I-Ribavirin

-Delile

• Ngaphambi kokuthatha i-ribavirin,
• I-Ribavirin 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:

I-Ribavirin ngeke yelaphe i-hepatitis C (igciwane elithelela isibindi futhi lingadala ukulimala kwesibindi noma umdlavuza wesibindi) ngaphandle uma lithathwa ngomunye umuthi. Udokotela wakho uzokunika omunye umuthi ozowuphuza nge-ribavirin uma unesifo sokusha kwesibindi kohlobo C. Thatha yomibili le mishanguzo njengoba uqondisiwe.

I-Ribavirin ingadala i-anemia (isimo lapho kuncipha khona inani lamaseli abomvu egazi) okungadala izinkinga zanhliziyo zakho zibe zimbi kakhulu futhi kungadala ukuthi uhlaselwe yinhliziyo okungabeka impilo yakho engcupheni. Tshela udokotela wakho uma uke wahlaselwa yinhliziyo futhi uma uke waba nengcindezi ephezulu yegazi, izinkinga zokuphefumula, noma isiphi isimo esithinta igazi lakho njenge-sickle cell anemia (isimo esizuzwe njengefa lapho amangqamuzana abomvu egazi abunjwe ngokungajwayelekile futhi ayikwazi ukuletha umoya-mpilo kuzo zonke izingxenye zomzimba) noma i-thalassemia (i-anemia yaseMedithera; isimo lapho amangqamuzana abomvu egazi engenayo into eyanele edingekayo ukuthwala umoya-mpilo), ukopha esiswini noma emathunjini, noma isifo senhliziyo. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukukhathala ngokweqile, isikhumba esiphaphathekile, ikhanda elibuhlungu, isiyezi, ukudideka, ukushaya kwenhliziyo okusheshayo, ubuthakathaka, ukuphefumula okuncane, noma ubuhlungu besifuba.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda ukuhlolwa kwegazi ngaphambi kokuba uqale ukuthatha i-ribavirin futhi kaningi ngesikhathi sokwelashwa kwakho.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-ribavirin futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

Khuluma nodokotela wakho ngezingozi zokuthatha i-ribavirin.

Ezigulini zesifazane:

Ungathathi i-ribavirin uma ukhulelwe noma uhlela ukukhulelwa. Akufanele uqale ukuthatha i-ribavirin kuze kube ukuhlolwa kokukhulelwa kubonise ukuthi awukhulelwe. Kufanele usebenzise izindlela ezimbili zokulawula ukubeletha futhi uhlolwe ukukhulelwa njalo ngenyanga ngenkathi welashwa nangezinyanga eziyisithupha ngemuva kwalokho. Shayela udokotela wakho ngokushesha uma ukhulelwa ngalesi sikhathi. I-Ribavirin ingadala ingozi noma ibulale umbungu.

Ezigulini zesilisa:

Ungathathi i-ribavirin uma umlingani wakho ekhulelwe noma ehlela ukukhulelwa. Uma unomlingani ongakhulelwa, akufanele uqale ukuthatha i-ribavirin kuze kube ukuhlolwa kokukhulelwa kukhombisa ukuthi akakhulelwe. Kufanele usebenzise izindlela ezimbili zokulawula ukubeletha, kufaka phakathi ikhondomu ene-spermicide ngesikhathi sokwelashwa kwakho nezinyanga eziyisithupha ngemuva kwalokho. Umlingani wakho kumele ahlolelwe ukukhulelwa njalo ngenyanga ngalesi sikhathi. Shayela udokotela wakho ngokushesha uma umlingani wakho ekhulelwa. I-Ribavirin ingadala ingozi noma ibulale umbungu.

I-Ribavirin isetshenziswa nomuthi we-interferon njenge-peginterferon alfa-2a [Pegasys] noma i-peginterferon alpha-2b [PEG-Intron]) ukwelapha i-hepatitis C kubantu abangakaze belashwe nge-interferon phambilini. URibavirin usesigabeni semithi elwa namagciwane ebizwa ngama-nucleoside analogues. Isebenza ngokuvimba igciwane elibangela ukusha kwesibindi kohlobo C ekusakazekeni ngaphakathi komzimba. Akwaziwa ukuthi ukwelashwa okubandakanya i-ribavirin nomunye umuthi welapha ukutheleleka kwesifo sohlobo C, kuvimbela ukulimala kwesibindi okungabangelwa i-hepatitis C, noma kuvimbele ukusakazeka kwesifo sokusha kwesibindi kohlobo C kwabanye abantu.

