Ukufakelwa isitho kufana nokuphila kwesibili, akunjalo? Ngempela kuyisimangaliso sezokwelapha. Kodwa-ke, kunethuba elikhulu lokuthi umzimba wakho uzobona isitho esisha (inhliziyo, izinso, isibindi, noma amaphaphu) esifakwe ngale ndlela "njengesingaphandle" bese usihlasela. I-Tacrolimus umuthi obaluleke kakhulu ovimba lokho kusabela (ukwenqatshwa) futhi usize umzimba wamukele isitho esisha njengengxenye yaso. Ngokuvamile sitholakala ngaphansi kwegama lomkhiqizo i-Prograf. Ngakho-ke, uma wena noma othile omaziyo enikezwa lo muthi wokugomela, kubaluleke kakhulu ukwazi ngokugcwele ngawo.
Kwenzekani ngempela nge-Tacrolimus?
Kalula nje, i-Tacrolimus iyisidakamizwa sokuvimbela amasosha omzimba. Cabanga ngomzimba wakho njengezwe, futhi amasosha omzimba wakho ayibutho lalelo zwe. Noma yini evela ngaphandle - njengegciwane - ihlaselwa futhi ibhujiswe yileli butho. Lokhu kuyinto enhle kakhulu.
Kodwa-ke, isitho esisanda kutshalwa sibhekwa njengesitho "esingaphandle" ngumzimba. Ngakho-ke, isimiso somzimba sokuzivikela (isimiso somzimba sokuzivikela) siqala ukuhlasela isitho esisha nesibalulekile. Yilokhu esikubiza ngokuthi ukwenqatshwa kwesitho. I-Tacrolimus isebenza ngokulawula kancane umsebenzi wesimiso sakho sokuzivikela komzimba nokusivimba ekuhlaseleni isitho esisha. Ngale ndlela, isitho esisha sidalwa emzimbeni nasendaweni esidingayo ukuze sikhule kahle futhi senze umsebenzi waso ngendlela efanele.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-tacrolimus, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo ophelele. Lo muthi ungathinta izinhlelo eziningi emzimbeni. Qiniseka ukuthi utshela udokotela wakho ngalokhu:
- Ezinye izifo onazo:
- Isifo sikashukela noma amazinga aphezulu kashukela egazini.
- Isifo senhliziyo noma ukungasebenzi kahle kwesigqi senhliziyo.
- Umfutho wegazi ophezulu.
- Isifo sezinso noma sesibindi.
- Noma yisiphi isimo esithathelwanayo samanje (umkhuhlane, umkhuhlane, ukukhwehlela, njll.).
- Okunye ubuthakathaka besimiso somzimba sokuzivikela.
- Ukukhulelwa nokuncelisa:
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kubalulekile ukutshela udokotela wakho ngalokhu.
- Ukungezwani komzimba:
- Tshela udokotela wakho uma une-allergies ku-tacrolimus noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Ukugoma:
- Uma usanda kuthola umuthi wokugoma noma uhlelelwe ukuwuthola esikhathini esizayo, sitshele ngawo futhi.
Ukutshela udokotela wakho lolu lwazi ngaphandle kokufihla kubaluleke kakhulu ekuphepheni kwakho kanye nempumelelo yokwelashwa kwakho.
Indlela yokunikeza umuthi wokugomela i-Tacrolimus nezinye izinto
Lona akuwona umuthi ongawuthatha ekhaya. I-Tacrolimus inikezwa ngemithambo yegazi (IV). Inikezwa esibhedlela noma emtholampilo ngudokotela noma umhlengikazi oqeqeshiwe. Ngakho-ke akudingeki ukhathazeke ngokulahlekelwa umthamo.
Uma ucabanga ukuthi uphuze ngokweqile ngephutha, kuzophathwa ngabasebenzi besibhedlela. Ngaphandle kwalokho, uma kuvela ezinye izinkinga, kubalulekile ukwazisa ngokushesha iNational Poisons Information Centre eNational Hospital noma i -Emergency Treatment Unit (ETU) yesibhedlela.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Tacrolimus umuthi ongasebenzisana neminye imithi eminingi. Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imithi yendabuko, ngisho nemikhiqizo yamakhambi).
