Nifurtimox

Zamkati

• Musanatenge nifurtimox,
• Nifurtimox ingayambitse mavuto. 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:

Nifurtimox amagwiritsidwa ntchito pochiza matenda a Chagas (matenda omwe amabwera chifukwa cha tiziromboti) mwa ana kuyambira pakubadwa mpaka zaka 18 omwe amalemera pafupifupi 5.5 kg. Nifurtimox ali mgulu la mankhwala otchedwa antiprotozoals. Zimagwira ntchito popha zamoyo zomwe zingayambitse matenda a Chagas.

Nifurtimox imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa ndi chakudya katatu patsiku kwa masiku 60. Tengani nifurtimox mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani nifurtimox ndendende monga momwe mwalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mapiritsi a nifurtimox amachotsedwa kuti athe kugawanika pakati. Ngati dokotala wakuwuzani kuti mutenge gawo limodzi lokha la piritsi, gwirani piritsi pakati pa chala chanu chachikulu ndi zala zanu pafupi ndi mzere womwe mwalemba ndikukakamiza kuti mulekanitse mlingo womwe mwapeza. Musaphwanye mapiritsi ndi piritsi logawanika.

Ngati mukulephera kumeza mapiritsiwo, mutha kuwasungunula m'madzi. Onjezani theka la supuni (2.5 ml) yamadzi mu supuni. Ikani kuchuluka kwa mapiritsi (kapena magawo a mapiritsi) pa supuni ndi madzi. Dikirani masekondi 30 kuti mapiritsiwo asungunuke mu supuni. Tengani chisakanizo nthawi yomweyo ndi chakudya.

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 nifurtimox,

• Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la nifurtimox, mankhwala ena aliwonse, kapena chilichonse mwazomwe zimaphatikizidwa pamapiritsi a nifurtimox. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala ngati mumamwa zakumwa zoledzeretsa kapena mumamwa mankhwala okhala ndi mowa. Dokotala wanu angakuuzeni kuti musamamwe zakumwa zoledzeretsa kapena kumwa mankhwala okhala ndi mowa mukamamwa mankhwalawa.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni adotolo ngati munadwalapo ubongo, khunyu, kapena matenda amisala kapena kusintha kwamakhalidwe. Uzani dokotala wanu ngati mwakhalapo ndi porphyria (matenda obadwa nawo amwazi womwe ungayambitse khungu kapena vuto lamanjenje) kapena matenda a chiwindi kapena a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, mutha kukhala ndi pakati, kapena kukhala ndi mwana. Azimayi omwe angakhale ndi pakati ayenera kuyezetsa asanatenge mankhwalawa. Muyenera kugwiritsa ntchito njira zakulera kuti muchepetse mimba mukamalandira chithandizo komanso kwa miyezi 6 mutalandira mankhwala anu omaliza. Amuna omwe ali ndi akazi omwe angathe kutenga pakati ayenera kugwiritsa ntchito kondomu nthawi yachipatala komanso kwa miyezi itatu mutatha kumwa. Mukakhala ndi pakati mukatenga nifurtimox, itanani dokotala wanu. Nifurtimox ingayambitse vuto la fetus.
• Uzani dokotala wanu ngati mukuyamwitsa. Ngati mutenga nifurtimox pamene mukuyamwitsa, mwana wanu akhoza kulandira nifurtimox mu mkaka wa m'mawere. Onetsetsani mwana wanu mwatcheru kuti asanza, kuthamanga, kusowa chilakolako, kutentha thupi, kapena kukwiya. Itanani dokotala ngati mwana wanu ali ndi izi.
• Muyenera kudziwa kuti mankhwalawa amachepetsa kubereka mwa amuna. Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito nifurtimox.
• muyenera kudziwa kuti nifurtimox imatha kupangitsa kufooka kwa minofu kapena kunjenjemera. Osayendetsa galimoto, njinga, kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo wosowa mukangokumbukira ndi chakudya. Komabe, ngati ili mkati mwa maola atatu a mlingo wotsatira, tulukani mlingo womwe mwaphonya ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Nifurtimox ingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kusanza
• kupweteka m'mimba
• kusowa chilakolako
• kuonda
• nseru
• kutsegula m'mimba
• mutu
• chizungulire
• malungo
• khungu lotuwa kapena kupuma movutikira

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

• zidzolo, ming'oma, kuyabwa, kutupa pakhosi ndi nkhope, kapena kupuma movutikira

Nifurtimox ingayambitse mavuto ena. 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 (paketi yaying'ono yomwe ili ndi chinthu chomwe chimamwa chinyezi kuti mankhwala aziuma).

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.

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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