Penicillamine

Zvemukati

• Usati watora penicillamine,
• Penicillamine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi fonera chiremba wako nekukasira:

Penicillamine inoshandiswa kurapa chirwere cheWilson (chinogarwa nhaka chinokonzera mhangura kuvaka mumuviri uye chinogona kukonzera zviratidzo zvakakomba) uye cystinuria (hunhu hwakagara nhaka hunogona kutungamira kuitsvo dzeitsvo). Inoshandiswa zvakare mukubatana nemamwe marapirwo ekurapa zvakanyanya rheumatoid arthritis (mamiriro umo immune system inorwisa majoini ayo, zvichikonzera kurwadziwa, kuzvimba, uye kurasikirwa nebasa) izvo zvisina kuwana zvirinani mushure mekurapwa nemimwe mishonga. Penicillamine iri mukirasi yemishonga inonzi inorema simbi vanopikisa. Inoshanda kurapa chirwere cheWilson nekusunga kune yakawedzera mhangura mumuviri uye ichikonzera kuti ibve mumuviri kuburikidza neweti. Inoshanda kurapa cystinuria nekusunga kune chinhu chinogadzira itsvo matombo uye kuchidzivirira kubva pakuvaka nekuumba matombo. Inoshanda kurapa rheumatoid arthritis nekuderedza zvimwe zviito zve immune system.

Penicillamine inouya se capsule uye sehwendefa kutora nemuromo. Inowanzo kutorwa pasina chinhu mudumbu kweinenge 1 awa pamberi kana maviri maawa mushure mekudya, uye ingangoita 1 awa pamberi kana mushure mekudya kana mukaka. Nekurapa kwechirwere cheWilson uye cystinuria, penicillamine inowanzo kutorwa kana pazuva. Nekurapa kweiyo rheumatoid arthritis inowanzo kutora kamwe chete pazuva, asi pakuwedzera madheji, inogona kutorwa kanokwana kana pazuva. Chiremba wako achakurudzira kuti uchawana kurapwa kwenguva yakareba sei zvichienderana nemamiriro ako, kuti muviri wako unopindura sei kumushonga, uye chero mhedzisiro iwe yaunosangana nayo. Tora penicillamine kwakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora penicillamine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Chiremba wako angangotanga iwe padosi yakaderera yepenicillamine uye zvishoma nezvishoma uwedzere yako dose.

Nekurapwa kwechirwere cheWilson uye rheumatoid arthritis zvinogona kutora mwedzi mumwe kana mitatu kana kupfuura usati wanzwa kuzara kwepenicillamine. Kune ese mashandisiro enderera kutora penicillamine kunyangwe uchinzwa mushe. Usarega kutora penicillamine usingatauri nachiremba wako, kunyangwe zviratidzo zvako zvichitowedzera. Kana iwe ukarega kutora penicillamine iwe uri panjodzi yakawedzera yekusangana neanogadzirisa paunotanga kutora mushonga zvakare.

Ive neshuwa yekuudza chiremba wako kuti uri kunzwa sei panguva yekurapwa kwako ne penicillamine. Chiremba wako anogona kukubata iwe neimwe mishonga, kana kunonoka kurapwa kwako, kudzikisa muyero wako, kana kumisa kurapwa kwako zvichienderana nemhedzisiro iwe yaunosangana nayo.

Penicillamine dzimwe nguva inoshandiswa sekutevera kurapwa kwekutungamira chepfu mushure mekurapwa nemimwe mishonga. Iyo zvakare dzimwe nguva inoshandiswa kurapa mamwe marudzi echiropa chirwere. Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora penicillamine,

• udza chiremba wako uye wemishonga kana iwe uri weergic kune penicillamine, penicillin, chero mimwe mishonga, kana chero chinhu chinosanganiswa mumapenicillamine capsules kana mapiritsi. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: macompound egoridhe senge auranofin (Ridaura) uye aurothioglucose (Solganol); mishonga inorwisa marariya yakadai se chloroquine, hydroxychloroquine (Plaquenil); uye mamwe immunosuppressants akadai azathioprine (Azasan, Imuran), uye methotrexate (Otrexup, Rasuvo, Trexall, Xatmep). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana nepenicillamine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• kana iwe uri kutora iron ine chigadzirwa, tora maawa maviri pamberi kana mushure kana iwe ukatora penicillamine. Kana iwe uri kutora chero mumwe mushonga, antacid, kana zinc ine chigadzirwa, tora iyo 1 awa usati kana mushure mekutora penicillamine.
• udza chiremba wako kana iwe wakamborapwa nepenicillamine munguva yakapfuura uye ukaita yakakomba ine chekuita neropa mhedzisiro. Chiremba wako angangokuudza kuti usatore penicillamine zvakare.
• udza chiremba wako kana iwe wakambove nekuita kwakakomba kumakomputa egoridhe, kana kana iwe kana wakambove uine chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, kana kana iwe uronga kuva nepamuviri. Kana iwe ukava nepamuviri uchitora penicillamine, danaidza chiremba wako pakarepo.
• udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa iwe paunenge uchirapwa ne penicillamine.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora penicillamine.
• chiremba wako angangokuudza kuti utore pyridoxine (vitamini B₆) kuwedzera panguva yekurapa kwako ne penicillamine.

Kana iwe uchirapwa chirwere cheWilson chiremba wako angangokurudzira kudya kwakasarudzika kwauri kune yakaderera mumhangura. Kudya uku kunodzivirira zviyo uye zvekudya zvinowedzerwa zvine mhangura, chokoreti, nzungu, hove, howa, chiropa, molasi, broccoli, uye imwe yendarira ine chikafu. Chiremba wako anogona zvakare kukurudzira kuti iwe unwe yakadonhedzwa kana yakadonhedzwa mvura, pane kugara uchiita pombi yemvura. Ive neshuwa yekutevera zvese zvekudya zvinokurudzirwa zvakaitwa nachiremba wako.

Kana iwe uri kurapwa cystinuria chiremba wako anogona kukurudzira chikafu chakakosha kwauri icho chakaderera mu methionine (rudzi rweprotein). Zvisinei kana iwe uri mwana kana iwe uri nepamuviri chiremba wako anogona kusakurudzira kudya uku. Chiremba wako anogona zvakare kukurudzira kuti iwe unwe zvinwiwa zvakakwana.

Kana iwe uri kurapwa kwerheumatoid arthritis, ramba uchidya zvakajairika kunze kwekunge chiremba wako akakuudza neimwe nzira.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Penicillamine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kurasikirwa nenzara
• chinja munzira iyo zvinhu zvinonaka
• kusvotwa
• kurutsa
• manyoka
• marwadzo emudumbu
• kuunyana kweganda
• nzara inoshanduka

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo izvi fonera chiremba wako nekukasira:

• kuputika, kuchenesa, mikoko, kudurura ganda, fivha, kurwadza kwemajoini, kana kuzvimba lymph node
• maronda anorwadza kana anonhuwa uye maronda paganda, muromo, uye sikarudzi
• fivha, huro, chironda, kubuda ropa zvisina kujairika kana kupwanya
• kufema kushoma, kukosora kusingatsanangurike kana kufema
• furo kana pingi, tsvuku, shava, kana weti weti
• kushaya simba kwemhasuru, kudonhedza maziso, kana kuona kaviri

Penicillamine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune penicillamine.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

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