I-Telbivudine

-Delile

• Ngaphambi kokuthatha i-telbivudine,
• I-Telbivudine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

I-Telbivudine ayisatholakali e-U.S .. Uma njengamanje usebenzisa i-telbivudine, kufanele ushayele udokotela wakho ukuze axoxe ngokushintshela kolunye ukwelashwa.

I-Telbivudine ingadala umonakalo omkhulu noma osongela ukuphila kwesibindi kanye nesimo esibizwa nge-lactic acidosis (ukwakheka kwe-asidi egazini). Tshela udokotela wakho uma uphuza noma wake waphuza utshwala obuningi, uma usebenzisa noma wake wasebenzisa izidakamizwa zomgwaqo ezijova, futhi uma uke waba nesifo sokusha kwesibindi noma isibindi noma esinye isifo sesibindi ngaphandle kwesifo sokusha kwesibindi kohlobo B. Tshela udokotela kanye nosokhemisi wakho uma uphuza noma uphuze le mithi elandelayo: i-acetaminophen (iTylenol, abanye); imithi yokwehlisa i-cholesterol (ama-statins); imikhiqizo yensimbi; i-isoniazid (INH, Nydrazid); imithi yokwelapha i-human immunodeficiency virus (HIV) noma i-immunodeficiency syndrome (i-AIDS); i-methotrexate (i-Rheumatrex); i-niacin (i-nicotinic acid); noma i-rifampin (i-Rifadin, i-Rimactane). Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: 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; ubuthakathaka obukhulu noma ukukhathala; ukuzwa ukubanda, ikakhulukazi ezandleni noma emilenzeni; isiyezi noma ikhanda elikhanyayo; noma ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.

Ungayeki ukuthatha i-telbivudine ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-telbivudine i-hepatitis yakho ingase ibe yimbi kakhulu. Lokhu kungenzeka kakhulu kwenzeke ezinyangeni ezimbalwa zokuqala ngemuva kokuyeka ukuthatha i-telbivudine. Qaphela ukuthi ungaphuthelwa imithamo noma uphelelwe i-telbivudine. Gcwalisa udokotela wakho okungenani ezinsukwini ezinhlanu ngaphambi kokuthi ulindele ukuthi uzodinga ukunikezwa okusha kwemithi. Uma uhlangabezana nanoma yiziphi kulezi zimpawu ezilandelayo ngemuva kokuyeka ukuthatha i-telbivudine, shayela udokotela wakho ngokushesha: ukukhathala ngokweqile, ubuthakathaka, isicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, ukuphuzi kwesikhumba noma kwamehlo, umchamo onombala omnyama, noma ukunyakaza kwamathumbu okukhanya .

Gcina konke ukubonana nodokotela wakho kanye nelabhorethri ngaphambi kokwelashwa nge-telbivudine, ngesikhathi nangemuva kwayo. Udokotela wakho uzo-oda izivivinyo ezithile ukuze ahlole impendulo yomzimba wakho ku-telbivudine ngalesi sikhathi.

Khuluma nodokotela wakho ngezingozi zokuthatha i-telbivudine.

I-Telbivudine isetshenziselwa ukutheleleka okungapheli (kwesikhathi eside) kwe-hepatitis B (ukuvuvukala kwesibindi okubangelwa igciwane) kubantu abangakhombisa nezimpawu zokulimala kwesibindi. I-Telbivudine isekilasini lemithi ebizwa ngama-nucleoside analogues. Isebenza ngokunciphisa inani le-virus ye-hepatitis B (HBV) emzimbeni. I-Telbivudine ayilaphi i-hepatitis B futhi kungenzeka ingavimbeli izinkinga zesifo sokusha kwesibindi kohlobo B okungapheli, njenge-cirrhosis yesibindi noma umdlavuza wesibindi. I-Telbivudine ayivimbeli ukusakazeka kwesifo sokusha kwesibindi kohlobo B kwabanye abantu ngokuya ocansini, ukwabelana ngezinaliti, noma ukuxhumana negazi.

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

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

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

Ngaphambi kokuthatha i-telbivudine,

• Tshela udokotela wakho kanye nosokhemisi uma ungenwe i-telbivudine noma yimuphi omunye umuthi.
• 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 SESEXWAYISO nanoma yikuphi okulandelayo: chloroquine (Aralen); erythromycin (E.E.S., E-Mycin, Erythrocin); fenofibrate (Antara, Lofibra, Triglide); gemfibrozil (Lopid); i-hydroxychloroquine (i-Plaquenil); imishanguzo yokuvikela ukwenqatshwa kwesitho esifakelwe kabusha, njenge-cyclosporine (Neoral, Sandimmune) noma i-tacrolimus (Prograf); imithi yokwelapha izifo ezikhunta ezifana ne-fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), noma i-voriconazole (Vfend); i-steroids yomlomo efana ne-dexamethasone (i-Decadron, i-Dexone), i-methylprednisolone (i-Medrol) ne-prednisone; (I-Deltasone), i-penicillamine (Cuprimine); ama-probenecid; noma i-zidovudine (AZT, Retrovir, eCombivir, eTrizivir). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• Tshela udokotela wakho uma uke wafakelwa isibindi (noma ukuhlinzwa ukuze kufakwe isibindi esigulayo) noma isifo sezinso.
• Tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma ukuncelisa. Uma ukhulelwa ngenkathi uthatha i-telbivudine, shayela udokotela wakho. Ungancelisi ibele ngenkathi uthatha i-telbivudine.
• Uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-telbivudine.

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

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

• ikhanda
• isifo sohudo
• ubuhlungu emuva noma ngokuhlanganyela
• ubunzima bokulala noma ukulala
• ukulunywa
• ukuqubuka

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ubuhlungu bemisipha, ubuhlungu, ubuthakathaka, noma isisa

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

Gcina le mithi esitsheni efike ngayo, ivaliwe ngokuqinile, futhi lapho izingane nezilwane ezifuywayo zingafinyeleli 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.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri.

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.

• Tyzeka^®