Mataituina Vailaau Faʻasoifua Maloloina
Anotusi
- O le a le vaʻavaʻaia fualaʻau faʻasaʻi (TDM)?
- O le a le mea e faʻaaoga ai?
- Aisea ou te manaʻomia ai TDM?
- Ole a le mea e tupu ile taimi ole TDM?
- Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
- E i ai ni lamatiaga i le TDM?
- O le a le uiga o faʻaiuga?
- Faʻamatalaga
O le a le vaʻavaʻaia fualaʻau faʻasaʻi (TDM)?
Therapeutic drug monitoring (TDM) o loʻo faʻataʻitaʻia le fuaina o le aofaʻi o vailaʻau mautinoa i lou toto. Ua faia ia mautinoa ai o le aofaʻi o vailaʻau o loʻo e inu e saogalemu uma ma aoga.
Tele vailaʻau mafai ona faʻataʻitaʻia saʻo e aunoa ma se suʻega faʻapitoa. Ae mo nisi ituaiga o vailaʻau, e mafai ona faigata ona iloa se fualaʻau e lava ai vailaʻau e togafitia ai lou tulaga e aunoa ma le mafua ai ni aʻafiaga matautia. E fesoasoani le TDM i lau tautua e suʻesuʻe pe o e tagofia le fualaʻau saʻo o au vailaʻau.
Isi igoa: vailaʻau maualuga tulaga toto suʻega, vailaʻau togafitiga maualuga tulaga
O le a le mea e faʻaaoga ai?
Therapeutic drug monitoring (TDM) o loʻo faʻaaogaina e fuafua ai le sili ona lelei vailaʻau mo tagata o loʻo ave ni ituaiga o vailaʻau faigata-i-fualaʻau. Lalo o nisi o vailaʻau taatele e tatau ona mataʻituina.
Ituaiga Faʻafomaʻi | Igoa o Vailaau |
---|---|
Vailaau vailaʻau | vancomycin, gentamycin, amakacin |
Vailaau o le fatu | digoxin, procainamide, lidocaine |
Vailaau e tetee i le faoa faamalosi | phenytoin, phenobarbital |
Fualaʻau togafiti autoimmune faʻamaʻi | cyclosporine, tacrolimus |
Fualaʻau e togafitia ai faʻamaʻi bipolar | lithium, valproic acid |
Aisea ou te manaʻomia ai TDM?
Atonu e manaʻomia se suʻega ile taimi muamua na e inu ai se vailaʻau. Ole mea lea e fesoasoani ai i lau kamupani o loʻo tuʻuina mai se fualaʻau e sili ona aoga mo oe. A maeʻa loa lena tui, oe ono suʻesuʻeina e le aunoa ina ia mautinoa o loʻo aoga pea vailaʻau e aunoa ma le afaina ai. Oe ono manaʻomia foʻi faʻataʻitaʻiga pe a fai oe iai faʻailoga o se ogaoga itu aʻafiaga. O itu e eseese e faʻamoemoe i le vailaʻau. O le a faʻailoa atu e lau tausi soifua maloloina oe faʻailoga e te mataala ai.
Ole a le mea e tupu ile taimi ole TDM?
O le polofesa mo le soifua maloloina o le a ave se toto faʻataʻitaʻiga mai se uaua i lou lima, faʻaaoga ai se tamaʻi nila. A maeʻa ona tuʻu i totonu le nila, o le a faʻaputuputuina se vaega laʻititi o le toto i totonu o se faʻamaoniga poʻo se ipu. Atonu e te lagonaina sina tiga pe a alu le nila i totonu pe fafo. Lenei masani ona alu ifo i lalo o le lima minute.
Mata e tatau ona ou faia se mea e sauniuni ai mo le suʻega?
Faʻamoemoeina i le ituaiga vailaʻau o loʻo e inuina, oe ono manaʻomia le faʻatulagaina o lau suʻega mo muamua pe pe a uma ona inu lau inumaga masani.
E i ai ni lamatiaga i le TDM?
E laʻititi lava le aʻafia ile faia ole suʻega ile toto. E i ai sina tiga poʻo se tiga i le mea na tuu ai le nila, ae o le tele o faʻailoga e vave ona alu ese.
