Lɛ wi lan bɔt di mɛrɛsin we dɛn kɔl Mercaptopurine (6-MP)?

Yu dɔktɔ dɔn gi yu ɔ pɔsin we yu sabi Mercaptopurine? Yu go mɔs gɛt bɔku kwɛstyɔn bɔt wetin na dis mɛrɛsin, wetin i de du, aw fɔ yuz am fayn, ɛn wetin yu nid fɔ tek tɛm wit. Tide, wi go tɔk bɔt ɔl dis na simpul we we yu go ɔndastand.

Us kayn mɛrɛsin na Mercaptopurine?

Fɔ tɔk am simpul wan, Mercaptopurine, we sɔm pipul dɛn kin kɔl 6-MP, na wan mɛrɛsin we de mek di kansa sɛl dɛn nɔ gro . Mɔ spesifik wan, i de pan wan klas ɔf drɔgs we dɛn kɔl kemotɛrapi. I de wok bay we i de stɔp di kansa sɛl dɛn fɔ mek dɛn nɔ sheb ɛn gro tumɔs. Sɔntɛnde dɛn kin yuz am bak fɔ stɔp di bɔdi in imyun sistɛm. Dɛn kin yuse am mɔ fɔ trit sɔm kayn akyu lukimiya.

Tink bɔt dis, di sɛl dɛn na wi bɔdi de sheb ɔltɛm ɛn de mek dɛnsɛf nyu. Dat na nɔmal tin. Bɔt pan kansa, sɔm sɛl dɛn kin bigin fɔ sheb kwik kwik wan, ɛn dɛn nɔ kin ebul fɔ kɔntrol dɛn. Mercaptopurine de ɛp fɔ stɔp da kwik, we nɔ de kɔntrol di sɛl dɛn we de sheb.

Yu dɔktɔ kin gi yu dis mɛrɛsin bak fɔ ɔda sik. So if yu gɛt ɛni kwɛstyɔn, i go fayn fɔ aks yu dɔktɔ ɔ fama. Dis mɛrɛsin kin kam ɔnda sɔm brand nem dɛm, fɔ ɛgzampul, yu kin dɔn si am we dɛn kɔl PURIXAN.

Wetin na di tin dɛm we a nid fɔ tɛl di dɔktɔ bifo a bigin dis mɛrɛsin?

Bifo yu bigin fɔ tek dis mɛrɛsin, sɔm tin dɛn de we yu fɔ tɛl yu dɔktɔ ɛn di wan dɛn we de kia fɔ yu. Dis infɔmeshɔn go ɛp dɛn fɔ disayd if dis mɛrɛsin fayn fɔ yu ɛn ɔmɔs fɔ gi yu. Mek shɔ se yu tɛl dɛn ɔl dɛn tin ya, okay?

• If yu gɛt sik na yu kidni .
• If yu gɛt ɛni sik na yu liva .
• If yu blɔd sɛl dɛn nɔ bɔku (fɔ ɛgzampul, di wayt blɔd sɛl dɛn, di rɛd blɔd sɛl dɛn, ɔ di pletlɛt dɛn nɔ bɔku), yu dɔktɔ go chɛk dɛn tin ya na di blɔd ripɔt dɛn.
• If yu gɛt wan sik we dɛn kɔl nyukliɔtayd difɔsfataz (NUDT15) dɛfisiɛns (dis na jɛnɛtik kɔndishɔn, yu dɔktɔ kin ebul fɔ du spɛshal tɛst fɔ chɛk fɔ dis).
• I nɔ bad if yu jɔs gɛt di vaysin ɔ yu de plan fɔ gɛt wan jisnɔ.
• If yu gɛt wan sik we dɛn kɔl thiopurine methyltransferase (TPMT) dɛfisiɛns (dis na jɛnɛtik kɔndishɔn bak lɛk NUDT15, ɛn i kin chenj bak di we aw di mɛrɛsin de wok na di bɔdi).
• If yu dɔn ɛva gɛt wan ɔda kayn alɛji fɔ mɛkaptopurine, ɔda mɛrɛsin, it, day, ɔ tin dɛn we dɛn kin yuz fɔ mek tin nɔ pwɛl.
• If yu gɛt bɛlɛ , okay?If yu de op fɔ bɔn pikin , dis rili impɔtant.
• If yu na mama we de gi pikin in bɛlɛ .

Aw ɛksaktɔli a kin yuz dis mɛrɛsin?

Dis na ɔral suspension. Yu fɔ tek am jɔs lɛk aw yu dɔktɔ dɔn tɛl yu fɔ tek am, akɔdin to di instrɔkshɔn dɛn we de na di prɛskrishɔn lɛbl.

