Jekeseni wa Foscarnet

Zamkati

• Musanagwiritse ntchito jakisoni wa foscarnet,
• Foscarnet imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
• Zizindikiro za bongo zingaphatikizepo izi:

Foscarnet imatha kubweretsa mavuto akulu a impso. Kuopsa kwa kuwonongeka kwa impso kumakhala kwakukulu mwa anthu omwe ataya madzi m'thupi. Dokotala wanu adzaitanitsa mayeso a labotale musanachitike komanso mukamalandira chithandizo kuti muwone ngati impso zanu zakhudzidwa ndi mankhwalawa. Uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena ngati muli ndi mkamwa wouma, mkodzo wakuda, kuchepa thukuta, khungu louma, ndi zizindikilo zina zakusowa madzi m'thupi kapena posachedwapa mwakhala mukutsekula m'mimba, kusanza, malungo, matenda, kutuluka thukuta kwambiri, kapena alephera kumwa madzi okwanira. Uzani dokotala wanu komanso wamankhwala ngati mukumwa acyclovir (Zovirax); aminoglycoside maantibayotiki monga amikacin, kanamycin, neomycin, paromomycin, streptomycin, ndi tobramycin; amphotericin (Abelcet, Ambisome); cyclosporine (Gengraf, Neoral, Sandimmune); methotrexate (Otrexup, Rasuvo, Trexall); pentamidine (Nebupent, Pentam), kapena tacrolimus (Astagraf, Prograf). Dokotala wanu sangakonde kuti mulandire jakisoni wa foscarnet. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kuchepa pokodza; kutupa kwa nkhope, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi; kutopa kwachilendo; kapena kufooka.

Foscarnet ingayambitse kugwidwa. Uzani dokotala wanu ngati munagwidwa kapena munakhalapo ndi khunyu, mavuto ena amanjenje, kapena ngati munakhalapo ndi calcium yochepa m'magazi anu. Dokotala wanu atha kuyang'ana mulingo wa calcium m'magazi anu musanalandire jakisoni wa foscarnet komanso mukamalandira chithandizo. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: khunyu; dzanzi kapena kumva kulasalasa pakamwa kapena zala kapena zala zakumapazi; kuthamanga, kugunda, kapena kugunda kwamtima kosasinthasintha; kapena kutuluka kwa minofu.

Sungani maimidwe onse ndi dokotala wanu, kuphatikiza dotolo wanu wamaso, ndi labotale. Dokotala wanu adzaitanitsa mayesero ena, kuphatikizapo kuyezetsa diso nthawi ndi nthawi, musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu likuyankhira foscarnet. Dokotala wanu amathanso kuyitanitsa electrocardiogram (ECG; kuyesa komwe kumayesa magetsi mumtima) musanachitike komanso mukamalandira chithandizo.

Jakisoni wa Foscarnet amagwiritsidwa ntchito payekha kapena ndi ganciclovir (Cytovene) kuchiza cytomegalovirus (CMV) retinitis (matenda opatsirana m'maso omwe angayambitse khungu) mwa anthu omwe ali ndi kachilombo ka HIV. Jakisoni wa Foscarnet amagwiritsidwanso ntchito kuthana ndi matenda a herpes simplex virus (HSV) pakhungu ndi ntchofu (pakamwa, anus) mwa anthu omwe chitetezo chamthupi chawo sichigwira ntchito bwino komanso pomwe chithandizo cha acyclovir sichinathandize. Foscarnet ili mgulu la mankhwala otchedwa antivirals. Zimagwira pochepetsa kukula kwa CMV ndi HSV. Foscarnet imayang'anira matenda a CMV retinitis ndi matenda a HSV pakhungu ndi ntchofu koma samachiza matendawa.

Jakisoni wa Foscarnet amabwera ngati madzi kuti akhale mumitsempha (mumtsempha). Nthawi zambiri amalowetsedwa pang'onopang'ono kupitirira 1 mpaka 2 maola 8 kapena 12 iliyonse. Kutalika kwa chithandizo chanu kumadalira momwe mumayankhira mankhwalawo.

