Kidni transplant na big tin we kin apin na layf. Tacrolimus na wan impɔtant mɛrɛsin we de ɛp fɔ protɛkt yu nyu layf ɛn mek yu bɔdi nɔ gri fɔ tek di nyu kidni we dɛn dɔn transplant. Yu kin fɛn dis mɛrɛsin ɔnda di brand nem Envarsus. So tide, lɛ wi tɔk bɔt dis mɛrɛsin, aw fɔ yuz am, ɛn wetin yu nid fɔ tek tɛm wit.
Us kayn mɛrɛsin na dis Tacrolimus?
Fɔ tɔk am simpul wan, dis mɛrɛsin de wok bay we i de kɔntrol yu bɔdi in imyun sistɛm smɔl, i de mek i nɔ tink se yu nyu kidni na "fɔrin" ɛn atak am. di mεdisin dεm we de kכntro di imyun sistεm dis we dεn kכl dεm ‘immunosuppressants’. Dis impɔtant fɔ protɛkt yu nyu kidni ɛn mek shɔ se i de wok fayn fayn wan.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu bigin fɔ tek mɛrɛsin
We yu de tɔk to yu dɔktɔ bɔt dis, i impɔtant fɔ tɔk bɔt ɛni wan pan di tin dɛn we de dɔŋ ya, bikɔs dis go sho di doz ɛn ɔda tin dɛn we dɛn go gi yu.
- If yu gɛt dayabitis (Diabetes Mellitus) .
- If yu gɛt at sik
- If yu gɛt ay blɔd prɛshɔn
- If yu gɛt ɔda prɔblɛm dɛn we de ambɔg yu bɔdi
- If infɛkshɔn de we dɔn de
- If yu gɛt sik na yu kidni ɔ yu gɛt liva sik
- If yu jɔs gɛt di vaysin ɔ yu dɔn arenj fɔ gɛt wan tumara bambay
- If yu gɛt alɛji fɔ takrolimus ɔ ɔda mɛrɛsin, it, ɔ day
- If yu gɛt bɛlɛ, ɔ yu de tray fɔ gɛt bɛlɛ
- If yu na mama we de gi pikin in bɛlɛ
Aw fɔ tek di mɛrɛsin? Fɔ fala dɛn instrɔkshɔn ya gud gud wan.
Fɔ mek yu gɛt di bɛst pan dis mɛrɛsin, i rili impɔtant fɔ yuz am kɔrɛkt wan.
1. Swɛla di tablɛt wit wan glas wata .
2. Tek yu mɛrɛsin di sem tɛm ɛvride . Mek dis bi yu abit. I fayn fɔ mek yu sɛt alam na yu fon.
3. Swɛla di tablɛt ɔl . Nɔ ɛva brok, krɔs, ɔ chew di tablɛt.
4. I rili impɔtant: Ɔltɛm tek dis mɛrɛsin na mɔnin wit ɛmti bɛlɛ . Dat min se, at le wan awa bifo yu it brɛf, ɔ at le tu awa afta yu it brɛf.
5. Kɔntinyu fɔ tek di mɛrɛsin te yu dɔktɔ tɛl yu fɔ stɔp.
I rili impɔtant: Nɔ drink grep jus we yu de tek dis mɛrɛsin fɔ ɛni rizin . I kin rili afɛkt di we aw di mɛrɛsin de wok.
Wetin fɔ du if yu mis wan doz fɔ mɛrɛsin?
Imajin se yu fɔ tek yu pil na 8 oklɔk mɔnin. If yu fɔgɛt fɔ tek am, ɛn yu mɛmba insay 15 awa, dat na bifo 11 oklɔk na nɛt, tek am jɔs lɛk aw yu mɛmba. Bɔt if na afta 15 awa, dat na afta 11 oklɔk na nɛt, nɔ tek di doz we yu mis. Skip am ɔltogɛda ɛn tek di nɛks pil na 8 oklɔk mɔnin lɛk aw yu kin du di nɛks de. Nɔ ɛva tek dabl doz.
