I-Peginterferon Alfa-2b (i-PEG-Intron)
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Umxholo
- Sebenzisa ipengferferon alfa-2b yenaliti, landela la manyathelo:
- Sebenzisa i-peginterferon alfa-2b kwiibhotile, landela la manyathelo:
- Ngaphambi kokuba uthathe i-peginterferon alfa-2b,
- I-Peginterferon alfa-2b inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela ugqirha wakho ngokukhawuleza:
I-Peginterferon alfa-2b inokubangela okanye ibe mandundu ngakumbi le miba ilandelayo enokuthi ibe mandundu okanye ibangele ukufa: usulelo; ukugula ngengqondo kubandakanya ukudakumba, imo kunye neengxaki zokuziphatha, okanye iingcinga zokuzenzakalisa okanye ukuzibulala okanye ukubulala abanye; ukuqala ukusebenzisa iziyobisi ezitalatweni kwakhona ukuba wawukhe wazisebenzisa ngaphambili; ukuphazamiseka kweschemic (iimeko apho ukungabikho kwegazi kwindawo efanelekileyo emzimbeni) njenge-angina (iintlungu zesifuba), isifo sentliziyo, okanye isifo sokukrala kwentliziyo (ukudumba kwamathumbu); kunye nokuphazamiseka komzimba (iimeko apho amajoni omzimba ahlasela elinye okanye ngaphezulu amalungu omzimba) anokuchaphazela igazi, amalunga, izintso, isibindi, imiphunga, izihlunu, ulusu, okanye idlala lengqula. Tshela ugqirha wakho ukuba unentsholongwane; okanye ukuba unesifo sokuzimela komzimba; i-atherosclerosis (ukunciphisa imithambo yegazi kwiidipozithi ezinamafutha); umhlaza; iintlungu zesifuba; ukudumba; isifo seswekile; ukuhlaselwa yintliziyo; igazi elonyukayo; cholesterol ephezulu; Intsholongwane kaGawulayo (intsholongwane yokungakhuseleki komzimba) okanye i-AIDS (i-immunodeficiency syndrome) ukubetha kwentliziyo ngokungaqhelekanga; ukugula ngengqondo kubandakanya ukudakumba, ixhala, okanye ukucinga okanye ukuzama ukuzibulala; isifo sesibindi ngaphandle kwe-hepatitis C; okanye isifo sentliziyo, sezintso, semiphunga okanye sedlala. Xelela ugqirha wakho ukuba uyasela okanye wakha wasela izixa ezikhulu zotywala, okanye ukuba uye wasebenzisa okanye wakha wasebenzisa iziyobisi ezitalatweni okanye wasebenzisa kakhulu amayeza kagqirha. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko kugqirha: urhudo olunegazi okanye ukuhamba kwamathumbu; isisu esibuhlungu, ukuthamba okanye ukudumba; iintlungu zesifuba; ukubetha kwentliziyo ngokungaqhelekanga; utshintsho kwiimvakalelo zakho okanye kwindlela oziphatha ngayo; ukudakumba; ukucaphuka; ixhala; iingcinga zokuzibulala okanye ukuzenzakalisa; ukubona izinto ezingekhoyo (ukubona izinto okanye ukuva amazwi angabikho); ukuphazamiseka okanye ukonwaba ngokungaqhelekanga; ukuphulukana nokunxibelelana nenyani; indlela yokuziphatha enengcwangu; ubunzima bokuphefumla; umkhuhlane, ukugodola, ukukhohlela, umqala obuhlungu, okanye ezinye iimpawu zosulelo; ukopha okungaqhelekanga okanye ukugruzuka; umchamo omnyama-mnyama; ukukhanya kwemibala yokuhamba kwamathumbu; ukudinwa kakhulu; ubumthubi besikhumba okanye amehlo; ubuhlungu obukhulu okanye intlungu edibeneyo; okanye ukwanda kwesifo somzimba.
Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-peginterferon alfa-2b.
Ugqirha wakho kunye nosokhemesti baya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-peginterferon alfa-2b kwaye ngalo lonke ixesha uzalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.
