Methotrexate, hopena hoʻonāukiuki ponoʻī

Anter

• Nā mea nui no ka methotrexate
• Nā ʻōlelo aʻoaʻo koʻikoʻi
• Nā ʻōlelo aʻoaʻo a FDA
• Nā ʻōlelo aʻoaʻo ʻē aʻe
• He aha ka methotrexate?
• No ke aha e hoʻohana ʻia ai
• Pehea e hana ai
• Nā hopena ʻaoʻao Methotrexate
• Nā hopena ʻaoʻao hou aʻe
• Nā hopena hopena koʻikoʻi
• E hoʻomanaʻo
• Hiki paha i ka Methotrexate ke launa pū me nā lāʻau ʻē aʻe
• ʻO nā lāʻau ʻaʻole pono ʻoe e hoʻohana me ka methotrexate
• Nā launa pū e hoʻonui i kou makaʻi i nā hopena ʻaoʻao
• Nā launa pū e hiki ai ke hōʻemi i kāu mau lāʻau
• ʻ .lelo aʻoaʻo Methotrexate
• ʻLelo aʻoaʻo ʻaʻai
• ʻLelo aʻoaʻo pili waiʻona
• Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino
• Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe
• Pehea e lawe ai i ka methotrexate
• Nā ʻano lāʻau a me nā ikaika
• Nā hana no ka psoriasis
• Nā hana no ka rheumatoid arthritis
• Nā hana no polyarticular juvenile idiopathic arthritis (JIA)
• Lawe e like me ke kuhikuhi
• Nā manaʻo nui no ka lawe ʻana i ka methotrexate
• Generala
• Waihona
• Hoʻopiha hou
• Huakaʻi
• Hoʻoponopono ponoʻī
• Nānā lapaʻau
• ʻIke lā
• Loaʻa
• Nā kumukūʻai huna
• ʻĀpono mua
• Aia kekahi mau koho ʻē aʻe?

Nā mea nui no ka methotrexate

1. Loaʻa ka hopena Methotrexate hoʻōla ponoʻī ma ke ʻano he laulaha a me nā lāʻau lapaʻau inoa. Nā inoa inoa: Rasuvo a me Otrexup.
2. Hele mai ka Methotrexate i nā ʻano ʻehā: solution self-injectable solution, injectable IV solution, oral tablet, and oral solution. No ka hoʻonāwaliwali iā ʻoe iho, hiki iā ʻoe ke loaʻa iā ia mai kahi kahu mālama ola, a i ʻole iā ʻoe a i ʻole kahu mālama hiki ke hāʻawi iā ia iā ʻoe ma ka home.
3. Hoʻohana ʻia ʻo Methotrexate hoʻoponopono pilikino pono e mālama iā psoriasis. Hoʻohana ʻia ia e mālama i ka rheumatoid arthritis, me polyarticular juvenile idiopathic arthritis.

