Yu dɔktɔ go dɔn gi yu wan injɛkshɔn we dɛn kɔl mɛtɔtreksɛt ɔnda yu bɔdi. Sɔntɛm yu gɛt wan sik lɛk at at sik, ɔr yu gɛt wan sik na yu skin lɛk psoriasis. Na nɔmal tin fɔ fil fɔ fred smɔl ɛn want fɔ no bɔt dis mɛrɛsin. So tide, lɛ wi tɔk bɔt am simpul wan we yu go ɔndastand.
Wetin rili na Mɛtɔtreksɛt?
Fɔ tɔk am simpul wan, mɛtɔtreksɛt na mɛrɛsin we de ridyus di inflamɛns na yu bɔdi. We yu gɛt wan sik lɛk at at, yu imyun sistɛm kin atak yu jɔyn dɛn. Dis kin mek pɔsin fil pen ɛn swel. Na di sem tin kin apin wit shingles.
So wetin dis mɛrɛsin de du na fɔ kɔntrol dis tin we yu nɔ want we yu imyun sistɛm de du ɛn ridyus di inflamɛns. Dis nɔ jɔs de mek yu nɔ gɛt pen ɛn swel , bɔt i de mek yu jɔyn ɔ yu skin nɔ pwɛl fɔ lɔng tɛm .
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
Fɔ mek yu sef, i impɔtant fɔ tɔk bɔt dɛn tin ya wit yu dɔktɔ. If yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl dɛn bifo yu bigin fɔ tek di mɛrɛsin.
- If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu de gi pikin in bɛlɛ. (Dis rili impɔtant)
- If yu gɛt wan sik we yu bɛlɛ ɔ yu lɔng dɛn ful-ɔp wit wata
- If yu na pɔsin we de drink ɔltɛm
- If yu gɛt infekshɔn ɔ yu imyun sistɛm wik
- If yu gɛt sik na yu kidni
- If yu gɛt liva sik
- If yu gɛt smɔl rɛd blɔd sɛl, wayt blɔd sɛl, ɔ pletlɛt
- If yu gɛt wan sik we de na yu lɔng
- If yu dɔn du redyushɔn tɛrapi
- If yu gɛt sik dɛn lɛk bɛlɛ ɔlsa ɔ ɔlsa kɔlayt
- If yu gɛt alɛji fɔ mɛtɔtreks ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
Aw ɛksaktɔli dɛn kin yuz dis vaysin?
Dɛn kin gi dis vaysin as injɛkshɔn we dɛn kin put ɔnda di bɔdi. Di ɔspitul ɔ klinik go tich yu aw fɔ gi am na os. So nɔ fred am.
Dis na sɔntin we yu fɔ mɛmba: Dɛn fɔ gi dis mɛrɛsin wan tɛm nɔmɔ insay di wik. Nɔ tek am ɛvride fɔ ɛni rizin! Gɛt di vaysin jɔs di de ɛn di tɛm we yu dɔktɔ tɛl yu.
Nɔ trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti. Wan spɛshal kɔntena de fɔ dɛn (shap kɔntena). If yu nɔ gɛt wan, aks yu dɔktɔ aw fɔ gɛt wan.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
If yu tink se yu dɔn tek dis mɛrɛsin tumɔs bay mistek, nɔ delay. Wantɛm wantɛm kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital . Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Wetin a go du if a fɔgɛt fɔ gɛt di vaysin?
If yu mis di doz we yu dɔn sɛtul, ɔ if yu nɔ shɔ if yu gɛt di vaysin kɔrɛkt wan, nɔ gɛt ɔda doz. Kɔl yu dɔktɔ wantɛm wantɛm fɔ advays.
Ɔda mɛrɛsin dɛn we nɔ de wok wit dis mɛrɛsin (Drug Interactions) .
