Ukufakelwa izinso kuyisenzakalo esibalulekile empilweni. I-Tacrolimus umuthi obaluleke kakhulu osiza ekuvikeleni impilo yakho entsha futhi uvimbele umzimba wakho ekwenqabeni izinso ezisanda kufakelwa. Ungase uthole lo muthi ngaphansi kwegama lomkhiqizo i-Envarsus. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi uwusebenzisa kanjani, nokuthi yini okudingeka uyiqaphele.
Uhlobo luni lomuthi oluyi-Tacrolimus?
Kalula nje, lo muthi usebenza ngokulawula isimiso somzimba wakho sokuzivikela kancane, ukuvimbela ukuthi ucabange ukuthi izinso zakho ezintsha "azivamile" bese uzihlasela. Imithi elawula isimiso somzimba sokuzivikela ngale ndlela ibizwa ngokuthi 'ama-immunosuppressants'. Lokhu kubalulekile ekuvikeleni izinso zakho ezintsha nokuqinisekisa ukuthi zisebenza kahle.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Uma ukhuluma nodokotela wakho ngalokhu, kubalulekile ukusho noma yiziphi izimo ezibalwe ngezansi, njengoba lokhu kuzonquma umthamo kanye nezinye izici ozonikezwa zona.
- Uma unesifo sikashukela (i-Diabetes Mellitus)
- Uma unesifo senhliziyo
- Uma une-high blood pressure
- Uma unezinye izinkinga zesimiso somzimba
- Uma kukhona ukutheleleka okukhona
- Uma unesifo sezinso noma isifo sesibindi
- Uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola esikhathini esizayo
- Uma une-allergy ku-tacrolimus noma eminye imithi, ukudla, noma udayi
- Uma ukhulelwe, noma uzama ukukhulelwa
- Uma ungumama oncelisayo
Ungayithatha kanjani imithi? Landela le miyalelo kahle.
Ukuze uthole okuningi kulo muthi, kubaluleke kakhulu ukuwusebenzisa ngendlela efanele.
1. Gwinya ithebhulethi ngengilazi yamanzi .
2. Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke . Kwenze kube umkhuba lokhu. Kungumqondo omuhle ukusetha i-alamu efonini yakho.
3. Gwinya ithebhulethi lonke . Ungalokothi uliphule, ulichoboze, noma ulihlafune.
4. Kubaluleke kakhulu: Njalo thatha lo muthi ekuseni ungenalutho esiswini . Okusho ukuthi, okungenani ihora elilodwa ngaphambi kokudla kwasekuseni, noma okungenani amahora amabili ngemva kokudla kwasekuseni.
5. Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Kubaluleke kakhulu: Ungaphuzi ijusi le-grapefruit ngenkathi uthatha lo muthi nganoma yisiphi isizathu . Kungathinta kakhulu indlela umuthi osebenza ngayo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Cabanga ukuthi kufanele uphuze iphilisi lakho ngo-8 ekuseni. Uma ukhohlwa ukuliphuza, futhi ukhumbula zingakapheli amahora angu-15, okungukuthi, ngaphambi kuka-11 ebusuku, liphuze ngokushesha nje lapho ukhumbula. Kodwa uma kungemuva kwamahora angu-15, okungukuthi, ngemva kuka-11 ebusuku, ungaliphuzi umthamo ongawuphuzanga. Yeqa ngokuphelele bese uphuze iphilisi elilandelayo ngo-8 ekuseni njengokujwayelekile ngosuku olulandelayo. Ungalokothi uthathe umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe umuthi omningi kunalokho obekucabanga, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane ne-Tacrolimus
I-Tacrolimus ingasebenzisana neminye imithi eminingi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa naleyo enqunywe udokotela wakho, imithi ethengiswa ngaphandle kwemithi kadokotela, imikhiqizo yamakhambi, namavithamini.
| Isigaba sezidakamizwa | Izibonelo |
|---|---|
| Ungazithathi lezi zinto nanoma yini. | |
| Eminye imithi yokwelapha izifo zesikhunta | i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, i-voriconazole |
| Ezinye izilawuli zomzimba | i-cyclosporine |
| Eminye imithi | i-astemizole, i-cidofovir, i-cisapride, i-dronedarone, i-pimozide, i-thioridazine, i-ziprasidone |
| Ukudla neziphuzo | Ijusi le-Grapefruit |
| Funa iseluleko sezokwelapha njengoba lokhu kungase kuphendule | |
| Ama-antibiotic | i-clarithromycin, i-erythromycin, i-rifampin |
| Imithi yokwelapha umfutho wegazi ophakeme | I-Diltiazem, i-nifedipine, i-verapamil |
| Imithi yokwelapha i-gastritis | i-omeprazole, i-lansoprazole, i-cimetidine |
| Umuthi wokwelapha ukuxhuzula | i-carbamazepine, i-phenobarbital, i-phenytoin |
| Izinhlobo ze-Steroids | i-prednisone, i-methylprednisone |
| Imikhiqizo yezitshalo | I-wort kaSt. John |
Lolu hlu aluphelele, ngakho-ke kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi imithi emisha oyithathayo.
