I-Adefovir

-Delile

• Ngaphambi kokuthatha i-adefovir,
• I-Adefovir ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ungayeki ukuthatha i-adefovir ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-adefovir isifo sakho sokusha kwesibindi singase sibe sibi kakhulu. Lokhu kungenzeka kakhulu kwenzeke ezinyangeni ezintathu zokuqala ngemuva kokuyeka ukuthatha i-adefovir. Qaphela ukuthi ungaphuthelwa imithamo noma uphelelwe i-adefovir. Tshela udokotela wakho uma ngabe uke waba nesifo sesibindi ngaphandle kwesifo sokusha kwesibindi kohlobo B noma i-cirrhosis (isibazi sesibindi). Uma uhlangabezana nalezi zimpawu ezilandelayo ngemuva kokuyeka ukuthatha i-adefovir, shayela udokotela wakho ngokushesha: ukukhathala ngokweqile, ubuthakathaka, isicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, ukuphuzi kwesikhumba noma kwamehlo, umchamo onombala omnyama, ukunyakaza kwamathumbu anombala okhanyayo, nobuhlungu bemisipha noma bamalunga.

I-Adefovir ingadala ukulimala kwezinso. Tshela udokotela wakho uma uke waba nesifo sezinso, umfutho wegazi ophakeme noma isifo sikashukela. Tshela udokotela kanye nosokhemisi wakho uma uphuza noma wake waphuza noma imiphi yale mithi elandelayo: ama-antibiotic e-aminoglycoside afana ne-amikacin, gentamicin, kanamycin, neomycin, streptomycin, ne-tobramycin (Tobi,); i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-cyclosporine (Gengraf, Neoral, Sandimmune); itacrolimus (Prograf); noma i-vancomycin. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukudideka; ukuncipha kokuchama; noma ukuvuvukala kwezandla, izinyawo, amaqakala, noma imilenze engezansi.

Uma une-HIV noma i-AIDS engalashwa ngemithi futhi usebenzisa i-adefovir, ukutheleleka kwakho nge-HIV kungaba nzima ukuselapha. Tshela udokotela wakho uma une-HIV noma i-AIDS noma uma uya ocansini olungaphephile nabalingani abangaphezu koyedwa noma usebenzisa izidakamizwa zomgwaqo ezijova. Udokotela wakho angakuhlolela ukutheleleka nge-HIV ngaphambi kokuba uqale ukwelashwa nge-adefovir futhi nganoma isiphi isikhathi ngesikhathi sokwelashwa kwakho lapho kunethuba lokuthi uchayeke kwi-HIV.

I-Adefovir, uma isetshenziswa yodwa noma ihlanganiswe neminye imishanguzo yokulwa namagciwane, ingadala umonakalo omkhulu noma osongela impilo esibindini kanye nesimo esibizwa nge-lactic acidosis (ukwakheka kwe-asidi egazini). Ingcuphe yokuthi uzoba ne-lactic acidosis ingahle ibe phezulu uma ungowesifazane, uma ukhuluphele ngokweqile, noma uma welashwe ngemithi yesifo se-hepatitis B virus (HBV) isikhathi eside. Tshela udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukudideka; ukopha okungavamile noma ukulimaza; ukuphuzi kwesikhumba noma kwamehlo; umchamo onombala omnyama; ukunyakaza kwamathumbu okukhanyayo; ukuphefumula kanzima; ubuhlungu besisu noma ukuvuvukala; isicanucanu; ukuhlanza; ubuhlungu obungavamile bemisipha; ukulahlekelwa isifiso sokudla okungenani izinsuku ezimbalwa; ukungabi namandla; izimpawu ezinjengomkhuhlane; ukulunywa; ukuzwa ukubanda, ikakhulukazi ezandleni noma emilenzeni; isiyezi noma ikhanda elikhanyayo; ukushaya kwenhliziyo okusheshayo noma okungajwayelekile; noma ubuthakathaka obukhulu noma ukukhathala.

Gcina konke ukuqokwa nodokotela wakho kanye nelabhorethri ngaphambi, ngesikhathi, nangezinyanga ezimbalwa ngemuva kokwelashwa kwakho nge-adefovir. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-adefovir ngalesi sikhathi.

Khuluma nodokotela wakho ngezingozi zokuthatha i-adefovir.

I-Adefovir isetshenziselwa ukwelapha ukutheleleka okungapheli (kwesikhathi eside) kwesifo sokusha kwesibindi kohlobo B (ukuvuvukala kwesibindi okubangelwa igciwane) kubantu abadala nezingane ezineminyaka engu-12 nangaphezulu. I-Adefovir ikusigaba semithi esibizwa ngama-nucleotide analogs. Isebenza ngokunciphisa inani le-virus ye-hepatitis B (HBV) emzimbeni. I-Adefovir ngeke yelaphe isifo sokusha kwesibindi kohlobo B futhi kungenzeka ingavimbeli izinkinga zesifo sokusha kwesibindi kohlobo B okungapheli okufana nesifo sokuqina kwesibindi noma umdlavuza wesibindi. I-Adefovir kungenzeka ingavimbeli ukusakazeka kwesifo sokusha kwesibindi kohlobo B kwabanye abantu.

I-Adefovir iza njenge-tablet ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku noma ngaphandle kokudla. Thatha i-adefovir ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-adefovir njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

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

Ngaphambi kokuthatha i-adefovir,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-adefovir; noma imiphi eminye imithi; noma yiziphi izithako ezibhebheni ze-adefovir. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SOKUXWAYISA kanye ne-lamivudine (Combivir, Epivir, Epivir-HBV, Epzicom, Triumeq, noma Trizivir) noma i-tenofovir (iViread, e-Atripla, eComplera, eSribild, eTruvada). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Ungathathi noma imuphi omunye umuthi ngenkathi uthatha i-adefovir ngaphandle kokuthi udokotela wakho akutshele ukuthi kufanele.
• ungathathi i-adefovir uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-adefovir, shayela udokotela wakho. Ungancelisi ibele ngenkathi uthatha i-adefovir.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-adefovir.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Uma ukhumbula umthamo ongabanjwanga ngosuku obekufanele uwuthathe, thatha isilinganiso esilahlekile ngokushesha nje lapho usikhumbula. Kodwa-ke, uma ungawukhumbuli umthamo ophuthelwe kuze kube usuku olulandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ongaphezu koyedwa we-adefovir ngosuku olufanayo. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

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

• ubuthakathaka
• ikhanda
• isifo sohudo
• igesi
• ukugaya ukudla
• Umphimbo obuhlungu
• ikhala eligijimayo
• ukuqubuka

I-Adefovir 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).

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

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.

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 okulandelayo:

• isisu esibuhlungu
• ukungakhululeki esiswini

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.

• UHepsera^®