Di tin we impɔtant pas ɔl na fɔ shek di bɔtul fayn fayn wan bifo yu tek di mɛrɛsin . Dis go mek shɔ se di tin dɛn we yu nid miks fayn fayn wan ɛn yu gɛt di rayt doz we yu nid.

Fɔ mɛzhɔ di mɛrɛsin, yu fɔ yuz di spɛshal sirinj nɔmɔ we de kam wit di mɛrɛsin. Nɔ mɛzhɔ wit ti spɔnj ɔ tebul spɔnj we yu kin yuz na os, bikɔs dɛn nɔ kin ebul fɔ mɛzhɔ di rayt we. Rid di Instrɔkshɔn fɔ Yuz gud gud wan na di mɛrɛsin paket. I de ɛksplen di stɛp dɛn stɛp bay stɛp.

Tek yu mɛrɛsin di rayt tɛm ɛn di rayt tɛm . Nɔ tek pas wetin yu dɔktɔ tɛl yu fɔ tek, ɔ tek am mɔ. Dɔn bak, nɔ stɔp fɔ tek yu mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu . If yu du dat, dat kin afɛkt yu sik.

Wetin yu kin du we yu de gi pikin dɛn dis mɛrɛsin?

Dɔktɔ dɛn kin gi pikin dɛn dis mɛrɛsin bak pan sɔm kes dɛn we dɛn kin pik. Bɔt sɔm tin dɛn de we wi fɔ tek tɛm wit we wi de gi pikin dɛn. So, if yu de gi yu pikin dis mɛrɛsin, i impɔtant fɔ tek tɛm tɔk bɔt dis wit yu dɔktɔ we de mɛn pikin dɛn ɛn aks fɔ advays. Di doz kin difrɛn difrɛn wan bay di pikin in wet, ayt, ɛn di mɛrɛsin we i gɛt.

Wetin fɔ du if yu aksidɛntli tek bɔku mɛrɛsin?

If yu tink se yu dɔn tek dis mɛrɛsin tumɔs, kɔl pɔyzin kɔntrol sɛnta ɔ di ɔspitul imejensi rum we de nia yu wantɛm wantɛm . Nɔ west tɛm. Nɔ wet te yu gɛt sayn dɛn fɔ se yu dɔn tek am pasmak.

Impɔtant: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ ɛva sheb am wit ɔda pipul dɛn, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.

Wetin yu kin du if yu mis wan doz fɔ mɛrɛsin?

If yu mis wan doz, skip di doz we yu mis . Tek yu nɛks doz di tɛm we yu kin tek am. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu mis . If yu du dat, i kin mek di doz go ɔp ɛn i kin mek yu gɛt sayd ɛfɛkt. If yu kin mis di dos bɔku tɛm, tɔk to yu dɔktɔ. Yu kin nid ɛp fɔ mek wan rimɛnda sistɛm.

Us ɔda mɛrɛsin dɛn we nɔ gri wit dis mɛrɛsin, ɔ yu fɔ tek tɛm tek am?

We yu de tek dis mɛrɛsin, i kin miks wit sɔm ɔda mɛrɛsin dɛn. Dis min se we dɛn tek am wit da mɛrɛsin de, di we aw dis mɛrɛsin de wok kin chenj ɔ di sayd ɛfɛkt dɛn kin bɔku.

Nɔ ɛva tek Mercaptopurine togɛda wit dɛn mɛrɛsin ya:

• Febuxostat (dis na mɛrɛsin fɔ gout) .

Dɛn mɛrɛsin ya kin intarakt bak wit mɛkaptopurin. So, if yu de tek dɛn tin ya, yu fɔ tɛl yu dɔktɔ se:

• Allopurinol (dis na mɛrɛsin bak fɔ gout. If yu tek dis, yu go nid fɔ ridyus yu doz fɔ mɛkaptopurine)
• Sɔm mɛrɛsin dɛn we de mek blɔd nɔ klot, fɔ ɛgzampul, warfarin
• Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ trit sik dɛm lɛk ɔlsɛrativ kɔlayt: balsalazide, olsalazine, mesalamine, sulfasalazine
• Layf vayrɔs vaysin (e.g. mizɛl, mɔmp, rubɛla (MMR), chikinpoks vaysin) .
• Trimethoprim-sulfamethoxazole (dis na antibayɔtik we dɛn kin yuz bɔku tɛm) .

Dis list nɔ de inklud ɔl di tin dɛn we pɔsin kin du. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (we dɛn gi yu ɔ we yu nɔ de it), ɛbul prɔdak, vaytamɛn, ɛn it we yu de yuz. Yu fɔ tɛl yu dɔktɔ bak if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Sɔm tin kin miks wit yu mɛrɛsin.

Wetin yu fɔ tek tɛm wit we yu de tek dis mɛrɛsin?

