Etravirine

Zamkati

• Musanayambe kumwa etravirine,
• Etravirine amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa etravirine ndikuimbira dokotala nthawi yomweyo:

Etravirine imagwiritsidwa ntchito limodzi ndi mankhwala ena ochizira matenda opatsirana pogonana mwa akulu ndi ana azaka ziwiri kapena kupitirira omwe sapindulanso ndikumwa mankhwala ena a HIV. Etravirine ali mgulu la mankhwala otchedwa non-nucleoside reverse transcriptase inhibitors (NNRTIs). Zimagwira ntchito pochepetsa kuchuluka kwa kachilombo ka HIV m'magazi. Ngakhale kuti etravirine siyichiza kachilombo ka HIV, imatha kuchepetsa mwayi wanu wopeza matenda a immunodeficiency (AIDS) ndi matenda okhudzana ndi HIV monga matenda akulu kapena khansa. Kumwa mankhwalawa pamodzi ndi kugonana mosatekeseka ndikusintha zina pamoyo wanu kumachepetsa chiopsezo chotenga (kufalitsa) kachirombo ka HIV kwa anthu ena.

Etravirine amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa mukatha kudya kawiri patsiku. Tengani etravirine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani etravirine chimodzimodzi monga momwe mwauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi athunthu ndi madzi, monga madzi; osagawana, kutafuna, kapena kuwaphwanya.

Ngati mukuvutika kumeza mapiritsi, amatha kusungunuka m'madzi. Pofuna kukonzekera, onjezerani mapiritsi mu supuni imodzi ya madzi (5 ml) ya madzi (madzi okha, musagwiritse ntchito madzi amtundu wina uliwonse) kapena madzi okwanira kuti mumalize mankhwalawo, ndikuyambitsa mpaka mkaka wosakanikirana uchitike. Kenako onjezerani supuni imodzi (15 mL) yamadzimadzi monga madzi kapena mutha kugwiritsa ntchito chakumwa monga madzi a lalanje kapena mkaka kuti musinthe kukoma. Chitani ayi Sakanizani mapiritsiwo ndi madzi ofunda kapena otentha kapena chakumwa cha kaboni monga koloko. Imwani chisakanizo nthawi yomweyo. Tsukani galasi ndi madzi, madzi a lalanje, kapena mkaka ndi kumeza zonse zomwe zili mkatimo. Bwerezani njira yotsukila ndikumeza kusakaniza kotsuka kangapo kuti muwonetsetse kuti mankhwalawo atengedwa.

Etravirine amathandiza kuchepetsa kachilombo ka HIV koma samachiritsa. Pitirizani kumwa etravirine ngakhale mukumva bwino. Osasiya kumwa etravirine osalankhula ndi dokotala. Mukasiya kumwa etravirine kapena kusowa mankhwala, vuto lanu limatha kukhala lovuta kuchiza. Mankhwala a etravirine akayamba kuchepa, pezani zambiri kuchokera kwa dokotala kapena wamankhwala.

