Mycophenolate

Zamkati

• Musanatenge mycophenolate,
• Mycophenolate ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Kuopsa kwa zolepheretsa kubadwa:

Mycophenolate sayenera kutengedwa ndi amayi omwe ali ndi pakati kapena omwe angakhale ndi pakati. Pali chiopsezo chachikulu kuti mycophenolate imayambitsa kuperewera padera (kutaya mimba) m'miyezi itatu yoyambirira ya mimba kapena kupangitsa kuti mwanayo abadwe ali ndi zilema zobereka (zovuta zomwe zimakhalapo pobadwa).

Simuyenera kutenga mycophenolate ngati muli ndi pakati kapena mutha kutenga pakati. Muyenera kukhala ndi mayeso olakwika okhudzana ndi kutenga mimba musanayambe kumwa mankhwala ndi mycophenolate, kenaka patatha masiku 8 kapena 10, komanso nthawi zonse mukamadzakutsatani. Muyenera kugwiritsa ntchito njira zovomerezeka zoberekera mukamamwa mankhwala, komanso kwa milungu 6 mutasiya kumwa mycophenolate. Dokotala wanu angakuuzeni mitundu ya njira zolerera zovomerezeka zomwe mungagwiritse ntchito. Mycophenolate imachepetsa mphamvu yolera yakumwa (mapiritsi oletsa kubereka), chifukwa chake ndikofunikira kugwiritsa ntchito njira yachiwiri yolerera pamodzi ndi njira zakulera izi.

Ngati ndinu wamwamuna wokhala ndi mkazi yemwe angatenge mimba, muyenera kugwiritsa ntchito njira zovomerezeka zoberekera mukamalandira chithandizo komanso kwa masiku osachepera 90 mutalandira mankhwala. Osapereka umuna mukamalandira chithandizo chanu komanso kwa masiku osachepera 90 mutalandira mankhwala anu omaliza.

Itanani dokotala wanu nthawi yomweyo ngati mukuganiza kuti inu kapena mnzanu, muli ndi pakati kapena ngati mumasowa msambo.

Chifukwa choti kuthekera kwanu kuti ndalama zanu zitha kupita kwa mayi yemwe atha kukhala ndi pakati kapena osakhala ndi pakati, musapereke magazi mukamalandira chithandizo chanu komanso kwa milungu ingapo isanu ndi umodzi mutalandira mankhwala anu omaliza.

Kuopsa kwa matenda akulu:

Mycophenolate imafooketsa chitetezo cha mthupi ndipo imatha kuchepetsa mphamvu yanu yolimbana ndi matenda. Sambani m'manja nthawi zambiri ndipo pewani anthu omwe akudwala mukamamwa mankhwalawa. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: malungo, zilonda zapakhosi, kuzizira, kapena kutsokomola; kuvulaza kapena kutuluka mwachilendo; kupweteka kapena kutentha pa pokodza; pafupipafupi pokodza; chilonda kapena chilonda chofiira, chofunda, kapena chosachira; ngalande kuchokera pakhungu la khungu; kufooka kwakukulu, kutopa kwambiri, kapena kudwala; zizindikiro za '' chimfine '' kapena '' kuzizira ''; kupweteka kapena kutupa m'khosi, kubuula, kapena kumakhwapa; zigamba zoyera pakamwa kapena pakhosi; zilonda zozizira; matuza; mutu kapena khutu; kapena zizindikiro zina za matenda.

Mutha kukhala ndi ma virus kapena mabakiteriya ena koma mulibe zisonyezo zakupatsirana. Kutenga mycophenolate kumawonjezera chiopsezo kuti matendawa amakula kwambiri ndikupangitsa zizindikilo. Uzani dokotala wanu ngati muli ndi matenda aliwonse, monga Hepatitis B kapena C, kuphatikiza matenda omwe sayambitsa zizindikiro.

Mycophenolate imatha kuonjezera chiopsezo kuti mukhale ndi leukoencephalopathy (PML; matenda opatsirana aubongo omwe sangachiritsidwe, kupewedwa, kapena kuchiritsidwa ndipo nthawi zambiri amayambitsa imfa kapena kulemala kwambiri). Uzani dokotala wanu ngati mwakhalapo ndi PML, kapena matenda ena omwe amakhudza chitetezo chanu chamthupi monga kachilombo ka HIV; anapeza matenda a immunodeficiency (AIDS); sarcoidosis (vuto lomwe limayambitsa kutupa m'mapapu ndipo nthawi zina mbali zina za thupi); leukemia (khansa yomwe imapangitsa kuti maselo ambiri amwazi atuluke ndikutulutsidwa m'magazi); kapena lymphoma. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo: kufooka mbali imodzi ya thupi kapena miyendo; zovuta kapena kulephera kuwongolera minofu yanu; kusokonezeka kapena kuvutika kuganiza bwino; kusakhazikika; kukumbukira kukumbukira; kuvuta kuyankhula kapena kumvetsetsa zomwe ena anena; kapena kusowa chidwi kapena chidwi chazinthu zanthawi zonse kapena zinthu zomwe mumakonda.

