Kuika chiwalo kuli ngati moyo wachiwiri, sichoncho? Ndi chozizwitsa chamankhwala. Komabe, pali mwayi waukulu kuti thupi lanu lidzazindikira chiwalo chatsopano (mtima, impso, chiwindi, kapena mapapo) chomwe chaikidwa m'njira iyi ngati "chachilendo" ndikuchiukira. Tacrolimus ndi mankhwala ofunikira kwambiri omwe amaletsa kukana kumeneku ndikuthandiza thupi kulandira chiwalo chatsopanocho ngati gawo lake lokha. Kawirikawiri amapezeka pansi pa dzina la Prograf. Chifukwa chake, ngati inu kapena munthu amene mumamudziwa akupatsidwa katemerayu, ndikofunikira kwambiri kudziwa zambiri za izi.
Kodi chimachitika ndi chiyani ndi Tacrolimus?
Mwachidule, Tacrolimus ndi mankhwala oletsa chitetezo chamthupi. Ganizirani thupi lanu ngati dziko, ndipo chitetezo chanu chamthupi ndi gulu lankhondo la dzikolo. Chilichonse chomwe chimabwera kuchokera kunja - monga kachilombo - chimaukiridwa ndikuwonongedwa ndi gulu lankhondoli. Ichi ndi chinthu chabwino kwambiri.
Komabe, chiwalo chatsopano chomwe changobzalidwa chimaonedwanso ngati chiwalo "chachilendo" ndi thupi. Chifukwa chake, chitetezo cha mthupi cha thupi (chitetezo cha mthupi) chimayamba kuukira chiwalo chatsopano, chamtengo wapatali. Ichi ndi chomwe timachitcha kukana chiwalo. Tacrolimus imagwira ntchito powongolera pang'ono ntchito ya chitetezo cha mthupi chanu ndikuchiletsa kuti chisaukire chiwalo chatsopanocho. Mwanjira imeneyi, chiwalo chatsopanocho chimapangidwa m'thupi ndi malo omwe chimafunikira kuti chikule bwino ndikuchita ntchito yake moyenera.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kugwiritsa ntchito tacrolimus, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi. Mankhwalawa amatha kukhudza machitidwe ambiri m'thupi. Onetsetsani kuti mwauza dokotala wanu za:
- Matenda ena omwe muli nawo:
- Matenda a shuga kapena kuchuluka kwa shuga m'magazi.
- Matenda a mtima kapena kusinthasintha kwa kayendedwe ka mtima.
- Kuthamanga kwa magazi kwambiri.
- Matenda a impso kapena chiwindi.
- Matenda aliwonse opatsirana (malungo, chimfine, chifuwa, ndi zina zotero).
- Zofooka zina za chitetezo chamthupi.
- Mimba ndi kuyamwitsa:
- Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kuuza dokotala wanu za izi.
- Matenda a ziwengo:
- Uzani dokotala wanu ngati muli ndi vuto lililonse la tacrolimus kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Katemera:
- Ngati mwalandira katemera posachedwapa kapena mukukonzekera kulandira katemera mtsogolo, tiuzeninso za katemerayo.
Kuuza dokotala wanu izi popanda kubisa n'kofunika kwambiri pa chitetezo chanu komanso kupambana kwa chithandizo chanu.
Momwe mungaperekere katemera wa Tacrolimus ndi zinthu zina
Mankhwala awa si omwe mungapite nawo kunyumba. Tacrolimus amaperekedwa kudzera m'mitsempha (IV). Amaperekedwa kuchipatala kapena ku chipatala ndi dokotala kapena namwino wophunzitsidwa bwino. Choncho simuyenera kuda nkhawa kuti mwaphonya mlingo.
Ngati mukuganiza kuti mwamwa mankhwala mopitirira muyeso mwangozi, ogwira ntchito kuchipatala adzayang'aniridwa ndi iwo. Kupanda kutero, ngati pali mavuto ena, ndikofunikira kudziwitsa nthawi yomweyo National Poisons Information Centre ku National Hospital kapena Emergency Treatment Unit (ETU) ya chipatalacho.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Tacrolimus ndi mankhwala omwe angagwirizane ndi mankhwala ena ambiri. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa (omwe adalembedwa ndi madokotala ena, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala achikhalidwe, komanso mankhwala azitsamba).
