Le Drug isetshenziswa ukuphatha izifo eziningana zokuzibulala
Mayelana ne-Methotrexate
I-Methotrexate iyisidakamizwa esiphazamisa isisabetri seli-cell, ngakho-ke lisetshenziselwa ukwelapha izimo lapho ukukhula kweseli kudinga ukukhunjulwa khona, njenge- psoriasis nomdlavuza. I-methotrexate ibuye igweme isimiso somzimba sokuzivikela, yingakho kubekwe izimo ezizimele njenge- rheumatoid arthritis kanye nesifo sofuba (IBD) .
I-Methotrexate ingaba yindlela ephumelelayo, futhi evame ukuphepha, kodwa inehlu olude lwemiphumela emibi yecala. Abantu abane-IBD abatholi lesi sidakamizwa ngamanani aphezulu, ngakho-ke, nakuba yonke lemiphumela emibi ingenzeka, abantu abayithatha i-IBD banamathuba okuba bathuthukise. I-Methotrexate kufanele ithathwe kuphela ngokubonisana okufutshane futhi ngokulandela okulandelayo udokotela kanye nanoma yimiphi imiphumela emibi kufanele ixoxwe nodokotela wakho.
Ulwazi Olubaluleke Kakhulu Nge Methotrexate
I-Methotrexate echaza ulwazi ifika nalokho okubizwa ngokuthi isixwayiso sebhokisi elimnyama. Lesi yisitatimende esikhethekile phezulu kwe- methotrexate ebeka ulwazi oluzungezwe uhlaka (okuvame ukubizwa ngokuthi "ibhokisi elimnyama"). Isixwayiso sebhokisi elimnyama se-methotrexate siyisikhathi eside, futhi singaba sesabeka kancane. Uma kukhona ukukhathazeka, khuluma nodokotela mayelana nezingozi ze-methotrexate ngokuhambisana nezinzuzo zempilo.
Ingozi yezinkinga ezithile ingase ibe ngaphezulu, futhi kuphela udokotela ongasiza ukufaka lokho ngendlela efanele. Ngaphezu kwalokho, kubalulekile kudokotela ukuba aqonde ukukhathazeka ngabanye ngoba zonke iziguli zizohlukahluka.
I-Methotrexate ingabangela ukukhubazeka okubi kakhulu futhi akufanele kuthathwe ngesikhathi sokukhulelwa noma abesifazane abahlela ukukhulelwa. Lokhu kungenxa yengozi yokukhubazeka kokuzalwa noma ukufa komntwana.
Uma ukhulelwa ngenkathi uthatha methotrexate, yazise udokotela wakho ngokushesha.
Amanye amaphuzu ayisihluthulelo avezwe kusixwayiso sebhokisi elimnyama yilo:
- I-Methotrexate kufanele isetshenziswe kuphela ngaphansi kokunakekelwa odokotela abanolwazi lokusebenzisa imithi ye-antimetabolite
- I-Methotrexate kufanele isetshenziswe kuphela uma "kukhubaza izifo" ezingaphenduki kwezinye izifo
- Iziguli zidinga ukunakekelwa okuvamile kwezidakamizwa (ikakhulukazi umnkantsha wesibindi, isibindi, amaphaphu, nezinso)
- Odokotela kufanele bafundise iziguli ezingozini zokwelashwa nge methotrexate
- I-Methotrexate akufanele isetshenziswe ngabesifazane abakhona noma abazokhulelwa
- Iziguli ezinemisebenzi yokuqamba, ama-ascites, noma ama-pleural effusions zidinga ukuqapha okukhethekile
- I-toxicities iye yabika kubantu abathatha amanani aphezulu we-methotrexate kanye nezidakamizwa ezithile eziphikisana nezidakamizwa (ama-NSAID)
- Ukusebenzisa isikhathi eside kwe-methotrexate kungabangela i-hepatotoxicity, fibrosis, i-cirrhosis, ne-enzyme ye-fover ephakeme
- Isifo se-Lung sebikwe, futhi noma yiziphi izimpawu ezifana nokukhwehlela owomile, kufanele ziphenywe
- Uma isifo sohudo nesifo se-ulcerative sitholakala, isidakamizwa sidinga ukumiswa
- Ama-lymphomas angalungile angenzeka, kepha angase aguquke lapho umuthi umiswa
- I-tumor lysis syndrome ibike futhi ingadingeka ivinjelwe noma ilashwe
- Ukusabela isikhumba kungenzeka, ngokuvamile ngaphakathi kwezinsuku zomjovo
- Izifo ziye zabikwa, ikakhulukazi i- Pneumocystis carinii pneumonia
- Kukhona ingozi ye-tissue necrosis ne-osteonecrosis lapho i-methotrexate isetshenziswa nge-radiotherapy
- Ukusetshenziswa kweproton pump inhibitors (i-PPIs) kungandisa isikhathi se-methotrexate emzimbeni
Imiphumela Yesikhashana Yesikhashana
Hlola nodokotela wakho uma ngabe yimiphi imiphumela emibi elandelayo iqhubeka noma ihlupha:
- I-acne
- Amathumba
- Ukungabi nesifiso
- Ukudabuka noma ukuhlanza
- Isikhumba esiphezulu
- Ukuzwela ukukhanya kwelanga
- Ukushaya noma ukuphuza
- Ukulahleka kwezinwele okwesikhashana
Yazisa udokotela wakho uma uthola
- Ukuhlungu obusemhlane
- Umchamo omnyama
- Isizungu
- Ukulala
- Izinwele
- Ubuthakathaka obungavamile noma ukukhathala
- Amehlo aphuzi noma isikhumba (i-jaundice)
Yazisa uDokotela Wakho Ngokushesha Uma Uthola
- Uhudo
- Ukubuyisela kabusha isikhumba
- Izilonda emlonyeni nasezindebe
- Ubuhlungu besisu
Okuncane Okuvamile noma Okuvamile
- Ukusabela okweqile
- Umbono ophundlekile
- Izinhlungu zesifuba
- Ukudideka
- Izendlalelo zesikhumba ezifile noma ezixekethile
- I-fever noma i-chills
- Khomba izindawo ezibomvu esikhumbeni
- Ukubukeka okubuhlungu kwezikhanda zesikhumba
- Ukuvuthwa okubuhlungu noma okunzima
- Ama-blister aphuzi noma izilonda emlonyeni, emlonyeni, iso, ama-nasal nasendaweni yomzimba
- Ukuqeda isikhumba noma ngaphandle kokushaywa izinwele
- Ukuqothulwa (ukudumala)
- Ukuphefumula, ukukhwehlela, ukuphazamiseka noma ukuvuthwa
- Ubuhlungu obuphansi noma obuphansi emuva
- Ukuhlunga isikhumba, imisipha kanye nethambo
- Ukusuka okungavamile noma ukulimaza
Ezinye imiphumela emibi engabhalwanga ngenhla zingase zenzeke kwezinye iziguli. Uma ubona noma yimiphi imiphumela, hlola nodokotela wakho. Lolu lwazi luqondiswa kuphela njengeseluleko - njalo uxoxe nodokotela noma wemithi ukuze uthole ulwazi oluphelele mayelana nemithi yokwelashwa.
> Imithombo:
> Hospira, Inc. "I-Methotrexate Injection, i-USP." FDA.gov. Okthoba 2011.
> I-Roxane Laboratories. "Amathebulethi we-METHOTREXATE USP, 2.5 mg." Boehringer-Ingelheim.com. Septemba 2015.