Methotrexate ka pahu kui

Anter

• Ma mua o ka loaʻa ʻana o ka injection methotrexate,
• Hiki i ka Methotrexate 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 ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

Hiki i ka Methotrexate ke kumu i nā hopena ʻino loa a weliweli hoʻi i ke ola. E loaʻa wale ʻoe i ka injection methotrexate e mālama i ka maʻi ʻaʻai hoʻoweliweli, a i ʻole kekahi mau ʻano ʻē aʻe e koʻikoʻi loa a ʻaʻole hiki ke mālama ʻia me nā lāʻau ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka loaʻa ʻana o ka injection methotrexate no kāu maʻi.

E haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka nui o ka wai i kou wahi o kou ʻōpū a i ʻole ma kahi ākea e pili ana i kou mau māmā a inā loaʻa ʻoe a i ʻole loaʻa i ka maʻi puʻupaʻa. E haʻi pū aku i kāu kauka inā lawe ʻoe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ka aspirin, choline magnesium trisalicylate (Tricosal, Trilisate), ibuprofen (Advil, Motrin), magnesium salicylate (Doan's), naproxen (Aleve, Naprosyn), a i ʻole salsalate. Hiki i kēia mau kūlana a me nā lāʻau ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i nā hopena ʻē aʻe o ka methotrexate. E nānā pono kāu kauka iā ʻoe a pono paha e hāʻawi iā ʻoe i ka lāʻau ma lalo o ka methotrexate a i ʻole hoʻokū i kāu lāʻau me methotrexate.

Hiki i ka Methotrexate ke hoʻemi i ka helu o nā hunaola i hana ʻia e kou iwi iwi. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kahi helu haʻahaʻa o kekahi ʻano o nā hunaola koko a i ʻole nā ​​pilikia ʻē aʻe i kāu mau huna koko. Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: ʻeha ka ʻāʻī, nā anu, ke kuni, ka ʻū a me ka paʻa mau ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi. ʻehaʻeha a hoʻokahe koko paha; luhi ʻole a palupalu paha; ʻili mae; a me ka pōkole o ka hanu.

Hiki i ka Methotrexate ke hōʻeha i ka ate, keu hoʻi ke lawe ʻia no kahi wā lōʻihi. E haʻi i kāu kauka inā inu ʻoe a ua inu paha i ka nui o ka waiʻona a i ʻole inā loaʻa a loaʻa paha ʻoe i ka maʻi ate. ʻAʻole paha makemake kāu kauka iā ʻoe e loaʻa i ka injection methotrexate ke ʻole ʻoe he ʻano hoʻoweliweli o ke kanesa no ka mea ʻoi aku ka nui o ka makaʻu e hoʻomohala ʻoe i ka hōʻino o ke ake. ʻOi aku ka kiʻekiʻe o ka makaʻu āu e hoʻomohala ai i ka hōʻino o ke ake inā ʻelemakule ʻoe, paʻakikī, a maʻi diabetes paha. E noi i kāu kauka e pili ana i ka hoʻohana palekana o nā inu waiʻona i ka wā e loaʻa ana iā ʻoe ka methotrexate injection. E haʻi i kāu kauka inā lawe ʻoe i kekahi o nā lāʻau aʻe: acitretin (Soriatane), azathioprine (Imuran), isotretinoin (Accutane), sulfasalazine (Azulfidine), a i ʻole tretinoin (Vesanoid). Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: kahoʻi, luhi nui loa, nele i ka ikaika, nalowale o ka makemake, ʻeha ma ka ʻaoʻao ʻākau o luna o ka ʻōpū, melemele o ka ʻili a me nā maka, a i ʻole nā ​​hōʻailona like flu. Hiki i kāu kauka ke kauoha aku i nā biopsies o ke ake (e hemo ana i kahi ʻāpana o ke akepaʻa ake e nānā ʻia i loko o kahi keʻena hoʻokolohua) ma mua a ma kāu mālama ʻana me methotrexate

Hiki i ka Methotrexate ke hōʻeha i ka māmā. E haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe i ka maʻi lolo. Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: ka puʻu maloʻo, ke kuni, a me ka liʻiliʻi o ka hanu.

