Kormeerka Dawooyinka Daweynta

Qanacsan
- Waa maxay kormeerka daawada daweynta (TDM)?
- Maxaa loo adeegsadaa?
- Maxaan ugu baahanahay TDM?
- Maxaa dhacaya inta lagu jiro TDM?
- Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
- Ma jiraan wax khatar ah oo ku iman kara TDM?
- Maxay natiijooyinka ka dhigan yihiin?
- Tixraacyo
Waa maxay kormeerka daawada daweynta (TDM)?
Kormeerka daweynta daweynta (TDM) ayaa ah tijaabinta cabir ka dhigeysa xaddiga dawooyinka qaarkood ee dhiigaaga ku jira. Waxaa loo sameeyaa si loo hubiyo in xaddiga daawada aad qaadanaysaa ay labadaba ammaan tahay oo waxtar leedahay.
Daawooyinka badankood si sax ah ayaa loo qiyaasi karaa iyadoon baaritaan gaar ah la sameynin. Laakiin noocyada daawooyinka qaarkood, way adkaan kartaa in la ogaado qiyaas bixinaysa dawo ku filan oo lagu daaweeyo xaaladdaada iyada oo aan la keenin waxyeelooyin khatar ah. TDM waxay ka caawisaa adeeg bixiyahaaga inuu ogaado haddii aad qaadanayso qiyaasta saxda ah ee daawadaada.
Magacyada kale: heerarka daawada baaritaanka dhiigga, heerarka daweynta daweynta
Maxaa loo adeegsadaa?
Kormeerka daweynta daweynta (TDM) waxaa loo isticmaalaa in lagu go'aamiyo qiyaasta ugu fiican ee dadka qaata noocyada qaarkood ee daawooyinka adag ee lagu qaato. Hoos waxaa ku yaal qaar ka mid ah daawooyinka ugu caansan ee ay tahay in lala socdo.
Noocyada Daawada | Magacyada Daawada |
---|---|
Antibiyootikada | vancomycin, gentamycin, amakacin |
Dawooyinka wadnaha | digoxin, procainamide, lidocaine |
Daawooyinka ka-hortagga suuxdinta | phenytoin, phenobarbital |
Daawooyinka waxay daaweeyaan cudurada isdifaaca jirka | cyclosporine, tacrolimus |
Daawooyinka daweeya cudurka laba-cirifoodka | lithium, valproic acid |
Maxaan ugu baahanahay TDM?
Waxaad u baahan kartaa baaris marka ugu horreysa ee aad daawo bilaabayso. Tani waxay ka caawineysaa daryeel bixiyahaaga inuu kuu ogaado qiyaasta ugu waxtarka badan ee adiga kugu habboon. Marka qiyaastaas la go'aamiyo, waxaa lagaa baari karaa si joogto ah si loo hubiyo in daawadu wali waxtar leedahay iyadoon waxyeello lahayn. Waxa kale oo laga yaabaa inaad u baahato baaritaan haddii aad leedahay astaamo waxyeelo daran. Dhibaatooyinka ay keento daawadu way kala duwan yihiin. Bixiyahaaga daryeelka caafimaad ayaa kuu sheegi doona astaamaha aad u baahan tahay inaad iska ilaaliso.
Maxaa dhacaya inta lagu jiro TDM?
Xirfadlaha daryeelka caafimaadka ayaa tijaabo dhiig ka qaadi doona xididka gacantaada, isagoo isticmaalaya cirbad yar. Kaddib cirbada la geliyo, qadar yar oo dhiig ah ayaa lagu ururin doonaa tuubada baaritaanka ama fijaan. Waxaa laga yaabaa inaad dareento xoog wax yar ah markii irbadda ay soo galayso ama ay ka baxeyso. Tani badanaa waxay qaadataa in ka yar shan daqiiqo.
Ma u baahanahay inaan sameeyo wax walba si aan ugu diyaargaroobo imtixaanka?
Waxay kuxirantahay nooca daawada aad qaadaneysid, waxaad ubaahnaan kartaa inaad jadwal u sameyso baaritaankaaga kahor ama kadib markaad qaadato qiyaastaada caadiga ah.
Ma jiraan wax khatar ah oo ku iman kara TDM?
