Nga taumata rongoa haumanu

Ko nga taumata rongoa rongoa he whakamatautau i te taiwhanga hei rapu mo te nui o te tarukino kei roto i te toto.

He tauira toto e hiahiatia ana. Ko te nuinga o nga wa ka haumanuhia te toto mai i te uaua i runga i te tuaono o te tuaono, o muri ranei o te ringa.

Me whakarite koe mo etahi whakamatautau taumata tarukino.

• Ma to kaiwhakarato hauora koe e korero ki te hiahia koe ki te whakarereke i nga waa e kai ana koe i tetahi o rongoa.
• KAUA E mutu te huri ranei i o rongoa me te kore e korero ki to kaiwhakarato i te tuatahi.

Ka paku pea te mamae, te wero ranei ka kuhua ana te ngira. Ka kite pea koe i te pupuhi o te papa i muri i te kumenga o te toto.

Ma te nuinga o nga rongoa, me hiahia koe ki tetahi reanga o te raau taero i roto i ou toto kia ea ai te paanga tika. Ko etahi rongoa he kino mena ka piki rawa te taumata kaare e mahi mena he iti rawa nga taumata.

Ko te tirotiro i te nui o te tarukino e kitea ana i roto i ou toto ka taea e to kaiwhakarato kia mohio kei te tika nga taumata o te tarukino.

He mea nui te whakamatautau taumata tarukino i te hunga e whakamahi ana i nga raau taero penei i te:

• Flecainide, procainamide digoxin ranei, e whakamahia ana hei whakaora i te patupatu o te ngakau
• Lithium, whakamahia hei whakaora i te mate bipolar
• Phenytoin te waikawa valproic ranei, e whakamahia ana hei whakaora i te haurangi
• Gentamicin amikacin ranei, he paturopi ka whakamahia hei whakaora i nga mate

Ka taea hoki te whakamatautau hei whakatau he pai ake to tinana ki te turaki i te raau taero, me pehea te taunekeneke me etahi atu rongoa e hiahia ana koe.

E whai ake nei ko etahi o nga raau taero e tino tirotirohia ana me nga taumata whaainga noa:

• Acetaminophen: he rereke te whakamahi
• Amikacin: 15 ki te 25 mcg / mL (25.62 ki te 42.70 micromol / L)
• Amitriptyline: 120 ki te 150 ng / mL (432.60 ki te 540.75 nmol / L)
• Carbamazepine: 5 ki te 12 mcg / mL (21.16 ki te 50.80 micromol / L)
• Cyclosporine: 100 ki te 400 ng / mL (83.20 ki te 332.80 nmol / L) (12 haora i muri o te horopeta)
• Desipramine: 150 ki te 300 ng / mL (563.10 ki te 1126.20 nmol / L)
• Digoxin: 0.8 ki te 2.0 ng / mL (1.02 ki te 2.56 nanomol / L)
• Disopyramide: 2 ki te 5 mcg / mL (5.89 ki te 14.73 micromol / L)
• Ethosuximide: 40 ki te 100 mcg / mL (283.36 ki te 708.40 micromol / L)
• Flecainide: 0.2 ki te 1.0 mcg / mL (0.5 ki te 2.4 micromol / L)
• Gentamicin: 5 ki te 10 mcg / mL (10.45 ki te 20.90 micromol / L)
• Imipramine: 150 ki te 300 ng / mL (534.90 ki te 1069.80 nmol / L)
• Kanamycin: 20 ki te 25 mcg / mL (41.60 ki te 52.00 micromol / L)
• Lidocaine: 1.5 ki te 5.0 mcg / mL (6.40 ki te 21.34 micromol / L)
• Lithium: 0.8 ki 1.2 mEq / L (0.8 ki 1.2 mmol / L)
• Methotrexate: he rereke te whakamahi
• Nortriptyline: 50 ki te 150 ng / mL (189.85 ki te 569.55 nmol / L)
• Phenobarbital: 10 ki te 30 mcg / mL (43.10 ki te 129.30 micromol / L)
• Phenytoin: 10 ki te 20 mcg / mL (39.68 ki te 79.36 micromol / L)
• Primidone: 5 ki te 12 mcg / mL (22.91 ki te 54.98 micromol / L)
• Procainamide: 4 ki te 10 mcg / mL (17.00 ki te 42.50 micromol / L)
• Quinidine: 2 ki te 5 mcg / mL (6.16 ki te 15.41 micromol / L)
• Salicylate: he rereke te whakamahi
• Sirolimus: 4 ki te 20 ng / mL (4 ki te 22 nmol / L) (12 haora i muri o te horopeta; he rereke te whakamahi)
• Tacrolimus: 5 ki te 15 ng / mL (4 ki te 25 nmol / L) (12 haora i muri o te horopeta)
• Theophylline: 10 ki te 20 mcg / mL (55.50 ki te 111.00 micromol / L)
• Tobramycin: 5 ki te 10 mcg / mL (10.69 ki te 21.39 micromol / L)
• Waikawa Valproic: 50 ki te 100 mcg / mL (346.70 ki te 693.40 micromol / L)