Hiki i ka Methotrexate ke hoʻopōʻino i ka uhi o kou waha, ʻōpū a me kou ʻōpū. E haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha nā puʻupuʻu o ka ʻōpū a i ʻole colitis ulcerative (kahi ʻano e hoʻoulu ai a me nā ʻeha i ka uhi o ke kolona [ʻōpū nui] a me ka ʻūhā. Kāhea koke i kāu kauka inā ʻike ʻoe i kekahi o nā ʻōuli penei: ʻeha o ka waha, ka maʻi pākī, ʻeleʻele, lohi, a i ʻole nā ​​noho koko, a me ka luaʻi, ʻoiai inā he koko ka luaʻi a ʻano like paha me nā kumu kope.

Hiki i ka hoʻohana ʻana i ka methotrexate ke hoʻonui i ka makaʻu e hoʻomohala ʻoe i ka lymphoma (maʻi ʻaʻai e hoʻomaka i nā hunaola o ka ʻōnaehana pale. Inā hoʻomohala ʻoe i ka lymphoma, hele aku paha ia me ka ʻole o ka lāʻau ke hoʻopau ʻoe i ka lawe ʻana i ka methotrexate, a i ʻole pono e mālama ʻia me chemotherapy.

Inā ʻoe e lawe nei i ka methotrexate e mālama i ka maʻi ʻaʻai, hiki iā ʻoe ke hoʻomohala i kekahi mau pilikia i koʻikoʻi a i ʻole hoʻoweliweli i ke ola e like me ka hana ʻana o methotrexate e luku i nā hunaola maʻi ʻaʻai. E nānā pono kāu kauka iā ʻoe a mālama i kēia mau pilikia inā kū lākou.

Hiki i ka Methotrexate ke kumu i nā hopena ʻili koʻikoʻi a hoʻoweliweli paha i ke ola. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ke kuni, ka pehu, ka pehu, a me ka ʻili ihi.

Hiki i ka Methotrexate ke hoʻemi i ka hana o kāu ʻōnaehana pale, a ke hoʻomohala paha ʻoe i nā maʻi koʻikoʻi. E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi ʻano maʻi a inā loaʻa a loaʻa paha iā ʻoe kekahi ʻano e hoʻopili i kāu ʻōnaehana pale maʻi. E haʻi paha kāu kauka iā ʻoe ʻaʻole pono e loaʻa iā ʻoe ka methotrexate ke ʻole ʻoe he maʻi ʻaʻai hoʻoweliweli ola. Inā ʻike ʻoe i nā hōʻailona o ka maʻi e like me ka ʻāʻī ʻeha, ʻū, kuni, a me ke anuanu, e kelepona koke i kāu kauka.

Inā loaʻa iā ʻoe ka methotrexate ʻoiai ke mālama ʻia ʻoe me ka radiation therapy no ka maʻi ʻaʻai, hoʻonui paha ka methotrexate i ka makaʻu o ka radiation radiation i mea e hōʻino ai i kou ʻili, iwi, a i ʻole nā ​​ʻāpana ʻē aʻe o kou kino.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab ma mua, i ka wā, a ma hope o kāu mālama ʻana e nānā i ka pane o kou kino i ka methotrexate a e mālama i nā hopena ma mua o ka lilo ʻana i mea koʻikoʻi.

E haʻi i kāu kauka inā hāpai ʻoe a i ʻole kāu pakanā paha e hoʻolālā e hāpai. Inā he wahine ʻoe, pono ʻoe e lawe i kahi hōʻike hāpai keiki ma mua o ka loaʻa ʻana iā ʻoe o ka methotrexate. E hoʻohana i kahi ʻano pono o ka kaohi hānau ʻana i ʻole e hāpai a i ʻole kāu pakanā i ka wā a ma hope koke paha o kāu lāʻau. Inā he kāne ʻoe, pono ʻoe a me kāu hoa wahine e hoʻohana i ka kaohi hānau no 3 mau mahina ma hope o kou hoʻōki ʻana i ka hoʻohana ʻana i ka methotrexate. Inā he wahine ʻoe, pono ʻoe e hoʻomau i ka hoʻohana ʻana i ka kaohi hānau a hiki i kou loaʻa ʻana o hoʻokahi manawa menstrual i hoʻomaka ma hope o kou hoʻopau ʻana i ka hoʻohana ʻana i ka methotrexate. Inā hāpai ʻoe a ʻo kāu hoa paha, e kāhea koke i kāu kauka. Hiki i ka Methotrexate ke hōʻeha a make paha i ka fetus.

