Ukufakelwa kwezintso sisiganeko esibalulekileyo ebomini. I-Tacrolimus liyeza elibaluleke kakhulu elinceda ekukhuseleni ubomi bakho obutsha kwaye lithintele umzimba wakho ekubeni ungalamkeli izintso ezisandula ukufakelwa. Ungalifumana eli yeza phantsi kwegama elithi Envarsus. Ngoko ke namhlanje, masithethe ngeli yeza, indlela yokulisebenzisa, kunye noko kufuneka ukuqaphele.
Loluphi uhlobo lonyango oluyiTacrolimus?
Ngamafutshane, eli yeza lisebenza ngokulawula inkqubo yomzimba wakho yokuzikhusela kancinci, liyithintele ekubeni icinge ukuba izintso zakho ezintsha "azikho" kwaye ziyihlasele. Amayeza alawula inkqubo yomzimba yokuzikhusela ngale ndlela abizwa ngokuba yi-'immunosuppressants'. Oku kubalulekile ekukhuseleni izintso zakho ezintsha nokuqinisekisa ukuba zisebenza kakuhle.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Xa uthetha nogqirha wakho ngale nto, kubalulekile ukukhankanya nayiphi na imeko edweliswe ngezantsi, njengoko oku kuya kumisela umthamo kunye nezinye izinto oza kunikwa zona.
- Ukuba unesifo seswekile (iDiabetes Mellitus)
- Ukuba unesifo sentliziyo
- Ukuba une-high blood pressure
- Ukuba unezinye iingxaki zenkqubo yomzimba yokuzikhusela
- Ukuba kukho usulelo olukhoyo
- Ukuba unesifo sezintso okanye isifo sesibindi
- Ukuba usandul' ukufumana isitofu sokugonya okanye ucwangciselwe ukusifumana kwixesha elizayo
- Ukuba une-allergy kwi-tacrolimus okanye kwamanye amayeza, ukutya, okanye idayi
- Ukuba ukhulelwe, okanye uzama ukukhulelwa
- Ukuba ungumama oncancisayo
Ungayithatha njani iyeza? Landela le miyalelo ngokuchanekileyo.
Ukuze ufumane okuninzi kweli yeza, kubaluleke kakhulu ukulisebenzisa ngokuchanekileyo.
1. Ginya ipilisi ngeglasi yamanzi .
2. Sela amayeza akho ngexesha elifanayo yonke imihla . Yenza oku kube ngumkhwa. Kungumbono olungileyo ukuseta i-alamu kwifowuni yakho.
3. Ginya ipilisi yonke . Ungaze uyiqhekeze, uyityumze, okanye uyihlafune.
4. Kubaluleke kakhulu: Soloko usela eli yeza kusasa ungenanto esiswini . Oko kukuthi, ubuncinane iyure enye ngaphambi kwesidlo sakusasa, okanye ubuncinane iiyure ezimbini emva kwesidlo sakusasa.
5. Qhubeka usela amayeza de ugqirha wakho akuxelele ukuba uyeke.
Kubaluleke kakhulu: Musa ukusela ijusi yegrapefruit ngelixa usebenzisa eli yeza nangasiphi na isizathu . Oku kungayichaphazela kakhulu indlela elisebenza ngayo eli yeza.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Khawucinge ukuba kufuneka uthathe ipilisi yakho ngo-8 kusasa. Ukuba ulibele ukuyithatha, uze ukhumbule ukuba zingekapheli iiyure ezili-15, oko kukuthi, ngaphambi kwentsimbi ye-11 ebusuku, yithathe kwangoko emva kokuba uyikhumbulile. Kodwa ukuba emva kweeyure ezili-15, oko kukuthi, emva kwentsimbi ye-11 ebusuku, musa ukuyithatha idosi ephosiweyo. Yitsibe ngokupheleleyo uze uthathe ipilisi elandelayo ngo-8 kusasa njengesiqhelo ngosuku olulandelayo. Ungaze uthathe idosi ephindwe kabini.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ubucinga, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Amanye amayeza anokusebenzisana neTacrolimus
I-Tacrolimus inokusebenzisana namanye amayeza amaninzi, ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo, kuquka lawo achazwe ngugqirha wakho, amayeza athengiswa ngaphandle kwemvume kagqirha, iimveliso zezityalo kunye neevithamini.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Musa ukuzithatha ezi zinto kunye nantoni na. | |
| Amanye amayeza osulelo lwefungus | i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, i-voriconazole |
| Ezinye izilawuli zomzimba | i-cyclosporine |
| Amanye amayeza | i-astemizole, i-cidofovir, i-cisapride, i-dronedarone, i-pimozide, i-thioridazine, i-ziprasidone |
| Ukutya neziselo | Ijusi yegrapefruit |
| Funa ingcebiso kagqirha kuba aba bangasabela ngayo | |
| Ii-antibiotics | i-clarithromycin, i-erythromycin, i-rifampin |
| Amayeza oxinzelelo lwegazi oluphezulu | diltiazem, nifedipine, verapamil |
| Amayeza e-gastritis | i-omeprazole, i-lansoprazole, i-cimetidine |
| Amayeza okunyanga isifo sokuwa | i-carbamazepine, i-phenobarbital, i-phenytoin |
| Iintlobo zeeSteroids | i-prednisone, i-methylprednisone |
| Iimveliso zezityalo | I-wort yaseSt. John |
Olu luhlu aluphelelanga, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngamayeza amatsha owasebenzisayo.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
Uvavanyo lwezonyango olucwangcisiweyo
Kubalulekile ukuya kwiikliniki njengoko ugqirha wakho ekuyalele. Ngeli xesha, amanqanaba eTacrolimus egazini lakho, ukusebenza kwezintso, kunye namanqanaba eswekile kuya kufuneka ahlolwe rhoqo. Musa ukulibazisa olu vavanyo.
