Chii chinonzi Rifabutin: Zvinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Rifabutin mushonga unopiwa nachiremba unobatsira kurwisa zvirwere zvakakonzera mabhakitiriya, kunyanya ayo anokonzerwa ne mycobacteria. Chiremba wako angakupa mushonga uyu kana uine fivhiri yeTB kana uchida kudzivirirwa kubva kuzvirwere zvemapapu zvinonzi MAC (Mycobacterium avium complex). Mushonga uyu ndeweboka rinonzi rifamycins, iro rinoshanda nekumisa mabhakitiriya anokuvadza kubva pakukura nekupararira mumuviri wako.

Chii chinonzi Rifabutin?

Rifabutin mushonga wemuromo weantibiotic unouya muchimiro chemakapsule. Yakagadzirirwa kurapa zvirwere zvinokonzerwa ne mycobacteria, iyo imhando yemabhakitiriya anogona kuva akaoma uye akaoma kubvisa kubva muhurongwa hwako.

Mushonga uyu unowanzozivikanwa se "rifamycin antibiotic" nekuti ndewemhuri yemishonga yakafanana. Funga nezvayo sechombo chinotarwa icho immune system yako inogona kushandisa kurwisa mhando dzakasiyana dzezvirwere zvebacterial izvo maantibiotics enguva dzose angasabata zvakanaka.

Iwe unowanzoona rifabutin ichipiwa kana mamwe maantibiotics asina kushanda kana kana uchida kudzivirirwa kubva kune mamwe marudzi ezvirwere zvemapapu, kunyanya kana uine immune system yakakanganiswa.

Chii chinonzi Rifabutin chinoshandiswa?

Rifabutin inorapa uye inodzivirira zvirwere zvakakonzera mabhakitiriya, kazhinji MAC (Mycobacterium avium complex) chirwere. Chiremba wako anogona kukupa mushonga uyu kana uine HIV/AIDS uye uchida kudzivirirwa kubva kuzvirwere zvemapapu izvi zvinogona kuva zvakakomba kune vanhu vane immune system yakaderera.

Mushonga uyu unobatsirawo kurapa dzimwe nyaya dzeTB, kunyanya kana mabhakitiriya eTB akave asingadzivirirwi kune mamwe maantibiotics. Mune dzimwe nguva, chiremba wako angashandisa rifabutin sechikamu chekurapa kwakabatanidzwa pamwe chete nemimwe mishonga kuti kurapa kuve kunobudirira.

Dzimwe nguva, vanachiremba vanonyora rifabutin kudzivirira zvirwere zveMAC zvisati zvatanga, kunyanya kana bvunzo dzeropa dzichiratidza kuti uri panjodzi huru. Nzira iyi yekudzivirira inogona kukubatsira kuti urambe uine hutano uye kudzivirira matambudziko akakomba mune ramangwana.

Rifabutin Inoshanda Sei?

Rifabutin inoshanda nekukanganisa kugona kwebhakitiriya kugadzira mapuroteni akakosha avanoda kuti vararame uye vazhinjike. Inokanganisa michina yavo yemukati, ichivadzivisa kukura nekupararira mumuviri wako.

Mishonga iyi inoonekwa seyepakati nepakati uye inoshanda zvakanyanya kurwisa mycobacteria. Inotarisa kugadzirwa kweRNA yebhakitiriya, izvo zvakaita sekumisa fekitori kubva pakugadzira zvikamu zvinodiwa kuti zviite basa rakanaka.

Mishonga inotora nguva kuti ivake mumuviri wako uye itange kushanda nemazvo. Ungasanzwa zororo rekukurumidza, asi mushonga uri kuita basa rawo chinyararire kubvisa hutachiona kwemavhiki akati wandei kana mwedzi yekurapa.

Ndingatora Sei Rifabutin?

