INevirapine
Umxholo
- Ngaphambi kokuba uthathe i-nevirapine,
- INevirapine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba enye yezi mpawu inzima okanye ayihambi:
- Iimpawu libanda kungaquka oku kulandelayo:
INevirapine inokubangela ukonakala, ukusongela ubomi emngciphekweni wesibindi, ukusabela kolusu, kunye neempendulo ezithile. Xelela ugqirha wakho ukuba ukhe unesifo sesibindi, ingakumbi i-hepatitis B okanye u-C. Ugqirha wakho uya kuthi mhlawumbi makangathathi i-nevirapine. Xelela ugqirha wakho ukuba unerhashalala okanye enye imeko yesikhumba ngaphambi kokuba uqale ukuthatha i-nevirapine. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-nevirapine kwaye ufowunele ugqirha ngoko nangoko: irhashalala, ingakumbi ukuba ibukhali okanye iza nezinye iimpawu ezikolu luhlu; ukudinwa okugqithisileyo; ukungabikho kwamandla okanye ubuthathaka ngokubanzi; isicaphucaphu; ukugabha; ukuphelelwa ngumdla wokutya; umchamo omnyama (onetayi); ilindle eluthuthu; ubumthubi besikhumba okanye amehlo; iintlungu kwindawo ephezulu yesisu; umkhuhlane, umqala obuhlungu, ukubola, okanye ezinye iimpawu zosulelo; iimpawu ezifana nomkhuhlane; izihlunu okanye amalungu ngokudibeneyo; amadyungudyungu; izilonda zomlomo; amehlo abomvu okanye adumbileyo; imihlathi ukurhawuzelela; ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi; ukudakumba; okanye ubunzima bokuphefumla okanye ukugwinya.
Ukuba ugqirha wakho ukuxelela ukuba uyeke ukuthatha i-nevirapine ngenxa yokuba unesikhumba esibi okanye impendulo yesibindi, akufuneki uphinde uthathe i-nevirapine kwakhona.
Ugqirha wakho uyakuqala kwidosi esezantsi ye-nevirapine kwaye andise idosi yakho emva kweentsuku ezili-14. Oku kuya kunciphisa umngcipheko wokuba uza kuphuhlisa ukusabela kolusu. Ukuba uphuhlisa naluphi na uhlobo lwerhashalala okanye naziphi na iimpawu ezidweliswe apha ngasentla ngelixa uthatha idosi esezantsi ye-nevirapine, tsalela ugqirha wakho ngoko nangoko. Musa ukunyusa umthamo wakho de kube kukhawuleze okanye iimpawu zihambe.
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uza kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-nevirapine, ngakumbi kwiiveki ezili-18 zokuqala zonyango lwakho.
Ugqirha wakho okanye usokhemesti uya kukunika uxwebhu lolwazi lwezigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-nevirapine kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungasifumana isiKhokelo seMithi kwiwebhusayithi ye-FDA: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.
Thetha nogqirha wakho malunga neengozi zokuthatha i-nevirapine. Kukho umngcipheko omkhulu wokuba uya kukhula ukonakala kwesibindi ngexesha lonyango lwakho ukuba ungumfazi kwaye ukuba une-CD4 count ephezulu (inani elikhulu lohlobo oluthile losulelo olulwa neseli egazini lakho).
INevirapine isetyenziswa kunye namanye amayeza ukunyanga usulelo lwe-immunodeficiency virus (HIV) kubantu abadala nakubantwana abaneentsuku ezili-15 ubudala nangaphezulu. INevirapine akufuneki isetyenziselwe ukunyanga abasebenzi bokhathalelo lwempilo okanye abanye abantu abachaphazeleke kusulelo lwe-HIV emva kokudibana negazi, izicwili, okanye olunye ulwelo lomzimba. INevirapine ikudidi lwamayeza abizwa ngokuba zii-non-nucleoside reverse transcriptase inhibitors (NNRTIs). Isebenza ngokunciphisa inani le-HIV egazini. Nangona i-nevirapine ingayinyangi i-HIV, inokuwanciphisa amathuba okuba ube ne-immunodeficiency syndrome (i-AIDS) kunye nezifo ezinxulumene ne-HIV ezinje ngezifo ezomeleleyo okanye umhlaza. Ukuthatha la mayeza kunye nokwabelana ngesondo okukhuselekileyo nokwenza olunye utshintsho kwindlela yokuphila kunokunciphisa umngcipheko wokuhambisa (ukusasaza) intsholongwane kagawulayo kwabanye abantu.
