Ukujova kwe-Ganciclovir

-Delile

• Ngaphambi kokusebenzisa umjovo we-ganciclovir,
• Umjovo we-Ganciclovir ungadala 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:

Umkhiqizi uxwayisa ngokuthi umjovo we-ganciclovir kufanele usetshenziselwe kuphela ukwelashwa nokuvimbela i-cytomegalovirus (CMV) kubantu abanezifo ezithile ngoba umuthi ungadala imiphumela emibi kakhulu futhi njengamanje alukho ulwazi olwanele ukusekela ukuphepha nokusebenza kwamanye amaqembu abantu.

Umjovo we-Ganciclovir usetshenziselwa ukwelapha i-cytomegalovirus (CMV) retinitis (ukutheleleka kwamehlo okungadala ubumpumputhe) kubantu amasosha omzimba wabo asebenza ngokujwayelekile, kubandakanya nalabo bantu asebethole i-immunodeficiency syndrome (i-AIDS). Ibuye isetshenziselwe ukuvikela isifo se-CMV ekufakeleni abemukeli abasengozini yokutheleleka nge-CMV. Umjovo we-Ganciclovir usesigabeni semithi ebizwa ngama-antivirals. Isebenza ngokumisa ukusabalala kwe-CMV emzimbeni.

Umjovo we-Ganciclovir uza njengempuphu ezoxutshwa noketshezi futhi ifakwe ngomjovo (emthanjeni). Imvamisa inikezwa njalo emahoreni ayi-12. Ubude bokwelashwa buxhomeke empilweni yakho ejwayelekile, uhlobo lokutheleleka onalo, nokuthi uphendula kahle kanjani emithini. Udokotela wakho uzokutshela ukuthi uzoyisebenzisa isikhathi esingakanani umjovo we-ganciclovir.

Ungathola umjovo we-ganciclovir esibhedlela, noma ungahlinzeka ngemithi ekhaya. Uma uzothola umjovo we-ganciclovir ekhaya, umhlinzeki wakho wezokunakekelwa kwezempilo uzokukhombisa ukuthi uwusebenzisa kanjani umuthi. Qiniseka ukuthi uyaziqonda lezi zinkomba, bese ubuza umhlinzeki wakho wezokunakekelwa kwezempilo uma unemibuzo.

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

Ngaphambi kokusebenzisa umjovo we-ganciclovir,

• Tshela udokotela kanye nosokhemisi wakho uma unegciwane ku-ganciclovir, i-acyclovir (i-Sitavig, i-Zovirax), noma imiphi eminye imithi, noma iziphi izithako zomjovo we-ganciclovir. 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 usho noma yikuphi okulandelayo: doxorubicin (Adriamycin), amphotericin B (Abelcet, AmBisome), cyclosporine (Gengraf, Neoral, Sandimmune), dapsone, flucytosine (Ancobon), imipenem-cilastatin (Primaxin); imishanguzo yokwelapha igciwane lesandulela ngculazi (i-HIV) kanye ne-immunodeficiency syndrome (i-AIDS) okubandakanya i-didanosine (Videx) noma i-zidovudine (i-Retrovir, e-Combivir, e-Trizivir); ipentamidine (Nebupent); i-probenecid (i-Benemid; e-Colbenemid) i-trimethoprim-sulfamethoxazole (Bactrim, Septra), i-vinblastine, noma i-vincristine (i-Marqibo Kit). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma ngabe uke waba nenombolo ephansi yamaseli abomvu noma amhlophe egazi noma ama-platelets noma ezinye izinkinga zegazi noma zokopha, izinkinga zamehlo ngaphandle kwe-CMV retinitis, noma isifo sezinso.
• utshele udokotela wakho uma ukhulelwe noma uhlela ukukhulelwa. Umjovo we-Ganciclovir ungadala ukungabi nenzalo (ubunzima bokukhulelwa). Kodwa-ke, uma ungowesifazane futhi ungakhulelwa, kufanele usebenzise ukulawulwa kokubeletha okusebenzayo ngenkathi uthola umjovo we-ganciclovir. Uma ungowesilisa futhi umlingani wakho angakhulelwa, kufanele usebenzise ikhondomu ngenkathi uthola lo muthi nezinsuku ezingama-90 ngemuva kokwelashwa kwakho. Uma ukhulelwa ngenkathi uthola umjovo we-ganciclovir, shayela udokotela wakho ngokushesha.
• tshela udokotela wakho uma uncelisa. Akufanele uncelise ibele ngenkathi uthola umjovo we-ganciclovir. Khuluma nodokotela wakho mayelana nokuthi ungaqala nini ukuncelisa ngokuphepha ngemuva kokuyeka ukuthola umjovo we-ganciclovir.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthola umjovo we-ganciclovir.

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

Umjovo we-Ganciclovir ungadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isifo sohudo
• ukulahlekelwa isifiso sokudla
• ukuhlanza
• ukukhathala
• ukujuluka
• ukulunywa
• ububomvu, ubuhlungu, noma ukuvuvukala endaweni yomjovo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

• ukukhathala okungajwayelekile noma ubuthakathaka
• isikhumba esiphaphathekile
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ukuphelelwa umoya
• ukuba ndikindiki, ubuhlungu, ukushiswa, noma ukushosheka ezandleni noma ezinyaweni
• umbono uyashintsha
• ukuncipha kokuchama

Umjovo we-Ganciclovir ungakhuphula ubungozi bokuthi uzoba neminye imidlavuza. Khuluma nodokotela wakho ngezingozi zokuthola lo muthi.

Umjovo we-Ganciclovir ungadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthola 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).

Udokotela wakho angalawula izivivinyo zamehlo ngenkathi uthatha lo muthi. Gcina konke ukubonana nodokotela wakho, udokotela wamehlo, kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho kumjovo we-ganciclovir.

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.

• ICytovene^® I.V.^®

• I-Nordeoxyguanosine
• I-DHPG Sodium
• I-GCV Sodium