Mlembi: Clyde Lopez
Tsiku La Chilengedwe: 23 Kulayi 2021
Sinthani Tsiku: 14 Novembala 2024
Anonim
Doravirine, Lamivudine, ndi Tenofovir - Mankhwala
Doravirine, Lamivudine, ndi Tenofovir - Mankhwala

Zamkati

Kuphatikiza kwa doravirine, lamivudine, ndi tenofovir sikuyenera 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 akhoza kukuyesani kuti muone ngati muli ndi HBV musanayambe kumwa mankhwala ndi doravirine, lamivudine, ndi tenofovir. Ngati muli ndi HBV ndipo mutenga doravirine, lamivudine, ndi tenofovir, matenda anu akhoza kukulirakulira mwadzidzidzi mukasiya kumwa doravirine, lamivudine, ndi tenofovir.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amakupimitsani ndikukuyesani mayeso a labu musanamwe, nthawi, komanso pafupipafupi kwa miyezi ingapo mutasiya kumwa doravirine, lamivudine, ndi tenofovir.

Lankhulani ndi dokotala wanu za chiopsezo chotenga doravirine, lamivudine, ndi tenofovir.

Kuphatikiza kwa doravirine, lamivudine, ndi tenofovir kumagwiritsidwa ntchito pochizira matenda opatsirana pogonana a HIV mwa achikulire omwe sanalandire mankhwala ena a HIV. Kuphatikizaku kumagwiritsidwanso ntchito m'malo mwa mankhwala omwe alipo pakadali pano mwa anthu ena omwe amamwa kale mankhwala a HIV. Doravirine ali mgulu la mankhwala otchedwa non-nucleoside reverse transcriptase inhibitors (NNRTIs). Lamivudine ndi tenofovir ali mgulu la mankhwala otchedwa nucleoside reverse transcriptase inhibitors (NRTIs). Kuphatikiza kwa doravirine, lamivudine, ndi tenofovir kumagwira ntchito pochepetsa kuchuluka kwa kachirombo ka HIV mthupi. Ngakhale kuphatikiza kwa doravirine, lamivudine, ndi tenofovir sikuchiza kachilombo ka HIV, kungachepetse 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 (kufalitsa) kachirombo ka HIV kwa anthu ena.


Kuphatikiza kwa doravirine, lamivudine, ndi tenofovir kumabwera ngati gome loti mutenge pakamwa. Nthawi zambiri amatengedwa popanda chakudya kamodzi patsiku. Tengani doravirine, lamivudine, ndi tenofovir mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani doravirine, lamivudine, ndi tenofovir ndendende monga mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kuphatikiza kwa doravirine, lamivudine, ndi tenofovir kumathandiza kuchepetsa kachilombo ka HIV koma sikumachiza. Pitirizani kumwa doravirine, lamivudine, ndi tenofovir ngakhale mutakhala bwino. Osasiya kumwa doravirine, lamivudine, ndi tenofovir osalankhula ndi dokotala. Mukaleka kumwa doravirine, lamivudine, ndi tenofovir kapena kuphonya mlingo, matenda anu akhoza kukhala ovuta kuchiza. Doravirine, lamivudine, ndi tenofovir zikayamba kuchepa, pezani zambiri kuchokera kwa dokotala kapena wamankhwala.


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 doravirine, lamivudine, ndi tenofovir,

  • uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la doravirine, lamivudine, ndi tenofovir, mankhwala ena aliwonse, kapena zosakaniza zilizonse za doravirine, lamivudine, ndi mapiritsi a tenofovir. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
  • Uzani dokotala ngati mukumwa carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), enzalutamide (Xtandi), mitotane (Lysodren), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), rifampin (Rifampin (Rifampin) mu Rifamate, mu Rifater), rifapentine (Priftin), kapena wort wa St. Dokotala wanu angakuuzeni kuti musatenge doravirine, lamivudine, ndi tenofovir ngati mukumwa mankhwala amodzi kapena angapo kapena mwamwa umodzi mwa masabata 4 apitawa.
  • 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: acyclovir (Sitavig, Zovirax); aminoglycosides monga amikacin, gentamicin, streptomycin, ndi tobramycin; aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); cidofovir; ganciclovir (cytovene); ledipasvir / sofosbuvir (Harvoni); sofosbuvir / velpatasvir (Epculsa); sorbitol kapena mankhwala omwe ali ndi sorbitol; valacyclovir (Valtrex); ndi valganciclovir (Valcyte). Uzani dokotala wanu ngati mukumwa rifabutin (Mycobutin) kapena mwamwa masabata 4 apitawa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi doravirine, lamivudine, ndi tenofovir, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
  • uzani adotolo ngati muli ndi zina mwazomwe zatchulidwa mgawo la CHENJEZO LOFUNIKA, kapena ngati mwakhalapo ndi vuto la mafupa kuphatikiza kufooka kwa mafupa (vuto lomwe mafupa amafooka ndi kufooka ndikuphwanya mosavuta), mafupa amphaka, kapena impso matenda.
  • auzeni adotolo ngati mwadwala kapena simunakhalepo ndi matenda omwe samatha kapena omwe amabwera ndikadwala monga cytomegalovirus (CMV; kachilombo koyambitsa matenda komwe kumatha kuyambitsa zizindikiro mwa odwala omwe ali ndi chitetezo chamthupi chofooka), mycobacterium avium complex disease (MAC; matenda a bakiteriya omwe angayambitse matenda aakulu kwa anthu omwe ali ndi Edzi), chibayo, kapena chifuwa chachikulu (TB; mtundu wa matenda am'mapapo); kapena matenda omwe amadzichitira okha (zinthu zomwe zimachitika pomwe chitetezo chamthupi chimagunda maselo athanzi mthupi mosazindikira) monga matenda a Graves (momwe thupi limagwirira chithokomiro kuchititsa kuti likhale lotakataka), polymyositis (zomwe zimayambitsa kufooka kwa minofu koma osati zotupa pakhungu), Matenda a Guillain-Barré (kufooka, kumva kulira, komanso ziwalo zotheka chifukwa cha kuwonongeka kwamitsempha mwadzidzidzi), komanso matenda a chiwindi a autoimmune (momwe maselo amthupi amatetezera chiwindi).
  • Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Mukakhala ndi pakati mukatenga doravirine, lamivudine, ndi tenofovir, itanani dokotala wanu. Uzani dokotala wanu ngati mukuyamwitsa. Simuyenera kuyamwa ngati muli ndi kachilombo ka HIV kapena ngati mukumwa doravirine, lamivudine, ndi tenofovir.
  • 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 doravirine, lamivudine, ndi tenofovir onetsetsani kuti mwauza dokotala.

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.

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

  • chizungulire
  • nseru
  • maloto achilendo
  • kuvuta kugona kapena kugona
  • Kusinza
  • kutsegula m'mimba

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

  • kuchepa kukodza kapena kutupa kwa miyendo
  • kupweteka kwa mafupa; kupweteka kwa mikono kapena miyendo; kupweteka kwa minofu kapena kufooka; kapena kuphwanya fupa

Doravirine, lamivudine, ndi tenofovir 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 mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Musachotse desiccant (wouma) mu botolo.

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.

Sungani doravirine, lamivudine, ndi tenofovir m'manja. Musayembekezere mpaka mutatsala pang'ono kumwa mankhwala kuti mudzaze mankhwala anu.

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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