Organ transplant hi second life ang a ni a, a ni lo maw? Damdawi thilmak a ni tak zet a ni. Mahse, i taksain hetianga taksa peng thar (thinlung, kal, thin, emaw lung) chu "ram dang" anga a hriat chian a, a beih theihna chance a sang hle. Tacrolimus hi damdawi pawimawh tak a ni a, chu reaction (rejection) chu a titawp a, taksain taksa peng thar chu a taksa peng pakhat anga pawm turin a pui bawk. Brand name Prograf hmanga hmuh a ni tlangpui. Chuvangin, nangmah emaw i hriat emaw he vaccine hi pek i nih chuan a chungchang hi hriat chian a pawimawh hle.
Tacrolimus hi eng nge thleng tak tak?
A awlsam zawngin Tacrolimus hi immunosuppressant a ni. I taksa hi ram angin ngaihtuah la, i immune system chu chu ram sipai a ni. Pawn lam atanga lo lut apiang - hrik ang maia rawn lut chu he sipaite hian an rawn bei a, an tichhe vek a ni. Hei hi a tha takzet a ni.
Mahse, taksa peng thar hi taksain "ram dang" angin a hmu bawk. Chuvangin, taksa ngeia immune system (immune system) chuan taksa peng thar, hlu tak chu a rawn bei tan ta a ni. Hei hi organ rejection kan tih chu a ni. Tacrolimus hian i immune system hnathawh tlem a control a, organ thar a beih loh nan a titawp a ni. Hetiang hian taksa peng thar chu taksaah leh a mamawh boruakah a lo thang tha a, a hna dik tak thawk turin a siam a ni.
He damdawi hi i ei hmaa i doctor hnena i hrilh tur thilte
Tacrolimus i hman tan hmain i doctor hnenah i hriselna chanchin kimchang i hrilh hmasak phawt a pawimawh hle. He damdawi hian taksa chhunga system tam tak a nghawng thei a ni. I doctor hnenah hetiang hian hrilh ngei ang che:
- Natna dang i neihte chu:
- Zunthlum emaw thisen sugar level sang emaw.
- Lung natna emaw, thinlung rhythm dik lo emaw.
- Thisen sang a sang.
- Kidney emaw liver emaw natna.
- Tuna hri kai theih dinhmun eng pawh (khawsik, khawsik, khuh, etc.).
- Immune system chak lohna dangte.
- Naupai leh nau hnute pek: 1.1.
- Naupai emaw, nau pai tum emaw, nau hnute i pe emaw a nih chuan he thu hi doctor hnenah hrilh a pawimawh hle.
- Allergy nei te chu:
- Tacrolimus emaw damdawi dang emaw, ei tur emaw, dye dang emaw allergy i neih chuan i doctor hnenah hrilh rawh.
- Vaccine pek dan tur: 1.1.
- Tun hnaia vaccine i dawng emaw, nakin lawkah i dawng tura ruahman emaw i nih chuan min hrilh bawk ang che.
He thu hi thup lovin i doctor hnena hrilh hi i himna bakah i enkawlna hlawhtlinna atan a pawimawh hle.
Tacrolimus vaccine pek dan leh thil dang
Hei hi damdawi in lama hruai theih a ni lo. Tacrolimus hi thisen kal tlanga pek a ni (IV). Damdawi in emaw, clinic emaw-ah doctor emaw, nurse trained emaw-in a pe thin. Chuvangin dose pakhat hloh chungchangah i buai a ngai lo.
Accidentally overdose i tih chuan hospital staff ten an enkawl ang. Chutiang a nih loh chuan harsatna dang a awm chuan National Hospital-a National Poisons Information Center emaw, hospital-a Emergency Treatment Unit (ETU) emaw hriattir nghal a pawimawh hle.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Tacrolimus hi damdawi dang tam tak nen a inzawm thei a ni. Chuvangin, i damdawi ei tur zawng zawng (doctor dangin an pek, over-the-counter damdawi, vitamin, traditional medicine, leh herbal products thlengin) i doctor hnenah hriattir a pawimawh hle.
