Bedaquiline (inowanikwa nemuromo)
Mhando dzinowanikwa
Sirturo
Nezve mushonga uyu
Bedaquiline inoshandiswa pamwe chete nemamwe mishonga kurapa ganda remapfu rakonzerwa neMycobacterium tuberculosis risingashandi pamwe nemamwe mishonga (semuenzaniso, rifampin, isoniazid). Bedaquiline inodzivirira kukura kwe ganda remapfu mumuviri. Uyu mushonga unowanikwa chete kana uine chitupa kubva kuna chiremba. Chigadzirwa ichi chinowanikwa mumhando dzinotevera dze mushonga:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga unofanira kuyerwa nemabhenefiti awo. Iyi sarudzo ichaitwa newe nechikamu chako. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana chirwere cheallergy kumushonga uyu kana mimwe mishonga. Uyewo udza nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanaka. Zvidzidzo zvakakodzera zvakaitwa kusvika pari zvino hazvina kuratidza matambudziko chaiwo epediatric aizoita kuti kushandiswa kwebedaquiline kuve kusina kukodzera muvana vane makore mashanu ekuberekwa uye vakuru uye vane huremu hwakawanda kweanenge makirogiramu gumi nemashanu (kg). Kwakachengeteka uye kushanda kwakanaka hazvina kusimbiswa muvana vane makore asingasviki mashanu ekuberekwa kana vane huremu hushoma kupfuura 15 kg. Zvidzidzo zvakakodzera pane hukama hwezera nemigumisiro ye bedaquiline hazvina kuitwa muvanhu vakwegura, hapana matambudziko chaiwo evagare akanyorwa kusvika pari zvino. Hapana zvidzidzo zvakakwana muvakadzi zvekuona ngozi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyangwe mimwe mishonga isingafanirwe kushandiswa pamwe chete, mune mamwe mamiriro mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyangwe paine kuwirirana kunogona kuitika. Mune izvi, chiremba wako angada kuchinja dose, kana mamwe matanho angave achidiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusimudzirwi. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kukurudzirwa, asi kunogona kunge kuri kudiwa mune zvimwe zviitiko. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa imwe kana ese mishonga. Mimwe mishonga haifanirwe kushandiswa panguva yekudya kana pedyo nenguva yekudya kana kudya marudzi akati echikafu sezvo kuwirirana kunogona kuitika. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero zvinotevera kazhinji hakusi kukurudzirwa, asi kungasakwanisiki mune zvimwe zviitiko. Kana zvakashandiswa pamwe chete, chiremba wako angachinja dose kana kuti ungashandisa mushonga uyu, kana kukupa mirairo yakakosha pamusoro pekushandisa chikafu, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chaizvoizvo sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Kuita izvozvo kunogona kuwedzera mukana wezvinhu zvinokanganisa. Bedaquiline inopiwa nekurapwa kunoonekwa zvakananga (DOT). Inofanira kugara ichitorwa nemamwe mishonga mi3 yeTB. Tevedza mirairo yechiremba wako zvakanyatsonaka. Mushonga uyu unofanira kuuya neGwara reMishonga. Verenga utevedze mirairo iyi zvakanyatsonaka. Bvunza chiremba wako kana mushonga wako kana uine mibvunzo ipi neipi. Zviri nani kutora mushonga uyu nechikafu. Dya piritsi re100-mg rose nemvura. Usapwanyisa, kuputsa, kana kucheka. Tora mushonga uyu nechikafu. Kana ukwanisa kudya piritsi re20-mg rose: Kana usingakwanisi kudya piritsi re20-mg rose: Piritsi re20-mg rinogona zvakare kupiwa nepombi yekudyisa nachiremba wako kana mukoti.: Mushonga uyu unotorwa kwemavhiki makumi maviri nemana. Mumavhiki maviri ekutanga, uchatora mushonga zuva nezuva. Muvhiki rechitatu kusvika ku24, unofanira kuutora panguva imwe chete mazuva matatu akafanana (semuenzaniso, Muvhuro, Chitatu, neChishanu) angangoita maawa makumi mana nemasere akaparadzana vhiki rega rega. Ramba uchishandisa mushonga uyu kwenguva yese yekurapa, kunyangwe ukadzikama mushure mekutora mishonga mishoma yekutanga. Hutachiona hwako hungasacheneswa kana ukarega kushandisa mushonga nekukurumidza. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedza mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera rinosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kuti uite izvozvo. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Zvakare, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko remuviri rauri kushandisa mushonga. Kana ukasapotsa dose yemushonga uyu, itora nekukurumidza sezvinobvira. Nekudaro, kana iri nguva yekutora dose yako inotevera, siya dose yakarasika uye dzokera kune yako dosing schedule yakajairwa. Usatore doses kaviri. Kana ukasapotsa dose mumavhiki maviri ekutanga, siya dose yakarasika uye ramba uchishandisa mushonga wako sezvakajairwa. Kana ukasapotsa dose mumavhiki 3 kusvika ku24, tora dose yakarasika nekukurumidza sezvinobvira wobva wadzoka kune yako dosing schedule yakajairwa. Chengetera kure nevana. Usachengetere mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yako yehutano maitiro aunofanira kukanda chero mushonga wausashandisi. Chengeta mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengeta kuti urege kuomarara. Chengeta mushonga mubhodhoro rayo rekutanga.