ILamivudine neTenofovir

-Delile

• Ngaphambi kokuthatha i-lamivudine ne-tenofovir,
• ILamivudine ne-tenofovir kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

I-Lamivudine ne-tenofovir akumele isetshenziselwe ukwelapha ukutheleleka ngegciwane le-hepatitis B (HBV; ukutheleleka kwesibindi okuqhubekayo). Tshela udokotela wakho uma unayo noma ucabanga ukuthi ungaba ne-HBV. Udokotela wakho angakuhlola ukuthi unayo yini i-HBV ngaphambi kokuba uqale ukwelashwa nge-lamivudine ne-tenofovir. Uma une-HBV futhi uthatha i-lamivudine ne-tenofovir, isimo sakho singase sibe sibi ngokuzumayo lapho uyeka ukuthatha i-lamivudine ne-tenofovir. Udokotela wakho uzokuhlola futhi a-oda izivivinyo zelebhu njalo ezinyangeni ezimbalwa ngemuva kokuyeka ukuthatha i-lamivudine ne-tenofovir ukubona ukuthi i-HBV yakho isiye yaba yimbi yini.

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

Inhlanganisela ye-lamivudine ne-tenofovir isetshenziswa kanye neminye imithi yokwelapha i-HIV kubantu abadala nasezinganeni. ILamivudine ne-tenofovir basesigabeni semithi ebizwa nge-nucleoside ne-nucleotide reverse transcriptase inhibitors (NRTIs). Zisebenza ngokunciphisa ukusabalala kwe-HIV emzimbeni. Yize i-lamivudine ne-tenofovir zingeke ziyelaphe i-HIV, le mithi inganciphisa amathuba okuba ne-immunodeficiency syndrome (i-AIDS) kanye nezifo ezihlobene ne-HIV ezinjengezifo ezibucayi noma umdlavuza. Ukuthatha le mithi kanye nokwenza ucansi oluphephile nokwenza ezinye izinguquko kwimpilo yakho kunganciphisa ubungozi bokuthola noma ukudlulisela igciwane le-HIV kwabanye abantu.

Inhlanganisela ye-lamivudine ne-tenofovir iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa nokudla noma ngaphandle kokudla kanye ngosuku. Thatha i-lamivudine ne-tenofovir ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-lamivudine ne-tenofovir njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Qhubeka nokuphuza i-lamivudine ne-tenofovir noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-lamivudine ne-tenofovir ngaphandle kokukhuluma nodokotela wakho. Uma uyeka ukuthatha i-lamivudine ne-tenofovir ngisho noma isikhashana, noma uma weqa imithamo, igciwane lingahle limelane nemithi futhi kungaba nzima ukuselapha.

Buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Inhlanganisela ye-lamivudine ne-tenofovir kwesinye isikhathi iyasetshenziswa kanye neminye imithi yokwelapha abasebenzi bezokunakekelwa kwezempilo noma abanye abantu abachayeke ekuthelelweni nge-HIV ngemuva kokuhlangana ngengozi negazi, izicubu zomzimba noma olunye uketshezi lomzimba. Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