O le a le uiga o faʻaiuga?
O au faʻaiuga o le a faʻaalia pe a fai o vailaʻau i lou toto o loʻo i se tulaga e aoga tele ae le mataʻutia. E taʻua lea mea o le togafitiga togafitiga. Ole fesuiaiga e eseese e fuafua ile ituaiga vailaau ma oe lava soifua maloloina manaʻomia. Afai e leʻo iai au iʻuga i lenei tulaga, e ono manaʻomia e lau tautua le fetuunaiga o au metotia. Afai ua suia au metotia, oe ono toe faia suʻesuʻega seʻia paʻu au vailaʻau i lalo o le togafitiga.
A iai ni au fesili e uiga i au iʻuga, talanoa i lau fomaʻi.
Aʻoaʻo atili e uiga i suʻesuʻega falesuesue, vaitau o faʻasino, ma malamalamaaga i iʻuga
Faʻamatalaga
- DoveMed [Initaneti]. DoveMed; c2019. Mataituina o Vailaau Faʻasoifua Maloloina; 2014 Mati 8 [faʻafouina 2018 Ape 25; taʻua le 2020 Mati 27]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.dovemed.com/common-procedures/procedures-laboratory/therapeutic-drug-monitoring-tdm
- Kang JS, Lee MH. Vaaiga aoao o le mataituina o vailaʻau togafitiga. Korea J Intern Med. [Initaneti]. 2009 Mati [taʻua le 2020 Mati 27]; 24 (1): 1-10. Avanoa mai: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
- Lab Tofotofoga lugalaina [Initaneti]. Washington D.C .: American Association mo Vailaʻau Togafitiga; c2001–2020. Mataituina o Vailaau Faʻasoifua Maloloina; [faafou 2018 Tesema 16; taʻua le 2020 Mati 27]; [pe a ma le 2 pupuni] Avanoa mai: https://labtestsonline.org/tests/therapeutic-drug-monitoring
- National Heart, Lung, and Blood Institute [Initaneti]. Bethesda (MD): U.S. Matagaluega o le Soifua Maloloina ma Tagata Auaunaga; Tofotofoga Toto; [taʻua 2020 Mar 27]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.nhlbi.nih.gov/health-topics/blood-tests
- UF Soifua Maloloina: Iunivesite o Florida Soifua Maloloina [Initaneti]. Gainesville (FL): Iunivesite o Florida Soifua Maloloina; c2020. Laʻau togafitiga vailaʻau: Vaʻaiga lautele; [faafou 2020 Mar 27; taʻua le 2020 Mati 27]; [pe a ma le 2 pupuni] Avanoa mai: https://ufhealth.org/therapeutic-drug-levels
- UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2020. Soifua Maloloina Faʻamatalaga: Vailaau Tulaga i le Toto: Iʻuga; [faʻafouina 2019 Tes 8; taʻua le 2020 Mati 27]; [pe a ma le 8 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/medisin-levels-in-blood/abq4055.html#abq4062
- UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2020. Soifua Maloloina Faʻamatalaga: Vailaau Tulaga i le Toto: Suʻesuʻega Vaaiga Aoao; [faʻafouina 2019 Tes 8; taʻua le 2020 Mati 27]; [pe a ma le 2 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/medisin-levels-in-blood/abq4055.html#abq4056
- UW Soifua Maloloina [Initaneti]. Madison (WI): Iunivesite o Wisconsin Falemai ma Falemai Pulega; c2020. Soifua Maloloina Faʻamatalaga: Vailaau Tulaga i le Toto: Aisea Ua Faia Ai; [faʻafouina 2019 Tes 8; taʻua le 2020 Mati 27]; [pe tusa ma le 3 pupuni] Avanoa mai: https://www.uwhealth.org/health/topic/medicaltest/medisin-levels-in-blood/abq4055.html#abq4057
O faʻamatalaga i luga o lenei 'upega tafaʻilagi e le tatau ona faʻaaogaina e fai ma sui o fomaʻi faʻapitoa togafitiga poʻo fautuaga. Faʻafesoʻotaʻi le au tausi soifua pe a iai ni au fesili e uiga i lou soifua maloloina.