Peginterferon Alfa-2b (Nkhumba-Intron)

Zamkati

• Kuti mugwiritse ntchito cholembera cha peginterferon alfa-2b, tsatirani izi:
• Kuti mugwiritse ntchito peginterferon alfa-2b m'mitsuko, tsatirani izi:
• Musanatenge peginterferon alfa-2b,
• Peginterferon alfa-2b itha kuyambitsa zovuta. 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:

Peginterferon alfa-2b itha kuyambitsa kapena kukulitsa mavuto otsatirawa omwe atha kukhala owopsa kapena oyambitsa imfa: matenda; matenda amisala kuphatikiza kukhumudwa, zovuta zamakhalidwe ndi machitidwe, kapena malingaliro odzivulaza kapena kudzipha nokha kapena ena; kuyamba kugwiritsanso ntchito mankhwala osokoneza bongo a mumsewu ngati kale kusokonezeka kwa ischemic (matenda omwe mulibe magazi m'thupi) monga angina (kupweteka pachifuwa), matenda amtima, kapena colitis (kutupa matumbo); ndi zovuta zama autoimmune (momwe chitetezo chamthupi chimagwirira gawo limodzi kapena angapo amthupi) omwe angakhudze magazi, mafupa, impso, chiwindi, mapapo, minofu, khungu, kapena chithokomiro. Uzani dokotala wanu ngati muli ndi matenda; kapena ngati mwakhalapo ndi matenda kapena chitetezo chamthupi chokha; atherosclerosis (kuchepa kwa mitsempha yamafuta); khansa; kupweteka pachifuwa; matenda am'mimba; matenda ashuga; matenda amtima; kuthamanga kwa magazi; cholesterol; HIV (kachilombo ka HIV m'thupi) kapena Edzi (matenda opatsirana m'thupi); kugunda kwamtima kosasintha; matenda amisala kuphatikiza kukhumudwa, kuda nkhawa, kapena kuganiza kapena kuyesa kudzipha; chiwindi matenda ena osati chiwindi C; kapena matenda a mtima, impso, mapapo kapena chithokomiro. Komanso muuzeni dokotala ngati mumamwa kapena mumamwa mowa wambiri, kapena ngati mumagwiritsa ntchito mankhwala osokoneza bongo kapena mumamwa mankhwala osokoneza bongo. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kutsegula m'mimba kapena matumbo; kupweteka m'mimba, kukoma mtima kapena kutupa; kupweteka pachifuwa; kugunda kwamtima kosasintha; kusintha kwa mkhalidwe wanu kapena khalidwe lanu; kukhumudwa; kukwiya; nkhawa; malingaliro odzipha kapena kudzipweteka wekha; kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe); kukwiya kapena kusangalala modabwitsa; kutaya kulumikizana ndi zenizeni; nkhanza; kuvuta kupuma; malungo, kuzizira, chifuwa, zilonda zapakhosi, kapena zizindikiro zina za matenda; kutuluka mwachilendo kapena kuvulala; mkodzo wakuda; kusuntha kwamatumbo ofiira; kutopa kwambiri; chikasu cha khungu kapena maso; kupweteka kwambiri kwa minofu kapena molumikizana; kapena kukulirakulira kwa matenda omwe amadzichitira okha.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena kuti aone momwe thupi lanu likuyankhira peginterferon alfa-2b.

Dokotala wanu komanso wamankhwala adzakupatsirani pepala lazidziwitso za wopanga (Medication Guide) mukayamba chithandizo ndi peginterferon alfa-2b ndipo nthawi iliyonse mukadzaza 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito peginterferon alfa-2b.

