Sɔntɛm dɛn jɔs dɔn transplant yu ɔgan, lɛk kidni. Ɔr maybe yu de sɔfa wit wan joyn sik lɛk rεumatoid arthritis ɔr wan skin kכndyushכn lεk psoriasis. Insay dis kayn tin, yu dɔktɔ go dɔn tɛl yu fɔ yuz wan mɛrɛsin we dɛn kɔl Cyclosporine. Dis na mɛrɛsin we yu nid fɔ yuz wit sɔm kia ɛn jɔs lɛk aw dɛn tɛl yu. So tide, lɛ wi tɔk bɔt am, insay simpul langwej we yu go ɔndastand, lɛk se yu de tɔk to yu tayt padi.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, sayklɔspɔrin na wan mɛrɛsin we de stɔp yu bɔdi in imyun sistɛm . Naw yu kin de tink se, "Wow, fɔ stɔp yu imyun sistɛm na gud tin?" Sɔntɛnde, yɛs.
imajin, we yu gεt nyu כgan transplant, yu bכdi in imyun sistεm de si di nyu כgan as "fכrin" εn bigin fכ atak am. Dis na wetin wi kɔl ɔgan rijɛkt. So wetin sayklosporin de du na fɔ slo da imyun sistɛm de smɔl ɛn ɛp di bɔdi fɔ aksept di nyu ɔgan.
Semweso, pan sik dεm lεk rεumatoid atraytis εn psoriasis, wi כwn imyun sistεm de mistek atak hεlty pat dεm na wi כwn bכdi (jכyn dεm, skin). Sayklɔspɔrin de kɔntrol dis ɔva aktiv imyun sistɛm ɛn i de ridyus di simptom dɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
Bifo yu bigin dis mɛrɛsin, i rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi histri. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
| Yu gɛt dɛn sik ya? | Tin dɛn we yu fɔ pe spɛshal atɛnshɔn to |
|---|---|
| Kansa | If yu gɛt kansa naw ɔ yu dɔn gɛt kansa bifo. |
| Ay Blɔd Prɛshɔn | Ripɔt di ay blɔd prɛshɔn we dɛn nɔ kɔntrol. |
| Kidni ɔ Liva Sik | Ɛni prɔblɛm wit di kidni ɔ di liva we de wok. |
| Sik we de prɛd | Ɛni infɛkshɔn we de naw (fiva, kɔf, ɛn ɔda tin dɛn). |
| Di tritmɛnt we dɛn bin dɔn gɛt bifo tɛm | If yu dɔn gɛt redyushɔn tɛrapi ɔ ɔltra vayolɛt layt tritmɛnt fɔ sik dɛn na yu skin ɔ kansa. |
| Alɛji dɛn we pɔsin kin gɛt | If yu gɛt alɛji fɔ sayklɔspɔrin, kastɔ ɔyl, ɔda mɛrɛsin, it ɔ tin dɛn we de mek yu nɔ pwɛl. |
| Bɛlɛ ɔ we yu de gi pikin in bɛlɛ | If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Dis na di pat we impɔtant pas ɔl. Yu fɔ fala dɛn instrɔkshɔn ya gud gud wan fɔ mek yu gɛt di bɛst pan di mɛrɛsin ɛn fɔ mek yu nɔ gɛt bɔku bad bad tin dɛn we go apin to yu.
- Fɔ mɛzhɔ kɔrɛkt wan: Bikɔs dis mɛrɛsin de kam as sɔlv we yu de it, yu go gɛt spɛshal mak spun ɔ kɔp fɔ mɛzhɔ am. Nɔ yuz ti spɔnj ɔ tebul spɔnj we yu gɛt na os. Dɛn nɔ go gi yu kɔrɛkt mɛzhɔmɛnt.
- Fɔ sɔlv di mɛrɛsin: Ad di mɛrɛsin we dɛn tɛl yu fɔ it to wan glas ɔrɛnj jus ɔ apul jus we gɛt rum tɛmpracha, stir am fayn fayn wan, ɛn drink.
- I rili impɔtant: Nɔ ɛva tek dis mɛrɛsin wit grep jus. Grep jus kin chenj di we aw dis mɛrɛsin de wok na di bɔdi. Dis kin mek pɔsin denja. Aks yu dɔktɔ bifo yu miks am wit ɛni ɔda wata.
- Tɛm ɔltɛm: Mek yu abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. Nɔ stɔp fɔ tek yu mɛrɛsin ɔ chenj di doz if yu dɔktɔ nɔ advays yu.
If yu de gi dis mɛrɛsin to pikin dɛm, pan ɔl we dɛn kin gi am fɔ sɔm sik dɛm to pikin dɛm we dɔn pas 1 ia, yu fɔ tɔk bɔt am wit yu dɔktɔ we de mɛn pikin dɛm. If pɔsin we dɔn pas 65 ia de tek dis mɛrɛsin, dɛn kin nid fɔ tek am smɔl bikɔs di bɔdi kin fil fayn.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu fɔgɛt fɔ tek wan doz, tek am jɔs lɛk aw yu mɛmba. Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz, skip di doz we yu mis ɛn tek yu nɛks doz di tɛm we yu dɔn sɛtul. Nɔ tek dabl doz fɔ ɛni rizin. If yu kin mis wan doz bɔku tɛm, tɛl yu dɔktɔ.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek bɔku mɛrɛsin, nɔ panik ɛn kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm . Ɔ go na di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.
