Ukuqapha Izidakamizwa Ezilaphayo
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-Delile
- Kuyini ukwelashwa kwezidakamizwa zokwelapha (TDM)?
- Kusetshenziselwa ini?
- Kungani ngidinga i-TDM?
- Kwenzekani ngesikhathi se-TDM?
- Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
- Ingabe zikhona izingozi ku-TDM?
- Isho ukuthini imiphumela?
- Izinkomba
Kuyini ukwelashwa kwezidakamizwa zokwelapha (TDM)?
Ukuqapha izidakamizwa ezelaphayo (TDM) kuvivinya ukuthi kukala inani lemithi ethile egazini lakho. Kwenziwa ukuqinisekisa ukuthi inani lomuthi owuthathayo liphephile futhi lisebenza kahle.
Imithi eminingi ingakhishwa ngendlela efanele ngaphandle kokuhlolwa okukhethekile. Kepha ezinhlotsheni ezithile zemithi, kungaba nzima ukuthola umthamo onikeza umuthi owenele ukwelapha isimo sakho ngaphandle kokubanga imiphumela emibi eyingozi. I-TDM isiza umhlinzeki wakho ukuthola ukuthi ngabe uphuza isilinganiso esifanele somuthi wakho.
Amanye amagama: amazinga emithi ukuhlolwa kwegazi, amazinga ezidakamizwa ezelaphayo
Kusetshenziselwa ini?
Ukuqapha izidakamizwa ezelaphayo (i-TDM) kusetshenziselwa ukunquma imithamo engcono kakhulu yabantu abathatha izinhlobo ezithile zemithi enzima ukuyenza. Ngezansi kukhona eminye yemithi ejwayelekile okufanele ibhekwe.
Izinhlobo Zezokwelapha | Amagama Ezokwelapha |
---|---|
Imithi elwa namagciwane | vancomycin, gentamycin, amakacin |
Izidakamizwa zenhliziyo | i-digoxin, i-procainamide, i-lidocaine |
Izidakamizwa ezilwa nokuquleka | phenytoin, mkelebongi |
Izidakamizwa zilapha izifo ezizimele | cyclosporine, tacrolimus |
Izidakamizwa ezelapha isifo se-bipolar | i-lithium, i-valproic acid |
Kungani ngidinga i-TDM?
Ungadinga ukuhlolwa lapho uqala ukuthatha umuthi. Lokhu kusiza umhlinzeki wakho ukuthola umthamo ophumelela kakhulu kuwe. Uma lelo thamo selitholakele, ungahlolwa njalo ukuze uqiniseke ukuthi umuthi usasebenza ngaphandle kokulimaza. Ungadinga futhi ukuhlolwa uma unezimpawu zomphumela omubi wecala. Imiphumela emibi iyahlukahluka kuye ngomuthi. Umhlinzeki wakho wokunakekelwa kwezempilo uzokwazisa ukuthi yiziphi izimpawu okufanele uziqaphele.
Kwenzekani ngesikhathi se-TDM?
Uchwepheshe wezempilo uzothatha isampula yegazi emthanjeni osengalweni yakho, esebenzisa inaliti encane. Ngemuva kokuthi kufakwe inaliti, kuzoqoqwa inani elincane legazi kufakwe ithubhu yokuhlola noma isitsha. Ungase uzizwe uluma kancane lapho inaliti ingena noma iphuma. Lokhu ngokuvamile kuthatha imizuzu engaphansi kwemihlanu.
Ngabe kukhona engizodinga ukukwenza ukulungiselela isivivinyo?
Ngokuya ngohlobo lomuthi owuthathayo, kungadingeka ukuthi uhlele ukuhlolwa kwakho ngaphambi noma ngemuva kokuthatha umthamo wakho ojwayelekile.
Ingabe zikhona izingozi ku-TDM?