Nā ʻōlelo aʻoaʻo koʻikoʻi

Nā ʻōlelo aʻoaʻo a FDA

• He mau ʻōlelo aʻoaʻo a ka pahu ʻeleʻele. ʻO kēia nā ʻōlelo aʻoaʻo koʻikoʻi nui loa mai ka Food and Drug Administration (FDA). Hoʻomaʻamaʻa ka pahu ʻeleʻele i nā kauka a me nā mea maʻi e pili ana i nā hopena lāʻau e weliweli paha.
• Hoʻomaʻamaʻa i nā pilikia o ke ake akea: Hiki i ka Methotrexate ke kumu i nā maʻi o ke ake hopena (fibrosis a me cirrhosis). Hoʻonui ka nui o kāu makaʻi i ka lōʻihi o kou lawe ʻana i kēia lāʻau.
• Hoʻomaʻamaʻa ʻana i nā pilikia o ka maʻi leʻa: hiki i ka Methotrexate ke hana i nā maʻi lepa (ʻeha) Hiki i kēia hopena ke hana i kēlā me kēia manawa i kāu mālama ʻana a me nā ʻano hana. ʻAʻole paha e kū ka lāʻau ʻana e haʻalele i ka leona. Kāhea koke aku i kāu kauka inā pilikia ʻoe i ka hanu, ka pōkole o ka hanu, ʻeha o ka umauma, a i ʻole kahi uha maloʻo ke lawe ʻoe i kēia lāʻau.
• Hoʻomaʻamaʻa Lymphoma: Hāpai ʻo Methotrexate i kāu makaʻu o ka lymphoma malignant (kahi maʻi ʻaʻai o ka ʻōnaehana pale). ʻAʻole paha e hele aku kēia pilikia ke haʻalele ʻoe i ka lawe ʻana i ka lāʻau.
• ʻ warninglelo aʻoaʻo ʻili: hiki i ka Methotrexate ke kumu i ka hopena o ka ʻili i hiki ke make (make ka make). Hele ʻole paha lākou ke haʻalele ʻoe i ka lawe ʻana i ka lāʻau. Inā loaʻa iā ʻoe kekahi mau ʻōuli ke lawe nei ʻoe i kēia lāʻau, e kāhea koke aku i kāu kauka a i ʻole 911. Pākuʻi ʻia kēia mau ʻōuli me ka ʻulaʻula, pehu, pehu, a me ka ʻiliʻili ʻana, ka pehu, ke kuni, ka ʻulaʻula a me nā maka ukiuki, a me nā ʻeha ma kou waha, ka puʻu, ka ihu, a me nā maka.
• Ka ʻōlelo aʻo ʻino: Hiki i ka Methotrexate ke hoʻolilo i kou kino i mea hiki ʻole ke hakakā i ka maʻi. Hoʻonui ka pilikia o ka poʻe e lawe ana i kēia lāʻau i nā maʻi ʻino e hiki ke hoʻoweliweli i ke ola. ʻAʻole pono ka poʻe me ka maʻi ʻino e hoʻomaka me ka hoʻohana ʻana i ka methotrexate a hiki i ka mālama ʻia ʻana o ka maʻi.
• ʻ warninglelo aʻoaʻo kūkulu ʻino: Hiki i kekahi mau pilikia olakino ke hoʻomaʻemaʻe i kou kino i kēia lāʻau me ka lohi. Hiki i kēia ke hana i ka lāʻau i loko o kou kino a hāpai i kou makaʻu i nā hopena ʻaoʻao. Inā kū kēia, hiki i kāu kauka ke hōʻemi i kāu lāʻau a hoʻopau paha i kāu lāʻau. Ma mua o ka hoʻomaka ʻana i kēia lāʻau, e haʻi aku i kāu kauka inā he mau pilikia kīwī, ascites (wai i loko o kou ʻōpū), a i ʻole pleural effusion (wai a puni kou mau akemāmā).
• Hoʻomaʻamaʻa Tumor lysis Syndrome: Inā loaʻa iā ʻoe kahi tumor e ulu wikiwiki ana a lawe i ka methotrexate, aia ʻoe i ka nui o ka makaʻu o ka maʻi lysis syndrome. Hiki ke make kēia ʻano (make make). Kāhea koke i kāu kauka inā loaʻa iā ʻoe kekahi mau ʻōuli o kēia maʻi. Pākuʻi ʻia nā ʻōuli me ka pilikia i ka hele ʻana i ka mimi, nāwaliwali o nā mākala a i ʻole ka cramp, hōʻeha i ka ʻōpū a i ʻole ʻai i ka ʻai, ka luaʻi, nā noho maha, a me ka palaualelo. Hoʻopili pū lākou i ka hala ʻana, a i ʻole ka pā ʻana o ka puʻuwai wikiwiki a i ʻole ka puʻuwai puʻuwai i manaʻo ʻole maʻamau.
• Ka ʻōlelo aʻoaʻo e pili ana i nā hōʻailona e hoʻonui i nā hopena: ʻO kekahi mau lāʻau a me nā hōʻailona hiki ke hoʻonui i nā hopena o ka methotrexate. Hoʻopili kēia i ka radiation radiation, ka mea e hāpai ai i kou makaʻi i ka iwi a i ʻole nā ​​ʻeha o ka mākala. Hoʻopili pū kēia i ka hoʻohana ʻana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs). Hāpai kēia mau lāʻau i kou makaʻu i nā pilikia me kou ʻōpū, ʻōpū, a i ʻole iwi iwi. Hiki i kēia mau pilikia ke make (kumu make). ʻO nā laʻana o NSAID me ibuprofen a me naproxen.
• ʻ warninglelo aʻoaʻo hāpai: Hiki i ka Methotrexate ke hana ʻino a hoʻopau paha i kahi hāpai keiki. Inā loaʻa iā ʻoe ka psoriasis a i ʻole ka rheumatoid arthritis a hāpai ʻoe, mai hoʻohana iki i ka methotrexate. Inā hāpai ʻoe i ka lawe ʻana i kēia lāʻau, e kāhea koke aku i kāu kauka. Hiki i kēia lāʻau ke hoʻololi i ka sperm. Pono nā kāne a me nā wahine e hoʻohana i ka kaohi hānau kūpono i ka wā o ka mālama ʻana.
• ʻO ka ʻōlelo aʻoaʻo Gastrointestinal tract: hiki i ka Methotrexate ke kumu i ka palahī nui. Hiki iā ia ke kumu i ka ulcerative stomatitis, kahi maʻi maʻi o ka waha e hopena ana i ka pehu, nā gum spongy, nā ʻeha, a me nā niho ākea. Inā kū kēia mau hopena, hiki i kāu kauka ke hoʻopau i kāu hana me kēia lāʻau.

Nā ʻōlelo aʻoaʻo ʻē aʻe

• Ka ʻōlelo aʻoaʻo hewa hewa: Pono e hoʻokomo ʻia kēia lāʻau i hoʻokahi pule. ʻO ka lawe ʻana i kēia lāʻau i kēlā me kēia lā hiki i ka make.
• Hoʻolaha a hoʻoluhi luhi hoʻi. Hiki i kēia lāʻau ke hoʻohoka loa iā ʻoe a luhi paha. Mai hoʻokele a hoʻohana paha i nā mīkini kaumaha a ʻike ʻoe hiki iā ʻoe ke hana maʻamau.
• ʻ warninglelo Aʻo Anesthesia: Hiki i kēia lāʻau ke hana pū me ka anesthesia i loaʻa kahi lāʻau i kapa ʻia ʻo nitrous oxide. Inā loaʻa iā ʻoe kahi hana lapaʻau e koi ai i ka anesthesia, e ʻike pono e haʻi aku i kāu kauka a me ke kauka lāʻau e hoʻohana ʻoe i ka methotrexate.

He aha ka methotrexate?

ʻO Methotrexate kahi lāʻau lapaʻau. Hele mai ia i loko o ʻehā mau ʻano: solution self-injectable solution, injection IV solution, oral tablet, and oral solution.

No ka hoʻonāwaliwali iā ʻoe iho, hiki iā ʻoe ke loaʻa i ka injection mai kahi kauka lawelawe. A i ʻole, inā manaʻo kāu mea mālama ola hiki iā ʻoe, hiki iā lākou ke hoʻomaʻamaʻa iā ʻoe a i ʻole kahu mālama e lawelawe i ka lāʻau i ka home.

Loaʻa ka hopena Methotrexate hoʻōla ponoʻī ma ke ʻano he laulaha a me nā lāʻau lapaʻau inoa Rasuvo a ʻO Otrexup.

Hiki ke hoʻohana ʻia ʻo Methotrexate hoʻoponopono pilikino ponoʻī ma ke ʻano he ʻāpana o kahi hoʻohuihui hoʻohui. ʻO ia hoʻi pono ʻoe e lawe me nā lāʻau ʻē aʻe.

No ke aha e hoʻohana ʻia ai

Hoʻohana ʻia ka Methotrexate hoʻoponopono pilikino ponoʻī e mālama iā psoriasis. Hoʻohana ʻia ia e mālama i ka rheumatoid arthritis, me polyarticular juvenile idiopathic arthritis (JIA).

Pehea e hana ai

ʻO ka Methotrexate kahi papa o nā lāʻau i kapa ʻia antimetabolites, a i ʻole nā ​​antagonists folic acid. ʻO kahi papa o nā lāʻau lapaʻau kahi hui o nā lāʻau i hana i kahi ala like. Hoʻohana pinepine ʻia kēia mau lāʻau e mālama i nā ʻano like.

