Isihloko se-Pimecrolimus
-Delile
- Landela lezi zinkombandlela ngokucophelela ukuze unciphise ubungozi obungenzeka bokuthi ube nomdlavuza ngesikhathi sokwelashwa kwakho ngokhilimu we-pimecrolimus:
- Ukuze usebenzise ukhilimu, landela lezi zinyathelo:
- Ngaphambi kokusebenzisa ukhilimu we-pimecrolimus,
- I-pimecrolimus ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
Inani elincane leziguli ebelisebenzisa i-pimecrolimus cream noma omunye umuthi ofanayo waba nomdlavuza wesikhumba noma i-lymphoma (umdlavuza engxenyeni yamasosha omzimba). Akukho mininingwane eyanele yokuthola ukuthi ngabe i-pimecrolimus cream ibangele lezi ziguli ukuba nomdlavuza. Ucwaningo lweziguli ezifakelwa kabusha nezilwane zaselabhorethri kanye nokuqonda kwendlela i-pimecrolimus esebenza ngayo iphakamisa ukuthi kungenzeka ukuthi abantu abasebenzisa ukhilimu wepimecrolimus babe nengozi enkulu yokuthola umdlavuza. Ukutadisha okwengeziwe kuyadingeka ukuqonda le ngozi.
Landela lezi zinkombandlela ngokucophelela ukuze unciphise ubungozi obungenzeka bokuthi ube nomdlavuza ngesikhathi sokwelashwa kwakho ngokhilimu we-pimecrolimus:
- Sebenzisa ukhilimu we-pimecrolimus kuphela uma unezimpawu ze-eczema. Yeka ukusebenzisa i-pimecrolimus cream lapho izimpawu zakho ziphela noma lapho udokotela ekutshela ukuthi kufanele uyeke. Ungasebenzisi i-pimecrolimus cream ngokuqhubekayo isikhathi eside.
- Shayela udokotela wakho uma usebenzise ukhilimu we-pimecrolimus amasonto ayisithupha futhi izimpawu zakho ze-eczema azikathuthuki. Kungadingeka umuthi ohlukile.
- Shayela udokotela wakho uma izimpawu zakho ze-eczema zibuya ngemuva kokwelashwa kwakho ngokhilimu we-pimecrolimus.
- Faka ukhilimu we-pimecrolimus kuphela esikhunjeni esithintwa yi-eczema. Sebenzisa inani elincanyana ukhilimu elidingekayo ukulawula izimpawu zakho.
- Ungasebenzisi ukhilimu we-pimecrolimus ukwelapha i-eczema ezinganeni ezingaphansi kweminyaka engu-2 ubudala.
- Tshela udokotela wakho uma uke waba nomdlavuza noma wake waba nawo, ikakhulukazi umdlavuza wesikhumba, noma yisiphi isimo esithinta amasosha akho omzimba. Buza udokotela wakho uma ungenaso isiqiniseko sokuthi isimo esithile onaso sithinte amasosha akho omzimba. I-pimecrolimus kungenzeka ingakulungeli.
- Vikela isikhumba sakho elangeni langempela nelokufakelwa ngesikhathi sokwelashwa kwakho ngokhilimu we-pimecrolimus. Ungasebenzisi izibani zelanga noma imibhede yokushuka, futhi ungalashwa nge-ultraviolet light. Hlala ngaphandle kwelanga ngangokunokwenzeka ngesikhathi sokwelashwa kwakho, noma ngabe umuthi ungekho esikhumbeni sakho. Uma udinga ukuba ngaphandle elangeni, gqoka izingubo zokuxegisa ezingavikelekile ukuvikela isikhumba esiphathwayo, bese ubuza udokotela wakho ngezinye izindlela zokuvikela isikhumba sakho elangeni.
Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-pimecrolimus futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs) noma iwebhusayithi yomkhiqizi ukuthola uMhlahlandlela Wezokwelapha.
Khuluma nodokotela wakho ngezingozi zokusebenzisa i-pimecrolimus.
