Kumuhana Tacrolimus
Anter
- E hāhai pono i kēia mau ʻōkuhi e hoʻoliʻiliʻi i ka makaʻu e hoʻomohala ʻoe i ka maʻi ʻaʻai i kou wā e mālama ai me ka hamo tacrolimus:
- E hoʻohana ai i ka hamo, e hāhai i kēia mau kaʻina hana:
- Ma mua o ka hoʻohana ʻana i ka hamo tacrolimus,
- Hiki i ka hamo Tacrolimus ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
ʻO kahi helu liʻiliʻi o nā mea maʻi i hoʻohana i ka hamo tacrolimus a i ʻole kekahi lāʻau like e like me ka ulu ʻana o ka maʻi ʻaʻai a i ʻole ka lymphoma (maʻi ʻaʻai i kahi ʻāpana o ka pale pale ʻAʻole lawa ka ʻike i loaʻa e haʻi inā paha ka hamo tacrolimus i hoʻokumu ʻia kēia mau maʻi i ka maʻi ʻaʻai. ʻO ka noiʻi ʻana i nā mea maʻi transplant a me nā holoholona o ke keʻena hoʻokolohua a me ka hoʻomaopopo ʻana i ke ʻano o ka hana ʻana o tacrolimus e hōʻike nei aia he manawa hiki i ka poʻe e hoʻohana ana i ka hamo tacrolimus ke ʻoi aku ka makaʻu i ka ulu ʻana i ka maʻi ʻaʻai. Pono e aʻo hou e ʻike i kēia pilikia.
E hāhai pono i kēia mau ʻōkuhi e hoʻoliʻiliʻi i ka makaʻu e hoʻomohala ʻoe i ka maʻi ʻaʻai i kou wā e mālama ai me ka hamo tacrolimus:
- E hoʻohana wale i ka hamo tacrolimus ke loaʻa iā ʻoe nā ʻōuli o eczema. E hōʻoki i ka hoʻohana ʻana i ka hamo tacrolimus ke hele aku kāu mau hōʻailona a i ʻole ke haʻi aku kāu kauka iā ʻoe e kū. Mai hoʻohana mau i ka hamo tacrolimus no ka manawa lōʻihi.
- Kāhea i kāu kauka inā ua hoʻohana ʻoe i ka hamo tacrolimus no 6 mau pule a ʻaʻole i hoʻomaikaʻi ʻia kāu mau hōʻailona eczema, a i ʻole inā ʻoi aku ka maikaʻi o kāu mau hōʻailona i kēlā me kēia manawa i kāu wā e lapaʻau ai. Pono ʻia kahi lāʻau ʻokoʻa.
- Kāhea i kāu kauka inā hoʻi mai kāu mau hōʻailona eczema ma hope o kāu mālama ʻana me ka hamo tacrolimus.
- Pili i ka hamo tacrolimus wale i ka ʻili e hoʻopili ʻia e ka eczema. E hoʻohana i ka nui o ka hamo e pono ai e kaohi i kāu mau ʻōuli.
- Mai hoʻohana i ka hamo tacrolimus e mālama ai i ka eczema i nā keiki ʻōpio ma mua o 2 mau makahiki. Mai hoʻohana i ka hamo tacrolimus 0.1% e mālama i ka eczema i nā keiki ma waena o 2 a 15 mau makahiki. ʻO ka hamo tacrolimus wale nō ka 0.03% i hoʻohana ʻia e mālama ai i nā keiki i kēia pae makahiki.
- E haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi ʻaʻai, i ka maʻi ʻaʻai ʻili, a i ʻole kekahi ʻano e hoʻopili i kāu ʻōnaehana pale. E noi i kāu kauka inā ʻaʻole maopopo iā ʻoe inā he ʻano āu i hoʻopili ai i kāu ʻōnaehana pale maʻi. ʻAʻole kūpono paha ʻo Tacrolimus iā ʻoe.
- Palekana i kou ʻili mai ka lā maoli a me ka lā i hana ʻia i kou wā e mālama ai me ka hamo tacrolimus. Mai hoʻohana i nā kukui lā a i ʻole nā moena ʻili, a mai hele i ka lāʻau ultraviolet light therapy. E noho i waho o ka lā e like me ka hiki i kou wā e lapaʻau ai, ʻoiai ʻaʻole ka lāʻau i kou ʻili. Inā pono ʻoe i waho o ka lā, e ʻaʻahu i nā kapa komo lōkō e pale ai i ka ʻili i mālama ʻia, a nīnau i kāu kauka e pili ana i nā ala ʻē aʻe e pale ai i kou ʻili mai ka lā.
E hāʻawi aku kāu kauka a kauka paha iā ʻoe i ka palapala ʻike hoʻomanawanui o ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me ka tacrolimus a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.
E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i ka hamo tacrolimus.
Hoʻohana ʻia ka hamo Tacrolimus e mālama i nā ʻōuli o eczema (atopic dermatitis; kahi maʻi maʻi e hoʻomaloʻo a ʻili ka ʻili a i kekahi manawa hoʻomohala i nā ʻulaʻula, scaly rashes) i nā mea maʻi i hiki ʻole ke hoʻohana i nā lāʻau ʻē aʻe no ko lākou kūlana a i ʻole ʻaʻole i loaʻa i kā eczema. pane i kekahi lāʻau. Aia ʻo Tacrolimus i loko o ka papa o nā lāʻau i kapa ʻia he mau mea kāohi helu topita. Hana ia ma ka hoʻōki ʻana i ka ʻōnaehana pale ʻole mai ka hana ʻana i nā mea e hoʻonāukiuki ai i ka eczema.