Thetha nogqirha wakho malunga nemingcipheko yokusebenzisa i-peginterferon alfa-2b.
Sebenzisa i-ribavirin (iCopegus, iRebetol):
Ungathatha i-peginterferon alpha-2b kunye nelinye iyeza elibizwa ngokuba yi-ribavirin (Copegus, Rebetol). I-Ribavirin inokunceda i-peginterferon alpha-2b isebenze ngcono ukunyanga imeko yakho, kodwa inokubangela nemiphumela emibi kakhulu. Elinye eli candelo libonisa umngcipheko wokuthatha i-ribavirin. Ukuba uthatha i-ribavirin, kuya kufuneka uyifunde ngononophelo le ngcaciso. Ugqirha wakho kunye nosokhemesti baya kukunika uxwebhu lolwazi lwesigulana lomenzi (Isikhokelo seyeza) xa uqala unyango nge-ribavirin kwaye ngalo lonke ixesha ugcwalisa amayeza akho. Funda ulwazi ngononophelo kwaye ubuze ugqirha okanye usokhemesti ukuba unayo nayiphi na imibuzo. Ungandwendwela noLawulo lwezoKutya noLawulo lweziyobisi (FDA) iwebhusayithi (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) okanye iwebhusayithi yomenzi ukufumana isiKhokelo seMithi.
I-Ribavirin inokubangela i-anemia (imeko apho kukho ukuhla kwenani leeseli ezibomvu zegazi). Xelela ugqirha wakho ukuba ukhe wahlaselwa sisifo sentliziyo kwaye ukhe waba noxinzelelo lwegazi oluphezulu, iingxaki zokuphefumla, nayiphi na imeko echaphazela igazi lakho njenge-sickle cell anemia (imeko ezuzwe njengelifa apho iiseli ezibomvu zegazi zimile ngokungaqhelekanga kwaye ayinakho ukuzisa ioksijini kuwo onke amalungu omzimba) okanye thalassemia (iMeditera anemia; imeko apho iiseli ezibomvu zegazi zingenanto eyaneleyo yokuthwala ioksijini), okanye isifo sentliziyo. Ukuba unazo naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko: ukudinwa okugqithisileyo, isikhumba esiluthuthu, intloko ebuhlungu, isiyezi, ukudideka, ukubetha kwentliziyo okukhawulezayo, ubuthathaka, ukuphefumla kancinci, okanye iintlungu esifubeni.
Kwabaguli ababhinqileyo abathatha i-ribavirin:
Musa ukuthatha i-ribavirin ukuba ukhulelwe okanye ucwangcise ukukhulelwa. Akufanele uqale ukuthatha i-ribavirin de uvavanyo lokukhulelwa lubonise ukuba awukhulelwe. Kuya kufuneka usebenzise iindlela ezimbini zolawulo lokuzalwa kwaye kuvavanywe ukukhulelwa inyanga nenyanga ngexesha lonyango lwakho kunye neenyanga ezi-6 emva koko. Shayela ugqirha wakho ngokukhawuleza ukuba ukhulelwe ngeli xesha. I-Ribavirin inokubangela ukwenzakala okanye ukufa kwimveku engekazalwa.
Izigulana ezingamadoda ezithatha i-ribavirin:
Musa ukuthatha i-ribavirin ukuba iqabane lakho likhulelwe okanye liceba ukukhulelwa. Ukuba uneqabane elinokukhulelwa, akufuneki uqale ukuthatha i-ribavirin de uvavanyo lokukhulelwa lubonise ukuba akakhulelwanga. Kuya kufuneka usebenzise iindlela ezimbini zolawulo lokuzalwa, kubandakanya ikhondom ene-spermicide ngexesha lonyango lwakho kunye neenyanga ezi-6 emva koko. Iqabane lakho kufuneka livavanyelwe ukukhulelwa inyanga nenyanga ngeli xesha. Shayela ugqirha wakho ngokukhawuleza ukuba iqabane lakho likhulelwe. I-Ribavirin inokubangela ukwenzakala okanye ukufa kwimveku engekazalwa.
