Mankhwalawa Amagwiritsidwa Ntchito Kuti Apeze Matenda Osiyanasiyana Odzipiritsa
About Methotrexate
Methotrexate ndi mankhwala omwe amasokoneza maselo a metabolism, motero amagwiritsidwa ntchito pofuna kuthana ndi momwe maselo akulira amafunika kuthetsedwera, monga psoriasis ndi khansa. Methotrexate imathandizanso kuti chitetezo cha mthupi chitetezedwe, ndiye chifukwa chake zimaperekedwa kwazimene zimakhala ngati matenda a nyamakazi komanso matenda opatsirana pogonana (IBD) .
Methotrexate ikhoza kukhala yothandiza, ndipo nthawi zambiri imakhala yotetezeka, koma ili ndi mndandanda wautali wa zotsatira zokhudzana ndi mlingo. Anthu omwe ali ndi IBD samalandira mankhwala osokoneza bongo, choncho, ngakhale kuti zotsatira zake zonse ndi zotheka, anthu omwe amazitenga kwa IBD sangawathandize. Methotrexate iyenera kuthandizidwa pokhapokha ndikutsatiridwa ndi dokotala ndipo zotsatira zake zonse ziyenera kukambidwa ndi dokotala wanu.
Mfundo Yofunika Kwambiri Ponena za Methotrexate
Methotrexate yomwe imapereka chidziwitso chimabwera ndi zomwe zimatchedwa black box warning. Awa ndi ndemanga yapadera pamwamba pa methotrexate yomwe imapereka chidziwitso chozunguliridwa ndi ndondomeko (yomwe imatchedwa "bokosi lakuda"). Diso lakuda la bokosi la methotrexate ndilolitali, ndipo lingakhale loopsya pang'ono. Ngati pali zodetsa nkhawa, kambiranani ndi dokotala za kuopsa kwa methotrexate phindu la thanzi.
Kuopsa kwa mavuto ena kungakhale kochepa, ndipo dokotala yekha ndi amene angawathandize kuziyika. Chofunika kwambiri, ndizofunika kuti dokotala amvetsetse nkhawa za munthu aliyense chifukwa wodwalayo ali ndi zosiyana.
Methotrexate imayambitsa zolepheretsa kubadwa kwakukulu ndipo sayenera kuchitidwa panthawi yomwe ali ndi mimba kapena amayi omwe akukonzekera kutenga pakati. Ichi ndi chifukwa cha chiopsezo cha zilema zobereka kapena imfa ya mwana.
Ngati mutatenga mimba mutatenga methotrexate, dziwani dokotala wanu mwamsanga.
Zina mwa mfundo zazikulu zomwe zafotokozedwa mu chenjezo lakuda ndi:
- Methotrexate iyenera kugwiritsidwa ntchito pansi pa chisamaliro cha madokotala omwe akugwiritsa ntchito mankhwala a antimetabolite
- Methotrexate iyenera kugwiritsidwa ntchito pokhapokha ngati "kulepheretsa matenda" zomwe sizikugwirizana ndi mankhwala ena
- Odwala amafunika kuyang'anitsitsa nthawi zonse poizoni (makamaka mafupa, chiwindi, mapapo, ndi impso)
- Madokotala ayenera kuphunzitsa odwala pa ngozi za mankhwala ndi methotrexate
- Methotrexate sayenera kugwiritsidwa ntchito ndi amayi omwe ali kapena omwe angatenge mimba
- Odwala omwe amagwira ntchito zamphongo, ascites, kapena pleural effusions amafuna kufufuza mwapadera
- Toxicities akhala akufotokozedwa mwa anthu omwe amatenga mlingo waukulu wa methotrexate komanso mankhwala ena osakanikirana ndi mankhwala (NSAIDs)
- Kugwiritsiridwa ntchito kwa methotrexate kungapangitse hepatotoxicity, fibrosis, kuthamanga kwa magazi, ndi michere yambiri ya chiwindi
- Matenda a malungo awonetsedwa, ndipo zizindikiro zilizonse monga chifuwa chouma, ayenera kufufuzidwa
- Ngati kutsekula m'mimba ndi ulcerative stomatitis kumachitika, mankhwalawa amafunika kuimitsidwa
- Mankhwala am'thupi amatha kuchitika, koma amatha kusintha ngati mankhwalawa atayimitsidwa
- Tumor lysis syndrome yakhala ikudziwika ndipo ingafunikire kutetezedwa kapena kuchiritsidwa
- Zingakhale zotheka kukhudza khungu, nthawi zambiri mkati mwa masiku a jekeseni
- Matendawa atchulidwa, makamaka Pneumocystis carinii chibayo
- Pali chiopsezo cha minofu yofewa ya necrosis ndi osteonecrosis pamene methotrexate imagwiritsidwa ntchito ndi radiotherapy
- Kugwiritsiridwa ntchito kwa proton pump inhibitors (PPIs) kungapangitse nthawi ya methotrexate ili m'thupi
Zotsatira Zosakhalitsa
Afunseni dokotala ngati zotsatirapo zotsatirazi zikupitirira kapena zikuvutitsa:
- Zikodzo
- Zithupi
- Kupanda njala
- Nsowa kapena kusanza
- Khungu lenileni
- Kutengeka kwa dzuwa
- Kuyabwa kapena kuthamanga
- Kutaya tsitsi kwadongosolo
Adziwitse Dokotala Wanu Ngati Mukudziwa
- Ululu wammbuyo
- Mtsinje wakuda
- Chizungulire
- Kugona
- Mutu
- Zofooka zochepa kapena kutopa
- Maso a khungu kapena khungu (jaundice)
Adziwitse Dokotala Wanu Mwamsanga ngati Mukumva
- Kutsekula m'mimba
- Kubwezeretsanso khungu
- Zilonda pamilomo ndi milomo
- Kupweteka kwa m'mimba
Zochepa Zochepa Kapena Zosakhalitsa
- Zosokonezeka
- Masomphenya obisika
- Misozi yamphongo
- Kusokonezeka
- Zigawo zakufa kapena zotayirira
- Fever kapena chills
- Onetsetsani mawanga ofiira pa khungu
- Kupweteka kokonda ma khungu
- Kupweteka kovuta kapena kovuta
- Zilonda zofiira kapena zilonda pamilomo, m'kamwa, m'maso, m'magazi, ndi m'mimba
- Kubwezeretsa khungu ndi kapena wopanda tsitsi
- Kugonjetsedwa (kupsinjika)
- Kutaya mpweya, chifuwa, mantha kapena kuyenda
- Kumbali kapena kuchepetsa ululu wammbuyo
- Kutupa khungu, minofu ndi fupa
- Kutuluka mwachilendo kapena kuvulaza
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.
> Zotsatira:
> Hospira, Inc. "Methotrexate Injection, USP." FDA.gov. Oct 2011.
> Ma laboratories a Roxane. "Mapepala a METHOTREXATE USP, 2.5 mg." Boehringer-Ingelheim.com. Sept 2015.