Yu dɔktɔ dɔn gi yu wan mɛrɛsin we dɛn kɔl Methotrexate ? Ɔ pɔsin we yu sabi de yuz dis mɛrɛsin? Yu go dɔn fred smɔl ɔ yu want fɔ no mɔ we yu yɛri di nem fɔ dis mɛrɛsin. Na nɔmal tin fɔ gɛt kwɛstyɔn bɔt am bikɔs na mɛrɛsin we rili strɔng. So, lɛ wi tɔk bɔt dis mɛrɛsin simpul ɛn klia wan, lɛk ɔl ɔda tin.
Wetin na Mɛtɔtreksɛt?
Fɔ tɔk am simpul wan, Methotrexate na wan mɛrɛsin we dɛn kin yuz mɔ fɔ mɛn sɔm grup dɛn pan sik dɛn.
- Inflammatory conditions: Dis mɛrɛsin de ɛp fɔ ridyus inflammation na di bɔdi, dat na , swel, rɛd, ɛn pen, pan joyn sik dɛm lɛk at at ɛn skin sik dɛm lɛk psoriasis . Dis we ya , dɛn kin kɔntrol di sik ɛn mek i nɔ pwɛl di jɔyn ɛn skin fɔ lɔng tɛm.
- Sɔm kayn kansa : Dis mɛrɛsin kin mek di kansa sɛl dɛn nɔ gro sloslo , so dɔktɔ dɛn kin yuz am fɔ trit sɔm kayn kansa.
Apat frɔm wetin wi dɔn tɔk bɔt, yu dɔktɔ kin gi yu dis mɛrɛsin bak fɔ ɔda mɛrɛsin dɛn. So if yu gɛt ɛni kwɛstyɔn, aks yu dɔktɔ bɔt am.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu tek dis mɛrɛsin
Methotrexate na mɛrɛsin we yu fɔ tek tɛm yuz. So, bifo yu bigin fɔ tek dis mɛrɛsin, yu fɔ rili tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Di tin we de apin to yu | Tin dɛn we wi fɔ tink bɔt |
|---|---|
| If yu gɛt bɛlɛ ɔ yu de tray fɔ gɛt bɛlɛ | Dis rili impɔtant. Dis mɛrɛsin kin mek di pikin we de na di bɛlɛ bad bad wan. |
| If mama de gi in pikin in bɛlɛ | di mεdisin kin pas to di pikin tru in mama in milk. |
| If yu de drink rɔm ɔltɛm | Di damej we di liva kin gɛt kin rili bad. |
| If yu gɛt liva ɔ kidni sik | Di we aw dɛn de pul di mɛrɛsin na di bɔdi kin ambɔg ɛn di sayd ɛfɛkt dɛn kin bɔku. |
| If yu nɔ gɛt bɔku rɛd blɔd sɛl, wayt blɔd sɛl, ɔ pletlɛt na yu blɔd | Dis mɛrɛsin kin mek dis sik wɔs. |
| If yu gɛt lɔng kɔndishɔn ɔ wata na yu bɛlɛ/lɔng | Di mɛrɛsin kin mek i nɔ izi fɔ blo. |
| If yu gɛt prɔblɛm wit yu bɛlɛ ɔ yu intestinal (e.g. ɔlsa) . | Dɛn tin ya kin bi siriɔs tin. |
| If yu gɛt alɛji fɔ dis mɛrɛsin ɔ ɛni ɔda mɛrɛsin/fud | Dis impɔtant fɔ mek yu nɔ gɛt siriɔs alɛji. |
Aw ɛksaktɔli a kin yuz dis mɛrɛsin?
Dis na di pat we yu nid fɔ pe atɛnshɔn to mɔ.
I rili impɔtant fɔ tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ dɔn tɛl yu fɔ tek am, di mɔni we dɛn tɛl yu fɔ tek, ɛn di tɛm we dɛn tɛl yu fɔ tek am. If dis mɛrɛsin kam as sɔlv, yuz spɛshal mɛzhɔmɛnt spun ɔ kɔp nɔmɔ. Nɔ mɛzhɔ wit ti spɔnj ɔ tebul spɔnj we yu kin yuz na os, bikɔs dɛn nɔ kin ebul fɔ mɛzhɔ di rayt we.
Di tin we impɔtant pas ɔl: No ustɛm yu nid fɔ tek dis mɛrɛsin. Dɛn kin gi dis mɛrɛsin wan tɛm insay di wik, nɔto ɛvride . If yu tek dis mɛrɛsin bɔku tɛm pas aw yu dɔktɔ tɛl yu fɔ tek am, dat kin mek yu gɛt siriɔs sayd ɛfɛkt, ivin day. So tek tɛm bad bad wan bɔt dis.
Wetin fɔ du if yu tek bɔku mɛrɛsin? (Ovadosage) .
If yu tink se yu dɔn tek bɔku mɛrɛsin, go na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
If yu mis wan doz, tɔk to yu dɔktɔ bɔt am. Nɔ ɛva tek tu doz wan tɛm fɔ mek di doz we yu dɔn fɔgɛt.
Ɔda tin dɛm wae kin intarakt wit dis mɛrɛsin (Interactions) .
Methotrexate na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek.
- Nɔ tek di mɛrɛsin Acitretin wit dis atɔl.
