Janus Kinase Inhibitor for Treatment of Axial Spondyloarthritis and Psoriatic Arthritis
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Abstract
Spondyloarthritis (SpA) เป็นกลุ่มโรคที่มีการอักเสบเรื้อรัง มีอาการแสดงทั้งอาการทางข้อและอาการนอกข้อ โรคกระดูกสันหลังอักเสบชนิดแกนเด่น (axial spondyloarthritis หรือ axSpA) และโรคข้ออักเสบสะเก็ดเงิน (psoriasis arthritis, PSA) เป็นโรคที่พบได้บ่อยในกลุ่มโรค SpA ในปัจจุบันมีทีมแพทย์ผู้เชี่ยวชาญแนะนำแนวทางการรักษาด้วยยา ประกอบด้วยยาต้านการอักเสบชนิดที่ไม่ใช่สเตียรอยด์ (NSAIDs) ยาต้านรูมาติกที่ปรับเปลี่ยนการดำเนินโรคดั้งเดิม (conventional DMARDs) ยาชีววัตถุ (biological DMARDs) รวมทั้งมีการศึกษายาใหม่ในกลุ่ม Janus kinase inhibitor (JAKi) ซึ่งเป็นยาที่ออกฤทธิ์พุ่งเป้ามาใช้ในการรักษาโรคกลุ่มนี้ โดยมีจุดมุ่งหมายให้การรักษามีประสิทธิภาพและปลอดภัยมากขึ้น อย่างไรก็ตามการศึกษายา JAKi ในการรักษาผู้ป่วยโรค axSpA และโรค PSA ยังมีไม่มากและเป็นการศึกษาระยะสั้น จำเป็นต้องมีการติดตามประสิทธิภาพของยาด้านการรักษาโรครวมถึงความปลอดภัยในระยะยาวต่อไป ควรพิจารณาเลือกใช้ยา JAKi ด้วยความระมัดระวังและให้เหมาะสมกับผู้ป่วยแต่ละราย
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