Hana ʻokoʻa ka Methotrexate no kēlā me kēia ʻano mālama. ʻAʻole maopopo maopopo pehea e hana ai kēia lāʻau e mālama i ka rheumatoid arthritis (RA). ʻO RA kahi maʻi o ka ʻōnaehana pale. Manaʻo ʻia e hoʻonāwaliwali ka methotrexate i kāu ʻōnaehana pale, i hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha, ka pehu ʻana, a me ka ʻoʻoleʻa mai RA.

No ka psoriasis, lohi ka methotrexate i ka wikiwiki o kou kino e hana i ka papa luna o kou ʻili. Kōkua kēia i ka mālama ʻana i nā ʻōuli o ka psoriasis, i hoʻopili ʻia me nā pā maloʻo, ʻili ʻili o ka ʻili.

Nā hopena ʻaoʻao Methotrexate

Hiki i ka Methotrexate injectable solution ke hiamoe. Mai hoʻokele a hoʻohana paha i nā mīkini kaumaha a ʻike ʻoe hiki iā ʻoe ke hana maʻamau.

Hiki i ka Methotrexate ke hana i nā hopena ʻē aʻe.

Nā hopena ʻaoʻao hou aʻe

Hiki i nā hopena ʻē aʻe maʻamau o ka methotrexate ke hoʻopili pū:

• nausea a luaʻi paha
• ʻeha ka ʻōpū a i ʻole huhū paha
• pāhoehoe
• poho lauoho
• luhi
• ʻūpā
• haʻalulu
• ʻeha poʻo
• ʻeha i loko o kāu mau akeā
• ʻeha nā waha
• ʻeha ʻeha ʻeha
• bronchitis
• fiva
• ʻoi hou ka maʻalahi
• hoʻonui i ka makaʻu o ka maʻi
• ikehu lā lā
• hūwī
• ihu a huʻu ihu paha a ʻeha ka ʻāʻī
• nā hopena maikaʻi ʻole ma nā hoʻāʻo ʻana o ka ate (e hōʻike paha i ka hōʻino o ke ake)
• pae pae haʻahaʻa o ke koko

Inā akahai kēia mau hopena, hele paha lākou i loko o kekahi mau lā a i ʻole ʻelua mau pule. Inā ʻoi aku ke koʻikoʻi a i ʻole hele aku, e kamaʻilio me kāu kauka a kauka paha.

Nā hopena hopena koʻikoʻi

Kāhea koke i kāu kauka inā loaʻa nā hopena koʻikoʻi. Kāhea iā 911 inā manaʻo kou mau hōʻailona i ka hoʻoweliweli ola a i ʻole inā manaʻo ʻoe e loaʻa ana kahi pilikia olakino. Hiki i nā hopena ʻē aʻe a me kā lākou mau hōʻailona ke hoʻohui i kēia:

• Kahe koko ʻole. Hiki i nā ʻōuli ke hoʻohui pū:
  • ka luaʻi e loaʻa ana ke koko a i ʻole ke nānā aku e like me nā papa kope
  • e kahe ana ke koko
  • ke koko i kāu pahu, a i ʻole ʻeleʻele, noho lōʻihi
  • e kahe ana ke kahe o kou gums
  • hoʻokahe keu
  • mahuahua ka eha
• Nā pilikia ate. Hiki i nā ʻōuli ke hoʻohui pū:
  • mimi ʻeleʻele
  • ka luaʻi
  • ʻeha ma kou ʻōpū
  • melemele o kou ʻili a i ʻole nā ​​keʻokeʻo o kou mau maka
  • luhi
  • nele i ka makemake ʻole
  • nā noho waihoʻoluʻu kukui
• Nā pilikia ʻiʻo. Hiki i nā ʻōuli ke hoʻohui pū:
  • hiki ʻole ke hele i ka mimi
  • hoʻemi urination
  • ke koko i kou mimi
  • waiwai nui a kūʻē paha
• Nā pilikia Pancreas. Hiki i nā ʻōuli ke hoʻohui pū:
  • ʻeha nui i kou ʻōpū
  • ʻehaʻeha hope loa
  • hoʻohuhū ʻōpū
  • ka luaʻi
• Liona leona (ʻeha). Hiki i nā ʻōuli ke hoʻohui pū:
  • he puʻu maloʻo e hana ʻole i ka phlegm
  • fiva
  • pokole o ka hanu
• Lymphoma (maʻi ʻaʻai). Hiki i nā ʻōuli ke hoʻohui pū:
  • luhi
  • fiva
  • haʻalulu
  • Kaumaha emi
  • nalo ʻai ʻole
• Nā hopena ʻili. Hiki i nā ʻōuli ke hoʻohui pū:
  • hūwī
  • ʻulaʻula
  • pehu
  • ʻōhū
  • ʻili peeling
• Nā maʻi ʻino. Hiki i nā ʻōuli ke hoʻohui pū:
  • fiva
  • haʻalulu
  • eha ka 'ā'ī
  • ʻūhā
  • ʻeha pepeiao a sinus paha
  • saliva a i ʻole mucus e hoʻonui i ka nui a i ʻole ʻokoʻa ke kala ma mua o ka maʻamau
  • ʻeha ʻoiai e mimiki ana
  • ʻeha nā waha
  • nā hōʻeha e hōʻola ʻole
  • ʻume mākala
• Poino a me ʻeha ka iwi
• Poino pū iwi. Hiki i nā ʻōuli ke hoʻohui pū:
  • haʻahaʻa pae keʻokeʻo koko keʻokeʻo, i hiki ke kumu i ka maʻi
  • nā pae o ke koko ʻulaʻula haʻahaʻa, kahi e hiki ai ke anemia (me nā ʻōuli o ka luhi, ʻili mae, ka hanu ʻole, a me ka wikiwiki o ka puʻuwai)
  • nā pae platelet haʻahaʻa, hiki i ke kahe o ke kahe

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka hopena o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i ka pili ʻana o kēia ʻike i nā hopena ʻē aʻe āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. Kūkākūkā mau i nā hopena ʻē aʻe me kahi mea mālama ola i ʻike i kāu mōʻaukala olakino.

