Cirbadaha Cyclosporine

Qanacsan

• Kahor intaadan qaadan cirbadda cyclosporine,
• Cirbadda Cyclosporine waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

Cirbadeynta 'Cyclosporine' waa in lagu siiyaa iyadoo ay kormeerayaan dhakhtar khibrad u leh daaweynta bukaan-socodka ku-tallaalidda iyo qorista daawooyinka yareeya howlaha nidaamka difaaca jirka.

Qaadashada cirbadeynta cyclosporine waxay kordhin kartaa halista aad ku qaadi karto infekshan ama kansar, gaar ahaan lymphoma (kansarka qayb ka mid ah nidaamka difaaca jirka) ama kansarka maqaarka. Khatartani way ka sii badnaan kartaa haddii aad ku hesho cirbadeynta cyclosporine ee daawooyinka kale ee yareeya dhaqdhaqaaqa nidaamka difaaca jirka sida azathioprine (Imuran), kansarka kiimoteraabiga, methotrexate (Rheumatrex), sirolimus (Rapamune), iyo tacrolimus (Prograf). U sheeg dhakhtarkaaga haddii aad qaadanayso mid ka mid ah daawooyinkan, iyo haddii aad leedahay ama aad waligaa qabto nooc ka mid ah kansarka. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga: hungur xanuun, qandho, dhaxan, iyo calaamadaha kale ee infekshinka; astaamaha hargabka oo kale; qufac; dhibaatada kaadida; xanuun markaad kaadido; casaan, kor, ama bararsan maqaarka; nabarro cusub ama maqaarka oo midab doorsooma; buurbuur ama cufnaan kasta oo jidhkaaga ah; dhidid habeenkii; qanjirrada bararsan ee qoorta, kilkilaha, ama gumaarka; neefsashada oo ku adkaata; xabad xanuun; daciifnimo ama daal aan dhammaanayn; ama xanuun, barar, ama buuxin caloosha ah.

Takhtarkaaga kala hadal halista qaadashada cirbadda cyclosporine.

Cirbadeynta 'Cyclosporine' waxaa loo isticmaalaa daawooyin kale si looga hortago diidmada ku-tallaalidda (weerarka xubinta la tallaalay ee habka difaaca jirka ee qofka qaata xubinta) dadka la siiyay kelyaha, beerka, iyo wadne-bedelka. Cirbadaha Cyclosporine waa in loo isticmaalaa oo keliya in lagu daaweeyo dadka aan awoodin inay cyclosporine afka ka qaataan. Cyclosporine wuxuu ku jiraa fasal dawooyin ah oo loo yaqaan 'immunosuppressants'. Waxay ku shaqeysaa iyada oo la yareeyo waxqabadka nidaamka difaaca jirka.

Cirbadeynta 'Cyclosporine' waxay u timaadaa sidii xal (dareere) ah in lagu mudo mudo ka badan 2 ilaa 6 saac xidid, badanaa dhaqtarka ama kalkaaliyaha caafimaad ee isbitaalka ama goobaha caafimaadka. Badanaa waxaa la siiyaa 4 ilaa 12 saacadood kahor qalliinka xubinta taranka iyo hal mar maalintii qalitaanka ka dib illaa daawada laga qaadan karo afka.

Dhakhtar ama kalkaaliye caafimaad ayaa si dhaw kuu ilaalin doona inta aad qaadanayso cirbadeynta cyclosporine si dhakhso loogu daaweyn karo haddii aad leedahay xasaasiyad daran.