Yu kin fil fayn ɔr nɔr kin fil fayn pas aw yu kin fil we yu de tek dis mɛrɛsin. Dis na nɔmal tin bikɔs di mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn kin afɛkt di sɛl dɛn we gɛt wɛlbɔdi bak. Bɔt if yu gɛt ɛni bad bad tin, tɛl yu dɔktɔ. Yu fɔ kɔntinyu fɔ tek di mɛrɛsin ilɛksɛf i nɔ fayn te yu dɔktɔ tɛl yu fɔ stɔp .

• Blɔd ɛn brus kin bɔku: Dis mɛrɛsin kin mek yu gɛt mɔ blɔd ɛn brus. Tɛl yu dɔktɔ wantɛm wantɛm if yu notis ɛni blɔd we nɔ kɔmɔn (e.g., blɔd we de kɔmɔt na yu nos, yu gɔm), yu de brus izi wan, smɔl smɔl rɛd spat dɛn na yu skin, blak stɔl, ɔ blɔd na yu urine. Tek tɛm mek yu nɔ wund yusɛf. Yuz saf tut brɔsh we yu de brus yu tit.

• Risk fɔ gɛt Infɛkshɔn: If yu gɛt sɔm sayn dɛn lɛk fiva, kol, trot we de at, nos we de rɔn, ɔ kɔf, tɛl yu dɔktɔ wantɛm wantɛm. Nɔ fɔ mɛn yusɛf . Dis mɛrɛsin kin ridyus yu bɔdi in ebul fɔ fɛt infɛkshɔn. So, tray fɔ de fa frɔm pipul dɛn we sik as yu ebul. Tek tɛm we yu de go na say dɛn we pipul dɛn kin bɔku. Wash yu an ɔltɛm.

• Di Sɛnsitiviti fɔ di San:Yu skin kin rili sɛnsitiv to di san we yu de tek dis mɛrɛsin. So tek tɛm wit di san as yu ebul. Limit yu exposure to strong san lait bitwin 10 am en 4 pm. If yu go de na di san, wɛr klos we kɔba yu bɔdi fayn fayn wan, hat we gɛt wayd brim, ɛn tin we de protɛkt yu frɔm di san (sanskrin SPF 30 ɔ pas dat). Nɔ yuz san lamp ɔ tanning bed/booth.

• Risk fɔ gɛt kansa: Smɔl risk kin de fɔ gɛt sɔm ɔda kayn kansa (lɛk kansa na yu skin) we dɛn tek dis mɛrɛsin fɔ lɔng tɛm. Tɔk to yu dɔktɔ bɔt dis fɔ no mɔ. Na dat mek i impɔtant fɔ tek tɛm we di san de shayn.

• Bɔt fɔ gɛt bɛlɛ ɛn fɔ bɔn pikin dɛn:
• Uman: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn stɔp di mɛrɛsin. If yu de plan fɔ gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm. Tɔk to yu dɔktɔ bɔt di rayt we fɔ kɔntrol di pikin.
• Man: Nɔ papa pikin we yu de tek dis mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp di mɛrɛsin. Mek shɔ se yu patna nɔ gɛt bɛlɛ. Dis mɛrɛsin kin mek di pikin we nɔ bɔn yet gɛt siriɔs sayd ɛfɛkt. Aks yu dɔktɔ ɔ fama fɔ no mɔ.

• Fɔ gi yu pikin in mama in bɛlɛ: Nɔ gi yu pikin in mama in bɛlɛ we yu de tek dis mɛrɛsin ɔ fɔ wan wik afta yu dɔn stɔp di mɛrɛsin. di mεdisin kin pas to di pikin tru in mama in milk.

• Fεtiliti: Dis mεdisin kin afekt yu abiliti fכ bכn pikin, כ fεtiliti. Dis kin afɛkt man ɛn uman. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ bifo yu bigin tritmɛnt fɔ no bɔt di tin dɛn we yu go ebul fɔ du.

Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?

Lɛk ɛni mɛrɛsin, Mercaptopurine kin gɛt sɔm sayd ɛfɛkt dɛn. Sɔm pan dɛn fɔ ripɔt to yu dɔktɔ wantɛm wantɛm, ɛn ɔda wan dɛn nɔ kin rili siriɔs. Lɛ wi si wetin dɛn bi.

