Icyo Tacrolimus (Topical) Arimwe: Ibikoresho, Uburyo Bwo Gukoresha, Ingaruka Ziterwa n'ibindi

Tacrolimus topical ni umuti wandikirwa na muganga ushyirwa ku ruhu rwawe kugira ngo uvure indwara zimwe na zimwe ziterwa n'uruhu. Ni umuti ukomeye uhindura imikorere y'umubiri w'umuntu ufasha gutuza imikorere y'umubiri w'umuntu ituma uruhu ruribwa kandi rugashya.

Uyu muti ubarirwa mu cyiciro cy'imiti yitwa topical calcineurin inhibitors. Wumve nk'umuti ugamije kuvura ahantu runaka ukoresha, aho kugira ingaruka ku mubiri wawe wose nk'uko imiti yo kunywa ishobora kugira.

Tacrolimus Topical ni iki?

Tacrolimus topical ni umuti ugabanya ubudahangarwa bw'umubiri w'umuntu uza mu ishusho ya pomade ushyira ku duce tw'uruhu twagizweho ingaruka. Uyu muti wabanje gukorwa uvanywe mu kintu kiboneka mu mikorobe yo mu butaka kandi umaze gufasha abantu kuvura indwara z'uruhu zananiranye kuva mu ntangiriro za 2000.

Uyu muti ukora ugabanya uturemangingo tumwe na tumwe tw'umubiri w'umuntu tw'uruhu tugira uruhare mu kubyimba no kuribwa. Ni ingirakamaro cyane cyane ku ndwara aho umubiri w'umuntu wibasira uturemangingo tw'uruhu twiza.

Uzabona tacrolimus topical iboneka mu mbaraga ebyiri: 0.03% na 0.1%. Muganga wawe azagena imbaraga zikwiriye ku ndwara yawe yihariye n'ubworoherane bw'uruhu rwawe.

Tacrolimus Topical ikoreshwa mu kuvura iki?

Tacrolimus topical ahanini yandikirwa kuvura atopic dermatitis yo hagati kugeza ku ikomeye, izwi kandi ku izina rya eczema. Iyi ndwara y'uruhu ihoraho itera ibibara bitukura, kuribwa, no kubyimba bishobora kugira ingaruka zikomeye ku buzima bwawe bwa buri munsi n'imibereho yawe.

Muganga wawe ashobora no kuyikwandikira ku zindi ndwara ziterwa n'uruhu iyo imiti isanzwe itatanze ubufasha buhagije. Abaganga b'uruhu bamwe bakoresha hanze y'icyo yagenewe kuvura indwara nka vitiligo, psoriasis mu duce tworoheje, cyangwa allergic contact dermatitis.

Uyu muti ufitiye akamaro kanini kuvura ibibembe ku duce tworoheje nk'isura yawe, ijosi, n'iminkanyari y'uruhu aho amavuta akomeye ya steroid ashobora gutera ingaruka zitifuzwa iyo akoreshejwe igihe kirekire.

Tacrolimus Topical ikora ite?

Tacrolimus topical ikora ibyo ikingira za enzyme zihariye zifite akamaro bita calcineurin mu ngirangingo z'umubiri wawe zirwanya indwara. Iyo izo enzyme zikingiwe, ingirangingo zawe zirwanya indwara ntizishobora gukora imiti itera umubiri kubyimba itera ububabare, no kuribwa.

Ibi bituma tacrolimus iba umuti ukomeye mu rugero ruciriritse ukomeye kurusha imiti ya steroid yoroheje ariko muri rusange yoroheje kurusha amavuta ya steroid akomeye cyane. Itanga ubufasha bwihariye nta ngaruka zimwe zo gutonda uruhu zifitanye isano no gukoresha steroid igihe kirekire.

Uyu muti ubusanzwe utangira gukora mu minsi mike kugeza ku cyumweru kimwe ukoreshwa buri gihe. Ariko, bishobora gufata ibyumweru byinshi kugira ngo ubone inyungu zose, bityo kwihangana ni ngombwa mugihe uvurwa.

Nkwiriye gufata nte Tacrolimus Topical?

Koresha tacrolimus topical nk'uko umuganga wawe abitegeka, akenshi kabiri ku munsi ku ruhu rumeze neza, rwoye. Tangira ukaraba intoki zawe neza, hanyuma usukure ahantu hagaragara ikibazo hanyuma wumuke mbere yo gusiga umuti woroshye.

Ntabwo ukeneye kurya ikintu cyihariye mbere yo gukoresha uyu muti kuko ukoreshwa ku ruhu. Ariko, irinde kuwukoresha nyuma yo koga cyangwa koga mu mazi igihe uruhu rwawe rutose cyane, kuko ibi bishobora kongera imitsi kandi bishobora gutera uburibwe.