Kunengozi encane kakhulu yokuhlolwa kwegazi. Ungaba nobuhlungu obuncane noma ukulimaza lapho kufakwe khona inaliti, kepha izimpawu eziningi ziyaphela ngokushesha.
Isho ukuthini imiphumela?
Imiphumela yakho izokhombisa ukuthi amazinga emithi esegazini lakho asezingeni elisiza ngokwelashwa kepha hhayi eliyingozi. Lokhu kubizwa ngokuthi uhla lokwelapha. Ububanzi buyahluka ngokuya ngohlobo lomuthi nezidingo zakho zezempilo. Uma imiphumela yakho ingekho kuleli banga, umhlinzeki wakho angadinga ukulungisa imithamo yakho. Uma imithamo yakho ishintshiwe, ungathola ukuhlolwa okuphindaphindiwe kuze kube yilapho amazinga akho emithi ewela ebangeni lokwelashwa.
Uma unemibuzo ngemiphumela yakho, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.
Funda kabanzi mayelana nokuhlolwa kwelabhorethri, ububanzi bezinkomba, nemiphumela yokuqonda.
Izinkomba
- I-DoveMed [Inthanethi]. I-DoveMed; c2019. Ukwelapha Ukuqapha Izidakamizwa; 2014 Mar 8 [kubuyekezwe 2018 Apr 25; kukhonjiwe ngo-2020 Mar 27]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.dovemed.com/common-procedures/procedures-laboratory/therapeutic-drug-monitoring-tdm
- UKang JS, uLee MH. Sibutsetelo sokwelashwa kokuqapha izidakamizwa. IsiKorea J Intern Med. [Inthanethi]. 2009 Mar [icashunwe ngo-2020 Mar 27]; 24 (1): 1-10. Kutholakala kusuka: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
- Ukuhlolwa Kwelebhu Ku-inthanethi [i-Intanethi]. IWashington DC: I-American Association for Clinical Chemistry; c2001-2020. Ukwelapha Ukuqapha Izidakamizwa; [kubuyekezwe i-2018 Dec 16; kukhonjiwe ngo-2020 Mar 27]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://labtestsonline.org/tests/therapeutic-drug-monitoring
- I-National Heart, Lung, ne-Blood Institute [i-Intanethi]. I-Bethesda (MD): UMnyango Wezempilo kanye Nezinsizakalo Zabantu e-U.S. Ukuhlolwa Kwegazi; [kucashunwe ngo-2020 Mar 27]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.nhlbi.nih.gov/health-topics/blood-tests
- Impilo ye-UF: University of Florida Health [Internet]. IGainesville (FL): Inyuvesi yaseFlorida Impilo; c2020. Amazinga emithi yokwelapha: Sibutsetelo; [kubuyekezwe ngo-2020 Mar 27; kukhonjiwe ngo-2020 Mar 27]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://ufhealth.org/therapeutic-drug-levels
- I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: Amazinga Emithi Egazini: Imiphumela; [kubuyekezwe ngo-2019 Dec 8; kukhonjiwe ngo-2020 Mar 27]; [cishe izikrini eziyi-8]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4062
- I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: Amazinga Emithi eseGazini: Ukubuka konke kokuhlolwa; [kubuyekezwe ngo-2019 Dec 8; kukhonjiwe ngo-2020 Mar 27]; [cishe izikrini ezi-2]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4056
- I-UW Health [Inthanethi]. UMadison (WI): Izibhedlela zase-University of Wisconsin kanye neGunya Lemitholampilo; c2020. Imininingwane Yezempilo: Amazinga Emithi eseGazini: Kungani Kwenziwa; [kubuyekezwe ngo-2019 Dec 8; kukhonjiwe ngo-2020 Mar 27]; [cishe izikrini ezi-3]. Kutholakala kusuka: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4057
Imininingwane ekulesi siza akufanele isetshenziswe esikhundleni sezokunakekelwa kwezokwelapha noma iseluleko. Xhumana nomhlinzeki wezempilo uma unemibuzo ngempilo yakho.