Ribavirin

Zamkati

• Musanatenge ribavirin,
• Ribavirin amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mukukumana ndi zina mwazomwezi, kapena zomwe zalembedwa mgawo LOFUNIKITSA CHENJEZO, itanani dokotala wanu mwachangu:

Ribavirin sachiza matenda a chiwindi a C (kachilombo kamene kamagwira chiwindi ndipo kangayambitse chiwindi kapena khansa ya chiwindi) pokhapokha ngati atamwa ndi mankhwala ena. Dokotala wanu adzakupatsani mankhwala ena oti muzimwa ndi ribavirin ngati muli ndi matenda a chiwindi a hepatitis C. Imwani mankhwala onsewa monga momwe adanenera.

Ribavirin imatha kuyambitsa kuchepa kwa magazi (komwe kumachepetsa ma cell ofiira ofiira) omwe amatha kukulitsa mavuto amtima aliwonse omwe angakupangitseni kukhala ndi vuto la mtima lomwe lingawononge moyo. Uzani adotolo ngati mudadwalapo mtima ndipo ngati mudakhalapo ndi kuthamanga kwa magazi, kupuma movutikira, vuto lililonse lomwe limakhudza magazi anu monga sickle cell anemia (mkhalidwe wobadwa nawo momwe maselo ofiira amapangidwa modabwitsa sangabweretse mpweya m'mbali zonse za thupi) kapena thalassemia (Mediterranean anemia; mkhalidwe womwe maselo ofiira mulibe zinthu zokwanira kunyamula mpweya), kutuluka magazi m'mimba kapena m'matumbo, kapena matenda amtima. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo: kutopa kwambiri, khungu loyera, mutu, chizungulire, kusokonezeka, kugunda kwamtima, kufooka, kupuma pang'ono, kapena kupweteka pachifuwa.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula kuyesedwa kwa magazi musanayambe kumwa ribavirin ndipo nthawi zambiri mukamamwa mankhwala.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi ribavirin ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti mupeze Chithandizo cha Mankhwala.

Lankhulani ndi dokotala wanu za kuopsa kwa kumwa ribavirin.

Kwa odwala achikazi:

Musatenge ribavirin ngati muli ndi pakati kapena mukufuna kutenga pakati. Simuyenera kuyamba kumwa ribavirin mpaka kuyezetsa magazi kukuwonetsa kuti mulibe pakati. Muyenera kugwiritsa ntchito njira ziwiri zakulera ndikuyesedwa ngati muli ndi pakati mwezi uliwonse mukamalandira chithandizo komanso kwa miyezi 6 pambuyo pake. Itanani dokotala wanu nthawi yomweyo mukakhala ndi pakati panthawiyi. Ribavirin atha kuvulaza kapena kupha mwana wosabadwayo.

Kwa odwala amuna:

Musatenge ribavirin ngati mnzanu ali ndi pakati kapena akukonzekera kutenga pakati. Ngati muli ndi mnzanu yemwe angatenge mimba, musayambe kumwa ribavirin mpaka kuyezetsa mimba kudzawonetsa kuti alibe mimba. Muyenera kugwiritsa ntchito njira ziwiri zakulera, kuphatikiza kondomu yokhala ndi mankhwala ophera umuna mukamalandira chithandizo komanso kwa miyezi 6 pambuyo pake. Wokondedwa wanu ayenera kuyesedwa ngati ali ndi mimba mwezi uliwonse panthawiyi. Itanani dokotala wanu nthawi yomweyo ngati mnzanu atenga pakati. Ribavirin atha kuvulaza kapena kupha mwana wosabadwayo.