Gwiritsani ntchito ribavirin (Copegus, Rebetol):

Mutha kumwa peginterferon alpha-2b ndi mankhwala ena otchedwa ribavirin (Copegus, Rebetol). Ribavirin itha kuthandizira peginterferon alpha-2b kugwira ntchito bwino kuchiza matenda anu, koma itha kubweretsanso zovuta zina. Gawo lonseli likuwonetsa zoopsa zotenga ribavirin. Ngati mukumwa ribavirin, muyenera kuwerenga izi mosamala. Dokotala wanu komanso 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) kapena tsamba laopanga kuti mupeze Medication Guide.

Ribavirin imatha kupangitsa kuchepa kwa magazi (momwe kuchepa kwama cell ofiira kumachepetsa). Uzani adotolo ngati mudadwalapo mtima ndipo ngati mwakhalapo 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 kumadera onse a thupi) kapena thalassemia (Mediterranean anemia; mkhalidwe womwe maselo ofiira amthupi mulibe zokwanira kunyamula mpweya), 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.

Kwa odwala azimayi omwe akutenga ribavirin:

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 omwe akutenga ribavirin:

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.

Peginterferon alfa-2b imagwiritsidwa ntchito payokha kapena kuphatikiza ribavirin (mankhwala) kuchiza matenda a hepatitis C osachiritsika (otupa chiwindi choyambitsidwa ndi kachilombo) mwa anthu omwe akuwonetsa kuwonongeka kwa chiwindi komanso omwe sanakhalepo amathandizidwa ndi interferon alpha (mankhwala ofanana ndi peginterferon alfa-2b) m'mbuyomu. Peginterferon alfa-2b ali mgulu la mankhwala otchedwa interferon. Peginterferon alpha-2b ndi kuphatikiza kwa interferon ndi polyethylene glycol, yomwe imathandizira interferon kukhalabe olimbikira m'thupi lanu kwa nthawi yayitali. Peginterferon alpha-2b imagwira ntchito pochepetsa kuchuluka kwa kachilombo ka hepatitis C (HCV) mthupi. Peginterferon alfa-2b sangachiritse matenda a chiwindi a C kapena kukulepheretsani kukhala ndi vuto la matenda a chiwindi a C monga cirrhosis (scarring) ya chiwindi, kulephera kwa chiwindi, kapena khansa ya chiwindi. Peginterferon alfa-2b sangalepheretse kufalikira kwa matenda a chiwindi a C kwa anthu ena.

Peginterferon alfa-2b imabwera ngati ufa mumtsuko ndi cholembera chimodzi cha jekeseni wosakanikirana ndi madzi ndikubaya mozungulira (m'mafuta osanjikiza pakhungu). Nthawi zambiri amabayidwa kamodzi pamlungu tsiku lomwelo la sabata, nthawi kapena nthawi yofanana. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito peginterferon alfa-2b ndendende momwe mwalangizira. Musagwiritse ntchito mankhwala ochepa kapena ochepa kapena kuwagwiritsa ntchito nthawi zambiri kapena kwa nthawi yayitali kuposa momwe adalangizira dokotala.

Peginterferon alfa-2b imayang'anira matenda a chiwindi a C koma sangachiritse. Pitirizani kugwiritsa ntchito peginterferon alfa-2b ngakhale mutakhala bwino. Osasiya kugwiritsa ntchito peginterferon alfa-2b osalankhula ndi dokotala.

Gwiritsani ntchito mtundu ndi mtundu wa ma interferon omwe dokotala wanu adakuwuzani. Musagwiritse ntchito mtundu wina wa interferon kapena kusinthana pakati pa peginterferon alfa-2b m'mitsuko ndi zolembera za jakisoni osalankhula ndi dokotala. Ngati mutasintha mtundu wina wa interferon, mlingo wanu ungafunike kusinthidwa.

Mutha kudzipiritsa nokha jekeseni wa peginterferon alfa-2b kapena kukhala ndi mnzanu kapena wachibale amene angakupatseni jakisoni. Musanagwiritse ntchito peginterferon alfa-2b koyamba, werengani malangizo olembedwa omwe amabwera nawo. Funsani dokotala wanu kapena wamankhwala kuti akuwonetseni kapena munthu yemwe ati adzalandire mankhwalawo momwe angabayire. Ngati wina akukubayirani mankhwalawa, onetsetsani kuti akudziwa momwe angapewere timitengo ta singano mwangozi kuti tipewe kufalikira kwa HCV.

