Mlembi: Janice Evans
Tsiku La Chilengedwe: 24 Kulayi 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Paritaprevir/ritonavir/ombitasvir/dasabuvir for HCV GT1 - Video abstract 80226
Kanema: Paritaprevir/ritonavir/ombitasvir/dasabuvir for HCV GT1 - Video abstract 80226

Zamkati

Mutha kukhala ndi kachilombo ka hepatitis B (kachilombo kamene kamagwira chiwindi ndipo kakhoza kuwononga chiwindi kwambiri) koma osakhala ndi zisonyezo za matendawa. Poterepa, kutenga ombitasvir, paritaprevir, ndi ritonavir kumatha kuwonjezera chiopsezo kuti matenda anu akhoza kukhala owopsa kapena owopseza moyo ndipo mudzakhala ndi zizindikilo. Uzani dokotala wanu 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 chophatikiza ombitasvir, paritaprevir, ndi ritonavir. Ngati mukumane ndi zizindikiro izi mukamalandira chithandizo kapena mutalandira chithandizo, itanani dokotala wanu mwachangu: kutopa kwambiri, khungu lachikaso kapena maso, kusowa chilakolako, kunyoza kapena kusanza, mipando yotuwa, kupweteka m'mimba, kapena mkodzo wakuda.


Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena asanadye, nthawi, komanso mutalandira chithandizo kuti muwone momwe thupi lanu lingayankhire pophatikiza ombitasvir, paritaprevir, ndi ritonavir.

Lankhulani ndi dokotala wanu za chiopsezo chotenga ombitasvir, paritaprevir, ndi ritonavir.

Kuphatikiza kwa ombitasvir, paritaprevir, ndi ritonavir nthawi zambiri kumagwiritsidwa ntchito limodzi ndi ribavirin (Copegus, Rebetol), koma nthawi zina imagwiritsidwa ntchito yokha kuchiza matenda amtundu wa hepatitis C osatha (otenga nthawi yayitali) (kutupa kwa chiwindi komwe kumayambitsidwa ndi kachilombo). Ombitasvir ndi kachilombo ka hepatitis C (HCV) NS5A inhibitor. Zimagwira ntchito poletsa kachilombo kamene kamayambitsa matenda a chiwindi a C kufalikira m'thupi. Paritaprevir ndi protease inhibitor. Zimagwira ntchito pochepetsa kuchuluka kwa HCV mthupi. Ritonavir ndi protease inhibitor. Zimathandizira kuwonjezera kuchuluka kwa paritaprevir mthupi kuti mankhwala azikhala ndi gawo lalikulu. Sidziwika ngati ombitasvir, paritaprevir, kapena ritonavir imalepheretsa kufalikira kwa matenda a chiwindi a C kwa anthu ena.