Hei hi a hnuaia table hmang hian i sawifiah belh leh ang u.
| Hengte nen hian Tacrolimus hi hmang ngai suh! | |
|---|---|
| Cidofovir, Cisapride tih te hi a awm a | Mesoridazine, Mifepristone tih a ni |
| Cyclosporine, Dronedarone tih a ni | Pimozide, Saquinavir hmanga siam a ni |
| Fluconazole a ni | Thioridazine, Ziprasidone hmanga siam a ni |
| Grapefruit tui tak a ni | Virus nung vaccine pek a ni |
| Hengte pawh hi a bik takin fimkhur rawh. | |
|---|---|
| Antibiotics thenkhat | Clarithromycin, Erythromycin, Rifampin te ang chi te hi a ni. |
| HIV emaw Hepatitis emaw damdawi | Antiviral damdawi a ni. |
| Antifungals a ni | Ketoconazole, Itraconazole, Voriconazole te ang bawkin. |
| Thisen sang tan damdawi | Diltiazem, Nifedipine, Verapamil te ang chi te hi a ni. |
| Gastritis damdawi | Omeprazole, Lansoprazole, Famotidine te ang chi te hi a ni. |
| Herbal atanga siam chhuah a ni | St. John’s wort ang chi thil te. |
| Damdawi dang | Zu, Steroid (Prednisone ang chi), Sirolimus, Diuretics te a awm bawk. |
Enkawl laia ngaihtuah tur thil
- Infection lakah inveng rawh: Tacrolimus hian i immune system a tichak lo a, chuvangin awlsam takin mi pangngaiin a kai loh tur infection i nei thei a ni. Chuvangin, mipui tamna hmun a\angin inthiarfihlim la, damlote lakah inthiarfihlim la, kut sil fo bawk ang che. Khawsik, taksa na, ril na, khuh ang chi symptoms i neih chuan mahni indam lo la, doctor hnenah hriattir nghal rawh.
- Naupai venna: He damdawi ei lai hian naupai loh vek tur a ni.Hmeichhia leh mipa pawhin naupai venna hmanraw tangkai tak tak an hmang tur a ni. He damdawi hian nausen pum chhunga awm chu nasa takin a tichhe thei a ni.
- Cancer hlauhawmna: Heng immune-suppressing damdawi te hi hun rei tak ei hian cancer chi hrang hrang, vun cancer leh lymphoma te hi a tipung deuh thei a ni. Hemi chungchang hi i doctor nen sawiho rawh.
- Ni laka invenna: He damdawi hian i vun chu ni êng lakah a ti sensitive zawk thei. Chuvangin, ni chhuahnaah i awm dawn a nih chuan sunblock tha tak hmang la, lukhum ha la, i taksa khuh thei thawmhnaw ha bawk ang che.
- Thisen thlum level: He damdawi hian thisen sugar level a tisang thei. Zunthlum i vei a nih chuan i thisen sugar level enfiah fo thin ang che.
Side effect awm thei te chu engte nge ni?
Damdawi dang ang bawkin Tacrolimus hian side effect a nei thei a ni. Chung zinga ṭhenkhat chu a pawi hle a, report nghal tur a ni.
| Side Effect a awm thei | Hrilhfiahna |
|---|---|
| Doctor hnena report nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Lung lam harsatna a awm | Chhung na, thawk harsa, thinlung thawk chak emaw, mumal lo emaw, luak chhuak. |
| Thisen sugar a tisang | Thil danglam takin riltam, tuihal, zun tam, mit hmuh fiah lo. |
| Hri kai theihna chhinchhiahna | Khawsik, khawsik, ril na, zun kawng infection. |
| Kidney-ah nghawng a nei | Zun chhuah tlem emaw zun harsatna emaw. |
| Nervous system lama harsatna a awm | Lu na na tak, seizure, mit a danglam, nungchang a danglam, ke leh ke ruh natna. |
| Thil pawi lo tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur a ni | |
| Digestive system lama harsatna awm thei | Pum na, chaw ei kham, ril\am. |
| Mu thei lo | Mut harsatna. |
| Taksa hring (Edema) . | Kut, ke, ke ruh hring emaw, taksa rihna sang nghal emaw. |
Take-Home Thuchah a ni
- Tacrolimus hi damdawi pawimawh tak a ni a, taksa peng thlak hnua taksa peng pakhat a hnawl loh nan pek thin a ni.
- Hei hi damdawi inah chauh pek a ni a, damdawi lam enkawlna hnuaiah pek a ni.
- Damdawi dang, vitamin leh herbal product i ei zawng zawngte chu i doctor hnenah hrilh vek a pawimawh hle.
- Immunity a tihhniam avangin natna hrik laka inven nan a bik takin fimkhur rawh. Flu ang chi symptoms i neih chuan doctor hnenah hriattir nghal rawh.
- Hmeichhia leh mipa pawhin enkawl chhungin naupai venna tha tak an hmang tur a ni.
- Harsatna emaw rinhlelhna emaw i neih chuan doctor nen inbia la, an thupek dik takin zawm rawh.
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