Funsani Dokotala Wanu Za Zotsatira Zoipa Musanayambe, Panthawi, Pambuyo Pambuyo Pokumana ndi Mankhwalawa
Mercaptopurine ndi mankhwala omwe amadziwika kuti wotsutsa purine. Amagwiritsidwa ntchito pa matenda monga Crohn's disease ndi ulcerative colitis (mitundu iwiri ya matenda opatsirana amagazi [IBD] ) ndi acute lymphocytic khansa ya m'magazi. Angagwiritsidwe ntchito pochiza zinthu zina.
6-mercaptopurine (6-MP) amatengedwa kamodzi patsiku, ndipo akhoza kupatsidwa kaya piritsi kapena jekeseni.
Zinthu Zofunika Kwambiri Kudziwa Zokhudza 6-MP
- 6-MP sayenera kutengedwa mkati mwa masabata awiri kuti atenge katemera wamoyo
- Kuchuluka kwa maselo oyera a magazi kumakhala kovuta
- Dokotala akhoza kuyesa kafukufuku wamagazi nthawi zonse kuti ayang'ane ntchito ya chiwindi
- Azimayi ayenera kugwiritsa ntchito njira zothandizira kubereka kuti asatenge mimba pokhapokha atatenga 6 MP
- Kuyamwitsa sikukakonzedwa nthawi yomwe imatenga 6 MP
Mfundo Yofunika Kwambiri pa 6-MP
Zinthu zofunika kwambiri kuti mudziwe za 6-MP ndizimene zingayambitse mavuto ena monga tsitsi, kusanza, kutsegula m'mimba, ndi chilakolako chofuna kudya. Sitiyenera kugwiritsidwa ntchito mkati mwa milungu iwiri yokalandira katemera wamoyo. Ngati simukudziwa ngati katemera wanu umakhala ndi moyo, funsani ndi dokotala wanu.
Kutaya tsitsi kumakhala kovuta kwambiri, komabe ziyenera kusintha ngati mankhwala atayimitsidwa, ndipo tsitsi liyamba kukula moyenera. Kafukufuku wina adawonetsa kuti 1% ya anthu omwe amatenga 6-MP kuti athetse matenda a IBD adatayika tsitsi.
Zowonjezereka zinali kuchepetsa kuchuluka kwa maselo oyera a magazi , omwe amapezeka pafupifupi 11% mwa odwala.
Chodetsa nkhaŵa kwambiri ndi zotsatirapo monga kupha magazi, kuvulaza, kapena zilonda; chizungulire kapena kutaya chidziwitso; kupweteka kwa pakamwa; ndi zopweteka zomodzi. Zina mwa izi zikhoza kuchitika ngati zizindikiro za IBD, choncho ndikofunika kuti dokotala wanu asungunuke pazovuta zonse zomwe mukukumana nazo.
6-MP angayambitsenso kuyesayesa kowopsa kwa chiwindi, ndipo mu phunziro limodzi, izi zinachitika mwa odwala 4 peresenti omwe akuzitenga kuti athetse IBD. Pachifukwa ichi, dokotala angafunike kuchita nthawi yoyezetsa magazi kuti ayang'ane ntchito ya chiwindi. Nthawi zina, kuchuluka kwa zinthu zina m'magazi (aminotransferase) kungatanthauze kuti mlingo wa mankhwalawo uyenera kuchepetsedwa, kapena kuti uyenera kuthetsedwa.
Ndikoyenera kuti amayi agwiritse ntchito njira yoberekera panthawi yomwe amamwa 6 MP kuti asatenge mimba. 6-MP ndi FDA Mutu wa Mimba D: Pakhoza kukhala zoopsa kwa mwana, koma mankhwala akhoza kupitilizidwa chifukwa kuleka kungakhale ndi zotsatira zovulaza kwambiri kwa amayi. Ngati mutatenga pakati pa 6 MP, muuzeni dokotala wanu. Kuyamwitsa mwana pamene kutenga 6 MP sikuvomerezeka.
Zosagwirizana Zomwe Zimagwirizanitsa 6 MP
Afunseni dokotala ngati zotsatirapo zotsatirazi zikupitirira kapena zikuvutitsa:
- mdima wa khungu
- kutsekula m'mimba
- mutu
- kusowa kwa njala
- kuthamanga kwa khungu ndi kuyabwa
- kufooka
Nthawi zonse Mudziwitse Dotolo Wotsatila Awa
Zowonjezereka kwambiri
- kutopa kapena zofooka
- maso a khungu kapena khungu
Zochepa Zosagwirizana
- ululu wamkati
- kusowa kwa njala
- kunyoza ndi kusanza
- kutupa kwa mapazi kapena miyendo yochepa
Kawirikawiri
- Zilonda m'kamwa ndi pamilomo
Adziwitseni Dokotala Mwamsanga Zokhudza Zovuta Zotsatirazi
Zosagwirizana kwambiri
- wakuda, tarry stools
- magazi mu mkodzo kapena m'mitsempha
- chifuwa kapena mantha
- malungo kapena ziwombankhanga
- kuchepetsa kumbuyo kapena kupweteka kumbali
- zopweteka kapena zovuta
- onetsetsani mawanga ofiira pa khungu
- kutuluka mwachilendo kapena kuvulaza
Mfundo Zofunikira Zina
Chifukwa cha njira zomwe mankhwala amachitira thupi, pali mwayi woti angayambitse zina zosafunikira zina miyezi kapena zaka mankhwalawa atagwiritsidwa ntchito. Zotsatirazi zochepetsedwazi zingaphatikizepo mitundu ina ya khansa imene iyenera kukambidwa ndi dokotala.
Mercaptopurine ikhoza kubweretsa zotsatirapo pambuyo posiya chithandizo. Panthawi imeneyi, fufuzani ndi dokotala ngati zotsatira za zotsatirazi zikuchitika:
- wakuda, tarry stools
- magazi mu mkodzo kapena m'mitsempha
- chifuwa kapena mantha
- malungo kapena ziwombankhanga
- kuchepetsa kumbuyo kapena kupweteka kumbali
- zopweteka kapena zovuta
- onetsetsani mawanga ofiira pa khungu
- kutuluka mwachilendo kapena kuvulaza
- maso a khungu kapena khungu
Zotsatira zina zosawerengedwera pamwambazi zingakhalenso ndi odwala ena. Mukawona zotsatira zina zilizonse, funsani dokotala wanu. Mfundoyi imangokhala ngati chitsogozo - Nthawi zonse funsani dokotala kapena wamankhwala kuti mudziwe zambiri zokhudza mankhwala oyenera.
Chitsime:
Glazier KD, Palance AL, Griffel LH, Das KM. "Zaka khumi zapakati paokha ndi 6-mercaptopurine pochizira matenda opatsirana." J Clin Gastroenterol . 2005 Jan; 39: 21-26.
Mahadevan U. "Chiberekero ndi mimba mwa wodwala ndi matenda opatsirana." Kutha . 2006 Aug; 55: 1198-1206.
Shaye OA, Yadegari M, Abreu MT, et al. "Hepatotoxicity ya 6-mercaptopurine (6-MP) ndi Azathioprine (AZA) mwa odwala akuluakulu a IBD." Am J Gastroenterol . 2007 Nov; 102: 2488-2494.