Kora umuti woroshye mu ruhu rwawe kugeza winjiye, ariko ntukoreshe imbaraga nyinshi. Nyuma yo kuwukoresha, karaba intoki zawe wongere keretse uvura intoki zawe byihariye.

Irinda gutwikira ahantu havurwa n'amabanda akomeye cyangwa imyenda ifunga keretse umuganga wawe akubwiye kubikora. Uruhu rwawe rukeneye guhumeka mugihe umuti ukora.

Nkwiriye gukoresha Tacrolimus Topical igihe kingana iki?

Igikoresho cyo kuvura tacrolimus kigira igihe kirekire cyo gukoreshwa bitewe n'uburwayi bwawe bwihariye n'uburyo umubiri wawe wakiriye imiti. Abantu bamwe bayikoresha mu byumweru bike mu gihe cyo kwiyongera k'uburwayi, mu gihe abandi bashobora gukenera kuyikoresha igihe kirekire.

Ku kwiyongera gukomeye kwa eczema, ushobora kuyikoresha buri munsi mu byumweru 2-4 kugeza igihe uruhu rwawe ruzira, hanyuma ugahindukirira gukoresha bike kugira ngo urugero ruzamuke. Muganga wawe azakora gahunda y'imiti yihariye ishingiye ku buryo uruhu rwawe rwakiriye imiti.

Abantu benshi basanga bashobora kugabanya buhoro buhoro uburyo bakoresha imiti uko uruhu rwabo ruzamuka. Ibi bishobora kuvuga kuva ku gukoresha kabiri ku munsi kugeza rimwe ku munsi, hanyuma rimwe mu minsi ibiri, hanyuma bikarangira bikoreshwa uko bikenerwa.

Ntuzigere uhagarika gukoresha tacrolimus topical ako kanya utabanje kubaza muganga wawe, cyane cyane niba umaze kuyikoresha kenshi. Muganga wawe azakuyobora uburyo bwo kugabanya imiti mu buryo bwizewe kugira ngo wirinde kongera kwiyongera k'uburwayi.

Ni izihe ngaruka ziterwa na Tacrolimus Topical?

Abantu benshi bakira neza tacrolimus topical, ariko nk'imiti yose, ishobora gutera ingaruka. Inkuru nziza ni uko ingaruka zikomeye zitajya zibaho cyane iyo ikoreshejwe ku ruhu.

Dore ingaruka zisanzwe ushobora guhura nazo, cyane cyane mu minsi mike ya mbere yo kuvurwa:

• Kugurumana cyangwa kumva uruhu rutwika ahakoreshejwe imiti
• Uruhu rutukura cyangwa rushyushye
• Uruhu rurya (rushobora kwiyongera by'igihe gito mbere yo gukira)
• Uruhu rucogora cyangwa rukagira ububabare
• Kongera ubushyuhe cyangwa ubukonje
• Uruhu rworoshye rurakara cyangwa amabara

Izi ngaruka zisanzwe zikunda gukira uko uruhu rwawe rumenyera imiti, akenshi mu cyumweru cya mbere cyo kuvurwa.

Ingaruka zitabaho cyane ariko zikwiye kwitabwaho cyane zigomba kuvuganwa na muganga wawe zirimo:

• Ibimenyetso byo kwandura uruhu (gukara cyane, gushyuha, amashyira, cyangwa imirongo itukura)
• Urubavu rukabije rutagira icyo ruhinduka nyuma y'iminsi mike
• Impinduka zidasanzwe ku ruhu cyangwa imikurire
• Udusebe twabyimbye twa lymph
• Ibimenyetso bisa n'ibicurane
• Urubavu ruhoraho

Nubwo bidasanzwe cyane, abantu bamwe bashobora kugira allergie cyangwa bakagira ubushobozi bwo kwandura uruhu. Niba ubonye impinduka zidasanzwe ku ruhu cyangwa wumva utameze neza mugihe ukoresha tacrolimus, vugana n'umuganga wawe.

Ninde utagomba gufata Tacrolimus Topical?

Tacrolimus topical ntabwo ikwiriye kuri buri wese, kandi ibintu bimwe na bimwe cyangwa ibihe bishobora gutuma bitakwiriye kubera uko ubuzima bwawe bumeze. Muganga wawe azasuzuma neza niba uyu muti ukwiriye kuri wowe.

Ntugomba gukoresha tacrolimus topical niba ufite allergie izwi kuri tacrolimus cyangwa ibintu byose bikubiye muri uyu muti. Abantu bafite indwara zimwe na zimwe zishingiye ku mikorere y'uturemangingo twabo tw'umubiri bishobora no gukenera kwirinda uyu muti.

