Mlembi: Virginia Floyd
Tsiku La Chilengedwe: 12 Ogasiti 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Sofosbuvir, Ombitasvir, and Ledipasvir - Hepatitis C Treatment [23/31]
Kanema: Sofosbuvir, Ombitasvir, and Ledipasvir - Hepatitis C Treatment [23/31]

Zamkati

Mutha kukhala kuti mwadwala kale matenda a chiwindi a hepatitis B (kachilombo kamene kamayambitsa chiwindi ndipo kakhoza kuwononga chiwindi kwambiri), koma osakhala ndi zisonyezo za matendawa. Poterepa, kutenga limodzi kwa ledipasvir ndi sofosbuvir kungapangitse chiopsezo kuti mukhale ndi zizindikilo ndipo matenda anu akhoza kukhala owopsa kapena owopseza moyo Uzani dokotala ngati mwakhalapo ndi kachilombo ka hepatitis B. Dokotala wanu amalamula kuti ayesedwe magazi kuti awone ngati mwadwalapo matenda a hepatitis B. Dokotala wanu adzakuyang'anirani ngati muli ndi matenda a chiwindi cha B mkati ndi miyezi ingapo mutalandira chithandizo. Ngati ndi kotheka, dokotala wanu akhoza kukupatsani mankhwala ochizira matendawa musanachitike komanso mukamalandira chithandizo chothandizidwa ndi ledipasvir ndi sofosbuvir. Ngati mukumane ndi zizindikiro izi mukamalandira chithandizo kapena mutalandira chithandizo, itanani dokotala wanu mwachangu: kutopa kwambiri, khungu lachikaso kapena maso, kusowa chilakolako, kunyoza, kusanza, ndowe zotumbululuka, kupweteka m'mimba, kapena mkodzo wakuda.


Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena musanadye, nthawi, komanso mutalandira chithandizo kuti muwone momwe thupi lanu likuyankhira pakuphatikiza kwa ledipasvir ndi sofosbuvir.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito ledipasvir ndi sofosbuvir.

Kuphatikiza kwa ledipasvir ndi sofosbuvir imagwiritsidwa ntchito yokha kapena kuphatikiza ribavirin (Copegus, Rebetol, Ribasphere, ena) kuti athetse mitundu ina ya matenda a chiwindi a hepatitis C (matenda opatsirana a virus omwe amawononga chiwindi) mwa akulu ndi ana azaka 3 zakubadwa komanso wamkulu. Sofosbuvir ali mgulu la mankhwala oletsa ma virus omwe amatchedwa nucleotide polymerase inhibitors. Zimagwira ntchito pochepetsa kuchuluka kwa kachilombo ka hepatitis C (HCV) mthupi. Ledipasvir ali mgulu la mankhwala opha ma virus otchedwa HCV NS5A inhibitors. Zimagwira ntchito poletsa kachilombo kamene kamayambitsa matenda a chiwindi a C kufalikira m'thupi.

Kuphatikiza kwa ledipasvir ndi sofosbuvir kumabwera ngati piritsi ndi pellets zonyamula pakamwa. Nthawi zambiri amatengedwa popanda chakudya kamodzi patsiku. Tengani ledipasvir ndi sofosbuvir mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ledipasvir ndi sofosbuvir chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.


Ledipasvir ndi ma pellets a sofosbuvir amatha kumezedwa (popanda kutafuna) kapena amatha kumwedwa ndi chakudya. Pofuna kukonzekera mlingo wa ledipasvir ndi sofosbuvir pellets ndi chakudya, perekani paketi yonse ya pellets pa supuni imodzi kapena zingapo za supuni yozizira kapena firiji yopanda acidic monga pudding, manyuchi a chokoleti, mbatata yosenda, kapena ayisikilimu. Tengani chisakanizo chonse pasanathe mphindi 30 mutakonkha matumbawo pachakudya. Kuti mupewe kulawa kowawa, musatafune mapepala.

Pitirizani kumwa ledipasvir ndi sofosbuvir ngakhale mukumva bwino. Kutalika kwa chithandizo chanu (masabata 8 mpaka 24) kumadalira momwe mulili, momwe mumayankhira mankhwalawo, komanso ngati mukukumana ndi zovuta zina. Osasiya kumwa ledipasvir ndi sofosbuvir osalankhula ndi dokotala.

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.

