Kuwunika Kwa Mankhwala Osokoneza Bongo
Zamkati
- Kodi Therapeutic Monitoring (TDM) ndi chiyani?
- Amagwiritsidwa ntchito yanji?
- Chifukwa chiyani ndikusowa TDM?
- Chimachitika ndi chiani pa TDM?
- Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
- Kodi pali zoopsa zilizonse ku TDM?
- Kodi zotsatirazi zikutanthauza chiyani?
- Zolemba
Kodi Therapeutic Monitoring (TDM) ndi chiyani?
Kuwunika kwa mankhwala (TDM) ndikuyesa komwe kumayeza kuchuluka kwa mankhwala ena m'magazi anu. Zachitika ndikuonetsetsa kuti kuchuluka kwa mankhwala omwe mukumwa ndi otetezeka komanso ogwira ntchito.
Mankhwala ambiri amathiridwa bwino popanda kuyezetsa mwapadera. Koma kwa mitundu ina ya mankhwala, kungakhale kovuta kupeza mlingo womwe umapereka mankhwala okwanira kuthana ndi vuto lanu popanda kuyambitsa zovuta zina. TDM imathandiza wothandizira wanu kudziwa ngati mukumwa mankhwala oyenera.
Mayina ena: kuyezetsa magazi, kuchuluka kwa mankhwala
Amagwiritsidwa ntchito yanji?
Kuwunika kwa mankhwala osokoneza bongo (TDM) kumagwiritsidwa ntchito kudziwa miyezo yabwino kwa anthu omwe amamwa mitundu ina ya mankhwala ovuta kulandira. M'munsimu muli mankhwala omwe amafala kwambiri kuwunika.
Mitundu ya Mankhwala | Mayina Amankhwala |
---|---|
Maantibayotiki | vancomycin, gentamycin, amakacin |
Mankhwala amtima | digoxin, procainamide, lidocaine |
Mankhwala oletsa kulanda | phenytoin, yani |
Mankhwala osokoneza bongo amachiza matenda amthupi okha | cyclosporine, tacrolimus |
Mankhwala osokoneza bongo | lifiyamu, valproic acid |
Chifukwa chiyani ndikusowa TDM?
Mungafunike kuyesa mukamayamba kumwa mankhwala. Izi zimathandizira omwe amakupatsani mwayi wodziwa bwino kwambiri zaumoyo wanu. Mlingo wake utatsimikizika, mutha kuyesedwa pafupipafupi kuti muwonetsetse kuti mankhwalawo akugwirabe ntchito popanda kuwononga. Mwinanso mungafunike kuyesa ngati muli ndi zizindikiro za zotsatira zoyipa. Zotsatira zoyipa zimasiyana kutengera mankhwala. Wothandizira zaumoyo wanu adzakudziwitsani zizindikiro zomwe muyenera kuziyang'anira.
Chimachitika ndi chiani pa TDM?
Katswiri wa zamankhwala adzatenga magazi kuchokera mumtsinje uli m'manja mwanu, pogwiritsa ntchito singano yaying'ono. Singanoyo italowetsedwa, magazi ang'onoang'ono amatengedwa mu chubu choyesera. Mutha kumva kuluma pang'ono singano ikamalowa kapena kutuluka. Izi nthawi zambiri zimatenga mphindi zosakwana zisanu.
Kodi ndiyenera kuchita chilichonse kukonzekera mayeso?
Kutengera mtundu wa mankhwala omwe mukumwa, mungafunike kukonzekera mayeso anu musanamwe kapena mutamwa mankhwala anu wamba.
Kodi pali zoopsa zilizonse ku TDM?
Pali chiopsezo chochepa kwambiri choyesedwa magazi. Mutha kukhala ndi ululu pang'ono kapena kuvulala pamalo pomwe singano idayikidwapo, koma zizindikiro zambiri zimatha msanga.
Kodi zotsatirazi zikutanthauza chiyani?
Zotsatira zanu zikuwonetsa ngati mulingo wamagulu amwazi m'magazi anu ali osiyanasiyana omwe ndi othandiza pazachipatala koma siowopsa. Izi zimatchedwa njira zochiritsira. Mitunduyi imasiyanasiyana kutengera mtundu wa mankhwala ndi zosowa zanu. Ngati zotsatira zanu sizili motere, wokuthandizani angafunike kusintha mlingo wanu. Ngati mankhwala anu asinthidwa, mutha kuyesedwa kangapo mpaka mankhwala anu atayamba kugwiritsidwa ntchito.
Ngati muli ndi mafunso pazotsatira zanu, lankhulani ndi omwe amakuthandizani.
Dziwani zambiri zamayeso a labotale, magawo owerengera, ndi zotsatira zakumvetsetsa.
Zolemba
- DoveMed [Intaneti]. NkhundaMed; c2019. Kuwunika Kwa Mankhwala Osokoneza Bongo; 2014 Mar 8 [yasinthidwa 2018 Apr 25; yatchulidwa 2020 Mar 27]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.dovemed.com/common-procedures/procedures-laboratory/therapeutic-drug-monitoring-tdm
- Kang JS, Lee MH. Chidule cha kuwunika kwa mankhwala. Waku Korea J Intern Med. [Intaneti]. 2009 Mar [wotchulidwa 2020 Mar 27]; 24 (1): 1-10. Ipezeka kuchokera: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
- Kuyesa kwa Labu Paintaneti [Intaneti]. Washington DC: American Association for Clinical Chemistry; c2001-2020. Kuwunika Kwa Mankhwala Osokoneza Bongo; [zasinthidwa 2018 Dec 16; yatchulidwa 2020 Mar 27]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://labtestsonline.org/tests/therapeutic-drug-monitoring
- National Heart, Lung, ndi Blood Institute [Internet]. Bethesda (MD): Dipatimenti ya Zaumoyo ndi Zantchito ku U.S. Kuyesa Magazi; [adatchula 2020 Mar 27]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.nhlbi.nih.gov/health-topics/blood-tests
- UF Health: University of Florida Health [Intaneti]. Gainesville (FL): Yunivesite ya Florida Health; c2020. Magulu azachiritso: Mwachidule; [yasinthidwa 2020 Mar 27; yatchulidwa 2020 Mar 27]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://ufhealth.org/therapeutic-drug-levels
- UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Zambiri Zaumoyo: Mlingo Wamankhwala M'magazi: Zotsatira; [yasinthidwa 2019 Dec 8; yatchulidwa 2020 Mar 27]; [pafupifupi zowonetsera 8]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4062
- UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Chidziwitso cha Zaumoyo: Mlingo Wamankhwala M'magazi: Mwachidule; [yasinthidwa 2019 Dec 8; yatchulidwa 2020 Mar 27]; [pafupifupi zowonetsera 2]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4056
- UW Health [Intaneti]. Madison (WI): Zipatala za University of Wisconsin ndi Clinics Authority; c2020. Zambiri Zaumoyo: Mlingo Wamankhwala M'magazi: Chifukwa Chomwe Amapangidwira; [yasinthidwa 2019 Dec 8; yatchulidwa 2020 Mar 27]; [pafupifupi zowonetsera 3]. Ipezeka kuchokera: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4057
Zomwe zili patsamba lino siziyenera kugwiritsidwa ntchito m'malo mwa chithandizo chamankhwala kapena upangiri. Lumikizanani ndi othandizira azaumoyo ngati muli ndi mafunso okhudzana ndi thanzi lanu.