Didanosine

Zamkati

• Asanatenge didanosine,
• Didanosine ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati chizindikiro ichi ndi choopsa kapena sichitha:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu:
• Zizindikiro za bongo zingaphatikizepo izi:

Didanosine imatha kuyambitsa kapamba woopsa kapena wowopsa (kutupa kwa kapamba). Uzani dokotala wanu ngati mumamwa kapena mumamwa mowa wambiri komanso ngati mwayamba kale kudwala kapamba, kapamba kapena matenda a impso. nseru, kusanza, kapena malungo.

Didanosine imatha kuwononga chiwindi pachiwopsezo komanso chiwopsezo chowopsa chotchedwa lactic acidosis (kuchuluka kwa lactic acid m'magazi). Chiwopsezo choti ungakhale ndi lactic acidosis chikhoza kukhala chachikulu ngati uli mzimayi, ngati uli wonenepa kwambiri, kapena ngati udalandira mankhwala a HIV kwa nthawi yayitali. Uzani dokotala wanu ngati mwakhalapo kapena mukudwala matenda a chiwindi. Uzani dokotala wanu ngati mukumwa stavudine (Zerit). Dokotala wanu angakuuzeni kuti musatenge didanosine ngati mukumwa mankhwalawa. Ngati mukumane ndi izi, pitani kuchipatala msanga kapena mulandire chithandizo chamankhwala mwadzidzidzi: kupuma movutikira; kupuma mofulumira; kusintha kwa kugunda kwa mtima; nseru; kusanza; kusowa chilakolako; kuonda; kutsegula m'mimba; ululu kumtunda chakumanja kwa m'mimba mwanu; kutuluka mwachilendo kapena kuvulala; chikasu cha khungu kapena maso; mkodzo wakuda; kusuntha kwamatumbo; kutopa kwambiri; manja ndi mapazi ozizira kapena abuluu; kapena kupweteka kwa minofu.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amalamula mayeso ena a labu kuti muwone kuyankha kwa thupi lanu ku didanosine.

Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito didanosine.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi didanosine ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kapena tsamba laopanga kuti mupeze Medication Guide.

Didanosine imagwiritsidwa ntchito limodzi ndi mankhwala ena kuchiza matenda a kachirombo ka HIV. Didanosine ali mgulu la mankhwala otchedwa nucleoside reverse transcriptase inhibitors (NRTIs). Zimagwira ntchito pochepetsa kuchuluka kwa kachilombo ka HIV m'magazi. Ngakhale kuti didanosine sichitha kachilombo ka HIV, imatha kuchepetsa 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.

Didanosine imabwera ngati makapisozi otulutsidwa (otenga nthawi yayitali) komanso ngati yankho lakumwa (madzi) kumwa pakamwa. Njira yothetsera pakamwa nthawi zambiri imamwedwa kamodzi kapena kawiri patsiku mphindi 30 kapena maola awiri mutadya. Ma capsule otulutsidwa nthawi zambiri amatengedwa kamodzi patsiku pamimba yopanda kanthu. Imwani mankhwala a didanosine nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani didanosine ndendende monga momwe adauzira. Musatenge pang'ono kapena pang'ono, kapena muzitenga nthawi zambiri kuposa momwe adanenera dokotala.

Ngati mukugwiritsa ntchito makapisozi otulutsidwa, amezeni kwathunthu; osagawanitsa, kutafuna, kuwaphwanya, kuwaswa, kapena kuwasungunula. Uzani dokotala wanu ngati mukulephera kumeza makapisozi otulutsidwa.

Ngati mukumwa mankhwalawa, muyenera kuigwedeza musanagwiritse ntchito mankhwalawa mofanana. Gwiritsani ntchito supuni kapena chikho choyezera mlingo kuti muyese kuchuluka kwa madzi pamlingo uliwonse, osati supuni yanyumba yokhazikika.

Didanosine amalamulira kachilombo ka HIV koma samachiritsa. Pitirizani kumwa didanosine ngakhale mukumva bwino. Osasiya kumwa mankhwala a didanosine osalankhula ndi dokotala. Ngati mwaphonya Mlingo kapena kusiya kumwa didanosine, vuto lanu lingakhale lovuta kuchiza.

