He rite te whakawhitinga okana ki te ora tuarua, kāore? He merekara tūturu tēnei o te rongoā. Heoi, he nui te tūponotanga ka mōhio tō tinana ki te okana hou (he ngākau, he whatukuhu, he ate, he pukahukahu rānei) kua whakawhitingahia pēnei he "tauhou" ka whakaeke i a ia. He rongoā tino nui a Tacrolimus e aukati ana i taua tauhohenga (te whakakorenga) me te āwhina i te tinana ki te whakaae ki te okana hou hei wāhanga o ia anō. He mea noa te kitea i raro i te ingoa waitohu Prograf. Nō reira, ki te hoatu tēnei kano ārai mate ki a koe, ki tētahi rānei e mōhio ana koe, he mea tino nui kia tino mōhio koe ki tēnei.
He aha te mea e tupu ana me Tacrolimus?
Ki te kī ngāwari, he rongoā ārai mate a Tacrolimus. Whakaarohia tō tinana he whenua, ā, ko tō pūnaha ārai mate te ope taua o taua whenua. Ko ngā mea katoa e puta mai ana i waho - pērā i te iroriki - ka whakaekea, ka whakangaromia e tēnei ope. He mea tino pai tēnei.
Heoi, ka kitea anō te okana hou kua whakatōkia hei okana "tauhou" e te tinana. Nō reira, ka tīmata te pūnaha ārai mate o te tinana (te pūnaha ārai mate) ki te whakaeke i te okana hou, whai hua. Koinei te mea e kīia nei ko te whakakorenga okana. Ka mahi a Tacrolimus mā te whakahaere paku i te mahi a tō pūnaha ārai mate me te aukati i a ia kei whakaeke i te okana hou. Mā tēnei, ka hangaia te okana hou i roto i te tinana me te taiao e hiahiatia ana e ia kia pai ai te tipu me te mahi tika i tana mahi.
Ngā mea me kōrero e koe ki tō tākuta i mua i te tango i tēnei rongoā
I mua i te tīmatanga o te tango i te tacrolimus, he mea nui kia kōrero koe ki tō tākuta mō tō hītori hauora katoa. Ka pā pea tēnei rongoā ki ngā pūnaha maha o te tinana. Kia mahara ki te kōrero ki tō tākuta mō:
- Ētahi atu mate kei a koe:
- Te mate huka, te taumata huka toto tiketike rānei.
- Ngā mate ngakau, ngā āhuatanga rerekē rānei o te manawa o te ngakau.
- Te toto toto tiketike.
- Mate whatukuhu, mate ate rānei.
- Tetahi mate pāwera o nāianei (kirika, makariri, mare, me ētahi atu).
- Ngā ngoikore o te pūnaha ārai mate.
- Te haputanga me te whāngai ū:
- Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei, he mea nui kia kōrero koe ki tō tākuta mō tēnei.
- Mate pāwera:
- Kōrero ki tō tākuta mēnā he mate pāwera koe ki te tacrolimus, ki tētahi atu rongoā, kai, tae rānei.
- Ngā werohanga:
- Mena kua whiwhi koe i tētahi kano ārai mate i ēnei rā tata nei, kua whakaritea rānei kia whiwhi koe i tētahi ā muri ake nei, me kōrero mai hoki ki a mātou.
He mea tino nui te kōrero i ēnei kōrero ki tō tākuta, me te kore e huna, mō tō haumaru me te angitu hoki o tō maimoatanga.
Me pēhea te hoatu i te kano ārai mate Tacrolimus me ētahi atu mea
Ehara tēnei i te rongoā ka taea te kawe ki te kāinga. Ka hoatu te Tacrolimus mā roto i te uaua (IV). Ka hoatu i roto i te hōhipera, i te whare hauora rānei e te tākuta, e te nēhi whai mātauranga rānei. Nō reira, kāore koe e manukanuka kei ngaro te horopeta.
Ki te whakaaro koe kua nui rawa te horopeta i tangohia e koe, mā ngā kaimahi o te hōhipera e whakahaere. Ki te kore, ki te puta he raruraru kē atu, he mea nui kia whakamōhio tonu atu koe ki te National Poisons Information Centre i te National Hospital , ki te Emergency Treatment Unit (ETU) rānei o te hōhipera.
Ētahi atu rongoā ka taunekeneke pea me tēnei rongoā (Ngā Taunekeneke Rongoā)
He rongoā a Tacrolimus ka taea te taunekeneke me ētahi atu rongoā maha. Nō reira, he mea nui kia whakamōhio atu koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ngā rongoā kua tohua e ētahi atu tākuta, ngā rongoā kāore e taea te hoko, ngā huaora, ngā rongoā tuku iho, tae atu ki ngā hua otaota).
