Methotrexate

Zvemukati

• Usati watora methotrexate,
• Methotrexate inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:

Methotrexate inogona kukonzera zvakakomba, kutyisidzira hupenyu mhedzisiro. Iwe unofanirwa kutora chete methotrexate kurapa gomarara kana mamwe mamiriro akanyanya uye asingakwanise kurapwa nemimwe mishonga. Taura nachiremba wako nezve njodzi dzekutora methotrexate yemamiriro ako.

Udza chiremba wako kana iwe kana wakambove uine yakawandisa mvura mudumbu rako nzvimbo kana munzvimbo yakatenderedza mapapu ako uye kana iwe kana wakambove uine chirwere cheitsvo. Uyezve udza chiremba wako kana uri kutora nonsteroidal anti-inflammatory drug (NSAIDs) senge aspirin, choline magnesium trisalicylate (Tricosal, Trilisate), ibuprofen (Advil, Motrin), magnesium salicylate (Doan's), naproxen (Aleve, Naprosyn), kana salsalate. Aya mamiriro uye mishonga inogona kuwedzera njodzi yekuti iwe uchave wakakomba mhedzisiro mhedzisiro yemethotrexate. Chiremba wako anozokutarisa zvakanyatsonaka uye angangoda kukupa dosi yakaderera yemethotrexate kana kumisa kurapwa kwako ne methotrexate.

Methotrexate inogona kukonzera kuderera kwenhamba yemasero eropa akagadzirwa nefupa rako. Udza chiremba wako kana iwe wakambove kana wakambove nenhamba yakaderera yechero mhando yemasero eropa kana chero rimwe dambudziko nemasero ako eropa. Shevedza chiremba wako nekukasira kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchiona kupwanya kusingawanzo kana kubuda ropa; kuneta zvakanyanya; ganda rakachenuruka; kana kufema kwekufema.

Methotrexate inogona kukonzera kukuvara kwechiropa, kunyanya kana ichitorwa kwenguva yakareba. Kana iwe ukanwa kana wakambonwa doro rakawanda kana kana iwe kana wakambove uine chirwere chechiropa, chiremba wako anogona kukuudza kuti usatora methotrexate kunze kwekunge iwe uine fomu inotyisa yehupenyu yekenza nekuti pane njodzi yakakura yekuti iwe ucha kukudziridza kukuvara kwechiropa. Iyo njodzi yekuti iwe uchave nekukuvara kwechiropa inogona zvakare kuve yakakwira kana iwe wakura, kufutisa, kana uine chirwere cheshuga. Udza chiremba wako kana uri kutora chero ipi yemishonga inotevera: acitretin (Soriatane), azathioprine (Imuran), isotretinoin (Accutane), sulfasalazine (Azulfidine), kana tretinoin (Vesanoid). Kumbira chiremba wako nezve kushandiswa kwakachengeteka kwezvinwiwa uchiri kutora methotrexate. Fonera chiremba wako nekukasira kana iwe uchinge waona chero cheanotevera zviratidzo: kusvotwa, kuneta zvakanyanya, kushaya simba, kurasikirwa nenzara, kurwadziwa munzvimbo yepamusoro yekurudyi yemudumbu, yero yeganda kana maziso, kana zviratidzo zvakaita sefuru. Chiremba wako anogona kuraira chiropa biopsies (kubviswa kwechikamu chidiki chechiropa tishu kuti chiongororwe murabhoritari) usati uye panguva yekurapa kwako ne methotrexate.

Methotrexate inogona kukonzera kukuvara kwemapapu. Udza chiremba wako kana iwe wakambove kana uine chirwere chemapapu. Fonera chiremba wako nekukasira kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingaona

Methotrexate inogona kukanganisa kukuvara kwemuromo wako, mudumbu, kana ura. Udza chiremba wako kana wakambove nemaronda emudumbu kana ulcerative colitis (chirwere chinokonzeresa kuzvimba uye maronda mumutsara wekoloni [ura hukuru] uye rectum). Kana ukasangana nechimwe chezviratidzo zvinotevera, rega kutora methotrexate uye kufonera chiremba wako ipapo ipapo: maronda emumuromo, manyoka, dema, mira, kana zvituru zvine ropa, kana kurutsa zvine ropa kana zvinoita kunge kofi nzvimbo.

