ILamivudine kunye neTenofovir

Umxholo

• Ngaphambi kokuba uthathe i-lamivudine kunye ne-tenofovir,
• I-Lamivudine kunye ne-tenofovir zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

I-Lamivudine kunye ne-tenofovir akufuneki zisetyenziselwe ukunyanga usulelo lwentsholongwane ye-hepatitis B (HBV; usulelo lwesibindi oluqhubekayo). Xelela ugqirha wakho ukuba unayo okanye ucinga ukuba unayo i-HBV. Ugqirha wakho angakuvavanya ukuze ubone ukuba unayo i-HBV ngaphambi kokuba uqale unyango lwakho nge-lamivudine kunye ne-tenofovir. Ukuba unayo i-HBV kwaye uthatha i-lamivudine kunye ne-tenofovir, imeko yakho inokuba mandundu mandundu xa uyeka ukuthatha i-lamivudine kunye ne-tenofovir. Ugqirha wakho uyakukuvavanya kwaye aodole uvavanyo lwelebhu rhoqo kwiinyanga ezininzi emva kokuba uyekile ukuthatha i-lamivudine kunye ne-tenofovir ukubona ukuba i-HBV yakho iye yambi.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile ukujonga impendulo yomzimba wakho kwi-lamivudine kunye ne-tenofovir.

Indibaniselwano ye-lamivudine kunye ne-tenofovir isetyenziswa kunye namanye amayeza ukunyanga i-HIV kubantu abadala nasebantwaneni. I-Lamivudine kunye ne-tenofovir bakudidi lwamayeza abizwa ngokuba yi-nucleoside kunye ne-nucleotide reverse transcriptase inhibitors (NRTIs). Basebenza ngokunciphisa ukusasazeka kwe-HIV emzimbeni. Nangona i-lamivudine kunye ne-tenofovir zingazukuyinyanga i-HIV, la mayeza angalinciphisa ithuba lakho lokufumana isifo se-immunodeficiency syndrome (i-AIDS) kunye nezifo ezinxulumene ne-HIV ezinje ngezifo ezinzulu okanye umhlaza. Ukuthatha la mayeza kunye nokwabelana ngesondo okukhuselekileyo nokwenza olunye utshintsho kwindlela yokuphila kunokunciphisa umngcipheko wokufumana okanye wokuhambisa intsholongwane kaGawulayo kwabanye abantu.

Indibaniselwano ye-lamivudine kunye ne-tenofovir iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kunye okanye ngaphandle kokutya kube kanye ngemini. Thatha i-lamivudine kunye ne-tenofovir malunga nexesha elifanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-lamivudine kunye ne-tenofovir ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Qhubeka nokuthatha i-lamivudine kunye ne-tenofovir nokuba uziva uphilile. Sukuyeka ukuthatha i-lamivudine kunye ne-tenofovir ngaphandle kokuthetha nogqirha wakho. Ukuba uyayeka ukuthatha i-lamivudine kunye ne-tenofovir nokuba kungexesha elifutshane, okanye ukuba uyaweqa amanani, intsholongwane isenokunganyangeki kunyango kwaye kunokuba nzima ukunyanga.

Buza usokhemesti okanye ugqirha wakho ngekopi yolwazi lomenzi wesigulana.