E hoʻomanaʻo

• Hiki i ka make wai (nā pae wai haʻahaʻa i kou kino) ke hoʻonāukiuki i nā hopena o kēia lāʻau. E hōʻoia e inu i nā wai i lawa ma mua o ka lawe ʻana i kēia lāʻau.
• Hiki i ka Methotrexate ke hana i nā ʻeha o ka waha. Lawe i ka folic acid supplement hiki ke hoʻemi i kēia hopena ʻaoʻao. Hiki iā ia ke kōkua i ka hoʻoliʻiliʻi i nā hopena o ke ake a me ke ake mai ka methotrexate. Hiki i kāu kauka ke haʻi hou aku iā ʻoe.

Hiki paha i ka Methotrexate ke launa pū me nā lāʻau ʻē aʻe

Hiki i ka Methotrexate hoʻoponopono pilikino pono ke hoʻopili me nā lāʻau ʻē aʻe, nā wikamina, a me nā mea kanu āu e lawe nei. ʻO kahi pilina ke hoʻololi kahi mea i ke ala o ka lāʻau. Hiki ke hōʻeha a pale paha i ka lāʻau mai ka hana maikaʻi.

I mea e hōʻalo ai i ka launa ʻana, pono i kāu kauka e mālama pono i kāu mau lāʻau āpau. E ʻike pono i kāu kauka e pili ana i nā lāʻau āpau, nā wikamina, a me nā mea kanu āu e lawe nei. E ʻike ai pehea e launa ai kēia lāʻau me kekahi mea ʻē aʻe āu e lawe nei, e kamaʻilio me kāu kauka a kauka paha.

ʻO nā laʻana o nā lāʻau i hiki ke hana i nā pilina me ka methotrexate i helu ʻia ma lalo.

ʻO nā lāʻau ʻaʻole pono ʻoe e hoʻohana me ka methotrexate

Mai lawe i kēia mau lāʻau me ka methotrexate. Ke hoʻohana ʻia me ka methotrexate, hiki i kēia mau lāʻau ke hana i nā hopena weliweli i kou kino. Eia kekahi laʻana o kēia mau lāʻau:

• Nā lāʻau āpau ola. Ke hoʻohana ʻia me ka methotrexate, hāpai nā lāʻau ola i kou makaʻi i ka maʻi. ʻAʻole paha e holo pono ka lāʻau lapaʻau. (ʻO nā lāʻau ola, e like me FluMist, he mau lāʻau lapaʻau i loaʻa nā huina o ke ola, akā nāwaliwali, nā maʻi.)

Nā launa pū e hoʻonui i kou makaʻi i nā hopena ʻaoʻao

Hoʻonui i nā hopena ʻaoʻao mai nā lāʻau ʻē aʻe: ʻO ka lawe ʻana i ka methotrexate me kekahi mau lāʻau e hoʻāla ai i kou hopena o nā hopena ʻaoʻao mai kēlā mau lāʻau. Eia kekahi laʻana o kēia mau lāʻau:

• ʻO kekahi mau lāʻau lapaʻau hānō e like me theophylline. Hiki i nā hopena i hoʻonui ʻia o ka theophylline ke hoʻopili i ka puʻuwai wikiwiki.

Hoʻonui i nā hopena ʻaoʻao mai ka methotrexate: ʻO ka lawe ʻana i ka methotrexate me kekahi mau lāʻau e hoʻāla i kou makaʻi i nā hopena ʻaoʻao mai ka methotrexate. ʻO kēia no ka mea e hoʻonui ʻia ka nui o ka methotrexate i kou kino. Eia kekahi laʻana o kēia mau lāʻau:

• Nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs) e like me ibuprofen, naproxen, aspirin, diclofenac, etodolac, a i ʻole ketoprofen. Hiki ke hoʻonui i nā hopena ʻē aʻe i ke kahe ʻana i ke kahe, nā pilikia me kou iwi iwi, a i ʻole nā ​​pilikia koʻikoʻi me kāu ʻōnaehana digestive. Hiki i kēia mau pilikia ke make (kumu make).
• ʻO nā lāʻau lālau e like me phenytoin. Hiki ke hoʻonui i nā hopena ʻē aʻe i ka ʻōpū huhū, ka nalo ʻana o ka lauoho, ka luhi, nāwaliwali, a me ka puʻupuʻu.
• Nā lāʻau gout e like me probenecid. Hiki ke hoʻonui i nā hopena ʻē aʻe i ka ʻōpū huhū, ka nalo ʻana o ka lauoho, ka luhi, nāwaliwali, a me ka puʻupuʻu.
• ʻO nā Antibiotics e like me nā lāʻau penicillin, i hoʻopili ʻia me amoxicillin, ampicillin, cloxacillin, a me nafcillin. Hiki ke hoʻonui i nā hopena ʻē aʻe i ka ʻōpū huhū, ka nalo ʻana o ka lauoho, ka luhi, nāwaliwali, a me ka puʻupuʻu.
• Nā mea hoʻopukapuka Proton e like me omeprazole, pantoprazole, a i ʻole esomeprazole. Hiki ke hoʻonui i nā hopena ʻē aʻe i ka ʻōpū huhū, ka nalo ʻana o ka lauoho, ka luhi, nāwaliwali, a me ka puʻupuʻu.
• Nā lāʻau ʻili e like me retinoids. Hiki i nā hopena ʻē aʻe ke hoʻopili i nā pilikia o ke ake.
• ʻO nā lāʻau lapaʻau post-transplant e like me azathioprine. Hiki i nā hopena ʻē aʻe ke hoʻopili i nā pilikia o ke ake.
• Nā lāʻau anti-inflammatory e like me sulfasalazine. Hiki i nā hopena ākea ke hoʻohui i nā pilikia o ke ake.
• Nā Antibiotics e like me trimethoprim / sulfamethoxazole. Hiki i nā hopena i hoʻonui ʻia ke hoʻopili i ka hōʻino ʻia o ka iwi iwi.
• ʻO Nitrous oxide, kahi lāʻau lapaʻau anesthesia. Hiki i nā hopena ʻē aʻe ke hoʻopili i nā ʻeha o ka waha, nā ʻino o ke aʻalolo, a me ka hōʻemi ʻana i nā helu o ke koko e hoʻonui i kou maka o ka maʻi.

