Sɔntɛm yu dɔn transplant yu kidni fayn fayn wan ɛn yu de bigin nyu layf wit nyu op dɛn. Insay dis nyu joyn, wi men gol na fɔ protɛkt da prɛshɔ kidni de we yu bɔdi dɔn gɛt. Tacrolimus na wan impɔtant mɛrɛsin we de ɛp fɔ mek di bɔdi nɔ rijek dis nyu kidni. So, tide wi go tɔk bɔt dis drɔg, di kɔrɛkt we fɔ yuz am, ɛn di tin dɛn we yu nid fɔ tek tɛm wit.
Wetin kin rili apin wit dis mɛrɛsin?
Fɔ tɔk am simpul wan, wi ɔl gɛt wan imyun sistɛm na wi bɔdi. I tan lɛk ami we de protɛkt wan kɔntri. Na dis sistɛm de protɛkt wi frɔm sik bay we i de fɛt ɛnimi lɛk jem, baktri, ɛn vayrɔs we de kɔmɔt na do.
Bɔt we wi transplant nyu ɔgan lɛk kidni insay wi bɔdi, di imyun sistɛm kin si am as "fɔrin ɛnimi." So, di sistεm de stat fכ atak di nyu kidni as in usual duty. Wi kin kɔl dis "ɔgan rijɛkt."
Dis mεdisin we dεn kכl tacrolimus , de wok bay we i de kכntrכl di aktiviti fכ yu imyun sistεm to sכm mak, "kכl" am dכn. Dɔn i kin stɔp fɔ atak di nyu kidni ɛn i kin bigin fɔ wok lɛk se na pat pan yu yon bɔdi.
Tin dɛm fɔ tɛl yu dɔktɔ bifo yu tek di mɛrɛsin
I rili impɔtant fɔ mek yu dɔktɔ no yu kɔmplit wɛlbɔdi istri bifo yu gi yu dis mɛrɛsin. So, nɔ ayd ɛnitin ɛn tɔk opin wan wit yu dɔktɔ bɔt dɛn tin ya.
- If yu gɛt dayabitis .
- If yu gɛt at sik ɔ yu gɛt ay blɔd prɛshɔn .
- If yu gɛt ɔda prɔblɛm dɛn wit yu imyun sistɛm .
- If infɛkshɔn de we dɔn de .
- If yu gɛt ɔda liva ɔ kidni kɔndishɔn.
- If yu jɔs gɛt di vaysin ɔ yu dɔn arenj fɔ gɛt wan tumara bambay.
- If yu gɛt alɛji fɔ takrolimus ɔ ɛni ɔda mɛrɛsin, it, ɔ sɔntin.
- If yu gɛt bɛlɛ , yu de tray fɔ gɛt bɛlɛ , ɔ yu de gi pikin in bɛlɛ .
Di kɔrɛkt we fɔ yuz dis mɛrɛsin
Di sakses fɔ dis mɛrɛsin dipen pan aw yu de tek am kɔrɛkt wan ɛn ɔltɛm. So fala dɛn instrɔkshɔn ya kɔrɛkt wan.
- Tek am di sem tɛm ɛvride: Tek dis mɛrɛsin di sem tɛm ɛvride. If na 8 oklɔk mɔnin, tek am 8 oklɔk ɛvride. Mek dis bi yu abit.
- Tek pan ɛmti bɛlɛ:Fɔ mek yu gɛt di bɛst rizɔlt, tek di mɛrɛsin wan awa bifo ɔ tu awa afta yu it.
- Swɛla di kapsul ɔl: Nɔ brok, krɔs, ɔ chew di kapsul. Swɛla am ɔl wit wan glas wata.
- Grep Jus: Nɔ drink grep ɔ grep jus we yu de tek dis mɛrɛsin fɔ ɛni rizin. I kin chenj di we aw di bɔdi de tek di mɛrɛsin ɛn mek i gɛt denja sayd ɛfɛkt.
- Nɔ stɔp te yu dɔktɔ tɛl yu fɔ du am: Ilɛk aw yu fil fayn, nɔ stɔp fɔ tek yu mɛrɛsin te yu dɔktɔ tɛl yu fɔ tek am.
If dɛn ad di doz fɔ di mɛrɛsin (Overdose) .
If yu tink se yu aksidɛntli tek mɔ pas di doz we dɛn tɛl yu fɔ tek, go wantɛm wantɛm na di ɔspitul Imejɛnsi Dipatmɛnt (ETU) we de nia yu . Ɔda we de fɔ kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Wetin a go du if a mis wan doz fɔ tek mɛrɛsin?
I nɔ fayn fɔ mis yu mɛrɛsin, bɔt nɔ wɔri if yu mis yu mɛrɛsin.
Imajin se yu na pɔsin we de tek yu pill na 8 oklɔk mɔnin. Yu fɔgɛt am. If yu mɛmba insay 14 awa (i.e. bifo 10 pm), tek di doz we yu mis jɔs lɛk aw yu mɛmba. Frɔm di nɛks de, tek am lɛk aw yu kin tek am na 8 oklɔk mɔnin.
Bɔt if yu mɛmba pas 14 awa afta dat (fɔ ɛgzampul, na 11 oklɔk na nɛt), skip di doz we yu mis ɔltogɛda. Tek di nɛks doz di tɛm we yu kin tek, we na 8 oklɔk mɔnin. Nɔ ɛva tek dabl doz.
