Zidovudine
-Delile
- Ngaphambi kokuthatha i-zidovudine,
- I-Zidovudine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Uma uhlangabezana nalolu phawu olulandelayo, noma okunye kwalabo abalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
I-Zidovudine inganciphisa inani lamaseli athile egazini lakho, kufaka phakathi amaseli abomvu namhlophe egazi. Tshela udokotela wakho uma ngabe uke waba nenombolo ephansi yanoma yiluphi uhlobo lwamangqamuzana egazi noma noma yikuphi ukuphazamiseka kwegazi okufana ne-anemia (inani eliphansi kunejwayelekile lamaseli abomvu egazi) noma izinkinga zomnkantsha. Shayela udokotela wakho ngokushesha uma uhlangabezana nalezi zimpawu ezilandelayo: ukopha okungavamile noma ukulimaza, umkhuhlane, ukubanda, noma ezinye izimpawu zokutheleleka, ukukhathala okungajwayelekile noma ubuthakathaka, noma isikhumba esiphaphathekile.
I-Zidovudine nayo ingadala ukulimala okusongela impilo esibindini kanye nesimo esisongela impilo esibizwa nge-lactic acidosis (i-lactic acid egazini). Tshela udokotela wakho uma uke waba nesifo sesibindi noma wake waba naso. Uma uhlangabezana nezinye zalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo: isicanucanu, ukuhlanza, ubuhlungu engxenyeni engakwesokudla esiswini sakho, ukulahlekelwa isifiso sokudla, ukukhathala ngokweqile, ubuthakathaka, isiyezi, ikhanda elikhanyayo, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile , ukuphefumula kanzima, umchamo omnyama ophuzi noma onsundu, ukunyakaza kwamathumbu anombala okhanyayo, ukuphuzi kwesikhumba noma kwamehlo, ukuzwa ukubanda, ikakhulukazi ezandleni noma emilenzeni, noma ubuhlungu bemisipha obuhlukile kunanoma yibuphi ubuhlungu bemisipha ovame ukubuzwa.
I-Zidovudine ingadala isifo semisipha, ikakhulukazi uma ithathwa isikhathi eside. Shayela udokotela wakho uma ukhathele, ubuhlungu bemisipha, noma ubuthakathaka.
Kubalulekile ukugcina konke ukubonana nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukubheka impendulo yakho ku-zidovudine.
Khuluma nodokotela wakho ngezingozi zokuthatha i-zidovudine.
I-Zidovudine isetshenziswa kanye neminye imithi yokwelapha ukutheleleka nge-immunodeficiency virus (HIV). I-Zidovudine inikezwa abesifazane abakhulelwe abane-HIV ukunciphisa amathuba okudlulisela igciwane enganeni. UZidovudine usesigabeni semithi ebizwa nge-nucleoside reverse transcriptase inhibitors (NRTIs). Isebenza ngokunciphisa inani le-HIV egazini. Yize i-zidovudine ingayelaphi i-HIV, ingahle inciphise 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 endleleni yokuphila kunganciphisa ubungozi bokudlulisela (ukusabalalisa) igciwane le-HIV kwabanye abantu.
I-Zidovudine iza njenge-capsule, ithebhulethi, nesiraphu okuzothathwa ngomlomo. Imvamisa ithathwa kabili ngosuku ngabantu abadala nezikhathi ezimbili noma ezintathu ngosuku ngezinsana nezingane. Izinsana ezinamasonto ayisithupha ubudala nangaphansi zingathatha i-zidovudine njalo emahoreni ayisithupha. Lapho i-zidovudine ithathwa ngabesifazane abakhulelwe, ingaphuzwa izikhathi ezinhlanu ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-zidovudine njengoba nje kuyalelwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
Udokotela wakho angayeka ukwelashwa kwakho okwesikhashana uma uba nemiphumela emibi kakhulu.
I-Zidovudine ilawula ukutheleleka nge-HIV kepha ayiyelaphi. Qhubeka nokuphuza i-zidovudine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-zidovudine ngaphandle kokukhuluma nodokotela wakho. Lapho ukunikezwa kwakho kwe-zidovudine kuqala ukwehla, thola okuningi kudokotela wakho noma ekhemisi. Uma uphuthelwa imithamo noma uyeka ukuthatha i-zidovudine, isimo sakho singaba nzima ukwelashwa.
I-Zidovudine iyasetshenziswa kanye neminye imithi ezimweni ezithile ukwelapha abasebenzi bezokunakekelwa kwempilo kanye nabanye abantu abachayeke ekuthelelekeni nge-HIV ngemuva kokuthintana ngengozi negazi, izicubu zomzimba noma olunye uketshezi lomzimba.Khuluma nodokotela wakho ngezingozi ezingenzeka zokusebenzisa lesi sidakamizwa ngesimo sakho.
Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-zidovudine,
- Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-zidovudine, noma imuphi omunye umuthi, noma esinye isithako semikhiqizo ye-zidovudine. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunomsoco, okwenzayo noma ohlela ukukuthatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: imithi yokwelashwa ngamakhemikhali yomdlavuza, i-doxorubicin (i-Doxil), i-ganciclovir (i-cytovene, i-Valcyte), i-interferon alfa, i-ribavirin (i-Copegus, i-Rebetol, i-Ribasphere) ne-stavudine (i-Zerit). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma uke waba nesifo sezinso noma wake waba naso.
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-zidovudine, shayela udokotela wakho. Akufanele uncelise ibele uma utheleleke nge-HIV noma uma udla i-zidovudine.
- kufanele wazi ukuthi ungalahlekelwa ngamafutha omzimba ebusweni bakho, emilenzeni nasezingalweni. Khuluma nodokotela wakho uma ubona lolu shintsho.
- kufanele wazi ukuthi ngenkathi uthatha imishanguzo yokwelapha ukutheleleka nge-HIV, amasosha omzimba wakho angaqina futhi aqale ukulwa nezinye izifo ezazivele zisemzimbeni wakho. Lokhu kungadala ukuthi ube nezimpawu zalezo zifo. Uma unezimpawu ezintsha noma eziya ziba zimbi ngemuva kokuqala ukwelashwa nge-zidovudine, qiniseka ukuthi utshela udokotela wakho.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Yeqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa esivamile. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.
I-Zidovudine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- ubuhlungu besisu noma amajaqamba
- isilungulela
- isifo sohudo (ikakhulukazi ezinganeni)
- ukuqunjelwa
- ikhanda
- ubunzima bokulala noma ukulala
Uma uhlangabezana nalolu phawu olulandelayo, noma okunye kwalabo abalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
- ukuqubuka
- ukushwabana noma ukuxebuka kwesikhumba
- isifuba
- ukulunywa
- ukuphefumula kanzima noma ukugwinya
- ukuvuvukala kwamehlo, ubuso, ulimi, izindebe, noma umphimbo
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 ukutholakala kwe-zidovudine kusesandleni. 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.
- I-Retrovir®
- I-AZT
- ZDV