Ribavirin, Ithebhulethi Yomlomo

-Delile

• Izexwayiso ezibalulekile
• Izexwayiso ze-FDA
  
• Ezinye izexwayiso
• Yini i-ribavirin?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi ye-Ribavirin
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• I-Ribavirin ingaxhumana neminye imithi
• Isidakamizwa se-Immunosuppressant
• Ama-Interferon (alfa)
• Imithi ye-HIV
• Izexwayiso zikaRibavirin
• Isexwayiso somzimba
• Isexwayiso sokusebenzisana kokudla
• Izexwayiso zamaqembu athile
• Ungayithatha kanjani i-ribavirin
• Amafomu wezidakamizwa namandla
• Umthamo wokutheleleka okungapheli kwesifo sokusha kwesibindi kohlobo C wedwa
• Isikali sesifo esingapheli se-hepatitis C esine-HIV
• Ukucatshangelwa okukhethekile
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-ribavirin
• Ukugcwalisa kabusha
• Ukuvakasha
• Ukuqapha komtholampilo
• Ukutholakala
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Amaphuzu avelele we-ribavirin

1. Ithebhulethi yomlomo iRibavirin itholakala kuphela njengomuthi ojwayelekile.
2. I-Ribavirin iza njengethebhulethi yomlomo, i-capsule yomlomo, isisombululo somlomo, nesisombululo se-inhalant.
3. Ithebhulethi yomlomo iRibavirin isetshenziswa kanye nezinye izidakamizwa ukwelapha ukutheleleka ngegciwane lesifo sofuba i-hepatitis C (HCV). Isetshenziselwa abantu abane-HCV bodwa, nalabo abane-HCV ne-HIV.

Izexwayiso ezibalulekile

Izexwayiso ze-FDA

• Lo muthi unezixwayiso zebhokisi elimnyama. Isexwayiso sebhokisi elimnyama yisixwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Isexwayiso sokusebenzisa i-Ribavirin: I-Ribavirin akufanele isetshenziswe yodwa ukwelapha ukutheleleka kwakho ngegciwane le-hepatitis C. Uzodinga ukuyithatha nezinye izidakamizwa.
• Isixwayiso sesifo senhliziyo: Lesi sidakamizwa singadala ukuthi amangqamuzana akho abomvu egazi asheshe afe, okungaholela ekuhlaselweni yinhliziyo. Ungasebenzisi i-ribavirin uma unomlando wesifo senhliziyo.
• Isexwayiso sokukhulelwa: I-Ribavirin ingadala ukukhubazeka kokuzalwa noma iqede ukukhulelwa. Ungathathi i-ribavirin uma ukhulelwe noma uhlela ukukhulelwa. Abesilisa akufanele bathathe lesi sidakamizwa uma umlingani wabo ekhulelwe noma ehlela ukukhulelwa.

Ezinye izexwayiso

• Isexwayiso semicabango yokuzibulala: I-Ribavirin ingahle ikwenze ube nemicabango yokuzibulala noma uzame ukuzilimaza. Shayela udokotela wakho khona manjalo noma uye egumbini lezimo eziphuthumayo uma unezimpawu ezintsha noma eziya ziba zimbi zokucindezeleka noma imicabango ngokuzibulala.
• Izinkinga zokuphefumula ezinzima: Lesi sidakamizwa singakhuphula ubungozi bakho be-pneumonia, engabulala. Uma unenkinga yokuphefumula, tshela udokotela wakho ngokushesha.
• Izinkinga zokukhula ezinganeni: Ukuhlanganiswa kwalesi sidakamizwa ne-peginterferon alfa noma i-interferon kungadala ukwehla kwesisindo noma ukukhula kwezingane. Iningi lezingane lizokhula ngokushesha futhi likhuluphale ngemuva kokuyeka ukwelashwa. Kodwa-ke, ezinye izingane kungenzeka zingalokothi zifinyelele kubude obekulindeleke ukuthi zifinyelele kubo ngaphambi kokwelashwa. Khuluma nodokotela wengane yakho uma ukhathazekile ngokukhula kwengane yakho ngesikhathi sokwelashwa.

Yini i-ribavirin?

I-Ribavirin ngumuthi kadokotela. Kuza njengethebhulethi yomlomo, i-capsule yomlomo, isixazululo soketshezi ngomlomo, nesisombululo se-inhalant.

Ithebhulethi yomlomo iRibavirin iyatholakala ngendlela ejwayelekile. Imithi ejwayelekile ijwayele ukubiza ngaphansi kwezinguqulo zamagama.

Lesi sidakamizwa kufanele sisetshenziswe njengengxenye yokwelashwa okuhlanganayo. Lokho kusho ukuthi udinga ukuyithatha nezinye izidakamizwa.

Kungani kusetshenziswa

I-Ribavirin isetshenziselwa ukwelapha ukutheleleka okungapheli kwe-hepatitis C (HCV). Isetshenziselwa abantu abane-HCV bodwa, futhi abane-HCV ne-HIV.

Ithebhulethi ye-ribavirin isetshenziswa nomunye umuthi obizwa nge-peginterferon alfa ukwelapha ukutheleleka okungamahlalakhona kwe-HCV.

Isebenza kanjani

Akwaziwa kahle ukuthi i-ribavirin isebenza kanjani ukwelapha i-hepatitis C.

Imiphumela emibi ye-Ribavirin

Ithebhulethi yomlomo yeRibavirin ingadala ukozela. Kungadala neminye imiphumela emibi.

Imiphumela emibi ejwayelekile

I-Ribavirin isetshenziswa ne-peginterferon alfa. Imiphumela emibi ejwayelekile yokuthatha imishanguzo ndawonye ingafaka:

• izimpawu ezinjengomkhuhlane, njenge:
  • ukukhathala
  • ikhanda
  • ukuqhaqhazela kanye nokuba nomkhuhlane
  • ubuhlungu bemisipha noma obuhlangene
• ukushintsha kwemizwelo, njengokuzizwa uthukuthele noma ukhathazekile
• inkathazo yokulala
• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuhlanza
• isifo sohudo
• umlomo owomile
• izinkinga zamehlo

Imiphumela emibi ejwayelekile ye-ribavirin ezinganeni ihlanganisa:

• izifo
• ukuncipha kwesifiso sokudla
• ubuhlungu besisu nokuhlanza

Uma le miphumela imnene, ingahle ihambe zingakapheli izinsuku ezimbalwa noma amasonto ambalwa. Uma zinzima kakhulu noma zingahambi, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• I-anemia (ukubalwa kwamaseli abomvu abomvu). Izimpawu zingafaka:
  • umuzwa ojwayelekile wobuthakathaka
  • ukukhathala
  • isiyezi
  • ukushaya kwenhliziyo okusheshayo
  • inkathazo yokulala
  • isikhumba esiphaphathekile
• I-Pancreatitis (ukuvuvukala nokucasuka kwamanyikwe akho). Izimpawu zingafaka:
  • ubuhlungu besisu
  • isicanucanu
  • ukuhlanza
  • isifo sohudo
• Inyumoniya. Izimpawu zingafaka:
  • inkinga yokuphefumula
• Ukucindezeleka okukhulu
• Izinkinga zesibindi. Izimpawu zingafaka:
  • ukuqunjelwa esiswini
  • ukudideka
  • umchamo onombala onsundu
  • ukuphuzi kwesikhumba sakho noma okumhlophe kwamehlo akho
• Isifo senhliziyo. Izimpawu zingafaka:
  • ubuhlungu esifubeni sakho, ingalo yangakwesobunxele, umhlathi, noma phakathi kwamahlombe akho
  • ukuphelelwa umoya

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya yonke imiphumela emibi engaba khona. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala uxoxa ngemiphumela emibi engaba khona nomhlinzeki wezokunakekelwa kwempilo owazi umlando wakho wezokwelapha.

I-Ribavirin ingaxhumana neminye imithi

Ithebhulethi yomlomo yeRibavirin ingaxhumana neminye imithi, amavithamini, noma amakhambi okungenzeka ukuthi uthatha. Ukusebenzisana kulapho into iguqula indlela umuthi osebenza ngayo. Lokhu kungaba yingozi noma kuvimbele umuthi ukuthi usebenze kahle.

Ukusiza ukugwema ukuxhumana, udokotela wakho kufanele aphathe yonke imithi yakho ngokucophelela. Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, noma amakhambi owathathayo. Ukuthola ukuthi lo muthi ungahlangana kanjani nokunye okuthathayo, khuluma nodokotela wakho noma usokhemisi.

Izibonelo zemithi engadala ukusebenzisana ne-ribavirin zibalwe ngezansi.

Isidakamizwa se-Immunosuppressant

Ukuthatha azathioprine nge-ribavirin kungakhuphula inani le-azathioprine emzimbeni wakho. Lokhu kungandisa ingozi yokutheleleka.

Ama-Interferon (alfa)

Ukuthatha i-ribavirin ngama-interferon (alfa) kungakhuphula ubungozi bemiphumela engemihle, kufaka phakathi amaseli abomvu egazi (i-anemia), ngenxa yokwelashwa kwe-ribavirin.

Imithi ye-HIV

• Ukuthatha reverse transcriptase inhibitors nge-ribavirin kungandisa ubungozi bemiphumela eyingozi esibindini sakho. Ukuthatha le mithi ndawonye kufanele kugwenywe uma kungenzeka.
• Ukuthatha i-zidovudine nge-ribavirin kungandisa ubungozi bemiphumela emibi, kufaka phakathi amaseli abomvu aphansi (i-anemia) kanye ne-neutrophils ephansi (neutropenia). Ukuthatha le mithi emibili ndawonye kufanele kugwenywe uma kungenzeka.
• Ukuthatha I-didanosine nge-ribavirin kungandisa ingozi yemiphumela emibi efana nobuhlungu bezinzwa ne-pancreatitis. I-didanosine akufanele ithathwe nge-ribavirin.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zisebenzisana ngokwehlukile kumuntu ngamunye, asikwazi ukuqinisekisa ukuthi lolu lwazi lubandakanya konke ukuxhumana okungenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuhlangana okungenzeka ngayo yonke imishanguzo kadokotela, amavithamini, amakhambi nezithako, kanye nemithi oyithenga uphuza yona.

Izexwayiso zikaRibavirin

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso somzimba

Lesi sidakamizwa singadala ukusabela okweqile komzimba. Izimpawu zingafaka:

• inkinga yokuphefumula
• ukuvuvukala komphimbo wakho noma ulimi

Uma uthuthukisa lezi zimpawu, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze.

Ungaphinde uwuthathe lo muthi uma ngabe uke waba nokungezwani komzimba nawo. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Isexwayiso sokusebenzisana kokudla

Ungathathi i-ribavirin ngesidlo esinamafutha amaningi. Lokhu kungakhuphula inani lomuthi osegazini lakho. Thatha imithi yakho ngesidlo esinamafutha aphansi.

Izexwayiso zamaqembu athile

Kwabesifazane abakhulelwe: I-Ribavirin iyisigaba X somuthi wokukhulelwa. Izidakamizwa zesigaba X akufanele zisetshenziswe ngesikhathi sokukhulelwa.

I-Ribavirin ingadala ukukhubazeka kokuzalwa noma ingaqeda ukukhulelwa. Lokhu kungenzeka uma umama noma ubaba besebenzisa i-ribavirin ngesikhathi sokukhulelwa, noma uma umama ethatha umuthi ngesikhathi sokukhulelwa.

• Izexwayiso zokukhulelwa kwabesifazane:
  • Ungasebenzisi i-ribavirin uma ukhulelwe.
  • Ungasebenzisi i-ribavirin uma uhlela ukukhulelwa.
  • Ungakhulelwa ngenkathi uthatha i-ribavirin futhi izinyanga eziyisithupha ngemuva kokuphela kokwelashwa kwakho.
  • Kufanele ube nokuhlolwa kokukhulelwa okungekuhle ngaphambi kokuqala ukwelashwa, njalo ngenyanga ngenkathi welashwa, futhi izinyanga eziyisithupha ngemuva kokuphela kokwelashwa.
• Izexwayiso zokukhulelwa kwabesilisa:
  • Ungasebenzisi i-ribavirin uma umlingani wakho wesifazane ehlela ukukhulelwa.
  • Umlingani wakho wesifazane akufanele akhulelwe ngenkathi uthatha i-ribavirin nezinyanga eziyisithupha ngemuva kokuphela kokwelashwa kwakho.
• Izexwayiso zokukhulelwa kwabesifazane nabesilisa:
  • Kufanele usebenzise izindlela ezimbili ezisebenzayo zokulawula ukubeletha ngesikhathi nangezinyanga eziyisithupha ngemuva kokwelashwa uma welashwa nge-ribavirin. Khuluma nodokotela wakho ngezindlela zokulawulwa kokubeletha ongazisebenzisa.
  • Uma wena, noma umlingani wakho wesifazane, ukhulelwa phakathi noma ezinyangeni eziyisithupha ngemuva kokwelashwa nge-ribavirin, tshela udokotela wakho khona manjalo. Wena noma udokotela wakho kufanele nixhumane neRibavirin Pregnancy Registry ngokushayela ku-800-593-2214. IRibavirin Pregnancy Registry iqoqa imininingwane mayelana nokuthi kwenzekani komama nezingane zabo uma umama ethatha i-ribavirin ngenkathi ekhulelwe.

Kwabesifazane abancelisayo: Akwaziwa ukuthi i-ribavirin idlula ubisi lwebele. Uma kunjalo, kungadala imiphumela emibi enganeni ebelethayo.

Wena nodokotela wakho kungadingeka ukuthi ninqume ukuthi uzothatha i-ribavirin noma uncelise ibele.

Okwezingane: Ukuphepha nokusebenza kwethebhulethi ye-ribavirin akukasungulwa ezinganeni ezingaphansi kweminyaka engu-5.

Ungayithatha kanjani i-ribavirin

Yonke imithamo namafomu okungenzeka angafakwa lapha. Umthamo wakho, ifomu, nokuthi ulithatha kangaki kuzoya ngokuthi:

• iminyaka yakho
• isimo esilashwa
• sinzima kangakanani isimo sakho
• ezinye izimo zezokwelapha onazo
• ukuthi usabela kanjani esilinganisweni sokuqala

Amafomu wezidakamizwa namandla

Okujwayelekile: I-Ribavirin

• Ifomu: ithebhulethi yomlomo
• Amandla: 200 mg, 400 mg, 600 mg

Umthamo wokutheleleka okungapheli kwesifo sokusha kwesibindi kohlobo C wedwa

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Kusetshenziswe ne-peginterferon alfa:

• Isilinganiso esijwayelekile se-HCV genotypes 1 no-4: Uma ulinganisa:
  • ngaphansi kuka-75 kg: I-400 mg ithathwa njalo ekuseni futhi i-600 mg ithathwa njalo kusihlwa amaviki angama-48.
  • ngaphezulu noma okulingana no-75 kg: Ama-600 mg athathwa njalo ekuseni futhi ama-600 mg athathwa njalo kusihlwa amaviki angama-48.
• Isilinganiso esijwayelekile se-HCV genotypes 2 no-3: I-400 mg ithathwa njalo ekuseni kanye no-400 mg uthathwa njalo kusihlwa amaviki angama-24.

Isilinganiso sengane (iminyaka engu-5-17)

Isikali sincike esisindweni sengane yakho.

• 23-33 kg: 200 mg uthathwa njalo ekuseni bese 200 mg uthathwa njalo kusihlwa
• Ama-34-46 kg: ama-200 mg athathwa njalo ekuseni kanye nama-400 mg athathwa njalo kusihlwa
• Ama-47-59 kg: ama-400 mg athathwa njalo ekuseni kanye nama-400 mg athathwa njalo kusihlwa
• Ama-60-74 kg: ama-400 mg athathwa njalo ekuseni bese kuthi ama-600 mg athathwe njalo kusihlwa
• Okungaphezulu noma okulingana no-75 kg: Ama-600 mg athathwa njalo ekuseni bese kuthi ama-600 mg athathwe njalo kusihlwa

Izingane ezifinyelela eminyakeni yokuzalwa engu-18 ngesikhathi sokwelashwa kufanele zihlale esilinganisweni sengane kuze kube sekupheleni kokwelashwa. Isikhathi esinconywayo sokwelapha izingane ezine-genotype 2 noma 3 amasonto angama-24. Kweminye i-genotypes, kungamaviki angama-48.

Isilinganiso sengane (iminyaka yobudala engu-0-4)

Umthamo ophephile futhi osebenzayo awukanqunywa kuleli qembu leminyaka yobudala.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Abadala kungenzeka banciphise ukusebenza kwezinso futhi kungenzeka bangakwazi ukucubungula umuthi kahle. Lokhu kwandisa ingozi yemiphumela emibi.

Isikali sesifo esingapheli se-hepatitis C esine-HIV

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

Kusetshenziswe ne-peginterferon alfa:

• Isilinganiso esijwayelekile sawo wonke ama-genotypes e-HCV: I-400 mg ithathwa njalo ekuseni kanye no-400 mg uthathwa njalo kusihlwa amaviki angama-48.

Isilinganiso sengane (iminyaka yobudala engu-0-17)

Umthamo ophephile futhi osebenzayo awukanqunywa kuleli qembu leminyaka yobudala.

Umthamo omkhulu (oneminyaka engama-65 nangaphezulu)

Abadala kungenzeka banciphise ukusebenza kwezinso futhi kungenzeka bangakwazi ukucubungula umuthi kahle. Lokhu kwandisa ingozi yemiphumela emibi.

Ukucatshangelwa okukhethekile

• Kubantu abanesifo sezinso: Umthamo wakho kufanele wehliswe uma une-creatinine clearance engaphansi noma elingana no-50 mL / min.

Ukuzikhulula: Inhloso yethu ukukunikeza imininingwane efanelekile futhi yamanje. Kodwa-ke, ngoba izidakamizwa zithinta umuntu ngamunye ngokuhlukile, asikwazi ukuqinisekisa ukuthi lolu hlu lubandakanya yonke imithamo engenzeka. Lolu lwazi aluyithathi indawo yeseluleko sezokwelapha. Hlala ukhuluma nodokotela wakho noma usokhemisi ngemithamo ekufanele.

Thatha njengoba kuqondisiwe

I-Ribavirin isetshenziselwa ukwelashwa isikhathi eside. Kuza nezingozi ezinkulu uma ungayithathi njengokuyalelwe.

Uma uyeka ukuthatha lo muthi noma ungawuthathi nhlobo: I-Ribavirin ngeke isebenze ukwelapha ukutheleleka kwakho ngegciwane le-hepatitis C. Ukutheleleka kuzoqhubeka nokuthuthuka futhi kudale umonakalo omkhulu esibindini sakho. Lesi sifo singabulala uma singelashwa kahle.

Uma ungayithathi ngesikhathi: Ungahle umelane nalo muthi futhi ngeke usakusebenzela. Ukutheleleka kuzoqhubeka nokuthuthuka futhi kudale umonakalo omkhulu esibindini sakho. Qiniseka ukuthi uphuza imithi yakho nsuku zonke njengoba uyalelwe.

Uma uthatha kakhulu: Ungaba namazinga ayingozi omuthi emzimbeni wakho. Ungaba sengozini enkulu yezinkinga zezinso, ukopha ngaphakathi komzimba wakho, noma isifo senhliziyo.

Uma ucabanga ukuthi uthathe kakhulu lo muthi, shayela udokotela wakho noma funa ukuholwa yi-American Association of Poison Control Centers ku-800-222-1222 noma ngethuluzi labo eliku-inthanethi. Kepha uma izimpawu zakho zinzima, shayela ku-911 noma uye egumbini lezimo eziphuthumayo eliseduze ngokushesha.

Uma uphuthelwa umthamo: Uma uphuthelwa umthamo we-ribavirin, thatha isilinganiso esilahlekile ngokushesha ngangokunokwenzeka ngalo lolo suku. Ungawuphindi kabili umthamo olandelayo ukuzama ukubamba. Uma unemibuzo mayelana nokuthi wenzeni, shayela udokotela wakho.

Ungasho kanjani ukuthi umuthi uyasebenza: Udokotela wakho uzohlola igazi ukubheka inani legciwane emzimbeni wakho. Uma i-ribavirin isebenza, leli nani kufanele lehle. Lokhu kuhlolwa kwegazi kungenziwa ngaphambi kokuqala ukwelashwa, emasontweni 2 no-4 ekwelashweni, nangezinye izikhathi ukubona ukuthi imithi isebenza kanjani.

Ukucatshangelwa okubalulekile kokuthatha i-ribavirin

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-ribavirin.

Jikelele

• Thatha le mithi ngokudla.
• Musa ukusika noma ukuchoboza lo muthi.

Isitoreji

• Gcina emazingeni okushisa kusuka ku-59 ° F kuye ku-86 ° F (15 ° C kuye ku-30 ​​° C).

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuvakasha

Lapho uhamba nemithi yakho:

• Ngaso sonke isikhathi phatha imithi yakho. Lapho undiza, ungalokothi uwufake esikhwameni esihloliwe. Yigcine esikhwameni sakho sokuthwala.
• Ungakhathazeki ngemishini ye-X-ray yesikhumulo sezindiza. Abakwazi ukulimaza umuthi wakho.
• Ungadinga ukukhombisa abasebenzi bezindiza ilebula lekhemisi lemithi yakho. Ngaso sonke isikhathi phatha isitsha sokuqala esinelebula kadokotela.
• Ungafaki lo muthi egumbini legilavu ​​lemoto yakho noma uwushiye emotweni. Qinisekisa ukugwema ukwenza lokhu lapho isimo sezulu sishisa kakhulu noma sibanda kakhulu.

Ukuqapha komtholampilo

Ngesikhathi sokwelashwa nge-ribavirin, udokotela wakho angenza ukuhlolwa kwegazi ukuze ahlole:

• amazinga okutheleleka ngegciwane le-hepatitis C emzimbeni wakho. Ukuhlolwa kwegazi kungenziwa ngaphambi, phakathi nangemva kokwelashwa ukuze kuqinisekiswe ukuthi igciwane alisabangeli ukutheleleka noma ukuvuvukala.
• ukusebenza kwesibindi
• amazinga amangqamuzana abomvu namhlophe egazi nama-platelets
• umsebenzi wegilo

Ungadinga futhi lezi zivivinyo:

• Ukuhlolwa kokukhulelwa: I-Ribavirin ingadala ukukhubazeka kokuzalwa noma ingaqeda ukukhulelwa. Udokotela wakho uzokwenza izivivinyo zokukhulelwa inyanga ngayinye ngesikhathi sokwelashwa nezinyanga eziyisithupha ngemuva kokuyeka ukwelashwa.
• Ukuhlolwa kwamazinyo: Lesi sidakamizwa singadala izingqinamba zamazinyo ngenxa yomlomo owomile obangelwa yimithi.
• Ukuhlolwa kwamehlo: I-Ribavirin ingadala izingqinamba ezibucayi zamehlo. Udokotela wakho uzokwenza ukuhlolwa kwesisekelo okuyisisekelo futhi mhlawumbe ngaphezulu uma unezinkinga zamehlo.

Ukutholakala

Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi ikhemisi lakho liyawuphatha.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zizodinga ukugunyazwa ngaphambi kokuthi zivume incwadi kadokotela futhi zikhokhele i-ribavirin.

Ingabe zikhona ezinye izindlela?

Kuneminye imithi etholakalayo yokwelapha isimo sakho. Ezinye zingakulungela kangcono kunabanye. Khuluma nodokotela wakho ngezinye izinketho zezidakamizwa ezingakusebenzela.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.