Matakan maganin warkewa

Matakan maganin warkewa sune gwajin gwaje-gwaje don neman adadin magani a cikin jini.

Ana bukatar samfurin jini. Mafi yawan lokuta jini na dibar jini ne daga wata jijiya dake cikin gwiwar hannu ko bayan hannu.

Kuna buƙatar shirya don wasu gwajin matakin magani.

• Mai ba ku kiwon lafiya zai gaya muku idan kuna buƙatar canza lokutan da kuka sha kowane irin magunguna.
• KADA KA daina ko canza magungunan ka ba tare da yin magana da mai baka ba tukuna.

Kuna iya jin ɗan zafi ko harbi idan aka saka allurar. Hakanan zaka iya jin bugun jini a wurin bayan jinin ya ɗiba.

Tare da yawancin magunguna, kuna buƙatar takamaiman matakin magani a cikin jinku don samun tasirin da ya dace. Wasu magunguna suna da lahani idan matakin yayi sama sosai kuma basa aiki idan matakan sun yi ƙasa sosai.

Kulawa da adadin maganin da aka samo a cikin jininka yana ba mai ba ka damar tabbatar da matakan magungunan sun kasance cikin yanayin da ya dace.

Gwajin matakin ƙwayoyi yana da mahimmanci a cikin mutanen da ke shan ƙwayoyi kamar:

• Flecainide, procainamide ko digoxin, waɗanda ake amfani dasu don magance mummunan bugun zuciya
• Lithium, ana amfani dashi don magance matsalar rashin lafiya
• Phenytoin ko valproic acid, waɗanda ake amfani da su don magance kamuwa da cuta
• Gentamicin ko amikacin, wadanda sune magungunan kashe kwayoyin cuta wadanda ake amfani dasu dan magance cututtuka

Hakanan ana iya yin gwaji don sanin yadda jikin ku ya lalata maganin ko yadda yake hulɗa da sauran magungunan da kuke buƙata.

Mai zuwa wasu daga cikin magunguna ne waɗanda yawanci ana bincika su da matakan manufa na yau da kullun:

• Acetaminophen: ya bambanta da amfani
• Amikacin: 15 zuwa 25 mcg / mL (25.62 zuwa 42.70 micromol / L)
• Amitriptyline: 120 zuwa 150 ng / ml (432.60 zuwa 540.75 nmol / L)
• Carbamazepine: 5 zuwa 12 mcg / mL (21.16 zuwa 50.80 micromol / L)
• Cyclosporine: 100 zuwa 400 ng / ml (83.20 zuwa 332.80 nmol / L) (awanni 12 bayan kashi)
• Tsarin zane: 150 zuwa 300 ng / ml (563.10 zuwa 1126.20 nmol / L)
• Digoxin: 0.8 zuwa 2.0 ng / ml (1.02 zuwa 2.56 nanomol / L)
• Disopyramide: 2 zuwa 5 mcg / ml (5.89 zuwa 14.73 micromol / L)
• Ethosuximide: 40 zuwa 100 mcg / mL (283.36 zuwa 708.40 micromol / L)
• Flecainide: 0.2 zuwa 1.0 mcg / mL (0.5 zuwa 2.4 micromol / L)
• Gentamicin: 5 zuwa 10 mcg / ml (10.45 zuwa 20.90 micromol / L)
• Kwafa: 150 zuwa 300 ng / ml (534.90 zuwa 1069.80 nmol / L)
• Kanamycin: 20 zuwa 25 mcg / mL (41.60 zuwa 52.00 micromol / L)
• Lidocaine: 1.5 zuwa 5.0 mcg / mL (6.40 zuwa 21.34 micromol / L)
• Lithium: 0.8 zuwa 1.2 mEq / L (0.8 zuwa 1.2 mmol / L)
• Methotrexate: ya bambanta da amfani
• Nortriptyline: 50 zuwa 150 ng / ml (189.85 zuwa 569.55 nmol / L)
• Phenobarbital: 10 zuwa 30 mcg / ml (43.10 zuwa 129.30 micromol / L)
• Phenytoin: 10 zuwa 20 mcg / ml (39.68 zuwa 79.36 micromol / L)
• Primidone: 5 zuwa 12 mcg / mL (22.91 zuwa 54.98 micromol / L)
• Procainamide: 4 zuwa 10 mcg / mL (17.00 zuwa 42.50 micromol / L)
• Quinidine: 2 zuwa 5 mcg / ml (6.16 zuwa 15.41 micromol / L)
• Salicylate: ya bambanta da amfani
• Sirolimus: 4 zuwa 20 ng / ml (4 zuwa 22 nmol / L) (awanni 12 bayan kashi; ya sha bamban da amfani)
• Tacrolimus: 5 zuwa 15 ng / ml (4 zuwa 25 nmol / L) (awanni 12 bayan kashi)
• Theophylline: 10 zuwa 20 mcg / mL (55.50 zuwa 111.00 micromol / L)
• Tobramycin: 5 zuwa 10 mcg / mL (10.69 zuwa 21.39 micromol / L)
• Valproic acid: 50 zuwa 100 mcg / mL (346.70 zuwa 693.40 micromol / L)