Hoʻohana wale ʻia ka injection Methotrexate a i ʻole hui pū ʻia me nā lāʻau ʻē aʻe e mālama ai i nā tumho trophoblastic gestational (kahi ʻano tumo e hana ʻia i loko o ka ʻōpū o kahi wahine ʻoiai e hāpai ana), maʻi ʻaʻai umauma, maʻi ʻaʻa maʻi, kekahi mau maʻi maʻi o ke poʻo a me ka ʻāʻī. kekahi mau ʻano leukemia (maʻi ʻaʻai o nā aʻa koko keʻokeʻo), e like me ka leukemia lymphocytic maha (ALL) a me ka leukemia meningeal (maʻi ʻaʻai i ka uhi ʻana o ka iwi kuamoʻo a me ka lolo); kekahi mau ʻano lymphoma non-Hodgkin (ʻano o ka maʻi ʻaʻai e hoʻomaka i kahi ʻano o nā hunaola keokeo e hakakā maʻamau i ka maʻi maʻi); cutaneous T-cell lymphoma (CTCL, kahi hui o nā maʻi ʻaʻai o ka ʻōnaehana pale i ʻike mua ʻia e like me nā ʻili o ka ʻili); a me ka osteosarcoma (maʻi ʻaʻai e hana ana i nā iwi) ma hope o ke kahakaha ʻana e hemo ai i ka tumo. Hoʻohana pū ʻia ʻo ka Methotrexate injection e mālama i ka psoriasis koʻikoʻi (kahi maʻi ʻili kahi e hana ai nā ʻulaʻula, scaly patch ma kekahi mau wahi o ke kino) ʻaʻole hiki ke kaohi ʻia e nā ʻano lāʻau ʻē aʻe. Hoʻohana pū ʻia ʻo ka Methotrexate injection me ka maha, ka hoʻōla kino a i kekahi manawa i nā lāʻau ʻē aʻe e mālama ai i ka rheumatoid arthritis (RA; kahi ʻano e hoʻouka ai ke kino i kāna mau hui ponoʻī, e hōʻeha ai i ka ʻeha, ka pehu ʻana, a me ka nalo ʻana o ka hana) ʻaʻole hiki ke kaohi ʻia e kekahi mau lāʻau ʻē aʻe. Aia ka Methotrexate i kahi papa o nā lāʻau i kapa ʻia antimetabolites. Mālama ʻo Methotrexate i ka maʻi ʻaʻai ma ka hoʻolōʻihi ʻana i ka ulu ʻana o nā hunaola maʻi ʻaʻai. Mālama ʻo Methotrexate i ka psoriasis ma ka hoʻolōʻihi ʻana i ka ulu ʻana o nā ʻili ʻili e hoʻōki i nā unahi mai ka hana ʻana. Hiki paha i ka Methotrexate ke mālama i ka rheumatoid arthritis ma o ka hōʻemi ʻana i ka hana o ka ʻōnaehana pale.

Hele mai ka injection Methotrexate ma ke ʻano he pauka e kāwili ʻia me ka wai e hoʻokomo ʻia i loko o ka intramuscularly (i loko o kahi mākala), intravenously (into a vein), intra-arterally (into a artery), or intrathecally (into the fluid-full space of the spinal canal ). Pili ka lōʻihi o ka mālama ʻana i nā ʻano lāʻau āu e lawe nei, pehea ka maikaʻi o ka pane ʻana o kou kino iā lākou, a me ke ʻano o ke kanesa a i ʻole ke ʻano maʻi āu.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Hoʻohana pū ʻia ʻo Methotrexate i kekahi manawa me ka hui pū me nā lāʻau ʻē aʻe e mālama i ka maʻi ʻaʻa maʻi. Hoʻohana ʻia ia i kekahi manawa e mālama i ka maʻi o Crohn (ke ʻano e hoʻouka ai ka ʻōnaehana pale i ka uhi o ka digestive tract, e hōʻeha ai i ka maʻi, diarrhea, weight loss and fever) a me nā maʻi autoimmune ʻē aʻe (nā kūlana e hoʻomohala i ka wā e pale aku ka ʻōnaehana pale i nā pūnaewele olakino i kuhi hewa ke kino). E noi i kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.

