Mlembi: Clyde Lopez
Tsiku La Chilengedwe: 20 Kulayi 2021
Sinthani Tsiku: 16 Novembala 2024
Anonim
Efavirenz, Emtricitabine and Tenofovir Treat HIV and AIDs in Adults - Overview
Kanema: Efavirenz, Emtricitabine and Tenofovir Treat HIV and AIDs in Adults - Overview

Zamkati

Efavirenz, emtricitabine, ndi tenofovir siziyenera kugwiritsidwa ntchito pochiza matenda a chiwindi a hepatitis B (HBV; matenda opitilira chiwindi). Uzani dokotala wanu ngati muli ndi HBV kapena mukuganiza kuti mwina muli ndi HBV. Dokotala wanu angakuyeseni kuti muone ngati muli ndi HBV musanayambe kumwa mankhwala ndi efavirenz, emtricitabine, ndi tenofovir. Ngati muli ndi HBV ndipo mumamwa efavirenz, emtricitabine, ndi tenofovir, matenda anu akhoza kukulirakulirani mwadzidzidzi mukasiya kumwa mankhwalawa. Dokotala wanu adzakufunsani ndikuyitanitsa mayeso a labu pafupipafupi kwa miyezi ingapo mutasiya kumwa mankhwalawa kuti muwone ngati HBV yanu yaipiraipira.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayeso ena musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu lingayankhire efavirenz, emtricitabine, ndi tenofovir.

Lankhulani ndi dokotala wanu za kuopsa kwakumwa efavirenz, emtricitabine, ndi tenofovir.

Kuphatikiza kwa efavirenz, emtricitabine, ndi tenofovir kumagwiritsidwa ntchito kwaokha kapena limodzi ndi mankhwala ena kuchiza matenda a kachirombo ka HIV mwa akulu ndi ana olemera makilogalamu 40 (88 lb). Efavirenz ali mgulu la mankhwala osakhala a nucleoside reverse transcriptase inhibitors (NNRTIs). Emtricitabine ndi tenofovir ali mgulu la mankhwala otchedwa nucleoside reverse transcriptase inhibitors (NRTIs). Amagwira ntchito pochepetsa kuchuluka kwa kachilombo ka HIV mthupi. Ngakhale efavirenz, emtricitabine, ndi tenofovir sizingachize kachilombo ka HIV, mankhwalawa amachepetsa 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 kapena kufalitsa kachilombo ka HIV kwa anthu ena.


Kuphatikiza kwa efavirenz, emtricitabine, ndi tenofovir kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku ndi madzi opanda kanthu m'mimba (osachepera ola limodzi musanadye kapena maola awiri mutadya). Tengani efavirenz, emtricitabine, ndi tenofovir mozungulira nthawi yomweyo tsiku lililonse. Kutenga efavirenz emtricitabine, ndi tenofovir panthaŵi yogona kungapangitse mavuto ena kukhala osavutitsa. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani efavirenz, emtricitabine, ndi tenofovir ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Pitirizani kumwa efavirenz, emtricitabine, ndi tenofovir ngakhale mukumva bwino. Osasiya kumwa efavirenz, emtricitabine, ndi tenofovir osalankhula ndi dokotala. Mukasiya kumwa efavirenz, emtricitabine, ndi tenofovir ngakhale kwakanthawi kochepa, kapena kudumpha mlingo, kachilomboka kakhoza kulimbana ndi mankhwala ndipo kungakhale kovuta kuchiza.


