Ubwoko bwo kubona Paxlovid bugizwe n’inzira eshanu: muganga wawe, ahantu hagenderwa hagenzura bikavurwa bikavurwa kuri gahunda ya leta, umushobora kwandika imiti mu buryo bwemewe n’amategeko, ubuganga bwo kuri internet bwakora ku munsi, cyangwa gahunda y’umukora imiti yo kohereza mu rugo. Zose ziherekeza ku resepti imwe. Zose zigomba gukorwa mu gihe cy’iminsi 5 uhereye ku munsi wagaragayemo ibimenyetso bya mbere, bityo tangira uyu munsi.
Kugena uko bikomeye mu magambo make: Ibikomeye cyane
- Inzira eshanu zandika Paxlovid. Bidawo muri ubuzima bwo gusaba, atari mububasha.
- Igihe cy’iminsi 5 gitangira ku munsi wa mbere wagaragayemo ibimenyetso, atari ku munsi ubonyeho ibisubizo by’ikizamini.
- Ntabwo ugomba kuba uri kurwara cyane kugira ngo wikwemererwe. Ugomba kuba uri mu kaga gakomeye kandi uri mu gihe cyagenwe.
- Ikintu gikunze kwanga abantu ni uburyo imiti ivura imikoranire cyangwa imikorere idakomeye y’umwijima, atari indwara yawe.
- Zana itariki ibimenyetso byawe byatangiriyeho, urutonde rwose rw’imiti n’inyongeramusaruro urimo ufata, ibisubizo by’ibizamini by’umwijima cyangwa impyiko byo mu gihe cy’amezi 12 ashize, n’ikaratasi y’ubwishingizi kuri buri nzira.
Ubwoko bwo kubona Paxlovid vuba: inzira ya mbere ntihagaragara nk’umuganga wawe
Kubona Paxlovid vuba bisobanuye guhitamo inzira ishobora kugufasha uyu munsi, atari inzira ifite ububasha bwinshi. Hari inzira eshanu zishobora kwandika: umuganga wawe, umuforokazi cyangwa umufasha w’umuganga; ahantu leta yageneye kugenzura bikavurwa bikavurwa; umushobora kwandika imiti mu buryo bwemewe n’amategeko; ubuganga bwo kuri internet bwakora ku munsi; cyangwa gahunda y’umukora imiti yo kohereza mu rugo. Kuvura bigomba gutangira mu gihe cy’iminsi 5 uhereye ku munsi wagaragayemo ibimenyetso.
- Inzira ya 1: umuganga wawe, NP cyangwa PA. Bihamije kwizera, kuko bafite ibizamini byawe n’urutonde rw’imiti. Bishobora kuba bifuze gusa niba bashobora kugusanga cyangwa gusubiza ubutumwa bwawe kuri portail uyu munsi.
- Inzira ya 2: ubushakashatsi bwa leta ku buntu. Igikoresho cyo gushakisha umuntu wa leta nka HHS Test to Treat na COVID-19 Treatment Locator, cyangwa umurongo wa telefone kuri 1-800-232-0233, biguhereza ahantu bahuriza hamwe ikizamini, kwandika, no gutanga imiti, nk’uko CDC ibisobanura mu gitabo cyayo ku bwoko bwo kuvura COVID-19. Kwivuza na Paxlovid byakozwe mu gihe cy’ikizamini ni inzira imwe ihuriza hamwe ibikorwa byose mu rugendo rumwe, ni yo mpamvu ikwiriye guhamagara mbere yo kwiyandikisha ku kintu wishyura. Ubushobozi bw’ahantu hakorwa ikizamini na Paxlovid buratandukana ku karere, bityo ugomba kwemeza kuri telefone.
- Inzira ya 3: umushobora kwandika imiti. Vuba kandi bihendutse iyo amakuru yawe yaramaze kuba mu buzima. Bisobanurwa mu buryo burambuye hasi.
- Inzira ya 4: ubuganga bwo kuri internet cyangwa ubwa muganga bwihutirwa kuri online. Ni igihe cyiza cyane cyo kubona umwanya ku munsi iyo nta gihe cyo gusanga muganga uhari.
- Inzira ya 5: gahunda ya Pfizer yitwa PAXCESS yo gufasha abarwayi no kohereza imiti mu rugo. Yagenewe abarwayi bafite Medicare, Medicaid n’abatagira ubwishingizi, kandi bivugwa mu buryo bwo gufasha CMS yagaragaje igihe imiti ikomeye yavuraga COVID-19 yerekezwaga ku isoko rusange. Igihe cyo kohereza imiti ku rugo ntabwo cyiza mu gihe cy’iminsi 5.