Wetin a go du if a tek bɔku mɛrɛsin?
If yu tink se yu dɔn tek mɔ mɛrɛsin pas aw yu bin tink, kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital wantɛm wantɛm. Ɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia yu.
Ɔda mɛrɛsin dɛm wae kin intarakt wit Tacrolimus
Tacrolimus kin miks wit bɔku ɔda mɛrɛsin dɛn, so yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek, lɛk di wan dɛn we yu dɔktɔ gi yu, di mɛrɛsin dɛn we yu nɔ de bay, di mɛrɛsin dɛn we yu kin yuz fɔ mɛn animal dɛn, ɛn vaytamɛn dɛn.
| Kategori fɔ drɔgs | Ɛgzampul dɛn |
|---|---|
| Nɔ tek dɛn tin ya wit ɛnitin. | |
| Sɔm mɛrɛsin fɔ fungal infɛkshɔn | flukonazɔl, itrakonazɔl, kɛtokonazɔl, posakonazɔl, vorikonazɔl |
| Ɔda tin dɛn we de mek di bɔdi nɔ ebul fɔ fɛt di sik | sayklɔspɔrin we dɛn kɔl |
| Ɔda mɛrɛsin dɛn | astemizol, sidofovir, cisaprid, dronedarone, pimozayd, tioridazin, ziprasidɔn |
| Fɔ it ɛn drink | Grepfruit jus we dɛn kin mek |
| Sek dɔktɔ advays as dɛn wan ya kin riak wit | |
| Antibayɔtiks | klaritromaysin, ɛrytromaysin, rifampin |
| Mɛrɛsin fɔ mek pɔsin gɛt ay blɔd prɛshɔn | diltiazem, nifedipin, verapamil, ɛn ɔda tin dɛn |
| Mɛrɛsin fɔ gɛt gastritis | ɔmɛprazɔl, lansoprazɔl, simɛtidin |
| Mɛrɛsin fɔ mek pɔsin gɛt sik we de mek pɔsin sik | kabamazepin, fεnobarbital, fεnitoin |
| Di kayn Stɛroyd dɛn we dɛn kin yuz | prɛdnizɔn, mɛtilprɛdnizɔn |
| Di tin dɛn we dɛn mek wit ɛbul | Sɛnt Jɔn in wɔt |
Dis list nɔr kɔmplit, so i rili impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni nyu mɛrɛsin we yu de tek.
Tin dɛn we yu fɔ tek tɛm wit we yu de tek mɛrɛsin
Di mɛdikal tɛst dɛn we dɛn dɔn arenj fɔ du
I impɔtant fɔ go na di klinik dɛn lɛk aw yu dɔktɔ tɛl yu fɔ du. Insay dis tɛm, yu go nid fɔ chɛk yu blɔd lɛvɛl fɔ Tacrolimus, di kidni wok, ɛn di shuga lɛvɛl ɔltɛm. Nɔ skip dɛn tɛst ya.
Protɛkt yusɛf frɔm infɛkshɔn
Dis mɛrɛsin de ridyus di wok we yu imyun sistɛm de du, so yu kin gɛt infɛkshɔn izi wan. So, nɔr de fa frɔm pipul dɛm wae gɛt sɔm kayn sik lɛk fiva, kol, kɔf, ɛn trot wae de at. Dɔn bak, if yu gɛt ɛni sayn we de sho se yu gɛt infekshɔn lɛk fiva, kol, trot we de at, ɔ we yu de bɔn we yu de pis , nɔ fɔ tek mɛrɛsin fɔ yusɛf ɛn tɛl yu dɔktɔ wantɛm wantɛm.
Bɛlɛ ɛn famili planin
Dis na tin we rili impɔtant.
- Fɔ uman dɛn:Nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin. Dis kin mek bad bad tin apin to di pikin we de na in bɛlɛ. So, yu fɔ yuz di rayt we fɔ kɔntrol bɔn pikin we yu de tek dis mɛrɛsin ɛn fɔ as lɔng as yu dɔktɔ advays afta yu dɔn stɔp. Tɔk to yu dɔktɔ bɔt dis.
