Yusɛf dɔn gɛt ɔgan transplant, lɛk kidni, liva, ɔ at, ɛn di dɔktɔ gi yu spɛshal mɛrɛsin fɔ mek yu bɔdi nɔ gri fɔ tek di nyu ɔgan. Bɔku tɛm, dɛn kin kɔl da mɛrɛsin de Tacrolimus. Dis na mɛrɛsin we rili impɔtant, ɛn na mɛrɛsin we yu nid fɔ yuz wit sɔm kia. So, as yu padi, a de ya fɔ tɛl yu ɔl wetin yu nid fɔ no bɔt dis mɛrɛsin insay simpul, Sinhala langwej we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na Tacrolimus?
Tink bɔt wi bɔdi in imyun sistɛm lɛk ami we de protɛkt wan kɔntri. Dis ami de pwɛl ɛnimi dɛn lɛk jem ɛn vayrɔs dɛn we de kɔmɔt na do. naw, we yu gεt nyu כgan transplant, dis "ami" na wi bכdi de si da nyu כgan de lεk "εnεmi." Na bikɔs na nyu tin to di bɔdi. So dis ami bigin fɔ atak di nyu ɔgan. Dis na wetin wi kin kɔl "ɔgan rijɛkt."
Tacrolimus na wan drɔg we de kɔl di aktiviti fɔ da "ami" de. Insay mɛrɛsin, wi kin kɔl dɛn tin ya we de mek pɔsin nɔ ebul fɔ fɛt di sik . Fɔ tɔk am simpul wan, dis drɔg de tɛl wi imyun sistɛm se, "Nɔ wɔri, dis nyu ɔgan na wi padi, nɔ atak am." So di nyu ɔgan we dɛn dɔn transplant kin bigin fɔ wok lɛk pat pan yu bɔdi we nɔ gɛt ɛni prɔblɛm.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin dis mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no gud gud wan bɔt yu wɛlbɔdi biznɛs bifo i gi yu dis mɛrɛsin. So, if yu gɛt ɛni wan pan di sik dɛn we de dɔŋ ya, mek shɔ se yu tɛl yu dɔktɔ.
- If yu gɛt dayabitis .
- If yu gɛt at sik .
- If yu gɛt ay blɔd prɛshɔn .
- If ɔda prɔblɛm de wit di imyun sistɛm.
- If yu gɛt infɛkshɔn we dɔn de (ivin sɔntin lɛk fiva, kol, kɔf).
- If yu gɛt sik na yu kidni .
- If yu gɛt liva sik .
- If yu dɔn schedul fɔ gɛt vaysin tumara bambay ɔ yu jɔs dɔn gɛt wan.
- If yu dɔn gɛt alɛji fɔ takrolimus ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- If yu de tray fɔ gɛt bɛlɛ ɔ yu gɛt bɛlɛ .
- If yu na mama we de gi pikin in bɛlɛ .
I rili impɔtant fɔ yu sef fɔ tɔk dɛn tin ya ɛn nɔ ayd dɛn.
Wetin na di kɔrɛkt we fɔ tek di mɛrɛsin?
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, yu nid fɔ tek am jɔs lɛk aw dɛn tɛl yu fɔ tek am.
- Swɛla di mɛrɛsin ɔl wit wan glas wata.
- Nɔ tek dis mɛrɛsin wit grep ɔ grep jus fɔ ɛni rizin. Dis rili impɔtant. Grepfruit jus kin mek di Tacrolimus gɛt bɔku bɔku denja na di bɔdi.
- Gɛt di abit fɔ tek yu mɛrɛsin di sem tɛm ɛvride. If na 8 oklɔk mɔnin, tek am 8 oklɔk ɛvride. Dis go ɛp fɔ mek di lɛvɛl dɛn we di mɛrɛsin de na yu bɔdi nɔ chenj.
- Nɔ brok, krɔs, ɔ chew di mɛrɛsin. Swɛla am ɔl.
- Yu kin tek dis mɛrɛsin bifo ɔ afta yu it. Bɔt yu fɔ gɛt di abit fɔ tek am di sem tɛm ɛvride. If yu tek am bifo yu it, tek am ɛvride bifo yu it. If yu tek am afta yu it, tek am ɛvride afta yu it.
- Kɔntinyu fɔ yuz dis mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp. Nɔ stɔp wantɛm wantɛm.
Mɛmba se na fɔ yu nɔmɔ dɛn dɔn gi dis mɛrɛsin. Nɔ ɛva gi yu mɛrɛsin to ɔda pɔsin, ilɛksɛf dɛn gɛt di sem sayn dɛn we yu gɛt.
Wetin fɔ du if yu tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas di doz we dɛn gi yu, nɔ panik ɛn tek akshɔn wantɛm wantɛm.
- If i pɔsibul, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- Ɔda we de fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Wetin a go du if a fɔgɛt fɔ tek mi mɛrɛsin?
Wi ɔl kin fɔgɛt tin dɛn. If yu fɔgɛt fɔ tek yu mɛrɛsin, na dis fɔ du:
- Tek di doz we yu mis as yu mɛmba.
- Bɔt if i dɔn lɛf smɔl fɔ lɛ yu tek yu nɛks doz we yu mɛmba (e.g., i jɔs de fɔ sɔm awa), skip di doz we yu mis ɛn tek yu nɛks doz na di tɛm we dɛn dɔn sɛtul.
- Nɔ ɛva tek dɛbul doz fɔ mek di doz we yu mis ɛn di nɛks doz.
Ɔda mɛrɛsin dɛm wae kin intarakt wit Tacrolimus
Tacrolimus kin intarakt wit bɔku ɔda mɛrɛsin dɛn. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (di mɛrɛsin dɛn we yu kin gi yu, di mɛrɛsin dɛn we yu kin bay we yu nɔ de bay, di mɛrɛsin dɛn we yu kin yuz fɔ mɛn yu pen, vaytamɛn dɛn, ɛbul mɛrɛsin dɛn, ɛn ɛbul sɔpɔtmɛnt dɛn, lɛk Sɛnt Jɔn wɔt). Yu kin fɛn mɔ tin dɛn bɔt dis na di tebul we de dɔŋ ya.
| Medisin/Tayp fɔ it | Speshal not dɛn |
|---|---|
| Nɔ ɛva tek dɛn tin ya wit Tacrolimus! | |
| Grepfruit ɛn in jus | I denja fɔ mek di lɛvɛl we Tacrolimus de na di bɔdi go ɔp. |
| Sayklɔspɔrin we dɛn kɔl | If yu tek dɛn tu mɛrɛsin ya togɛda, dat kin pwɛl di kidni dɛn. |
| Layf vayrɔs vaysin dɛn | Bikɔs di imyuniti nɔ bɔku, di vaysin kin mek pɔsin sik. |
| Mεdisin dεm lεk Fluconazole, Ketoconazole, Cidofovir, Dronedarone, Pimozide | Dɛn tin ya kin rili afɛkt di Tacrolimus lɛvɛl. |
| If yu de tek dɛn tin ya, mek shɔ se yu tɛl yu dɔktɔ. | |
| Sɔm antibayɔtik dɛn | Eks: Klaritromaysin, Rifampin |
| Mɛrɛsin fɔ blɔd prɛshɔn ɛn at sik | Eks: Diltiazem, Ɛnalapril, Lɔsartan |
| Antifungals dɛn we dɛn kin yuz | Eks: Itrakonazɔl, Vɔrikonazɔl |
| Sɛnt Jɔn in wɔt | Dis de ridyus di effektiv we Tacrolimus de wok. |
| Antivayrɔs fɔ HIV ɔ Epatitis | Dɛn tin ya kin afɛkt di Tacrolimus lɛvɛl. |
Tin dɛn we yu fɔ tek tɛm wit mɔ we yu de tek dis mɛrɛsin:
Yu go nid fɔ mek sɔm smɔl chenj dɛn na yu layf we yu de tek takrolimus. Dɛn tin ya rili impɔtant fɔ mek yu sef.
Di mɛdikal tɛst dɛn we dɛn dɔn arenj fɔ du
Yu dɔktɔ go nid fɔ si yu ɔltɛm. I go ɔda bak fɔ mek dɛn du blɔd tɛst ɔltɛm fɔ chɛk yu Tacrolimus lɛvɛl ɛn di kidni we de wok. Nɔ ɛva mis dɛn apɔntin ɛn blɔd tɛst ya.
Protɛkt yusɛf frɔm infɛkshɔn
Bikɔs dis mɛrɛsin de ridyus di wok we yu imyun sistɛm de du, yu kin gɛt sik dɛn mɔ, mɔ we yu gɛt infɛkshɔn.
- Minimiz fɔ go na ples dɛn we pipul dɛn kin bɔku as yu ebul.
- Stay away frɔm pipul dɛm wae gɛt sik lɛk fiva ɛn kol.
- Wash yu an bɔku tɛm wit sop.
- If yu gɛt sayn dɛn fɔ wan infekshɔn lɛk fiva, kol, trot we de at, kɔf, ɔ bɔn we yu de pis, nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn kɔl yu dɔktɔ wantɛm wantɛm.
Bɛlɛ ɛn kɔntrol fɔ bɔn pikin
- Uman: We yu gɛt bɛlɛ we yu de tek dis mɛrɛsin, i kin mek di pikin gɛt siriɔs prɔblɛm wit di pikin. So, i impɔtant fɔ yuz bɔn kɔntrol we pɔsin kin abop pan bifo yu bigin di mɛrɛsin ɛn ɔl di tɛm we yu de tek am. Tɔk to yu dɔktɔ bɔt dis.
- Man: If yu de tek dis mɛrɛsin, i impɔtant fɔ yuz kɔndɔm we yu de du mami ɛn dadi biznɛs. If yu patna gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm.
Tek tɛm wit di san.
Tacrolimus kin mek yu skin fil bad fɔ di san ɛn i kin mek yu gɛt kansa na yu skin smɔl.
