Dɛn dɔn gi yu Mercaptopurine (6-MP) pils? Lɛ wi tɔk bɔt dis simpul wan!

Sɔntɛnde, dɔktɔ dɛn kin gi pɔsin mɛrɛsin fɔ sik we rili siriɔs pas aw wi kin tink, nɔto so? If na so i bi, i rili impɔtant fɔ no gud gud wan wetin na di mɛrɛsin. Tide wi go tɔk bɔt wan spɛshal mɛrɛsin we smɔl, dat na Mercaptopurine , wan kayn pil we sɔm pipul dɛn kin kɔl bak 6-MP . Sɔntɛm dɛn dɔn gi yu ɔ pɔsin we yu sabi dis mɛrɛsin. So lɛ wi tɔk bɔt am smɔl mɔ, nɔto so?

So, us kayn mɛrɛsin na dis Mercaptopurine?

Fɔ tɔk am simpul wan, Mercaptopurine na kemotɛrapi mɛrɛsin we de mek di kansa sɛl dɛn nɔ gro. Fɔ tɔk di kɔrɛkt tin, i de kɔntrol aw di kansa sɛl dɛn de sheb ɛn gro. I kin mek wi bɔdi nɔ ebul fɔ fɛt di sik bak.

Bɔku tɛm dɛn kin yuz dis mɛrɛsin fɔ mɛn sɔm kayn lukimiya, lɛk akyu lukimiya . Bɔt sɔntɛnde, dɔktɔ dɛn kin gi dis mɛrɛsin fɔ ɔda sik dɛn. Yu dɔktɔ go ɛksplen wetin mek dɛn dɔn gi yu dis mɛrɛsin. If yu gɛt ɛni ɔda kwɛstyɔn, nɔ fred fɔ aks yu dɔktɔ ɔ fama.

Yu kin fɛn dis mɛrɛsin na di makit ɔnda di brand nem Purinethol .

Wetin na di impɔtant tin fɔ tɛl di dɔktɔ bifo yu bigin dis mɛrɛsin?

Dis rili impɔtant. Bifo yu bigin fɔ yuz Mercaptopurine, sɔm tin dɛn de we yu fɔ rili tɛl yu dɔktɔ. Bikɔs dis infɔmeshɔn na wetin yu dɔktɔ go yuz fɔ no di doz fɔ di mɛrɛsin fɔ yu, ɔ fɔ no if dis mɛrɛsin rayt fɔ yu ɔ nɔ rayt fɔ yu.

Na dɛn tru tin dɛn de:

• If yu gɛt sik na yu kidni .
• If yu gɛt liva sik .
• If yu blɔd sɛl nɔ bɔku – dat na if ripɔt sho se yu gɛt smɔl wayt blɔd sɛl, rɛd blɔd sɛl, ɔ pletlɛt.
• if yu gεt jεnεtik kכndyushכn we dεn kכl nyukliotayd difכsfataz (NUDT15) dεfisiεns (dεn kin no dis wit spεshal tεst).
• If yu jɔs dɔn gɛt ɛni vaysin, ɔ yu dɔn arenj fɔ gɛt wan tumara bambay.
• if yu gεt כda jεnεtik kכndyushכn we dεn kכl thiopurine methyltransferase (TPMT) dεfisiεns (dεn kin no dis bak wit spεshal tεst).
• If yu gɛt alɛji to mɛkaptopurin, ɛni ɔda mɛrɛsin, it, day, ɔ tin dɛn we de mek yu nɔ pwɛl.
• If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ, dat nɔ bad.
• If yu na mama we de gi pikin in bɛlɛ.

I rili impɔtant fɔ yu yon wɛlbɔdi fɔ tɛl yu dɔktɔ bɔt dɛn tin ya we yu nɔ go ayd.

Aw ɛksaktɔli a kin yuz dis mɛrɛsin?

Dis mɛrɛsin kin kam lɛk tablɛt. Yu fɔ tek dɛn tablɛt ya wit wan glas wata. Fɔ fala yu dɔktɔ in instrɔkshɔn ɔ di tin dɛn we de na di mɛrɛsin lɛbl jɔs lɛk aw dɛn gi am. Tek di mɔni we dɛn dɔn tɛl yu fɔ tek di tɛm we yu dɔn tɛl yu. Nɔ tek am mɔ ɔ mɔ pas aw yu dɔktɔ tɛl yu.

Di tin we impɔtant pas ɔl na fɔ nɔ stɔp fɔ tek dis mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu. If yu du dat, dat kin afɛkt yu sik.

If yu de gi dis mɛrɛsin to yɔŋ pikin dɛn , yu fɔ tɔk to yu dɔktɔ we de mɛn pikin dɛn bɔt am. Pan ɔl we dɛn kin gi pikin dɛn dis mɛrɛsin pan sɔm kes dɛn we dɛn kin pik, sɔm tin dɛn de we dɛn fɔ tek tɛm wit.

Wetin fɔ du if yu tek bɔku mɛrɛsin?