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 loaʻa ʻana o ka injection methotrexate,

• e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka methotrexate, i nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i ka methotrexate injection. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
• 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 hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E ʻōlelo pono i nā lāʻau i helu ʻia i ka ʻARlelo Aʻo IMPORTANT a me kekahi o kēia mau mea: kekahi antibiotics e like me chloramphenicol (Chloramycetin), penicillins, a me tetracylcines; waikawa folic (loaʻa wale a i ʻole me he mea hoʻohui i kekahi mau multivitamins); nā lāʻau ʻē aʻe no ka rheumatoid arthritis; phenytoin (Dilantin); probenecid (Benemid); nā mea kūpale proton pump (PPI) e like me esomeprazole (Nexium), omeprazole (Prilosec, Prilosec OTC, Zegerid), pantoprazole (Protonix); sulfonamides e like me co-trimoxazole (Bactrim, Septra), sulfadiazine, sulfamethizole (Urobiotic), a me sulfisoxazole (Gantrisin); a me theophylline (Theochron, Theolair). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
• e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole kekahi o nā ʻano i ʻōlelo ʻia i loko o ka ʻARlelo Aʻoaʻo IMPORTANT a i ʻole ka pae folate haʻahaʻa i loko o kou koko.
• mai hānai waiu ʻoiai ʻoe e loaʻa ana i ka methotrexate injection.
• pono ʻoe e ʻike ʻo ka methotrexate paha ka mea i hoʻolilo ai i ka hiamoe a hoʻohoka paha iā ʻoe. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
• hoʻolālā e hōʻalo i ka pono ʻole a hoʻolōʻihi ʻia paha i ka lā o ka lā a i ʻole ke kukui ultraviolet (nā moena ʻili a me nā sunlamp) a e komo i nā lole pale, nā aniani aniani, a me nā pale pale lā. Hana paha ʻo Methotrexate i kou ʻili i ka lā a i ʻole ke kukui ultraviolet. Inā loaʻa iā ʻoe ka psoriasis, e ʻoi aku paha ka ʻeha o kou ʻeha inā hōʻike ʻoe i kou ʻili i ka lā ʻoiai ke loaʻa nei iā ʻoe i ka methotrexate.
• ʻaʻohe o nā lāʻau lapaʻau i ka wā o kāu mālama ʻana me ka methotrexate me ke kamaʻilio ʻole ʻana me kāu kauka.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.

Hiki i ka Methotrexate ke hana i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha hui a ʻeha ʻeha paha
• maka ʻulaʻula
• gums pehu
• poho lauoho

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.

• ka luaʻi
• ʻike hihi ʻole a i ʻole nalo ʻana o ka hihiʻo
• ke kuni hikiwawe, ka ʻeha ke poʻo, a me ka ʻāʻī ʻoʻoleʻa
• ka hopu ʻana
• huikau a i ʻole me ka nalo ʻana o ka hoʻomanaʻo
• nāwaliwali a paʻakikī paha i ka neʻe ʻana i kekahi a i ʻole ʻelua ʻaoʻao o ke kino
• ka hele wāwae paʻakikī a hele wāwae paʻa ʻole paha
• nalowale o ka ʻike
• haʻi ʻōlelo hōʻino
• hoʻemi urination
• ka pehu o ka maka, nā lima, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• hives
• ʻūlili
• ʻāwīwī o ka ʻili
• pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hiki i ka Methotrexate 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).

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.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

• ʻeha ma ka waha a me ka puʻu
• ʻeha ka ʻāʻī, ke anu, ke kuni, ka ʻū a me ka paʻa mau ʻana, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi
• ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
• ʻūlū ʻeleʻele a lohi a koko paha
• luaʻi koko
• mea luaʻi e like me ke kahua kope

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.

• Abitrexate^®¶
• Folex^®¶
• Mekiko^®¶

• Amethopterin
• MTX

^¶ ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.