Hele mai ʻo Tacrolimus me kahi hamo e hoʻopili i ka ʻili. Hoʻohana mau ʻia ia i ʻelua mau manawa i ka lā i ka wahi i pā. E kōkua iā ʻoe e hoʻomanaʻo e hoʻopili i ka hamo tacrolimus, hoʻopili iā ia ma nā manawa like i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka tacrolimus e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o ia mea a hoʻohana pinepine paha iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.
E hoʻohana ai i ka hamo, e hāhai i kēia mau kaʻina hana:
- E holoi i kou mau lima me ke kopa a me ka wai.
- E ʻike pono i ka ʻili o ka wahi i loli.
- E noi i kahi papa lahilahi o ka hamo tacrolimus i nā wahi āpau o kou ʻili.
- E hamo i ka hamo i kou ʻili me ka mālie a me ka piha.
- E holoi i kou mau lima me ke kopa a me ka wai e hoʻoneʻe i nā kohu tacrolimus i koe. Mai holoi i kou mau lima inā ʻoe e mālama iā lākou me ka tacrolimus.
- Hiki iā ʻoe ke uhi i nā wahi i mālama ʻia me nā lole maʻamau, akā mai hoʻohana i nā kaula, nā lole, a me nā wahī.
- E makaʻala i ka holoi ʻole ʻana i ka hamo o nā wahi i pā o kou ʻili. Mai ʻauʻau, ʻauʻau, a ʻauʻau ʻole koke ma hope o ka hoʻopili ʻana i ka hamo tacrolimus.
Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.
Ma mua o ka hoʻohana ʻana i ka hamo tacrolimus,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka aila tacrolimus, ʻoki ʻana, a i ʻole nā capsule (Prograf), a i ʻole nā lāʻau ʻē aʻe.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E haʻi pono i kekahi o kēia mau mea: antifungals e like me fluconazole (Diflucan), itraconazole (Sporanox), a me ketoconazole (Nizoral); nā poloka channel calcium e like me diltiazem (Cardizem, Dilacor, Tiazac) a me verapamil (Calan, Covera, Isoptin, Verelan); cimetidine (Tagamet); erythromycin (E.E.S., E-Mycin, Erythrocin); a me nā hamo ʻē aʻe, nā kalima a me nā wailana Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
- e haʻi aku i kāu kauka inā loaʻa ʻoe i ka maʻi ʻili a inā i loaʻa a loaʻa paha iā ʻoe i ka maʻi puʻuwai, Netherton's Syndrome (kahi ʻano hoʻoilina e ʻulaʻula ai ka ʻili, ʻili, a wiwo ʻole), ʻulaʻula a me ka ʻili ʻana o ka hapa nui o kou ʻili, kekahi nā maʻi ʻili ʻē aʻe, a i ʻole kekahi ʻano maʻi maʻi ʻili, ʻo ia hoʻi ka moa moa, shingles (kahi maʻi maʻi i ka poʻe i loaʻa i ka moa moa i ka wā i hala), herpes (cold sores), a i ʻole eczema herpeticum (maʻi maʻi viral i kumu i hoʻopiha ʻia ka wai i nā palapū i hana ma ka ʻili o ka poʻe i loaʻa ka eczema). E haʻi aku i kāu kauka inā ua huli a wīwī paha kāu huehue eczema a i ʻole manaʻo ʻoe ua maʻi kāu eczema rash.
- e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka hoʻohana ʻana i ka hamo tacrolimus, e kāhea i kāu kauka.
- inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e hoʻohana ana ʻoe i ka aila tacrolimus.
- e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona ʻoiai ʻoe e hoʻohana nei i ka hamo tacrolimus. E ʻulaʻula a ʻulaʻula paha kou ʻili a helehelena a ʻoluʻolu ke inu ʻoe i ka waiʻona i kou wā e lapaʻau ai.
- e hōʻalo i ka loaʻa ʻana o ka moa pox, shingles, a me nā mea hoʻomaʻi ʻē aʻe. Inā ʻike ʻia ʻoe i kekahi o kēia mau virus i ka hoʻohana ʻana i ka hamo tacrolimus, e kelepona koke i kāu kauka.
- pono ʻoe e ʻike ʻo ka mālama ʻana i ka ʻili maikaʻi a me nā mea hoʻoliʻiliʻi e kōkua i ka hōʻoluʻolu i ka ʻili maloʻo i hoʻokumu ʻia e ka eczema. E kamaʻilio me kāu kauka e pili ana i nā moisturizers āu e hoʻohana ai, a hoʻopili mau iā lākou ma hope o ka hoʻopili ʻana i ka hamo tacrolimus.
E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻulu a me ka inu ʻana i ka wai momona a ke lawe nei ʻoe i kēia lāʻau.
E noi i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai hoʻopili i kahi hamo keu e pani no kahi mahele lāʻau i hala.
Hiki i ka hamo Tacrolimus ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- ʻili, ʻili, ʻulaʻula a ʻeha hoʻi ka ʻili
- ʻili ʻili
- hoʻonui i ka ʻike o ka ʻili i nā mahana wela a anuanu hoʻi
- ʻūlili
- huehue
- pehu paha i loaʻa i nā follicle lauoho
- ʻeha poʻo
- ʻeha a ʻeha hoʻi ma hope
- nā ʻōuli like flu
- ihu peʻa a holo paha
- nausea
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka:
- ʻōpū pehu
- hūwī
- crusting, oozing, blistering a i ʻole nā hōʻailona ʻē aʻe o ka maʻi ʻili
- anu anu
- pox moa a i ʻole nā palapū ʻē aʻe
- ka pehu ʻana o nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
Hiki i ka aila Tacrolimus ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.
Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).
E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.
Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.
He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org
I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.
Mālama i nā manawa āpau me kāu kauka.
Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.
He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.
- Protopic®