Kutora methotrexate kunogona kuwedzera njodzi yekuti unozokura lymphoma (kenza inotanga mumasero ezvirwere zvemuviri). Kana iwe ukaita lymphoma, inogona kuenda isina kurapwa paunomira kutora methotrexate, kana inogona kuda kurapwa nekemotherapy.

Kana iwe uri kutora methotrexate kurapa kenza, unogona kukura mamwe matambudziko se methotrexate inoshanda kuparadza gomarara maseru. Chiremba wako anozokutarisa zvakanyatsonaka uye obata matambudziko aya kana akaitika.

Methotrexate inogona kukonzera zvakakomba kana kutyisidzira hupenyu kuita kweganda. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, fonera chiremba wako nekukasira: fever, rash, blisters, kana peeling ganda.

Methotrexate inogona kudzora mashandiro e immune system yako, uye unogona kukura hutachiona hwakakomba. Udza chiremba wako kana iwe uine chero hutachiona hutachiona uye kana iwe uine kana wakambove nechero mamiriro anobata immune system yako. Chiremba wako anogona kukuudza kuti haufanire kutora methotrexate kunze kwekunge uine kenza inotyisa. Kana iwe ukaona zviratidzo zvehutachiona senge huro inorwadza, chikosoro, fivha, kana kutonhora, danaidza chiremba wako nekukasira.

Kana iwe ukatora methotrexate iwe paunenge uchirapwa ne radiation radiation yekenza, methotrexate inogona kuwedzera njodzi yekuti kurapwa kwemwaranzi kunokanganisa ganda rako, mapfupa, kana zvimwe zvikamu zvemuviri wako.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako anozoraira kumwe kuongorora kwerebhu kare, panguva, uye mushure mekurapwa kwako kuti utarise mhinduro yemuviri wako kune methotrexate uye nekurapa mhedzisiro isati yaoma.

Udza chiremba wako kana iwe kana mumwe wako ane pamuviri kana kuronga kuva nepamuviri. Kana iwe uri munhukadzi, iwe uchafanirwa kutora nhumbu bvunzo usati watanga kutora methotrexate. Shandisa nzira yakavimbika yekudzivirira kuberekwa kuitira kuti iwe kana mumwe wako musazove nepamuviri panguva kana pfupi mushure mekurapwa. Kana iwe uri murume, iwe neako mukadzi mukadzi munofanira kuramba muchishandisa kuberekwa kwemwedzi mitatu mushure mekumira kutora methotrexate. Kana iwe uri munhukadzi, iwe unofanirwa kuenderera kushandisa kushandisa kuberekwa kudzamara wave nenguva imwe yekuenda kumwedzi iyo yakatanga mushure mekumira kutora methotrexate. Kana iwe kana mumwe wako ukava nepamuviri, danaidza chiremba wako nekukurumidza. Methotrexate inogona kukuvadza kana kufa kune fetus.

Methotrexate inoshandiswa kurapa zvakanyanya psoriasis (chirwere cheganda umo mutsvuku, makanda mavara pane dzimwe nzvimbo dzomuviri) asingagoni kudzorwa nedzimwe nzira dzokurapa. Methotrexate inoshandiswa zvakare pamwe nekuzorora, kurapa kwemuviri, uye dzimwe nguva mimwe mishonga yekurapa yakanyanya inoshanda rheumatoid arthritis (RA; mamiriro ayo muviri unorwisa majoini ayo, zvichikonzera kurwadziwa, kuzvimba, uye kurasikirwa nebasa) risingakwanise kudzorwa ne mimwe mishonga. Methotrexate inoshandiswawo kurapa mamwe marudzi egomarara kusanganisira macancer anotanga munyama dzinoita dzakakomberedza zai rakauchikwa muchibereko, gomarara repazamu, gomarara remapapu, mamwe kanzira yemusoro nemutsipa, mamwe marudzi e lymphoma, uye leukemia (cancer. iyo inotanga mumasero machena eropa). Methotrexate iri mukirasi yemishonga inonzi antimetabolites. Methotrexate inobata cancer nekudzora kukura kwemasero ekenza. Methotrexate inobata psoriasis nekudzora kukura kwemasero eganda kumisa zviyero kubva pakuumbwa. Methotrexate inogona kurapa rheumatoid arthritis nekuderedza chiitiko chemuviri wemuviri.

Methotrexate inouya sehwendefa kutora nemuromo. Chiremba wako anokuudza iwe kangani zvaunofanira kutora methotrexate. Iyo purogiramu inoenderana nemamiriro aunayo uye nemabatiro anoita muviri wako kumushonga.

