Chikonzero Chaicho Kupera Kwemavhiki Ose
Matirotrexate mutezo we rheumatoid arthritis nezvimwe zvinokonzera kurwara kweArthritis zvinofanira kutorwa vhiki nevhiki, kwete zuva nezuva kufanana nemamwe mimwe mishonga. Nemhaka yekuti yakasiyana neyakarongeka yemishonga purogiramu, inotanga kuvhiringidza pakutanga, kunze kwekuti chiremba wako atora nguva yekutsanangurira zvakakwana.
Zvikanganiso zvakaitwa nevarwere vaifunga "vhiki nevhiki" kwaingova kungoita zvinyorwa zvinyorwa zvekunyora kwemaitiro avo ematrotrexate prescription bottle.
Kana iwe uchinge uine kusava nechokwadi, danaidza chiremba wako uye utane chiremba wako. Cheka kaviri kana chechitatu-chengetedza mazano kana zvichidiwa. Ndizvo zvakakosha kuti zvive zvakanaka. Kazhinji kazhinji, Institute for Safe Safe Medicication Practices inogamuchira mharidzo yemuromo methotrexate kudarika kwepamusoro pamusana pekufungidzirwa kwezuva nezuva.
Purogiramu yevhiki nevhiki ye Methotrexate
Methotrexate yaiva mishonga yekenza isati yakabvumidzwa kuti ive rheumatoid arthritis. Nhamba inoshandiswa kurwara rheumatoid arthritis nezvimwe zvirwere zvinoputira zviduku kana zvichienzaniswa neaya anoshandiswa nekenza. Kazhinji, vanhu vane rheumatoid arthritis vanotanga kupiwa mitatu 2.5 milligram methotrexate mapiritsi (7.5 milligrams) kuzotorwa pamwechete kamwe chete nevhiki, nezuva rimwechete revhiki (semugovera, Mugovera wega wega). Sezvaidiwa, chiremba angakwanisa kuwedzera chiremba, asi ichiri kutorwa vhiki nevhiki, kwete zuva nezuva.
Maererano neRheumatologist Scott J. Zashin, MD, "Kutora methotrexate kamwe chete kwevhiki kunopa hutano asi kunoderedza ngozi yehupukisi uye marara emarara." Iko kune mikana yekutyisa zvakanyanya, kunyanya hepatoxicity, kana methotrexate ichitorwa zvisina kururama zuva rega rega.
Iwe haufaniri kuwedzera chirevo chakatarwa che methotrexate kana kushandura dosing purogiramu yako pachako.
Yakanakisisa Methotrexate Dose yeRheumatoid Arthritis
Chirwere chidiki chevanhu vakuru che methotrexate ye rheumatoid arthritis ndechokuti, sezvataurwa pamusoro apa, 7.5 milligrams sevhisi imwe chete yevhiki nevhiki. Inogona kutorwa seyamuro inoparadzaniswa: 2.5 milligrams inotorwa mumuromo maawa gumi nemaviri nemadhora matatu kamwechete pavhiki (semuenzaniso, 00:00, 12:00, uye 23:59 pazuva rimwechete).
Iko inowanzopfuura mavhiki evanhu vakura vhiki ye methotrexate yemuromo ndeye 20 milligrams. Iyo inowanzo mumuromo wevana chirwere che methotrexate ye rheumatoid arthritis inokwana 5 kusvika ku15 milligram imwe kamwe chete.
Maererano nemigumisiro yekudzidza yakabudiswa mumabhuku eAnals of the Rheumatic Diseases , iyo "yakanaka" yehupupuri-yakagadziriswa nehutano uye nzira yekukurudzira vanhu vakuru vane rheumatoid arthritis inosanganisira kutanga kwezana yemamirigiramu 15 methotrexate inotorwa kamwe chete kwevhiki. Izvozvo zvinogona kuwedzerwa nemamirigiramu 5 pamwedzi kusvika pamamiriyoni 25-30 pavhiki kana kuti chirwere chakakosha zvikuru. Kushandura kujecha methotrexate kunogona kuitwa nevanhu vane rheumatoid arthritis vanowana kupindura kwakakwana nemuromo methotrexate kana kune avo vasingakwanisi kushivirira kuumbwa kwemuromo. Hazvina mhosva kuti zvii zvinogadziriswa, zvinofanirwa kuramba zvichiita sevhisi yevhiki nevhiki.