Mutha kubaya peginterferon alfa-2b paliponse kunja kwa mikono yanu, ntchafu zanu, kapena mimba yanu kupatula mchombo wanu (batani lamimba) ndi m'chiuno. Osabaya m'mimba mwanu ngati muli owonda kwambiri. Gwiritsani ntchito malo osiyana jekeseni iliyonse. Osabaya peginterferon alfa-2b kudera lomwe khungu limapweteka, lofiira, laphwanyidwa, lili ndi zipsera, limakwiya, kapena limakhala ndi kachilombo; ali ndi zotambasula kapena zotupa; kapena sali bwino mwanjira iliyonse.

Musagwiritsenso ntchito syringe, singano, zolembera za jakisoni, kapena mbale za mankhwala. Kutaya singano zogwiritsidwa ntchito, ma syringe, ndi zolembera za jakisoni mumtsuko wosagundika. Lankhulani ndi dokotala wanu kapena wamankhwala za momwe mungatayire chidebe chosagwira mankhwala.

Kuti mugwiritse ntchito cholembera cha peginterferon alfa-2b, tsatirani izi:

1. Tengani katoni yomwe ili ndi cholembera cha jekeseni mufiriji ndikulola nthawi kuti ifike kutentha. Chongani tsiku lotha ntchito lomwe lasindikizidwa pa katoniyo, ndipo musagwiritse ntchito katoniyo ngati tsiku lomaliza latha. Onetsetsani kuti katoniyo ili ndi zinthu zotsatirazi: cholembera jakisoni, singano yomwe ingatayike, ndi swabs zakumwa. Mungafunenso bandeji yomatira ndi chidutswa cha gauze wosabala kuti mugwiritse ntchito mutalandira jakisoni wanu.
2. Yang'anani pazenera la cholembera cha jekeseni ndipo onetsetsani kuti chipinda chosungira ma cartridge chili ndi piritsi loyera kapena loyera lomwe lili lonse kapena zidutswa, kapena ufa.
3. Sambani m'manja bwinobwino ndi sopo, nadzatsuka, ndi thaulo louma. Ndikofunika kusunga malo anu ogwira ntchito, manja anu, ndi malo opangira jekeseni kuti mupewe matenda.
4. Gwirani cholembera cha jakisoni chowongoka (batani la mlingo pansi). Mutha kugwiritsa ntchito pansi pa katoniyo ngati tray yonyamulira kuti cholembera chikhale m'malo mwake. Sindikizani magawo awiriwo a cholembera limodzi mwamphamvu mpaka mutangomva pitani.
5. Dikirani masekondi angapo kuti ufa usungunuke kwathunthu.
6. Pendani pensulo mobisa kawiri kuti musakanize yankho. Osamagwedeza cholembera cha jakisoni.
7. Tembenuzani cholembera chakumanja kumanja ndikuyang'ana pazenera kuti muwone ngati zosakanizazo zasungunuka. Ngati pali thovu, dikirani mpaka litakhazikika. Sizachilendo kuwona thovu laling'ono pafupi ndi pamwamba pa yankho. Ngati yankho silikumveka bwino kapena ngati muwona tinthu, musagwiritse ntchito, ndipo itanani dokotala kapena wamankhwala.
8. Ikani cholembera cha jakisoni mu thireyi ya mlingo, ndi batani la dosing pansi. Pukutani chivundikiro cha labala cholembera ndi jombo.
9. Chotsani tsamba lachitetezo ku singano ya jakisoni. Sungani cholembera cha jakisoni mowirikiza mu thireyi ya mlingo ndipo mokakamiza kanikizani singano ya jekeseni molunjika mu cholembera cha jakisoni. Dulani singano bwinobwino. Mutha kuwona madzi akutuluka pansi pa kapuyo kwa masekondi pang'ono. Dikirani mpaka izi zitayima musanapite ku gawo lina.
10. Chotsani cholembera m'jekeseni. Gwirani cholembera mwamphamvu ndikukoka batani la dosing mpaka momwe mudzafikire, mpaka mutawona mizere yakuda (mizere) pansi pa batani la dosing. Samalani kuti musakanikizire batani mpaka mutakonzeka kubaya mankhwalawo.
11. Sinthani batani la dosing mpaka nambala yomwe ikufanana ndi muyeso wanu ikufola ndi tabu ya dosing. Ngati simukudziwa kuti ndi nambala iti yomwe ikufanana ndi mlingo wanu, imani, ndiyimbireni dokotala kapena wamankhwala musanalandire mankhwala aliwonse.
12. Sankhani malo anu opangira jekeseni ndikutsuka khungu m'deralo ndi pedi pakhosi. Yembekezani kuti chiume.
13. Chotsani kapu yakunja ku singano ya pensi. Pakhoza kukhala madzi ozungulira kapu yamkati ya singano. Izi si zachilendo. Khungu pakalowa jekeseni likauma, vulani chipewa cha mkati cha singano. Samalani kuti musakhudze singano ku china chilichonse.
14. Gwirani cholembera cha jekeseni ndi zala zanu zokutidwa ndi cholembera thupi ndi chala chanu chachikulu pa batani la dosing.
15. Ndi dzanja lanu, tsinani khungu m'dera lomwe mwatsuka jekeseni. Ikani singanoyo pakhungu latsinalo pamtunda wa madigiri 45 mpaka 90.
16. Bayani mankhwalawa podina batani la dosing pansi pang'onopang'ono komanso mwamphamvu mpaka simungathe kulikankhira kwina. Sungani chala chanu chachikulu pansi pa batani la dosing kwa masekondi ena asanu kuti muwonetsetse kuti mwalandira mulingo wathunthu.
17. Tulutsani singano ya pensulo pakhungu lanu panjira yomweyo yomwe mumayiyika pakhungu lanu.
18. Pepani pang'onopang'ono malo opangira jekeseni ndi bandeji yaying'ono kapena yopyapyala wosabala ngati kuli kofunika kwa masekondi pang'ono, koma osasisita kapena kupukuta malo obayira.
19. Ngati pali magazi, tsekani malo obayawo ndi bandeji yomatira.
20. Chotsani cholembera cha jekeseni ndi singano yomwe idalumikizidwabe mu chidebe choperewera. Osabwereza singano.
21. Patadutsa maola awiri jekeseni, yang'anani malo obayira kufiira, kutupa, kapena kukoma. Ngati muli ndi vuto la khungu ndipo silikutha m'masiku ochepa kapena likuipiraipira, itanani dokotala kapena namwino.

Kuti mugwiritse ntchito peginterferon alfa-2b m'mitsuko, tsatirani izi:

1. Sambani m'manja bwinobwino ndi sopo, nadzatsuka, ndi thaulo louma.
2. Onani tsiku lothera ntchito lomwe lidasindikizidwa pa katoni la peginterferon alfa-2b ndipo musagwiritse ntchito katoniyo ngati tsiku lomaliza latha. Chotsani zotsatirazi mu katoni ndikuziyika pamalo oyera: botolo la peginterferon alfa-2b, botolo la madzi osabaya a jakisoni (diluent), ma syringe awiri okhala ndi singano zolumikizidwa, ndi mapiritsi a mowa.
3. Chotsani chovala choteteza ku umodzi wa ma syringe.
4. Chotsani zipewa zoteteza kuchokera pamwamba pa chikho cha peginterferon alfa-2b ndi vial yotsekemera. Sambani zoyimitsira mphira pamwamba pa mbale zonsezo ndi piritsi lakumwa mowa.
5. Chotsani kapu ya singano yoteteza ndikudzaza syringe ndi mpweya pokoka plunger kubwerera pa 0.7 mL chizindikiro pa mbiya.
6. Gwirani botolo lamadzi losabala lowongoka osakhudza pamwamba loyeretsedwa ndi manja anu.
7. Ikani singano ya jekeseni kudzera pa cholembera cha labala ndikudina pa plunger kuti mulowetse mpweya kuchokera mu syringe kupita mu vial.
8. Tembenuzani botolo pansi ndi syringe yomwe idakalipo, ndipo onetsetsani kuti nsonga ya singano ili m'madzi. Chotsani 0,7 mL wamadzi osabala mwakoka syringe plunger kubwerera ku 0.7 mL mark.
9. Chotsani singanoyo pachotupacho pochikoka molunjika pachotsekera mphira. Osakhudza singanoyo pachilichonse.
10. Ikani singano kudzera pachitsulo chopangira mphira wa peginterferon alfa-2b vial, ndipo ikani nsonga ya singano motsutsana ndi khoma la galasi.
11. Pepani jekeseni wa 0.7 mL wamadzi osabala kuti utsike galasi mkati mwa botolo. Musayang'ane mtsinje wamadzi wosabala pa ufa woyera pansi pa vial.
12. Chotsani singano m'chiwaya ndikukoka jakisoniyo pachotsekera mphira. Gwirani mwamphamvu chovala chachitetezo ndikuchikoka pamwamba pa singano mpaka mutangomva pompopompo ndipo mzere wobiriwira pamanja umaphimba mzere wofiira pa singano. Kutaya syringe mu chidebe chosavulaza.
13. Pewani botolo mozungulira mozungulira mpaka ufa utasungunuka. Ngati yankho liri lozizira, sungani botolo mmanja mwanu kuti muwatenthe.
14. Ngati thovu la mpweya lipangika, dikirani mpaka yankho lithe ndipo thovu lonse lakwera pamwamba pa yankho ndikusowa musanapite ku gawo lina.
15. Yang'anani mosamala madzi omwe ali mu botolo. Osabaya jekeseniwo pokhapokha ngati uli wowonekera, wopanda utoto, ndipo ulibe tinthu tating'onoting'ono.
16. Sambani choyimitsira mphira pa botolo la peginterferon alfa-2b kachiwiri ndi piritsi lina la mowa.
17. Chotsani zotchingira m'jekeseni yachiwiri. Chotsani kapu yoteteza ku singano ya jakisoniyo.
18. Lembani syringe ndi mpweya pokoka plunger kubwerera ku mL mark yomwe ikugwirizana ndi muyeso wanu. Ngati simukudziwa kuti ndi syringe iti yomwe ikufanana ndi mlingo wanu, imani ndikuyimbira dokotala kapena wamankhwala musanabayire mankhwalawo.