Tora rifabutin sezvinorayirwa nachiremba wako, kazhinji kamwe chete pazuva uine kana pasina chikafu. Kana mushonga ukakutsamwisa dumbu rako, kuutora nechikafu kunogona kubatsira kuderedza kusvotwa uye kusagadzikana kwekudya.

Medza makapisi ese nemvura yakazara. Usapwanya, kutsenga, kana kuvhura makapisi, sezvo izvi zvinogona kukanganisa mashandiro emushonga uye zvinogona kukonzera kutsamwa mumuromo mako nehuro.

Edza kutora mushonga wako panguva imwe chete zuva rega rega kuti ubatsire kuyeuka uye kuchengetedza mazinga emushonga mumuviri wako. Kana iwe uchitora mamwe mishonga, ivaparadzire sezvinokurudzirwa nachiremba wako, sezvo rifabutin inogona kushamwaridzana nemamwe madhiragi akawanda.

Unogona kutora rifabutin nemukaka kana zvimwe zvinwiwa kana mvura yega isingashande kwauri. Chinhu chakakosha kutora nguva dzose uye kusapotsa mishonga, sezvo izvi zvinobatsira kudzivirira bhakitiriya kubva pakudzivisa mushonga.

Ndingatora Rifabutin Kwenguva Yakareba Sei?

Kureba kwemushonga we rifabutin kunosiyana zvichienderana nemamiriro ako chaiwo uye kuti unopindura sei kumushonga. Kuti udzivise MAC, unogona kuda kuutora kwenguva refu, dzimwe nguva kwemwedzi yakawanda kana kunyange makore.

Kana uri kurapa hutachiona hunoshanda, chiremba wako anowanzo kuraira rifabutin kwemwedzi yakati wandei. Kurapa fivhiri yematumbo, semuenzaniso, kazhinji kunoda angangoita mwedzi mitanhatu yekurapa nemishonga inorwisa mabhakitiriya, uye rifabutin inogona kuva chikamu cheiyo regimen.

Usambofa wakamira kutora rifabutin nekukurumidza, kunyange ukatanga kunzwa zviri nani. Kumira nekukurumidza kunogona kubvumira mabhakitiriya kudzoka akasimba uye anogona kuva anopesana nemushonga, zvichiita kuti hutachiona hwemunguva yemberi huve hwakaoma kurapa.

Chiremba wako achatarisa kufambira mberi kwako nekutarisa nguva dzose uye kuyedzwa kweropa kuti aone kana zvakachengeteka kumisa mushonga. Vachatsvaga zviratidzo zvekuti hutachiona hwabviswa zvachose vasati vamisa kurapa.

Ndezvipi Zvakaipa zveRifabutin?

Semishonga yakawanda, rifabutin inogona kukonzera mhedzisiro, kunyangwe kwete munhu wese anozviona. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye kuziva kuti ungabatana riini nemupi wako wehutano.

Mhedzisiro yakajairika yaungacherechedza inosanganisira shanduko mumvura yako, misodzi, kana dzimwe mvura dzemuviri, dzinogona kushanduka kuita orenji kana tsvuku-brown. Iyi discoloration haina njodzi asi inogona kusvibisa malenzi ekubata uye mbatya, saka iwe uchada kuziva izvi.

Heano mhedzisiro yakajairika iyo varwere vanowana:

• Kusvotwa uye dumbu rinogumbuka
• Dhayareya kana zvigaro zvakasununguka
• Musoro
• Dizziness
• Kurwadziwa kwemhasuru kana majoini
• Kuneta kana kunzwa kuneta zvisina kujairika
• Shanduko mukuravira
• Rash yeganda kana kukwenya

Izvi zvinowanzoitika zvinowanzoita nani sezvo muviri wako uchigadzirisa kumushonga. Kana vakaenderera mberi kana kuva vanonetsa, chiremba wako anogona kukurudzira nzira dzekuzvigadzirisa kana kugadzirisa muyero wako.

