Sɔmtɛm wi kin gɛt fɔ dil wit infɛkshɔn wae nɔr tan lɛk kɔmɔn kol ɔr flu, bɔt wae kin siriɔs smɔl, wae kin skata insay di bɔdi. Ɛspɛshali we sɔm fɛns infɛkshɔn ɔ yist infɛkshɔn skata to di insay pat dɛn na di bɔdi, ɔdinari mɛrɛsin nɔ kin du fɔ mɛn am. Tide, wi de tɔk bɔt wan spɛshal, pawaful mɛrɛsin we dɔktɔ dɛn kin yuz pan dɛn kayn sik dɛn ya we rili bad.
Wetin na dis mɛrɛsin we dɛn kɔl Amphotericin B Liposomal?
Fɔ tɔk am simpul wan, na mɛrɛsin we de mek pɔsin nɔ gɛt bɛlɛ . Dis min se i kin kil di fεn dεm we de kכz sik we dεn go insay di bכdi. Dis nɔto jɔs wan mɛrɛsin we yu go ɔltɛm gi fɔ smɔl fɛns infɛkshɔn na yu skin. Dɛn kin yuse am fɔ trit siriɔs ɛn layf de pan denja fɔŋ infɛkshɔn wae dɔn spre to yu blɔd, lɔng, bren, ɔ ɔda pat dɛm we de insay yu bɔdi.
Di wɔd "Liposomal" de tɔk bɔt di spɛshal we aw dɛn de mek dis mɛrɛsin. i tan lεk se di dכg mכlekyul dεn rap insay wan sכmכl fεt bכbul (liposome). Dis we ya de mek di mɛrɛsin ebul fɔ rich di say we di infɛkshɔn de na di bɔdi izi wan ɛn ridyus di sayd ɛfɛkt dɛn we kin apin na ɔgan dɛn lɛk di kidni. Na Sri Lanka, dis mɛrɛsin de ɔnda di brand nem `AmBisome`.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Bikɔs dis na pawaful mɛrɛsin, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu kɔmplit wɛlbɔdi histri bifo yu bigin tritmɛnt. Mek shɔ se yu tɔk mɔ bɔt dɛn tin ya.
- If yu gɛt wik imyun sistɛm , wan sik we de ridyus yu ebul fɔ fɛt sik (e.g. HIV, tritmɛnt fɔ kansa).
- If yu gɛt ɛni ɔda sik we nɔ de dɔn (e.g. dayabitis, kidni sik).
- If yu dɔn ɛva gɛt alɛji fɔ Amphotericin B ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
If yu gi di dɔktɔ dis infɔmeshɔn, dat go ɛp am fɔ trit yu di rayt we.
Aw yu kin yuz dis mɛrɛsin?
Dis nɔto pil we yu de swɛla. Amphotericin B Liposomal na injεkshכn (infushכn) we dεn de gi yu bכdi tru wan vein . Dɛn kin du dis na ɔspitul ɔ klinik, ɔnda di sɔpɔtishɔn fɔ di dɔktɔ dɛn. Dɛn kin gi di mɛrɛsin insay yu bɔdi tru wan kanula we dɛn kin put insay wan vein na yu an, lɛk bɔtul we gɛt salin.
Na smɔl tɛm nɔmɔ, dɛn kin advays sɔm sik pipul dɛn fɔ tek dis tritmɛnt na os. If na so i bi, dɛn go tek tɛm tɛl yu aw fɔ pripia ɛn gi am. I impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm . Nɔ ɛva tek mɔ ɔ smɔl pas di doz we dɛn tɛl yu fɔ tek.
Impɔtant: If yu de yuz injɛkshɔn na os, nɔ ɛva trowe nidul ɛn sirinj we yu dɔn yuz na di dɔti. Dɛn fɔ put dɛn na spɛshal say we dɛn kɔl ‘shap kɔntena’ . If yu nɔ gɛt wan, yu kin gɛt wan frɔm yu dɔktɔ.
Yu tink se dɛn kin gi dis mɛrɛsin to smɔl pikin dɛn?