Kuphatikiza kwa ombitasvir, paritaprevir, ndi ritonavir kumabwera ngati piritsi kuti mutenge pakamwa. Tengani ombitasvir, paritaprevir, ndi ritonavir m'mawa uliwonse ndi chakudya. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani ombitasvir, paritaprevir, ndi ritonavir mozungulira nthawi imodzimodzi tsiku lililonse. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kuphatikiza kwa ombitasvir, paritaprevir, ndi ritonavir kumawongolera HCV koma sikuchiritsa. Nthawi zambiri amatengedwa milungu 12. Pitirizani kutenga ombitasvir, paritaprevir, ndi ritonavir ngakhale mutakhala bwino. Kutalika kwa chithandizo chanu kumadalira momwe mumayankhira mankhwalawo komanso ngati mukukumana ndi zovuta zina. Osasiya kumwa ombitasvir, paritaprevir, ndi ritonavir 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 ombitasvir, paritaprevir, ndi ritonavir,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la ombitasvir, paritaprevir, ndi ritonavir, mankhwala ena aliwonse, kapena zina zilizonse zosakaniza mu ombitasvir, paritaprevir, ndi mapiritsi a ritonavir. Ngati mwakhala mukukumana ndi zoopsa kapena zowopsa pa ritonavir (zotupa, zotupa kapena khungu), dokotala wanu mwina angakuuzeni kuti musatenge ombitasvir, paritaprevir, ndi ritonavir. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
  • Uzani dokotala ngati mukumwa alfuzosin (Uroxatral); apalutamide (Erleada); atorvastatin (Lipitor, mu Caduet); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol); cisapride (Propulsid; sichikupezeka ku U.S.); dronearone (Multaq); efavirenz (Sustiva, ku Atripla); ergot yokhala ndi mankhwala monga dihydroergotamine mesylate (D.H 45, Migranal), ergonovine, ergotamine (Ergomar, ku Cafergot, ku Migergot), ndi methylergonovine (Methergine); ethinyl estradiol njira zolera zamkamwa monga zina ('mapiritsi oletsa kubereka'), zigamba, mphete zamaliseche zam'mimba ndi zinthu zina za ethinyl estradiol; everolimus (Wothandizira, Zortress); lomitapide (Wowonjezera); lovastatin (Altoprev); lurasidone (Latuda); midazolam (pakamwa); phenobarbital; phenytoin (Dilantin, Phenytek); pimozide (Orap); ranolazine (Ranexa); rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater); sildenafil (Revatio) yothandizira matenda oopsa am'mapapo mwanga; simvastatin (Flolipid, Zocor, ku Vytorin); mankhwala (Rapamune); Chingwe cha St. tacrolimus (Astagraf XL, Envarsus XR, Prograf); kapena triazolam (Halcion). Komanso, uzani dokotala ngati mukumwa colchicine (Colcrys, Mitigare) ndipo muli ndi chiwindi kapena matenda a impso. Dokotala wanu angakuuzeni kuti musatenge ombitasvir, paritaprevir, ndi ritonavir ngati mukumwa mankhwala amodzi kapena angapo.
  • 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: acetaminophen ndi hydrocodone (Anexsia, Zyfrel); alprazolam (Xanax); angiotensin receptor blocker (ARB) monga candesartan (Atacand, ku Atacand HCT), losartan (Cozaar, ku Hyzaar), ndi valsartan (Diovan, ku Diovan HCT, Exforge); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); buprenorphine ndi naloxone (Suboxone, Zubsolv); calcium blockers monga amlodipine (Norvasc, ku Caduet), diltiazem (Cardizem, Cartia), nifedipine (Adalat, Afeditab), ndi verapamil (Calan, Verelan); carisoprodol (Soma); cyclobenzaprine (Amrix); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); elagolix (Orilissa); encorafenib (Braftovi); fluticasone (Flonase, Flovent, ku Advair); fostamatinib (Tavalisse); furosemide (Lasix); mankhwala ena obwezeretsa mahomoni (HRT); ibrutinib (Imbruvica); ivosidenib (Tibsovo); ketoconazole; metformin (Glucophage, Riomet); mankhwala osagunda pamtima monga amiodarone (Nexterone, Pacerone), bepridil (sakupezekanso ku US), digoxin (Lanoxin), disopyramide (Norpace), flecainide, lidocaine (Xylocaine), mexiletine, propafenone (Rythmol), ndi quinidine ( mu Nuedexta); omeprazole (Prilosec); pravastatin (Pravachol); quetiapine (Seroquel); rilpivirine (Edurant; mu Complera); ritonavir (Norvir, ku Kaletra) amagwiritsidwa ntchito limodzi ndi HIV protease inhibitors monga atazanavir (Reyataz, ku Evotaz), darunavir (Prezista, ku Prezcobix), ndi lopinavir (ku Kaletra); salmeterol (Serevent, ku Advair); ndi voriconazole (Vfend). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • auzeni adotolo ngati muli ndi matenda amtundu wa chiwindi kupatula hepatitis C. Dokotala wanu angakuwuzeni kuti musatenge ombitasvir, paritaprevir, ndi ritonavir.
  • uzani adotolo ngati mudadalitsidwapo chiwindi kapena ngati muli ndi matenda ashuga kapena kachilombo ka HIV.
  • Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga ombitasvir, paritaprevir, ndi ritonavir, itanani dokotala wanu.
  • muyenera kudziwa kuti ombitasvir, paritaprevir, ndi ritonavir zitha kuchepetsa mphamvu yolerera yapa mahomoni (mapiritsi olera, zigamba, mphete, zopangira, jakisoni, ndi zida za intrauterine). Gwiritsani ntchito njira ina yolerera pamene mukumwa ombitasvir, paritaprevir, ndi ritonavir komanso kwa masabata awiri mutatha kumwa. Lankhulani ndi dokotala wanu za mitundu yoletsa yomwe ingakuthandizireni mukamachiza ombitasvir, paritaprevir, ndi ritonavir mpaka mutha kuyambiranso kutenga njira yanu yolerera ya mahomoni.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ngati mwatenga maola 12 kapena kuchepera pomwe mwaphonya ombitasvir, paritaprevir, ndi ritonavir, tengani mlingo womwe mumaphonyawo mukangokumbukira. Komabe, ngati papitilira maola 12 kuyambira nthawi yomwe mudayenera kumwa, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Ombitasvir, paritaprevir, ndi ritonavir zitha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kuvuta kugona kapena kugona

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
  • kufiira kwa khungu
  • ming'oma
  • kuyabwa
  • kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
  • kufooka
  • chisokonezo

Ombitasvir, paritaprevir, ndi ritonavir zitha 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 mankhwalawa mu katoni yomwe idabwera, yotsekedwa mwamphamvu, komanso kuti ana asafikire. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Musachotse mapiritsi kuchokera paketi ya tsiku ndi tsiku yopangidwa ndi wopanga mpaka atakonzeka kuwamwa.

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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