Ribavirin imagwiritsidwa ntchito ndi mankhwala a interferon monga peginterferon alfa-2a [Pegasys] kapena peginterferon alpha-2b [PEG-Intron]) pofuna kuchiza matenda a chiwindi a C mwa anthu omwe sanalandirepo mankhwala a interferon kale. Ribavirin ali mgulu la mankhwala opha ma virus otchedwa nucleoside analogues. Zimagwira ntchito poletsa kachilombo kamene kamayambitsa matenda a chiwindi a C kufalikira m'thupi. Sizikudziwika ngati mankhwala omwe amaphatikizapo ribavirin ndi mankhwala ena amachiza matenda a chiwindi a C, amalepheretsa kuwonongeka kwa chiwindi komwe kungayambitsidwe ndi hepatitis C, kapena kulepheretsa kufalikira kwa matendawa a hepatitis C kwa anthu ena.

Ribavirin imabwera ngati piritsi, kapisozi ndi yankho lakumwa (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya kawiri patsiku, m'mawa ndi madzulo, kwa milungu 24 mpaka 48 kapena kupitilira apo. Tengani ribavirin mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ribavirin chimodzimodzi monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Sambani madzi bwino musanagwiritse ntchito mankhwala osakanikirana. Onetsetsani kuti mwatsuka supuni kapena chikho choyezera mutagwiritsa ntchito nthawi iliyonse mukayeza madziwo.

Dokotala wanu akhoza kuchepetsa mlingo wanu kapena angakuuzeni kuti musiye kumwa ribavirin mukakhala ndi zovuta zamankhwala kapena ngati mayeso ena a labotale akuwonetsa kuti matenda anu sanasinthe. Itanani dokotala wanu ngati mukuvutitsidwa ndi zotsatira za ribavirin. Musachepetse mlingo wanu kapena kusiya kumwa ribavirin pokhapokha dokotala atakuuzani kuti muyenera.

Ribavirin imagwiritsidwanso ntchito nthawi zina kuchiza malungo am'magazi (ma virus omwe angayambitse magazi mkati ndi kunja kwa thupi, mavuto a ziwalo zambiri, ndi imfa). Pakachitika nkhondo yachilengedwe, ribavirin itha kugwiritsidwa ntchito pochiza malungo a hemorrhagic fever omwe afalikira mwadala. Ribavirin imagwiritsidwanso ntchito nthawi zina kuchiza matenda oopsa a kupuma (SARS; kachilombo kamene kangayambitse kupuma, chibayo, ndi kufa). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Musanatenge ribavirin,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ribavirin, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a ribavirin, makapisozi, kapena yankho la m'kamwa. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• uzani dokotala wanu ngati mukumwa didanosine (Videx). Dokotala wanu angakuuzeni kuti musamwe ribavirin ngati mukumwa mankhwalawa.
• 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 mwatchulapo izi: azathioprine (Azasan, Imuran); mankhwala a nkhawa, kukhumudwa, kapena matenda amisala; nucleoside reverse transcriptase inhibitors (NRTIs) ya kachilombo ka HIV (kachilombo ka HIV) kapena matenda a immunodeficiency (AIDS) monga abacavir (Ziagen, ku Atripla, ku Trizivir), emtricitabine (Emtriva, ku Atripla, ku Truvada), lamivudine (Epivir, in in Combivir, mu Epzicom), stavudine (Zerit), tenofovir (Viread, ku Atripla, ku Truvada), ndi zidovudine (Retrovir, ku Combivir, ku Trizivir); ndi mankhwala omwe amapondereza chitetezo cha mthupi monga khansa chemotherapy, cyclosporine (Neoral, Sandimmune), sirolimus (Rapamune), ndi tacrolimus (Prograf). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati muli ndi matenda a impso, kulephera kwa chiwindi, kapena matenda a chiwindi (kutupa kwa chiwindi komwe kumachitika chitetezo chamthupi chikakumana ndi chiwindi). Dokotala wanu angakuuzeni kuti musatenge ribavirin.
• uzani dokotala ngati mumamwa kapena mumamwa mowa wambiri, ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena ngati munayamba mwagwiritsapo ntchito mankhwala osokoneza bongo, ngati munaganizapo zodzipha kapena kukonzekera kapena kuyesa kutero, komanso ngati munadutsapo chiwindi. kapena kumuika wina m'thupi. Komanso muuzeni dokotala ngati mwakhalapo kapena mudakhalapo ndi matenda amisala monga kukhumudwa, kuda nkhawa, kapena psychosis (kusalumikizana ndi zenizeni); khansa; HIV kapena Edzi; matenda ashuga; sarcoidosis (vuto lomwe minofu yosazolowereka imamera m'malo ena am'mapapo); Matenda a Gilbert (chiwindi chofatsa chomwe chimatha kuyambitsa chikasu cha khungu kapena maso); gout (mtundu wa nyamakazi yoyambitsidwa ndimibulu yomwe imayikidwa m'malo olumikizirana mafupa); mtundu uliwonse wa matenda a chiwindi kupatula hepatitis C; kapena chithokomiro, kapamba, diso, kapena matenda am'mapapo.
• uzani dokotala wanu ngati mukuyamwitsa.
• muyenera kudziwa kuti ribavirin imatha kukupangitsani kugona, chizungulire, kapena kusokonezeka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• musamamwe zakumwa zoledzeretsa mukamamwa ribavirin. Mowa umatha kukulitsa matenda a chiwindi.
• muyenera kudziwa kuti pakamwa panu pakhoza kuuma kwambiri mukamwa mankhwalawa, zomwe zingayambitse mavuto ndi mano anu ndi m'kamwa. Onetsetsani kuti mukutsuka mano kawiri patsiku ndikukhala ndi mayeso amano nthawi zonse. Ngati kusanza kukuchitika, tsukutsani pakamwa panu bwinobwino.

