ILamivudine

-Delile

• Ngaphambi kokuthatha i-lamivudine,
• ILamivudine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

Tshela udokotela wakho uma une noma ucabanga ukuthi ungaba nokutheleleka ngegciwane le-hepatitis B (HBV; ukutheleleka kwesibindi okuqhubekayo). Udokotela wakho angakuhlola ukuthi unayo yini i-HBV ngaphambi kokuba uqale ukwelashwa nge-lamivudine. Uma une-HBV futhi uphuza i-lamivudine, isimo sakho singase sibe sibi ngokungazelelwe lapho uyeka ukuthatha i-lamivudine. Udokotela wakho uzokuhlola futhi a-oda izivivinyo zebhu njalo ezinyangeni ezimbalwa ngemuva kokuyeka ukuthatha i-lamivudine ukubona ukuthi i-HBV yakho isiba kubi kakhulu.

Amaphilisi e-Epivir noketshezi (okusetshenziselwa ukwelapha igciwane lengculaza lomzimba [i-HIV]) akushintshaniswa namaphilisi e-Epivir-HBV noketshezi (okusetshenziselwa ukwelapha ukutheleleka kwesifo sohlobo lwe-hepatitis B). I-Epivir iqukethe umthamo ophakeme we-lamivudine kune-Epivir-HBV. Ukwelashwa nge-Epivir-HBV ezigulini ezinegciwane lesandulela ngculaza kungadala ukuthi igciwane lesandulela ngculaza lingalapheki nge-lamivudine kanye neminye imithi. Uma une-HIV kanye ne-hepatitis B, kufanele uthathe i-Epivir kuphela. Uma uthatha i-Epivir-HBV yokutheleleka nge-hepatitis B, khuluma nodokotela wakho ngezingozi zakho zokutheleleka nge-HIV.

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

Khuluma nodokotela wakho ngezingozi zokuthatha i-lamivudine.

ILamivudine (Epivir) isetshenziswa kanye neminye imithi yokwelapha ukutheleleka ngegciwane lesandulela ngculaza (i-HIV) kubantu abadala nasezinganeni ezinezinyanga ezintathu ubudala nangaphezulu. I-Lamivudine (Epivir-HBV) isetshenziselwa ukwelapha ukutheleleka kwe-hepatitis B. ILamivudine isekilasini lemithi ebizwa nge-nucleoside reverse transcriptase inhibitors (NRTIs). Isebenza ngokunciphisa inani le-HIV kanye ne-hepatitis B egazini. Yize i-lamivudine ingayelaphi i-HIV, ingahle inciphise amathuba akho okuba ne-immunodeficiency syndrome (i-AIDS) kanye nezifo ezihlobene ne-HIV ezinjengezifo ezinqala noma umdlavuza. Ukuthatha le mithi kanye nokwenza ucansi oluphephile nokwenza ezinye izinguquko empilweni kunganciphisa ubungozi bokudlulisela (ukusabalalisa) igciwane lesandulela ngculaza noma i-hepatitis B kwabanye abantu.

ILamivudine iza njengethebhulethi nesisombululo somlomo (uketshezi) ukuthatha ngomlomo. I-Lamivudine (i-Epivir) ivame ukuthathwa kanye noma kabili ngosuku noma ngaphandle kokudla. ILamivudine (Epivir-HBV) ivame ukuthathwa kanye ngosuku. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-lamivudine njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

ILamivudine ilawula ukutheleleka nge-HIV ne-hepatitis B kodwa ayikulapheki. Qhubeka uphuze i-lamivudine noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-lamivudine ngaphandle kokukhuluma nodokotela wakho. Lapho ukunikezwa kwakho kwe-lamivudine kuqala ukwehla, thola okuningi kudokotela wakho noma ekhemisi. Uma uphuthelwa imithamo noma uyeka ukuthatha i-lamivudine, isimo sakho singaba nzima ukwelashwa.

ILamivudine iyasetshenziswa kwesinye isikhathi ngokuhlanganiswa neminye imithi yokwelapha abasebenzi bezokunakekelwa kwempilo noma abanye abantu abachayeke ekuthelelekeni nge-HIV ngemuva kokuthintana ngengozi negazi, izicubu, noma olunye uketshezi lomzimba olonakele. Khuluma nodokotela wakho ngezingozi ezingenzeka zokusebenzisa lesi sidakamizwa ngesimo sakho.

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

Ngaphambi kokuthatha i-lamivudine,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana ne-lamivudine, noma imiphi eminye imithi, noma iziphi izithako ezikumaphilisi e-lamivudine noma kwisisombululo somlomo. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho okulandelayo: i-interferon alfa (Intron A), i-ribavirin (i-Copegus, i-Rebetol, abanye), i-sorbitol; kanye ne-trimethoprim / sulfamethoxazole (Bactrim, Septra).
• Tshela udokotela wakho uma ngabe uke waba nesifo se-hepatitis C noma esinye isifo sesibindi, isifo sezinso, noma isifo samanyikwe (ezinganeni kuphela).
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa.Uma ukhulelwa ngenkathi uthatha i-lamivudine, shayela udokotela wakho. Akufanele uncelise ibele uma utheleleke nge-HIV noma uma uphuza i-lamivudine.
• 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-lamivudine, qiniseka ukuthi utshela udokotela wakho.
• uma unesifo sikashukela, kufanele wazi ukuthi kukhona amagremu ama-3 e-sucrose kusipuni ngasinye (i-15 mL) yesisombululo se-lamivudine.

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

• isifo sohudo
• ikhanda
• ubunzima bokulala noma ukulala
• ukudana
• ikhala eligcwele

Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukuqubuka
• ukuhlanza (ezinganeni)
• isicanucanu (ezinganeni)
• ubuhlungu obuqhubekayo obuqala endaweni yesisu kepha bungasabalala baye emuva (ezinganeni)
• ukuba ndikindiki, ukushosholoza, noma ukushisa eminweni noma ezinzwaneni
• ukukhathala ngokweqile; ubuthakathaka, isiyezi noma ikhanda elikhanyayo; ukushaya kwenhliziyo okusheshayo noma okungajwayelekile; ubuhlungu bemisipha; ubuhlungu besisu ngokuhlanza nokuhlanza; ukuphefumula noma ukuphefumula kanzima; izimpawu ezinjengomkhuhlane, umkhuhlane, noma ukukhwehlela; noma uzizwe ubanda, ikakhulukazi ezandleni noma emilenzeni
• ukunyakaza kwamathumbu okukhanyayo; ukuphuzi kwesikhumba noma kwamehlo; ukulahlekelwa ukudla; ukopha okungavamile noma ukulimaza; umchamo omnyama ophuzi noma onsundu; noma ubuhlungu engxenyeni engaphezulu kwesokudla yesisu

ILamivudine 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). Isixazululo somlomo asidingi ukufakwa esiqandisini; nokho, kufanele igcinwe endaweni epholile.

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 esandleni. 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-Epivir^®
• I-Epivir-HBV^®

• I-Epzicom^® (equkethe i-Abacavir, Lamivudine)

• 3TC