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

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

Musanayambe kumwa etravirine,

• uzani dokotala wanu komanso wazamankhwala ngati muli ndi vuto la etravirine, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a etravirine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin, Jantoven); antiarrhythmics (mankhwala ochiritsira kugunda kwamtima) kuphatikiza amiodarone (Nexterone, Pacerone), bepridil (Vascor), disopyramide (Norpace), flecainide (Tambocor), lidocaine (Xylocaine), mexiletine (Mexitil), propafenone (Rythmol), ndi quinidine ); mankhwala ena ochizira matenda monga carbamazepine (Carbatrol, Tegretol, Teril), phenobarbital (Luminal), ndi phenytoin (Dilantin, Phenytek); clarithromycin (Biaxin, mu Prevpac); mankhwala ochepetsa mafuta m'thupi (ma statins) kuphatikiza atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Advicor, Altoprev, Mevacor), rosuvastatin (Crestor), ndi simvastatin (Vytorin, Zocor); clopidogrel (Plavix); diazepam (Valium); dexamethasone; mankhwala ena omwe amaletsa chitetezo cha mthupi monga cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), ndi tacrolimus (Prograf); mankhwala othandiza kuthana ndi vuto la erectile kuphatikiza sildenafil (Viagra), tadalafil (Cialis), ndi vardenafil (Levitra); Mankhwala ochizira matenda a mafangasi kuphatikiza fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), ndi voriconazole (Vfend); methadone (Dolophine); Mankhwala ena ochizira HIV kuphatikiza amprenavir (Agenerase), atazanavir (Reyataz), delavirdine (Rescriptor), efavirenz (Sustiva, ku Atripla), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (ku Kaletra), nelfinavir (Virac) ndi nevirapine (Viramune) ritonavir (Norvir, ku Kaletra), ndi tipranavir (Aptivus); rifabutin (Mycobutin); rifampin (Rifadin, Rifater, Rifamate); ndi rifapentine (Priftin). Mankhwala ena ambiri amathanso kulumikizana ndi etravirine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Musayambe kumwa mankhwala atsopano mukamamwa etravirine musanalankhule ndi dokotala kapena wamankhwala.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
• uzani dokotala wanu ngati mwakhalapo kapena mudakhalapo ndi matenda a chiwindi, kuphatikizapo matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga etravirine, itanani dokotala wanu.
• simuyenera kuyamwa ngati muli ndi kachilombo ka HIV kapena mukumwa etravirine.
• muyenera kudziwa kuti mafuta amthupi mwanu amatha kuchuluka kapena kusunthira mbali zosiyanasiyana za thupi lanu monga mabere, khosi, chifuwa, mimba, ndi msana. Kutayika kwa mafuta kuchokera kumiyendo yanu, mikono, ndi nkhope zanu zitha kuchitika.
• muyenera kudziwa kuti pamene mukumwa mankhwala ochizira kachilombo ka HIV, chitetezo chanu cha mthupi chingakhale champhamvu ndikuyamba kulimbana ndi matenda ena omwe anali kale mthupi lanu. Izi zitha kukupangitsani kukhala ndi zizindikilo za matendawa. Ngati muli ndi zizindikilo zatsopano kapena zowonjezereka mutayamba kumwa mankhwala ndi etravirine, onetsetsani kuti mwauza dokotala.

Lankhulani ndi dokotala wanu za kudya mphesa ndi kumwa madzi amphesa mukamamwa mankhwalawa.

Ngati mukukumbukira kuti mwasemphana ndi kumwa pasanathe maola 6 kuchokera nthawi yomwe mumamwa etravirine, tengani mankhwala omwe mwaphonya mukamadya posachedwa, ndipo tengani mlingo wotsatira panthawi yomwe munakonza. Komabe, ngati mukukumbukira maola opitilira 6 mutadutsa nthawi yomwe mumamwa, dikirani ndikumwa mlingo wotsatira wa etravirine malinga ndi momwe mumakhalira. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

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

• nseru
• kusanza
• kupweteka m'mimba
• kutsegula m'mimba
• mutu
• kuwonjezeka kwa kuthamanga kwa magazi
• kupweteka, kuwotcha, kuchita dzanzi, kapena kumva kupweteka m'manja kapena m'mapazi

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, siyani kumwa etravirine ndikuimbira dokotala nthawi yomweyo:

• zidzolo
• kufiira, zotupa, kapena zotupa pakhungu kapena pakamwa
• kufiira kapena kutupa kwa maso
• kutupa kwa nkhope
• zilonda zapakhosi, chifuwa, malungo, kuzizira, kapena zizindikilo zina za matenda
• kudwala
• kutopa
• minofu kapena molumikizana mafupa
• chikasu cha khungu kapena maso
• mkodzo wamtundu wakuda
• mipando yofiirira
• kupweteka kumtunda chakumanja kwam'mimba
• kusowa chilakolako

Etravirine 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. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Sungani zikwama zitatu za desiccant (zoyanika) mu botolo la mankhwala kuti mapiritsiwo asayume. Musadye m'matumba a desiccant.

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

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.

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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku etravirine.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa etravirine.

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

Lembani mndandanda wa mankhwala anu ndikuwonetsa kwa dokotala ndi wamankhwala mukalandira mankhwala atsopano.

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.

• Zosasangalatsa^®