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/posts\/555\/revisions\/559"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=\/wp\/v2\/media\/556"}],"wp:attachment":[{"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=555"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=555"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/terviseleht.eu\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}