Cirbadeynta 'Cyclosporine' ayaa sidoo kale mararka qaarkood loo isticmaalaa in lagu daaweeyo cudurka Crohn (xaalad jirku ku weeraro xuubka marinka dheef-shiidka, oo keena xanuun, shuban, miisaan lumis, iyo qandho) iyo in laga hortago diidmada bukaanada qaatey xammeetida ama xubinta taranka. Kala hadal dhakhtarkaaga halista helitaanka daawadan ee xaaladdaada.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan qaadan cirbadda cyclosporine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay cyclosporine (Gengraf, Neoral, Sandimmune), daawooyin kale, ama Cremophor EL.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada aad qaadatid, ama qorsheyso inaad qaadato.Hubso inaad sheegto dawooyinka ku qoran qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: acyclovir (Zovirax); allopurinol (Zyloprim); amiodarone (Cordarone); amphotericin B (Amphotec, Fungizone); angiotensin-converting enzyme (ACE) inhibitors sida benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), ), ramipril (Altace), iyo trandolapril (Mavik); angiotensin II receagon antagonists sida candesartan (Atacand), eprosartan (Teveten), irbesartan (Avapro), losartan (Cozaar), olmesartan (Benicar), telmisartan (Micardis), iyo valsartan (Diovan); daawooyinka qaarkood ee fangaska sida fluconazole (Diflucan), itraconazole (Sporanox), iyo ketoconazole (Nizoral); azithromycin (Zithromax); bromocriptine (Parlodel); Kaalshiyamka kaaliyayaasha sida diltiazem (Cardizem), nicardipine (Cardene), nifedipine (Adalat, Procardia), iyo verapamil (Calan); carbamazepine (Carbitrol, Epitol, Tegretol); daawooyinka kalastarolka ka yareeya (statins) sida atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), iyo simvastatin (Zocor); cimetidine (Tagamet); ciprofloxacin (Cipro); clarithromycin (Biaxin); colchicine; isku darka dalfopristin iyo quinupristin (Synercid); danazol; digoxin (Lanoxicaps, Lanoxin); diuretisyada qaarkood ('kaniiniyada biyaha') oo ay ku jiraan amiloride (Hydro-ride), spironolactone (Aldactone), iyo triamterene (Dyazide, Dyrenium, in Maxzide); erythromycin (E.E.S, E-Mycin, Erythrocin); fenofibrate (Antara, Lipophen, Tricor); gentamicin; Kahortagayaasha 'protease HIV' sida indinavir (Crixivan), nelfinavir (Viracept), ritonavir (Norvir, Kaletra), iyo saquinavir (Fortovase); imatinib (Gleevec); metoclopramide (Reglan); methylprednisolone (Medrol); nafcillin; daawooyinka nonsteroidal anti-bararka sida diclofenac (Cataflam, Voltaren), naproxen (Aleve, Naprosyn), iyo sulindac (Clinoril); octreotide (Sandostatin); kahortaga uurka (kaniiniyada xakameynta dhalmada, balastarro, implants, iyo irbado); orlistat (alli, Xenical); kaalshiyamta; prednisolone (Pediapred); phenobarbital; phenytoin (Dilantin); ranitidine (Zantac); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); sulfinpyrazone (Anturane); terbinafine (Lamisil); ticlopidine (Ticlid); tobramycin (Tobi); trimethoprim leh sulfamethoxazole (Bactrim, Septra); iyo vancomycin (Vancocin). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid ama qorsheyneyso inaad qaadato, gaar ahaan St. John's wort.
• u sheeg dhakhtarkaaga haddii lagu daaweynayo fototerapi (daaweyn cudurka psoriasis oo ku lug leh u soo bandhigida maqaarka iftiinka ultraviolet) iyo haddii aad leedahay ama aad waligaa yeelatay heerar hoose oo kolestarool ama magnesium ah dhiiggaaga ama dhiig karkaaga.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelato inta aad qaadanayso cirbadda cyclosporine, wac dhakhtarkaaga. Cirbadeynta 'Cyclosporine' waxaa laga yaabaa inay kordhiso halista ah in ilmahaagu goor hore dhasho.
• u sheeg dhakhtarkaaga haddii aad naas nuujinayso ama aad qorshaynayso inaad naas nuujiso.
• Talaal ha haysan adigoon dhaqtarkaaga lahadlin.
• waa inaad ogaataa in cyclosporine ay sababi karto unugyo dheeri ah oo ciridkaaga ka soo baxa. U hubso inaad ilkahaaga u cadayato si taxaddar leh una aragto dhakhtarka ilkaha si joogto ah inta lagu jiro daweyntaada si loo yareeyo khatarta aad ku yeelan karto waxyeeladan.

Ka fogow cabitaanka casiirka canab-gacmeedka ama cunista canab-gacmeedka inta aad qaadaneyso cirbadeynta cyclosporine.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad xaddido xaddiga kaalshiyamka ku jira cuntadaada. Si taxaddar leh u raac tilmaamahaas. Kala hadal dhakhtarkaaga xaddiga cuntooyinka ay ku badan tahay macdanta potassium sida mooska, aaladaha, sabiib, iyo casiirka liinta ee laga yaabo inaad ku jirto cuntadaada. Qaar badan oo badala milixdu waxay kakooban yihiin boasiyam, sidaa darteed kala hadal dhakhtarkaaga wixii ku saabsan isticmaalidooda inta lagu jiro daaweyntaada.

Cirbadda Cyclosporine waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• madax xanuun
• shuban
• lallabbo
• matagid
• koritaanka timaha ee wajiga, gacmaha, iyo dhabarka
• barar nudaha cirridka ah, ama koritaanka nudaha unugyada dheer ee ciridka
• finanka
• gariir aan la koontarooli karin qayb ka mid ah jirkaaga
• xanuun, gubasho, kabuubyo, ama xoqid gacmaha, gacmaha, cagaha, ama lugaha
• casiraad
• balaarinta naasaha ragga

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

• wajiga ama laabta
• neefta oo ku qabata
• taahid
• garaaca wadnaha
• finan
• finan
• cuncun
• dhib liqidda
• miyir beelid
• qalal
• isbedelka niyadda ama dhaqanka
• dhaqaaqa dhaqdhaqaaqa
• dhibaatooyinka aragga ama madow dariska ah
• barar gacmaha, gacmaha, cagaha, anqawyada, ama lugaha hoose

Cirbadda Cyclosporine waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn inta aad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa tijaabooyinka shaybaarka qaarkood si loo hubiyo jawaabta jirkaaga ee duritaanka cyclosporine.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Sandimmune^® Cirbad