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 efavirenz, emtricitabine, ndi tenofovir,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la efavirenz, emtricitabine, kapena tenofovir, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu efavirenz, emtricitabine, ndi mapiritsi a tenofovir. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala wanu ngati mukumwa voriconazole (Vfend) kapena elbasvir ndi grazoprevir (Zepatier). Dokotala wanu angakuuzeni kuti musamwe efavirenz, emtricitabine, ndi tenofovir ngati mukumwa mankhwala amodzi kapena angapo.
  • auzeni adotolo komanso asayansi yanu mankhwala ena omwe mumamwa kapena mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acyclovir (Sitavig, Zovirax); adefovir (Hepsera); mankhwala opatsirana pogonana; artemether ndi lumefantrine (Coartem); atazanavir (Reyataz); atorvastatin (Lipitor, mu Caduet); atovaquone ndi proguanil (Malarone); boceprevir (Wopambana); bupropion (Wellbutrin, Zyban, ena); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril); clarithromycin (Biaxin, mu Prevpac); cidofovir; cyclosporine (Gengraf, Neoral, Sandimmune); darunavir (Prezista) ndi ritonavir (Norvir); delavirdine (Wolemba) didanosine (Videx); diltiazem (Cardizem, Cartia, Diltzac, Taztia, Tiazac); ethinyl estradiol ndi norgestimate (Estarylla, Ortho-Tri-Cyclen, Sprintec, ena); etonogestrel (Nexplanon, ku Nuvaring); etravirine (Kutengeka); felodipine; fosamprenavir (Lexiva); ganciclovir (cytovene); gentamicin; glecaprevir ndi pibrentasvir (Mavyret); indinavir (Crixivan); itraconazole (Onmel, Sporanox); ketoconazole; lamivudine (Epivir, Epivir HBV, ku Combivir, Epzicom, Triumeq, Trizivir); ledipasvir ndi sofosbuvir (Harvoni); lopinavir ndi ritonavir (Kaletra); nthawi (Selzentry); mankhwala a nkhawa, matenda amisala, ndi khunyu; methadone (Dolophine, Methadose); nevirapine (Viramune); nicardipine (Cardene); nifedipine (Adalat, Afeditab, Procardia); phenobarbital; phenytoin (Dilantin, Phenytek); mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga celecoxib (Celebrex), ibuprofen (Advil, Motrin), meloxicam (Mobic), ndi naproxen (Aleve, Naprelan, Naprosyn); Mankhwala ena a HIV omwe ali ndi efavirenz, emtricitabine, ndi tenofovir (Complera, Descovy, Genvoya, Odefsey, Stribild, Truvada, Sustiva, Emtriva, Viread); posaconazole (Noxafil); pravastatin (Pravachol); raltegravir (Isentress); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, ku Rifamate, Rifater); ritonavir (Norvir, ku Kaletra, Technivie, Viekira Pak); saquinavir (Invirase); mankhwala ogonetsa; mankhwala opatsirana (Zoloft); mapiritsi ogona; simeprevir (Olysio); simvastatin (Zocor, ku Vytorin); mankhwala (Rapamune); sofosbuvir ndi velpatasvir (Epclusa); sofosbuvir, velpatasvir, ndi voxilaprevir (Vosevi); tacrolimus (Astagraf, Envarsus, Prograf); zotetezera; valacyclovir (Valtrex); valganciclovir (Valcyte); verapamil (Calan, Covera, Tarka, Verelan); ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi efavirenz, emtricitabine, ndi tenofovir, kapena atha kuonjezera chiwopsezo kuti chiwindi chitha kuwonongeka mukamalandira efavirenz, emtricitabine, ndi tenofovir, onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa , ngakhale omwe sapezeka pamndandandawu.
  • uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
  • auzeni adotolo ngati muli ndi nthawi yayitali ya QT (vuto la mtima losowa lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), kapena potaziyamu kapena magnesium m'magazi anu, omwe amamwa mowa kwambiri, amagwiritsa ntchito mankhwala osokoneza bongo , kapena mankhwala ogwiritsidwa ntchito mopitirira muyeso. Uzaninso dokotala wanu ngati mwakhalapo kapena mwakhalapo ndi zina mwazomwe zatchulidwa mgawo LOFUNIKITSA CHENJEZO, kukhumudwa kapena matenda ena amisala, mavuto amfupa kuphatikiza kufooka kwa mafupa (vuto lomwe mafupa amafooka ndi kufowoka ndikuthyoka mosavuta) kapena kuphwanya kwa mafupa , kugwidwa, kapena chiwindi kapena matenda a impso.
  • Uzani dokotala wanu ngati muli ndi pakati, kapena konzekerani kutenga pakati.Simuyenera kutenga pakati mukamalandira chithandizo komanso kwa milungu 12 mutatha kumwa. Ngati mutha kukhala ndi pakati, muyenera kukhala ndi mayeso olakwika musanatenge mankhwalawa ndikugwiritsa ntchito njira yolerera panthawi yachipatala. Efavirenz, emtricitabine, ndi tenofovir zingasokoneze zochita za njira zolerera za mahomoni (mapiritsi oletsa kubala, zigamba, mphete, zopangira, kapena jakisoni), chifukwa chake simuyenera kugwiritsa ntchito njirayi yokhayo yolerera mukamalandira chithandizo. Muyenera kugwiritsa ntchito njira yolepheretsa kulera (chipangizo chomwe chimatseketsa umuna kuti usalowe muchiberekero monga kondomu kapena diaphragm) limodzi ndi njira ina iliyonse yolerera yomwe mwasankha. Funsani dokotala wanu kuti akuthandizeni kusankha njira yolerera yomwe ingakuthandizeni. Mukakhala ndi pakati mukatenga efavirenz, emtricitabine, ndi tenofovir, itanani dokotala wanu mwachangu.
  • simuyenera kuyamwa ngati muli ndi kachilombo ka HIV kapena mukumwa efavirenz, emtricitabine, ndi tenofovir.
  • muyenera kudziwa kuti mafuta anu amthupi amatha kuchuluka kapena kusunthira mbali zosiyanasiyana za thupi lanu, monga msana wanu wam'mwamba, khosi ('' njati hump ''), mabere, komanso mozungulira m'mimba mwanu. Mutha kuwona kutaya mafuta m'thupi, kumaso, miyendo, ndi mikono.
  • 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 kapena amayambitsa zina. Izi zitha kukupangitsani kukhala ndi zizindikilo za matendawa kapena mikhalidwe. Ngati muli ndi zizindikiro zatsopano kapena zowonjezereka mukamamwa mankhwala a efavirenz, emtricitabine, ndi tenofovir onetsetsani kuti mwauza dokotala.
  • Muyenera kudziwa kuti efavirenz, emtricitabine, ndi tenofovir zimatha kukupangitsani kugona, chizungulire, kapena kulephera kuyika mtima. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
  • muyenera kudziwa kuti efavirenz, emtricitabine, ndi tenofovir zimatha kusintha malingaliro anu, machitidwe anu, kapena thanzi lanu. Itanani dokotala wanu nthawi yomweyo mukakhala ndi zizindikiro izi mukamamwa efavirenz: kukhumudwa, kuganiza zodzipha kapena kukonzekera kapena kuyesa kutero, kukwiya kapena kuchita ndewu, kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe), malingaliro achilendo, kapena kutayika kokhudzana ndi zenizeni. Onetsetsani kuti banja lanu likudziwa zomwe zingakhale zovuta kuti athe kuyimbira dokotala ngati simungathe kupeza chithandizo chanokha.
  • Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa efavirenz, emtricitabine, ndi tenofovir. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku efavirenz, emtricitabine, ndi tenofovir.
  • Muyenera kudziwa kuti efavirenz imatha kubweretsa mavuto amanjenje, kuphatikizapo encephalopathy (matenda owopsa omwe amatha kupha ubongo) miyezi kapena zaka mutangotenga efavirenz, emtricitabine, ndi tenofovir. Ngakhale mavuto amanjenje amatha kuyamba mutamwa efavirenz, emtricitabine, ndi tenofovir kwakanthawi, ndikofunikira kuti inu ndi dokotala muzindikire kuti atha kuyambitsidwa ndi efavirenz. Itanani dokotala wanu nthawi yomweyo ngati mukukumana ndi mavuto poyenda bwino, kulumikizana, kusokonezeka, kukumbukira kukumbukira, ndi zovuta zina zomwe zimayambitsidwa ndi ubongo wosagwira ntchito, nthawi iliyonse mukamalandira mankhwala a efavirenz, emtricitabine, ndi tenofovir. Dokotala wanu angakuuzeni kuti musiye kumwa efavirenz, emtricitabine, ndi tenofovir.

