Jekeseni wa Amphotericin B

Zamkati

• Asanalandire jakisoni wa amphotericin B,
• Jekeseni wa Amphotericin B ungayambitse 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:
• Zizindikiro za bongo zingaphatikizepo:

Jekeseni wa Amphotericin B imatha kuyambitsa zovuta zoyipa. Iyenera kugwiritsidwa ntchito kokha kuchiza matenda opatsirana a mafangasi komanso osapewa matenda opatsirana pang'ono a mkamwa, pakhosi, kapena kumaliseche kwa odwala omwe ali ndi chitetezo chamthupi (chitetezo chachilengedwe cha matenda ku matenda).

Lankhulani ndi dokotala wanu za kuopsa kolandila jakisoni wa amphotericin B.

Jekeseni wa Amphotericin B amagwiritsidwa ntchito pochiza matenda owopsa komanso owopsa. Jekeseni wa Amphotericin B uli mgulu la mankhwala otchedwa antifungals. Zimagwira ntchito pochepetsa kukula kwa bowa komwe kumayambitsa matenda.

Jekeseni wa Amphotericin B umabwera ngati keke yolimba ya ufa kuti ipangidwe yankho kenako ndikubayidwa kudzera m'mitsempha (mumtsempha) ndi namwino kapena dokotala. Jekeseni wa Amphotericin B nthawi zambiri amalowetsedwa (jekeseni pang'onopang'ono) kudzera m'mitsempha mkati mwa maola 2 mpaka 6 kamodzi tsiku lililonse. Musanalandire mlingo wanu woyamba, mutha kulandira mayeso pamphindi 20 mpaka 30 kuti muwone ngati mungalolere mankhwalawo. Kutalika kwa chithandizo chanu kumadalira thanzi lanu lonse, momwe mumalekerera mankhwalawo, ndi mtundu wa matenda omwe muli nawo.

Mutha kukumana ndi zomwe mungachite mukalandira jakisoni wa amphotericin B. Izi zimachitika nthawi zambiri 1 mpaka 3 maola mutayamba kulowetsedwa ndipo zimakhala zovuta kwambiri ndi mankhwala ochepa oyamba. Wothandizira zaumoyo wanu akhoza kukupatsani mankhwala ena kuti muchepetse zotsatirazi. Uzani dokotala wanu nthawi yomweyo mukakumana ndi zina mwazizindikirozi mukalandira jakisoni wa amphotericin B: malungo, kuzizira, kusowa chilakolako, kunyoza, kusanza, chizungulire, mavuto opuma, kapena kupweteka mutu.

Mutha kulandira jakisoni wa amphotericin B kuchipatala kapena mutha kugwiritsa ntchito mankhwalawa kunyumba. Ngati mukugwiritsa ntchito jakisoni wa amphotericin B kunyumba, wokuthandizani adzakuwonetsani momwe mungaperekere mankhwala. Onetsetsani kuti mumvetsetsa izi, ndipo funsani omwe akukuthandizani ngati muli ndi mafunso. Funsani omwe akukuthandizani zaumoyo kuti achite chiyani ngati muli ndi vuto loyambitsa jakisoni wa amphotericin B.

Ngati zizindikiro zanu sizikukula kapena kukulirakulira mukalandira amphotericin B, uzani dokotala wanu. Ngati muli ndi zizindikiro za matenda mukamaliza jekeseni wa amphotericin B, uzani dokotala wanu.

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

Asanalandire jakisoni wa amphotericin B,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi matupi awo sagwirizana ndi amphotericin B, mankhwala ena aliwonse, kapena chilichonse mwazipangizo za amphotericin B. Funsani wamankhwala wanu kuti awonetse 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: aminoglycoside maantibayotiki monga amikacin, gentamicin, kapena tobramycin (Bethkis, Kitabis Pak, Tobi); antifungals monga clotrimazole, fluconazole (Diflucan), itraconazole (Onmel, Sporanox), ketoconazole (Extina, Nizoral, Xolegel), ndi miconazole (Oravig, Monistat); corticotropin (HP Acthar Gel); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); flucytosine (Ancobon); mankhwala ochizira khansa monga mpiru wa nayitrogeni; pentamidine (Nebupent, Pentam); ndi steroids amlomo monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mukuthiridwa magazi a leukocyte (cell oyera).
• uzani dokotala wanu ngati mwakhalapo ndi matenda a impso.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukalandira jakisoni wa amphotericin B, itanani dokotala wanu. Osamayamwa mukalandira jakisoni wa amphotericin B.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukulandira jakisoni wa amphotericin B.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Jekeseni wa Amphotericin B ungayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• kupweteka m'mimba kapena kupweteka
• kutentha pa chifuwa
• kutsegula m'mimba
• kuonda
• mafupa, minofu, kapena kulumikizana
• kusowa mphamvu
• kufiira kapena kutupa pamalo obayira
• khungu lotumbululuka
• kupuma movutikira
• chizungulire
• mutu
• kuzizira m'manja ndi m'mapazi

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

• zidzolo
• matuza kapena ming'oma
• kuchapa
• kupuma
• kuvuta kupuma
• kuyabwa
• chikasu cha khungu kapena maso
• kuchepa pokodza

Jekeseni wa Amphotericin B ungayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukalandira 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).

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:

• kupweteka pachifuwa
• kupuma movutikira
• chizungulire
• kutaya chidziwitso
• kuthamanga, kusasinthasintha, kapena kugunda kwamtima

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzaitanitsa mayesero ena a labu panthawi ya chithandizo kuti muwone momwe thupi lanu likuyankhira jakisoni wa amphotericin B.

Musalole kuti wina aliyense agwiritse ntchito 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.