Jeri na darajar yau da kullun na iya ɗan bambanta kaɗan tsakanin ɗakunan gwaje-gwaje daban-daban. Yi magana da mai baka game da ma'anar takamaiman sakamakon gwajin ka.

Misalan da ke sama suna nuna ma'aunai gama gari don sakamako ga waɗannan gwaje-gwajen. Wasu dakunan gwaje-gwaje suna amfani da ma'aunai daban-daban ko na iya gwada samfuran daban.

Imomin da ke kusa da maƙasudin manufa na iya zama saboda ƙananan canje-canje ko alama ce cewa kuna buƙatar daidaita abubuwan da kuka yi. Mai ba ku sabis na iya gaya muku ku tsallake kashi idan ƙimomin da aka auna sun yi yawa.

Mai zuwa matakan guba ne ga wasu magungunan da ake yawan bincika su:

• Acetaminophen: mafi girma fiye da 250 mcg / mL (1653.50 micromol / L)
• Amikacin: mafi girma daga 25 mcg / mL (42.70 micromol / L)
• Amitriptyline: mafi girma fiye da 500 ng / ml (1802.50 nmol / L)
• Carbamazepine: mafi girma fiye da 12 mcg / mL (50.80 micromol / L)
• Cyclosporine: mafi girma fiye da 400 ng / ml (332.80 micromol / L)
• Desipramine: mafi girma fiye da 500 ng / ml (1877.00 nmol / L)
• Digoxin: mafi girma fiye da 2.4 ng / ml (3.07 nmol / L)
• Disopyramide: mafi girma fiye da 5 mcg / mL (14.73 micromol / L)
• Ethosuximide: mafi girma fiye da 100 mcg / mL (708.40 micromol / L)
• Flecainide: mafi girma fiye da 1.0 mcg / mL (2.4 micromol / L)
• Gentamicin: mafi girma daga 12 mcg / ml (25.08 micromol / L)
• Imipramine: mafi girma fiye da 500 ng / ml (1783.00 nmol / L)
• Kanamycin: mafi girma fiye da 35 mcg / mL (72.80 micromol / L)
• Lidocaine: mafi girma daga 5 mcg / mL (21.34 micromol / L)
• Lithium: mafi girma fiye da 2.0 mEq / L (2.00 millimol / L)
• Methotrexate: mafi girma fiye da 10 mcmol / L (10,000 nmol / L) sama da awoyi 24
• Nortriptyline: mafi girma fiye da 500 ng / ml (1898.50 nmol / L)
• Phenobarbital: mafi girma daga 40 mcg / ml (172.40 micromol / L)
• Phenytoin: mafi girma fiye da 30 mcg / mL (119.04 micromol / L)
• Primidone: mafi girma daga 15 mcg / mL (68.73 micromol / L)
• Procainamide: mafi girma fiye da 16 mcg / mL (68.00 micromol / L)
• Quinidine: mafi girma daga 10 mcg / mL (30.82 micromol / L)
• Salicylate: mafi girma fiye da 300 mcg / mL (2172.00 micromol / L)
• Theophylline: mafi girma daga 20 mcg / mL (111.00 micromol / L)
• Tobramycin: mafi girma fiye da 12 mcg / mL (25.67 micromol / L)
• Valproic acid: mafi girma daga 100 mcg / mL (693.40 micromol / L)

Kulawa da magungunan magani

• Gwajin jini

Clarke W. Bayani na kula da maganin warkewa. A cikin: Clarke W, Dasgupta A, eds. Kalubale na Clinical a Kula da Kula da Magunguna. Cambridge, MA: Elsevier; 2016: babi na 1.

Diasio RB. Ka'idodin maganin ƙwayoyi. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 29.

Nelson LS, Ford MD. Guban mai guba. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi 110.

Pincus MR, Bluth MH, Ibrahim NZ. Toxicology da kuma kula da maganin warkewa. A cikin: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Hanyoyin Laboratory. 23 ga ed. St Louis, MO: Elsevier; 2017: babi na 23.