19. Gwirani botolo la peginterferon alfa-2b yowongoka osakhudza pamwamba pa botolo ndi manja anu.
20. Ikani singano ya jekeseni mu vutolo la peginterferon alfa-2b, ndikudina pa plunger kuti mulowetse mpweya mu botolo.
21. Gwirani botolo ndi syringe ndipo pang'onopang'ono mutembenuzire botolo pansi ndi singano mkati mwa botolo. Sungani nsonga ya singano mu yankho.
22. Pepani pang'onopang'ono kuti mubwererenso pachimake kuti mutulutse peginterferon alfa-2b yomwe dokotala wanu wakupatsani.
23. Tulutsani syringe kunja kwa botolo. Osakhudza singanoyo pachilichonse.
24. Fufuzani thovu la mpweya mu syringe. Mukawona thovu lililonse, gwirani sirinji yomwe singanoyo yakulozerani mmwamba ndikugwirani syringeyo mpaka thovu likutuluka. Kenako, kanikizani syringe plunger pang'onopang'ono mpaka thovu lisathe, osakankhira yankho lililonse mu syringe.
25. Sankhani malo opangira jekeseni ndikutsuka khungu m'deralo ndi pedi pakhosi. Yembekezani kuti chiume.
26. Chotsani kapu yoteteza ku singano. Onetsetsani kuti manja a syringe otetezedwa akukankhidwira mwamphamvu pamphepete mwa sirinjiyo kuti singano iwoneke bwino.
27. Dulani khungu lotayirira mainchesi awiri (5-sentimita) pakhungu la jekeseni. Ndi dzanja lanu, tengani sirinji ndikuyigwira ngati pensulo yokhala ndi choloza (bevel) cha singano moyang'ana mmwamba. Sakanizani singano pafupifupi 1/4 inchi (0.6 masentimita) pakhungu latsinalo pamtunda wa madigiri 45 mpaka 90, pogwiritsa ntchito chikoka chofulumira.
28. Lolani khungu lotsinidwa kuti ligwiritse ntchito ndikugwiritsa ntchito dzanja limenelo kuthandizira mbiya ya syringe.
29. Kokani plunger ya sirinji mmbuyo pang'ono pang'ono. Magazi akalowa mu syringe, singano yalowa mumtsuko wamagazi. Osabaya jakisoni. Tulutsani singano pangodya yomwe mumayiyika pakhungu, ndikuchotsa syringe mu chidebe chotsimikizira. Bwerezani njira zomwe zatchulidwa pamwambapa kuti mukonze mlingo watsopano pogwiritsa ntchito jakisoni watsopano ndi botolo latsopano. Ngati mulibe magazi obwera mu syringe, jekeseni mankhwalawo mwa kukanikiza modula mpaka pansi pa beseni.
30. Gwirani cholembera chakumwa pafupi ndi singano ndikukoka singanoyo pakhungu. Sindikizani malo omwera mowa pamalo obayira kwa masekondi angapo. Osapaka kapena kusisita malo obayira jekeseni. Ngati magazi akutuluka, mufundeni ndi bandeji.
31. Phimbani sirinjiyo ndi malaya otetezera momwe munaphimbira sirinji yoyamba. (Onani Gawo 12 pamwambapa.) Tulutsani jakisoni ndi singano mumphika wololera.
32. Patadutsa maola awiri jekeseni, yang'anani malo obayira kufiira, kutupa, kapena kukoma. Ngati muli ndi vuto la khungu ndipo silikutha m'masiku ochepa kapena likuipiraipira, itanani dokotala kapena namwino.