Izi nzira zose, ufite ibintu bine biteguye: itariki ibimenyetso byawe byatangiye, urutonde rwose rw’imiti n’inyongeramusaruro urimo ufata, ibizamini by’impyiko cyangwa umwijima byo mu gihe cy’amezi 12 ashize, n’ikaratasi y’ubwishingizi bwawe.
Dore ibyo abantu benshi batazagusobanurira: itandukaniro hagati y’izi nzira ni ugushobora kuboneka mu gihe gikwiriye, atari ububasha bw’ubuvuzi. Zose ziherekeza ku resepti imwe y’iminsi 5. Hitamo ku bwihuta.
Ntabwo ugomba kurwara bihagije. Ugomba gutsinda isaha
Igihe cy’iminsi 5 cya Paxlovid ni urwego rukomeye rw’ingenzi. Incamake y’ubuvuzi bw’abantu bagenda ya CDC ivuga ko kuvura bigomba gutangira vuba na mbere ku munsi wa mbere wagaragayemo ibimenyetso, ufata kabiri ku munsi mu gihe cy’iminsi 5, kandi ihurira ko gutegereza kureba niba ibimenyetso byiyongera byakorohera umurwayi kuva mu gihe cyo kuvura.
Igihe cy’iminsi 5 cya Paxlovid gitangira ku munsi wa mbere wagaragayemo ibimenyetso, atari igihe ikizamini cyagaragaje ko ufite virusi. Iyo tandukaniro itwara abantu iminsi. CDC inavuga ko utagomba kugira ikizamini cyemejwe mbere yo kuvugana n’umuganga: umuntu uri mu kaga gakomeye ufite ibimenyetso agomba kuvugana na muganga vuba.
Ibintu bibiri bishyira abantu hanze ni bimwe. Igihe ni kimwe. Ikindi ni ukugenzura: ritonavir ni igikoresho gikomeye cyo guhagarika CYP3A, bityo guhurizanya kw’imiti kwa Paxlovid n’imikorere idakomeye y’impyiko bikagenzura mbere y’uko umuntu wese yandika resepti. Kwivanga kw’imiti, atari indwara, ni byinshi biranga umuntu wari kwemerwa.
“Kaga gakomeye” ni urutonde rureri kurushaho uko abantu benshi babyibaza
Abemerewe Paxlovid ni benshi cyane kurushaho uko ijambo “kaga gakomeye” rivuga. Uburenganzira bwa mbere burimo abakuze n’abana bafite imyaka 12 kuzamuka bafite nibura 40 kg (88 lb) bari mu kaga gakomeye ko kugira COVID-19 ikaze. CDC ihuriza kaga mu byiciro bine:
- Kuba hejuru y’imyaka 65, kaga kagwira cyane hejuru ya 75
- Kutikingiza cyangwa kutari ku gihe ku bukingingizo bwa COVID-19
- Kugira zimwe mu ndwara z’ibanze
- Kugira indwara ihagarika ubudahangarwa cyangwa gufata imiti ihagarika ubudahangarwa nk’imiti ya kanseri
Abantu benshi babyibaza ko bakomeye bihagije ngo bakwiye kubona Paxlovid baba bari mu cyiciro kimwe cyangwa byinshi muri ibyo. Kutikingiza cyangwa kutari ku gihe ku ntsinzi ni bimwe bihagije, nta ndwara ya kroniki. Kugira ngo ubone urutonde rwose rw’ibyo ukwiye, reba urutonde rwa CDC rw’indwara z’ibanze hamwe na muganga wawe aho kwibeshya.
Abemerewe Paxlovid ni icyemezo cy’umuganga, atari ah’ukwemeza. Kandi kuba uri mu kaga gakomeye ntibihindura kwivanga kw’imiti cyangwa kwanga impyiko, ni igice cy’abemerewe Paxlovid ubwo ubuganga bwo kuri internet bukunda gusiba.
Umushobora kwandika imiti ashobora kwandika resepti, niba uzanye inyandiko
Resepti ya Paxlovid yanditswe n’umushobora kwandika imiti ni amahitamo nyayo: abafite lisansi mu ntara, atari abaganga gusa, abaganga bashya na PA, bashoboye kwandika Paxlovid by’umwimerere mu buryo bwemewe n’ubuyobozi bwihutirwa bwa FDA. Mbere yo kwandika, umushobora kwandika imiti agomba kureba amakuru y’ubuvuzi y’amezi adarenze 12, ibizamini by’impyiko n’umwijima, n’urutonde rwawe rwose rw’imiti kugira ngo hagenzurwe kwivanga kw’imiti.