Khatar aad u yar baa jirta in dhiig lagaa qaado. Waxaa laga yaabaa inaad xanuun yar ama nabar ku yeelato barta irbadda lagu muday, laakiin astaamaha badankood si dhakhso leh ayey u baxaan.
Maxay natiijooyinka ka dhigan yihiin?
Natiijooyinkaaga ayaa tusi doona haddii heerarka daawada ee dhiigaaga ay ku jiraan noocyo caafimaad ahaan waxtar leh laakiin aan khatar ahayn. Tan waxaa lagu magacaabaa baaxadda daweynta. Kala duwanaanshuhu wuu kala duwan yahay waxayna kuxirantahay nooca daawada iyo baahiyahaaga caafimaad. Haddii natiijooyinkaagu aysan ku jirin xaddidan, bixiyahaaga ayaa laga yaabaa inuu u baahdo inuu saxo qiyaastaada. Haddii qiyaastaada wax laga beddelo, waxaad heli kartaa baaritaanno soo noqnoqda illaa heerarka daawooyinkaagu ay ku dhacaan heerka daaweynta.
Haddii aad su'aalo ka qabtid natiijooyinkaaga, la hadal daryeel caafimaad bixiyahaaga.
Wax badan ka baro baaritaanka shaybaarka, kala duwanaanshaha tixraaca, iyo fahamka natiijooyinka.
Tixraacyo
- DoveMed [Internet]. DoveMed; c2019. Kormeerka Dawooyinka Daweynta; 2014 Mar 8 [cusbooneysiiyay 2018 Apr 25; daliishaday 2020 Mar 27]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.dovemed.com/common-procedures/procedures-laboratory/therapeutic-drug-monitoring-tdm
- Kang JS, Lee MH. Dulmarka guud ee kormeerka daweynta daweynta. Kuuriya J Intern Med. [Internetka]. 2009 Mar [xigasho 2020 Mar 27]; 24 (1): 1-10. Waxaa laga heli karaa: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
- Tijaabooyinka Shaybaarka ee Internetka [Internetka] Washington DC: Ururka Mareykanka ee Kiimikada Caafimaadka; c2001–2020. Kormeerka Dawooyinka Daweynta; [la cusboonaysiiyay 2018 Dec 16; daliishaday 2020 Mar 27]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://labtestsonline.org/tests/therapeutic-drug-monitoring
- Machadka Wadnaha, Sambabka, iyo Machadka Dhiiga [Internet]. Bethesda (MD): Waaxda Caafimaadka iyo Adeegyada Aadanaha ee Mareykanka; Tijaabooyinka Dhiigga; [waxaa laga soo xigtay 2020 Mar 27]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.nhlbi.nih.gov/health-topics/blood-tests
- Caafimaadka UF: Jaamacadda Florida Health [Internet]. Gainesville (FL): Jaamacadda Florida Caafimaadka; c2020. Heerarka dawooyinka daweynta: Guudmarka; [la cusboonaysiiyay 2020 Mar 27; daliishaday 2020 Mar 27]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://ufhealth.org/therapeutic-drug-levels
- Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2020. Macluumaadka Caafimaadka: Heerarka Dawada ee Dhiigga: Natiijooyinka; [cusboonaysiiyay 2019 Dec 8; daliishaday 2020 Mar 27]; [ilaa 8 shaashadood]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4062
- Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2020. Macluumaadka Caafimaadka: Heerarka Dawada ee Dhiigga: Guudmarka Tijaabada; [cusboonaysiiyay 2019 Dec 8; daliishaday 2020 Mar 27]; [ilaa 2 shaashad]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4056
- Caafimaadka UW [Internetka]. Madison (WI): Jaamacadda Wisconsin Isbitaalada iyo Maamulka Rugta; c2020. Macluumaadka Caafimaadka: Heerarka Dawada ee Dhiiga: Maxaa Loo Sameeyay; [cusboonaysiiyay 2019 Dec 8; daliishaday 2020 Mar 27]; [ilaa 3 shaashad]. Waxaa laga heli karaa: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4057
Macluumaadka ku yaal boggan waa in aan loo isticmaalin beddel daryeel caafimaad oo xirfad leh ama talo. La xiriir bixiye daryeel caafimaad haddii aad su'aalo ka qabtid caafimaadkaaga.