Dzimwe Manyevero yeMethotrexate
Methotrexate inobatanidza nekuwedzera kutyisa kana yakatorwa nemimwe mimwe mishonga, yakadai sedaresteroidal anti-inflammatory drugs (NSAIDs) , mishonga yemasidho yakagadziriswa, uye mamwe maantibioti. Kuita zvinodhaka zvakadaro kunogona kukonzera uipi hunokuvadza, uye zvichida kunyange kufa. Iva nechokwadi chokuti chiremba wako ane mishonga yakakwana yemishonga yose yaunotora uye inokurukura zvakakwanikana kusangana nemettretreate.
Methotrexate haifaniri kutorwa nevanhu vane chirwere chechiropa, chirwere chakakosha chepfungwa, kudhakwa, dambudziko reropa (semuenzaniso, anemia , leukopenia) kana kuti mafupa ekushaya marara. Methotrexate haifaniriwo kushandiswa nevakadzi vane pamuviri kana vanoyamwisa. Inofanirawo kumira nevakadzi nevarume vari kuronga kubata.
Kana iwe uine zviratidzo zvehutano husingaiti paunenge uchitora methotrexate, tsvaka rubatsiro rwekukurumidzira. Zviratidzo zvakadaro zvinosanganisira mikoko, kugadzikana kweganda, kufema kunetseka, kuzvimba kwechiso, miromo, rurimi, kana huro. Iwe unofanirwa kurega methotrexate uye kudana chiremba wako kana iwe ukava nekukanganiswa kwakaoma, kufema kwekufema, kuvhara, kurutsira, mavara machena kana maronda mukati memuromo wako , ropa mumugini kana chigaro, kukurumidza kuwedzerwa kuwedzera, kupera kwemuginho, kukonzera, fever, chills, zvirwere zveputi, zvirwere, urombo, kana chero chipi zvacho chisingaoneki.
Maitiro akawandisa anowanzobatanidzwa ne methotrexate ndeyeusea, musoro wepfungwa, dutu, kuneta, uye kuonesa. Vamwe vanhu vanowanzova nemigumisiro yakafanana nemuromo methotrexate vanogona kuwana injectable methotrexate yakareruka.
Shoko Rinobva
Methotrexate inogona kuva mishonga yakachengeteka uye inobudirira ye rheumatoid arthritis kana yakatorwa zvakanaka. Inofanira kutorwa maererano nemirayiridzo, pasina kutsauka kubva kune iyo nzira. Usambofa uchitora zvinopfuura zvinorehwa uye usachinja purogiramu yevhiki nevhiki. Iva nehanya nezvingava nemigumisiro yakaipa, kunyanya zviitiko zvakashata zvakanyanya, uye zivisa chiremba wako pakarepo kana chimwe chinhu chinotambudza chikawedzera.
Iwe uchatarisirwa kuva neongororo yebhroreta nguva nenguva kuti uone kuwanda kwema cell cell, enzyme yevindi , uye yepfungwa basa . Usanwa doro uchishandisa methotrexate. Rega chiremba wako azive kana iwe uchikurira utachiona hunoita. Kumbira chiremba wako nezvekutora maantibiotic nokuda kwehutachiona. Zvakakoshawo kukurukura vachengeti nachiremba wako. Vanhu vari kutora madhigiri akakwirira emu methotrexate vanofanira kuchengetedza zvirwere zvinorarama. Pasi pepamusoro-kuitira kushandiswa kwakachengeteka kwe methotrexate, unofanira kunyatsotevedzera mazano uye teerera mazano kunyeverwa. Taura pachena nechiremba wako pamusoro pechinhu chipi zvacho chinoramba chisina kujeka, kana chimwe chinhu chine chokuita newe.
> Sources:
> Kunyange Low-Dose Methotrexate Inogona Kukuvadza Kana Kuti Rufu Kana Ichitorwa Zuva Nezuva Kana Neimwe Mimwe Mishonga. ConsumerMedSafety.org. November 30, 2015.
> Methotrexate. Drugs.com. Yakarongedzwa August 4, 2015.
> Visser K. et al. Nzira yakanakisisa uye Nzira Yekutungamirira kwe Methotrexate muRheumatoid Arthritis: Ongororo Yakarongeka YeZvinyorwa. Annals weRheumatic Diseases. July 2009.