Methotrexate na wan mɛrɛsin wae kin intarakt wit ɔda mɛrɛsin dɛm. So, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (inklud vaytamɛn, ɛbul mɛrɛsin, ɛn sɔpɔtmɛnt). Dis dɔŋ ya na jɔs sɔm ɛgzampul dɛn.
| Di kayn drɔg we dɛn kin yuz | Ɛgzampul dɛn |
|---|---|
| Mɛrɛsin fɔ sɔm sik dɛn na di skin | Asitretin we dɛn kɔl |
| Di mɛrɛsin dɛn we de mek pɔsin fil pen ɛn di mɛrɛsin dɛn we de mek pɔsin nɔ fil bad (NSAID) . | Aspirin, Ibuprofen, Naproksen, ɛn ɔda pipul dɛn |
| Sɔm antibayɔtik dɛn | Penisilin, Tɛtrasayklin, Trimɛtɔprim/sulfamɛtɔksazɔl |
| Mɛrɛsin fɔ gɛt gastritis (PPI) . | Esomeprazol, Omeprazol, Pantoprazol, ɛn ɔda pipul dɛn |
| Layf vayrɔs vaysin dɛn | Nɔ gɛt layf vaysin we yu de tek dis mɛrɛsin. |
| Ɔda mɛrɛsin dɛn | Haydroksiklorokin, Salfasalazin, Tiofilin, Fɛnitɔyn |
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Alkol ɛn san layt
Nɔ drink rɔm ɔltogɛda we yu de tek dis mɛrɛsin. Dɔn bak, dis mɛrɛsin kin mek yu skin fil bad we di san de shayn. So, stɔp yu fɔ de na di san as yu ebul. If yu de go na do na di san, put gud tin fɔ blok di san ɛn wɛr klos we de kɔba yu bɔdi.
Protekshɔn frɔm infɛkshɔn
Methotrexate kin ridyus yu bɔdi in ebul fɔ fɛt infɛkshɔn. Dat mek,
- If yu gɛt sɔm sayn dɛn lɛk fiva, kol, ɔ trot we de at, nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn go to dɔktɔ wantɛm wantɛm.
- Tray fɔ de fa frɔm pipul dɛm wae gɛt sik lɛk kol.
- Tek tɛm we yu de brus ɛn yuz flos yu tit. Blɔd we de kɔmɔt na di gɔm ɛn infɛkshɔn kin apin mɔ. If yu de du ɛni tit tritmɛnt, tɛl yu dɛntist se yu de tek dis mɛrɛsin.
We uman gɛt bɛlɛ ɛn we i de bɔn pikin
Dis rili impɔtant. If yu na uman, nɔ gɛt bɛlɛ fɔ ɛni rizin we yu de tek dis mɛrɛsin. Nɔ plan fɔ bɔn pikin fɔ at le 6 mɔnt afta yu dɔn stɔp di mɛrɛsin. If yu na man, nɔ fɔ bɔn pikin we yu de tek dis mɛrɛsin ɛn fɔ 3 mɔnt afta yu dɔn stɔp am. Dis mɛrɛsin kin rili ambɔg di pikin we nɔ bɔn yet. Aks yu dɔktɔ fɔ no mɔ bɔt dis.
Dɔn bak, nɔ gi yu pikin in bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ wan wik afta yu dɔn stɔp.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, dis wan kin gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Sayd Ifɛkt we i 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 |
| Liva injuri | Pen na di ɔp rayt bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ, yu yay ɔ yu skin de yɔlɔ, yu taya pasmak |
| Prɔblɛm dɛn we gɛt fɔ du wit di lɔng | Dray kɔf we nɔ ɛksplen, i nɔ izi fɔ blo |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, trot we de at, wund we nɔ de wɛl, infekshɔn na di urinary tract |
| Blɔd we nɔ de kɔmɔt fayn | Brus we nɔ ɛksplen ɛn blu skin, blɔd we de kɔmɔt na di gɔm |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, כ fut de swel |
| If i kɔntinyu ɔ i de mɔna yu, tɛl yu dɔktɔ. | |
| Kɔmɔn sayd ɛfɛkt dɛn | Nɔs, vɔmit, dayarɛa, diziz, mɔt sos, ia we de lɔs. |
Mɛsej we dɛn kin kɛr go na os
- Wan tɛm nɔmɔ insay di wik fɔ gi mɛtɔtreksɛt . Nɔ tek am ɛvride.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn we yu de tek, ɛn ɛni mɛrɛsin we yu gɛt.
- Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin ɛn fɔ lɔng tɛm we yu dɔktɔ tɛl yu.
- Go to dɔktɔ wantɛm wantɛm if siriɔs sayd ɛfɛkt (fiva, i nɔ izi fɔ blo, blɔd we nɔ kɔmɔn).
- Nɔ drink rɔm kpatakpata.
- Ɔltɛm fala yu dɔktɔ in instrɔkshɔn ɛn advays dɛn di rayt we.
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