Glucarpidase
![VORAXAZE® (glucarpidase) Mechanism of Action for Methotrexate Toxicity Secondary to Renal Impairment](https://i.ytimg.com/vi/HaNIOgr2ReU/hqdefault.jpg)
Toka Te Manawa
- I mua i te tango i te glucarpidase,
- Ko te Glucarpidase te take ka awangawanga. Korerohia atu ki to taakuta mena he kino enei tohu kaore ranei e haere atu:
- Ko etahi o nga awangawanga ka nui pea. Mena kua pa ki a koe etahi o enei tohu, karanga wawe atu ki to taakuta, ki te tiki atu ranei i nga maimoatanga rongoa ohorere:
Ka whakamahia te Glucarpidase hei aukati i nga kino kino o te methotrexate (Rheumatrex, Trexall) ki nga tuuroro e pangia ana e te mate whatukuhu e whiwhi ana i te methotrexate hei whakaora i etahi momo mate pukupuku Ko te Glucarpidase kei roto i te akomanga rongoa e kiia ana he haurangi. Ka mahi ma te awhina ki te pakaru me te tango i te methotrexate mai i te tinana.
Ko te Glucarpidase he puehu hei whakauru ki te waipiro ka werohia te weronga (ki roto i te uaua). Te tikanga ka tukuna mo te 5 meneti hei horopeta kotahi-wa. Ka tukuna te Glucarpidase me te leucovorin (tetahi atu rongoa hei aukati i nga hua kino o te methotrexate) kia kitea ra ano e nga whakamatautau a te taiwhanga kaore e hiahiatia ana te maimoatanga.
Ka tohua pea tenei rongoa mo etahi atu whakamahinga; pātai atu ki to taakuta, ki to taakuta rongoa ranei mo etahi atu korero.
I mua i te tango i te glucarpidase,
- korero atu ki to taakuta me to taakuta rongoā mena kei te mate koe i te mate hukarukara, tetahi atu rongoa, tetahi atu ranei o nga kai e werohia ana te werohanga werohanga. Patai ki to kaimai rongo mo te raarangi o nga kai.
- korero atu ki to taakuta me te kaitao rongoa he aha atu nga rongoa rongoa me nga kore rongoa, huaora, taapiringa kai, me nga hua otaota e tango ana koe, e whakaaro ana koe ki te tango Kia mahara ki te whakahua i tetahi o enei e whai ake nei: waikawa folic (Folicet, i roto i te multivitamins); levoleucovorin (Fusilev); pemetrexed ranei (Alimta). Me whakarereke e to taakuta nga rongoa o ou rongoa ka tirotiro ranei i a koe mo nga paanga o te taha.
- Mena kei te whiwhi koe i te leucovorin, me hoatu kia 2 haora i mua atu i te 2 haora ranei i muri i te glucarpidase.
- korero atu ki to taakuta mena kei te hapu koe, whakamahere kia hapu, kei te whangai u ranei koe. Mena kua hapu koe i te wa e tango ana koe i te glucarpidase, waea atu ki to taakuta.
Engari ki te kore e kiia atu e to taakuta, kia mau tonu to kai.
Ko te Glucarpidase te take ka awangawanga. Korerohia atu ki to taakuta mena he kino enei tohu kaore ranei e haere atu:
- whakapairuaki
- ruaki
Ko etahi o nga awangawanga ka nui pea. Mena kua pa ki a koe etahi o enei tohu, karanga wawe atu ki to taakuta, ki te tiki atu ranei i nga maimoatanga rongoa ohorere:
- kirika
- Ngahuru
- te whakainu, te wera ranei
- ponana
- hives
- minamina
- piri te korokoro, he uaua ranei ki te manawa
- te ahua o te koretake, o te ngau, o te weru, o te mura, o te ngokingoki ranei i te kiri
- ānini
Ko te Glucarpidase tera pea ka awangawanga atu. Karangahia to taakuta mena he raru rereke to i a koe e tango ana i tenei rongoa.
Mena kua pa ki a koe he raru kino, ka tukuna e koe, to taakuta ranei te ripoata ki te kaupapa Tuku Korero Kaupapa Hauora a te Whakahaerenga Tika me te Taonga Taonga (FDA) i runga i te ipurangi (http://www.fda.gov/Safety/MedWatch), waea atu ranei ( 1-800-332-1088).
Purihia nga wa katoa ki to taakuta me te taiwhanga. Ka whakahau to taakuta i etahi whakamatautau taiwhanga ki te tirotiro i te urupare o to tinana ki te glucarpidase.
Pataihia ki to kaikaa rongoā nga paatai mo te glucarpidase.
He mea nui ki a koe kia mau ki te raarangi tuhi o nga raau rongoa katoa me nga kore rongoa (kore-i runga i te kaareti) e tango ana koe, me nga hua pera i te huaora, te kohuke, etahi atu taapiri kai ranei. Me mau e koe tenei raarangi i ia wa ka toro atu koe ki te taakuta mena ka uru koe ki te hohipera. He mea nui ano hoki nga korero hei kawe atu maau ka pa he mate ohorere.
- Whakaahua®