- Nɔ go na do na di san as yu ebul.
- If yu de go na do na di san, wɛr klos we gɛt lɔng sliv, hat, ɛn yuz gud tin fɔ protɛkt yusɛf frɔm di san .
Di blɔd shuga lɛvɛl
Dis mɛrɛsin kin mek yu blɔd shuga bɔku (haypa glycemia) . Dis risk kin bɔku mɔ if yu gɛt dayabitis. Wach fɔ di sayn dɛm lɛk fɔ tɔsti ɔltɛm, fɔ pis ɔltɛm, ɛn fɔ si fayn fayn wan.
Sayd ɛfɛkt dɛn we kin apin bikɔs ɔf mɛrɛsin
Lɛk ɛni mɛrɛsin, Tacrolimus kin mek yu gɛt sayd ɛfɛkt. Sɔm dɛn kin siriɔs, ɛn ɔda wan dɛn nɔ kin fred. De impɔtant tin na fɔ no bɔt dɛn sik ya ɛn tek akshɔn kwik if nid de.
| Simptom dɛm fɔ sayd ɛfɛkt dɛm | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm! | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| Di sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol, trot we de at, wund we nɔ de wɛl. |
| Kidni injury | di urine we de kכmכt dכn, di ankכl, an, כ fut de swel. |
| Blɔd prɛshɔn we de go ɔp | Siriv ed pen, diziz. |
| Di blɔd shuga we de go ɔp (Hyperglycemia) . | Tɔsti pasmak, pis bɔku tɛm, taya pasmak, yu nɔ de si fayn. |
| Di chenj dɛn we de apin na di at rit | Hat de bit fast ɔ i nɔ de bit ɔltɛm, yu de tɔn diziz, yu de fil pen na yu chɛst. |
| Prɔblɛm dɛn we gɛt fɔ du wit di nervɔs sistɛm (PRES) . | Wantɛm we yu ed kin at bad bad wan, yu kin kɔnfyus, yu kin si chenj, yu kin gɛt sik we yu de si. |
| Ifekt pan di blɔd sɛl dɛn (TTP/HUS) . | Pepul spat na di skin ɔ insay di mɔt, di skin we de shayn, di yay we de yɔlɔ, taya pasmak, fiva. |
| Bɔku tɛm, dɛn tin ya nɔ kin siriɔs, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ. | |
| Dayarɛa ɔ kɔnstipɛshɔn | Bɔku tɛm, dɛn tin ya kin stɔp insay sɔm dez. |
| Di we aw pɔsin kin shek shek | Yu kin fil se yu de shek, mɔ na di an dɛn. |
| Trobul fɔ slip | I nɔ kin izi fɔ mek yu slip. |
| Di an ɛn fut dɛn kin swɛla ɔ i kin fil pen | Yu kin fil lɛk se yu de swɛt na yu an ɛn yu fut. |
Aw yu kin kip ɛn trowe di mɛrɛsin fayn fayn wan?
- Kip di mɛrɛsin usay pikin ɛn animal dɛn we yu lɛk nɔ go ebul fɔ rich .
- Stɔr na nɔmal rum tɛmpracha (bitwin 20-25 digri sɛlshiɔs). Nɔ kip am na say dɛn we gɛt bɔku wata lɛk di bafa.
- Nɔ yuz mɛrɛsin we dɔn pas.
- Fɔ trowe di mɛrɛsin dɛn we yu nɔ yuz ɔ we dɔn pas, i go fayn fɔ gi dɛn to ɔspitul ɔ famasi. If dat nɔ pɔsibul, pul di mɛrɛsin kapsul dɛn na di kɔntena, miks dɛn wit sɔntin lɛk kɔfi grɔn, dɔti, ɔ yuz pusi dɔti, put dɛn insay bag we dɛn dɔn sidɔm fayn fayn wan, ɛn trowe dɛn na di dɔti.
Mɛsej we dɛn kin kɛr go na os
- Tacrolimus na wan impɔtant mɛrɛsin we de protɛkt yu nyu ɔgan. Tek am jɔs lɛk aw yu dɔktɔ tɛl yu, di rayt tɛm, insay di rayt doz.
- Nɔ tek dis mɛrɛsin wit grep jus fɔ ɛni rizin.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek (inklud vaytamɛn ɛn Ayurveda mɛrɛsin dɛn).
- Bikɔs yu imyuniti nɔ bɔku, protɛkt yusɛf frɔm infɛkshɔn. If yu gɛt sɔm kayn sik lɛk fiva ɛn kɔf, tɛl yu dɔktɔ wantɛm wantɛm.
- Wach fɔ sayn dɛm fɔ siriɔs sayd ɛfɛkt (siri ed pen, swel, at fɔ blo). If yu tink se sɔntin nɔ fayn, kɔl yu dɔktɔ.
- I fɔ atɛnd dɔktɔ apɔntinmɛnt ɛn blɔd tɛst di de dɛn we dɛn dɔn sɛtul.
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