Dore ibintu by'ingenzi bishobora kugira ingaruka niba tacrolimus topical ikwiriye kuri wowe:

• Kwandura uruhu (bakteria, virusi, cyangwa fungus)
• Umutekano w'umubiri wangiritse bitewe n'indwara cyangwa imiti
• Gusama cyangwa konsa (ganira neza n'umuganga wawe)
• Abana bari munsi y'imyaka 2 (ntibisanzwe gukoreshwa)
• Amateka ya lymphoma cyangwa izindi kanseri
• Indwara ikabije y'impyiko

Niba ufata indi miti igabanya ubudahangarwa bw'umubiri, muganga wawe azakenera gusuzuma neza ingaruka zifatanyije ku mikorere y'umubiri wawe mbere yo kugena tacrolimus topical.

Amazina y'ubwoko bwa Tacrolimus Topical

Tacrolimus topical iboneka munsi y'amazina menshi y'ubwoko, Protopic ikaba ariyo izwi cyane. Ubu bwoko burimo ibintu bimwe bikora nk'umuti wa tacrolimus.

Izindi nyito z'amazina y'ubucuruzi zishobora kuboneka bitewe n'aho uherereye na farumasi. Umufarumasiti wawe ashobora kugufasha gusobanukirwa niba urimo guhabwa izina ry'ubucuruzi cyangwa verisiyo rusange y'umuti.

Zombi, izina ry'ubucuruzi na verisiyo rusange ya tacrolimus topical zikora kimwe. Guhitamo akenshi biterwa n'ubwishingizi, ibitekerezo by'ikiguzi, n'icyo umuntu yifuza.

Izindi nzira zishobora gukoreshwa mu kwivuza Tacrolimus Topical

Niba tacrolimus topical itagukundiye cyangwa ikagutera ingaruka zikubangamiye, hari ubundi buryo bwo kuvura bushobora kuboneka mu gucunga indwara zifata uruhu ziterwa n'uburwayi.

Izindi nzira zikoreshwa mu kwivuza zikoresha calcineurin inhibitors zirimo pimecrolimus (Elidel), ikora kimwe na tacrolimus ariko ishobora kuba yoroshye ku bantu bamwe. Muganga wawe ashobora kugusaba kubigerageza niba tacrolimus itera kwishima cyane.

Corticosteroids ikoreshwa mu kwivuza ikomeje kuba uburyo bukomeye bwo kuvura eczema n'izindi ndwara zifata uruhu ziterwa n'uburwayi. Izi ziza mu mbaraga zitandukanye n'uburyo bwo kuzikoresha, kuva kuri hydrocortisone yoroheje kugeza kuri steroids zikomeye zandikwa na muganga.

Uburyo bushya bwo kuvura burimo inhibitors ya PDE4 ikoreshwa mu kwivuza nka crisaborole (Eucrisa) na JAK inhibitors nka ruxolitinib (Opzelura). Iyi miti ikora mu nzira zitandukanye kugirango igabanye umubyimbire w'uruhu.

Ese Tacrolimus Topical iruta Hydrocortisone?

Tacrolimus topical na hydrocortisone bikora mu buryo butandukanye kandi bifite inyungu zitandukanye bitewe n'uko ubuzima bwawe bwifashe. Nta n'imwe iruta indi, ariko buri imwe ifite imbaraga zayo zihariye.

Tacrolimus topical muri rusange ikora neza kuri eczema yo hagati kugeza ku ikomeye kandi ntiteranya uruhu nk'uko gukoresha steroids igihe kirekire bishobora kubikora. Ibi bituma bifite agaciro cyane mu kuvura ahantu hakunda kwangirika nko mu maso no mu ijosi.

Ku rundi ruhande, hydrocortisone akenshi ikora vuba ku bibazo byihutirwa kandi iboneka ku isoko mu mbaraga nto. Muri rusange kandi ihendutse kandi ishobora gutera kwishima guke.

Umuvuzi wawe azatekereza ibintu nk'uburemere bw'uburwayi bwawe, aho uruhu rwayogoje ruherereye, amateka y'imiti wakoresheje, n'ibyo wifuza kugira ngo afate icyemezo cy'umuti ukwiriye kuri wowe.

Ibibazo Bikunze Kubazwa ku bijyanye na Tacrolimus Topical

Ese Tacrolimus Topical irakoreshwa igihe kirekire?

Tacrolimus topical muri rusange ifatwa nk'umuti ukoreshwa igihe kirekire iyo ukoreshejwe nk'uko byategetswe na muganga wawe. Bitandukanye na steroid topical, ntigira uruhu ruto cyangwa izindi mpinduka z'imiterere y'uruhu rwawe iyo rukoreshejwe igihe kirekire.