I-Peginterferon alfa-2b isetyenziswa yodwa okanye idibene ne-ribavirin (iyeza) ukunyanga usulelo lwe-hepatitis C engapheliyo (ukudumba kwesibindi okubangelwa yintsholongwane) kubantu ababonisa iimpawu zomonakalo wesibindi nabangakhange waphathwa nge-interferon alpha (amayeza afana ne-peginterferon alfa-2b) ngaphambili. I-Peginterferon alfa-2b ikudidi lwamayeza abizwa ngokuba zii-interferon. I-Peginterferon alpha-2b yindibaniselwano ye-interferon kunye ne-polyethylene glycol, enceda i-interferon ukuba ihlale isebenza emzimbeni wakho ixesha elide. I-Peginterferon alpha-2b isebenza ngokunciphisa inani le-virus ye-hepatitis C (HCV) emzimbeni. I-Peginterferon alfa-2b ayinakho ukunyanga i-hepatitis C okanye ikuthintele ekubeni ube neengxaki ze-hepatitis C ezinjenge-cirrhosis (scarring) yesibindi, ukusilela kwesibindi, okanye umhlaza wesibindi. I-Peginterferon alfa-2b ayinako ukuthintela ukusasazeka kwe-hepatitis C kwabanye abantu.
I-Peginterferon alfa-2b iza njengomgubo kwibhotile nakwipeni enye yenaliti yokuxuba ulwelo kunye nokujova ngendlela engaphantsi (kumaleko amanqatha nje phantsi kolusu). Ihlala itofwe kanye ngeveki ngemini enye yeveki, malunga okanye ngexesha elinye losuku. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa i-peginterferon alfa-2b ngokuchanekileyo njengoko kuyalelwe. Sukusebenzisa ngaphezulu okanye ngaphantsi kweli yeza okanye ulisebenzise rhoqo okanye ixesha elide kunokuba umiselwe ngugqirha.
I-Peginterferon alfa-2b ilawula i-hepatitis C kodwa ayinakukunyanga. Qhubeka nokusebenzisa i-peginterferon alfa-2b nokuba uziva uphilile. Sukuyeka ukusebenzisa i-peginterferon alfa-2b ngaphandle kokuthetha nogqirha wakho.
Sebenzisa kuphela uphawu kunye nohlobo lwe-interferon emiselwe ngugqirha wakho. Sukusebenzisa olunye uhlobo lwe-interferon okanye utshintshe phakathi kwe-peginterferon alfa-2b kwiibhotile kunye neepeni zenaliti ngaphandle kokuthetha nogqirha wakho. Ukuba utshintshela kuhlobo okanye uhlobo lwe-interferon eyahlukileyo, idosi yakho inokufuna ukutshintsha.
Ungayifaka i-peginterferon alfa-2b ngokwakho okanye ukuba umhlobo okanye isalamane sikunike ii-injection. Ngaphambi kokuba usebenzise i-peginterferon alfa-2b okokuqala, funda imiyalelo ebhaliweyo eza nayo. Buza ugqirha wakho okanye usokhemesti akubonise okanye umntu oza kufaka inaliti iyeza ukuba ungalitofa njani. Ukuba omnye umntu uza kukutofa iyeza, qiniseka ukuba uyayazi indlela yokuphepha iintonga zenaliti ngengozi ukunqanda ukusasazeka kwe-HCV.
Ungayifaka i-peginterferon alfa-2b naphina kwindawo engaphandle yeengalo zakho, amathanga, okanye isisu ngaphandle kwenkaba yakho (iqhosha lesisu) kunye nesinqe. Musa ukujova isisu sakho ukuba ubhityile. Sebenzisa indawo eyahlukileyo yenaliti nganye. Musa ukujova i-peginterferon alfa-2b kwindawo apho ulusu lubuhlungu, lubomvu, luye lwaphuka, lwacaphuka, lwacaphuka, okanye lusulelekile; inamanqaku okuzolula okanye amaqhuma; okanye ayiqhelekanga nangayiphi na indlela.