Nā launa pū e hiki ai ke hōʻemi i kāu mau lāʻau

Ke emi ka maikaʻi o ka methotrexate: Ke hoʻohana ʻia ka methotrexate me kekahi mau lāʻau, ʻaʻole maikaʻi paha ia e mālama ai i kāu ʻano. ʻO kēia no ka mea e hoʻoliʻiliʻi paha ka nui o ka methotrexate i kou kino. Eia kekahi laʻana o kēia mau lāʻau:

• ʻO nā Antibiotics e like me tetracycline, chloramphenicol, a i ʻole nā ​​mea e hana ana i nā bacteria i loko o kou ʻōpū (e like me ka vancomycin). Hiki i kāu kauka ke hoʻoponopono i kāu mea o methotrexate.

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia naʻe, no ka mea, ʻokoʻa ka launa ʻana o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i ka pili o kēia ʻike i nā launa kūpono āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. E kamaʻilio mau me kāu mea mālama ola e pili ana i nā launa kūpono me nā lāʻau lapaʻau āpau, nā wikamina, nā mea kanu a me nā mea hoʻopihapiha, a me nā lāʻau i kūʻai mua ʻole ʻia e lawe nei.

ʻ .lelo aʻoaʻo Methotrexate

Hele mai kēia lāʻau lapaʻau me nā ʻōlelo aʻoaʻo.

ʻLelo aʻoaʻo ʻaʻai

Hiki i ka Methotrexate ke kumu i kahi hopena maʻi ʻaʻai. Pākuʻi ʻia paha nā ʻōuli:

• pilikia hanu
• pehu o kou puʻu a me kou alelo
• hives

Inā hoʻomohala ʻoe i kēia mau ʻōuli, e kāhea iā 911 a i ʻole e hele i kahi lumi pilikia kokoke loa.

Mai lawe hou i kēia lāʻau inā loaʻa iā ʻoe kahi hopena maʻi iā ia. Lawe hou ia he mea make (kumu make).

ʻLelo aʻoaʻo pili waiʻona

Hōʻalo i ka inu lama ʻana ke lawe ʻoe i ka methotrexate. Hiki i ka waiʻona ke hoʻonui i nā hopena o ka methotrexate ma kou ake. Hiki i kēia ke hōʻeha i ka ate a hōʻeha paha i nā pilikia o ke ake i loaʻa iā ʻoe.

Nā ʻōlelo aʻoaʻo no ka poʻe me kekahi ʻano olakino

No ka poʻe me ka maʻi akepaʻa: Mai hoʻohana i ka methotrexate inā he mōʻaukala kou no nā pilikia o ke ake, e like me nā pilikia ate e pili ana i ka waiʻona. Hiki i kēia lāʻau ke hana i kou ate ke ʻoi aku ka maikaʻi. Inā kau kauka i kēia lāʻau, e hoʻoholo lākou i kāu mahele lāʻau ma muli o ke olakino ate. Aia i kāu pae o ka maʻi ate, hoʻoholo paha kāu kauka ʻaʻole ʻoe e lawe i ka methotrexate.

No ka poʻe me nā ʻōnaehana pale maʻi nāwaliwali: Mai hoʻohana i ka methotrexate inā loaʻa iā ʻoe kahi nāwaliwali nāwaliwali a i ʻole kahi maʻi maʻi. Hiki i kēia lāʻau ke hōʻemi i kēia mau pilikia.

No ka poʻe me ka helu haʻahaʻa o ke koko. Hoʻopili kēia i nā helu haʻahaʻa o nā hunaola keokeo, nā hunaola ʻulaʻula, a i ʻole nā ​​platelet. Hiki i ka Methotrexate ke hana i nā pae haʻahaʻa o kou koko haʻahaʻa.

No nā poʻe me nā maʻi puʻupaʻa: Inā loaʻa iā ʻoe nā pilikia ʻōpū a i ʻole ka mōʻaukala o nā maʻi puʻupaʻa, ʻaʻole paha ʻoe e hoʻomaʻemaʻe maikaʻi i kēia lāʻau mai kou kino. Hiki i kēia ke hoʻonui i nā pae o ka methotrexate i kou kino a hoʻonui i nā hopena ʻē aʻe. Hiki i kēia lāʻau ke kumu i nā pilikia me kāu hana puʻupaʻa a i ʻole e kumu e holo pono ʻole ai kou puʻupaʻa, e alakaʻi ana i ka pono o ka dialysis. Inā kau kauka i kēia lāʻau, e hoʻoholo lākou i kāu mea i kau ʻia ma muli o kāu olakino olakino. Inā nui ka hōʻino o kou hakuʻala, hoʻoholo paha kāu kauka ʻaʻole pono ʻoe e lawe i ka methotrexate.

No ka poʻe me ka maʻi ulcerative a i ʻole colcer ulcerative: Mai hoʻohana i ka methotrexate. Hiki i kēia lāʻau ke hōʻemi i kēia mau kūlana ma o ka hoʻonui ʻana i ka makaʻu o ka maʻi ulcer (sores) i kāu wahi gastrointestinal.

No nā poʻe me nā tumors e ulu wikiwiki nei: Hiki i ka Methotrexate ke kumu i ka maʻi tumo lysis. Hiki i kēia ʻano ke hana ma hope o ka mālama ʻana i kekahi mau maʻi maʻi maʻi. Hiki iā ia ke kumu i nā pilikia me kāu pae electrolyte, i hiki ke alakaʻi i ka maikaʻi ʻole o ka puʻupaʻa a i ka make paha.

No ka poʻe me ka effusion pleural a i ʻole ascites: ʻO Pleural effusion ka wai a puni nā akemāmā. He wai ʻo Ascites i loko o kou ʻōpū. Noho paha ʻo Methotrexate i kou kino no ka manawa lōʻihi inā loaʻa iā ʻoe kēia mau pilikia olakino. Hiki i kēia ke alakaʻi i nā hopena ʻē aʻe.

No ka poʻe me ka psoriasis worsened ma muli o ka hōʻike māmā: Inā loaʻa iā ʻoe ka psoriasis i ʻoi aku ka maikaʻi mai ka radiation ultraviolet (UV) a i ʻole ke kū ʻana i ka lā, hiki i ka methotrexate ke hana hou i kēia hopena.