Onetsetsani kuti mumamwa madzi ambiri mukamamwa ribavirin.

Ngati mukukumbukira zomwe mwasowa tsiku lomwelo, tengani mankhwalawo nthawi yomweyo. Komabe, ngati simukumbukira mlingo womwe mwasowa mpaka tsiku lotsatira, itanani dokotala wanu kuti mudziwe zoyenera kuchita. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ribavirin amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chifuwa
• kukhumudwa m'mimba
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• kutentha pa chifuwa
• kusowa chilakolako
• kuonda
• kusintha pakutha kulawa chakudya
• pakamwa pouma
• zovuta kulingalira
• kuvuta kugona kapena kugona
• kuiwalika
• zidzolo
• khungu louma, lotupa, kapena loyabwa
• thukuta
• msambo wowawa kapena wosasamba (nthawi)
• kupweteka kwa minofu kapena mafupa
• kutayika tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mukukumana ndi zina mwazomwezi, kapena zomwe zalembedwa mgawo LOFUNIKITSA CHENJEZO, itanani dokotala wanu mwachangu:

• ming'oma
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• zovuta kumeza kapena kupuma
• kupweteka m'mimba kapena kumbuyo
• kutsegula m'mimba
• magazi ofiira owoneka bwino
• wakuda, malo odikira
• Kutupa m'mimba
• chisokonezo
• mkodzo wamtundu wakuda
• chikasu cha khungu kapena maso
• kutuluka mwachilendo kapena kuphwanya
• masomphenya amasintha
• malungo, kuzizira, ndi zizindikiro zina za matenda
• kukhumudwa
• kuganiza zodzipweteka kapena kudzipha
• zosintha
• kuda nkhawa kwambiri
• kupsa mtima
• kuyamba kugwiritsanso ntchito mankhwala osokoneza bongo am'njira kapena mowa ngati mudagwiritsirapo ntchito zinthuzo m'mbuyomu
• tsankho chimfine

Ribavirin imachedwetsa kukula ndi kunenepa kwa ana. Lankhulani ndi dokotala wa mwana wanu za kuopsa kopereka mankhwalawa kwa mwana wanu.

Ribavirin amatha kuyambitsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa 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).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Sungani mapiritsi a ribavirin ndi makapisozi kutentha kwa firiji komanso kutali ndi kutentha ndi chinyezi (osati kubafa). Sungani mankhwala amkamwa a ribavirin m'firiji kapena kutentha.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

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.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

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.

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