I-Pimecrolimus isetshenziselwa ukulawula izimpawu ze-eczema (i-atopic dermatitis; isifo sesikhumba esibangela ukuthi isikhumba somile futhi silume futhi kwesinye isikhathi sivele sibe nama-red scaly rashes). I-Pimecrolimus isetshenziswa kuphela ekwelapheni iziguli ezingakwazi ukusebenzisa eminye imishanguzo ye-eczema, noma izimpawu zayo ezazingalawulwa eminye imithi. I-Pimecrolimus isekilasini lemithi ebizwa nge-topical calcineurin inhibitors. Isebenza ngokumisa amasosha omzimba ekukhiqizeni izinto ezingadala i-eczema.
IPimecrolimus iza njengokhilimu ukufaka esikhunjeni. Imvamisa isetshenziswa kabili ngosuku kuze kube amasonto ayisithupha ngasikhathi. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Faka ukhilimu we-pimecrolimus ncamashi njengoba uqondisiwe. Ungayifaki ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.
I-Pimecrolimus cream isetshenziswa kuphela esikhumbeni. Qaphela ukuthi ungatholi ukhilimu we-pimecrolimus emehlweni noma emlonyeni wakho. Uma uthola ukhilimu we-pimecrolimus emehlweni akho, uwahlanze ngamanzi abandayo. Uma ugwinya ukhilimu we-pimecrolimus, shayela udokotela wakho.
Ukuze usebenzise ukhilimu, landela lezi zinyathelo:
- Geza izandla zakho ngensipho namanzi.
- Qiniseka ukuthi isikhumba endaweni ethintekile somile.
- Faka ungqimba omncane kakhilimu we-pimecrolimus kuzo zonke izindawo ezithintekile zesikhumba sakho. Ungafaka i-pimecrolimus kuzo zonke izindawo zesikhumba ezithintekile kufaka phakathi ikhanda, ubuso nentamo.
- Gcoba ukhilimu esikhunjeni sakho ngobumnene nangokuphelele.
- Geza izandla zakho ngensipho namanzi ukususa noma yikuphi ukhilimu we-pimecrolimus osele. Musa ukugeza izandla zakho uma uzilapha ngokhilimu we-pimecrolimus.
- Ungazemboza izindawo eziphathwayo ngezingubo ezijwayelekile, kepha ungasebenzisi noma yimaphi amabhandeshi, okokugqoka noma okusonga.
- Qaphela ukuthi awugezi ukhilimu ezindaweni ezithintekile zesikhumba sakho. Ungabhukudi, ugeze noma ugeze ngokushesha ngemuva kokufaka ukhilimu we-pimecrolimus. Buza udokotela wakho ukuthi kufanele usebenzise ngaphezulu ukhilimu we-pimecrolimus ngemuva kokubhukuda, ukugeza noma ukugeza.
