Ganciclovir

-Delile

• Ngaphambi kokuthatha i-ganciclovir,
• I-Ganciclovir ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

IGanciclovir ingehlisa inani lazo zonke izinhlobo zamaseli egazini lakho, idale izinkinga ezinkulu nezisongela impilo. Tshela udokotela wakho uma uke waba ne-anemia noma wake waba nayo (amangqamuzana abomvu egazi awalethi umoya-mpilo owenele kuzo zonke izingxenye zomzimba); i-neutropenia (ngaphansi kwenani elijwayelekile lamaseli amhlophe egazi); i-thrombocytopenia (ngaphansi kwenani elijwayelekile lamaplatelets); noma ezinye izinkinga zegazi noma zokopha. Tshela udokotela wakho uma uke waba nezinkinga zegazi njengomphumela oseceleni wanoma imuphi umuthi. Tshela udokotela kanye nosokhemisi wakho uma uphuza noma uphuze noma imiphi yale mithi elandelayo: ama-anticoagulants ('blood thinner') afana ne-warfarin (Coumadin); dapsone; i-flucytosine (Ancobon); i-heparin; ama-immunosuppressants afana ne-azathioprine (Azasan, Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), ne-tacrolimus (Prograf); ama-interferon (Infergen, Intron A, PEGASYS, PEG-Intron, Roferon-A); imithi yokwelapha igciwane lesandulela ngculazi (i-HIV) kanye ne-immunodeficiency syndrome (i-AIDS) okubandakanya i-didanosine (Videx), i-zalcitabine (i-HIVID), noma i-zidovudine (i-Retrovir, i-AZT); izidakamizwa ezingezona ezokulwa nokuvuvukala zokwelapha ubuhlungu nokuvuvukala njenge-aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), nezinye; ipentamidine (NebuPent, Pentam); i-pyrimethamine (iDaraprim, eFansidar); ama-steroids afana ne-dexamethasone (i-Decadron), i-prednisone (i-Deltasone), noma amanye; i-trimethoprim / sulfamethoxazole (co-trimoxazole, Bactrim, Septra); noma uma uthola noma uthola ukwelashwa ngemisebe (i-X-ray) .Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukukhathala ngokweqile; isikhumba esiphaphathekile; ikhanda; isiyezi; ukudideka; ukushaya kwenhliziyo okusheshayo; ubunzima bokulala noma ukulala; ubuthakathaka; ukuphelelwa umoya; ukopha okungavamile noma ukulimaza; noma umphimbo obuhlungu, umkhuhlane, amakhaza, ukukhwehlela, noma ezinye izimpawu zokutheleleka.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho ku-ganciclovir.

Izilwane zaselabhorethri ezinikezwe i-ganciclovir zakhula nezinkinga zokuzalwa. Akwaziwa ukuthi i-ganciclovir ibangela ukukhubazeka kokuzalwa kwabantu. Uma ungakhulelwa, kufanele usebenzise ukulawulwa kokubeletha okusebenzayo ngenkathi uthatha i-ganciclovir. Uma uyindoda futhi umlingani wakho angakhulelwa, kufanele usebenzise ikhondomu ngenkathi usebenzisa lo muthi, nezinsuku ezingama-90 ngemuva kokwelashwa kwakho. Khuluma nodokotela wakho uma unemibuzo mayelana nokulawulwa kokuzalwa. Ungasebenzisi i-ganciclovir uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-ganciclovir, shayela udokotela wakho ngokushesha.

Izilwane zaselabhorethri ezinikezwe i-ganciclovir zenze inani eliphansi lesidoda (amaseli ambalwa okuzala abesilisa) nezinkinga zokuzala. Akwaziwa ukuthi i-ganciclovir ibangela ukubalwa kwesidoda okuphansi emadodeni noma izinkinga zokuzala kwabesifazane.

Izilwane zaselabhoratri ezinikezwe i-ganciclovir zaba nomdlavuza. Akwaziwa ukuthi i-ganciclovir inyusa ingozi yomdlavuza kubantu.

