Thioguanine
Zamkati
- Musanayambe kumwa thioguanine,
- Thioguanine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- Zizindikiro za bongo zingaphatikizepo izi:
Thioguanine amagwiritsidwa ntchito pochiza khansa ya m'magazi (AML; mtundu wa khansa womwe umayamba m'maselo oyera).Thioguanine ali mgulu la mankhwala omwe amadziwika kuti purine analogs. Zimagwira pochepetsa kapena kuletsa kukula kwa maselo a khansa mthupi lanu.
Thioguanine amabwera ngati piritsi kuti azitenga pakamwa nthawi zambiri kamodzi patsiku. Kutalika kwa chithandizo kumatengera mitundu ya mankhwala omwe mukumwa, momwe thupi lanu limayankhira, komanso mtundu wa khansa yomwe muli nayo. Tengani thioguanine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani thioguanine ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu akhoza kukulitsa kapena kuchepetsa kuchuluka kwa thioguanine mukamalandira chithandizo. Izi zimadalira momwe mankhwala amakuthandizirani komanso zovuta zomwe mumakumana nazo. Lankhulani ndi dokotala wanu za momwe mukumvera mukamalandira chithandizo. Pitirizani kumwa thioguanine ngakhale mukumva bwino. Osasiya kumwa thioguanine osalankhula ndi dokotala
Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanayambe kumwa thioguanine,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la thioguanine, mankhwala aliwonse, kapena chilichonse mwapiritsi a thioguanine. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- auzeni adotolo ngati mwamwa kale thioguanine kapena mercaptopurine kuchiza khansa yanu. Dokotala wanu angakuuzeni kuti musamwe thioguanine ngati mankhwalawa sakugwira ntchito bwino motsutsana ndi khansa yanu m'mbuyomu.
- 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: aminosalicylates monga mesalamine (Apriso, Asacol, Pentasa, ena), olsalazine (Dipentum), ndi sulfasalazine (Azulfidine). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Komanso muuzeni dokotala komanso wamankhwala zamankhwala onse omwe mukumwa kuti athe kuwona ngati mankhwala anu aliwonse angawonjezere chiwopsezo kuti chiwindi chanu chiwonongeke mukamachiza thioguanine.
- uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Simuyenera kutenga pakati kapena kuyamwitsa mukalandira thioguanine. Mukakhala ndi pakati mukalandira thioguanine, itanani dokotala wanu. Thioguanine atha kuvulaza mwana wosabadwayo.
- mulibe katemera popanda kulankhula ndi dokotala.
- muyenera kudziwa kuti chiopsezo chokhala ndi zovuta zina za thioguanine chitha kukhala chachikulu ngati mungakhale ndi vuto lobadwa nalo. Dokotala wanu amatha kuyitanitsa mayeso musanachitike kapena mukamalandira chithandizo kuti muwone ngati muli pachiwopsezo chotere.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Imwani madzi ambiri mukamachiza thioguanine.
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.
Thioguanine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kusanza
- kusowa chilakolako kapena kunenepa
- zilonda mkamwa ndi pakhosi
- mutu
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kutopa kapena kufooka kosazolowereka
- kutuluka mwachilendo kapena kuphwanya
- chikasu cha khungu kapena maso
- zizindikiro ngati chimfine
- kutupa kwa m'mimba
- kupweteka m'mimba, makamaka mbali yoyenera ya m'mimba
- kutupa kwa nkhope, mikono, manja, mapazi, akakolo kapena miyendo yakumunsi
- masanzi amagazi
- wakuda, wodikira kapena chimbudzi chamagazi
- malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda
- kupuma movutikira
- wamisala
Thioguanine angayambitse mavuto ena. 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).
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:
- nseru
- kusanza
- thukuta kwambiri
- kutopa kapena kufooka kosazolowereka
- kutuluka mwachilendo kapena kuphwanya
- malungo, zilonda zapakhosi, kutsokomola kosalekeza komanso kuchulukana, kapena zizindikilo zina za matenda
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira thioguanine.
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.
- Zolemba®
- 2-Amino-6-mankhwala otchedwa mercaptopurine
- 6-TG
- 6-Thioguanine