Yu fɔ tɛl yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs kwik kwik wan if yu gɛt ɛni wan pan dɛn bad bad tin ya:

• Alɛji: Na di sayn dɛm lɛk di skin we de rɔsh, it, ayv, swel na yu fes, yu lip, ɛn yu tɔng.
• Prɔblɛm fɔ blo.
• Blɔd nɔ bɔku: Dis mɛrɛsin kin mek yu wayt blɔd sɛl dɛn, rɛd blɔd sɛl dɛn, ɛn yu pletlɛt dɛn go dɔŋ. Dis kin mek yu gɛt mɔ sik ɛn blɔd. Yu dɔktɔ go de chɛk yu blɔd ɔltɛm.
• Di sayn dɛn we pɔsin kin si we di pletlɛt dɛn nɔ bɔku ɔ we i de blɔd:Brus, pinpoint rɛd spat na di skin, blak, tar stɔl, ɛn blɔd na di urine.
• Di sayn dɛm wae de sho se yu gɛt smɔl smɔl rɛd blɔd sɛl dɛm: yu taya pasmak, yu kin fil wik ɔ taya pasmak, yu kin fil lɛk yu nɔr de fil fayn ɔr yu ed nɔr de shayn, ɛn yu kin fɔdɔm.
• Sayn dɛm fɔ se yu gɛt di sik: fiva ɔ kol, kɔf, trot we de at, pen ɔ i nɔ izi fɔ pas yu urine.
• Sayn ɛn simptom dɛm fɔ liva injuri: dak yɔlɔ ɔ brawn urine; jɛnɛral sik filin ɔr simptom dɛm we tan lɛk flu; stɔl dɛn we gɛt layt kɔlɔ; i nɔ kin want fɔ it igen; vɔmit; rayt ɔpa bɛlɛ de pen; wik ɔ taya we nɔ kɔmɔn; di yay ɔ di skin we de yɔlɔ.
• Sayn ɛn simptom dɛm wae de sho se yu blɔd shuga nɔr de bɔku: yu de fil fɔ wɔri; kɔnfyus; diziz we pɔsin kin gɛt; angri we de bɔku; wik ɔ taya we nɔ kɔmɔn; we pɔsin de swet; we pɔsin kin shek shek; fɔ fil kol; we pɔsin kin vɛks; ed de at; di vishɔn we nɔ klia; at bit fast fast; we pɔsin nɔ de no natin igen.
• Trot de at.
• Di bɛlɛ we de swel.

Sayd ɛfɛkt dɛm wae nɔr kin nid fɔ go to dɔktɔ (if dɛn tin ya de kɔntinyu ɔr de mɔna yu, tɛl yu dɔktɔ):

• Rɔnbɛlɛ.
• di ia we de lכs (dis na fכ sכm tεm, di ia go gro bak wans dεn stכp di mεdikeshכn) .
• Sɔl dɛn na yu mɔt. (Ask yu dɔktɔ bɔt aw fɔ was yu mɔt.)
• Fɔ vɔmit. (If yu de vɔmit, tɛl yu dɔktɔ , mɛrɛsin de fɔ dat.)

Dis list nɔ de inklud ɔl di sayd ɛfɛkt dɛn we pɔsin kin gɛt. If yu notis ɛnitin we nɔ kɔmɔn apat frɔm dɛn tin ya, duya go to yu dɔktɔ fɔ advays.

Aw a fɔ kip dis mɛrɛsin?

Dis mɛrɛsin fɔ de usay pikin dɛn nɔ go ebul fɔ rich . Dat rili impɔtant.

Stɔr di mɛrɛsin na say we di tɛmpracha de bitwin 15 ɛn 25 digri sɛlshiɔs (59 ɛn 77 digri F) . Dis na nɔmal rum tɛmpracha. Nɔ kip am na ples we wam ɔ na frij, pas nɔmɔ yu dɔktɔ tɛl yu ɔda we. Kip di bɔtul tayt tayt wan.

Bɔtul fɔ mɛrɛsinAfta 8 wiks we yu yuz am, yu fɔ trowe ɛni mɛrɛsin we lɛf. Nɔ yuz am. I denja fɔ yuz mɛrɛsin we dɔn pas.

Fɔ dɔn, di tin we impɔtant pas ɔl we yu fɔ mɛmba na

Dis atikul na jɔs sɔm pan di tin dɛn we dɛn kɔl Mercaptopurine. Sɔntɛm i nɔ go kɔmplit. If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis mɛrɛsin, i go fayn fɔ mek yu tɔk to yu dɔktɔ, fama, ɔ ɔda pɔsin we sabi bɔt wɛlbɔdi biznɛs. Nɔ ɛva tek ɛni mɛrɛsin fɔ yusɛf if yu nɔ go to dɔktɔ . Fɔ fala yu dɔktɔ in instrɔkshɔn na di bɛst we fɔ gɛt wɛlbɔdi.

Mɛmba se nɔto yu wangren de. Dɔktɔ ɛn wɛlbɔdi tim dɛn de fɔ ɛp yu. Nɔ fred fɔ tɔk to dɛn opin wan bɔt ɛni kwɛstyɔn, fred, ɔ dawt we yu gɛt. Dɛn de de fɔ ɛp yu.

` Mercaptopurine, 6-MP, kansa, lukimiya, kemotɛrapi, sayd ɛfɛkt, mɛrɛsin