Mhedzisiro yakakomba haizivikanwi asi inoda kutariswa nachiremba nekukasira. Izvi zvinosanganisira kurwadziwa kwakanyanya mudumbu, kurutsa kusingagumi, kuita yero kweganda rako kana maziso, kuputika kana kubuda ropa zvisina kujairika, kana zviratidzo zvekuita allergic kwakanyanya sekufema kwakaoma kana kuzvimba kwechiso chako nehuro.

Vamwe vanhu vanogona kusangana nematambudziko emaziso, kusanganisira kuona kusina kujeka kana kurwadziwa kwemaziso, kunyanya kana vachitora mishonga yakawanda. Kuongororwa kwemaziso nguva dzose kunogona kukurudzirwa panguva yekurapa kuti utarise matambudziko aya anogona kuitika.

Ndiani Asingafaniri Kutora Rifabutin?

Rifabutin haina kuchengeteka kumunhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa usati wamupa mishonga. Vanhu vane mamiriro ezvinhu ehutano kana avo vanotora mishonga yakati wandei vangangoda kudzivisa mushonga uyu kana kuushandisa nekuchenjerera kwakanyanya.

Haufaniri kutora rifabutin kana uine allergic ku rifabutin pachayo kana mamwe maantibiotics e rifamycin senge rifampin. Udza chiremba wako nezve chero allergic reactions kumishonga yakamboitika, kunyangwe dzichioneka sediki.

Vanhu vane matambudziko echiropa vangangotadza kutora rifabutin zvakachengeteka, sezvo mushonga unogona kukanganisa basa rechiropa. Chiremba wako anogona kuraira bvunzo dzeropa kuti aongorore chiropa chako usati watanga kurapwa uye achichitarisa mukati mekurapa kwako.

Heano mamiriro apo rifabutin inoda kuchenjerera kwakakosha kana isingakodzeri:

• Kuzvitakura kana kuyamwisa
• Kutadza kwakanyanya kwematsvo
• Chirwere chechiropa chinoshanda kana hepatitis
• Nhoroondo yezvirwere zveropa
• Kutora mamwe mishonga yeHIV
• Kushandisa kudzora kubereka kwemahomoni (rifabutin inogona kuita kuti isashande zvakanaka)
• Kutora zvinoderedza ropa senge warfarin

Kana iwe uchitora mamwe mishonga yakawanda, chiremba wako achada kunyatsoongorora hukama hunogona kuitika. Rifabutin inogona kukanganisa mashandiro emamwe madhiragi mumuviri wako, dzimwe nguva ichiita kuti isashande zvakanaka kana kuwedzera mhedzisiro.

Mazita eBrand eRifabutin

Rifabutin inowanikwa pasi pezita rebrand rekuti Mycobutin muUnited States. Iri ndiro zita rebrand rinonyanya kunyorerwa remushonga uyu waunogona kusangana nawo pakemisi yako.

Mishonga ye generic ye rifabutin inowanikwawo uye inoshanda zvakanyanya semushonga wemhando yebrand. Inishuwarenzi yako inogona kuda vhezheni ye generic, iyo inogona kubatsira kuderedza mari yaunobhadhara iwe pachako.

Kunyangwe iwe ukagamuchira Mycobutin yemhando yebrand kana rifabutin ye generic, chinhu chinoshanda uye kushanda kwakafanana. Murapi wako wemishonga anogona kupindura chero mibvunzo nezve vhezheni yaunogamuchira uye kubatsira kuona kuti uri kuwana mushonga wakarurama.

Zvimwe Zvinotsiva Rifabutin

Kana rifabutin isiri yakakunakira, mishonga yakati wandei inotsiva inogona kurapa zvirwere zvakafanana. Chiremba wako angangofunga rifampin, imwe antibiotic ye rifamycin inoshanda zvakafanana asi iine mhedzisiro yakasiyana uye kusangana kwemishonga.