Nā ʻōlelo aʻoaʻo no nā hui ʻē aʻe

No nā wahine hāpai: Hiki i ka Methotrexate ke hōʻeha i ka hāpai ʻana. Hiki iā ia ke kumu i nā pilikia o ka momona (e paʻakikī i ka hāpai ʻana). ʻAʻole pono ka poʻe me RA a psoriasis paha e hoʻohana i kēia lāʻau i ka wā hāpai.

Inā he wahine ʻoe o ka hānau keiki ʻana, e hāʻawi paha kāu kauka iā ʻoe i kahi hōʻoia hāpai e hōʻoia ai ʻaʻole ʻoe i hāpai ma mua o ka hoʻomaka ʻana o kēia lāʻau. Pono ʻoe e hoʻohana i ka kaohi hānau kūpono i kāu mālama ʻana a no ka liʻiliʻi o hoʻokahi pōʻai menstrual ma hope o ka hoʻōki ʻana i ka lāʻau me kēia lāʻau. Kāhea koke i kāu kauka inā ʻoe:

• haʻo i kahi manawa
• manaʻo ʻaʻohe holo pono kāu kāohi hānau
• e hāpai i ka wā e lawe ana i kēia lāʻau

Inā he kāne ʻoe, pono ʻoe e hoʻohana i ka kaohi hānau kūpono i kou wā e hoʻomaʻamaʻa ai a ma ka liʻiliʻi he 3 mau mahina ma hope o ka pau ʻana o kāu lapaʻau.

No nā wahine e hānai ana i nā waiū: Hele ka Methotrexate ma o ka waiū o ka waiū a hiki ke kumu i nā hopena i loko o kahi keiki i hānai ʻia. Mai hānai i ka wā e lawe ana i ka methotrexate. E kamaʻilio me kāu kauka e pili ana i ke ala maikaʻi e hānai ai i kāu keiki.

No ka poʻe ʻelemākule: E loaʻa paha iā ʻoe nā pilikia me ko lākou ake, nā puʻupaʻa, a me nā iwi o ka iwi ʻoiai e lawe ana i ka methotrexate. ʻOi aku paha ka loaʻa o nā pae acid folic haʻahaʻa. Pono kāu kauka e nānā iā ʻoe no kēia a me nā hopena ʻē aʻe.

No nā keiki: No ka mea, ʻaʻole aʻo ʻia kēia lāʻau i nā keiki me ka psoriasis. ʻAʻole pono e hoʻohana ʻia e mālama i kēia ʻano i nā keiki ma mua o 18 mau makahiki.

No ka maʻi ʻōpio idiopathic ʻōpio polyarticular: Ua aʻo ʻia kēia lāʻau i nā keiki mai ka makahiki 2-16 me kēia ʻano.

Pehea e lawe ai i ka methotrexate

ʻAʻole hiki ke hoʻokomo ʻia nā dosages a me nā ʻano lāʻau āpau ma aneʻi. ʻO kāu mea hana, lāʻau lāʻau, a me ka manawa hea ʻoe e lawe ai i ka lāʻau e hilinaʻi ʻia:

• kou mau makahiki
• ke ʻano e mālama ʻia ana
• pehea ke koʻikoʻi o kou ʻano
• nā kūlana olakino ʻē aʻe āu
• pehea ʻoe e hana ai i ka mahele lāʻau mua

Nā ʻano lāʻau a me nā ikaika

Generic: methotrexate

• Palapala: subcutaneous ka pahu kui (ipu)
• Nā ikaika:
  • 1 Bi / 40 mL (25 mg / mL)
  • 50 mg / 2 mL
  • 100 mg / 4 mL
  • 200 mg / 8 mL
  • 250 mg / 10 mL

Brand: ʻO Otrexup

• Palapala: subcutaneous ka pahu kui (auto-injector)
• Nā ikaika: 10 mg / 0.4 ML, 12.5 mg / 0.4 ML, 15 mg / 0.4 ML, 17.5 mg / 0.4 ML, 20 mg / 0.4 ML, 22.5 mg / 0.4 ML, 25 mg / 0.4 ML

Brand: Rasuvo

• Palapala: subcutaneous ka pahu kui (auto-injector)
• Nā ikaika: 7.5 mg / 0.15 ML, 10 mg / 0.2 mL, 12.5 mg / 0.25 ML, 15 mg / 0.3 ML, 17.5 mg / 0.35 ML, 20 mg / 0.4 ML, 22.5 mg / 0.45 ML, 25 mg / 0.5 ml, 30 mg /0.6 mL

Nā hana no ka psoriasis

Nā mea hana makua (mau makahiki 18-64)

• Nānā hoʻomaka maʻamau: 10-25 mg i kēlā me kēia pule.
• Nā mea kiʻekiʻena: 30 mg i kēlā me kēia pule.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole i hoʻokumu ʻia kēia lāʻau lapaʻau e like me ka palekana a me ka maikaʻi no ka mālama ʻana i ka psoriasis i kēia pae makahiki.

Nānā kiʻekiʻe (makahiki 65 a ʻoi paha)

ʻAʻole holo paha kāu mau puʻupaʻa e like me ka wā ma mua. Hiki i kēia ke hana i kou kino e hana lohi i ka lāʻau. A ʻo kahi hopena, e noho ka nui o ka lāʻau i kou kino no ka manawa lōʻihi. Hāpai kēia i kou makaʻi i nā hopena ʻaoʻao.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau haʻahaʻa a i ʻole kahi papa hana ʻokoʻa. Hiki i kēia ke kōkua i ka mālama ʻana i nā pae o kēia lāʻau i kūkulu nui ʻia i kou kino.

Nā hana no ka rheumatoid arthritis

Nā ana o nā mākua (nā makahiki 17-64)

• Nānā hoʻomaka maʻamau: 7.5 mg hoʻokahi i kēlā me kēia pule.

Nā ana keiki (mau makahiki 0-17 makahiki)

ʻAʻole ʻae ʻia kēia lāʻau e mālama iā RA i nā keiki.