Chiremba wako anogona kukuudza kuti utore methotrexate pane imwe nguva inotenderera iyo inoshandura mazuva akati wandei paunotora methotrexate nemazuva akati wandei kana mavhiki paunenge usingatore mushonga. Tevedza aya madhiri nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe usingazive nguva yekumwa mushonga wako.

Kana iwe uri kutora methotrexate kurapa psoriasis kana rheumatoid arthritis, chiremba wako anogona kukuudza iwe kuti utore mushonga kamwe pasvondo. Nyatsoteerera kune zvirevo zvechiremba wako. Vamwe vanhu vakanganisa kutora methotrexate kamwe pazuva zuva nezuva pane kamwechete pasvondo vakawana mhedzisiro yakakomba kana kufa.

Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora methotrexate chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kana iwe uri kutora methotrexate kurapa psoriasis kana rheumatoid arthritis, chiremba wako anogona kukutanga iwe pane yakaderera dosi yemushonga uye zvishoma nezvishoma wedzera yako dosi. Tevera mazano aya zvakanyatsonaka.

Kana iwe uri kutora methotrexate kurapa rheumatoid arthritis, zvinogona kutora mavhiki matatu kusvika matanhatu kuti zviratidzo zvako zvitange kuvandudzika, uye vhiki gumi nembiri kana kupfuura kuti iwe unzwe kuzara kwakazara kwemethotrexate. Ramba uchitora methotrexate kunyangwe iwe uchinzwa zvakanaka. Usarega kutora methotrexate usina kutaura nachiremba wako.

Methotrexate zvakare dzimwe nguva inoshandiswa kurapa chirwere cheCrohn (mamiriro umo immune system inorwisa iyo lining yeiyo nzira yekugaya, ichikonzera marwadzo, manyoka, kuonda uye kupisa muviri), multiple sclerosis (MS; mamiriro umo immune system inorwisa tsinga, kukonzera kushaya simba, kuveveve, kurasikirwa kwekufambirana kwemhasuru, uye matambudziko nekuona, kutaura, uye kudzora dundira), uye zvimwe zvirwere zvekuzvimiririra (mamiriro anoitika apo immune system inorwisa maseru ane hutano mumuviri nekukanganisa). Kumbira chiremba 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 methotrexate,

• udza chiremba wako uye wemishonga kana uri weergoria kune methotrexate, chero mimwe mishonga, kana chero chinhu chinowanikwa mumatafura e methotrexate. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
• 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 mishonga yakanyorwa muchikamu CHINOKOSHA CHENYENZO uye chero ipi yeanotevera: mamwe maantibhakitiriya akadai sekloramphenicol (chloromycetin), penicillin, uye tetracyclines; folic acid (inowanikwa yoga kana sechinhu chinowanikwa mune mamwe mavitamini); mimwe mishonga yerheumatoid arthritis; phenytoin (Dilantin); probenecid (Benemid); sulfonamides senge co-trimoxazole (Bactrim, Septra), sulfadiazine, sulfamethizole (Urobiotic), uye sulfisoxazole (Gantrisin); uye theophylline (Theochron, Theolair). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe wakambove kana nechero ipi yemamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZO kana yakaderera folate muropa rako.
• usamwisa mwana zamu paunenge uchitora methotrexate.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora methotrexate.
• ronga kudzivirira kudzivirirwa zvisina kukodzera kana kwenguva refu kune chezuva kana ultraviolet mwenje (kuchenesa mibhedha nemarambi ezuva) uye kupfeka mbatya dzekudzivirira, magirazi ezuva, uye sunscreen. Methotrexate inogona kuita kuti ganda rako ribate chiedza chezuva kana ultraviolet light. Kana iwe uine psoriasis, maronda ako anogona kuwedzera kana iwe ukaisa pachena ganda rako kune chezuva iwe uchitora methotrexate.
• hauna majekiseni panguva yekurapwa kwako ne methotrexate usinga taure nachiremba wako.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

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.

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

• dzungu
• kutsimwaira
• musoro
• kuzvimba, matete matete
• kuderera kwechido
• maziso akatsvuka
• kurasikirwa nevhudzi

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo kana izvo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza:

• kusaona zvakanaka kana kurasikirwa kamwe kwemaonero
• pfari
• kuvhiringidzika
• kushaya simba kana kunetsekana kufamba rimwe kana mativi ese emuviri
• kurasikirwa kwekuziva

Methotrexate 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).

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.

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

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.

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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