ZveMAC infections, zvimwe zvingasanganisira azithromycin kana clarithromycin, ayo ari macrolide antibiotics anoshanda kuburikidza nemaitiro akasiyana. Mishonga iyi inowanzo shandiswa mukurapa pamwe chete pamwe ne rifabutin kana senzira dzekutsiva kana rifabutin isingashivirirwi zvakanaka.

Mune dzimwe nguva, chiremba wako angangokurudzira ethambutol kana mamwe maantibiotics sechikamu chechirongwa chekubatanidza. Kusarudzwa kweimwe nzira kunoenderana nehutachiona hwako, mamwe mamiriro ehutano, uye mishonga yaunotora kare.

Usamboshandura mishonga wega. Kana iwe uri kusangana nemhedzisiro kana kunetseka nezve rifabutin, kurukura dzimwe nzira nemupi wako wehutano anogona kukuchinjisa zvakachengeteka kune imwe chirongwa chekurapa.

Rifabutin iri nani pane Rifampin here?

Rifabutin ne rifampin zvose mishonga inoshanda ye rifamycin, asi vane simba rakasiyana uye vanoshandiswa mumamiriro akasiyana. Hapana imwe iri yakanaka kupfuura imwe - kusarudza kunoenderana nezvaunoda uye mamiriro ako.

Rifabutin inowanzoita kuti isave nekudyidzana kwemishonga yakawanda kupfuura rifampin, zvichiita kuti ive sarudzo iri nani kana uri kutora mamwe mishonga, kunyanya mishonga yeHIV. Zvakare hazviite kuti zvikonzere mamwe matambudziko, kunyangwe mishonga yese iri miviri inogona kuita kuti mvura yemuviri wako ive orenji.

Rifampin inowanzo farirwa pakurapa fivhiri yeTB nekuti yakashandiswa kwenguva refu uye ine tsvagiridzo yakawanda inotsigira kushanda kwayo. Zvisinei, rifabutin inogona kusarudzwa kana rifampin ichidyidzana nemimwe mishonga yako kana paunoda kurapwa kunyanya zvirwere zveMAC.

Chiremba wako achafunga nezvezvinhu zvakaita semimwe mishonga yako, rudzi rwehutachiona hwaunahwo, uye hutano hwako hwese paunenge uchisarudza pakati pezvisarudzo zviviri izvi. Vimba neunyanzvi hwavo mukusarudza mushonga unogona kushanda zvakanaka uye zvakachengeteka mumamiriro ako ezvinhu.

Mibvunzo Inowanzo Bvunzwa Nezve Rifabutin

Q1. Rifabutin Yakachengeteka Here Kune Vanhu vane Chirwere chechiropa?

Rifabutin inoda kunyatso tariswa kune vanhu vane matambudziko echiropa, sezvo inogona kukanganisa basa rechiropa. Chiremba wako anogona kuraira bvunzo dzeropa kuti aongorore ma enzymes ako echiropa usati watanga kurapwa uye kuatarisa nguva dzose mukati mekurapa kwako.

Kana uine matambudziko echiropa akapfava, chiremba wako anogona kunyorera rifabutin asi nekutarisa kakawanda uye pamwe mushonga wakaderera. Zvisinei, vanhu vane chirwere chechiropa chakakomba kana hepatitis inoshanda vangasagona kutora rifabutin zvakachengeteka.

Gara uchizivisa mupi wako wehutano nezve chero nhoroondo yematambudziko echiropa, hepatitis, kana kushandisa doro zvakanyanya usati watanga rifabutin. Ruzivo urwu runovabatsira kuita sarudzo dzakachengeteka dzekurapa mumamiriro ako ezvinhu.

Q2. Ndoita Sei Kana Ndakashandisa Rifabutin Yakawandisa Netsaona?