Ungaze uphinde usebenzise okanye wabelane ngeesirinji, iinaliti, iipeni zenaliti, okanye iibhotile zamayeza. Lahla iinaliti ezisetyenzisiweyo, iisirinji kunye neepeni zenaliti kwisitya esinganyangekiyo. Thetha nogqirha wakho okanye usokhemesti malunga nokusilahla isikhongozeli esinganyangekiyo.
Sebenzisa ipengferferon alfa-2b yenaliti, landela la manyathelo:
- Thatha ibhokisi enepenisi yenaliti ngaphandle kwefriji kwaye uyinike ixesha lokuba ifikelele kubushushu begumbi. Jonga umhla wokuphelelwa ngumsebenzi oprintwe ebhokisini, kwaye ungayisebenzisi ibhokisi ukuba usuku lokuphelelwa kwayo ludlulile. Jonga ukuba ibhokisi iqulethe oku kulandelayo: usiba lwenaliti, inaliti elahlwayo kunye notywala. Unokufuna kwakhona i-bandage yokubambelela kunye nesiqwenga se-gauze engenazintsholongwane ukuba uyisebenzise emva kwenaliti yakho.
- Jonga efestileni yepeni yenaliti kwaye uqiniseke ukuba igumbi eligcina ikhatriji liqulathe ithebhulethi emhlophe ukuya kumhlophe ngokupheleleyo okanye ngamaqhekeza, okanye umgubo.
- Hlamba izandla zakho kakuhle ngesepha namanzi, thambisa, kwaye wome ngetawuli. Kubalulekile ukugcina indawo osebenza kuyo, izandla zakho, kunye nendawo enenaliti icocekile ukuthintela usulelo.
- Bamba ipeni yenaliti ethe tye (iqhosha lethamo phantsi). Ungasebenzisa umphantsi webhokisi njengetreyi yedosi yokubamba usiba lwendawo. Cinezela iziqingatha ezibini zosiba ngokudibeneyo de ube uva unqakrazo.
- Lindela imizuzwana emininzi ukuba umgubo unyibilike ngokupheleleyo.
- Ngenisa ngobunono ipeni yenaliti ujonge phantsi kabini ukuxuba isisombululo. Musa ukushukumisa usiba lwenaliti.
- Jika ipeni yenaliti kwicala lasekunene ujonge ngefestile ukuze ubone ukuba isisombululo esixubeneyo sinyibilike ngokupheleleyo. Ukuba kusekho igwebu, linda de ihlale. Kuqhelekile ukubona amaqamza amancinci kufutshane nomphezulu wesisombululo. Ukuba isisombululo asicacanga okanye ukuba ubona amasuntswana, ungasisebenzisi, kwaye ubize ugqirha wakho okanye usokhemesti.
- Beka ipeni yenaliti kwitreyi yedosi, kunye neqhosha lokulinganisa kumazantsi. Sula isiciko serabha ngepenisi yenaliti ngephedi yotywala.
- Susa iphepha lokuthintela inaliti yenaliti. Gcina ipeni yenaliti ethe nkqo kwitreyi yethamo kwaye uyityhale ngobunono inaliti yenaliti ngqo kwipeni yenaliti. Gcoba inaliti ngokukhuselekileyo endaweni. Unokubona ulwelo luthe nkxu luphuma phantsi kwekephu kangangemizuzwana embalwa. Linda de oku kuyeke ngaphambi kokuya kwinyathelo elilandelayo.
- Susa ipeni yenaliti kwitreyi yedosi. Bamba usiba ngokuqinileyo kwaye ukhuphele iqhosha le-dosing kude ukuya kuthi ga, kude kube ubona amabhanti amnyama (imigca) engezantsi kweqhosha lokulinganisa. Lumka ungatyhaleli iqhosha leedosi de ube ukulungele ukungenisa iyeza.
- Guqula iqhosha lokulinganisa de inani elilingana nedosi yakho emiselweyo lifakwe kwithebhu yedosi. Ukuba awuqinisekanga ukuba leliphi inani elihambelana nedosi yakho, yima, ubize ugqirha okanye usokhemesti ngaphambi kokuba utofe naliphi na iyeza.