I-Ribavirin iza njengethebhulethi, i-capsule kanye nesisombululo somlomo (uketshezi) ukuthatha ngomlomo. Imvamisa kuthathwa ngokudla kabili ngosuku, ekuseni nakusihlwa, amasonto angama-24 kuye kwangama-48 noma ngaphezulu. Thatha i-ribavirin ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-ribavirin njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungawahlukanisi, ungawahlafune noma uwagxoze.

Nyakazisa uketshezi kahle ngaphambi kokusebenzisa ngakunye ukuxuba umuthi ngokulinganayo. Qiniseka ukuthi ugeza isipuni sokulinganisa noma inkomishi ngemuva kokuyisebenzisa njalo uma ulinganisa uketshezi.

Udokotela wakho anganciphisa umthamo wakho noma akutshele ukuthi uyeke ukuthatha i-ribavirin uma uba nemiphumela emibi yomuthi noma uma izivivinyo ezithile zaselabhorathri zibonisa ukuthi isimo sakho asikathuthuki. Shayela udokotela wakho uma ukhathazwa yimiphumela emibi ye-ribavirin. Unganciphisi umthamo wakho noma uyeke ukuthatha i-ribavirin ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele.

I-Ribavirin kwesinye isikhathi isetshenziselwa ukwelapha imikhuhlane egazini ebangela ukopha (amagciwane angadala ukopha ngaphakathi nangaphandle komzimba, izinkinga ngezitho eziningi, nokufa). Uma kwenzeka kuba nempi yebhayoloji, i-ribavirin ingasetshenziselwa ukwelapha umkhuhlane we-viral hemorrhagic osakazeke ngamabomu. I-Ribavirin kwesinye isikhathi isetshenziselwa ukwelapha isifo sokuphefumula esibi (i-SARS; igciwane elingadala izinkinga zokuphefumula, inyumoniya nokufa). Khuluma nodokotela wakho ngezingozi ezingenzeka zokusebenzisa lesi sidakamizwa ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-ribavirin,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-ribavirin, noma imuphi omunye umuthi, noma iziphi izithako kumaphilisi e-ribavirin, amaphilisi, noma isisombululo somlomo. Buza usokhemisi wakho noma uhlole Umhlahlandlela Wezokwelapha ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-didanosine (Videx). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-ribavirin uma uthatha lo muthi.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: azathioprine (Azasan, Imuran); imithi yokukhathazeka, ukudangala, noma okunye ukugula kwengqondo; i-nucleoside reverse transcriptase inhibitors (i-NRTIs) yegciwane lesandulela-ngculazi (i-HIV) noma i-immunodeficiency syndrome (i-AIDS) efana ne-abacavir (iZiagen, e-Atripla, eTrizivir), emtricitabine (Emtriva, e-Atripla, eTruvada), lamivudine (Epivir, in in I-Combivir, e-Epzicom), i-stavudine (i-Zerit), i-tenofovir (i-Viread, e-Atripla, eTruvada), ne-zidovudine (i-Retrovir, e-Combivir, e-Trizivir); nemithi ecindezela amasosha omzimba njenge-cancer chemotherapy, i-cyclosporine (i-Neoral, i-Sandimmune), i-sirolimus (i-Rapamune), ne-tacrolimus (i-Prograf). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma unesifo sezinso, ukwehluleka kwesibindi, noma i-autoimmune hepatitis (ukuvuvukala kwesibindi okwenzeka lapho amasosha omzimba ehlasela isibindi). Udokotela wakho angakutshela ukuthi ungathathi i-ribavirin.
• Tshela udokotela wakho uma uphuza noma wake waphuza utshwala obuningi, uma usebenzisa noma wake wasebenzisa izidakamizwa zasemgwaqweni, uma wake wacabanga ukuzibulala noma wahlela noma wazama ukwenza kanjalo, nokuthi wake wafakelwa isibindi yini noma okunye ukufakelwa komzimba. Phinda utshele udokotela wakho uma uke waba nokugula ngengqondo njengokucindezeleka, ukukhathazeka, noma i-psychosis (ukulahlekelwa ukuxhumana neqiniso); umdlavuza; I-HIV noma i-AIDS; isifo sikashukela; i-sarcoidosis (isimo lapho izicubu ezingavamile zikhula khona ezingxenyeni zomzimba ezifana namaphaphu); IGilbert’s syndrome (isimo sesibindi esincane esingadala ukuphuphuka kwesikhumba noma kwamehlo); i-gout (uhlobo lwesifo samathambo olubangelwa amakristalu abekwe emajoyintini); noma yiluphi uhlobo lwesifo sesibindi ngaphandle kwe-hepatitis C; noma i-thyroid, amanyikwe, iso, noma isifo samaphaphu.
• tshela udokotela wakho uma uncelisa.
• kufanele wazi ukuthi i-ribavirin ingakwenza ukozele, ube nesiyezi, noma udideke. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• ungaphuzi iziphuzo ezidakayo ngenkathi uthatha i-ribavirin. Utshwala bungenza isifo sakho sesibindi sibe sibi kakhulu.
• kufanele wazi ukuthi umlomo wakho kungenzeka womile kakhulu lapho uphuza lo muthi, ongaholela ezinkingeni ngamazinyo nezinsini zakho. Qiniseka ukuthi uxubha amazinyo akho kabili ngosuku futhi unezivivinyo zamazinyo ezivamile. Uma kwenzeka ukuhlanza, hlanza umlomo wakho kahle.

