Letermovir jekeseni
Zamkati
- Musanagwiritse ntchito jakisoni wa letermovir,
- Jekeseni ya Letermovir itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
Jekeseni ya Letermovir imagwiritsidwa ntchito kuthandiza kupewa matenda a cytomegalovirus (CMV) mwa anthu ena omwe alandila ma hematopoietic stem-cell transplant (HSCT; njira yomwe imalowetsa m'mafupa odwala ndi mafupa athanzi) ndipo ali pachiwopsezo chachikulu chotenga CMV matenda. Letermovir ali mgulu la mankhwala otchedwa antivirals. Zimagwira pochepetsa kukula kwa CMV.
Jakisoni wa Letermovir amabwera ngati madzi oti azitsukidwa ndikupatsidwa kudzera m'mitsempha (mumtsempha). Nthawi zambiri amabayidwa pang'onopang'ono kwa ola limodzi. Nthawi zambiri amaperekedwa kamodzi patsiku malinga ngati simungathe kumwa mapiritsi a letermovir pakamwa.
Mutha kulandira jakisoni wa letermovir kuchipatala, kapena mutha kupereka mankhwalawo kunyumba. Ngati mukulandira jakisoni wa letermovir kunyumba, wothandizira zaumoyo wanu akuwonetsani momwe mungagwiritsire ntchito mankhwalawa. Onetsetsani kuti mumvetsetsa izi, ndipo funsani omwe akukuthandizani ngati muli ndi mafunso.
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.
Musanagwiritse ntchito jakisoni wa letermovir,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la letermovir, mankhwala aliwonse, kapena chilichonse chazomwe zimaphatikizidwa mu jakisoni wa letermovir. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- uzani adotolo ngati mukumwa ma alkaloid ergotamine (Ergomar, ku Cafergot, Migergot) ndi dihydroergotamine (DHE 45, Migranal), ndi pimozide (Orap). Dokotala wanu angakuwuzeni kuti musamwe mankhwalawa ngati mukugwiritsa ntchito jakisoni wa letermovir Komanso muuzeni dokotala ngati mukumwa cyclosporine limodzi ndi simvastatin kapena pitavastatin. Dokotala wanu angakuuzeni kuti musamwe mankhwalawa ndi letermovir.
- 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: amiodarone (Nexterone, Pacerone); cyclosporine (Gengraf, Neoral, Sandimmune); fentanyl (Actiq, Duragesic, Subsys, ena); glyburide (Diabeta, Glynase); HMG-CoA reductase inhibitors monga atorvastatin (Lipitor, ku Caduet), fluvastatin (Lescol), lovastatin (Altoprev), pitavastatin (Livalo, Zypitamag), pravastatin (Pravachol), rosuvastatin (Crestor), ndi simvastatin (Flolipid, Floripid, Floripid) Vytorin); omeprazole (Prilosec, ku Yosprala, Zegerid); pantoprazole (Protonix); phenytoin (Dilantin, Phenytek); rifampin (Rifadin, Rimactane, ku Rfater, Rifamate); mankhwala (Rapamune); quinidine (mu Nuedexta); repaglinide (Prandin); rosiglitazone (Avandia); tacrolimus (Astagraf, Envarsus, Prograf); voriconazole (Vfend); ndi warfarin (Coumadin, Jantoven). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi jakisoni wa letermovir, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
- uzani dokotala wanu ngati mwakhalapo ndi matenda a impso kapena chiwindi.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito jakisoni wa letermovir, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito jakisoni wa letermovir.
Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.
Jekeseni ya Letermovir itha kuyambitsa zovuta zina. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- nseru
- kusanza
- kutsegula m'mimba
- kupweteka m'mimba
- kutupa kwa mikono kapena miyendo yanu
- mutu
- kutopa kwambiri
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala wanu nthawi yomweyo:
- kuthamanga kapena kusakhazikika kwamtima; kumva kufooka kapena chizungulire, kupuma movutikira, kupweteka pachifuwa
Jekeseni ya Letermovir itha kubweretsa 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 maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira letermovir.
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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