Ikibazo: niba nta bizamini biheruka muri dosiye yawe, umushobora kwandika imiti ntashobora kwemeza igenzura kandi agomba kuguhererekanya ku mwanditsi w’imiti. Iyo nterekerezo ishobora gutwara umunsi muri iyo minsi 5. Ububasha bw’umushobora kwandika imiti n’ubwitabire bw’amavuriro butandukana ku ntara no ku bubiko, kandi amategeko yahindutse kuva Paxlovid yemeza burundu, bityo uhamagare iryo vugurura ugasabe mbere yo kugenda.
Icyemezo: iyi ni inzira ya mbere yahendutse iyo ufite ibizamini biheruka muri dosiye yawe, kandi ni inzira mbi iyo utabifite.
Urugero kuri internet rwishyura umunsi utashobora gutakaza
Iyo ubonye Paxlovid kuri internet, urishyuza umunsi igishushanyo mbonera cy’umuntu ku giti cye cyakugeneraga. Flow ir short: igihembo ku munsi, kuganira kuri video, hanyuma resepti yanditswe kuri email yoherezwa kuri farumasi ya hafi yo kuzajyayo. Ku bantu bagira ibimenyetso ku mugoroba wo ku wa gatanu, iyi ni yo nzira yonyine yo kubona Paxlovid kuri internet, cyangwa muri rusange, mu gihe cyagenwe.
Niba ukeneye umuganga uyu munsi, urugendo rw’ibitaro byihutirwa kuri internet rwa August rwa $39 rukuha umuganga wemewe na leta wagenzura ibimenyetso byawe kandi akaguha resepti igihe bikwiriye. Umuganga ni we ufata icyemezo. Urashobora kandi guhabwa resepti ya Paxlovid kuri internet ku munsi umwe binyuze muri iyo nzira.
Bimaze kugera ku bikomeye. Kuvugana na video ntibishobora gukora ibizamini by’impyiko cyangwa umwijima, ntibishobora gutanga imiti ubwayo, kandi bishobora gutanga icyemezo cyo kutwandikira kubera kwivanga kw’imiti, kaga gato, cyangwa itariki ibimenyetso byatangiye hanze y’iminsi 5. Zana itariki ibimenyetso byawe byatangiye, ibisubizo by’ikizamini niba ubifite, urutonde rwose rw’imiti n’inyongeramusaruro, n’ibibazo by’impyiko cyangwa umwijima uzi mbere yo guhamagara.
Ibyo bikomeye bya COVID-19 bisobanura gusiba resepti burundu
Paxlovid ni ugukumira indwara ikomeye ku bantu bagenda, atari ubufasha bw’umuntu wamaze gukomera. Niba uri mu cyiciro cya kabiri, imiti y’ubuvuzi irakoreshwa nabi.
Hamagaza 911 cyangwa ugende ku cyumba cy’ibitaro byihutirwa ubu niba:
- Ufite ikibazo cyo guhumeka cyangwa guhumeka nabi
- Ufite ububabare bukomeye cyangwa uguhagaze mu gatuza
- Ufite urujijo rushya, cyangwa utashobora kuba muzima cyangwa kwicamo
- Uruhu rwawe, mu maso cyangwa imin nokobwa birasa ubururu
- Ibimenyetso bikomeye cyangwa byiyongera mugihe uri kubikoresha, cyangwa umaze kubikoresha Paxlovid
Ibibazo byihuse bikwiriye igihembo.
Shyiramo igihembo mu cyumweru gitaha niba:
- Uri mu kaga gakomeye kandi utigeze gupimwa mu gihe cy’indwara
- Uri hejuru y’iminsi 5 ufite ibimenyetso byoroshye
- Ifuru cyangwa umunaniro bikomeza kurenza ibyumweru bibiri
- Indwara ya kroniki yagize ingaruka mbi kubera indwara
Kandi ibiganiro bimwe bikwiriye mbere y’uko ufata umuti wa mbere.
Vugana n’umuganga mbere yo gutangira niba:
- Ufata imiti ya statins, imiti ikiniga amaraso, imiti ituma umutima uba uwundi, imiti y’ibindi bibazo cyangwa imiti ihagarika ubudahangarwa ku bantu bavurwa kanseri
- Ufite imikorere idakomeye y’impyiko, ishobora gusaba impinduka z’umuti, cyangwa indwara y’umwijima
- Uri umugore utwite cyangwa usama
Ikibazo gisubirwamo kenshi
Bite niba ndi ku munsi wa 6 cyangwa nyuma yaho, noneho narabuze amahirwe?