Zikhusele kwiintsholongwane
Eli yeza linciphisa ukusebenza kwenkqubo yakho yokuzikhusela komzimba, ukuze ukwazi ukufumana usulelo ngokulula. Ngoko ke, hlala kude nabantu abaneempawu ezifana nomkhuhlane, umkhuhlane, ukukhohlela, kunye nomphimbo obuhlungu. Kwakhona, ukuba uneempawu zosulelo ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, okanye ukutsha xa uchama , musa ukuzinyanga kwaye wazise ugqirha wakho ngoko nangoko.
Ukukhulelwa kunye nocwangciso losapho
Le yingxaki ebaluleke kakhulu.
- Kwabasetyhini:Musa ukukhulelwa ngelixa usela eli yeza. Oku kunokubangela ingozi enkulu kusana olungekazalwa. Ngoko ke, kufuneka usebenzise uhlobo olufanelekileyo lokuthintela ukukhulelwa ngelixa usela eli yeza kwaye kangangoko ugqirha wakho ekucebisa emva kokuba uyekile. Thetha nogqirha wakho ngale nto.
- Kwabesilisa: Ukuba usela eli yeza, qiniseka ukuba usebenzisa ikhondom ukuba ulala nomntu obhinqileyo onokukhulelwa. Kukho umngcipheko wokwenzakala komntwana ukuba iqabane lakho liyakhulelwa.
Ingozi yomhlaza kunye nokukhanya kwelanga
Ukusela la mayeza okunciphisa amajoni omzimba ixesha elide kunokunyusa kancinci umngcipheko wakho wokuba neentlobo ezithile zomhlaza, ezifana nomhlaza wolusu kunye ne-lymphoma. Eli yeza linokwenza ulusu lwakho lube buthathaka ngakumbi elangeni. Ke ngoko:
- Ziphephe ilanga eliqatha kangangoko unako.
- Ukuba uza kuba selangeni, nxiba impahla egquma ulusu lwakho kunye nomnqwazi obanzi.
- Qiniseka ukuba usebenzisa i-sunscreen elungileyo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, iTacrolimus inokubangela iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi kwaye kufuneka zixelwe ngoko nangoko.
| Iziphumo ebezingalindelekanga ekufuneka uzixele kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpawu ze-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Utshintsho kwisantya sentliziyo | Intlungu esifubeni, ubunzima bokuphefumla, isiyezi, ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga. |
| Uxinzelelo lwegazi olunyukileyo | Xa ugqirha wamjonga, uxinzelelo lwakhe lwegazi lwaluphezulu. |
| Iimpawu zeswekile ephezulu egazini | Ukulamba okungakumbi, ukunxanwa, ukuchama rhoqo, ukudinwa kakhulu, ukubona izinto ezingaqhelekanga. |
| Impembelelo kwizintso | Ukuncipha kokuphuma komchamo okanye ubunzima bokuchama. |
| Iingxaki zenkqubo yemithambo-luvo | Intloko ebuhlungu kakhulu, ukudideka, ukuxhuzula, utshintsho lombono, utshintsho lokuziphatha, ukungcangcazela kwamalungu omzimba. |
| Ukungabi nangqondo kwamalungu | Intlungu, ukuba ndindisholo, okanye ukutsha ezandleni okanye ezinyaweni. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intlungu yesisu | Ukuqhinwa okanye urhudo. |
| Ukungalali | Ubunzima bokulala ebusuku. |
| Ukudumba komzimba (i-Edema) | Ukudumba kwiindawo ezifana namaqatha, iinyawo, izandla, okanye ukunyuka kobunzima ngequbuliso. |
Umyalezo Wokuya Ekhaya
- Thatha iipilisi zeTacrolimus ngexesha elinye yonke imihla, ungenanto esiswini.
- Musa ukulisebenzisa eli yeza kunye nejusi yegrapefruit nangasiphi na isizathu.
- Ungaphoswa ziintlanganiso zeklinikhi okanye uvavanyo lwegazi olunikwa ngugqirha wakho.
- Ukuba ubonakalisa naziphi na iimpawu zosulelo, ezinje ngomkhuhlane okanye ukukhwehlela, yazisa ugqirha wakho ngoko nangoko.
- Nokuba ungumfazi okanye uyindoda, qiniseka ukuba usebenzisa indlela ethembekileyo yokulawula ukukhulelwa ukuthintela ukukhulelwa ngelixa usebenzisa eli yeza.
- Qiniseka ukuba ubuza ugqirha wakho ngaphambi kokuba uqale naliphi na iyeza elitsha, imveliso yezityalo, okanye kwanevithamini.
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