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

Musanatenge peginterferon alfa-2b,

• uzani adotolo ndi wazamankhwala ngati muli ndi vuto la peginterferon alfa-2b, ma alpha interferon ena, mankhwala aliwonse, kapena polyethylene glycol (PEG). Funsani dokotala ngati simukutsimikiza ngati mankhwala omwe simukugwirizana nawo ndi alpha interferon.
• 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 LOFUNIKA CHENJEZO ndi methadone (Dolophine, Methadose). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu kapena wamankhwala ngati mwakhalapo ndi chiwalo choberekera (opaleshoni m'malo mwa thupi) kapena ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA kapena zina mwa izi: mavuto ogona, kapena mavuto ndi maso anu kapena kapamba.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Peginterferon alfa-2b itha kuvulaza mwana wosabadwayo kapena kukupangitsani kusokonekera (kutaya mwana wanu). Lankhulani ndi dokotala wanu za kugwiritsa ntchito njira zakulera mukamamwa mankhwalawa. Simuyenera kuyamwitsa mukamamwa mankhwalawa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani adotolo kapena dokotala kuti mukumwa peginterferon alfa-2b.
• muyenera kudziwa kuti peginterferon alfa-2b imatha kukupangitsani kugona, chizungulire, kapena kusokonezeka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• muyenera kudziwa kuti mutha kukhala ndi zizindikilo ngati chimfine monga kutentha thupi, kuzizira, kupweteka kwa minofu, komanso kupweteka kwaminyewa mukamachiritsidwa ndi peginterferon alfa-2b. Ngati zizindikirozi zikukuvutitsani, funsani dokotala ngati mukuyenera kumwa mankhwala owonjezera komanso ochepetsa malungo musanafike jakisoni wa peginterferon alfa-2b. Mungafune jekeseni wa peginterferon alfa-2b nthawi yogona kuti muthe kugona kudzera pazizindikiro.
• konzekerani kupuma mokwanira komanso kuchita masewera olimbitsa thupi nthawi zonse mukamamwa mankhwala. Lankhulani ndi dokotala wanu za njira zabwino zolimbitsa thupi mukamamwa mankhwala.