Ariko, kubera ko igira ingaruka ku mikorere y'ubudahangarwa bwawe, muganga wawe azakugenzura buri gihe mu gihe uvurwa igihe kirekire. Ashobora kugusaba guhagarika umuti rimwe na rimwe cyangwa guhindura urugero rwawo bitewe n'uko uruhu rwawe rwitwara.

Ikintu cy'ingenzi ni ukuyikoresha neza ukurikiza amabwiriza ya muganga aho kuyikoresha buri gihe nta buyobozi. Muganga wawe azagufasha kubona uburyo bukwiye bwo kuvura neza no kugira umutekano.

Ninkora iki niba nkoresheje Tacrolimus Topical nyinshi ku buryo butunganye?

Niba ukoresheje Tacrolimus topical nyinshi ku buryo butunganye, ntugire ubwoba. Siba gusa ibirenzeho ukoresheje akantu gasukuye cyangwa impapuro, ariko ntukoreshe ibikoresho byo gukubura cyangwa gushyushya uruhu rwawe.

Gukoresha nyinshi rimwe na rimwe ntibishobora gutera ibibazo bikomeye, ariko bishobora kongera ibyago byo gushyushya uruhu cyangwa gutwika. Niba wumva ububabare bukomeye, urashobora gukaraba ahantu hagaragara amazi akonje.

Vugana na muganga wawe niba ukoresha imiti myinshi buri gihe cyangwa niba wumva ibimenyetso bidasanzwe nyuma yo kuyikoresha cyane. Barashobora guhindura gahunda yawe yo kuvura kugira ngo birinde ibibazo bizaza.

Ninkora iki niba nirengagije urugero rwa Tacrolimus Topical?

Niba wibagiwe urugero rwa Tacrolimus topical, yikoreshe vuba na bwangu uko wibuka, keretse igihe cyegereje cyo gufata urugero rwawe ruteganyijwe. Muri icyo gihe, reka urugero wibagiwe hanyuma ukomeze gahunda yawe isanzwe.

Ntugasabe imiti yiyongera kugira ngo usimbure urugero rwatanzwe, kuko ibi bishobora kongera ibyago byo kuribwa uruhu. Kuguma ku murongo ni ingenzi, ariko urugero rwatanzwe rimwe na rimwe ntiruzagira ingaruka zikomeye ku kuvurwa kwawe.

Niba ukunda kwibagirwa urugero, tekereza gushyiraho ibyibutso kuri terefone yawe cyangwa guhuza igihe cyo gukoresha na gahunda ya buri munsi nko kumesa amenyo yawe.

Ni ryari nshobora guhagarika gufata Tacrolimus Topical?

Ubusanzwe urashobora guhagarika gukoresha tacrolimus topical igihe uruhu rwawe rwahagaze kandi rugahora rutuje mu gihe umuganga wawe ategeka. Ibi mubisanzwe bikubiyemo kugabanya buhoro buhoro aho guhagarara ako kanya.

Umuganga wawe azagufasha kunyura muri gahunda yo kugabanya ishobora kuba irimo kugabanya inshuro yo gukoresha mu byumweru byinshi. Ibi bifasha kwirinda guturika mu gihe ugumana iterambere wagezeho.

Abantu bamwe bashobora gukenera gukomeza gukoresha tacrolimus topical rimwe na rimwe kugira ngo bakomeze, cyane cyane niba bafite indwara zidakira nka atopic dermatitis. Umuganga wawe azakorana nawe kugirango abone gahunda ntoya ikora.

Nshobora gukoresha Tacrolimus Topical hamwe n'ibindi bicuruzwa byo kwita ku ruhu?

Mubisanzwe urashobora gukoresha tacrolimus topical hamwe n'ibindi bicuruzwa byo kwita ku ruhu, ariko igihe n'ubwoko bw'ibicuruzwa birafasha. Koresha tacrolimus ku ruhu rumeze neza, rwakumye, hanyuma utegereze byibuze iminota 30 mbere yo gukoresha ibindi bicuruzwa.

Amazi yoroheje, atagira impumuro ubusanzwe ni byiza gukoresha kandi ashobora gufasha kugabanya kuribwa na tacrolimus. Ariko, irinda ibicuruzwa birimo alukolo, aside, cyangwa ibindi bintu bishobora kurakaza.

Buri gihe banuza umuganga wawe cyangwa umufarumasiti mbere yo guhuza tacrolimus n'ibindi bicuruzwa byo kwita ku ruhu bifite imiti, kuko ibintu bimwe bishobora kongera kuribwa cyangwa kugira ingaruka ku kwinjizwa.