- Khetha indawo yakho yenaliti kwaye ucoce ulusu kuloo ndawo ngephedi yotywala. Lindela loo ndawo ukuba yome.
- Susa ikepusi yangaphandle kwinaliti yenaliti yenaliti. Kunokubakho ulwelo olujikeleze ikepusi yenaliti yangaphakathi. Oku kuqhelekile. Xa ulusu kwindawo enenaliti yomile, susa ikepusi yenaliti yangaphakathi. Lumka ungayibambi inaliti ngayo nantoni na.
- Bamba ipeni yenaliti ngeminwe yakho esongelwe ngepeni yomzimba womzimba kunye nasesithupheni sakho kwiqhosha lokulinganisa.
- Ngesinye isandla sakho, cwina ulusu kuloo ndawo uyihlambululeyo ngenaliti. Faka inaliti kulusu olukhanyiweyo kwi-angle ye-45 ukuya kwi-90 degrees.
- Inaliti iyeza ngokucinezela iqhosha lokuseta phantsi kancinci kwaye uzinzile de ungabinako ukulityhalela phambili. Gcina isithupha sakho sicinezele ezantsi kwiqhosha lokulinganisa ukuze ufumane eminye imizuzwana emi-5 ukuqinisekisa ukuba ufumana idosi epheleleyo.
- Tsala inaliti yenaliti yenaliti kulusu lwakho kwi-engile efanayo oyifaka kulusu lwakho.
- Cinezela ngobunono indawo yenaliti ngebhandeji encinci okanye ngegeyile engenazintsholongwane xa kukho imfuneko kwimizuzwana embalwa, kodwa musa ukuyihlikihla okanye uyikhuhle indawo yenaliti.
- Ukuba kukho ukopha, gubungela indawo yenaliti ngebhandeji lokuncamathelisa.
- Yilahle usiba lwenaliti kunye nenaliti isencanyathiselwe kwisitya sokungqina. Musa ukuyiphinda inaliti.
- Kwiiyure ezimbini emva kwenaliti, jonga indawo yenaliti ukuba bomvu, ukudumba, okanye ukuthamba. Ukuba unesikhumba kwaye ayicacanga kwiintsuku ezimbalwa okanye iya isiba mandundu, tsalela ugqirha okanye unesi.
Sebenzisa i-peginterferon alfa-2b kwiibhotile, landela la manyathelo:
- Hlamba izandla zakho kakuhle ngesepha namanzi, thambisa, kwaye wome ngetawuli.
- Jonga umhla wokuphelelwa ngumsebenzi oprintwe kwibhokisi ye-peginterferon alfa-2b kwaye ungayisebenzisi ibhokisi ukuba umhla wokuphelelwa ugqithile. Thatha ezi zinto zilandelayo ebhokisini uyibeke kwindawo yokusebenza ecocekileyo: igutyana le-peginterferon alfa-2b, igutyana lamanzi angenazintsholongwane ngenaliti (exutywe), iisirinji ezimbini ezineenaliti eziqhotyoshelweyo kunye neephedi zotywala.
- Susa isisongeli sokhuselo kwenye yeesirinji.
- Flip off the caps caps from the top of the peginterferon alfa-2b vial kunye ne-diluent vial. Coca izinto zokumisa irabha kwiincopho zeebhotile zombini ngephedi yotywala.
- Susa isiciko senaliti yokukhusela uze ugcwalise isirinji ngomoya ngokutsala iplunger umva kumanqaku ayi-0.7 mL emgqonyeni.
- Bamba ingqayi yamanzi engenazintsholongwane ime nkqo ngaphandle kokuchukumisa umphezulu ocociweyo ngezandla zakho.
- Faka inaliti yesirinji kwisitampu sokurabha kwaye ucinezele phantsi kwiplunger ukuze utofe umoya ovela kwisirinji ungene kwisitya.
- Guqula i-vial ujonge ezantsi kunye nesirinji isancamathele, kwaye uqiniseke ukuba incam yenaliti ikulwelo. Ukurhoxisa i-0.7 mL yamanzi angenazintsholongwane ngokutsala isirinji kwakhona ukuya kumanqaku ayi-0.7 mL.