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

Ngaphambi kokuthatha i-lamivudine ne-tenofovir,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-lamivudine, tenofovir, noma imuphi omunye umuthi, noma iziphi izithako ezikumathebulethi we-lamivudine kanye ne-tenofovir. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• kufanele wazi ukuthi i-lamivudine ne-tenofovir nazo ziyatholakala ngazinye ngamagama ezimpawu we-Epivir, Epivir-HBV (esetshenziselwa ukwelapha i-hepatitis B), i-Vemlidy (esetshenziselwa ukwelapha i-hepatitis B), ne-Viread, kanye nokuhlanganiswa neminye imithi amagama omkhiqizo we-Atripla, Biktarvy, Combivir, Complera, Descovy, Epzicom, Genvoya, Odefsey, Stribild, Symfi, Triumeq, Trizivir, neTruvada. Tshela udokotela wakho uma uthatha noma iyiphi yale mithi ukuze uqiniseke ukuthi awutholi umuthi ofanayo kabili.
• 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: acyclovir (Sitavig, Zovirax); ama-aminoglycosides afana ne-amikacin, i-gentamicin, i-streptomycin, ne-tobramycin; i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); atazanavir (Reyataz, e-Evotaz); cidofovir; i-darunavir ne-ritonavir (Prezista noNorvir); i-didanosine (i-Videx); i-ganciclovir (i-cytovene); i-interferon alfa (Intron A, Roferon-A); ledipasvir / sofosbuvir (Harvoni); lopinavir / ritonavir (Kaletra); i-ribavirin (iCopegus, iRebetol, iRibasphere); i-sofosbuvir / velpatasvir (i-Epculsa); i-sorbitol noma imishanguzo enziwe nge-sorbitol; i-trimethoprim (Primsol, eBactrim, Septra); i-valacyclovir (iValtrex); kanye ne-valganciclovir (Valcyte). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imithi eminingi ingaxhumana ne-lamivudine ne-tenofovir, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• Tshela udokotela wakho uma unanoma yiziphi zezimo ezishiwo esigabeni SESixwayiso ESIBALULEKILE, noma uma uke waba nezinkinga zamathambo okubandakanya i-osteoporosis (isimo lapho amathambo eba mncane futhi abe buthakathaka futhi aphule kalula) noma ukuphuka kwamathambo, i-hepatitis C noma esinye isifo sesibindi, noma isifo sezinso. Ezinganeni ezithatha le mithi, tshela udokotela wakho uma ngabe bake baba ne-pancreatitis noma bake bathola ukwelashwa ngemithi ye-nucleoside analog efana ne-NRTI esikhathini esedlule.
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-lamivudine ne-tenofovir shayela udokotela wakho. Akufanele uncelise ibele uma utheleleke nge-HIV noma uma udla i-lamivudine ne-tenofovir.
• kufanele wazi ukuthi amafutha omzimba wakho angakhuphuka noma ahambele ezindaweni ezahlukahlukene zomzimba wakho, njengasemhlane wakho ongaphezulu, entanyeni (’’ inyathi ’), amabele, nasesizungeze isisu sakho. Ungaqaphela ukulahleka kwamafutha omzimba ebusweni bakho, emilenzeni nasezingalweni.
• kufanele wazi ukuthi ngenkathi uthatha imishanguzo yokwelapha ukutheleleka nge-HIV, amasosha omzimba wakho angaqina futhi aqale ukulwa nezinye izifo ezazivele zisemzimbeni wakho noma zidale ukuthi ezinye izimo zivele. Lokhu kungadala ukuthi uthuthukise izimpawu zalezo zifo noma izimo. Uma unezimpawu ezintsha noma eziya ziba zimbi phakathi nokwelashwa kwakho nge-lamivudine ne-tenofovir qiniseka ukutshela udokotela wakho.

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.

ILamivudine ne-tenofovir kungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ikhanda
• ubuhlungu besisu
• isicanucanu
• ukuhlanza
• isifo sohudo
• isilungulela
• ukungabi namandla
• ukuhlungu obusemhlane
• ubuhlungu bemisipha noma bamalunga
• umuzwa ocindezelekile
• ukukhathazeka
• unenkinga yokulala noma ukuhlala ulele
• isiyezi
• ukuluma, ukushisa, noma ukuzwa okubuhlungu ezingalweni noma emilenzeni
• ukulunywa noma ukuqubuka

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• isifuba, ukuphefumula kanzima noma ukugwinya, ukuvuvukala kobuso, umphimbo, ulimi, izindebe, noma amehlo, ukubhonga
• Ubuhlungu obungavamile bemisipha, ukuphefumula kanzima, ubuhlungu besisu, isicanucanu, ukuhlanza, ukuzwa ukubanda ikakhulukazi ezingalweni noma emilenzeni, ukuzwa isiyezi noma ikhanda elikhanyayo, ukukhathala ngokweqile noma ubuthakathaka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ukuphuzi kwesikhumba noma kwamehlo, umchamo omnyama, izitulo ezinombala okhanyayo, isicanucanu, ukuhlanza, ukulahlekelwa isifiso sokudla, noma ubuhlungu, ukuqaqanjelwa, noma ubumnene engxenyeni engakwesokudla yesisu
• ukuncipha kokuchama, ukuvuvukala kwemilenze
• ubuhlungu bamathambo, ubuhlungu ezingalweni noma emilenzeni, ukuphuka kwethambo, ubuhlungu bemisipha noma ubuthakathaka, ubuhlungu bamalunga
• ubuhlungu obuqhubekayo obuqala ngaphezulu kwesobunxele noma maphakathi nesisu kepha bungasabalala emuva, isicanucanu, ukuhlanza (ezinganeni kuphela)

ILamivudine ne-tenofovir kungadala 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.

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

Gcina i-lamivudine ne-tenofovir ezandleni zakho. Ungalindi uze uphelelwe yimithi yokugcwalisa imishanguzo yakho.

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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