Didanosine nthawi zina amagwiritsidwanso ntchito ndi mankhwala ena kuti athandize kupewa matenda mwa ogwira ntchito zaumoyo kapena anthu ena omwe adapezeka ndi HIV mwangozi. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

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

Asanatenge didanosine,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi mankhwala a didanosine, mankhwala ena aliwonse, kapena zosakaniza zilizonse mu makapisozi a didanosine kapena yankho. Funsani wamankhwala wanu kapena onani Chithandizo cha Mankhwala kuti mupeze mndandanda wazosakaniza.
• Uzani dokotala wanu ngati mukumwa allopurinol (Aloprim, Lopurin, Zyloprim), kapena ribavirin (Copegus, Rebetol, Virazole). Dokotala wanu angakuuzeni kuti musamwe didanosine ngati mukumwa mankhwala amodzi kapena onse awiriwa.
• 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 mankhwala aliwonse omwe ali mgawo la CHENJEZO LOFUNIKA ndi zotsatirazi: maantibayotiki okhala ndi aluminium kapena magnesium (Maalox, Mylanta, ena): maantifungal monga itraconazole (Sporanox) ndi ketoconazole; atazanvir (Reyataz); maantibayotiki monga ciprofloxacin (Cipro), gatifloxacin (Tequin), moxifloxacin (Avelox), ofloxacin (Floxin), pentamidine (Nebupent, Pentam), sulfamethoxazole ndi trimethoprim (Bactrim, Septra), ndi tetracycline (Sumycin); cabazitaxel (Jevtana); dapsone (Aczone); delavirdine (Wolemba) docetaxel (Taxotere); ganciclovir (cytovene); hydroxyurea (Droxia, Hydrea); indinavir (Crixivan); methadone (Dolophine, Methadose); nelfinavir (Viracept); paclitaxel (Abraxane, Taxol); pentamidine (Nebupent, Pentam); ranitidine (Zantac); mwambo (Norvir); sulfamethoxazole ndi trimethoprim (Bactrim, Septra). tenofovir (Viread); nsonga (Aptivus); valganciclovir (Valcyte); kapena vincristine (Marqibo). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu, kusintha mukamamwa mankhwala anu, kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi didanosine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• uzani dokotala wanu ngati mwakhalapo ndi zotumphukira za m'mitsempha (dzanzi, kumva kulasalasa, kuwotcha, kapena kumva kupweteka m'manja kapena m'miyendo, kapena kuchepa kwakumva kutentha kapena kugwira mmanja kapena m'miyendo) kapena matenda a impso.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga didanosine, itanani dokotala wanu.Simuyenera kuyamwa ngati muli ndi kachilombo ka HIV kapena ngati mukumwa didanosine.
• muyenera kudziwa kuti didanosine imatha kubweretsa zovuta zomwe zimayenera kuthandizidwa nthawi yomweyo zisanachitike. Ana omwe amamwa didanosine sangathe kukuwuzani za zovuta zomwe akumva. Ngati mukupereka didanosine kwa mwana, funsani dokotala wa mwanayo momwe mungadziwire ngati mwanayo ali ndi zotsatirapo zoyipa izi.
• muyenera kudziwa kuti mutha kutaya mafuta amthupi kumaso, miyendo, mikono, ndi matako. Lankhulani ndi dokotala mukawona kusintha uku.
• 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. Izi zitha kukupangitsani kukhala ndi zizindikilo za matendawa. Ngati muli ndi zizindikilo zatsopano kapena zoyipa mutayamba kumwa mankhwala ndi didanosine, 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.

Didanosine ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati chizindikiro ichi ndi choopsa kapena sichitha:

• mutu

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi kapena izi zomwe zatchulidwa mgulu la Chenjezo LOFUNIKA, itanani dokotala wanu mwachangu:

• ming'oma
• zidzolo
• kuyabwa
• kuvuta kupuma kapena kumeza
• dzanzi, kumva kulasalasa, kuwotcha, kapena kupweteka m'manja kapena m'mapazi
• masomphenya amasintha
• kuvuta kuwona mitundu bwino

Didanosine imatha 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 makapisozi a didanosine mu chidebe chomwe adalowamo, chatsekedwa mwamphamvu, komanso chosafikirika ndi ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Sungani mankhwala am'mimba a didanosine mufiriji, otsekedwa mwamphamvu, ndikuchotsa mankhwala osagwiritsidwa ntchito pakatha masiku 30.

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.

Zizindikiro za bongo zingaphatikizepo izi:

• kutsegula m'mimba
• dzanzi, kumva kulasalasa, kuwotcha, kapena kupweteka m'manja kapena m'mapazi
• nseru
• kusanza
• kusowa chilakolako
• kupweteka m'mimba
• kutupa kwa m'mimba
• kupweteka kwa minofu kapena molumikizana
• kutopa kwambiri
• kufooka
• chizungulire
• wamisala
• kuthamanga, kuchepa kapena kusakhazikika kwamtima
• kupuma kwambiri kapena mwachangu
• kupuma movutikira
• mkodzo wachikasu kapena wabulauni
• kutuluka mwachilendo kapena kuphwanya
• kusanza chinthu chamagazi kapena chowoneka ngati malo a khofi
• mipando yakuda
• chikasu cha khungu kapena maso
• kumva kuzizira
• malungo
• zizindikiro ngati chimfine

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Sungani chakudya cha didanosine. Musayembekezere mpaka mutatsala pang'ono kumwa mankhwala kuti mudzaze 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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• Kutulutsa^®

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