- Susa inaliti kwisitya esincamathelayo ngokuyitsalela ngqo ngaphandle kwisiciko serabha. Musa ukuchukumisa inaliti kuyo nayiphi na into.
- Faka inaliti ngesiciko serabha se-peginterferon alfa-2b vial, kwaye ubeke incam yenaliti eludongeni lweglasi.
- Cothisa kancinci i-0.7 mL yamanzi angenazintsholongwane ukuze ihle iglasi ngaphakathi kwebhotile. Musa ukujolisa kumjelo wamanzi angenazintsholongwane kumgubo omhlophe ezantsi kwebhotile.
- Susa inaliti kwi-vial ngokudonsa isirinji ngqo ngaphandle kwesivalo seerabha. Yibambe ngokuqinileyo imikhono yokhuseleko kwaye uyitsale ngaphezulu kwenaliti ude uve ukucofa kwaye umgca oluhlaza emkhonweni ugubungela umgca obomvu kwinaliti. Yilahle isirinji kwisikhongozeli esingangqinisisiyo.
- Ncothula ngobumnene ibhotile kwisindululo setyhula kude kube ngumgubo uchithwe ngokupheleleyo. Ukuba isisombululo siyabanda, qengqa ingqayi ezandleni zakho ukuze usifudumeze.
- Ukuba amaqamza omoya ayile, linda de isisombululo sizinze kwaye onke amaqamza anyukele phezulu kwisisombululo kwaye anyamalale ngaphambi kokuya kwinqanaba elilandelayo.
- Jonga ngononophelo kulwelo olusebhotileni. Musa ukujova ulwelo ngaphandle kokuba lucacile, alunambala, kwaye alunazincinci.
- Coca isimamisi irabha kwibhotile ye peginterferon alfa-2b kwakhona nenye iphedi yotywala.
- Susa ipakethe yokukhusela kwisirinji yesibini. Susa ikepusi yokukhusela kwinaliti yesirinji.
- Gcwalisa isirinji ngomoya ngokutsala iplunger kwi-mL mark ehambelana nethamo lakho elimiselweyo. Ukuba awuqinisekanga ukuba loluphi uphawu kwisirinji olufana nedosi yakho, yima ubize ugqirha okanye usokhemesti ngaphambi kokuba utofe iyeza.
- Bamba ingqayi ye-peginterferon alfa-2b ethe nkqo ngaphandle kokuchukumisa umphezulu we-vial ngezandla zakho.
- Faka inaliti yesirinji kwi-vial ye-peginterferon alfa-2b, kwaye ucinezele phantsi kwiplunger ukuze utofe umoya kwisitya.
- Bamba ibhotile kunye nesirinji kwaye ujike kancinci i-vial ujonge ezantsi kunye nenaliti isengaphakathi kwebhotile. Gcina incam yenaliti kwisisombululo.
- Cothisa isirinji plunger umva kumanqaku achanekileyo ukuze urhoxise inani le-peginterferon alfa-2b elimiselwe ngugqirha wakho.
- Tsala isirinji ngokuthe ngqo kwisitya. Musa ukuchukumisa inaliti kuyo nayiphi na into.
- Jonga amaqamza omoya kwisirinji. Ukuba ubona nawaphi na amaqamza, bamba isirinji inaliti ikhombe phezulu kwaye ucofe kancinci isirinji kude kuphume amaqamza. Emva koko, tyhala ngononophelo isirinji plunger ngokucothayo ade anyamalale amaqamza, ngaphandle kokutyhala isisombululo kwisirinji.
- Khetha indawo yenaliti kwaye ucoce ulusu kuloo ndawo ngephedi yotywala. Lindela loo ndawo ukuba yome.
- Susa isiciko sokukhusela kule naliti. Qiniseka ukuba umkhono wokhuseleko wesirinji uyatyhalwa uqiniswe nxamnye nomphetho wesirinji ukuze inaliti ivezwe ngokupheleleyo.