Me whakamārama ake tēnei mā ngā ripanga i raro nei.
| Kaua rawa e whakamahia a Tacrolimus me ēnei! | |
|---|---|
| Cidofovir, Cisapride | Mesoridazine, Mifepristone |
| Cyclosporine, Dronedarone | Pimozide, Saquinavir |
| Fluconazole | Thioridazine, Ziprasidone |
| Wai karepe | Ngā kano ārai mate ora |
| Kia tino tupato hoki ki ēnei. | |
|---|---|
| Ētahi paturopi | Pērā i a Clarithromycin, Erythromycin, Rifampin. |
| Ngā rongoā mō te HIV, te Hepatitis rānei | Ngā rongoā ārai huaketo. |
| Ngā rongoā ārai harore | Pērā i te Ketoconazole, Itraconazole, Voriconazole. |
| Rongoā mō te toto toto tiketike | Pērā i a Diltiazem, Nifedipine, Verapamil. |
| Ngā rongoā mō te gastritis | Pērā i a Omeprazole, Lansoprazole, Famotidine. |
| Ngā hua otaota | Ngā mea pēnei i te wort o St. John. |
| Ētahi atu rongoā | Waipiro, Steroids (pērā i te Prednisone), Sirolimus, Diuretics. |
Ngā mea hei whakaaroaro i te wā e rongoatia ana
- Tiakina koe i ngā mate urutā: Ka ngoikore tō pūnaha ārai mate e te Tacrolimus, nō reira ka ngāwari pea te pāngia e ngā mate urutā e kore e pā ki te tangata noa. Nō reira, me noho tawhiti atu i ngā wāhi kī tonu i te tangata, me noho tawhiti atu i te hunga e mate ana, ā, horoia ō ringaringa i ngā wā katoa. Ki te puta mai ngā tohu pēnei i te kirika, te mamae o te tinana, te mamae o te korokoro, te maremare rānei, kaua e rongoā i a koe anō, ā, me whakamōhio tonu atu ki tō tākuta.
- Te ārai i te hāputanga: Āta karohia te hāputanga i te wā e tango ana i tēnei rongoā.Me whakamahi ngā wāhine me ngā tāne i tētahi momo ārai whānau tino whai hua. Ka taea e tēnei rongoā te kino kino ki te pēpi i roto i te kōpū.
- Te mōrearea o te mate pukupuku: Mā te tango i ēnei rongoā ārai mate mō te wā roa ka paku piki ake te mōrearea o ētahi momo mate pukupuku, pērā i te mate pukupuku kiri me te lymphoma. Kōrero ki tō tākuta mō tēnei.
- Te ārai i te rā: Tērā pea ka pāngia tō kiri e te hihi o te rā e tēnei rongoā. Nō reira, ki te mea kei te haere koe ki te rā, whakamahia he ārai rā pai, he pōtae, ā, he kākahu e hipoki ana i tō tinana.
- Ngā taumata huka toto: Tērā pea ka piki ake te taumata huka toto i tēnei rongoā. Mena he mate huka tōu, tirohia tonutia ō taumata huka toto.
He aha ngā pānga taha ka puta?
Pērā i ngā rongoā katoa, ka pāngia pea koe e ngā pānga taha o Tacrolimus. He kino ētahi o ēnei, ā, me pūrongo tonu atu.
| Pānga taha | Whakaahuatanga |
|---|---|
| Ngā mea hei ripoata tonu atu ki tō tākuta | |
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero rānei. |
| Ngā raruraru ngākau | Mamae o te uma, uaua ki te manawa, tere, koretake rānei te pā o te ngakau, whanoke. |
| Te pikinga o te huka toto | Te nui haere o te hiakai, te matewai, te mimi pinepine, te tirohanga pōuri. |
| Ngā tohu o te mate | Te kirika, te makariri, te mamae o te korokoro, te mate mimi. |
| Pānga ki ngā whatukuhu | Te hekenga o te mimi, te uaua rānei ki te mimi. |
| Ngā raruraru o te pūnaha io | Te ānini nui, te haurangi, te panoni o te tirohanga, te panoni o ngā whanonga, te ngoikore o ngā peka me ngā waewae. |
| Ngā mea kāore i te tino kino, engari me ripoata ki te tākuta mēnā ka mau tonu | |
| Ngā raruraru o te pūnaha nakunaku | Mamae puku, korere, mate pāwera. |
| Te kore moe | He raruraru moe. |
| Te pupuhi o te tinana (Edema) | Te pupuhi o ngā ringa, o ngā waewae, o ngā pona waewae, te pikinga ohorere rānei o te taumaha. |
Karere Tangohia ki te Kāinga
- He rongoā tino nui te Tacrolimus hei ārai i te whakakorenga o te okana e te tinana i muri i te whakawhitinga okana.
- Ka hoatu noa tēnei i roto i te hōhipera, i raro i te tirotiro a te tākuta.
- He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa, ngā huaora me ngā hua otaota e tangohia ana e koe.
- I te mea ka whakaitihia te ārai mate, kia tino tupato ki te tiaki i a koe anō mai i ngā mate urutā. Mēnā ka puta he tohumate rite ki te rewharewha, whakamōhio atu ki tō tākuta tonu.
- Me whakamahi e ngā wāhine me ngā tāne ngā tikanga ārai whānau whai hua i te wā e rongoatia ana.
- Mēnā he raruraru, he ruarua rānei, kōrero ki tō tākuta, ā, whaia rawatia āna tohutohu.
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