Wokongola

Zamkati

• Musanatenge pretomanid,
• Pretomanid imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:

Pretomanid imagwiritsidwa ntchito limodzi ndi bedaquiline (Sirturo) ndi linezolid (Zyvox) kuchiza TB yolimbana ndi mankhwala ambiri (MDR-TB; matenda akulu omwe amakhudza mapapu omwe sangachiritsidwe ndi mankhwala ena) mwa akulu. Pretomanid ili m'gulu la mankhwala otchedwa antimycobacterials. Zimagwira ntchito popha mabakiteriya omwe amayambitsa chifuwa chachikulu.

Pretomanid imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi tsiku lililonse ndi chakudya kwa milungu 26 kapena kupitilira apo. Tengani pretomanid mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani pretomanid chimodzimodzi monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza mapiritsi athunthu ndi madzi.

Pitirizani kumwa pretomanid mpaka mutatsiriza mankhwala ndipo musaphonye mlingo, ngakhale mutakhala bwino. Mukasiya kumwa pretomanid posachedwa kapena kudumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo mabakiteriya amatha kulimbana ndi maantibayotiki. Izi zipangitsa kuti matenda anu azikhala ovuta kuchiza mtsogolo. Mutha kutenga nawo gawo pulogalamu yodziwikiratu kuti muwonetsetse kuti mukumwa mankhwala anu onse monga akuwuzira. Pulogalamuyi, wogwira ntchito yazaumoyo azikupatsani mlingo uliwonse wamankhwala ndipo azikuwonani mukamamwa mankhwalawo.

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

Musanatenge pretomanid,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi matupi awo sagwirizana ndi mankhwala a pretomanid, bedaquiline, linezolid, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a pretomanid. 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: efavirenz (Sustiva, ku Atripla), methotrexate (Rheumatrex, Trexall), kapena rifampin (Rifadin, Rimactane, ku Rifamate, ku Rifater). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi pretomanid, onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St. Musatenge wort wa St. John kapena mankhwala ena azitsamba mukamamwa pretomanid.
• auzeni adotolo ngati inu kapena abale anu muli ndi matenda a QT (zomwe zimawonjezera chiopsezo chokhala ndi kugunda kwamtima kosafunikira komwe kumatha kukomoka kapena kufa mwadzidzidzi), kapena mtundu wina wamatenda osagwirizana ndi mtima kapena vuto la mtima. Komanso, uzani dokotala ngati mwakhalapo ndi calcium, magnesium kapena potaziyamu wambiri m'magazi anu, matenda a mtima, kulephera kwa mtima (HF; momwe mtima sungapope magazi okwanira mbali zina za thupi) , khunyu, kachilombo ka HIV, kapena chithokomiro, chiwindi kapena matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga pretomanid, itanani dokotala wanu.
• muyenera kudziwa kupewa kumwa zakumwa zoledzeretsa. Kumwa mowa kumawonjezera chiopsezo kuti mudzakhala ndi zovuta zoyipa kuchokera ku pretomanid.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Pretomanid imatha kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• ziphuphu
• mutu
• kutentha pa chifuwa
• kusowa chilakolako
• kuonda
• zidzolo
• kuyabwa
• kupweteka m'mimba
• nseru
• kusanza
• kutsegula m'mimba
• kudzimbidwa
• khungu lowuma
• kuvuta kugona kapena kugona

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

• kusowa kwa njala, nseru, maso achikaso kapena khungu, kupweteka kumtunda wakumanja kwa m'mimba, kapena mkodzo wakuda
• kupweteka, dzanzi, kapena kufooka m'manja, mapazi, kapena ziwalo zina za thupi; kapena mavuto moyenera
• masomphenya amasintha
• kuthamanga kapena kusakhazikika kwamtima; kumva chizungulire; kapena kukomoka
• khungu lotuwa kapena kutopa kwambiri
• nseru mobwerezabwereza ndi kusanza; kupuma mofulumira; chisokonezo; kapena kumva kutopa
• mwadzidzidzi, kupweteka kowawa pachifuwa, makamaka popumira ndi kutuluka

Pretomanid imatha 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 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.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu likuyankhira ku pretomanid. Muyenera kukhala ndi electrocardiogram (ECG; mayeso omwe amayesa magetsi pamtima) musanalandire chithandizo komanso kangapo mukamalandira chithandizo kuti muwone momwe mankhwalawa amakhudzira kugunda kwa mtima wanu.

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.