Apat frɔm dat, dɛn mɛrɛsin ya kin wok wit mɛtɔtreksɛt:
- Di mɛrɛsin dɛn we de mek pɔsin fil pen lɛk aspirin
- Azatiɔprin we dɛn kɔl
- Sɔm antibayɔtiks - ɛgz. penisilin, tɛtrasayklin
- Mεdisin dεm we de mek bכdi nכ kכlכt - fכ egzampl. warfarin, we dɛn kɔl apixaban
- Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ gastritis - ɛgz. esomeprazole, ɔmɛprazɔl
- mεdikeshכn dεm we de sכpres di imyun - fכ egzampl. Sayklɔspɔrin we dɛn kɔl
- Layf vayrɔs vaysin dɛn
- NSAID fɔ pen ɛn inflamɛns - ɛgz. ibuprofen, naproxen we dɛn kin yuz fɔ mek tin dɛn
- Steroid-tayp mεdikeshכn dεm - fכ egzampl. prednison, we na kɔtizɔn
- Mɛrɛsin dɛn we gɛt sɔlfa
- Ɔda mɛrɛsin dɛn we de mek pɔsin nɔ gɛt kansa
Dis list nɔ kɔmplit. So tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn) . Dɔn bak, tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ mɛmba we yu de tek mɛrɛsin
- Fɔ tɛst yu blɔd ɔltɛm: I go mɔs bi se yu dɔktɔ go tɛl yu fɔ du blɔd tɛst ɔltɛm we yu de tek dis mɛrɛsin. Dɛn tin ya go chɛk fɔ si if i gɛt ɛnitin fɔ du wit yu blɔd sɛl, liva, ɛn kidni. Nɔ skip dɛn tɛst ya.
- Nɔ drink rɔm: Nɔ drink rɔm ɔl dis tɛm. I kin mek di liva pwɛl bad bad wan.
- Protɛkt yusɛf frɔm di san: Dis mɛrɛsin kin mek yu skin rili sɛnsitiv to di san. So if yu go de na di san, wɛr klos we de kɔba yu bɔdi ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san.
- Tek tɛm we yu nɔ gɛt wata na yu bɔdi: Tɛl yu dɔktɔ if yu gɛt bad bad dayarɛa, yu de vɔmit, ɔ yu de swet pasmak. If yu nɔ gɛt bɔku wata na yu bɔdi, dat kin mek pɔsin we de tek dis mɛrɛsin denja.
- Protɛkt yusɛf frɔm infɛkshɔn: Dis mɛrɛsin de ridyus di bɔdi in ebul fɔ fɛt sik (immunity). So, if yu gɛt sɔm sayn dɛn lɛk fiva, kol, ɔ trot we de at , tɛl yu dɔktɔ wantɛm wantɛm. Nɔ tek mɛrɛsin yu wan. Nɔ go na say dɛn we sik pipul dɛn de.
- Wach fɔ blɔd: Tek tɛm we yu de brus yu tit ɛn yuz tutpik. Yu gam kin blɔd. If yu gɛt ɛni brus na yu bɔdi, tɛl yu dɔktɔ .
- Nɔ gɛt bɛlɛ (i rili impɔtant):
- Uman: Nɔ gɛt bɛlɛ ɔltogɛda we yu de tek dis mɛrɛsin ɛn fɔ 6 mɔnt afta yu dɔn stɔp di mɛrɛsin.
- Man: If yu de tek dis mɛrɛsin, nɔ fɔ bɔn pikin we yu de tek di mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp.
- Dis mɛrɛsin kin ambɔg di pikin we nɔ bɔn yet bad bad wan . So, tɔk to yu dɔktɔ bɔt di rayt we fɔ kɔntrol di pikin.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, mɛtɔtreksɛt kin mek yu gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd ɛfɛkt we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| I nɔ kin izi fɔ yu fɔ blo | Dray kɔf, i nɔ izi fɔ blo. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, kɔf, trot we de at, wund dɛn we nɔ de wɛl. |
| Di sayn dɛm we de sho se di liva ɔ kidni dɔn pwɛl | Pen na yu rayt bɛlɛ, yu nɔ de want fɔ it, yu yay ɔ yu skin de yɔlɔ, yu nɔ de pul urine, ɛn yu anklɛ de swel. |
| Blɔd ɔ brus we nɔ kɔmɔn | Brus, blɔd kɔmɔt na di gam ɔ nos fɔ natin. |
| Skin blista ɔ sɔl | di skin de rεd, blista, di skin de kכl, sכm insay di mכt. |
| Tɛl yu dɔktɔ if i kɔntinyu fɔ de ɔ i de mɔna yu. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Nɔ digest/dayarɛa, nɔs, vɔmit, ia we de lɔs, diziz, mɔt sos. |
Mɛsej we dɛn kin kɛr go na os
- Methotrexate na pawaful mɛrɛsin we dɛn kin yuz fɔ mɛn sik dɛn lɛk at at, psoriasis, ɛn kansa.
- Di tin we impɔtant pas ɔl: Tek dis mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek am. Bɔku tɛm, na mɛrɛsin we dɛn kin tek wan tɛm insay di wik , nɔto wan we dɛn kin tek ɛvride.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek ɛn ɛni ɔda mɛrɛsin we yu gɛt.
- Nɔ drink rɔm ɔltogɛda we yu de tek di mɛrɛsin.
- I rili impɔtant: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ sɔm tɛm afta yu dɔn stɔp am. Dis kin apin to uman ɛn man.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt lɛk fiva, blɔd we nɔ kɔmɔn, ɔ we i nɔ izi fɔ blo, tɛl yu dɔktɔ wantɛm wantɛm.
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