Izinto okufanele uziqaphele lapho uthatha imithi
Ukuhlolwa kwezokwelapha okuhleliwe
Kubalulekile ukuya emitholampilo njengoba kunqunywe udokotela wakho. Phakathi nalesi sikhathi, amazinga akho e-Tacrolimus egazini, ukusebenza kwezinso, kanye namazinga kashukela kuzodingeka ahlolwe njalo. Ungayeki lezi zivivinyo.
Zivikele ezifweni
Lo muthi unciphisa ukusebenza kwesimiso sakho somzimba, ukuze uthole kalula izifo. Ngakho-ke, gwema abantu abanezimpawu ezifana nomkhuhlane, umkhuhlane, ukukhwehlela, kanye nomphimbo obuhlungu. Futhi, uma unezimpawu zokutheleleka ezifana nomkhuhlane, ukubanda, umphimbo obuhlungu, noma ukushisa lapho uchama , ungaziphilisi futhi wazise udokotela wakho ngokushesha.
Ukukhulelwa nokuhlela umndeni
Lolu udaba olubaluleke kakhulu.
- Kwabesifazane:Ungakhulelwa ngenkathi uthatha lo muthi. Lokhu kungabangela umonakalo omkhulu enganeni engakazalwa. Ngakho-ke, kufanele usebenzise uhlobo olufanele lokuvimbela inzalo ngenkathi uthatha lo muthi futhi uma nje udokotela wakho ekuyala ngemva kokuyeka. Khuluma nodokotela wakho ngalokhu.
- Kwabesilisa: Uma uthatha lo muthi, qiniseka ukuthi usebenzisa ikhondomu uma ulala nowesifazane ongase akhulelwe. Kukhona ingozi yokulimaza ingane uma umlingani wakho ekhulelwa.
Ingozi yomdlavuza kanye nokukhanya kwelanga
Ukuthatha le mithi yokucindezela amasosha omzimba isikhathi eside kungandisa kancane ingozi yakho yokuthola izinhlobo ezithile zomdlavuza, njengomdlavuza wesikhumba kanye ne-lymphoma. Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke:
- Gwema ilanga elinamandla ngangokunokwenzeka.
- Uma uzokuba selangeni, gqoka izingubo ezimboza isikhumba sakho kanye nesigqoko esibanzi.
- Qiniseka ukuthi usebenzisa isithako esihle sokuvikela ilanga.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Tacrolimus ingabangela imiphumela emibi. Eminye yale miphumela iyingozi futhi kufanele ibikwe ngokushesha.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Izimpawu zokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinguquko ekushayeni kwenhliziyo | Ubuhlungu esifubeni, ubunzima bokuphefumula, isiyezi, ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Umfutho wegazi okhuphukile | Lapho udokotela emhlola, umfutho wegazi wakhe wawuphezulu. |
| Izimpawu zoshukela ophezulu egazini | Indlala eyengeziwe, ukoma, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Umphumela ezinso | Ukwehla kokukhishwa komchamo noma ubunzima bokuchama. |
| Izinkinga zesistimu yezinzwa | Ubuhlungu obukhulu bekhanda, ukudideka, ukuxhuzula, izinguquko zombono, izinguquko zokuziphatha, ukuthuthumela ezithweni. |
| Ukuba ndikindiki ezithweni zomzimba | Ubuhlungu, ukungazweli, noma ukusha ezandleni noma ezinyaweni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ubuhlungu besisu | Ukuqunjelwa noma uhudo. |
| Ukungalali | Ubunzima bokulala ebusuku. |
| Ukuvuvukala komzimba (i-Edema) | Ukuvuvukala ezindaweni ezinjengamaqakala, izinyawo, izandla, noma ukukhuluphala ngokuzumayo. |
Umlayezo Wokuya Nawe Ekhaya
- Thatha amaphilisi e-Tacrolimus ngesikhathi esifanayo nsuku zonke, esiswini esingenalutho.
- Ungawuthathi lo muthi kanye nejusi lamagilebhisi nganoma yisiphi isizathu.
- Ungaphuthelwa yinoma yiziphi izikhathi zokubonana emtholampilo noma ukuhlolwa kwegazi udokotela wakho akunikeza zona.
- Uma uzithola unezimpawu zokutheleleka, njengomkhuhlane noma ukukhwehlela, yazisa udokotela wakho ngokushesha.
- Kungakhathaliseki ukuthi ungowesifazane noma uyindoda, qiniseka ukuthi usebenzisa indlela yokuvimbela inzalo ethembekile ukuvimbela ukukhulelwa ngenkathi uthatha lo muthi.
- Qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuqala noma yimuphi umuthi omusha, umkhiqizo wamakhambi, noma ngisho nevithamini.
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