Artemether kunye neLumefantrine
Umxholo
- Ngaphambi kokuba uthathe i-artemether kunye ne-lumefantrine,
- UArtemether kunye ne-lumefantrine banokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu.Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
Indibaniselwano yeartemether kunye ne-lumefantrine isetyenziselwa ukunyanga iintlobo ezithile zosulelo lwe-malaria (isifo esosulelayo esisasazwa ziingcongconi kwiindawo ezithile zehlabathi kwaye sinokubangela ukufa). UArtemether kunye ne-lumefantrine akufuneki basetyenziselwe ukuthintela isifo seengcongconi. UArtemether kunye ne-lumefantrine bakudidi lwamayeza abizwa ngokuba zii-antimalarials. Isebenza ngokubulala izinto ezibanga isifo seengcongconi.
Indibaniselwano yeartemether kunye ne lumefantrine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kabini ngemini kangangeentsuku ezi-3 njengoko kuyalelwe ngugqirha. Soloko uthatha u-artemether kunye ne-lumefantrine ngokutya. Ukuba awukwazi ukutya, qhagamshelana nogqirha wakho. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha u-artemether kunye ne-lumefantrine kanye njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
Ukuba unengxaki yokuginya iipilisi, zinokugxojwa zize zixutywe netispuni enye okanye ezi-2 zamanzi kwisitya esicocekileyo. Sela lo mxube ngoko nangoko. Hlanganisa iglasi ngamanzi amaninzi kwaye uginye yonke imixholo.
Unokugabha kwakamsinya emva kokuba uthathe amayeza. Ukuba uhlanza ngaphakathi kweyure ukuya kwi-2 iiyure emva kokuba uthathe i-artemether kunye ne-lumefantrine, kuya kufuneka uthathe enye idosi epheleleyo ye-artemether kunye ne-lumefantrine. Ukuba uyagabha kwakhona emva kokuthatha idosi eyongezelelweyo, tsalela ugqirha wakho.
Kuya kufuneka uqale uzive ungcono ngeentsuku zokuqala zonyango kunye noartemether kunye ne-lumefantrine. Ukuba iimpawu zakho aziphucuki okanye ziba mbi, tsalela ugqirha wakho. Fowunela ugqirha wakho ukuba unefiva, ukugodola, iintlungu zemisipha, okanye intloko emva nje kokugqiba unyango. Oku kunokuba luphawu lokuba usosulelwe sisifo seengcongconi.
Thatha i-artemether kunye ne-lumefantrine de ugqibe amayeza, nokuba uziva ungcono. Ukuba uyeka ukuthatha i-artemether kunye ne-lumefantrine kwakamsinya okanye weqe amathamo, usulelo lwakho alunakuphathwa ngokupheleleyo kwaye izinto eziphilayo zinokumelana ne-antimalarials.
Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuba uthathe i-artemether kunye ne-lumefantrine,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-artemether kunye ne-lumefantrine, nawaphi na amanye amayeza, okanye naziphi na izithako kwiipilisi ze-artemether kunye ne-lumefantrine. Buza usokhemesti wakho uluhlu lwezithako.
- xelela ugqirha wakho ukuba uthatha icarbamazepine (Carbatrol, Epitol, Tegretol); phenytoin (iDilantin, iPhenytek); irifampin (Rifadin, eRifamate, eRifater, eRimactane); okanye iSt. Ugqirha wakho uya kukuxelela ukuba ungathathi i-artemether kunye ne-lumefantrine ukuba uthatha elinye okanye ngaphezulu kula mayeza.
- xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-antidepressants kubandakanya i-amitriptyline (Elavil), clomipramine (Anafranil), kunye ne-imipramine (Tofranil); izinto ezithile zokubulala ukungunda ezifana ne-fluconazole (Diflucan); itraconazole (Sporanox) kunye ne-ketoconazole (Nizoral); i-antimalarials efana ne-mefloquine (Lariam) kunye ne-quinine (Qualaquin); i-cisapride (Propulsid) (ayifumaneki e-U.S.); I-fluoroquinolone antibiotics njenge-ciprofloxacin (Cipro), gatifloxacin (Tequin) (ayifumaneki e-US), gemifloxacin (Factive), levofloxacin (Levaquin), lomefloxacin (Maxaquin) (ayifumaneki e-US), moxifloxacin (Avelox) (NegGram), norfloxacin (Noroxin), ofloxacin (Floxin), kunye ne-sparfloxacin (Zagam) (ayifumaneki e-US); ii-macrolide antibiotics ezifana ne-clarithromycin (i-Biaxin, kwi-PrevPac), i-erythromycin (i-EES, i-Ery-tab, i-Eryc), kunye ne-telithromycin (Ketek); amayeza athile kwintsholongwane kaGawulayo (i-HIV) okanye i-immunodeficiency syndrome (i-AIDS) efana ne-atazanavir (Reyataz), darunavir (Prezista), delavirdine (Rescriptor), efavirenz (Sustiva, e Atripla), etravirine (Intelence), fosamprenavir (Lexiva) , indinavir (Crixivan), lopinavir (eKaletra), nelfinavir (Viracept), nevirapine (Viramune), rilpivirine (Edurant, eComplera), ritonavir (Norvir, eKaletra), saquinavir (Invirase), kunye netipranavir (Aptivus); amayeza okubetha kwentliziyo ngokungaqhelekanga kubandakanya i-amiodarone (Cordarone), i-disopyramide (i-Norpace), i-flecainide (iTambocor), i-procainamide (i-Procanbid), i-quinidine, kunye ne-sotalol (i-Betapace, i-Betapace AF, i-Sorine); kunye namayeza athile esigulo sengqondo njengepimozide (Orap) kunye ne-ziprasidone (Geodon). Xelela ugqirha wakho okanye usokhemesti ukuba uthatha okanye uyekile ukuthatha i-halofantrine (Halfan) (ayifumaneki e-US) kwinyanga ephelileyo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-artemether kunye ne-lumefantrine, ke qiniseka ukuxelela ugqirha wakho malunga nawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
- xelela ugqirha wakho ukuba wena okanye nabani na kusapho lwakho unethuba elide le-QT (ingxaki yentliziyo enqabileyo enokubangela ukubetha kwentliziyo ngokungaqhelekanga, ukuphelelwa ngamandla, okanye ukufa ngesiquphe); okanye ukuba ukhe wabetha kancinci, ukhawuleza, okanye ubetha ngentliziyo ngendlela engaqhelekanga; ukuhlaselwa yintliziyo yakutshanje; inqanaba eliphantsi le-magnesium okanye i-potassium egazini lakho; izintso, intliziyo, okanye isifo sesibindi.
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha u-artemether kunye ne-lumefantrine, tsalela ugqirha wakho.
- Kuya kufuneka uyazi ukuba iartemether kunye ne-lumefantrine inokunciphisa ukusebenza kwezicwangcisi zehomoni (iipilisi zolawulo lokuzalwa, amabala, amakhonkco, ukufakelwa kunye nenaliti). Thetha nogqirha wakho malunga neendlela zolawulo lokuzalwa eziza kukusebenzela ngelixa uthatha u-artemether kunye ne-lumefantrine.
Musa ukusela ijusi ye grapefruit ngelixa uthatha eli yeza.
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.
UArtemether kunye ne-lumefantrine banokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
- intloko ebuhlungu
- isiyezi
- ubuthathaka
- intlungu yesihlunu okanye edibeneyo
- ukudinwa
- ubunzima bokulala okanye ukulala
- ukugabha
- Ukuphelelwa ngumdla wokutya
- ifiva
- Ukugodola
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu.Ukuba unazo naziphi na kwezi mpawu, biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:
- ukubetha kwentliziyo okungaqhelekanga okanye okukhawulezayo
- isiqaqa
- irhashalala
- urhwebo
- ubunzima bokuphefumla okanye ukugwinya
- ukudumba kwemilebe, ulwimi, ubuso, okanye umqala
- ukudinwa
- kunzima ukuthetha
Artemether kunye lumefantrine kunokubangela 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. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).
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.
Gcina lonke ixesha lokudibana nogqirha wakho.
Musa ukuvumela nabani na ukuba athathe amayeza akho. Umyalelo wakho mhlawumbi awuyi kuphinda ugcwaliswe. Ukuba usenempawu zosulelo emva kokuba ugqibile u-artemether kunye ne-lumefantrine, tsalela ugqirha wakho.
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.
- Coartem® (Equlethe uArtemether, iLumefantrine)