Indibaniselwano ye-lamivudine kunye ne-tenofovir ngamanye amaxesha iyasetyenziswa kunye namanye amayeza ukunyanga abasebenzi bokhathalelo lwempilo okanye abanye abantu abachaphazeleka kusulelo lwe-HIV emva kokudibana ngengozi negazi eline-HIV, izicwili, okanye olunye ulwelo lomzimba. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-lamivudine kunye ne-tenofovir,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-lamivudine, i-tenofovir, nawaphi na amanye amayeza, okanye nasiphi na isithako esikwipilisi ze-lamivudine kunye ne-tenofovir. Buza usokhemesti wakho uluhlu lwezithako.
• Kuya kufuneka uyazi ukuba i-lamivudine kunye ne-tenofovir ziyafumaneka ngokwahlukeneyo ngamagama e-Epivir, i-Epivir-HBV (esetyenziselwa ukunyanga i-hepatitis B), i-Vemlidy (esetyenziselwa ukunyanga i-hepatitis B), kunye ne-Viread, kunye nokudibanisa namanye amayeza amagama e-Atripla, Biktarvy, Combivir, Complera, Descovy, Epzicom, Genvoya, Odefsey, Stribild, Symfi, Triumeq, Trizivir, naseTruvada. Tshela ugqirha wakho ukuba uthatha nawaphi na amayeza ukuze uqiniseke ukuba awufumani mayeza afanayo kabini.
• 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: acyclovir (Sitavig, Zovirax); ii-aminoglycosides ezinje nge-amikacin, gentamicin, streptomycin, kunye ne-tobramycin; i-aspirin kunye nezinye iyeza ezichasayo (i-NSAIDs) ezinje nge-ibuprofen (Advil, Motrin) kunye ne-naproxen (Aleve, Naprosyn); atazanavir (Reyataz, e-Evotaz); cidofovir; iDarunavir kunye ne-ritonavir (Prezista kunye neNorvir); i-didanosine (Videx); ganciclovir (icytovene); I-interferon alfa (Intron A, Roferon-A); I-ledipasvir / sofosbuvir (iHarvoni); lopinavir / ritonavir (Kaletra); i-ribavirin (iCopegus, iRebetol, iRibasphere); isofosbuvir / velpatasvir (Epculsa); i-sorbitol okanye amayeza anencasa nge-sorbitol; itrimethoprim (Primsol, eBactrim, Septra); i-valacyclovir (iValtrex); kunye ne-valganciclovir (Valcyte). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga. Amanye amayeza amaninzi anokusebenzisana ne-lamivudine kunye ne-tenofovir, ke qiniseka ukuxelela ugqirha wakho ngawo onke amayeza owathathayo, nkqu nalawo angaveli kolu luhlu.
• xelela ugqirha wakho ukuba unayo nayiphi na kwezi meko zichazwe kwicandelo LESILUMKISO ESIBALULEKILEYO, okanye ukuba ukhe wanengxaki yamathambo kubandakanya ne-osteoporosis (imeko apho amathambo esiba buthathaka kwaye abuthathaka kwaye aphuke ngokulula) okanye ukwaphuka kwamathambo, ihepatitis C okanye esinye isifo sesibindi, okanye isifo sezintso. Kubantwana abathatha la mayeza, xelela ugqirha wakho ukuba banayo okanye bakha baba ne-pancreatitis okanye bafumene unyango ngeyeza le-nucleoside analog njenge-NRTI ngaphambili.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba uyakhulelwa ngelixa uthatha i-lamivudine kunye ne-tenofovir biza ugqirha wakho. Akufuneki uncancise xa wosulelwe yi-HIV okanye ukuba uthatha i-lamivudine kunye ne-tenofovir.
• Kuya kufuneka wazi ukuba amanqatha omzimba wakho anganyuka okanye afudukele kwiindawo ezahlukeneyo zomzimba wakho, ezinje ngomqolo wangasentla, intamo (’’ inyathi ’), 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-lamivudine kunye ne-tenofovir 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.

I-Lamivudine kunye ne-tenofovir zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko ebuhlungu
• isisu esibuhlungu
• isicaphucaphu
• ukugabha
• urhudo
• isilungulela
• ukunqongophala kwamandla
• umqolo obuhlungu
• intlungu yesihlunu okanye edibeneyo
• ukudandatheka
• ixhala
• ingxaki yokulala okanye ukulala
• isiyezi
• ukuhlaba, ukutshisa, okanye ukuziva kabuhlungu ezingalweni okanye emilenzeni
• ukurhawuzelela okanye irhashalala

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu biza ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

• urhangqo, ubunzima bokuphefumla okanye ukuginya, ukudumba kobuso, umqala, ulwimi, imilebe, okanye amehlo, ukudakumba
• iintlungu zemisipha engaqhelekanga, ingxaki yokuphefumla, isisu esibuhlungu, ukugabha, ukugabha, ukuziva ubanda ingakumbi ezingalweni okanye emilenzeni, uziva unesiyezi okanye unentloko elula, ukudinwa kakhulu okanye ubuthathaka, ukubetha kwentliziyo okukhawulezayo
• ubumthubi besikhumba okanye amehlo, umchamo omnyama, ilindle elinombala okhanyayo, isicaphucaphu, ukugabha, ukuphelelwa ngumdla, okanye iintlungu, ukuqaqanjelwa, okanye ukuthamba kwinxalenye ephezulu yesisu
• ukuncipha kokuchama, ukudumba kwemilenze
• iintlungu zethambo, iintlungu ezingalweni okanye emilenzeni, ukwaphuka kwamathambo, iintlungu zemisipha okanye ubuthathaka, iintlungu ezidibeneyo
• iintlungu eziqhubekayo eziqala phezulu ngasekhohlo okanye embindini wesisu kodwa zinokusasazeka ngasemva, isicaphucaphu, ukugabha (kwizigulana zabantwana kuphela)

ILamivudine kunye ne-tenofovir zinokubangela 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).

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.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Gcina unikezelo lwe lamivudine kunye ne tenofovir esandleni. Sukulinda de uphelelwe ngamayeza ukuze uphinde uzalise 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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