Umenzi uxwayisa ngokuthi i-ganciclovir kufanele isetshenziselwe kuphela ukwelashwa kweziguli ezinezifo ezithile ngoba umuthi ungadala imiphumela emibi kakhulu futhi njengamanje alukho ulwazi olwanele lokuxhasa ukuphepha nokusebenza kwamanye amaqembu eziguli. (Bheka isigaba, KUNGANI lo muthi unqunyiwe?)

Khuluma nodokotela wakho ngezingozi zokuthatha i-ganciclovir.

Amaphilisi we-Ganciclovir asetshenziselwa ukwelapha i-cytomegalovirus (CMV) retinitis (ukutheleleka kwamehlo okungadala ubumpumputhe) kubantu amasosha omzimba wabo angasebenzi ngendlela ejwayelekile. Amaphilisi we-Ganciclovir asetshenziselwa ukwelapha i-CMV retinitis ngemuva kokuthi isimo sesilawulwe ngomjovo (ojojowe emthanjeni) i-ganciclovir. IGanciclovir nayo isetshenziselwa ukuvikela isifo se-cytomegalovirus (CMV) kubantu abathole i-immunodeficiency syndrome (i-AIDS) noma abathole ukufakelwa izitho futhi abasengozini yesifo se-CMV. IGanciclovir isekilasini lemithi ebizwa ngama-antivirals. Isebenza ngokuvimbela ukusabalala kwesifo se-CMV noma ukunciphisa ukukhula kwe-CMV.

IGanciclovir iza njengephilisi elizothathwa ngomlomo. Imvamisa kuthathwa ngokudla kathathu noma kasithupha ngosuku.Ukusiza ukuthi ukhumbule ukuthatha i-ganciclovir, yiphuze ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ganciclovir njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungavuli, ungahlukanisi, ungawahlafuna noma uwagaye.

Qaphela lapho uphatha amaphilisi e-ganciclovir. Ungavumeli isikhumba sakho, amehlo, umlomo, noma ikhala ukuthi kuhlangane namaphilisi we-ganciclovir aphukile noma achotshoziwe. Uma ukuthintana okunjalo kwenzeka, geza isikhumba sakho kahle ngensipho namanzi noma ugeze amehlo akho kahle ngamanzi alula.

Ngokuvamile uzothola i-ganciclovir efakwa emthanjeni (emthanjeni) amasonto ambalwa ngaphambi kokuba uqale ukuthatha amaphilisi e-ganciclovir. Uma isimo sakho siba sibi kakhulu ngesikhathi sokwelashwa kwakho, unganikezwa inkambo yesibili ye-ganciclovir efakwa emithanjeni. Udokotela wakho anganciphisa umthamo wakho wamaphilisi we-ganciclovir uma uba nemiphumela emibi.

I-Ganciclovir ilawula i-CMV kepha ayiyelaphi, kungathatha isikhashana ngaphambi kokuthi uzwe ngokugcwele nge-ganciclovir. Qhubeka uthathe i-ganciclovir noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-ganciclovir ngaphandle kokukhuluma nodokotela wakho. Ukuyeka ukuthatha i-ganciclovir maduze kungadala ukuthi inani le-CMV egazini lakho lenyuke noma igciwane lingazweli kulo muthi.

