Ribavirin: mankhwala a chiwindi C
Zamkati
Ribavirin ndi chinthu chomwe, chikagwirizanitsidwa ndi mankhwala ena ake, monga alpha interferon, amawonetsedwa pochiza matenda a chiwindi a C.
Mankhwalawa ayenera kugwiritsidwa ntchito pokhapokha ngati adalangizidwa ndi adotolo ndipo atha kugulidwa mukamapereka mankhwala.
Ndi chiyani
Ribavirin amawonetsedwa ngati chithandizo cha matenda otupa chiwindi a C mwa akulu ndi ana azaka zopitilira zaka zitatu, kuphatikiza mankhwala ena a matendawa, ndipo sayenera kugwiritsidwa ntchito paokha.
Phunzirani momwe mungadziwire zizindikiro za hepatitis C.
Momwe mungatenge
Mlingo woyenera umasiyanasiyana kutengera zaka, kulemera kwa munthu komanso mankhwala omwe amagwiritsidwa ntchito limodzi ndi ribavirin. Chifukwa chake, mlingowu uyenera kutsogozedwa ndi hepatologist nthawi zonse.
Ngati palibe malingaliro enieni, malangizo onsewa akuwonetsa:
- Akuluakulu osakwana 75 kg: tsiku ndi tsiku mlingo wa 1000 mg (makapisozi 5 a 200 mg) patsiku, ogawa magawo awiri;
- Akuluakulu opitilira 75 kg: mlingo wa 1200 mg (makapisozi 6 a 200 mg) patsiku, ogawa magawo awiri.
Kwa ana, mlingowu uyenera kuwerengedwa ndi dokotala wa ana, ndipo kuchuluka kwa tsiku ndi tsiku ndi 10 mg / kg thupi.
Zotsatira zoyipa
Zina mwazovuta zomwe zimachitika mukalandira chithandizo cha ribavirin ndi kuchepa kwa magazi m'thupi, anorexia, kukhumudwa, kusowa tulo, kupweteka mutu, chizungulire, kuchepa kwa ndende, kupuma movutikira, kutsokomola, kutsegula m'mimba, nseru, kupweteka m'mimba, kutaya tsitsi, dermatitis, kuyabwa, kuuma khungu, minofu ndi ululu wamalumikizidwe, malungo, kuzizira, kupweteka, kutopa, momwe zimachitikira pobayira jekeseni komanso kukwiya.
Yemwe sayenera kutenga
Ribavirin imatsutsana ndi anthu omwe ali ndi vuto la hypersensitivity kwa ribavirin kapena china chilichonse, pomwe akuyamwitsa, mwa anthu omwe ali ndi mbiri yakale yamatenda amtima, kuphatikiza matenda osakhazikika kapena osalamulirika a mtima, m'miyezi isanu ndi umodzi yapitayi, anthu omwe ali ndi vuto la chiwindi kapena operewera kwambiri matenda enaake ndi hemoglobinopathies.
Kuyamba kwa mankhwala a interferon kumatsutsana ndi odwala omwe ali ndi matenda a hepatitis C ndi HIV, omwe ali ndi matenda enaake komanso ana P 6.
Kuphatikiza apo, mankhwalawa sayeneranso kugwiritsidwa ntchito ndi amayi apakati ndipo ayenera kungoyambika pokhapokha atapeza zoyipa pakuyesedwa kwa amayi komwe kumachitika nthawi yomweyo mankhwala asanayambe.