Imwani magalasi amadzi osachepera 10 kapena timadziti tosalala popanda tiyi kapena khofi tsiku lililonse mukamamwa mankhwala a peginterferon alfa-2b. Samalani kwambiri kuti muzimwa madzi okwanira mkati mwa milungu yoyamba yamankhwala anu.

Onetsetsani kuti mumadya bwino mukamalandira chithandizo. Ngati muli ndi vuto m'mimba kapena mulibe chilakolako chofuna kudya, idyani zakudya zopatsa thanzi kapena zakudya zingapo zing'onozing'ono tsiku lonse.

Ngati mukukumbukira mlingo womwe mwaphonya pasanathe tsiku lomwe munayenera kulandira jekeseni, jambulani mlingo womwe mwaphonya mukangokumbukira. Kenako jekeseni mlingo wanu wotsatira tsiku lanu lokhazikika sabata yotsatira. Ngati simukumbukira mlingo womwe mwaphonya mpaka masiku angapo atadutsa, funsani dokotala wanu zoyenera kuchita. Osachulukitsa mlingo wotsatira kapena kumwa zochuluka kuposa kamodzi pa sabata osalankhula ndi dokotala.

Peginterferon alfa-2b itha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kuvulala, kupweteka, kufiira, kutupa, kuyabwa, kapena kukwiya pamalo pomwe mudabaya jekeseni wa peginterferon alfa-2b
• nseru
• kusanza
• kusowa chilakolako
• sintha momwe zinthu zimamvekera
• kutsegula m'mimba
• kudzimbidwa
• kutentha pa chifuwa
• kuonda
• mutu
• chizungulire
• chisokonezo
• kutayika tsitsi kapena kupatulira
• kuyabwa
• zovuta kulingalira
• Kumva kuzizira kapena kutentha nthawi zonse
• kusintha pakhungu lanu
• pakamwa pouma
• thukuta
• kuchapa
• mphuno
• kuvuta kugona kapena kugona

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

• zidzolo
• ming'oma
• zovuta kumeza
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kugunda kwamtima mwachangu
• khungu lotumbululuka
• kupweteka kwa msana

Peginterferon alfa-2b itha 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 zolembera za peginterferon alfa-2b mufiriji, ndipo musawaike pangozi. Sungani mbale za peginterferon alfa-2b ufa kutentha komanso kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa) .Ndibwino kubaya peginterferon alfa-2b yankho m'mitsuko kapena zolembera za jekeseni mutangotha ​​kusakaniza. Ngati ndi kotheka, mabotolo kapena zolembera zopangira jekeseni wa peginterferon alfa-2b akhoza kusungidwa m'firiji kwa maola 24. Osazizira peginterferon alfa-2b.

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.

Ngati wovulalayo sanagwe, itanani dokotala amene wakupatsani mankhwalawa. Dokotala angafune kupimitsa wovutitsidwayo mosamalitsa ndikupanga ma labotale.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu kapena chilichonse cha jakisoni wanu. 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.

• Nkhumba-Intron^®