Ɔda mɛrɛsin ɛn tin dɛn we kin mek yu gɛt prɔblɛm wit dis mɛrɛsin
Tacrolimus na wan mɛrɛsin we rili sɛnsitiv. I kin intarakt wit ɔda mɛrɛsin, pen kil, vaytamɛn, ɛn ivin ɛbul prɔdak dɛm we yu de tek. So, i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek, ivin wan simpul pen we yu kin gɛt na famasi.
Dis dɔŋ ya na sɔm pan dɛn tin ya. Yu fɔ mɛmba se dis nɔto kɔmplit list.
| Di kayn matirial we dɛn de yuz | Ɛgzampul dɛn ɛn spɛshal not dɛn |
|---|---|
| Tin dɛn we yu nɔ fɔ ɛva tek | Grepfrut jus, sayklɔspɔrin, sidofovir, sɔm antifɔngal dɛn (e.g. Ketoconazole, Voriconazole) . |
| Tin dɛn fɔ tek nɔmɔ pan dɔktɔ advays |
|
Wetin yu nid fɔ tek tɛm wit we yu de tek di mɛrɛsin
- Protekshɔn frɔm infɛkshɔn: Dis mɛrɛsin de mek yu imyun sistɛm dɔŋ, so yu kin gɛt infɛkshɔn mɔ. Dis min se i kin izi fɔ mek pɔsin gɛt kol, flu, ɛn kɔf. So, nɔ fɔ de na say dɛn we pipul dɛn kin bɔku ɛn usay sik pipul dɛn de as mɔ as yu ebul. If yu gɛt sɔm sayn dɛn lɛk fiva, bɔdi we de at, ɔ yu trot we de at, nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn tɛl yu dɔktɔ wantɛm wantɛm.
- Fɔ mek yu nɔ gɛt bɛlɛ: Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin. I kin ambɔg di pikin we de na in bɛlɛ. Uman ɛn man fɔ yuz di rayt we fɔ kɔntrol di pikin lɛk aw dɛn dɔktɔ advays dɛn.
- Kansa risk: I kin bi se na rili smɔl inkris risk fɔ sɔm kayn kansa (especially skin cancer ɛn lymphoma) we dɛn yuz dɛn immunosuppressant drɔgs ya fɔ lɔng tɛm. Dis nɔto sɔntin we wi fɔ fred, bɔt na sɔntin we wi fɔ no bɔt. Yu dɔktɔ go de wach yu gud gud wan.
- Fɔ protɛkt yusɛf frɔm di san: Dis mɛrɛsin kin mek yu skin fil bad fɔ di san. So, i impɔtant fɔ wɛr klos we gɛt lɔng an, hat, ɛn gud tin fɔ protɛkt yusɛf frɔm di san we yu de go na do na di san.
- Di shuga we de na di blɔd: Dis mɛrɛsin kin mek di shuga we de na di blɔd go ɔp. If yu gɛt dayabitis, chɛk yu blɔd shuga ɔltɛm.
- Fɔ chɛk yu dɔktɔ ɔltɛm: Nɔ skip ɛni wan pan di klinik ɛn blɔd tɛst dɛn we yu dɔktɔ tɛl yu fɔ du. Dɛn tɛst ya impɔtant fɔ wach di lɛvɛl dɛn we di mɛrɛsin de na yu bɔdi ɛn di kidni we de wok.
Us sayd ɛfɛkt dɛn we a go gɛt?
Jɔs lɛk ɛni mɛrɛsin, takrolimus kin mek sɔm sayd ɛfɛkt dɛn. Wach fɔ di sayn dɛn we de kam biɛn ya.
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ wantɛm wantɛm | |
|---|---|
| Alɛji dɛn we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip ɔ tong. |
| Prɔblɛm dɛn we gɛt fɔ du wit at | Chɛst pen, at fɔ blo, diziz, at bit fast ɔ nɔ de bit ɔltɛm. |
| Di blɔd shuga we bɔku | Angri pasmak, tɔsti pasmak, pis ɔltɛm, taya pasmak, yu nɔ de si fayn. |
| Kidni dɛn we dɔn pwɛl | I nɔ izi fɔ pis ɔ chenj di we aw yu de pis. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | Ed we de at, kɔnfyushɔn, siz, chenj we yu de si, shek shek. |
| Sayn dɛn we de sho se pɔsin gɛt di sik | Fiva, kol , kɔf, trot we de at. |
| Kɔmɔn sayd ɛfɛkt dɛm we dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | Kɔnstipɛshɔn, dayarɛa, bɛlɛ pen. |
| Nɔ ebul slip | I nɔ kin izi fɔ mek yu slip na nɛt. |
| Di bɔdi we de swel (Edima) . | Swel na say dɛm lɛk ankles, fut, ɛn an, we yu de gɛt wet wantɛm wantɛm. |
Mɛsej we dɛn kin kɛr go na os
- Tek tacrolimus di sem tɛm ɛvride, pan ɛmti bɛlɛ.
- Nɔ drink grep ɔ grep jus fɔ ɛni rizin.
- If yu mis wan doz, tek am insay 14 awa. Bɔt nɔ ɛva tek tu dos wan tɛm.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn, vaytamɛn dɛn, ɛn ɛbul prɔdak dɛn we yu de tek.
- If yu gɛt sɔm sayn dɛm fɔ infekshɔn lɛk fiva ɔ kol, tɛl yu dɔktɔ wantɛm wantɛm.
- Mek shɔ se yu atɛnd ɔl di klinik apɔntin ɛn blɔd tɛst we yu dɔktɔ tɛl yu fɔ du. Yu wɛlbɔdi ɛn sef de dipen pan gud rilayshɔn bitwin yu ɛn yu dɔktɔ.
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