Tin dɛn we yu nɔ fɔ yuz wit dis mɛrɛsin
Dis rili impɔtant: Sayklɔspɔrin kin miks wit ɔda mɛrɛsin dɛn, ivin di tin dɛn we dɛn kin mek wit ɛbul. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we ɔda dɔktɔ dɛn gi yu, mɛrɛsin dɛn we yu nɔ de bay, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn).
I fayn fɔ mek yu nɔ yuz sayklɔspɔrin wit dɛn kɔndishɔn ya.
- Grepfruit jus we dɛn kin mek
- St. John’s wort (produkt we dɛn mek wit ɛbul) .
- Tacrolimus (wan mɛrɛsin we fiba dis) .
- Sɔm patikyula mɛrɛsin dɛn lɛk Bosentan, Cidofovir, Cisapride, Ranolazine.
Apat frɔm dat, bɔku ɔda mɛrɛsin dɛn kin miks wit dis. Fɔ ɛgzampul:
- Sɔm antibayɔtik dɛn
- Antifungals dɛn we dɛn kin yuz
- Sɔm blɔd prɛshɔn mɛrɛsin dɛn
- Sɔm mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel (statin) .
- Pen ɛn inflamɛns mɛrɛsin (NSAID) - ɛgz. Ibuprofen, Naproksen, we dɛn kɔl Naproxen
- Pils dɛn we dɛn kin yuz fɔ kɔntrol pikin
- Sɔm mɛrɛsin dɛn fɔ mek pɔsin gɛt sik we de mek i sik
Dis list nɔ kɔmplit, so tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
- Chek-ap ɔltɛm: Yu dɔktɔ go aks yu fɔ go si am ɔltɛm fɔ wach yu sik. I go ɔda bak fɔ mek dɛn tek yu blɔd tɛst ɔltɛm fɔ chɛk aw yu kidni de wok ɛn aw yu de tek di mɛrɛsin. Nɔ skip dɛn tin ya.
- Protekshɔn frɔm infɛkshɔn:Bikɔs dis mɛrɛsin de mek yu nɔ ebul fɔ fɛt di sik, yu kin gɛt infɛkshɔn izi wan. If yu gɛt fiva, kol, ɔ yu trot we de at, nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn tɛl yu dɔktɔ wantɛm wantɛm.
- Fɔ protɛkt yusɛf frɔm di san: Dis mɛrɛsin kin mek yu skin rili fil bad we di san de shayn. So tek tɛm we di san de shayn. Wear klos we gɛt lɔng sliv ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san.
- Gɔm wɛl bɔdi: Sɔm pipul kin gɛt swel ɔ blɔd gɔm bikɔs ɔf dis mɛrɛsin. So brus yu tit fayn fayn wan, yuz flos, ɛn go to dɛntist ɔltɛm.
- Rɔm: Nɔ drink rɔm. I kin ambɔg di wok we dis mɛrɛsin de du.
- Chenj na di kɔnshɛns: Sɔm pipul dɛn kin fil lɛk se dɛn de slip ɔ dɛn kin gɛt diziz. Nɔ drayv ɔ yuz mashin te yu no gud gud wan aw dis mɛrɛsin de afɛkt yu.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
Lɛk ɛni mɛrɛsin, sayklɔspɔrin kin mek yu gɛt sayd ɛfɛkt. Sɔm dɛn kin siriɔs, ɛn ɔda wan dɛn nɔ kin fred.
| Tayp fɔ di sayd ɛfɛkt | Sayn dɛn |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm. | |
| Alɛji Riakshɔn | Skin rash, it, swel na di fes, lip ɔ tong. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | di limb dεm we de sכmtεm sכmtεm, sכmtεm sכmtεm, chenj na di vishכn. |
| Blɔd prɛshɔn ɛn ɔda tin dɛn | Ay blɔd prɛshɔn, bɛlɛ pen bad bad wan, vɔmit. |
| Liva prɔblɛm dɛn | Yu yay ɔ yu skin kin yɔlɔ (jaundice). |
| If dɛn tin ya kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ. | |
| Disɔda dɛn we kɔmɔn | Gɔm we swɛl/blɔd, nɔs, dayarɛa, ia we yu nɔ want fɔ gro na di bɔdi ɔ fes, shek. |
Mɛsej we dɛn kin kɛr go na os
- Sayklɔspɔrin na mɛrɛsin we yu fɔ tek tɛm yuz, na ɔnda yu dɔktɔ in advays nɔmɔ.
- Nɔ ɛva tek dis mɛrɛsin wit grep jus. Na ɔrɛnj ɔ apul jus nɔmɔ tek am.
- I rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- Mek shɔ se yu go na di blɔd tɛst ɛn klinik dɛn we yu dɔktɔ tɛl yu fɔ du.
- If yu notis se yu gɛt siriɔs sayd ɛfɛkt (lɛk we yu fes de swel, yu gɛt sik we de mek yu sik), go to dɔktɔ wantɛm wantɛm.
- Dis mɛrɛsin na fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn.
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