Sɔntɛm, dɔktɔ dɔn gi yu, ɔ pɔsin we yu sabi, wan mɛrɛsin we dɛn kɔl Rifampin. Dis nɔto jɔs pil we yu de swɛla, bɔt bɔku tɛm dɛn kin gi am as injɛkshɔn insay di bɔdi tru wan vein. Dɛn kin yuz am mɔ fɔ mɔ siriɔs infɛkshɔn lɛk Tubakulosis (TB). So, lɛ wi tɔk bɔt dis mɛrɛsin smɔl mɔ, bɔt insay simpul Sinhala we yu kin ɔndastand?
Fɔ tɔk am simpul wan, wetin na Rifampin?
Rifampin na wan rili pawaful antibayɔtik we dɛn kin yuz fɔ mɛn infɛkshɔn we baktri dɛn kin kam wit . Di tin we impɔtant pas ɔl fɔ mɛmba na dat dis mɛrɛsin de jɔs trit baktriyal infɛkshɔn.
Dis mɛrɛsin nɔ gɛt ɛni ɛfɛkt pan sik dɛn we vayrɔs kin kam wit, lɛk kɔmɔn kol ɛn flu. So, i bɛtɛ fɔ lɛ yu nɔ yuz dis kayn mɛrɛsin we yu nɔ gɛt dɔktɔ in prɛskrishɔn.
Dɛn kin yuz dis mɛrɛsin bak fɔ ɔda sik dɛn. If yu gɛt ɛni kwɛstyɔn bɔt am, aks yu dɔktɔ.
Bifo yu bigin fɔ tek di mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ dɛn tin ya:
Bifo yu bigin fɔ trit yu wit Rifampin, i rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi kɔndishɔn. Mek shɔ se yu tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya.
| Wɛlbɔdi kɔndishɔn ɔ abit | Wetin mek yu fɔ tɛl di dɔktɔ? |
|---|---|
| Shuga | Rifampin kin chenj di blɔd shuga lɛvɛl. |
| Liva sik | Bikɔs dis mɛrɛsin kin afɛkt di liva, i impɔtant fɔ tɛl di dɔktɔ if yu gɛt ɛni sik we bin dɔn de bifo. |
| HIV ɔ AIDS stetmɛnt | Dis mɛrɛsin kin miks wit di mɛrɛsin dɛn we dɛn kin tek fɔ HIV. |
| Fɔ drink rɔm ɔltɛm | Ɔl tu di rɔm ɛn Rifampin kin afɛkt di liva, so di risk kin go ɔp. |
| Fɔ gɛt bɛlɛ ɔ fɔ gɛt pikin | Yu fɔ tɔk to yu dɔktɔ bɔt aw dis mɛrɛsin kin afɛkt yu we yu gɛt bɛlɛ. |
| Fɔ gi pikin in mama in bɛlɛ | i kin bi se di mεdisin kin pas to di pikin tru in mama in milk. |
| We yu wɛr kɔntakt lens | Rifampin kin tɔn di tin dɛn we de kɔmɔt na di bɔdi, lɛk kray wata ɛn swet, we gɛt rɛd-ɔrɛnj kɔlɔ, ɛn i kin mek sɔft kɔntakt lens dɛn stɛyn fɔ ɔltɛm. |
| Alɛji to ɔda mɛrɛsin, it, ɔ tin dɛn | If yu gɛt alɛji fɔ Rifampin ɔ ɛni ɔda tin, i impɔtant fɔ tɛl yu dɔktɔ bifo yu bigin fɔ trit yu. |
Aw dɛn kin gi dis mɛrɛsin?
Dɛn kin gi dis mɛrɛsin sloslo insay wan vein (infusion). Bɔrku tɛm, na wɛl bɔdi pɔrsin (dɔktɔ ɔ nɔs) kin gi dis na ɔspitul ɔ klinik.
Sɔntɛnde, yu kin nid fɔ gi yusɛf dis vaysin na os. If na so i bi, dɛn go tich yu aw fɔ pripia ɛn gi am di rayt we. I rili impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am, di rayt tɛm, ɛvride . Kɔntinyu fɔ tek di tritmɛnt te yu dɔktɔ tɛl yu fɔ stɔp.
