Buza Udokotela wakho Ngeempembelelo ezimbi Ngaphambi, Ngexesha, nangemva kokuthatha le Michiza
I-Mercaptopurine yilisi eyaziwa njenge-purine. Isetyenziselwa iimeko zonyango ezifana nesifo sikaCrohn kunye nesifo sezilonda zesilonda (ezimbini iintlobo zesifo sesibindi [IBD] esivuthayo kunye ne-acute lemonemic leukemia. Ingasetyenziselwa unyango lwezinye iimeko kunye.
I-6-mercaptopurine (i-MP-6) ithathwa ngokuphindwe kanye ngosuku, kwaye inokunikezwa kwi-tablet okanye injection.
Izinto Ezibaluleke Kakhulu Ukukwazi Ngo-6-MP
- I-MP-6 ayifanele ithathwe kwiiveki ezimbini zokufumana isitofu sokuphila
- Inani elincinci legazi le-white shed is a side effect
- Udokotela angenza iimvavanyo zegazi ngexesha elizeleyo ukuze alandele umsebenzi wesibindi
- Abasetyhini kufuneka basebenzise ulawulo lokuzalwa ukuze baphephe ukukhulelwa ngelixa bathatha i-MP-6
- Ukuxiliswa ngokuqhelekileyo akunakucetyiswa ngelixa uthatha i-MP-6
Ulwazi olubalulekileyo malunga ne-6-MP
Izinto ezibaluleke kakhulu zokwazi malunga nama-6-MP kukuba zingabangela iziphumo ezithile zecala, ezifana nokulahlekelwa yintlungu, ukuhlanza, isifo sohudo kunye nokulahlekelwa yintliziyo. Akufanele isetyenziswe kwiiveki ezimbini zokufumana i-vaccination ephilayo. Ukuba awuqinisekanga ukuba ugonyamelo owamkelayo luhlala phi, khangela ngogqirha wakho.
Ukulahleka kweenwele kunokukhathazeka kakhulu, kodwa kufuneka kuguqulwe xa isigxina simiswa, kwaye iinwele ziya kuqala ukukhula ngokuqhelekileyo. Olunye uphando lubonise ukuba i-1% yabantu abathatha i-6-MP ukuphatha i-IBD ilahlekelwe yintlungu.
Okuqhelekileyo kwakunomlinganiselo we- white white cell count , owafunyanwa kwi-11% yezigulane.
Ukukhathazeka okukhawulezayo kunemiphumo emibi efana nokuphuma kwegazi, ukutyumza okanye izilonda; utywala okanye ukulahleka kwengqondo; intlungu; iintlungu kunye. Ezinye zezi zinto zinokuthi zenzeke njengezibonakaliso ze-IBD, ngoko kubalulekile ukugcina ugqirha wakho kwilophu kuzo zonke iingxaki ozijongayo.
I-MP-6 ingabangela ukuhlolwa kweesibindi ezingaqhelekanga, kwaye kwisifundo esinye, oku kwenzeke malunga ne-4% yezigulane ezithathayo ukuphatha i-IBD. Ngenxa yoko, ugqirha unokufuna ukwenza ixesha leemvavanyo zegazi ukujonga umsebenzi wesibindi. Kwezinye iimeko, izinga eliphezulu lezinto ezithile egazini (i-aminotransferases) lithetha ukuba ukulingana kwesilwanyana kufuneka kuyancitshiswe, okanye kufuneka kupheliswe.
Kunconywa ukuba abafazi basebenzise ulawulo lokuzalwa xa bethatha i-MP-6 ukuphepha ukukhulelwa. I-MP-6 yi-FDA Inqanaba lokukhulelwa kwe-D: kukho inokuba yingozi kwi-fetus, kodwa isilwanyana sinokuqhubeka ngenxa yokuba ukuyeka kwayo inokuba nemiphumo eyingozi kakhulu kumama. Ukuba ukhulelwe ngelixa uthatha i-MP-6, xela ugqirha wakho. Ukuncelisa umntwana xa kuthatha i-MP-6 ayikhuthazwa.
Iimpembelelo ezingekho phantsi kwee-6-MP
Hlola kunye nogqirha wakho ukuba ngaba ziphi iziphumo ezilandelayo ziqhubeka okanye zixhalabisa:
- mnyama wesikhumba
- isifo sohudo
- intloko
- ukulahleka kwesidlo
- ukugquma kwesikhumba nokutshiza
- ubuthathaka
Njalo mazise iDraka yeeMiphumo engezantsi
Okuqhelekileyo
- ukukhathala okanye ukungaphelele
- amehlo aphuzi okanye isikhumba
Ngaphantsi
- intlungu
- ukulahleka kwesidlo
- isicupunu kunye nokuhlanza
- ukuvuvukala kweenyawo okanye imilenze ephantsi
Kudala
- Izilonda emlonyeni nasemlonyeni
Yazisa Agqirha Ngokukhawuleza Ngale Miphumo Yecala
Engaqhelekanga
- amnyama, iitars
- igazi kumchamo okanye izitishi
- ukukhwehlela okanye ukuphazamiseka
- ifivil okanye i-chills
- intlungu engaphantsi okanye intlungu
- ukuvuthwa okunzima okanye okunzima
- ubhekise amabala obomvu esikhumbeni
- ukuphaphaza okungavamile okanye ukutyumla
Amanye Amaphuzu abalulekileyo
Ngenxa yendlela amayeza enza ngayo emzimbeni, kukho ithuba lokuba bangabangela ezinye iziphumo ezingafunekiyo inyanga okanye iminyaka emva kokuba iyeza lisebenzisa. Ezi ziphumo zilibaziseko zingabandakanya iintlobo ezithile zomhlaza eziza kuxoxwa nodokotela.
I-Mercaptopurine inokuthi ivelise imiphumo emibi emva kokuyeka unyango. Ngeli thuba lexesha, jonga ugqirha ukuba ngaba kukho naziphi iziphumo ezilandelayo:
- amnyama, iitars
- igazi kumchamo okanye izitishi
- ukukhwehlela okanye ukuphazamiseka
- ifivil okanye i-chills
- intlungu engaphantsi okanye intlungu
- ukuvuthwa okunzima okanye okunzima
- ubhekise amabala obomvu esikhumbeni
- ukuphaphaza okungavamile okanye ukutyumla
- amehlo aphuzi okanye isikhumba
Ezinye iziphumo ezichazwe ngasentla zingenzeka kwezinye izigulane. Ukuba uqaphela nayiphi na imiphumo, khangela kogqirha wakho. Olu lwazi lubhekiselwe nje kuphela njengesikhokelo-soloko udibana nogqirha okanye ophmistri ngolwazi olupheleleyo malunga neyeza zokunyanga.
Umthombo:
Glazier KD, Palance AL, Griffel LH, Das KM. "Unyaka we-10-merqutopurine ngamava angama-single-one-single-centered in therapy of inflammatory disease." J Clin Gastroenterol . 2005 uJan; 39: 21-26.
UMahadevan U. "Ukuzala kunye nokukhulelwa kwisigulane ngesifo soxilongo." Gut . 2006 Agasti; 55: 1198-1206.
Shaye OA, Yadegari M, Abreu MT, et al. "I-hepatotoxicity ye-6-mercaptopurine (6-MP) kunye ne-Azathioprin (AZA) kwizigulane ze-IBD zabantu abadala." Am J Gastroenterol . 2007 Nov; 102: 2488-2494.