INevirapine iza njengecwecwe, ithebhulethi ekhulisiweyo, kunye nokumiswa (ulwelo) ukuthatha ngomlomo kunye okanye ngaphandle kokutya. Ithebhulethi kunye nokumiswa zihlala zithathwa kanye ngemini iiveki ezi-2 kwaye ziphindwe kabini ngemini emva kweeveki ezimbini zokuqala. Ithebhulethi ekhutshwa ngokwandiswa ihlala ithathwa kanye ngemini, kulandela ubuncinci iiveki ezimbini zonyango ngamacwecwe aqhelekileyo e-nevirapine okanye ukumiswa. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-nevirapine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Gwinya i-nevirapine enamanzi afana namanzi, ubisi, okanye isoda.
Ginya iipilisi zokukhululwa ezandisiweyo; ungahluleli, ungahlaleli, okanye uzityumze.
Hlanganisa ulwelo ngobunono ngaphambi kokuba usebenzise lunye ukuxuba amayeza ngokulinganayo. Sebenzisa indebe yokulinganisa ngomlomo okanye isirinji yedosi ukulinganisa idosi yakho. Kungcono ukusebenzisa isirinji, ngakumbi ukuba idosi yakho ingaphantsi kwe-5 ml (itispuni e-1). Ukuba usebenzisa indebe ye-dosing, qala usele onke amayeza olinganise kwindebe ye-dosing. Emva koko gcwalisa indebe yedosi ngamanzi kwaye usele amanzi ukuze uqiniseke ukuba ufumana idosi yakho epheleleyo.
INevirapine inokuyilawula i-HIV kodwa ayizukuyinyanga. Qhubeka nokusela i-nevirapine nokuba uziva uphilile. Sukuyeka ukuthatha i-nevirapine okanye amanye amayeza owasebenzisayo ukunyanga i-HIV okanye i-AIDS ungakhange uthethe nogqirha wakho. Ugqirha wakho uya kukuxelela ukuba uyeke ukuthatha amayeza akho ngendlela ethile. Ukuba uphosa idosi okanye uyeke ukuthatha i-nevirapine, imeko yakho kunokuba nzima ngakumbi ukunyanga.
Ukuba awuthathi i-nevirapine kangangeentsuku ezisi-7 okanye nangaphezulu, sukuphinda uyithathe ungakhange uthethe nogqirha wakho. Ugqirha wakho uyakuqala kwidosi esezantsi ye-nevirapine, kwaye andise idosi yakho emva kweeveki ezi-2.
I-Nevirapine ngamanye amaxesha isetyenziselwa ukunqanda iintsana ezingekazalwa ezinoomama abane-HIV okanye i-AIDS ekubeni bosulelwe yi-HIV ngexesha lokuzalwa.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-nevirapine,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-nevirapine okanye amanye amayeza.
- xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhalwanga, iivithamini, kunye nezongezelelo zesondlo ozithathayo. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: iipilisi zokuthintela inzala xa uzisela izizathu ngaphandle kokuthintela ukukhulelwa; iicalcium block blockers ezinjenge diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), kunye neverapamil (Calan, Covera, Isoptin, Verelan); i-clarithromycin (i-Biaxin); amayeza athile e-chemotherapy njenge-cyclophosphamide (i-cytoxan) i-cisapride (iPropulsid); i-cyclosporine (iNeoral, iSandimmune); I-ergot alkaloids ezinje nge-ergotamine (Cafergot, Ercaf, nabanye); fentanyl (iDuragesic, Actiq); amayeza okubetha kwentliziyo ngokungaqhelekanga njenge-amiodarone (Cordarone) kunye ne-disopyramide (Norpace); amayeza okubanjwa njenge-carbamazepine (Tegretol), i-clonazepam (iKlonopin), kunye ne-ethosuximide (iZarontin); i-methadone (iDolophine), amanye amayeza e-HIV okanye i-AIDS afana ne-amprenavir (Agenerase), atazanavir (Reyataz), efavirenz (Sustiva), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir kunye ne-ritonavir indibaniselwano (Kaletra), nelfinavir (Viracept) , kunye nesaquinavir (Fortovase, Invirase); uqikelelo (Deltasone); irifabutin (Mycobutin); irifampin (Rifadin, Rimactane); sirolimus (Rapamune); kunye netacrolimus (Prograf). Uninzi lwamanye amayeza anokusebenzisana ne-nevirapine, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo, nkqu nalawo angaveli kolu luhlu. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akujonge ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho kunye nosokhemisti ukuba zeziphi iimveliso zemithi ozithathayo, ngakumbi i-wort yaseSt.
- xelela ugqirha wakho ukuba ukhe unesifo sezintso, ngakumbi ukuba uphathwa nge-dialysis (unyango lokucoca igazi ngaphandle komzimba xa izintso zingasebenzi kakuhle).
- xelela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Ukuba uyakhulelwa ngelixa uthatha i-nevirapine, tsalela umnxeba ugqirha wakho. Akufuneki uncancise ukuba wosulelwe yi-HIV okanye uthatha i-nevirapine.
- Kuya kufuneka uyazi ukuba eli yeza linciphisa ukuchuma kubafazi. Thetha nogqirha wakho malunga nemingcipheko yokuthatha la mayeza ukuba unenkxalabo malunga nokuzala.
- Kuya kufuneka uyazi ukuba amanqatha omzimba wakho anganyuka okanye afudukele kwezinye iindawo zomzimba wakho ezinqeni, umqolo ongasentla, intamo ('' inyathi inqina ''), amabele, kunye nesisu sakho. Ungabona ukulahleka kwamafutha omzimba ebusweni bakho, kwimilenze nakwiingalo.
- Kuya kufuneka uyazi ukuba ngelixa uthatha amayeza ukunyanga usulelo lwe-HIV, amajoni akho omzimba angomelela kwaye aqale ukulwa nezinye izifo ezazisele zisemzimbeni wakho okanye zibangele ezinye iimeko zenzeke. Oku kunokubangela ukuba ukhule iimpawu zolo sulelo okanye iimeko. Ukuba uneempawu ezintsha okanye eziba mandundu ngexesha lonyango lwakho nge-nevirapine, qiniseka ukuxelela ugqirha wakho.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.
INevirapine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba enye yezi mpawu inzima okanye ayihambi:
- intloko ebuhlungu
- urhudo
- isisu esibuhlungu
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na iimpawu ezidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, tsalela umnxeba kwangoko.
Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).
Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).
Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org
Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.
Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.
Iimpawu libanda kungaquka oku kulandelayo:
- ukudumba kwezandla, iinyawo, amaqatha okanye imilenze esezantsi
- amaqhuma abomvu abuhlungu kulusu
- ukudinwa kakhulu
- ifiva
- intloko ebuhlungu
- ubunzima bokulala okanye ukulala
- isicaphucaphu
- ukugabha
- irhashalala
- isiyezi
Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.
Ukuba uthatha iipilisi zokukhupha ezandisiweyo, unokuqaphela into ekhangeleka njengethebhulethi kwisitulo sakho. Le yigobolondo elingenanto lethebhulethi, kwaye oku akuthethi ukuba awuyifumananga idosi epheleleyo yamayeza.
Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.
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