Qiniseka ukuthi uphuza uketshezi oluningi ngenkathi uthatha i-ribavirin.

Uma ukhumbula umthamo ongabanjwanga ngalo lolo suku, thatha imithi ngokushesha. Kodwa-ke, uma ungakhumbuli umthamo ophuthelwe kuze kube usuku olulandelayo, shayela udokotela wakho ukuthola ukuthi yini okufanele uyenze. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ukukhwehlela
• isisu esibuhlungu
• ukuhlanza
• isifo sohudo
• ukuqunjelwa
• isilungulela
• ukulahlekelwa isifiso sokudla
• ukuncipha komzimba
• izinguquko kwikhono lokunambitha ukudla
• umlomo owomile
• ubunzima bokugxila
• ubunzima bokulala noma ukulala
• ukulahleka kwememori
• ukuqubuka
• isikhumba esomile, esicasukile noma esilumayo
• ukujuluka
• ukuya esikhathini okubuhlungu noma okungajwayelekile (isikhathi)
• ubuhlungu bemisipha noma bethambo
• ukulahleka kwezinwele

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

• isifuba
• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ubunzima bokugwinya noma ukuphefumula
• ubuhlungu esiswini noma emhlane ongezansi
• uhudo olunegazi
• igazi elibomvu elikhanyayo ezitulweni
• emnyama, izitulo zokubambezeleka
• ukuqunjelwa esiswini
• ukudideka
• umchamo onombala omnyama
• ukuphuzi kwesikhumba noma kwamehlo
• ukopha okungajwayelekile noma ukulinyazwa
• umbono uyashintsha
• umkhuhlane, ukubanda, nezinye izimpawu zokutheleleka
• ukudana
• ucabanga ngokuzilimaza noma ukuzibulala
• ukuguquka kwemizwelo
• ukukhathazeka ngokweqile
• ukucasuka
• ukuqala ukusebenzisa izidakamizwa zasemgwaqweni noma utshwala futhi uma usebenzise lezi zinto esikhathini esedlule
• ukungabekezelelani emakhazeni

I-Ribavirin inganciphisa ukukhula nokuzuza kwesisindo ezinganeni. Khuluma nodokotela wengane yakho ngezingozi zokunikeza ingane yakho lo muthi.

I-Ribavirin 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 amaphilisi namaphilisi e-ribavirin ekamelweni lokushisa futhi kude nokushisa nomswakama okweqile (hhayi endlini yangasese). Gcina isisombululo somlomo se-ribavirin esiqandisini noma ekamelweni lokushisa.

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.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

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.

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