Yɛs, if nid de, dɛn kin gi dis mɛrɛsin to pikin dɛn ɔnda dɔktɔ we de kia fɔ pikin dɛn. Bɔt i nid spɛshal kia ɛn kɔl di doz kɔrɛkt wan.
Wetin fɔ du if di doz fɔ di mɛrɛsin go ɔp?
If yu tink se yu dɔn tek mɔ pas di doz we dɛn se yu fɔ tek, go to di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Ɔda mɛrɛsin dɛm wae kin miks wit dis mɛrɛsin (Interactions) .
We yu de tek dis mɛrɛsin, yu fɔ tek tɛm bak wit di ɔda mɛrɛsin dɛn we yu de tek. Sɔm mɛrɛsin kin intarakt wit dis wan ɛn inkrisayz di sayd ɛfɛkt dɛm.
| Di Intarakshɔn wit Drug | |
|---|---|
| Mɛrɛsin dɛn we yu nɔ fɔ ɛva tek wit dis mɛrɛsin: | |
| - Cidofovir (na mɛrɛsin fɔ vayral infɛkshɔn) . | |
| Ɔda mɛrɛsin dɛn we kin mek yu gɛt prɔblɛm ɛn we yu fɔ ripɔt to di dɔktɔ: | |
| |
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn Ayurveda mɛrɛsin dɛn) . Tɛl yu dɔktɔ bak if yu de smok ɔ drink rɔm.
Sɔm sayd ɛfɛkt dɛn we kin apin we dɛn de trit am
Di mɛdikal wokman dɛm go de wach yu kɔndishɔn gud gud wan we yu de tek dis mɛrɛsin. Bɔt sɔm sayd ɛfɛkt dɛn kin apin. Sɔm pan dɛn kin siriɔs, ɛn ɔda wan dɛn nɔ kin at fɔ du.
| Sayd Ifɛkt we i kin gɛt | Wetin fɔ du? |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ ɔ nɔs wantɛm wantɛm | |
| Alɛji rεaksh כn lεk skin rεsh, it, swεla na di lip/mכt/tכng/trot | Go to dɔktɔ wantɛm wantɛm. |
| I nɔ izi fɔ blo ɔ di chɛst tayt | |
| di ifekt dεm pan di kidni dεm (chεnj pan di כmכnt כ di kכla fכ di urine) . | |
| At ritm irɛgyulariti, abnɔmal chenj na blɔd prɛshɔn | |
| Ay fiva, kol, ɛn shek shek | |
| Brus we nɔ kɔmɔn, blɔd de kɔmɔt | |
| I kin taya bad bad wan, yu kin gɛt sik, yu nɔ kin no natin | |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Headache, bɔdi we de at | If dɛn tin ya de kɔntinyu ɔ de mɔna yu, mek yu dɔktɔ no. |
| Nɔs, vɔmit, bɛlɛ pen, dayarɛa | |
| Skin de rɛd (flush), pen usay dɛn put di kanula | |
| Kɔf, i nɔ izi fɔ slip | |
If yu gɛt ɛni ɔda kayn sik we nɔ kɔmɔn we dɛn nɔ tɔk bɔt na dis list, duya tɛl yu dɔktɔ bɔt dɛn bak.
Mɛsej we dɛn kin kɛr go na os
- Amphotericin B Liposomal (LAmB) na pawaful antifungal injεkshכn we dεn kin gi insay di bכdi, nכto as pil. Dɛn kin yuse am fɔ trit siriɔs, sistɛm infɛkshɔn.
- Bifo yu bigin fɔ trit yu, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin ɛn ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud di Sinhala mɛrɛsin dɛn).
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu gɛt siriɔs alɛji, ɔ yu de chenj we yu de pis, tɛl di dɔktɔ dɛn wantɛm wantɛm.
- Dɛn kin gi dis mɛrɛsin na ɔspitul we di dɔktɔ de kia fɔ am. Nɔ chenj di doz we dɛn gi yu ɔ skip wan doz fɔ ɛni rizin.
- If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, tɔk to yu dɔktɔ.
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