Mycophenolate imachulukitsa chiopsezo chanu chokhala ndi mitundu ina ya khansa, kuphatikiza lymphoma (mtundu wa khansa yomwe imayamba m'mitsempha) ndi khansa yapakhungu. Uzani dokotala wanu ngati inu kapena aliyense m'banja mwanu adakhalapo kapena adakhalapo ndi khansa yapakhungu. Pewani kuwonetseredwa kosafunikira kapena kwakanthawi kwa dzuwa lenileni komanso lopangira (mabedi ofufuzira, zowunikira) ndi mankhwala opepuka komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zotchingira dzuwa (ndi SPF chinthu cha 30 kapena kupitilira apo). Izi zidzakuthandizani kuchepetsa chiopsezo chanu chokhala ndi khansa yapakhungu. Itanani dokotala wanu ngati mukukumana ndi izi: kupweteka kapena kutupa m'khosi, kubuula, kapena kukhwapa; khungu latsopano kapena chotupa; kusintha kwa kukula kapena mtundu wa mole; chotupa cha khungu lofiirira kapena lakuda (chilonda) chokhala ndi m'mbali zosafanana kapena gawo limodzi la zotupa zomwe sizikuwoneka ngati zinazo; kusintha kwa khungu; zilonda zosachiritsa; malungo osadziwika; kutopa komwe sikuchoka; kapena kuonda.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba kulandira mankhwala ndi mycophenolate ndipo nthawi iliyonse mukadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) http://www.fda.gov/Drugs kuti mupeze Chithandizo cha Mankhwala.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku mycophenolate.

Lankhulani ndi dokotala wanu za kuopsa kotenga mycophenolate.

Mycophenolate (CellCept) imagwiritsidwa ntchito ndi mankhwala ena kuti athandize kupewa kukana ziwalo (kuukira kwa chiwalo choikidwa ndi chitetezo cha mthupi cha munthu amene amalandira chiwalo) mwa achikulire omwe alandiridwa ndi mtima ndi chiwindi komanso mwa akulu ndi ana a miyezi itatu ndi achikulire omwe adalandilidwa impso. Mycophenolate (Myfortic) imagwiritsidwa ntchito ndi mankhwala ena othandiza kuteteza thupi kukana kupatsirana kwa impso. Mycophenolate ali mgulu la mankhwala otchedwa ma immunosuppressive agents. Zimagwira ntchito pofooketsa chitetezo cha mthupi kotero kuti sichidzaukira ndikukana chiwalo choikidwa.

Mycophenolate imabwera ngati kapisozi, piritsi, kutulutsidwa mochedwa (kutulutsa mankhwala m'matumbo) piritsi, ndi kuyimitsidwa (madzi) kumwa pakamwa. Nthawi zambiri amatengedwa kawiri patsiku osadya kanthu (ola la 1 musanadye kapena maola awiri mutadya kapena kumwa, pokhapokha dokotala atakuwuzani zina). Tengani mycophenolate pafupifupi nthawi yofananira tsiku lililonse, ndipo yesani kuyika miyezo yanu pafupi maola 12. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani mycophenolate ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mankhwala omwe ali piritsi lotulutsidwa mochedwa (Myfortic) amalowetsedwa mosiyana ndi thupi kuposa mankhwala omwe amayimitsidwa, piritsi, ndi kapisozi (CellCept). Izi sizingasinthane wina ndi mnzake. Nthawi iliyonse mukadzazidwa ndi mankhwala anu, onetsetsani kuti mwalandira mankhwala oyenera. Ngati mukuganiza kuti mwalandira mankhwala olakwika, lankhulani ndi dokotala wanu komanso wamankhwala nthawi yomweyo.

Kumeza mapiritsi, mapiritsi otulutsidwa mochedwa, ndi makapisozi athunthu; osagawana, kutafuna, kapena kuwaphwanya. Osatsegula makapisozi.

Osasakaniza kuyimitsidwa kwa mycophenolate ndi mankhwala ena aliwonse.

Samalani kuti musakhetse kuyimitsidwa kapena kuwaza pakhungu lanu. Mukayamba kuyimitsidwa pakhungu lanu, tsukani malowo bwino ndi sopo ndi madzi. Mukaimitsidwa pamaso panu, tsukutsani ndi madzi wamba. Gwiritsani ntchito matawulo am'mapepala onyowa kuti mupukutire zakumwa zilizonse zotayika.

Mycophenolate imathandizira kupewa kukana kwa ziwalo pokhapokha mukamamwa mankhwala. Pitirizani kumwa mycophenolate ngakhale mukumva bwino. Osasiya kumwa mycophenolate osalankhula ndi dokotala.