Musanatenge ledipasvir ndi sofosbuvir,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ledipasvir kapena sofosbuvir, mankhwala ena aliwonse, kapena zosakaniza zilizonse za ledipasvir ndi mapiritsi a sofosbuvir kapena pellets. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu komanso wamankhwala mankhwala ena omwe simukupatsidwa, mavitamini, ndi zowonjezera zakudya zomwe mukumwa kapena mukukonzekera. Onetsetsani kuti mwatchulapo izi: amiodarone (Nexterone, Pacerone); digoxin (Lanoxin); mankhwala ena a khansa; mankhwala a shuga; mankhwala ena ogwidwa monga carbamazepine (Carbatrol, Epitol, Equetro, Tegretol), oxcarbazepine (Oxtellar XR, Trileptal), phenobarbital, kapena phenytoin (Dilantin, Phenytek); mankhwala a chifuwa ndi zilonda; mankhwala a HIV omwe amatengedwa pamodzi monga efavirenz (Sustiva, ku Atripla), emtricitabine (Emtriva, ku Atripla) ndi tenofovir (Viread, ku Atripla); elvitegravir (Sustiva, ku Atripla), cobicistat (Tybost, ku Stribild), emtricitabine (Emtriva, ku Stribild), ndi tenofovir (Viread, ku Stribild); tenofovir (Viread), atazanavir (Reyataz) ndi ritonavir (Norvir); tenofovir (Viread), darunavir (Prezista) ndi ritonavir (Norvir); tenofovir (Viread), lopinavir (ku Kaletra), ndi ritonavir (Norvir, ku Kaletra); kapena tipranavir (Aptivus) ndi ritonavir (Norvir); mankhwala ena omwe amaletsa chitetezo cha mthupi; rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); rifapentine (Priftin); rosuvastatin (Crestor); simeprevir (Olysio); sofosbuvir (Sovaldi); ndi warfarin (Coumadin, Jantoven). Dokotala wanu angakuuzeni kuti musatenge ledipasvir ndi sofosbuvir ngati mukumwa mankhwala amodzi kapena angapo kapena akhoza kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi ledipasvir ndi sofosbuvir, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • ngati mukumwa maantacid okhala ndi aluminium hydroxide kapena magnesium hydroxide (Maalox, Mylanta, Tums, ena), tengani maola 4 isanakwane kapena maola 4 mutatenga ledipasvir ndi sofosbuvir.
  • Uzani dokotala ngati mukumwa mankhwala a kudzimbidwa, kutentha pa chifuwa, kapena zilonda (H2 blockers) monga cimetidine, ranitidine (Zantac), famotidine (Pepcid, in Duexis) kapena nizatidine. Dokotala wanu angakuuzeni kuti mumutenge maola 12 isanakwane kapena maola 12 kuchokera ledipasvir ndi sofosbuvir, kapena nthawi yomweyo kuti mutenge ledipasvir ndi sofosbuvir.
  • uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. Simuyenera kutenga liziwawa la St. John mukamalandira mankhwala a ledipasvir ndi sofosbuvir.
  • uzani adotolo ngati mwadulidwa chiwindi kapena ngati muli ndi kachilombo ka HIV. Komanso, uzani dokotala ngati mwakhalapo kapena mwakhalapo ndi matenda amtundu wa chiwindi kupatula hepatitis C, matenda a impso, kapena muli ndi dialysis.
  • uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ledipasvir ndi sofosbuvir, itanani dokotala wanu. Ngati ledipasvir ndi sofosbuvir amagwiritsidwa ntchito limodzi ndi ribavirin, onetsetsani kuti mukuwerenga zambiri za njira zopewera kutenga mimba mu ribavirin monograph.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.


Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ledipasvir ndi sofosbuvir zitha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kutopa
  • mutu
  • kuvuta kugona kapena kugona
  • nseru
  • kutsegula m'mimba
  • chifuwa
  • chizungulire
  • kupweteka kwa minofu
  • kupsa mtima

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena zomwe zalembedwa M'CHENJEZO CHOFUNIKA KUDZIWA, itanani dokotala wanu mwachangu kapena mupeze chithandizo chadzidzidzi:

  • zidzolo
  • matuza
  • kutupa kwa nkhope, mikono, kapena miyendo
  • kupuma movutikira
  • ukali
  • zovuta kumeza kapena kupuma

Ledipasvir ndi sofosbuvir zingayambitse 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. Musagwiritse ntchito ngati chidindo chotsegulira botolo chathyoledwa kapena chikusowa. Zisunge kutentha komanso kutali ndi kuwala, kutentha kwambiri ndi chinyezi (osati kubafa).

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.

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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