Umenzi uthi lo muthi akufanele unikezwe okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-ganciclovir,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-ganciclovir, i-acyclovir (i-Zovirax), i-valganciclovir (i-Valcyte), noma yimuphi omunye umuthi.
• ungayithathi i-ganciclovir uma uthatha i-valganciclovir (Valcyte).
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SEXWAYISO nanoma yikuphi okulandelayo: ama-antibiotic e-aminoglycoside afana ne-amikacin (Amikin), i-gentamicin (Garamycin), i-neomycin (i-New-Rx, i-New-Fradin), i-netilmicin (i-Netromycin), i-streptomycin, i-tobramycin (Nebcin, Tobi), nabanye; i-amphotericin B (iFungizone); i-captopril (uCapoten, eCapozide); isisu (‘amaphilisi amanzi’); i-foscarnet (Foscavir); izinhlanganisela zegolide ezifana ne-auranofin (Ridaura) noma i-aurothioglucose (Solganal); imipenem-cilastatin (Primaxin); i-immune globulin (i-gamma globulin, iBayGam, iCarimmune, iGammagard, abanye); i-methicillin (iStaphcillin); i-muromonab-CD3 (OKT3); i-mycophenolate mofetil (CellCept); ama-nitrate afana ne-isosorbide dinitrate (Isordil, Sorbitrate) noma imikhiqizo ye-nitroglycerin; ipenicillamine (Cuprimine, Depen); isisekelo sokuqala; ama-probenecid; i-rifampin (i-Rifadin, i-Rimactane); noma ezinye izifaniso ze-nucleoside ezifana ne-acyclovir (Zovirax), i-famciclovir (i-Famvir), ne-ribavirin (i-Copegus, i-Rebetol, i-Virazole, e-Rebetron). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma ngabe uke waba nanoma yimiphi imibandela eshiwo esigabeni ESIBALULEKILE SESEXWAYISO noma ezinye zalezi zimo ezilandelayo: ukugula ngengqondo; ukuquleka; izinkinga zamehlo ngaphandle kwe-CMV retinitis; izinso, noma isifo sesibindi.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ibele ngenkathi uthatha i-ganciclovir. Khuluma nodokotela wakho mayelana nokuthi ungaqala nini ukuncelisa ibele ngokuphepha ngemuva kokuyeka ukuthatha i-ganciclovir.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-ganciclovir.
• kufanele wazi ukuthi i-ganciclovir ingakwenza ukozele, ube nesiyezi, ungahlali kahle, udideke noma uqaphele kancane, noma kungadala ukuquleka. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.

Qiniseka ukuthi uphuza uketshezi oluningi ngenkathi uthatha i-ganciclovir.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Ganciclovir ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• ubuhlungu besisu
• ukubopha
• ukulahlekelwa isifiso sokudla
• izinguquko kwikhono lokunambitha ukudla
• umlomo owomile
• izilonda zomlomo
• amaphupho angajwayelekile
• uvalo
• ukudana
• ukujuluka
• ukuqhuma
• ubuhlungu obuhlangene noma besisipha noma amajaqamba

Eminye imiphumela emibi ingaba mibi. Lezi zimpawu ezilandelayo azivamile, kepha uma uhlangabezana nenye yazo, noma lezo ezibalwe esigabeni ESIBALULEKILE SEXWAYISO, shayela udokotela wakho ngokushesha:

• ukubona amachashazi, ukukhanya, noma ikhethini elimnyama phezu kwakho konke
• ukuncipha kokuchama
• isifuba
• ukuqubuka
• ukulunywa
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi
• ukuba ndikindiki, ubuhlungu, ukushiswa, noma ukushosheka ezandleni noma ezinyaweni
• ukuxhawula izandla ongeke ukwazi ukuzilawula
• ukuphefumula kanzima noma ukugwinya
• ubuhlungu besifuba
• ukuguquka kwemizwelo
• isithuthwane

I-Ganciclovir ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• isicanucanu
• ukuhlanza
• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ukopha okungajwayelekile noma ukulinyazwa
• ukukhathala ngokweqile
• ubuthakathaka
• isikhumba esiphaphathekile
• ikhanda
• isiyezi
• ukudideka
• ukushaya kwenhliziyo okusheshayo
• ubunzima bokulala
• ukuphelelwa umoya
• umphimbo obuhlungu, umkhuhlane, amakhaza, ukukhwehlela, noma ezinye izimpawu zokutheleleka
• ukuncipha kokuchama
• ukuvuvukala kwezandla, izingalo, izinyawo, amaqakala, noma imilenze engezansi
• isithuthwane
• ukuphuzi kwesikhumba noma kwamehlo
• izimpawu ezinjengomkhuhlane
• ubuhlungu engxenyeni engenhla kwesokudla yesisu

Udokotela wakho angalawula izivivinyo zamehlo ezivamile ngenkathi uthatha lo muthi. Gcina konke ukubonana nodokotela wezifo zamehlo (izivivinyo zamehlo).

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho nabasebenzi belebhuthi ukuthi uthatha i-ganciclovir.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho. Ungavumeli ukunikezwa kwakho kwe-ganciclovir kuphele.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• ICytovene^® Ngomlomo^¶

• Nordexoyguanosine
• I-DHPG Sodium
• I-GCV Sodium

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.