Kana ukatora rifabutin yakawanda kupfuura yakanyorwa, fonera chiremba wako kana nzvimbo inobatsira kana uine chepfu nekukasika. Kutora yakawanda kunogona kuwedzera njodzi yako yezvinhu zvakakomba, kunyanya kukanganisa chiropa chako, ropa, nemaziso.

Usamirira kuti uone kana uchinzwa zvakanaka - tsvaga rubatsiro rwekurapa nekukasika. Uya nebhodhoro remushonga newe kuti vashandi vehutano vaone chaizvo zvawatora uye zvakawanda sei.

Paunenge wakamirira rubatsiro rwekurapa, usaedze kuzviita kuti urutse kunze kwekunge wakanzi na chiremba wehutano. Chengeta zviratidzo zvese zvaunosangana nazvo kuti uzivise timu yekurapa.

Q3. Ndoita Sei Kana Ndakakanganwa Kudya Rifabutin?

Kana ukakanganwa kudya rifabutin, idya nekukasika paunorangarira, kunze kwekunge yava nguva yekudya yako inotevera. Muchiitiko ichocho, rega kudya kwawakakanganwa uye tora kudya kwako kunotevera panguva yakajairika.

Usambofa wakatora zvidyo zviviri panguva imwe chete kuti ugadzirise kudya kwawakakanganwa, sezvo izvi zvinogona kuwedzera njodzi yako yezvinhu zvakakomba. Kana uchikanganwa zvidyo kazhinji, funga kuisa alarm yezuva nezuva kana kushandisa chirongwa chemushonga kuti zvikubatsire kurangarira.

Kukanganwa zvidyo dzimwe nguva hakuzokukuvadzi, asi edza kutora rifabutin nguva dzose sezvinobvira. Zvidyo zvakawanda zvakakanganwa zvinogona kuita kuti mushonga usashande zvakanaka uye zvinogona kubvumira mabhakitiriya kuti ave nemishonga yekurapa.

Q4. Ndingamira Rini Kutora Rifabutin?

Mira chete kutora rifabutin kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Kunyangwe ukaita zvakanaka zvachose, hutachiona hunogona kunge husina kubviswa zvizere, uye kumira nekukurumidza kunogona kuita kuti hudzoke hwakasimba kupfuura kare.

Chiremba wako achashandisa bvunzo dzeropa, zvidzidzo zvekuona, uye zviratidzo zvako kuti aone kana hutachiona hwapera zvachose. Kuti udzivise MAC infections, ungangoda kuenderera mberi ne rifabutin kwenguva refu sezvakarairwa nachiremba wako.

Kana uri kusangana nemigumisiro inokonzera kuti ude kumisa mushonga, taura nachiremba wako nezve dzimwe nzira panzvimbo yekumisa wega. Vanogona kukubatsira kugadzirisa chirongwa chako chekurapa kuti chive chinoshiviririka asi vachirapa hutachiona hwako zvinobudirira.

Q5. Rifabutin Inogona Kukanganisa Kudzora Kwangu Kubereka Here?

Hongu, rifabutin inogona kuita kuti kudzorwa kwekubereka kwehomoni kushande zvishoma, kusanganisira mapiritsi ekudzora kubereka, mapatches, mhete, uye zvinodyarwa. Izvi zvinoreva kuti unogona kubata pamuviri kunyangwe uchishandisa nzira idzi nemazvo.

Kana uri kuita zvepabonde uye usingade kubata pamuviri, shandisa imwe nzira yekudzora kubereka senge makondomu paunenge uchitora rifabutin uye kwemwedzi mumwechete mushure mekupedza mushonga. Dziviriro iyi yekuwedzera inobatsira kuona kuti wakafukidzwa zvizere.

Taura nemupi wako wehutano nezve nzira dzakanakisa dzekudzora kubereka paunenge uchitora rifabutin. Vanogona kukurudzira kuchinjira kune nzira isiri yehomoni kana kugadzirisa nzira yako iripo kuti uchengetedze kudzivirira kubata pamuviri kunoshanda.