- Gcoba ulusu olu-2-intshi (5-sentimitha) ulusu oluvulekileyo kwindawo yenaliti. Ngesinye isandla sakho, chola isirinji uyibambe njengepensile enenqaku (i-bevel) yenaliti ejonge phezulu. Cofa inaliti malunga ne-1/4 intshi (0.6 iisentimitha) kulusu olucekiweyo kwi-angle ye-45- ukuya kwi-90-degree degree, usebenzisa into ekhawulezayo, efana nedart.
- Vumela ulusu oluxinxiweyo lukhululeke kwaye usebenzise eso sandla ukunceda ukubamba umphanda wesirinji.
- Yitsale isirinji emva kancinci. Ukuba igazi lingena kwisirinji, inaliti ingene kwisitya segazi. Musa ukutofa. Khupha inaliti ngekona efanayo oyibeke eluswini, uze uyilahle isirinji kwisikhongozeli esingqinayo. Phinda la manyathelo angentla ukulungiselela idosi entsha usebenzisa isirinji entsha kunye nebhotile entsha. Ukuba akukho gazi lingena kwisirinji, tofa iyeza ngokucinezela ngobunono iplunger yonke indlela ezantsi ngesirinji.
- Bamba iphedi yotywala kufutshane nenaliti kwaye ukhuphe inaliti ngqo ngaphandle kwesikhumba. Cinezela iphedi yotywala ngaphezulu kwenaliti yenaliti imizuzwana eliqela. Musa ukurabha okanye uhlikihle indawo yenaliti. Ukuba kukho ukopha, gquma ngebhandeji.
- Vala isirinji ngomkhono wokhuseleko ngendlela efanayo naleyo wawugqume ngayo isirinji yokuqala. (Jonga iNyathelo 12 apha ngasentla.) Lahla isirinji kunye nenaliti kwisitya sokungqinisisa.
- Kwiiyure ezimbini emva kwenaliti, jonga indawo yenaliti ukuba bomvu, ukudumba, okanye ukuthamba. Ukuba unesikhumba kwaye ayicacanga kwiintsuku ezimbalwa okanye iya isiba mandundu, tsalela ugqirha okanye unesi.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-peginterferon alfa-2b,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-peginterferon alfa-2b, ezinye ii-alpha interferon, nawaphi na amanye amayeza, okanye i-polyethylene glycol (PEG). Buza ugqirha wakho ukuba awuqinisekanga ukuba iyeza olichasayo alfer interferon.
- xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye ne-methadone (iDolophine, iMethadose). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho okanye usokhemesti ukuba ukhe wafakelwa ilungu lomzimba (utyando ukubuyisela inxenye yomzimba) okanye ukuba ukhe wanayo okanye wakhe wanayo nayiphi na imiqathango ekhankanywe kwicandelo LESILUMKISO ESIBALULEKILEYO okanye enye yezi zinto zilandelayo: iingxaki zokulala, okanye iingxaki ngamehlo okanye iipancreas.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. I-Peginterferon alfa-2b inokwenzakalisa umntwana ongekazalwa okanye ikwenze uphulukane nesisu (ulahlekelwe ngumntwana). Thetha nogqirha wakho malunga nokusebenzisa ulawulo lokuzalwa ngelixa uthatha la mayeza. Akufanelanga ukuncancisa ngelixa uthatha la mayeza.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-peginterferon alfa-2b.
- Kuya kufuneka uyazi ukuba i-peginterferon alfa-2b inokukwenza wozele, ube nesiyezi, okanye udideke. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
- Kuya kufuneka uyazi ukuba unokufumana iimpawu ezinje ngomkhuhlane ezinje ngomkhuhlane, ukugodola, iintlungu zemisipha, kunye nentlungu edibeneyo ngexesha lonyango lwakho nge-peginterferon alfa-2b. Ukuba ezi zimpawu ziyakhathaza, buza ugqirha wakho ukuba kufuneka uthathe i-counter-the-counter pain kunye ne-fever reducer ngaphambi kokuba utofe idosi nganye ye-peginterferon alfa-2b. Unokufuna ukutofa i-peginterferon alfa-2b ngexesha lokulala ukuze ulale ngeempawu.
