Bedaquiline (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Sirturo
Mayelana naleli khambi
IBedaquiline isetyenziswa ndawonye nezinye izidakamizwa zokwelapha isifo sohlwempu lwemiphunga esiphucelwe yi-Mycobacterium tuberculosis elukhuni kwezinye izidakamizwa (umzekelo, irifampin, iisoniazid). IBedaquiline ivikela ukukhula kwesifo sohlwempu emzimbeni. Lena imithi itholakala kuphela ngomyalelo wochwepheshe wezokwelapha. Lo mkhiqizo utholakala ngezindlela zokulinganisela ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqululo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqondile noma oluhambelanayo lolu hlobo lwemithi noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unanoma yiluphi olunye uhlobo lwezifo ezingalawuleki, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenamithi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezizobeka umkhawulo ekusebenziseni i-bedaquiline ezinganeni ezineminyaka emihlanu ubudala nangaphezulu futhi ezisindayo okungenani ama-kilogramu angu-15 (kg). Ukuphepha nokuphumelela akukaqiniswanga ezinganeni ezineminyaka engaphansi kwengu-5 noma ezisindayo ngaphansi kwama-kg angu-15. Izifundo ezifanele mayelana nobudlelwano bobukhulu nemiphumela ye-bedaquiline azikwenziwe kubantu abadala, azikho izinkinga ezikhethekile zabantu abadala ezibhalwe kuze kube manje. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba ngezidakamizwa ezithile kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungase kungenzeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unanoma yiziphi ezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemithi njengoba nje uqondiswe yidoctor yakho. Ungayithathi ngaphezulu kwalokho, ungayithathi kaningi, futhi ungayithathi isikhathi eside kunalokho oqondiswe yidoctor yakho. Ukwenza kanjalo kungandisa amathuba ezingozi ezihambisana nale mithi. IBedaquiline inikezwa ngokwelashwa okuqondiswe ngokuqondile (DOT). Kumele ithathe njalo nezinye izidakamizwa ezintathu ze-TB. Landela imiyalo yedokotela wakho ngokucophelela. Le mithi kufanele ifike ne-Medication Guide. Funda futhi ulandele le miyalo ngokucophelela. Buza udokotela wakho noma umthengisi wemithi uma unemibuzo. Kungcono ukuthatha le mithi ngokudla. Gwinya ithebulethi engu-100 mg yonke ngamanzi. Ungayicwili, ungayaphula, noma ungayikunye. Thatha le mithi ngokudla. Uma ungagwinya ithebulethi engu-20 mg yonke: Uma ungakwazi ukugwinya ithebulethi engu-20 mg yonke: Ithebulethi engu-20 mg inganikezwa futhi ngompompi wokudla yidoctor yakho noma usize. : Le mithi ithathiwe isikhathi esiphelele sevamasonto angu-24. Emasontweni amabili okuqala, uzothatha le mithi nsuku zonke. Esonto lesi-3 kuya kwelesi-24, kufanele uyithathe ngesikhathi esifanayo ezinsukwini ezintathu ezifanayo (isib. uMsombuluko, uLwesihlanu, noLwesihlanu) okungenani amahora angu-48 ukwahlukana masonto onke. Qhubeka usebenzisa le mithi isikhathi esiphelele sokwelashwa, ngisho noma uzizwa kangcono ngemuva kwamadosi ambalwa okuqala. Ukutheleleka kwakho kungenzeka kungapheli uma uqeda ukusebenzisa le mithi ngokushesha kakhulu. Idosini yale mithi izohluka kubantu abahlukene. Landela imiyalo yedokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amadosi ajwayelekile ale mithi. Uma idosi yakho ihlukile, ungayishintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani ledosi oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithi, nobude besikhathi oyithatha imithi kuxhomeke enkingeni yezokwelapha oyisebenzisela imithi. Uma uphuthelwa yidosi yale mithi, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sedosi yakho elandelayo, skip idosi ephuthelwe futhi ubuyele esikhathini sakho sokuthatha imithi. Ungawandisi amadosi. Uma uphuthelwe yidosi phakathi namasonto amabili okuqala, skip idosi ephuthelwe futhi uqhubeke nokusebenzisa imithi yakho njengokujwayelekile. Uma uphuthelwe yidosi phakathi namasonto angu-3 kuya kwangu-24, thatha idosi ephuthelwe ngokushesha okukhulu bese ubuyela esikhathini sakho sokuthatha imithi. Gcina ungafinyeleleki kubantwana. Ungagcini imithi eliphelile noma imithi engasasetshenziswa. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle imithi oyisebenzisa kanjani. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungaganduki. Gcina imithi esitsheni sayo sokuqala.