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


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.

Efavirenz, emtricitabine, ndi tenofovir zitha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • mutu
  • kutsegula m'mimba
  • mpweya
  • kudzimbidwa
  • kuda kwa khungu, makamaka m'manja kapena pamapazi
  • khungu lotumbululuka
  • kuvuta kugona kapena kugona
  • chisokonezo
  • kuyiwala
  • kumva kukhumudwa, kuda nkhawa, kapena kuchita mantha
  • chisangalalo chachilendo
  • maloto achilendo
  • kulumikizana kapena kupweteka kwa msana
  • kuyabwa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:

  • kuchepa pokodza
  • kukodza kwambiri
  • ludzu lowonjezeka
  • kupweteka kwapafupa kosalekeza
  • kuphwanya mafupa
  • kupweteka m'manja, manja, mapazi, kapena miyendo
  • kupweteka kwa minofu kapena kufooka
  • zidzolo
  • khungu, kuphulika, kapena khungu
  • dzanzi, kutentha, kapena kumva kulasalasa m'manja, mikono, mapazi, kapena miyendo
  • kutupa kwa nkhope, mmero, lilime, milomo, maso, miyendo, akakolo, kapena mapazi
  • zovuta kumeza kapena kupuma
  • ukali
  • kugwidwa
  • zizindikiro ngati chimfine
  • nseru
  • kusanza
  • kutopa kwambiri
  • chikasu cha khungu kapena maso; kusuntha kwamatumbo; mkodzo wakuda wachikaso kapena bulauni; kusowa chilakolako; kupweteka kumtunda chakumanja kwam'mimba; kapena kutuluka mwachilendo kapena kuvulala
  • kufooka; kupweteka kwa minofu; kupuma movutikira kapena kupuma mwachangu; kupweteka m'mimba ndi nseru ndi kusanza; ozizira kapena abuluu manja ndi mapazi; kumva chizungulire kapena wopepuka; kapena kugunda kwamtima mwachangu kapena mosasinthasintha

Efavirenz, emtricitabine, ndi tenofovir zimatha 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:

  • mayendedwe amthupi lanu omwe simungathe kuwongolera
  • chizungulire
  • zovuta kulingalira
  • manjenje
  • chisokonezo
  • kuyiwala
  • kuvuta kugona kapena kugona
  • maloto achilendo
  • Kusinza
  • kuyerekezera zinthu m'maganizo (kuwona zinthu kapena kumva mawu omwe kulibe)
  • chisangalalo chachilendo
  • malingaliro achilendo

Musanayesedwe mu labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa efavirenz, emtricitabine, ndi tenofovir.

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

Khalani ndi efavirenz, emtricitabine, ndi tenofovir m'manja. Musayembekezere mpaka mutatsala pang'ono kumwa mankhwala kuti mudzaze 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.

  • Atripla® (monga chinthu chophatikiza chomwe chili ndi Efavirenz, Emtricitabine, Tenofovir)
Idasinthidwa Komaliza - 04/15/2020

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