Tiyeni tifotokoze izi mozama ndi matebulo omwe ali pansipa.
| Musagwiritse ntchito Tacrolimus ndi izi! | |
|---|---|
| Cidofovir, Cisapride | Mesoridazine, Mifepristone |
| Cyclosporine, Dronedarone | Pimozide, Saquinavir |
| Fluconazole | Thioridazine, Ziprasidone |
| Madzi a mphesa | Katemera wa kachilombo ka moyo |
| Samalani kwambiri ndi izi. | |
|---|---|
| Maantibayotiki ena | Mankhwala monga Clarithromycin, Erythromycin, Rifampin. |
| Mankhwala a HIV kapena Hepatitis | Mankhwala oletsa mavairasi. |
| Mankhwala oletsa bowa | Monga Ketoconazole, Itraconazole, ndi Voriconazole. |
| Mankhwala a kuthamanga kwa magazi | Mankhwala monga Diltiazem, Nifedipine, Verapamil. |
| Mankhwala a gastritis | Mankhwala monga Omeprazole, Lansoprazole, Famotidine. |
| Zogulitsa zitsamba | Zinthu monga wort wa St. John. |
| Mankhwala ena | Mowa, Ma Steroid (monga Prednisone), Sirolimus, Diuretics. |
Zinthu zoti muziganizire panthawi ya chithandizo
- Dzitetezeni ku matenda: Tacrolimus imafooketsa chitetezo cha mthupi lanu, kotero mutha kutenga matenda omwe munthu wabwinobwino sangalandire. Chifukwa chake, pewani malo odzaza anthu, pewani anthu odwala, ndipo sambani m'manja nthawi zambiri. Ngati mukumva zizindikiro monga malungo, kupweteka kwa thupi, kupweteka pakhosi, kapena chifuwa, musadzipatse mankhwala ndipo dziwitsani dokotala wanu nthawi yomweyo.
- Kupewa mimba: Pewani kutenga mimba kotheratu mukamamwa mankhwalawa.Azimayi ndi amuna onse ayenera kugwiritsa ntchito njira yothandiza kwambiri yolerera. Mankhwalawa amatha kuvulaza kwambiri mwana amene ali m'mimba.
- Kuopsa kwa khansa: Kumwa mankhwala oletsa chitetezo chamthupi awa kwa nthawi yayitali kungakulitse chiopsezo chanu cha mitundu ina ya khansa, monga khansa ya pakhungu ndi lymphoma. Lankhulani ndi dokotala wanu za izi.
- Chitetezo ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa. Choncho, ngati mukufuna kukhala padzuwa, valani chipewa, ndipo valani zovala zophimba thupi lanu.
- Kuchuluka kwa shuga m'magazi: Mankhwalawa angapangitse kuti shuga m'magazi achuluke. Ngati muli ndi matenda a shuga, yang'anani kuchuluka kwa shuga m'magazi anu nthawi zonse.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Tacrolimus ingayambitse zotsatirapo zina. Zina mwa izi ndi zazikulu ndipo ziyenera kunenedwa nthawi yomweyo.
| Zotsatira Zam'mbali | Kufotokozera |
|---|---|
| Zinthu zoti muuze dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Mavuto a mtima | Kupweteka pachifuwa, kupuma movutikira, kugunda kwa mtima mofulumira kapena kosakhazikika, chizungulire. |
| Kuwonjezeka kwa shuga m'magazi | Kuwonjezeka kwa njala, ludzu, kukodza pafupipafupi, kusawona bwino. |
| Zizindikiro za matenda | Malungo, kuzizira, kupweteka pakhosi, matenda a mkodzo. |
| Zotsatira pa impso | Kuchepa kwa mkodzo kapena kuvutika kukodza. |
| Mavuto a mitsempha | Mutu waukulu, khunyu, kusintha kwa masomphenya, kusintha kwa khalidwe, dzanzi m'miyendo. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kupweteka m'mimba, kudzimbidwa, kutsegula m'mimba. |
| Kusowa tulo | Kuvutika kugona. |
| Kutupa kwa thupi (Edema) | Kutupa kwa manja, mapazi, akakolo, kapena kunenepa mwadzidzidzi. |
Uthenga Wopita Nawo Kunyumba
- Tacrolimus ndi mankhwala ofunikira kwambiri omwe amaperekedwa kuti thupi lisakane chiwalo pambuyo pochiika chiwalo.
- Izi zimaperekedwa kuchipatala chokha, motsogozedwa ndi dokotala.
- Ndikofunikira kuuza dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Popeza zimachepetsa chitetezo chamthupi, samalani kwambiri kuti mudziteteze ku matenda. Ngati muyamba zizindikiro zofanana ndi chimfine, dziwitsani dokotala wanu nthawi yomweyo.
- Azimayi ndi amuna onse ayenera kugwiritsa ntchito njira zolerera zogwira mtima panthawi ya chithandizo.
- Ngati pali vuto lililonse kapena kukayikira kulikonse, lankhulani ndi dokotala wanu ndipo tsatirani malangizo awo molondola.
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