I-Protopic
ITacrolimus yasekhanda isetyenziswa olusu ukwelapha isifo se-atopic dermatitis esiphakathi neseqatha kulabo abaphathwe ngeminye imithi engasebenzisanga kahle. I-Atopic dermatitis yisimo sesikhumba lapho kukhona khona ukukhahlela, ubomvu, nokuvuvukala, kufana kakhulu nokuqabuka. ITacrolimus iyanciphisa le mihlola ebangelwa yisistimu yomzimba yokukhusela. Lolu lwemi lungeniwa kuphela ngomyalelo wochwepheshe wezokwelapha. Lo mkhiqizo utholakala ngezindlela zokulinganisela ezilandelayo:
Ekucineni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqulu ozothatha wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engavamile noma ebangelwa uketshezi kulo muthi noma kunoma iyiphi eminye imithi. Tshela futhi ochwepheshe bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonakalisanga izinkinga ezikhethekile zezingane ezingalimi ukusetshenziswa kwe-tacrolimus topical ezinganeni ezineminyaka emibili ubudala nangaphezulu. Noma kunjalo, lo muthi awunconywa ezinganeni ezineminyaka engaphansi kwemibili. Izifundo ezifanele ezenziwe kuze kube manje azibonakalisanga izinkinga ezikhethekile zabantu abadala ezingalimi ukusetshenziswa kwe-tacrolimus topical kwabadala. Ayikho izifundo ezanele kubesifazane zokunquma ingozi yengane uma usebenzisa lo muthi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha lo muthi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha lo muthi, kubaluleke kakhulu ukuthi ochwepheshe bezempilo bakwazi uma uthatha noma yimiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lo muthi nanoma yimiphi imithi elandelayo akunconywa. Udokotela wakho anganquma ukungakwelaphi ngalo muthi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa lo muthi nanoma yimiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ukusebenzisa lo muthi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lo muthi nanoma yini elandelayo ngokuvamile akunconywa, kodwa kungase kungenzeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani lo muthi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwalo muthi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Sebenzisa le mishini ngokuqondile njengoba udokotela wakho ekuqondisa. Ungayisebenzisi ngokweqile, ungayisebenzisi kaningi, futhi ungayisebenzisi isikhathi eside kunalokho udokotela wakho akuqondisile. Ukwenza kanjalo kungandisa amathuba ezingozi ezihambisana nemishini. Lona mishini akufanele kube yilona mishini lokuqala olizosebenzisa ekwelapheni isimo sakho. Kuhloswe ukuba lisetshenziswe kuphela ngemuva kokuba uzame ezinye izidakamizwa ezingazange zisebenze noma eziye zabangela imiphumela emibi. Lona mishini lungahlotshaniswa nenhlanhla enkulu yokuthuthukisa isifo sikagciwane, i-eczema herpeticum, ukutheleleka kwe-herpes simplex virus (amabhontshisi olukhuni), noma ukutheleleka kwe-varicella zoster virus (ishingles). Buza udokotela wakho uma unemibuzo ngalokhu futhi ubhale noma yiziphi izimpawu noma izimpawu zalezi zimo ku dokotela wakho. Lona mishini akufanele lisetshenziswe njalo isikhathi eside. Uma kudingeka, ukwelashwa kungaphindwa ngokuphumula phakathi. Lona mishini kufanele libe ne-Medication Guide. Funda futhi ulandele le miyalelo ngokucophelela. Buza udokotela wakho uma unemibuzo. Lona mishini liwukusetshenziswa kwesikhumba kuphela. Ungalifaki emehlweni, ekhaleni, noma emlonyeni. Ungalisebenzisi ezindaweni zesikhumba ezinezikhafu noma izikhafu. Uma lifika kulezi zindawo, lihlanza ngokushesha. Ukusebenzisa: Ungasebenzisi izimonyo noma ezinye imikhiqizo yokunakekelwa kwesikhumba ezindaweni zesikhumba ezisuswe. Inani lale mishini lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo elebhelini. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile ale mishini. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemishini osilithatha lixhomeke emandleni emishini. Futhi, inani lezingxenye olizithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezingxenye, nobude besikhathi othatha imishini kuya ngenkinga yezokwelapha oyisebenzisela imishini. Gcina kude nabancane. Ungagcini imishini esele iphelile noma imishini engekho esadingekile. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahule kanjani noma iyiphi imishini ongayisebenzisi. Gcina imishini esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayigqabi. Ungayishiyi i-ointment emotweni ngesimo sezulu esibandayo noma esishisayo. Qiniseka ukuthi i-tube ivaliwe ngokuqinile.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.