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Zoo Siab

Qhov tshuaj xyuas saib xyuas kho mob (TDM) yog dab tsi?

Tshuaj saib xyuas kev siv tshuaj (TDM) yog sim uas ntsuas qee qhov tshuaj hauv koj cov ntshav. Nws yog ua kom paub tseeb tias cov tshuaj koj noj hauv ob qho tib si muaj kev nyab xeeb thiab zoo.

Feem ntau cov tshuaj tuaj yeem kho kom raug yog tsis muaj kev kuaj tshwj xeeb. Tab sis rau qee hom tshuaj, nws tuaj yeem nyuaj rau nrhiav qhov koob tshuaj uas muab tshuaj txaus los kho koj tus mob yam tsis muaj kev phom sij txaus ntshai. TDM pab koj tus kws kho mob nrhiav pom yog tias koj noj tshuaj kom yog rau koj cov tshuaj.

Lwm lub npe: cov qib tshuaj kho ntshav, qib tshuaj kho mob

Nws siv rau dab tsi?

Tshuaj saib xyuas kev siv tshuaj kho mob (TDM) yog siv los txiav txim siab qhov zoo tshaj plaws rau cov neeg noj qee yam tshuaj mob nyuaj rau kev siv tshuaj. Hauv qab no yog qee cov tshuaj feem ntau uas yuav tsum tau saib xyuas.

Cov Hom TshuajCov Npe Tshuaj
Tshuaj tua kab mob
vancomycin, gentamycin, amakacin
Tshuaj kho plawvdigoxin, procainamide, lidocaine
Tshuaj tiv thaiv qaug dab pegphenytoin, phenobarbital
Cov tshuaj kho cov kab mob autoimmunecyclosporine, tacrolimus
Cov tshuaj uas kho kev puas siab puas ntsws bipolarlithium, valproic acid


Vim li cas kuv thiaj xav tau TDM?

Koj yuav tsum tau kuaj thaum koj pib noj tshuaj. Qhov no pab koj tus kws kho mob nrhiav cov koob tshuaj uas zoo tshaj rau koj. Thaum qhov tshuaj ntawd tau txiav txim siab, koj tuaj yeem raug tshuaj xyuas tas li kom paub tseeb tias cov tshuaj tseem ua haujlwm yam tsis muaj kev phom sij. Koj kuj tseem yuav tsum tau kuaj yog tias koj muaj cov tsos mob ntawm qhov tshwm sim tsis zoo. Cov kev mob tshwm sim yuav txawv nyob ntawm cov tshuaj. Koj tus kws kho mob yuav qhia koj paub cov tsos mob twg uas yuav tau saib xyuas.


Muaj dab tsi tshwm sim thaum TDM?

Tus kws kho mob yuav kuaj ntshav ntawm txoj hlab ntshav hauv koj txhais caj npab, siv rab koob me me. Tom qab cov koob raug tso nkag, cov ntshav me me yuav raug sau rau hauv lub khob kuaj lossis vial. Koj tuaj yeem hnov ​​me ntsis thaum cov koob nkag mus lossis tawm. Qhov no feem ntau yuav siv sijhawm tsawg dua tsib feeb.

Kuv puas yuav tau ua ib yam dab tsi txhawm rau npaj rau qhov kev xeem?

Ua raws li hom tshuaj uas koj noj, koj yuav tsum tau teem caij mus kuaj koj ua ntej lossis tom qab koj noj koj li tshuaj noj.

Puas muaj kev pheej hmoo rau TDM?

Txoj kev kuaj ntshav muaj feem me me. Koj yuav muaj mob me lossis doog ntshav ntawm qhov chaw tso rab koob, tab sis feem ntau cov tsos mob ploj mus sai.

Cov txiaj ntsig li cas?