Mutha kulandira jakisoni wa foscarnet kuchipatala kapena mutha kupereka mankhwalawo kunyumba. Ngati mukulandira jakisoni wa foscarnet kunyumba, wothandizira zaumoyo wanu akuwonetsani momwe mungagwiritsire ntchito mankhwalawa. Onetsetsani kuti mumvetsetsa izi, ndipo funsani omwe akukuthandizani ngati muli ndi mafunso

Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.

Jakisoni wa Foscarnet nthawi zina amagwiritsidwa ntchito pochizira ndi kupewa matenda a CMV mwa odwala omwe ali ndi kachilombo ka HIV. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanagwiritse ntchito jakisoni wa foscarnet,

• Uzani dokotala ndi wazamankhwala ngati muli ndi vuto la foscarnet, mankhwala ena aliwonse, kapena zina zilizonse zophatikizira jakisoni wa foscarnet. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula mankhwala omwe adatchulidwa mu gawo la CHENJEZO CHENJEZO ndi zina mwa izi: amiodarone (Cordarone, Nexterone, Pacerone); azithromycin (Zithromax); clarithromycin (Biaxin); okodzetsa ('mapiritsi amadzi') monga bumetanide, ethacrynic acid (Edecrin), furosemide (Lasix), kapena torsemide (Demadex); dofetilide (Tikosyn); erythromycin (E-mycin, Ery-Tab, ena); mankhwala opha tizilombo a fluoroquinolone kuphatikizapo ciprofloxacin (Cipro), gatifloxacin (Tequin), levofloxacin (Levaquin), moxifloxacin (Avelox), ndi ofloxacin (Floxin); mankhwala a matenda amisala kapena nseru; kupeza; quinidine (mu Nuedexta); ritonavir (Norvir, ku Kaletra); saquinavir (Invirase); sotalol (Betapace, Sorine); ndi tricyclic antidepressants (’mood elevator’) monga amitriptyline, desipramine (Norpramin), doxepin (Silenor), kapena nortriptyline (Pamelor). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi jakisoni wa foscarnet, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• auzeni adotolo ngati mwakhalako kapena mwakhalapo ndi kutalika kwa QT (mtima wosasinthasintha wamtima womwe ungayambitse kukomoka, kukomoka, kukomoka, kapena kufa mwadzidzidzi); misinkhu ya potaziyamu kapena magnesium m'magazi anu; matenda a mtima; kapena ngati mumadya zakudya zamchere zochepa.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukalandira jakisoni wa foscarnet, itanani dokotala wanu.
• muyenera kudziwa kuti foscarnet imatha kukupangitsani kugona kapena chizungulire. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Foscarnet imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuyabwa, kufiira, kupweteka, kapena kutupa pamalo pomwe mudalandira jakisoni wanu
• nseru
• kupweteka m'mimba
• kupweteka kwa msana
• kusowa chilakolako kapena kunenepa
• kudzimbidwa
• mutu
• masomphenya amasintha
• kufiira, kuyabwa, kapena zilonda pa mbolo
• kufiira, kuyabwa, kapena zilonda kuzungulira nyini

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

• zidzolo
• ming'oma
• kutupa kwa maso, nkhope, milomo, lilime, kapena mmero
• kuvuta kupuma kapena kumeza
• kupweteka pachifuwa
• kusala kudya, kugunda, kapena kugunda kwamtima kosazolowereka
• kukomoka
• wamisala
• kutaya chidziwitso
• kusanza
• kutsegula m'mimba
• malungo, kuzizira, chifuwa, kapena zizindikiro zina za matenda
• kutuluka mwachilendo kapena kuphwanya
• mipando yakuda ndi yodikira
• masanzi amagazi kapena zinthu zosanza zomwe zimawoneka ngati malo a khofi
• khungu lotumbululuka
• kupuma movutikira
• chisokonezo
• kupweteka kwa minofu kapena kukokana
• thukuta lowonjezeka

Foscarnet imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamagwiritsa ntchito mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• kugwidwa
• dzanzi kapena kumva kulasalasa pakamwa kapena zala kapena zala zakumapazi
• kuchepa pokodza
• kutupa kwa nkhope, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kutopa kapena kufooka kosazolowereka

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Foscavir^®