Tacrolimus (inowanikwa nemuromo)
Mhando dzinowanikwa
Astagraf XL, Envarsus XR, Hecoria, Prograf
Nezve mushonga uyu
Tacrolimus inoshandiswa pamwe chete nemamwe mishonga kudzivirira muviri kuramba chidzitiro chakashandurwa (semuenzaniso, itsvo, chiropa, mwoyo, kana mapapu). Mushonga uyu unogona kushandiswa ne steroids, azathioprine, basiliximab, kana mycophenolate mofetil. Tacrolimus inobva muchikwata che mishonga inozivikanwa se immunosuppressive agents. Kana murwere agamuchira chidzitiro chakashandurwa, masero machena eropa emuviri achaedza kubvisa (kuramba) chidzitiro chakashandurwa. Tacrolimus inoshanda nekudzikisa sisitimu yekudzivirira muviri kudzivirira masero machena eropa kuedza kubvisa chidzitiro chakashandurwa. Tacrolimus mushonga wakasimba kwazvo. Inogona kukonzera zvinokonzerwa nezvinhu zvinogona kuva zvakakomba, senge matambudziko etsvo. Inogona zvakare kudzikisa simba remuviri rekukunda hutachiona. Iwe nechikamu chako munofanira kutaura nezvemabhenefiti emushonga uyu pamwe chete nenjodzi dzokushandisa. Mushonga uyu unowanikwa chete neyechipatara chako. Chigadzirwa ichi chinowanikwa muma fomu anotevera ekurapa:
Usati washandisa mushonga uyu
Mukusarudza kushandisa mushonga, ngozi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nezvakanaka zvichaita. Iyi sarudzo iwe nesachiremba wenyu muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero chirwere chisingawanzoitika kana chisina kunaka kumushonga uyu kana mimwe mishonga. Udzawo nyanzvi yehutano hwako kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinhu zvepakeji zvakanyatsonaka. Kudzidza kwakakodzera kwakaitwa kusvika pari zvino hakuisimbise matambudziko chaiwo ekucheche aizoita kuti kushandiswa kweAstagraf XL®kuvana vane makore mana ekuberekwa nekupfuura kuve kwakaoma. Kwakachengeteka uye kushanda kwakasimbiswa. Kudzidza kwakakodzera kwakaitwa kusvika pari zvino hakuisimbise matambudziko chaiwo ekucheche aizoita kuti kushandiswa kwePrograf®kuvana vane chirwere chechiropa, itsvo, mwoyo, kana mapapu kuve kwakaoma. Kwakachengeteka uye kushanda kwakasimbiswa. Kudzidza kwakakodzera hakuiswe pamusoro pehukama hwezera nemigumisiro yeEnvarsus XR®muvanhu vecheche. Kwakachengeteka uye kushanda hazvina kusimbiswa. Kudzidza kwakakodzera kwakaitwa kusvika pari zvino hakuisimbise matambudziko chaiwo evakwegura aizoita kuti kushandiswa kwetacrolimus kuvakuru kuve kwakaoma. Zvisinei, varwere vakwegura vane mukana wakakura wekuva nematambudziko etsvo, chiropa, kana mwoyo, izvo zvinoda kungwarira uye kugadziriswa kwemushonga wevarwere vanotora tacrolimus. Hapana zvidzidzo zvakakwana muvakadzi zvekuona ngozi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungangoitika. Munyaya idzi, chiremba wako angada kuchinja mushonga, kana mamwe matanho angadiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yehutano hwako izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nechinangwa chavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusi kukurudzirwa. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kudiwa mune dzimwe nguva. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja mushonga kana kuti ungashandisa imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera ngozi yakawedzera yemigumisiro yakati, asi kushandisa mishonga yose kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yose ikanyorwa pamwe chete, chiremba wako angachinja mushonga kana kuti ungashandisa imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nekurima kana kudya marudzi akati akati ezvokudya sezvo kuwirirana kungangoitika. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kuwirirana kunotevera kwakasarudzwa zvichienderana nechinangwa chavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero chinotevera kazhinji hakusi kukurudzirwa, asi kungasakwanisiki mune dzimwe nguva. Kana zvakashandiswa pamwe chete, chiremba wako angachinja mushonga kana kuti ungashandisa mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa zvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chaizvoizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda kana zvishoma zveizvi uye usatore kazhinji kupfuura zvakarayirwa nachiremba wako. Kushandisa zvakawanda kuchawedzera mukana wezvinhu zvinokanganisa, nepo kushandisa zvishoma kungakonzera kurambwa kwechikamu chako chakashandurwa. Mushonga uyu unouya neGwara reMishonga kana kuisa ruzivo rwemurwere uye mirairo yemurwere. Verenga utevedzere mirairo nekufarirwa. Bvunza chiremba wako kana uine mibvunzo. Mushonga uyu unoshandiswa nguva dzose pamwe chete nemamwe mishonga. Ita shuwa kuti unonzwisisa kuti ungatora riini mishonga yako yese zuva rose. Chiremba wako achakupa purogiramu yezuva nezuva yekutora mishonga yako. Unogona kutora kapusuru inoburitsa nekukurumidza kana mvura yemukanwa ine kana isina chikafu. Asi itora nenzira imwe chete nguva dzese. Kana uri kushandisa kapusuru inoburitsa kwenguva refu: Kana uri kushandisa piritsi rinoburitsa kwenguva refu: Kana uri kushandisa granule yekumisikidza mumuromo, unogona kuitora ine kana isina chikafu, asi unofanira kuitora nenzira imwe chete nguva dzese. Kugadzirira mvura yemukanwa: Haufaniri kudya grapefruit kana kunwa juisi yegrapefruit paunenge uchishandisa mushonga uyu. Grapefruit nejusi yegrapefruit zvichawedzera huwandu hwemushonga mumuviri. Usarega kushandisa mushonga uyu usati wabvunza nachiremba wako. Ungangoda kutora mushonga uyu kweupenyu hwako hwese kudzivirira muviri wako kuramba kushandurwa. Shandisa chete rudzi rwemushonga uyu rwakanyorwa nachiremba wako. Marudzi akasiyana angasashande nenzira imwe chete. Usashandise Prograf® pamwe chete necyclosporine. Tacrolimus kana cyclosporine inofanira kumirira kwemaawa anopfuura makumi maviri nemana usati watanga imwe. Doses yemushonga uyu ichave yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera runosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akuudza kuti uite izvozvo. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Zvakare, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana ukasapotsa dose yeAstagraf XL® uye iri pasi pemaawa gumi nemana kubva panguva yakajairwa, tora dose yakarasika nekukurumidza. Kana maawa anopfuura gumi nemana apfuura kubva panguva yakajairwa, siya dose yakarasika uye dzokera kune yako purogiramu yakajairwa. Kana ukasapotsa dose yeEnvarsus XR® uye iri pasi pemaawa gumi nemashanu kubva panguva yakajairwa, tora dose yakarasika nekukurumidza. Kana maawa anopfuura gumi nemashanu apfuura kubva panguva yakajairwa, siya dose yakarasika uye dzokera kune yako purogiramu yakajairwa. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, unyoro, uye chiedza chakananga. Chengetedza kuti urege kuomarara. Chengetedza kure nevana. Usachengetere mushonga wakapfuura zuva rake kana mushonga usingachadiwi. Bvunza nyanzvi yako yehutano kuti ungakanda sei mishonga ipi zvayo yausingashandise.