If yu tink se yu aksidɛntli tek tumɔs pan dis mɛrɛsin, kɔl pɔyzin kɔntrol sɛnta ɔ di ɔspitul imejensi dipatmɛnt we de nia yu wantɛm wantɛm. Nɔ west tɛm.

Duya mɛmba: Dɛn dɔn gi yu dis mɛrɛsin fɔ yu nɔmɔ. Nɔ sheb dis mɛrɛsin wit ɛni ɔda pɔsin fɔ ɛni rizin.

Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?

Sɔntɛnde, i pɔsibul fɔ mis wan doz, nɔto so? If dat apin, nɔ tek dabl doz fɔ mek di doz we yu mis. Skip di doz we yu mis ɛn tek yu nɛks doz na di rɛgyula tɛm. If yu gɛt ɛni dawt bɔt dis, aks yu dɔktɔ.

Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?

Dis na pɔynt bak we rili impɔtant. Sɔm mɛrɛsin dɛn de we kin mek yu gɛt prɔblɛm we yu tek am wit mɛkaptopurin.

Nɔ ɛva tek Mercaptopurine wit dɛn mɛrɛsin ya:

• Febuxostat (dis na mɛrɛsin we dɛn kin gi fɔ sik dɛn lɛk gaut) .

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

• Allopurinol (na mɛrɛsin bak fɔ gout ɛn sɔm kidni ston) .
• Sɔm mɛrɛsin dɛn we de mek blɔd nɔ klot, fɔ ɛgzampul, warfarin
• Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn sik dɛn lɛk ɔlsɛrativ kɔlayt: balsalazide, olsalazine, mesalamine, ɔ sulfasalazine
• Layf vayrɔs vaysin dɛn
• Trimethoprim-sulfamethoxazole (dis na antibayɔtik) .

Dis list nɔ kɔmplit. Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn (we dɛn gi yu ɔ we yu nɔ de bay na kɔt), ɔyl dɛn, vaytamɛn dɛn, ɛn di it we yu de tek.Dɔn bak, tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs. Dɛn tin ya kin miks wit yu mɛrɛsin.

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

Mercaptopurine na sɔm kayn mɛrɛsin we gɛt pawa, so yu nid fɔ tek tɛm mɔ bɔt sɔm tin dɛn we yu de tek am.

• Fɔ fil se yu nɔr de fil fayn smɔl: Yu kin fil fayn smɔl ɛn yu nɔr kin fil fayn we yu de tek dis mɛrɛsin. Dis na bikɔs dɛn mɛrɛsin ya we de agens kansa nɔ de afɛkt di kansa sɛl dɛn nɔmɔ bɔt i de afɛkt di sɛl dɛn we gɛt wɛlbɔdi bak. If yu gɛt ɛni bad bad tin we kin apin to yu, tɛl yu dɔktɔ . Bɔt i impɔtant fɔ tek di mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am, ilɛksɛf i nɔ fayn, te yu dɔktɔ tɛl yu fɔ stɔp.
• Tek tɛm wit infɛkshɔn: If yu gɛt sayn dɛn fɔ sik lɛk fiva, kol, trot we de at, kɔf, ɔ nos we de rɔn, nɔ fɔ tek mɛrɛsin fɔ yusɛf. Tɔk to yu dɔktɔ ɔ pɔsin we de kia fɔ yu wɛlbɔdi biznɛs wantɛm wantɛm fɔ advays. Dis mɛrɛsin kin ridyus yu bɔdi in ebul fɔ fɛt infɛkshɔn. So, tray fɔ de fa frɔm pipul dɛn we sik. Fɔ ɛgzampul, i bɛtɛ fɔ lɛ wi nɔ go na say dɛn we pipul dɛn kin bɔku ɛn fɔ go fɛn sik pipul dɛn.
• I izi fɔ brus ɛn blɔd: Dis mɛrɛsin kin mek yu brus izi wan, ɔ ivin blɔd izi wan bikɔs yu gɛt smɔl injury. If yu gɛt blɔd ɔ brus we nɔ kɔmɔn, tɛl yu dɔktɔ.
• San sɛnsitiviti: Yu skin kin rili sɛnsitiv to san layt we yu de tek dis mɛrɛsin. So, nɔ fɔ shayn di san dairekt as yu ebul. If yu go na do, wɛr klos we kɔba yu bɔdi fayn, wɛr hat, ɛn yuz tin fɔ protɛkt yusɛf frɔm di san. Nɔ yuz san lamp ɔ tanning bed/booth.
• Risk fɔ gɛt kansa: Dɛn kin se if yu tek dis mɛrɛsin, i kin mek yu gɛt sɔm kayn kansa smɔl. So, tɔk to yu dɔktɔ bɔt dis ɛn no bɔt di prɔblɛm we yu gɛt.
• Bɛlɛ ɛn bɔn pikin: Dis rili impɔtant!
• Uman: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn stɔp di mɛrɛsin. If yu de tray fɔ gɛt bɛlɛ ɔ yu tink se yu go gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm.
• Man: Nɔ tray fɔ bɔn pikin we yu de tek dis mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp di mɛrɛsin.