Yego, kuri Paxlovid by’umwihariko. Ntabwo yagenewe kurenza iminsi 5 uhereye ku munsi wagaragayemo ibimenyetso, kandi nta mwanditsi w’umwuga uzayifata nyuma. Icyo bisigaye ni ubuvuzi bwukuri: amazi, kuruhuka, kugenzura umuriro, kureba ibimenyetso by’ibitaro byihutirwa hejuru, no kuganira n’umuganga ku bihitamo byinshi niba uri mu kaga gakomeye cyangwa ibimenyetso byawe bitarimo byiyongera.
Paxlovid igura angahe idafite ubwishingizi, iyo wongereyeho amafaranga yo kwivuza?
Ibyiciro bibiri bitandukanye. Urugendo ni $39 muri August; abandi baganga ba internet bashyiraho ibiciro kuva ku gifunzo cyo ku kwezi cya $19.99 kugeza kuri $129. Ku miti, CMS yemeje ko gahunda ya leta yo kubona imiti ku buntu yarangiye, bityo Paxlovid igura idafite ubwishingizi ubu itegereje ku bwi farumasi, mu gihe gahunda z’umukora n’abafashwa bakomeje kureba abafite Medicare, Medicaid n’abatagira ubwishingizi.
Nshobora kugura Paxlovid ku isoko cyangwa nkaba mfiteho idafite resepti?
Oya. Burya burya busaba umwanditsi wagenzuye urutonde rwawe rw’imiti n’imikorere y’impyiko, kuko ritonavir ishobora kongera urugero rw’imiti isanzwe ku rugero rw’ubugome. Ikintu cyose cyo kuri internet kidafite ubwo bugenzuzi ntabwo ari uruzitiro rw’ukuri. Ikintu cyegereye cyane gusiba igihembo cya muganga cyihariye ni umushobora kwandika imiti, ugenza igenzura rimwe.
Niba ibimenyetso byanjye byagarutse nyuma yo kurangiza imiti, ndakeneye kongera kuyikoresha?
Oya. Amakuru y’ubutasi bwa CDC asobanura kugaruka kw’ibimenyetso hashize iminsi 2 kugeza 8 nyuma yo gukira nk’ikintu gisanzwe, hamwe n’ibibazo byagaragajwe byoroshye kandi nta bubabare bw’indwara ikomeye cyane. Ntabwo hari ubuhame ko kwakiriye igice cya kabiri. Inama ni ukwikingira bushya no gukurikirana. Igigisho cyacu kuri kugaruka kwa Paxlovid kiravuga icyo wakwirindamo.
Ni ibihe bihitamo mfite niba kwivanga kw’imiti gutuma Paxlovid idakwiriye?
Kenshi hari ibindi bihitamo. Molnupiravir na remdesivir ni imiti y’ubuvuzi ihuriza hamwe yandi muganga wawe ashobora gutekereza, kandi ubuhame n’ubwiza bitandukana cyane ku murwayi, ku bwi farumasi n’ahantu hari ubuvuzi. Rimwe na rimwe imiti ivanga ishobora kwicarwa cyangwa guhindurwa mu gihe cy’iminsi 5, ari icyemezo cya muganga ufata iyo miti, atari ikintu ugomba kugerageza wenyine.
Ibyo bikomeye
Ubwoko bwo kubona Paxlovid ni ikibazo cy’uburyo bwo gukorana, atari ikibazo cy’ubukomere. Hamagara umuntu uyu munsi ufite urutonde rw’imiti mu ntoki: umuganga wawe, ahantu hagenderwa hagenzura bikavurwa bikavurwa, farumasi yihariwe, cyangwa urugendo rw’ibitaro byihutirwa kuri internet. Igihe cyatangiye ku munsi wa mbere wagaragayemo ibimenyetso, kandi ntikihagaze mu gihe utegereje kwiyongera.
Ibyo umuntu yirinda: iyi ngingo ni ibyo kumenya gusa kandi ntabwo igera ku gufata imiti. Buri gihe vugana n’umuganga ufite ubuhanga mu gukora ibizamini no kuvura. Niba ufite ikibazo gikomeye cy’ubuvuzi, hamagara 911 cyangwa ugende ku bitaro byihutirwa byegereye.