- Ngemuva kokufaka ukhilimu we-pimecrolimus futhi uvumele isikhathi sokuthi ungene esikhunjeni sakho ngokuphelele, ungafaka ama-moisturizers, i-sunscreen, noma i-makeup endaweni ethintekile. Buza udokotela wakho ngemikhiqizo ethile ohlela ukuyisebenzisa.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokusebenzisa ukhilimu we-pimecrolimus,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-pimecrolimus noma eminye imithi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antifungal anjenge-fluconazole (Diflucan), itraconazole (Sporanox), ne-ketoconazole (Nizoral); ama-block wesiteshi se-calcium njenge-diltiazem (Cardizem, Dilacor, Tiazac, abanye), kanye ne-verapamil (Calan, Isoptin, Verelan); i-cimetidine (Tagamet); i-clarithromycin (i-Biaxin); i-cyclosporine (iNeoral, iSandimmune); i-danazol (iDanocrine); i-delavirdine (i-Rescriptor); i-erythromycin (E.E.S., E-Mycin, Erythrocin); i-fluoxetine (i-Prozac, i-Sarafem); i-fluvoxamine (i-Luvox); I-HIV protease inhibitors efana ne-indinavir (Crixivan), ne-ritonavir (Norvir); i-isoniazid (INH, Nydrazid); i-metronidazole (i-Flagyl); nefazodone; izinto zokuvimbela inzalo ngomlomo (amaphilisi okuvimbela inzalo); okunye ukugcotshwa, okhilimu, noma ama-lotion; troleandomycin (TAO); futhi zafirlukast (Accolate). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma uke waba nesifo i-Netherton's syndrome (isimo esizuzwe njengefa esidala ukuthi isikhumba sibe bomvu, silume, futhi sibe ne-scaly), ububomvu nokuxebuka kwesikhumba sakho esiningi, noma yisiphi esinye isifo sesikhumba, noma yiluphi uhlobo lwesifo sesikhumba , ikakhulukazi umkhuhlane wenkukhu, ama-shingles (ukutheleleka kwesikhumba kubantu abake baba nochoko esikhathini esidlule), i-herpes (izilonda ezibandayo), noma i-eczema herpeticum (ukutheleleka ngegciwane okubangela ukuthi kube namabhalasha agcwele uketshezi esikhunjeni sabantu abane-eczema) . Phinda utshele udokotela wakho uma ukuqhuma kwakho kwe-eczema sekuguqukile noma kunenkabazwe noma uma ucabanga ukuthi ukuqubuka kwakho kwe-eczema kuthelelekile.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-pimecrolimus, shayela udokotela wakho.
- buza udokotela wakho mayelana nokusetshenziswa okuphephile kotshwala ngenkathi welashwa nge-pimecrolimus cream. Ubuso bakho bungahle buqhume noma bube bomvu noma uzizwe ushisa uma uphuza utshwala ngenkathi welashwa.
- gwema ukuvezwa umkhuhlane wenkukhu, amaswazi kanye namanye amagciwane. Uma uvezwa elinye lala magciwane ngenkathi usebenzisa i-pimecrolimus, shayela udokotela wakho ngokushesha.
- kufanele wazi ukuthi ukunakekelwa kahle kwesikhumba nezithambisi kungasiza ukukhulula isikhumba esomile esibangelwa i-eczema. Khuluma nodokotela wakho ngama-moisturizers okufanele uwasebenzise, futhi uwafake njalo ngemuva kokufaka ukhilimu we-pimecrolimus.
Khuluma nodokotela wakho mayelana nokudla isithelo samagilebhisi nokuphuza ijusi lamagilebhisi ngenkathi uthatha lo muthi.
Sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungafaki ukhilimu owengeziwe ukwenza umthamo ophuthelwe.
I-pimecrolimus ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ukushisa, ukufudumala, ukuhlabana, ukukhathazeka, noma ubomvu ezindaweni lapho ufake khona i-pimecrolimus (shayela udokotela wakho uma lokhu kuhlala ngaphezu kweviki elilodwa)
- izinsumpa, izigaxa, noma okunye ukukhula esikhunjeni
- ukucasuka kweso
- ikhanda
- ukukhwehlela
- ibomvu elibomvu, eligcwele noma eligijimayo
- ekhaleni
- isifo sohudo
- izikhathi ezibuhlungu zokuya esikhathini
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- umqala obuhlungu noma obomvu
- imfiva
- izimpawu ezinjengomkhuhlane
- ubuhlungu bendlebe, ukuphuma, nezinye izimpawu zokutheleleka
- isifuba
- ukuqhuma okusha noma okuba nzima
- ukulunywa
- ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
- ukuphefumula kanzima noma ukugwinya
- ukuqhekeka, ukuphuma, ukuqhuma noma ezinye izimpawu zokutheleleka kwesikhumba
- izilonda ezibandayo
- umkhuhlane wenkukhu noma amanye amabhamuza
- izindlala ezivuvukile entanyeni
I-pimecrolimus ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Gcina wonke ama-aphoyintimenti nodokotela wakho.
Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
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