Dis mɛrɛsin kin mek di pikin we nɔ bɔn yet gɛt siriɔs prɔblɛm, so tek tɛm wit dis.

• Fɔ gi yu pikin in mama in bɛlɛ: Nɔ gi yu pikin in mama in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ wan wik afta yu dɔn stɔp di mɛrɛsin.
• Ifɛkt pan Fɛtiliti:Dis mɛrɛsin kin afɛkt yu ebul fɔ bɔn pikin. If yu gɛt ɛnitin fɔ wɔri bɔt dis, tɔk to yu dɔktɔ ɔ pɔsin we sabi bɔt wɛlbɔdi biznɛs.

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

Lɛk ɔl di mɛrɛsin dɛn, Mercaptopurine kin mek sɔm sayd ɛfɛkt dɛn. Bɔt, nɔto ɔlman kin gɛt dɛn. Sɔm pan dɛn fɔ ripɔt to dɔktɔ wantɛm wantɛm, ɛn ɔda wan dɛn kin telɛ fɔ sɔm tɛm.

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

• Alɛji: Skin de rɔsh, it, ayv; we yu fes, yu lip, ɔ yu tɔng swel.
• I nɔ kin izi fɔ yu fɔ blo.
• Di sayn dɛn we de sho se di blɔd sɛl dɛn nɔ bɔku: Dis mɛrɛsin kin mek di wayt blɔd sɛl dɛn, di rɛd blɔd sɛl dɛn, ɛn di pletlɛt dɛn nɔ bɔku. Dis kin mek di risk fɔ gɛt infɛkshɔn ɛn blɔd bɔku.
• Sayn dɛn we de sho se di pletlɛt dɛn nɔ de bɔku ɔ blɔd de kɔmɔt: i izi fɔ mek yu brus, yu de sho yu say dɛn we gɛt rɛd say dɛn na yu skin, yu gɛt blak tari stɔl, ɛn blɔd de na di urine.
• Di sayn dɛm wae de sho se yu gɛt smɔl smɔl rɛd blɔd sɛl dɛm: yu kin fil taya pasmak, yu kin fil wik, yu kin fɔdɔm, yu kin fil lɛk yu ed de tɔn, 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 pis.
• Sayn dɛm fɔ se yu liva wund: Dak yɔlɔ ɔ brawn urine; fil nɔr wɛl ɔr gɛt fiva ɔr sɔm kayn sayn dɛm wae tan lɛk flu; stɔl dɛn we gɛt pale; i nɔ kin want fɔ it igen; vɔmit; pen na di ɔp rayt say na di bɛlɛ; wik ɔ taya we nɔ kɔmɔn; di yay ɔ di skin we de yɔlɔ.
• Trot we kin at bad bad wan.
• Di bɛlɛ we de blo.

Bɔku tɛm, dɛn sayd ɛfɛkt ya nɔ kin nid fɔ ripɔt to yu dɔktɔ (bɔt if dɛn kɔntinyu ɔ de mɔna yu, tɛl yu dɔktɔ ):

• Rɔnbɛlɛ.
• Di ia we de lɔs.
• Sɔl dɛn na yu mɔt.
• Fɔ vɔmit.

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.

Aw yu kin kip di mɛrɛsin?

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

Stɔr na rum tɛmpracha (bitwin 20 ɛn 25 digri sɛlshiɔs / 68 ɛn 77 digri Fahrenheit). Protɛkt frɔm mɔstɔ. Kip di mɛrɛsin bɔtul/paket tayt tayt wan. Nɔ yuz mɛrɛsin we dɔn pas, trowe am.

Tin dɛn we wi fɔ mɛmba!

Okay, so wi bin tok plenti boht mercaptopurine, no?

Di tin we impɔtant pas ɔl na dat dis na mɛrɛsin we dɛn fɔ yuz jɔs lɛk aw dɛn tɛl am, ɔnda dɔktɔ advays.

• Lisin gud wan to ɔl wetin yu dɔktɔ de tɔk ɛn fala am.
• If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ fred fɔ aks di dɔktɔ.
• Yu fɔ no bɔt di bad tin dɛn we kin apin to yu, mɔ if yu gɛt ɛni wan pan di siriɔs tin dɛn we wi bin tɔk bɔt, ɛn tɛl yu dɔktɔ wantɛm wantɛm.
• If yu de yuz ɔda mɛrɛsin, nɔ fɔgɛt fɔ tɛl yu dɔktɔ bɔt dɛn.
• Fɔ fala di instrɔkshɔn dɛn bɔt bɛlɛ ɛn fɔ gi pikin in bɛlɛ.

Dis mɛrɛsin na ɛp fɔ trit yu sik. So, abop pan di dɔktɔ dɛn ɛn fala wetin dɛn tɛl yu fɔ du. A de wish yu fɔ wɛl kwik kwik wan!

` Mercaptopurine, 6-MP, Purinethol, kansa, lukimiya, kemotɛrapi, sayd ɛfɛkt dɛn