Ko nga awhe uara noa ka rereke te rereketanga o nga taiwhanga rereke. Korero ki to kaiwhakarato mo te tikanga o o hua o te whakamatautau.

Ko nga tauira o runga ake nei e whakaatu ana i nga inenga noa mo nga kitenga mo enei whakamatautau. Ko etahi o nga whare taiwhanga e whakamahi ana i nga mehua rereke, ka whakamatautau ranei i etahi tauira rereke.

Ko nga uara i waho atu o te whaainga ko nga huringa iti pea he tohu ranei me whakatika e koe o waahanga. Ka kii pea to kaiwhakarato ki a koe kia peke i tetahi horopeta mena he nui rawa nga uara kua inehia.

E whai ake nei he taumata paitini mo etahi o nga raau taero e tino tirohia ana:

• Acetaminophen: nui ake i te 250 mcg / mL (1653.50 micromol / L)
• Amikacin: nui ake i te 25 mcg / mL (42.70 micromol / L)
• Amitriptyline: nui ake i te 500 ng / mL (1802.50 nmol / L)
• Carbamazepine: nui ake i te 12 mcg / mL (50,80 micromol / L)
• Cyclosporine: nui ake i te 400 ng / mL (332.80 micromol / L)
• Desipramine: nui ake i te 500 ng / mL (1877.00 nmol / L)
• Digoxin: nui ake i te 2.4 ng / mL (3.07 nmol / L)
• Disopyramide: nui ake i te 5 mcg / mL (14.73 micromol / L)
• Ethosuximide: nui ake i te 100 mcg / mL (708.40 micromol / L)
• Flecainide: nui ake i te 1.0 mcg / mL (2.4 micromol / L)
• Gentamicin: nui ake i te 12 mcg / mL (25.08 micromol / L)
• Imipramine: nui ake i te 500 ng / mL (1783.00 nmol / L)
• Kanamycin: nui ake i te 35 mcg / mL (72,80 micromol / L)
• Lidocaine: nui ake i te 5 mcg / mL (21.34 micromol / L)
• Lithium: nui ake i te 2.0 mEq / L (2.00 millimol / L)
• Methotrexate: nui ake i te 10 mcmol / L (10,000 nmol / L) mo te 24-haora
• Nortriptyline: nui ake i te 500 ng / mL (1898.50 nmol / L)
• Phenobarbital: nui ake i te 40 mcg / mL (172.40 micromol / L)
• Phenytoin: nui ake i te 30 mcg / mL (119.04 micromol / L)
• Primidone: nui ake i te 15 mcg / mL (68.73 micromol / L)
• Procainamide: nui ake i te 16 mcg / mL (68.00 micromol / L)
• Quinidine: nui ake i te 10 mcg / mL (30.82 micromol / L)
• Salicylate: nui ake i te 300 mcg / mL (2172.00 micromol / L)
• Theophylline: nui ake i te 20 mcg / mL (111.00 micromol / L)
• Tobramycin: nui ake i te 12 mcg / mL (25.67 micromol / L)
• Waikawa Valproic: nui ake i te 100 mcg / mL (693.40 micromol / L)

Te tirotiro tarukino haumanu

• Whakamatautau toto

Clarke W. Tirohanga mo te aro turuki i te tarukino whakaora. I roto i: Clarke W, Dasgupta A, eds. Nga Wero Haumanu i te Arotakenga Maimoatanga Hauora. Cambridge, MA: Elsevier; 2016: chap 1.

Diasio RB. Nga kaupapa o te whakaora tarukino. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 29.

Nelson LS, Ford MD. Paitini kawa. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 110.

Pincus MR, Bluth MH, Abraham NZ. Toxicology me te aro turuki i te tarukino whakaora. I roto i: McPherson RA, Pincus MR, eds. Ko te Tohu Haumanu a Henry me te Whakahaere ma nga Tikanga Laboratory. 23rd ed. St Louis, MO: Elsevier; 2017: chap 23.