Nānā kiʻekiʻe (makahiki 65 a ʻoi paha)

ʻAʻole holo pono nā puʻupaʻa o nā mākua makua e like me ka wā ma mua. Hiki i kēia ke hana i kou kino e hana lohi i ka lāʻau. A ʻo kahi hopena, ʻoi aku ka nui o nā lāʻau i loko o kou kino no ka manawa lōʻihi. Hāpai kēia i kou makaʻi i nā hopena ʻaoʻao.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau i hoʻohaʻahaʻa ʻia a i ʻole kahi papa hana ʻokoʻa. Hiki i kēia ke kōkua i ka mālama ʻana i nā pae o kēia lāʻau i kūkulu nui ʻia i kou kino.

Nā hana no polyarticular juvenile idiopathic arthritis (JIA)

Nā ana keiki (makahiki 2-16 makahiki)

• Nānā hoʻomaka maʻamau: 10 mg i ka mika mika ka nui (m2) o ka ʻili o ke kino, hoʻokahi i kēlā me kēia pule.

Nā ana keiki (makahiki 0-1 makahiki)

ʻAʻole i hōʻoia ʻia kēia lāʻau i palekana a pono no nā keiki ma mua o 2 makahiki.

Hoʻolaha: ʻO kā mākou pahuhopu ka hāʻawi ʻana iā ʻoe i ka ʻike pili loa a me ka ʻike o kēia wā. Eia nō naʻe, no ka mea ʻokoʻa ka hopena o nā lāʻau i kēlā me kēia kanaka, ʻaʻole hiki iā mākou ke hōʻoia i kēia papa inoa e pili ana i nā lāʻau kūpono āpau. ʻAʻole pani kēia ʻike i ka ʻōlelo aʻo kino. E kamaʻilio mau me kāu kauka a kauka paha e pili ana i nā dosages kūpono iā ʻoe.

Lawe e like me ke kuhikuhi

Hoʻohana ʻia ka Methotrexate no ka hana pōkole a lōʻihi paha. Pili kou lōʻihi o ka mālama ʻana i ke ʻano o ka mālama ʻana. Hele mai kēia lāʻau me nā pilikia nui inā ʻaʻole ʻoe e lawe e like me ke kauoha.

Inā kū ʻoe i ka lawe ʻana i ka lāʻau i kēia manawa a mai lawe iki paha: Loaʻa paha iā ʻoe nā pilikia e pili ana i ke ʻano o ka mālama ʻana.

• No RA a i ʻole JIA: ʻO kāu mau hōʻailona, ​​e like me ka mumū a me ka ʻeha, ʻaʻole e hele a hele a ʻino paha.
• No ka mea, psoriasis: ʻAʻole hiki ke hoʻomaikaʻi i kāu mau ʻōuli. Hiki i kēia mau ʻōuli ke komo pū me ka ʻumeʻume, ka ʻeha, nā ʻulaʻula o ka ʻili, a i ʻole ke kālā a i ʻole nā ​​papa keʻokeʻo o ka ʻili wili.

Inā ʻoe e nalo i nā lāʻau a mai lawe ʻole i ka lāʻau i ka papa kuhikuhi. ʻAʻole holo pono paha kāu lāʻau a oki paha i ka hana holoʻokoʻa. No ka hana maikaʻi ʻana o kēia lāʻau, pono i loko o kou kino i kekahi nui i nā manawa āpau.

Inā lawe nui ʻoe: Hiki iā ʻoe ke loaʻa nā pae weliweli o ka lāʻau i kou kino. Hiki i kahi overdose ke kumu i nā pilikia e hoʻopili pū me:

• haʻahaʻa a me nā maʻi o ke koko keʻokeʻo haʻahaʻa, me nā ʻōuli e like me ke kuni, ke anuanu, ka ʻū, ka ʻeha o ke kino, ʻeha ke wā hemo, a i ʻole nā ​​kī keʻokeʻo i kou puʻu.
• haʻahaʻa a me nā anemia o ke koko ʻulaʻula, me nā ʻōuli e like me ka luhi nui, ʻili mae, a me ka wikiwiki o ka hanu.
• nā pae platelet haʻahaʻa a me nā kahe koko ʻole, e like me ke kahe ʻana e kū ʻole ai, ka ʻū ʻana i ke koko, ka luaʻi ʻana i ke koko, a i ʻole ke koko i kāu mimi a i ʻole nā ​​pahu.
• ʻeha nā waha
• nā hopena ʻeha o ka ʻōpū, e like me ka ʻeha, nausea, a i ʻole ka luaʻi

Inā manaʻo ʻoe ua lawe nui ʻoe i kēia lāʻau, e kāhea aku i kāu kauka a i ʻole kikowaena kikowaena lāʻau ʻona kūloko. Inā koʻikoʻi kāu mau ʻōuli, e kāhea iā 911 a i ʻole e hele koke i kahi lumi pilikia kokoke.

He aha e hana ai inā e ʻike ʻoe i kahi mahele lāʻau: E lawe i kāu lāʻau i ka wā e hoʻomanaʻo ai ʻoe. Inā ʻoe e hoʻomanaʻo he mau hola wale nō ma mua o kāu kau palena papala aʻe, e lawe i hoʻokahi wale nō lāʻau. Mai hoʻāʻo e hopu i ka lawe ʻana i ʻelua kaha i ka manawa hoʻokahi. Hiki i kēia ke hopena i nā hopena ʻino weliweli.

Pehea e haʻi ai inā e holo nei ka lāʻau: Hiki paha iā ʻoe ke hōʻailona o ka hoʻomaikaʻi. Pili lākou i ke ʻano o ka mālama ʻana.

• No RA a i ʻole JIA: E hōʻemi ʻoe i ka ʻeha a me ka pehu. ʻIke pinepine ka poʻe i ka hoʻomaikaʻi 3-6 mau pule ma hope o ka hoʻomaka ʻana o ka lāʻau.
• No ka mea, psoriasis: E ʻemi ʻoe i ka ʻili maloʻo a wīwī hoʻi.

Nā manaʻo nui no ka lawe ʻana i ka methotrexate

E hoʻomanaʻo i kēia mau noʻonoʻo inā kuhikuhi kāu kauka i ka methotrexate nāu.

