Kurapa Kwemishonga Kuongorora
Zvemukati
- Chii chinonzi kurapwa kwemushonga kuongorora (TDM)?
- Chii chinoshandiswa?
- Sei ndichida TDM?
- Chii chinoitika panguva yeTDM?
- Ndichafanira here kuita chero chinhu kugadzirira bvunzo?
- Pane here njodzi kune TDM?
- Zvinorevei mhedzisiro yacho?
- Zvinyorwa
Chii chinonzi kurapwa kwemushonga kuongorora (TDM)?
Therapeutic drug monitoring (TDM) iri kuyedza inoyera huwandu hwemimwe mishonga muropa rako. Izvo zvinoitwa kuti uve nechokwadi chekuti huwandu hwemishonga iwe yauri kutora zviri zviviri zvakachengeteka uye zvinoshanda.
Mazhinji mishonga inogona kubviswa nenzira kwayo pasina kuongororwa kwakakosha. Asi kune mamwe marudzi emishonga, zvinogona kuve zvakaoma kuti uwane muyero unopa mushonga unokwana kurapa mamiriro ako pasina kukonzera mhedzisiro ine njodzi. TDM inobatsira mupi wako kuziva kana iwe uri kutora iyo chaiyo dosi yemushonga wako.
Mamwe mazita: ekurapa mazinga eropa bvunzo, ekurapa madhiragi emazinga
Chii chinoshandiswa?
Therapeutic drug monitoring (TDM) inoshandiswa kuona madhisiki akanakisa evanhu vanotora mamwe marudzi emishonga yakaoma. Pazasi pane mimwe yemishonga yakajairika iyo inofanirwa kuongororwa.
Mhando dzeMishonga | Mishonga Mazita |
---|---|
Mishonga inorwisa mabhakitiriya | vancomycin, gentamycin, amakacin |
Mishonga yemwoyo | digoxin, procainamide, lidocaine |
Mishonga yekudzivirira kubata | phenytoin, mhere |
Zvinodhaka zvinorapa autoimmune zvirwere | cyclosporine, tacrolimus |
Zvinodhaka zvinorapa bipolar kusagadzikana | lithiamu, valproic acid |
Sei ndichida TDM?
Ungangoda kuyedzwa paunotanga kutora mushonga. Izvi zvinobatsira mupi wako kuona muyero unoshanda kwazvo kwauri. Kana kosi iyoyo yakatemwa, unogona kuyedzwa nguva nenguva kuti uve nechokwadi chekuti mushonga uchiri kushanda pasina kukuvadza. Iwe unogona zvakare kuda kuyedzwa kana iwe uine zviratidzo zveakakomba mhedzisiro mhedzisiro. Side effects inosiyana zvichienderana nemushonga. Mutapi wako wezvehutano anokuzivisa iwe kuti ndezvipi zviratidzo zvekutarisa.
Chii chinoitika panguva yeTDM?
Nyanzvi yezvehutano inotora muyero weropa kubva mutsinga iri muruoko rwako, uchishandisa tsono diki. Mushure mekunge tsono yaiswa, kashoma reropa kanounganidzwa muthubhu yekuyedza kana muhombodo. Unogona kunzwa kakuruma kana tsono ichipinda kana kubuda. Izvi zvinowanzotora maminetsi asingasviki mashanu.
Ndichafanira here kuita chero chinhu kugadzirira bvunzo?
Zvichienderana nerudzi rwemishonga yauri kutora, ungangoda kuronga bvunzo yako usati kana mushure mekutora yako yakajairwa dosi.
Pane here njodzi kune TDM?
Pane njodzi shoma yekuongororwa ropa. Unogona kunge uine marwadzo mashoma kana kupwanya panzvimbo yakaiswa tsono, asi zviratidzo zvizhinji zvinokurumidza kupera.
Zvinorevei mhedzisiro yacho?
Mhedzisiro yako inoratidza kana huwandu hwemishonga muropa rako uri mune imwe nhanho inobatsira pakurapa asi haina ngozi. Izvi zvinodaidzwa kuti marapirwo. Mhando yacho inosiyana zvichienderana nerudzi rwemishonga uye nezvinodiwa nehutano hwako. Kana mhedzisiro yako isiri mune ino nhanho, wako mupi angangoda kugadzirisa ako madhiri. Kana madhiri ako akachinjwa, unogona kuwana bvunzo dzakadzokororwa kudzamara mazinga emishonga yako awira mune yekurapa renji.
Kana iwe uine mibvunzo nezve mhedzisiro yako, taura nemupi wako wezvehutano.
Dzidza zvakawanda nezve bvunzo dzemarabhoritari, mareferenzi masosi, uye mhinduro dzekunzwisisa
Zvinyorwa
- DoveMed [Indaneti]. DoveMed; c2019. Kurapa Kwemishonga Kuongorora; 2014 Mar 8 [yakagadziridzwa 2018 Kubvumbi 25; yakataurwa 2020 Mar 27]; [angangoita matatu skrini. Inowanikwa kubva: https://www.dovemed.com/common-procedures/procedures-laboratory/therapeutic-drug-monitoring-tdm
- Kang JS, Lee MH. Ongororo yekurapa kwekutarisa zvinodhaka. Korean J Mukati Med. [Internet]. 2009 Mar [yataurwa 2020 Mar 27]; 24 (1): 1–10. Inowanikwa kubva: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
- Lab Kuedza Pamhepo [Internet]. Washington DC: American Association yeKiriniki Chemistry; c2001-2020. Kurapa Kwemishonga Kuongorora; [yakagadziridzwa 2018 Zvita 16; yakataurwa 2020 Mar 27]; [angangoita maviri skrini. Inowanikwa kubva ku: https://labtestsonline.org/tests/therapeutic-drug-monitoring
- National Mwoyo, Mapapu, uye Ropa Institute [Internet]. Bethesda (MD): Dhipatimendi reUtano reU.S. Kuedzwa kweropa; [yakataurwa 2020 Mar 27]; [angangoita matatu skrini. Inowanikwa kubva: https://www.nhlbi.nih.gov/health-topics/blood-tests
- UF Hutano: Yunivhesiti yeFlorida Hutano [Internet]. Gainesville (FL): Yunivhesiti yeFlorida Hutano; c2020. Therapeutic drug levels: Ongororo; [yakagadziridzwa 2020 Mar 27; yakataurwa 2020 Mar 27]; [angangoita maviri skrini. Inowanikwa kubva ku: https://ufhealth.org/therapeutic-drug-levels
- UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2020. Ruzivo rwehutano: Mitezo yeMishonga muRopa: Mhedzisiro; [yakagadziridzwa 2019 Dec 8; yakataurwa 2020 Mar 27]; [angangoita masekondi masere]. Inowanikwa kubva: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4062
- UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2020. Ruzivo rwehutano: Matanho eMishonga muRopa: Ongororo Yekutarisa; [yakagadziridzwa 2019 Dec 8; yakataurwa 2020 Mar 27]; [angangoita maviri skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4056
- UW Hutano [Internet]. Madison (WI): Yunivhesiti yeWisconsin Zvipatara uye Makiriniki Chiremera; c2020. Ruzivo rwehutano: Matanho eMishonga muRopa: Nei Zvichiitwa; [yakagadziridzwa 2019 Dec 8; yakataurwa 2020 Mar 27]; [angangoita matatu skrini. Inowanikwa kubva: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4057
Ruzivo ruri pane ino saiti harufanire kushandiswa sekutsiva kwehunyanzvi kurapwa kana kurairwa. Bata mupi wehutano kana iwe uine mibvunzo nezve hutano hwako.