- cwangcisa ukufumana ukuphumla okuninzi kunye nokuzilolonga rhoqo ngexesha lonyango lwakho. Thetha nogqirha wakho malunga neendlela ezikhuselekileyo zokuzilolonga ngexesha lonyango lwakho.
Sela ubuncinci iiglasi ezili-10 zamanzi okanye iijusi ezicacileyo ngaphandle kwe-caffeine okanye utywala yonke imihla ngexesha lonyango lwakho nge-peginterferon alfa-2b. Lumka ngakumbi ukuba usele ulwelo ngokwaneleyo kwiiveki zokuqala zonyango lwakho.
Qiniseka ukuba utya kakuhle ngexesha lonyango lwakho. Ukuba unesisu esibuhlungu okanye awunamdla wokutya, yitya amashwamshwam asempilweni okanye ukutya okuncinci okuncinci ngalo lonke usuku.
Ukuba ukhumbula idosi ephosiweyo kungadlulanga usuku emva kokuba ubucwangciselwe ukuyifaka, ngenisa idosi ephosiweyo kwakamsinya nje ukuba uyikhumbule. Emva koko jofa idosi yakho elandelayo kusuku olucwangciswe rhoqo kwiveki elandelayo. Ukuba awukhumbuli idosi ephosiweyo kude kudlule iintsuku ezininzi, jonga ugqirha wakho malunga nokuba wenze ntoni. Sukuyiphinda kabini idosi elandelayo okanye uthathe ngaphezulu kwedosi enye ngeveki ungakhange uthethe nogqirha wakho.
I-Peginterferon alfa-2b inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- ukugruzuka, iintlungu, ukuba bomvu, ukudumba, ukurhawuzelela, okanye ukucaphuka endaweni apho utofe i-peginterferon alfa-2b
- isicaphucaphu
- ukugabha
- Ukuphelelwa ngumdla wokutya
- utshintsho kwindlela izinto ezingcamla ngayo
- urhudo
- ukuqhina
- isilungulela
- ukuhla ukusinda
- intloko ebuhlungu
- isiyezi
- ukudideka
- ukulahleka kweenwele okanye ukuncipha
- ukurhawuzelela
- ubunzima bokugxila
- uziva ubanda okanye ushushu ngalo lonke ixesha
- utshintsho kulusu lwakho
- umlomo owomileyo
- ukubila
- ukugungxula
- impumlo enemifinya
- ubunzima bokulala okanye ukulala
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ezi mpawu zilandelayo aziqhelekanga, kodwa ukuba ufumana enye yazo, okanye ezo zidweliswe kwicandelo LESILumkiso ESIBALULEKILEYO, tsalela ugqirha wakho ngokukhawuleza:
- irhashalala
- urhwebo
- kunzima ukugwinya
- ukudumba kobuso, umqala, ulwimi, imilebe, amehlo, izandla, iinyawo, amaqatha okanye imilenze esezantsi
- ukudinwa
- ukubetha kwentliziyo ngokukhawuleza
- ulusu oluthuthu
- iintlungu ezisezantsi
I-Peginterferon alfa-2b inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.
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. Gcina ipengferferon alfa-2b ipeni yenaliti kwifriji, kwaye ungazivezi kubushushu. Gcina iibhotile ze-peginterferon alfa-2b powder kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela) Kungcono ukutofa isisombululo se-peginterferon alfa-2b kwiibhotile okanye kwiipeni zenaliti kwangoko emva kokuxubeka. Ukuba kukho imfuneko, iibhotile okanye iipenji zenaliti ezinesisombululo se peginterferon alfa-2b sinokugcinwa kwifriji kangangeeyure ezingama-24. Ungafrizi peginterferon alfa-2b.
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.
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
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.
Ukuba ixhoba alizange liwe, tsalela umnxeba ugqirha omisele la mayeza. Ugqirha unokufuna ukuliphonononga ixhoba ngokusondeleyo kwaye enze uvavanyo lwelebhu.
Musa ukuvumela nabani na ongomnye asebenzise amayeza akho okanye nayiphi na inaliti yakho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.
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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