Koj cov txiaj ntsig yuav qhia tau yog tias cov tshuaj kho mob hauv koj cov ntshav tau nyob hauv ntau yam uas pab kho mob tab sis tsis txaus ntshai. Qhov no hu ua kev kho kom ntau. Qhov sib txawv raws li cov tshuaj thiab koj tus kheej xav tau kev noj qab haus huv. Yog tias koj cov txiaj ntsig tsis nyob hauv qhov ntau, koj tus kws khomob yuav xav kho koj cov tshuaj noj. Yog tias koj cov tshuaj tau hloov pauv, koj yuav tau rov qab kuaj dua kom txog thaum koj cov tshuaj poob rau hauv kev kho ntau.


Yog koj muaj lus nug txog koj cov txiaj ntsig, nrog koj tus kws kho mob tham.

Kawm paub ntau ntxiv txog cov kev sim hauv chaw soj ntsuam, cov chaw siv ntsuas, thiab nkag siab cov txiaj ntsig tau.

Ua tim khawv

  1. DoveMed [Is Taws Nem]. DoveMed; c2019. Tshuaj Ntsuam Xyuas Tshuaj; 2014 Mar 8 [hloov tshiab 2018 Apr 25; raug nplua 2020 Mar 27]; [txog 3 ntxaij]. Muaj los ntawm: https://www.dovemed.com/common-procedures/procedures-layer/therapeutic-drug-monitoring-tdm
  2. Kang JS, Lee MH. Txheej txheem cej luam kev kho tshuaj. Kauslim J Intern Med. [Is Taws Nem]. 2009 Mar [raug suav xyoo 2020 Mar 27]; 24 (1): 1–10. Muaj los ntawm: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2687654
  3. Kev Tshuaj Ntsuam Xyuas online [Internet]. Washington D.C .: Koom Haum Asmeskas Rau Chaw Kuaj Mob; c2001–2020. Tshuaj Ntsuam Xyuas Tshuaj; [kho tshiab 2018 Dec 16; raug nplua 2020 Mar 27]; [txog 2 ntxaij]. Muaj los ntawm: https://labtestsonline.org/tests/therapeutic-drug-monitoring
  4. Teb Chaws Lub Plawv, Lub Ntsws, thiab Koom Haum Ntshav [Internet]. Bethesda (MD): Asmeskas Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg; Kuaj ntshav; [txheeb xyoo 2020 Mar 27]; [txog 3 ntxaij]. Muaj los ntawm: https://www.nhlbi.nih.gov/health-topics/blood-tests
  5. Kev Noj Qab Haus Huv UF: University of Florida Health [Is Taws Nem]. Gainesville (IBCE): University of Florida Kev Noj Qab Haus Huv; c2020. Theem siv tshuaj kho: Cov lus qhia; [kho tshiab 2020 Mar 27; raug nplua 2020 Mar 27]; [txog 2 ntxaij]. Muaj los ntawm: https://ufhealth.org/therapeutic-drug-levels
  6. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Cov Tshuaj Kho Mob hauv Cov Ntshav: Cov txiaj ntsig; [kho tshiab 2019 Dec 8; raug nplua 2020 Mar 27]; [txog 8 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4062
  7. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Kev Noj Qab Haus Huv: Cov Tshuaj Kho Mob hauv Cov Ntshav: Kuaj Xyuas Ib Zaug; [kho tshiab 2019 Dec 8; raug nplua 2020 Mar 27]; [txog 2 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4056
  8. UW Kev Noj Qab Haus Huv [Is Taws Nem]. Madison (WI): University of Wisconsin Cov Tsev Kho Mob thiab Chaw Kho Mob; c2020. Cov Ntaub Ntawv Noj Qab Haus Huv: Cov Tshuaj Kho Mob Hauv Cov Ntshav: Vim Li Cas Nws Ua; [kho tshiab 2019 Dec 8; raug nplua 2020 Mar 27]; [txog 3 ntxaij]. Muaj los ntawm: https://www.uwhealth.org/health/topic/medicaltest/medicine-levels-in-blood/abq4055.html#abq4057

Cov ntaub ntawv ntawm lub xaib no yuav tsum tsis txhob siv los hloov chaw kho mob lossis tswv yim kho mob. Hu rau kws kho mob yog tias koj muaj lus nug txog koj txoj kev noj qab haus huv.


Cov Lus Ntxim Nyiam

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