- Fɔ man dɛn: If yu de tek dis mɛrɛsin, mek shɔ se yu yuz kɔndɔm if yu du mami ɛn dadi biznɛs wit uman we kin gɛt bɛlɛ. Risk de fɔ du bad to di pikin if yu patna gɛt bɛlɛ.
Risk fɔ gɛt kansa ɛn di san layt
If yu tek dɛn mɛrɛsin ya we de mek yu bɔdi nɔ wok fayn fɔ lɔng tɛm, dat kin mek yu gɛt sɔm kayn kansa smɔl, lɛk kansa na yu skin ɛn limfoma. Dis mɛrɛsin kin mek yu skin fil fayn bak we di san de shayn. Dat mek:
- Avɔyd di bad bad san as yu ebul.
- If yu go de na di san, wɛr klos we de kɔba yu skin ɛn hat we gɛt wayd brim.
- Mek shɔ se yu yuz gud tin fɔ protɛkt yusɛf frɔm di san.
Wetin na di bad tin dɛn we kin apin to pɔsin?
Lɛk ɛni mɛrɛsin, Tacrolimus kin mek yu gɛt sayd ɛfɛkt. Sɔm pan dɛn tin ya siriɔs ɛn dɛn fɔ ripɔt dɛn wantɛm wantɛm.
| Sayd ɛfɛkt dɛm we yu fɔ ripɔt to yu dɔktɔ wantɛm wantɛm | |
|---|---|
| Di sayn dɛn we de sho se pɔsin gɛt alɛji | Skin rash, it, swel na di fes, lip ɔ tong. |
| Di chenj dɛn we de apin na di at rit | Chɛst pen, at fɔ blo, diziz, fil lɛk se yu at de bit fast ɔr nɔr de bit ɔltɛm. |
| Blɔd prɛshɔn we de go ɔp | We di dɔktɔ chɛk, in blɔd prɛshɔn bin ay. |
| Di sayn dɛn we de sho se yu gɛt bɔku blɔd shuga | Mɔ angri, tɔsti, pis ɔltɛm, taya pasmak, nɔ de si fayn. |
| Efεkt pan di kidni dεm | di urine autput dεm dεn dכn כ i at fכ urine. |
| Prɔblɛm dɛn we de na di nervɔs sistɛm | Bɔrku ed pen, kɔnfyushɔn, sik wae de mɛk yu de si, yu de chenj yu yay, yu de chenj yu bihayvya, yu de shek shek na yu an ɛn fut. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Pen, swɛt, ɔ bɔn na yu an ɔ fut. |
| Sayd ɛfɛkt dɛn we nɔ kin siriɔs, bɔt dɛn fɔ ripɔt to di dɔktɔ if dɛn kɔntinyu fɔ de | |
| Bɛlɛ de pen | Kɔnstipɛshɔn ɔ dayarɛa. |
| 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, an, ɔr yu wet we yu de gɛt wantɛm wantɛm. |
Mɛsej we dɛn kin kɛr go na os
- Tek Tacrolimus tablɛt di sem tɛm ɛvride, pan ɛmti bɛlɛ.
- Nɔ tek dis mɛrɛsin wit grep jus fɔ ɛni rizin.
- Nɔ mis ɛni klinik apɔntinmɛnt ɔ blɔd tɛst we yu dɔktɔ gi yu.
- If yu gɛt ɛni sayn fɔ sho se yu gɛt di sik, lɛk fiva ɔ kɔf, tɛl yu dɔktɔ wantɛm wantɛm.
- Ilɛksɛf yu na uman ɔ man, mek shɔ se yu yuz wan we we pɔsin kin abop pan fɔ kɔntrol pikin fɔ mek yu nɔ gɛt bɛlɛ we yu de tek dis mɛrɛsin.
- Mek shɔ se yu aks yu dɔktɔ bifo yu bigin fɔ tek ɛni nyu mɛrɛsin, ɛbul prɔdak, ɔ ivin wan vaytamɛn.
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