Bvunza Daktari Wako Nezvipingamupinyi Zvakaipa Kare, Nguva, uye Pashure Pokutora Iyi Dhiragi
Mercaptopurine mishonga inonzi inozivikanwa seine purine. Inoshandiswa mumamiriro ekurapa akadai seCrohn's disease uye ulcerative colitis (maitiro maviri ekuputika kwechirwere chirwere [IBD] ) uye acute lymphocytic leukemia. Inogona kushandiswa pakurapa kweimwe mamiriro ezvinhu zvakare.
6-mercaptopurine (6-MP) inowanzoitwa kamwe chete pazuva, uye inogona kupiwa kana iri muhwendefa kana mujinga.
Zvinhu Zvinonyanya Kukosha Kuziva Nezve 6-MP
- 6-MP haifaniri kutorwa mukati memavhiki maviri ekuwana chirwere chinorarama
- Ropa rakaderera ropa rekuyera nhengo inogona kunge yakasvibiswa
- Chiremba anogona kuita nguva nenguva kuongororwa kweropa kuti aone chiropa chinoshanda
- Vakadzi vanofanira kushandisa masimba ekuberekwa kuti vasatora pamuviri vachitora 6-MP
- Kuberekwa hakuwanzokurudzirwa pakutora 6-MP
Mashoko Akakosha Pamusoro pe 6-MP
Zvinhu zvinonyanya kukosha kuziva pamusoro pe 6-MP ndezvokuti zvinogona kukonzera zvimwe zvinokonzera, zvakadai sekushaiwa bvudzi, kurutsira, chirwere, nekuda kurasikirwa. Izvo hazvifaniriwo kushandiswa mukati memavhiki maviri ekugamuchira chirwere chinorarama. Kana usina chokwadi kana chirwere chawakagamuchira chakararama, tarisa nechiremba wako.
Kusuruvara kwebvudzi kunogona kuva kunetseka zvikuru, asi kunofanira kuchinja apo mishonga inomira, uye bvudzi richatanga kukura zvakare kazhinji. Chimwe chidzidzo chakaratidza kuti 1% yevanhu vanotora 6-MP kuti vararame IBD yakarasikirwa nevhudzi.
Zvimwe zvakajairika zvakanga zvakaderedzwa tsvuku reyero yeropa , iyo yakawanikwa mune inenge 11 muzana yevarwere.
Nekukurumidza kunetseka kune migumisiro yakaipa yakadai sekubuda ropa, kupwanya, kana maronda; chizungu kana kurasikirwa kwekuziva; muromo wemuromo; uye marwadzo akabatanidzwa. Zvimwe zveizvi zvinogonawo kuitika sezviratidzo zveBD, saka zvakakosha kuchengetedza chiremba wako muchidimbu pamatambudziko ose ari kuitika.
6-MP inogonawo kukonzera kushaya muviri kusinganzwisisi, uye mune imwe chidzidzo, izvi zvakaitika munenge 4% yevarwere vanoitora kuti vabate IBD. Nokuda kwechikonzero ichi, chiremba angada kuita nguva yekuongororwa kweropa kutevera chiropa basa. Mune zvimwe zviitiko, kukwirira kwezvinhu zvimwe muropa (aminotransferases) kunogona kureva kuti muyero wechirwere unoda kuderedzwa, kana kuti unoda kubviswa.
Zvinokurudzirwa kuti vakadzi vashandise kubata pamuviri vachitora 6-MP kuti vasapinda pamuviri. 6-MP ndeye FDA Chikwata Chekuberekwa D: panogona kunge kune ngozi kune fetus, asi mishonga inogona kuenderera mberi nokuti kuidzika kunogona kuva nemigumisiro yakaipa kune amai. Kana iwe ukava nepamuviri paunotora 6-MP, udza chiremba wako. Kuberesa mwana paanotora 6-MP hakurudzirwi.
Muchikamu Chisingabatanidzi Maitiro Akafanana 6-MP
Tarisa nechiremba wako kana chimwe chezvikamu zvinotevera zvinopfuurira kana zvinotambudza:
- kurima kweganda
- chirwere
- headache
- kurasikirwa nechido
- kuputika kweganda uye kuchenesa
- kushaya simba
Nguva Zese Zivisai Dhigiri WeZvibato Zakawanda
Zvimwe zvakajairika
- kuneta kunoshamisa kana kushaya simba
- meso matsvuku kana ganda
Zvishoma Zvisingatauriki
- joint pain
- kurasikirwa nechido
- kushungurudza uye kurutsa
- kupfugama kwetsoka kana kumakumbo makumbo
Kazhinji
- Masonda mumuromo uye pamiromo
Zivisai A Chiremba Pakarepo Pamusoro Pemamwe Matambudziko Acho
Zvisiri zvishoma
- dema, tarry zvigaro
- ropa mumurini kana zvigaro
- kugunun'una kana kumira
- fever kana chills
- kuderedza shure kana kuti marwadzo
- kunorwadza kana kuoma kuoma
- Ita mavara matsvuku paganda
- kubuda ropa kunoshamisa kana kuputika
Zvimwe Zvikamu Zvinokosha
Nemhaka yemishonga inoshanda mumutumbi, kune mukana wekuti ingakonzera zvimwe zvinenge zvisingadikanwi nemwedzi kana makore mushure mekunge mushonga usingashandiswa. Izvi zvinononoka migumisiro inogona kusanganisira mamwe marudzi ekenza iyo inofanira kukurukurwa nachiremba.
Mercaptopurine inogona kugadzirisa migumisiro mushure mokurega kurapwa. Panguva iyi nguva, tarisa nechiremba kana chimwe chezviitiko zvinotevera zvichiitika:
- dema, tarry zvigaro
- ropa mumurini kana zvigaro
- kugunun'una kana kumira
- fever kana chills
- kuderedza shure kana kuti marwadzo
- kunorwadza kana kuoma kuoma
- Ita mavara matsvuku paganda
- kubuda ropa kunoshamisa kana kuputika
- meso matsvuku kana ganda
Dzimwe mimwe migumisiro isina kunyorwa pamusoro apa inogonawo kuitika pane vamwe varwere. Kana ukacherechedza zvimwe zviitiko, tarisa nechiremba wako. Iyi ruzivo inongororwa semutungamiri - nguva dzose uongorore chiremba kana mhizimisi kuti uwane ruzivo rwakakwana pamusoro pemishonga yekurapa.
Kunobva:
Glazier KD, Palance AL, Griffel LH, Das KM. "Chiitiko chemakore gumi chisina kuroorwa-chinonzi 6-mercaptopurine mukurapa kwechirwere chechirwere chirwere." J Clinic Gastroenterol . 2005 Jan; 39: 21-26.
Mahadevan U. "Kubereka nekuzvitakura mumurwere ane chirwere chinoputika." Gut . 2006 Aug; 55: 1198-1206.
Shaye OA, Yadegari M, Abreu MT, et al. "Hepatotoxicity ye 6-mercaptopurine (6-MP) uye Azathioprine (AZA) muvanhu vakuru vechiBD." Am J Gastroenterol . 2007 Nov; 102: 2488-2494.