Mercaptopurine

Zvemukati

• Usati watora mercaptopurine,
• Mercaptopurine 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, danaidza chiremba wako nekukasira:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Mercaptopurine inoshandiswa yoga kana iine mamwe makemikari ekurapa acute lymphocytic leukemia (ZVESE; inonziwo acute lymphoblastic leukemia uye acute lymphatic leukemia; mhando yekenza inotanga mumasero machena eropa). Mercaptopurine iri mukirasi yemishonga inonzi purine vanopikisa. Inoshanda nekumisa kukura kwekenza masero.

Mercaptopurine inouya sehwendefa uye kumiswa (mvura) kutora nemuromo. Inowanzotorwa kamwe chete pazuva. Tora mercaptopurine kwakatenderedza nguva yakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora mercaptopurine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kana iwe uri kutora kumiswa, zunza iro bhodhoro zvakanaka kwazvo kwemasekondi makumi matatu pasati pese pekushandisa kusanganisa mushonga zvakaenzana. Izvo zvakakosha kuti ushandise sirin'i yemumuromo (chiyero chekuyera) kunyatso kuyera uye kutora yako dose ye mercaptopurine. Kana iwe ukasawana sirinji yekunwa nemushonga wako, kumbira wemishonga kuti akupe imwe. Mushure mekushandisa sirinji yekunwa kutora mushonga wako, bvisa plunger kubva pane chasara chiyero, geza mativi ese nemvura inodziya ine sipo, uye sukurudza pasi pemvura yemupombi. Rega zvikamu zvive mhepo yakaoma usati waisa pamwe chete kushandiswa kunotevera.

Ramba uchitora mercaptopurine kunyangwe iwe uchinzwa zvakanaka. Usarega kutora mercaptopurine usina kutaura nachiremba wako

Mercaptopurine zvakare dzimwe nguva inoshandiswa kurapa mamwe marudzi ekenza, chirwere cheCrohn (mamiriro umo muviri unorwisa kumhara kwegwara rekugaya uchikonzera marwadzo, manyoka, kuonda, nefivha), uye ulcerative colitis (mamiriro maronda anokura. mumatumbu zvichikonzera marwadzo nemanyoka). Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.

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

Usati watora mercaptopurine,

• udza chiremba wako uye wemishonga kana uri weergoria kune mercaptopurine, chero mimwe mishonga, kana chero chinhu chinogadzirwa mumapiritsi e mercaptopurine kana kumiswa. 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: allopurinol (Lopurin, Zyloprim); aminosalicylates senge mesalamine (Apriso, Asacol, Canasa, Lialda, Delzicol, Pentasa, vamwe), olsalazine (Dipentum), uye sulfasalazine (Azulfidine); anticoagulants ('blood thinner') senge warfarin (Coumadin, Jantoven); doxorubicin (Doxil); uye trimethoprim uye sulfamethoxazole (Bactrim, Septra). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana watotora mercaptopurine kana thioguanine kurapa kenza yako.Chiremba wako anogona kukuudza kuti usatora mercaptopurine kana imwe yemishonga iyi isina kushanda zvakanaka kurwisa kenza yako munguva yakapfuura.
• udza chiremba wako kana iwe uine chero hutachiona hutachiona uye kana iwe uine kana wakambove nechiropa kana chirwere cheitsvo.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Iwe unofanirwa kushandisa kuberekwa kudzivirira nhumbu panguva yekurapa kwako ne mercaptopurine. Kana iwe ukava nepamuviri uchitora mercaptopurine, dana chiremba wako nekukurumidza. Mercaptopurine inogona kukuvadza fetus.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora mercaptopurine.
• hauna majekiseni pasina kutaura nachiremba wako.
• iwe unofanirwa kuziva kuti njodzi yekuti iwe uchave nekukuvara kwakakomba mhedzisiro ye mercaptopurine inogona kuve yakakwira kana iwe uine geneti (yakagara nhaka) njodzi chinhu. Chiremba wako anogona kuraira bvunzo usati kana panguva yekurapa kwako kuti uone kana iwe uine iyi njodzi njodzi.

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.

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

• kusvotwa
• kurutsa
• kusviba kweganda
• kurasikirwa nevhudzi
• mapundu

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• ganda rakachenuruka
• kushaya simba
• mweya wekufema
• kurwadziwa pahuro, fivha, kutonhora, kana zvimwe zviratidzo zvehutachiona
• kuzvimba mumakumbo, makumbo, kana tsoka
• kupwanya kusingawanzo kana kubuda ropa
• yero yeganda kana maziso
• kurasikirwa nenzara
• manyoka
• kuzvimba kwenzvimbo yemudumbu
• kurwadziwa kumusoro kwepamusoro chikamu chedumbu

Kutora mercaptopurine kunogona kuwedzera njodzi yekuti uchava nekenza nyowani. Vamwe vanhu vakatora mercaptopurine kurapa chirwere cheCrohn kana ulcerative colitis vakagadzira hepatosplenic T cell lymphoma (HSTCL), chirwere chakakomba chekenza chinowanzo kukonzera kufa mukati menguva pfupi. Udza chiremba wako kana iwe ukasangana nechimwe cheanotevera zviratidzo: kurwadziwa mudumbu; kupindwa nechando; kusanzwisisika kuonda; kudikitira usiku kana kupwanya kuri nyore kana kubuda ropa. Taura nachiremba wako nezve njodzi dzekutora mushonga uyu.

Mercaptopurine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika paunenge 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). Kumiswa kweMercaptopurine kunogona kuchengetwa pakushambidza kwemukati kwemavhiki anosvika matanhatu bhodhoro ravhurwa kekutanga. Wobva wabvisa kumiswa kwakasara mushure memasvondo matanhatu.

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.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• kurasikirwa nenzara
• kusvotwa
• kurutsa
• manyoka
• ganda rakachenuruka
• kushaya simba
• mweya wekufema
• huro, fivha, kutonhora, uye zvimwe zviratidzo zvehutachiona
• kupwanya kusingawanzo kana kubuda ropa

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

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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