Tacrolimus (inzira y'umutima)

Prograf

Injeksiyon ya Tacrolimus ikoreshwa hamwe n'imiti indi mu gukumira ko umubiri wananira kwakira umusemburo watewe (urugero, impyiko, umwijima, umutima, cyangwa ihaha). Iyi miti ishobora gukoreshwa hamwe na steroide, azathioprine, cyangwa mycophenolate mofetil. Tacrolimus ibarizwa mu itsinda ry'imiti izwi nka immunosuppressive agents. Iyo umurwayi ahabwa umusemburo, uturango tw'amaraso yera mu mubiri tuzaba tugerageza kuwukuraho (kuwanga). Tacrolimus ikora mu gukumira imikorere y'umubiri kugira ngo ikumire ko uturango tw'amaraso yera tugerageza kuwukuraho. Tacrolimus ni imiti ikomeye cyane. Ishobora gutera ingaruka mbi zishobora kuba zikomeye, nko kubabara impyiko. Ishobora kandi kugabanya ubushobozi bw'umubiri bwo kurwanya indwara. Wowe na muganga wawe mugomba kuganira ku byiza by'iyi miti ndetse n'ibyago byo kuyikoresha. Iyi miti igomba gutangwa gusa na muganga cyangwa munsi y'ubuyobozi bwa muganga. Iyi miti iboneka mu buryo bukurikira:

Mu gufata icyemezo cyo gukoresha imiti, ibyago byo gufata iyo miti bigomba guhanurwa n'akamaro izagira. Iki ni icyemezo uzatanga hamwe na muganga wawe. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba wigeze ugira uburwayi budasanzwe cyangwa ubwoko bw'uburwayi buterwa na iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'uburwayi buterwa na allergie, nko ku biribwa, amabara, ibintu byongera ubuzima bw'ibicuruzwa, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa na muganga, soma witonze ibikubiye mu kimenyetso cyangwa mu bipfunyika. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abana byabuza ikoreshwa ry'urushinge rwa tacrolimus mu bana bafite ibibazo by'umwijima, impyiko, umutima, cyangwa ibihaha. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abakuze byabuza ikoreshwa ry'urushinge rwa tacrolimus mu bakuze. Ariko kandi, abarwayi bageze mu zabukuru bafite ibyago byinshi byo kugira ibibazo by'impyiko, umwijima, cyangwa umutima, bishobora gusaba ubwitonzi no guhindura umwanya w'abagata imiti ya tacrolimus. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha iyi miti mu gihe cyo konsa. Pima inyungu zishoboka ugereranije n'ibyago bishoboka mbere yo gufata iyi miti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ikibazo gishobora kubaho. Muri uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo uhawe iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri hasi. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti iri hasi ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira iyi miti cyangwa guhindura imiti indi ufashe. Gukoresha iyi miti hamwe n'imiti iri hasi ntibisanzwe byemewe, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti iri hasi bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wowe. Niba imiti yombi yandikiwe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya bimwe mu biribwa kuko hariho ikibazo gishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe bishobora kandi gutera ibibazo. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'ibikurikira ntibisanzwe byemewe, ariko bishobora kuba bidashoboka kwirinda mu bihe bimwe na bimwe. Niba ikoreshwa hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha iyi miti, cyangwa akaguha amabwiriza yihariye ku ikoreshwa ry'ibiribwa, inzoga, cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane: