URibavirin: Ukuqonda Imiphumela Yesikhathi Eside Yesikhathi Eside

-Delile

• Mayelana nemiphumela emibi yesikhathi eside ye-ribavirin
• Imiphumela engemihle yokuxwayisa ngamabhokisi
• I-hemolytic anemia
• Isifo senhliziyo esibi
• Imiphumela yokukhulelwa
• Eminye imiphumela emibi kakhulu
• Izinkinga zamehlo
• Izinkinga zamaphaphu
• I-Pancreatitis
• Ukushintsha kwemizwelo
• Ukwanda kwezifo
• Ukwehla kokukhula ezinganeni
• Imiphumela yokubeletha
• Okuningi nge-ribavirin
• Amafomu
• Isebenza kanjani i-ribavirin
• Mayelana ne-hepatitis C
• Khuluma nodokotela wakho

Isingeniso

I-Ribavirin yisidakamizwa esisetshenziselwa ukwelapha i-hepatitis C. Imiswa ngokujwayelekile ngokuhlanganiswa neminye imithi kuze kube amasonto angama-24. Uma isetshenziswa isikhathi eside, i-ribavirin ingadala imiphumela emibi kakhulu.

Uma udokotela wakho enqume i-ribavirin ukusiza ukuphatha i-hepatitis C yakho, kungenzeka ukuthi ufuna ukwazi kabanzi ngemiphumela emibi yesikhathi eside. Ngale ndatshana, sizochaza le miphumela engemihle, kufaka phakathi izimpawu okufanele sizibuke. Sizokutshela nange-hepatitis C nokuthi i-ribavirin isebenza kanjani ukwelapha lesi simo.

Mayelana nemiphumela emibi yesikhathi eside ye-ribavirin

I-Ribavirin ingadala imiphumela emibi kakhulu yesikhathi eside. Le miphumela ingahle ingenzeki ngokushesha ngoba i-ribavirin ingathatha amasonto afinyelela kwamane ukuyakha ibe sezingeni eligcwele emzimbeni wakho. Lapho kuvela imiphumela emibi ye-ribavirin, ingahlala isikhathi eside noma ibe yimbi kakhulu kunemiphumela engemihle evela kwezinye izidakamizwa. Isizathu esisodwa salokhu ukuthi i-ribavirin ithatha isikhathi eside ukushiya umzimba wakho. Eqinisweni, i-ribavirin ingahlala ezicutshini zomzimba wakho kuze kube izinyanga eziyisithupha ngemuva kokuyeka ukuyithatha.

Imiphumela engemihle yokuxwayisa ngamabhokisi

Eminye yemiphumela emibi ye-ribavirin ibucayi ngokwanele ukuthi ingafakwa kwesexwayiso esesibhakeleni. Isexwayiso esibhakeleni yisixwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Imiphumela emibi ye-ribavirin echazwe kusixwayiso esibhokisi ifaka:

I-hemolytic anemia

Lo ngumphumela omubi kakhulu we-ribavirin. I-hemolytic anemia ileveli ephansi kakhulu yamaseli abomvu egazi. Amangqamuzana abomvu egazi ahambisa umoya-mpilo kumaseli emzimbeni wakho wonke. Nge-hemolytic anemia, amangqamuzana akho abomvu egazi awahlali isikhathi eside njengoba ejwayele ukwenzeka. Lokhu kukushiya unalawa maseli abucayi. Ngenxa yalokhu, umzimba wakho awukwazi ukuhambisa umoya-mpilo omningi ukusuka emaphashini wakho uye kuwo wonke umzimba wakho.

Izimpawu ze-hemolytic anemia zingabandakanya:

• ukukhathala okwandisiwe
• isigqi senhliziyo esingajwayelekile
• ukwehluleka kwenhliziyo, okunezimpawu ezifana nokukhathala, ukuphefumula okuncane, nokuvuvukala okuncane kwezandla zakho, imilenze nezinyawo

Uma unanoma iyiphi yalezi zimpawu, shayela udokotela wakho ngokushesha. Uma uthuthukisa i-hemolytic anemia, ungadinga ukumpontshelwa igazi. Yilapho uthola khona igazi lomuntu elinikelwe ngemithambo (ngomthambo wakho).

Isifo senhliziyo esibi

Uma usuvele unesifo senhliziyo, i-ribavirin ingenza isifo senhliziyo sibe sibi kakhulu. Lokhu kungaholela ekuhlaselweni yinhliziyo. Uma unomlando wesifo esibi senhliziyo, akufanele usebenzise i-ribavirin.

I-Ribavirin ingadala i-anemia (amazinga aphansi kakhulu amaseli abomvu egazi). I-anemia yenza kube nzima enhliziyweni yakho ukupompa igazi elanele emzimbeni wakho wonke. Uma unesifo senhliziyo, inhliziyo yakho isivele isebenza kanzima kunokujwayelekile. Ngokubambisana, le miphumela idala ukucindezeleka okukhulu enhliziyweni yakho.

Izimpawu zesifo senhliziyo zingabandakanya:

• ukushaya kwenhliziyo okusheshayo noma izinguquko kusigqi senhliziyo
• ubuhlungu besifuba
• isicanucanu noma ukugaya kanzima
• ukuphelelwa umoya
• ngizizwe nginekhanda elincane

Shayela udokotela wakho uma noma yiziphi zalezi zimpawu zenzeka ngokuzumayo noma zibonakala ziba zimbi kakhulu.

Imiphumela yokukhulelwa

I-Ribavirin iyisigaba X somuthi wokukhulelwa. Lesi yisigaba sokukhulelwa esibi kakhulu esivela ku-FDA. Ucwaningo lukhombisile ukuthi izidakamizwa ezikulesi sigaba zingadala ukukhubazeka kokuzalwa noma ziqede ukukhulelwa. Ungathathi i-ribavirin uma wena noma umlingani wakho ukhulelwe noma uhlela ukukhulelwa. Ingozi yokulimala kokukhulelwa iyafana noma ngabe ngumama noma ubaba odla umuthi.

Uma ungowesifazane ongakhulelwa, ukuhlolwa kokukhulelwa kufanele kufakazele ukuthi awukhulelwe ngaphambi kokuba uqale ukwelashwa. Udokotela wakho angakuhlolela ukukhulelwa ehhovisi lakhe, noma angakucela ukuthi wenze isivivinyo sokukhulelwa ekhaya. Ungadinga nokuhlolwa kokukhulelwa nyangazonke ngesikhathi sokwelashwa kwakho futhi izinyanga eziyisithupha ngemuva kokuyeka ukuthatha lo muthi. Ngalesi sikhathi, kufanele usebenzise izindlela ezimbili zokulawula ukubeletha. Uma ucabanga ukuthi ungakhulelwa nganoma yisiphi isikhathi ngenkathi usebenzisa lesi sidakamizwa, shayela udokotela wakho ngokushesha.

Uma ungowesilisa olala nowesifazane, kufanele futhi usebenzise izindlela ezimbili zokuvimbela inzalo. Uzodinga ukwenza lokhu kulo lonke ukwelashwa kwakho ngalo muthi futhi okungenani izinyanga eziyisithupha ngemuva kokuphela kokwelashwa kwakho. Uma uthatha lo muthi futhi umlingani wakho ecabanga ukuthi kungenzeka ukuthi ukhulelwe, shayela udokotela wakho khona manjalo.

Eminye imiphumela emibi kakhulu

Eminye imiphumela emibi evela ku-ribavirin yenzeka ezinsukwini ezimbalwa zokuqala noma emavikini ekwelashwa, kepha futhi ingakhula ngokuhamba kwesikhathi. Shayela udokotela wakho ngokushesha uma uneminye imiphumela emibi evela ku-ribavirin. Lokhu kungafaka:

Izinkinga zamehlo

I-Ribavirin ingadala izinkinga zamehlo njengokungaboni kahle, ukungaboni, ne-macular edema (ukuvuvukala esweni). Kungadala nokopha ku-retina kanye nesimo esibi kakhulu esibizwa ngokuthi i-retina evalekile.

Izimpawu zezinkinga zamehlo zingafaka:

• ukufiphala noma umbono we-wavy
• amachaphazelo entanta avele ngokuzumayo kulayini wakho wokubuka
• ukukhanya kokukhanya okuvela kwelinye noma kuwo womabili amehlo
• ukubona imibala iphaphathekile noma igeziwe

Shayela udokotela wakho uma noma yiziphi zalezi zimpawu zenzeka ngokuzumayo noma zibonakala ziba zimbi kakhulu.

Izinkinga zamaphaphu

I-Ribavirin ingadala izinkinga zamaphaphu njengenkinga yokuphefumula nenyumoniya (ukutheleleka kwamaphaphu). Kungadala nomfutho wegazi ophezulu wamaphaphu (umfutho wegazi ophezulu emaphashini).

Izimpawu zezinkinga zamaphaphu zingafaka:

• ukuphelelwa umoya
• imfiva
• ukukhwehlela
• ubuhlungu besifuba

Shayela udokotela wakho uma noma yiziphi zalezi zimpawu zenzeka ngokuzumayo noma zibonakala ziba zimbi kakhulu. Uma uba nezinkinga zamaphaphu, udokotela wakho angayeka ukwelashwa kwakho ngalo muthi.

I-Pancreatitis

I-Ribavirin ingadala i-pancreatitis, okuwukuvuvukala kwamanyikwe. Ama-pancreas yisitho esenza izinto ezisiza ekugayeni ukudla.

Izimpawu ze-pancreatitis zingabandakanya:

• Ukugodola
• ukuqunjelwa
• ubuhlungu obungazelelwe nobunzima esiswini sakho

Shayela udokotela wakho ngokushesha uma unezinye zalezi zimpawu. Uma uba ne-pancreatitis, udokotela wakho kungenzeka ayeke ukwelashwa kwakho ngalo muthi.

Ukushintsha kwemizwelo

I-Ribavirin ingadala ukuguquka kwemizwelo, kufaka phakathi ukucindezeleka. Lokhu kungaba umphumela wesikhathi esifushane noma wesikhathi eside.

Izimpawu zingafaka ukuzwa:

• uyayaluza
• ukucasuka
• ecindezelekile

Shayela udokotela wakho uma unalezi zimpawu futhi ziyakukhathaza noma zingapheli.

Ukwanda kwezifo

I-Ribavirin iphakamisa ubungozi bokutheleleka kusuka kuma-bacteria kanye nama-virus. I-Ribavirin yehlisa izinga lomzimba wakho lamaseli amhlophe egazi. Lawa maseli alwa nokutheleleka. Ngamaseli egazi amhlophe ambalwa, ungathola izifo kalula.

Izimpawu zokutheleleka zingabandakanya:

• imfiva
• Ubuhlungu bomzimba
• ukukhathala

Shayela udokotela wakho uma noma yiziphi zalezi zimpawu zenzeka ngokuzumayo noma zibonakala ziba zimbi kakhulu.

Ukwehla kokukhula ezinganeni

I-Ribavirin ingadala ukwehla kokukhula ezinganeni eziyithathayo. Lokhu kusho ukuthi bangakhula kancane futhi bazuze isisindo esincane kunontanga yabo. Lo mphumela kungenzeka lapho ingane yakho isebenzisa i-ribavirin ne-interferon yezidakamizwa.

Izimpawu zingafaka:

• izinga lokukhula kancane uma kuqhathaniswa nalokho okulindelwe iminyaka yengane
• ukukhuphuka kancane kwesisindo uma kuqhathaniswa nalokho okulindelwe iminyaka yengane

Udokotela wengane yakho kufanele aqaphe ukukhula kwengane yakho ngenkathi yelashwa kuze kube sekupheleni kwezigaba ezithile zokukhula. Udokotela wengane yakho angakutshela okuningi.

Imiphumela yokubeletha

Akwaziwa ukuthi i-ribavirin idlulela ebisini lwebele enganeni enceliswa. Uma uncelisa ingane yakho ibele, khuluma nodokotela wakho. Kuzodingeka ukuthi uyeke ukuncelisa noma ugweme ukusebenzisa i-ribavirin.

Okuningi nge-ribavirin

I-Ribavirin isetshenziswe iminyaka eminingi ukwelapha i-hepatitis C. Ihlala isetshenziswa ngokuhlangana nomuthi owodwa okungenani owodwa. Kuze kube muva nje, ukwelashwa kwesifo sokusha kwesibindi kohlobo C kugxile ku-ribavirin kanye nomunye umuthi obizwa nge-interferon (Pegasys, Pegintron). Namuhla, i-ribavirin ingasetshenziswa nezidakamizwa ezintsha ze-hepatitis C, njengeHarvoni noma iViekira Pak.

Amafomu

I-Ribavirin iza ngezinhlobo zethebhulethi, i-capsule, noma i-liquid solution. Uthatha lawa mafomu ngomlomo. Zonke izinhlobo ziyatholakala njengezidakamizwa ezinegama lomkhiqizo, ezibandakanya iCopegus, Rebetol, neVirazole. Udokotela wakho angakunika uhlu oluphelele lwezinguqulo zamagama ezimpawu zamanje. Ithebhulethi kanye ne-capsule kuyatholakala futhi ngamafomu ejwayelekile.

Isebenza kanjani i-ribavirin

I-Ribavirin ayilaphi i-hepatitis C, kepha iyasiza ukuvimbela imiphumela emibi kulesi sifo. Le miphumela ifaka phakathi isifo sesibindi, ukwehluleka kwesibindi nomdlavuza wesibindi. I-Ribavirin isiza futhi ekunciphiseni izimpawu zokutheleleka kwe-hepatitis C.

I-Ribavirin ingasebenza ngo:

• Ukunciphisa inani lamangqamuzana egciwane le-hepatitis C emzimbeni wakho. Lokhu kungasiza ukunciphisa izimpawu zakho.
• Ukwandisa inani lokuguqulwa kwezakhi zofuzo (izinguquko) kuleligciwane. Lezi zinguquko ezikhuphukile zingalinciphisa igciwane.
• Ukumisa enye yezinqubo ezisiza igciwane ukuthi lizenzele amakhophi. Lokhu kusiza ukubambezela ukusabalala kwesifo sokusha kwesibindi kohlobo C emzimbeni wakho.

Mayelana ne-hepatitis C

I-Hepatitis C ukutheleleka kwesibindi. Kubangelwa igciwane le-hepatitis C (HCV), igciwane elithathelwanayo elidlula egazini. Ekutholakalweni kwasekuqaleni maphakathi nawo-1970 njengesifo sokusha kwesibindi kohlobo i-A / non-type B, i-HCV ayizange ibizwe ngokusemthethweni kuze kube sekupheleni kweminyaka yama-1980. Abanye abantu abane-hepatitis C banesifo esibuhlungu (esifushane). I-HCV enamandla ayivame ukudala izimpawu. Kodwa abantu abaningi abane-HCV bahlakulela i-hepatitis C engapheli (ehlala isikhathi eside), evame ukudala izimpawu. Lezi zimpawu zingafaka umkhuhlane, ukukhathala, nobuhlungu esiswini sakho.

Khuluma nodokotela wakho

Uma udokotela wakho ekunika i-ribavirin ukwelapha i-hepatitis C yakho, qiniseka ukuthi uxoxa ngomlando wakho wezempilo ogcwele ngaphambi kokuqala ukwelashwa. Buza udokotela wakho ukuthi ungavimbela kanjani noma unciphise imiphumela emibi evela ku-ribavirin. Futhi ngesikhathi sokwelashwa kwakho, bika noma imiphi imiphumela emibi kudokotela wakho ngokushesha. Ukugwema noma ukunciphisa noma yimiphi imiphumela emibi evela ku-ribavirin kungakusiza uzizwe ungcono ngesikhathi sokwelashwa kwakho. Lokhu kungakusiza uqedele ukwelashwa kwakho futhi uphathe kangcono i-hepatitis C. yakho