Kuphulika

Zamkati

• Musanayambe kumwa rifapentine,
• Rifapentine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Rifapentine amagwiritsidwa ntchito ndi mankhwala ena kuchiza chifuwa chachikulu cha TB (TB; matenda akulu omwe amakhudza mapapo ndipo nthawi zina mbali zina za thupi) mwa akulu ndi ana azaka 12 kapena kupitirira. Rifapentine imagwiritsidwanso ntchito ndi isoniazid (Laniazid) kuchiritsa achikulire ndi ana azaka ziwiri kapena kupitilira apo ndi chifuwa chobisalira (kupumula kapena kusamwa) TB, kuphatikiza omwe amayanjana kwambiri ndi anthu omwe ali ndi TB yogwira, kuyesa kwa khungu la tuberculin, kachilombo ka HIV (HIV), kapena iwo omwe ali ndi pulmonary fibrosis (mabala am'mapapo osadziwika). Rifapentine ali mgulu la mankhwala otchedwa antimycobacterials. Zimagwira ntchito popha mabakiteriya omwe amayambitsa matenda.

Maantibayotiki monga rifapentine sangagwire ntchito ya chimfine, chimfine, kapena matenda ena a ma virus. Kugwiritsa ntchito maantibayotiki ngati sakufunika kumawonjezera chiopsezo chanu chotenga matenda pambuyo pake omwe amalephera kulandira mankhwala.

Rifapentine amabwera ngati piritsi kuti atenge pakamwa. Rifapentine akagwiritsidwa ntchito pochiza TB yogwira, nthawi zambiri imamwedwa ndi chakudya kawiri sabata iliyonse, ndi kumwa kwake osachepera masiku atatu kupatukana, kwa miyezi iwiri yoyambirira ndiyeno kamodzi pamlungu kwa miyezi inayi. Pamene rifapentine imagwiritsidwa ntchito kuchiza matenda opatsirana a TB, ayenera kukhala ndi chakudya chotengedwa kamodzi sabata iliyonse. Tengani rifapentine mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani rifapentine ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukulephera kumeza mapiritsiwo, mutha kuwaphwanya ndikusakaniza mankhwalawo pang'ono pang'ono pokha ngati pudding kapena maapulosi. Kumeza kusakaniza nthawi yomweyo; osasunga kuti adzagwiritse ntchito mtsogolo.

Pitirizani kumwa rifapentine mpaka mutsirize mankhwalawa ngakhale mutakhala bwino, ndipo samalani kuti musaphonye mlingo. Mukasiya kumwa rifapentine posachedwa, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki. Ngati mwaphonya mlingo wa rifapentine, mutha kukhala ndi nkhawa kapena zisonyezo zazikulu mukamayambiranso kumwa mankhwala.

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

Musanayambe kumwa rifapentine,

• uzani dokotala ndi wamankhwala ngati muli ndi matupi awo sagwirizana ndi rifapentine, rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater), rifaximin (Xifaxan), mankhwala ena aliwonse, kapena chilichonse cha mapiritsi a rifapentine. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• 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: mankhwala a maantibayotiki monga chloramphenicol, ciprofloxacin (Cipro), clarithromycin (Biaxin, ku Prevpac), dapsone, ndi doxycycline (Doryx, Monodox, Vibramycin, ena); maanticoagulants ('oonda magazi') monga warfarin (Coumadin, Jantoven); antifungals monga fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ndi ketoconazole; calcium blockers monga diltiazem (Cardizem, Taztia, Tiazac, ena), nifedipine (Adalat, Afeditab, Procardia), ndi verapamil (Calan, Covera, Verelan); clofibrate (Atromid-S; sakupezeka ku US); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); digoxin (Lanoxin); disopyramide (Norpace); glyburide (Diabeta, Glynase); glipizide (Glucotrol); haloperidol (Haldol); Mankhwala a HIV; levothyroxine (Levoxyl, Synthroid, Tirosint); methadone (Dolophine, Methadose); mexiletine, phenobarbital; phenytoin (Dilantin, Phenytek); wolosera (Rayos); mankhwala (Hemangeol, Inderal, InnoPran); quinidine (mu Nuedexta), quinine (Qualaquin); sildenafil (Revatio, Viagra); tacrolimus (Astagraf, Envarsus, Prograf); theophylline (Elixophyllin, Theochron, Uniphyl); tocainide (Tonocard; sichikupezeka ku U.S.); ndi tricyclic antidepressants monga amitriptyline ndi nortriptyline (Pamelor). Mankhwala ena ambiri amatha kulumikizana ndi rifapentine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati mukumwa kapena mukugwiritsa ntchito njira zolerera za mahomoni (mapiritsi olerera, zigamba, mphete, zopangira, ndi jakisoni). Rifapentine imatha kuchepetsa mphamvu yolera yakuchipatala. Muyenera kugwiritsa ntchito njira ina yolerera mukamamwa mankhwalawa. Lankhulani ndi dokotala wanu zakulera mukamamwa rifapentine.
• auzeni adotolo ngati muli ndi chifuwa chachikulu cha TB kapena ngati simukuyankha mankhwala ena a TB kapena ngati mwakhala ndi porphyria kapena munakhalapo ndi porphyria (momwe zinthu zina zachilengedwe zimakhalira mthupi ndipo zimatha kupweteka m'mimba, kusintha malingaliro ndi machitidwe, kapena zizindikiro zina), kachirombo ka HIV, kapena matenda a chiwindi.
• Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga rifapentine, itanani dokotala wanu.
• osayamwa mkaka mukamwa rifapentine. Rifapentine imatha kuyambitsa mkaka wa m'mawere kutembenukira pabuka-lalanje.
• uzani dokotala wanu ngati muvala magalasi olumikizirana bwino. Rifapentine itha kuyambitsa mabala ofiira osatha pamagalasi anu kapena m'mano ovalira.

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.

Rifapentine amatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• Kutulutsa khungu kwakanthawi (chikaso, pabuka-lalanje, kapena bulauni) pakhungu lanu, mano, malovu, mkodzo, chopondapo, thukuta, ndi misozi
• chizungulire
• kukomoka
• thukuta lowonjezeka

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kutsegula m'mimba (mpaka miyezi iwiri mutalandira chithandizo)
• zidzolo
• kuyabwa
• ming'oma
• kutsokomola ndi kupuma
• kuvuta kupuma
• wofiira, kuyabwa, kapena kukwiya maso
• malungo
• matuza
• kusintha kwa kaganizidwe ndi kakhalidwe
• kutupa kwa maso, nkhope, milomo, lilime, mmero, mikono, manja, mapazi, akakolo, kapena miyendo yakumunsi
• kuthamanga kapena kusakhazikika kwamtima
• nseru
• kusanza
• kupweteka pachifuwa
• zizindikiro ngati chimfine monga kutentha thupi, kuzizira, kupweteka kwa minofu, kupweteka kwa minofu, kutopa, komanso kupweteka mutu
• kupweteka m'mimba
• kusowa chilakolako
• mkodzo wakuda
• kupweteka pamodzi kapena kutupa
• chikasu cha khungu kapena maso

Rifapentine ikhoza 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).

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.

Zizindikiro za bongo zingaphatikizepo izi:

• magazi mkodzo
• kuyabwa
• kupweteka kwa thupi kapena kuuma

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

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

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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