Fɔ trowe nidul ɛn sirinj dɛn
If yu de yuz dis mɛrɛsin na os, nɔ ɛva trowe nidul ɛn sirinj dɛn we yu dɔn yuz na di dɔti we yu kin trowe ɔltɛm . Wan spɛshal kɔntena de we gɛt shap shap fɔ dɛn. If yu nɔ gɛt wan, aks yu dɔktɔ fɔ wan.
If dɛn ad di doz fɔ di mɛrɛsin (Overdosage) .
If yu tink se yu aksidɛntli tek bɔku mɛrɛsin, go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm . Ɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ advays.
Us ɔda mɛrɛsin dɛn kin miks wit dis mɛrɛsin?
Rifampin na wan mɛrɛsin wae kin intarakt wit bɔrku ɔda mɛrɛsin dɛm, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛm wae yu de tek.
Speshal Wonin: Sɔm pan dɛn mɛrɛsin ya nɔ fɔ ɛva tek wit Rifampin. So if yu de yuz ɛni wan pan dɛn tin ya, tɛl yu dɔktɔ wantɛm wantɛm. Fɔ ɛgzampul, sɔm antivayral mɛrɛsin fɔ HIV ɔ Epatitis, lɛk Praziquantel ɛn Voriconazole.
Di tebul dɔŋ ya de sho sɔm ɔda mɛrɛsin dɛm wae kin intarakt wit Rifampin. Dis list nɔ kɔmplit, bɔt i go gi yu sɔm aidia.
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | Asetaminofɛn, Mɔfin, Ɔksijɛn |
| Ɔda antibayɔtik dɛn | Dɔksisayklin , Klaritromaysin, Siproflɔksasin |
| Antikɔagulɛnt dɛn | Warfarin, Klɔpidogrɛl, Tikagrelɔr |
| Di mɛrɛsin dɛn we dɛn kin yuz fɔ gɛt dayabitis | Glipizayd, Gliburayd, Rosiglitazɔn |
| Mɛrɛsin fɔ at sik ɛn ay blɔd prɛshɔn | Simvastatin, ɛn bɔku ɔda mɛrɛsin dɛn. |
| Fem ɔmon ɛn bɔn kɔntrol pils | Drug dɛn we gɛt ɛstrojen ɛn prɔjɛstin. |
| Mɛrɛsin fɔ mɛn sik dɛn we pɔsin kin gɛt na in maynd | Mɛrɛsin fɔ pwɛl hat ɛn wɔri. |
So, we yu go to yu dɔktɔ, kam wit wan list we gɛt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek . Mek shɔ se yu tɛl yu dɔktɔ if yu de smok ɔ drink rɔm.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
- Di sayn dɛm: If yu sik nɔr de bɛtɛ, ɔr if i de wɔs, tɛl yu dɔktɔ.
- Daya: If yu gɛt dayarɛa, nɔ tek mɛrɛsin dɛn we yu nɔ kin bay. If dayarɛa tek pas tu dez, ɔr i bad ɛn wata, kɔl yu dɔktɔ.
- Di bad bad tin dɛn we kin apin to pɔsin na di skin: Dis rili impɔtant. Sɔm bad bad tin dɛn kin apin to yu skin ivin sɔm wiks afta yu dɔn bigin dis mɛrɛsin. If yu gɛt rɛd/pɔpul skin rash wit fiva, bɔdi de at, ɔ if di rash de blista ɛn pul, ɔ if yu gɛt sɔl insay yu mɔt, go to dɔktɔ wantɛm wantɛm .
- Kɔntrol fɔ bɔn pikin: Di pils fɔ kɔntrol di pikin nɔ kin wok fayn we yu de tek dis mɛrɛsin. So, tɔk to yu dɔktɔ bɔt aw fɔ yuz ɔda we fɔ kɔntrol pikin (e.g., kɔndɔm) fɔ mek yu nɔ gɛt bɛlɛ.
- Vitamin: I kin impɔtant fɔ gɛt inof vaytamɛn B6 ɛn vaytamɛn D we yu de tek dis mɛrɛsin. Tɔk to yu dɔktɔ bɔt di it ɛn vaytamɛn dɛn we yu de tek.
Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt
Lɛk ɛni mɛrɛsin, Rifampin kin mek yu gɛt sayd ɛfɛkt. Sɔm siriɔs, sɔm kɔmɔn.
| Siriɔs sayd ɛfɛkt dɛn we nid fɔ go to dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong, i nɔ izi fɔ blo. |
| Di sayn dɛn we de sho se pɔsin in liva wund | Pen na di ɔpa rayt bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de gɛt pale stɔl, yu gɛt dak yɔlɔ/brawn urine, yu yay ɔ yu skin de yɔlɔ. |
| Di sayn dɛn we de sho se pɔsin de blɔd | Blɔd ɔ tar stɔl, vɔmit we tan lɛk kɔfi grɔn, rɛd/pɔpul spat na di skin, ɛn brus we nɔ ɛksplen. |
| Skin de blistering/peeling | di skin de rεd, blista, di skin de kכl (ivin insay di mכt). |
| Tin dɛm wae nɔr kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Chenj di kɔlɔ we di wata we de na di bɔdi gɛt | Yurin, swet, saliva, kray wata, ɛn ɔda tin dɛn kin tɔn to rɛd-ɔrɛnj kɔlɔ. Dis na tin we dɛn de ɛkspɛkt ɛn i nɔ bad. |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Nɔs, vɔmit, gas, at bɔn , nɔ want fɔ it. |
| Ɔda tin dɛn we de apin | Ed pen , diziz, slip, taya. |
Mɛsej we dɛn kin kɛr go na os
- Rifampin na pawaful antibayɔtik we dɛn kin gi fɔ baktriyal infɛkshɔn, nɔto fɔ vayrɔs.
- Ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn di mɛrɛsin dɛn we yu de tekTɛl di dɔktɔ bɔt am.
- Tɔk to yu dɔktɔ bɔt aw fɔ yuz ɔda kayn we fɔ kɔntrol bɔn pikin , bikɔs di we aw dɛn de yuz bɔn kɔntrol pils kin ridyus we yu de tek dis mɛrɛsin.
- If yu gɛt ɛni siriɔs sayd ɛfɛkt, lɛk fɔ gɛt bad bad sik dɛn na yu skin, yu yay dɛn yɔlɔ, ɔ blɔd we nɔ kɔmɔn , go to dɔktɔ wantɛm wantɛm.
- Na nɔmal tin fɔ mek yu urine, swet, ɛn kray wata tɔn rɛd-ɔrɛnj ɛn nɔto sɔntin fɔ wɔri bɔt.
- Kɔmplit di ɔl di tritmɛnt we di dɔktɔ tɛl yu fɔ du, ɛn nɔ skip wan doz .
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin dɛn de yuz Rifampin IV / Rifadin fɔ?
Dis na antibayɔtik we rili pawaful! Dɛn kin yuz am mɔ fɔ pwɛl di jem/baktri dɛm we de kil pipul dɛm we dɛn kɔl ‘Tuberculosis’ ɛn siriɔs ‘Meningitis’ kpatakpata. We di pɔsin sik tumɔs fɔ tek pils (na di ICU), dɔktɔ dɛn kin injekt dis mɛrɛsin dairekt insay di vein (IV).
💬 Aw dis injεkshכn (Rifampin) de kil di TB baktri dεm we de kil we dεn injεkt am insay di bכdi?
we di TB baktri dεm go insay wi bכdi, dεn de mek RNA frכm in DNA εn spre di sik. as dis vaksin go insay di bכdi, i de blכk/inhibit baktriyal RNA sεntesis kכmplit wan, di כnli fכktri we de mek RNA insay di baktri dεm (RNA polimεrayz εnzym). Bikɔs i nɔ kin ebul fɔ sɛn nyu mɛsej/RNA, di bɔdi nɔ kin ebul fɔ bɔn pikin ɛn i kin day insay sɔm awa.
💬 Wetin na di sayd ɛfɛkt dɛm we de mek dis pawaful vaysin (Rifampin) denja pas ɔl?
Di big denja na dat i kin mek ‘100% liva damej’ (Severe Hepatotoxicity / Liver Damage)! If yu skin/ays tɔn yɔlɔ (Jaundice), go na ɔspitul wantɛm wantɛm. Di ɔda tin we de mek yu sɔprayz ɛn we de mek yu fred na dat we dis go insay yu bɔdi, yu ‘urine, kray wata, ɛn swet’ kin tɔn brayt ‘Ɔrɛnj-Rɛd’ kɔlɔ! (Dat na wan kɔmɔn tin we dis drɔg gɛt). di כda tin na dat i de kכt 100% pan di pawa fכ כda mεdikeshכn dεm we yu de tek (e.g. bכn kכntrכl pils).
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