Mycophenolate imagwiritsidwanso ntchito pochiza matenda a Crohn (matenda omwe thupi limagwiritsa ntchito gawo la m'mimba, kumayambitsa kupweteka, kutsegula m'mimba, kuchepa thupi, ndi malungo). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge mycophenolate,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la mycophenolate, mycophenolic acid, mankhwala ena aliwonse, kapena chilichonse mwazomwe mukugwiritsa ntchito mu mycophenolate kapena mycophenolic acid. Ngati mukumwa madzi a mycophenolate, auzeni dokotala komanso wamankhwala ngati simukugwirizana ndi aspartame kapena sorbitol. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: makala oyatsidwa; acyclovir (Zovirax); maantibayotiki ena monga amoxicillin ndi clavulanic acid (Augmentin), ciprofloxacin (Cipro) ,, ndi sulfamethoxazole / trimethoprim (Bactrim); azathioprine (Azasan, Imuran); cholestyramine (Prevalite); ganciclovir (Cytovene, Valcyte); mankhwala ena omwe amaletsa chitetezo cha mthupi; isavuconazonium (Cresemba); zofufuza (Probalan); proton pump inhibitors monga lansoprazole (Dexilant, Prevacid) ndi pantoprazole (Protonix); rifampin (Rifadin, Rimactane, ku Rifamate, Rifater); telmisartan (Micardis, ku Twynsta); valacyclovir (Valtrex); ndi valganciclovir (Valcyte). Muuzeni dokotala ngati mukugwiritsa ntchito mankhwala a Norfloxacin (Noroxin) ndi metronidazole (Flagyl). Mankhwala ena ambiri amathanso kulumikizana ndi mycophenolate, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Komanso onetsetsani kuti muwauze adotolo mukasiya kumwa mankhwala aliwonse. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa sevelamer (Renagel, Renvela), kapena maantacid okhala ndi magnesium kapena aluminium, tengani maola awiri mutatenga mycophenolate.
• uzani dokotala wanu ngati mwakhalapo kapena munakhalapo ndi matenda a Lesch-Nyhan kapena Kelley-Seegmiller (matenda obadwa nawo omwe amayambitsa kuchuluka kwa zinthu zina m'magazi, kupweteka pamalumikizidwe, ndi mavuto pakuyenda ndi machitidwe); kuchepa kwa magazi (kuchuluka kochepera kwa maselo ofiira amwazi); neutropenia (osachepera kuchuluka kwa maselo oyera amwazi); Zilonda zam'mimba kapena matenda aliwonse omwe amakhudza m'mimba mwanu, m'matumbo, kapena m'mimba; khansa yamtundu uliwonse; kapena matenda a impso kapena chiwindi.
• Uzani dokotala wanu ngati mukuyamwitsa.
• muyenera kudziwa kuti mycophenolate imatha kukupangitsani kugona, kusokonezeka, chizungulire, mutu wopepuka, kapena kuyambitsa kugwedezeka kosalamulirika kwa gawo lina la thupi. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• mulibe katemera popanda kulankhula ndi dokotala. Funsani dokotala ngati mungapeze katemera wa chimfine musanachitike kapena mukamalandira chithandizo chifukwa kumwa mycophenolate kumatha kuwonjezera chiopsezo chotenga kachilombo.
• ngati muli ndi phenylketonuria (PKU, mkhalidwe wobadwa nawo momwe muyenera kudya chakudya chapadera kuti muchepetse kuchepa kwamaganizidwe), muyenera kudziwa kuti kuyimitsidwa kwa mycophenolate kuli ndi aspartame, gwero la phenylalanine.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mukumwa piritsi la mycophenolate, kapisozi, kapena kuyimitsidwa (Cellcept) tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati mulingo wotsatira usanathe maola 2, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ngati mukumwa piritsi yotulutsa mycophenolate yochedwa (Myfortic) tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mycophenolate ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kudzimbidwa
• kupweteka m'mimba kapena kutupa
• nseru
• kusanza
• kuvuta kugona kapena kugona
• kupweteka, makamaka kumbuyo, minofu, kapena mafupa
• mutu
• mpweya
• kumenyedwa, kumva kulasalasa, kapena kutentha pakhungu
• kuuma minofu kapena kufooka

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:

• kutsegula m'mimba, kupweteka mwadzidzidzi m'mimba
• kutupa kwa manja, mikono, mapazi, akakolo, kapena miyendo yakumunsi
• kuvuta kupuma
• kupweteka pachifuwa
• zidzolo
• kuyabwa
• kugunda kwamtima mwachangu
• chizungulire
• kukomoka
• kusowa mphamvu
• khungu lotumbululuka
• kutuluka mwachilendo kapena kuphwanya
• mipando yakuda ndi yodikira
• magazi ofiira m'mipando
• masanzi amagazi
• kusanza komwe kumawoneka ngati malo a khofi
• magazi mkodzo
• chikasu cha khungu kapena maso

Mycophenolate imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Kuyimitsidwa kwa Mycophenolate kungasungidwenso mufiriji. Musayimitse kuyimitsidwa kwa mycophenolate. Chotsani kuyimitsidwa kulikonse kwa mycophenolate patatha masiku 60.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kupweteka m'mimba
• nseru
• kusanza
• kutentha pa chifuwa
• kutsegula m'mimba
• malungo, zilonda zapakhosi, kuzizira, chifuwa ndi zizindikiro zina za matenda

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Ma CellCept^®
• Zovuta^®