Ake sichaze lokhu kabanzi ngamathebula angezansi.
| Ungalokothi usebenzise i-Tacrolimus ngalezi zinto! | |
|---|---|
| I-Cidofovir, i-Cisapride | I-Mesoridazine, i-Mifepristone |
| I-Cyclosporine, i-Dronedarone | I-Pimozide, i-Saquinavir |
| I-Fluconazole | I-Thioridazine, i-Ziprasidone |
| Ijusi le-Grapefruit | Imithi yokugomela igciwane ephilayo |
| Qaphela kakhulu nalezi. | |
|---|---|
| Amanye ama-antibiotic | NjengeClarithromycin, i-Erythromycin, ne-Rifampin. |
| Imithi ye-HIV noma i-Hepatitis | Imithi yokulwa namagciwane. |
| Imithi yokulwa nesikhunta | NjengeKetoconazole, i-Itraconazole, neVoriconazole. |
| Imithi yokwelapha umfutho wegazi ophakeme | Njenge-Diltiazem, i-Nifedipine, i-Verapamil. |
| Imithi yokwelapha i-gastritis | Njenge-Omeprazole, i-Lansoprazole, i-Famotidine. |
| Imikhiqizo yezitshalo | Izinto ezifana ne-St. John's wort. |
| Eminye imithi | Utshwala, Ama-steroid (njenge-Prednisone), i-Sirolimus, ama-Diuretics. |
Izinto okufanele uzicabangele ngesikhathi sokwelashwa
- Zivikele ezifweni: I-Tacrolimus yenza amasosha omzimba wakho abe buthaka, ngakho-ke ungase uthole kalula izifo umuntu ovamile angeke azithole. Ngakho-ke, gwema izindawo ezinabantu abaningi, gwema abantu abagulayo, futhi ugeze izandla zakho njalo. Uma uba nezimpawu ezifana nomkhuhlane, izinhlungu zomzimba, umphimbo obuhlungu, noma ukukhwehlela, ungaziphilisi futhi wazise udokotela wakho ngokushesha.
- Ukuvimbela ukukhulelwa: Gwema ukukhulelwa ngokuphelele ngenkathi uthatha lo muthi.Abesifazane nabesilisa kufanele basebenzise uhlobo lokuvimbela inzalo olusebenza kahle kakhulu. Lo muthi ungalimaza kakhulu ingane esibelethweni.
- Ingozi yomdlavuza: Ukuthatha le mithi ecindezela amasosha omzimba isikhathi eside kungandisa kancane ingozi yakho yezinhlobo ezithile zomdlavuza, njengomdlavuza wesikhumba kanye ne-lymphoma. Khuluma nodokotela wakho ngalokhu.
- Ukuvikelwa elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, uma uzoba selangeni, sebenzisa isivikelo esihle selanga, gqoka isigqoko, futhi ugqoke izingubo ezimboza umzimba wakho.
- Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini. Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Tacrolimus ingabangela imiphumela emibi. Eminye yale miphumela iyingozi futhi kufanele ibikwe ngokushesha.
| Umphumela Ongemuhle | Incazelo |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinkinga zenhliziyo | Ubuhlungu esifubeni, ubunzima bokuphefumula, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isiyezi. |
| Ushukela wegazi okhuphukile | Indlala eyanda ngendlela engavamile, ukoma, ukuchama njalo, ukubona okufiphele. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, umphimbo obuhlungu, ukutheleleka komgudu womchamo. |
| Umphumela ezinso | Ukwehla kokukhishwa komchamo noma ubunzima bokuchama. |
| Izinkinga zesistimu yezinzwa | Ubuhlungu obukhulu bekhanda, ukuxhuzula, izinguquko zokubona, izinguquko zokuziphatha, ukungazweli ezithweni. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Izinkinga zesistimu yokugaya ukudla | Ubuhlungu besisu, ukuqunjelwa, uhudo. |
| Ukungalali | Unenkinga yokulala. |
| Ukuvuvukala komzimba (i-Edema) | Ukuvuvukala kwezandla, izinyawo, amaqakala, noma ukukhuluphala ngokuzumayo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Tacrolimus umuthi obaluleke kakhulu onikezwa ukuvimbela umzimba ukuthi wenqabe isitho ngemuva kokufakelwa isitho.
- Lokhu kunikezwa esibhedlela kuphela, ngaphansi kokuqashwa kwezokwelapha.
- Kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Njengoba kunciphisa amasosha omzimba, qaphela ngokukhethekile ukuze uzivikele ezifweni. Uma uba nezimpawu ezifana nomkhuhlane, yazisa udokotela wakho ngokushesha.
- Bobabili abesifazane nabesilisa kufanele basebenzise izindlela zokuvimbela inzalo ezisebenzayo ngesikhathi sokwelashwa.
- Uma kwenzeka kuba nezinkinga noma ukungabaza, khuluma nodokotela wakho bese ulandela imiyalelo yakhe ngqo.
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