Generala

• E lawe i kēia lāʻau i ka manawa i manaʻo ʻia e kāu kauka.

Waihona

• E mālama i ka hopena infectable methotrexate i ke ana wela, ma waena o 59 ° F a me 86 ° F (15 ° C a me 30 ° C).
• E mālama i kēia lāʻau mai ka mālamalama.
• Mai mālama i kēia lāʻau i nā wahi pulu a pulu hoʻi, e like me ka lua.

Hoʻopiha hou

Hoʻopiha hou kahi kuhikuhi no kēia lāʻau. ʻAʻole pono ʻoe i kahi palapala hou no kēia lāʻau e hoʻopiha hou. E kākau kāu kauka i ka helu o nā hoʻopihapiha i ʻae ʻia ma kāu kauka.

Huakaʻi

Ke hele pū me kāu lāʻau:

• Lawe mau i kāu lāʻau. Ke lele nei, mai hoʻokomo i loko o kahi ʻeke i hōʻoia. E mālama iā ia i loko o kāu ʻeke lawe.
• Mai hopohopo e pili ana i nā mīkini X-ray kahua mokulele. ʻAʻole hiki iā lākou ke hōʻino i kāu lāʻau.
• Pono paha ʻoe e hōʻike i nā limahana mokulele i ka lepika lāʻau lapaʻau no kāu lāʻau. Lawe mau i ka ipu palapala inoa i kuhikuhi ʻia me ʻoe.
• Mai hoʻokomo i kēia lāʻau i loko o ka pahu lima o kāu kaʻa a waiho paha i loko o ke kaʻa. E hōʻalo pono i ka hana ʻana i kēia ke wela a anuanu loa ke aniau.

Hoʻoponopono ponoʻī

Inā ʻoe e hoʻokomo iā ʻoe iho i ka methotrexate, e hōʻike kāu mea mālama ola iā ʻoe a i kāu mea mālama paha pehea e hana ai. ʻAʻole pono ʻoe e hoʻokomo i ka lāʻau a hoʻomaʻamaʻa ʻia ʻoe i ke ala pololei e hana ai. E ʻoluʻolu e ʻoluʻolu ʻoe me ke kaʻina hana, a mai poina e nīnau i kāu mea mālama ola i kāu mau nīnau.

No kēlā me kēia pahu kui, pono ʻoe i:

• ʻume mākeke
• pōpō pulupulu
• holoi waiona
• he mea humuhumu
• kahi mea hoʻomaʻamaʻa (hāʻawi ʻia e kāu kauka)

Nānā lapaʻau

Hiki paha i kāu kauka ke hana i nā hoʻokolohua i ka wā o kāu mālama ʻana e hōʻoia ʻaʻole hōʻeha ka lāʻau i kou kino. Pili pū paha kēia mau hoʻāʻo i nā hoʻokolohua koko a me nā kukuna x, a hiki ke nānā i kēia mau mea:

• pae pae koko
• pae pae
• hana ate
• pae albumin pae
• hana hakuʻala
• hana māmā
• pae o ka methotrexate i kou kino
• ka nui o ka puna, phosphate, potassium, a me ka uric acid i kou koko (hiki ke ʻike i ka maʻi tumo lysis)

ʻIke lā

Hiki i ka Methotrexate ke hana i kou ʻili i ka lā. Hoʻonui kēia i kāu makaʻu o ka lā. Hōʻalo i ka lā inā hiki iā ʻoe. Inā ʻaʻole hiki, e ʻaʻa e komo i nā lole pale a hoʻopili i ka sunscreen.

Loaʻa

ʻAʻole nā ​​lāʻau kūʻai lāʻau āpau i kēia lāʻau. Ke hoʻopiha nei i kāu kauka, e kelepona pono i mua e hōʻoia i ka lawe ʻana o kāu lāʻau lapaʻau.

Nā kumukūʻai huna

• Pono paha ʻoe e hana i nā hoʻokolohua koko i kou wā e mālama ai me ka methotrexate. E pili ke kumukūʻai o kēia mau hōʻoia i kāu ʻinikua uhi.
• Pono ʻoe e kūʻai i kēia mau kumuwaiwai e hoʻokomo iā ʻoe iho i kēia lāʻau:
  • ʻume mākeke
  • pōpō pulupulu
  • holoi waiona
  • ʻāpiki

ʻĀpono mua

Nui nā ʻoihana ʻinikua e koi i kahi ʻae mua no kēia lāʻau. Pono kēia e ʻae ʻia kāu kauka mai kāu ʻoihana inikua ma mua o ka uku ʻana o kāu ʻoihana ʻinikua no ka ʻōlelo kauoha.

Aia kekahi mau koho ʻē aʻe?

Loaʻa nā lāʻau ʻē aʻe e mālama i kou ʻano. Kūpono paha kekahi iā ʻoe ma mua o nā poʻe ʻē aʻe. E kamaʻilio me kāu kauka e pili ana i nā koho lāʻau ʻē aʻe e pono iā ʻoe.

Hoʻolaha:Nūhou Lapaʻau i kēia lā ua hana i nā hana āpau e hōʻoia i ka pololei o nā ʻike āpau, laulā, a me kēia manawa. Eia nō naʻe, ʻaʻole pono e hoʻohana i kēia ʻatikala i pani no ka ʻike a me ka mākaukau o kahi loea mālama ola laikini. E nīnau mau ʻoe i kāu kauka a i ʻole ʻoihana olakino ʻē aʻe ma mua o ka lawe ʻana i nā lāʻau. Hiki ke loli i ka ʻike o ka lāʻau i loko a ʻaʻole i manaʻo ʻia e uhi i nā hoʻohana a pau, nā kuhikuhi, ka mālama ʻana, nā ʻōlelo aʻoaʻo, nā launa lāʻau, nā hopena maʻi ʻaʻai, a me nā hopena maikaʻi ʻole.ʻO ka loaʻa ʻole o nā ʻōlelo aʻoaʻo a i ʻole nā ​​ʻike ʻē aʻe no kahi lāʻau i hāʻawi ʻia ʻaʻole ia e hōʻike i ka palekana o ka lāʻau a lāʻau paha i kūpono no nā mea maʻi āpau a i ʻole nā ​​hoʻohana kikoʻī āpau.