Ganciclovir (indlela yokwelapha ngomlomo, indlela yokwelapha nge-intravenous)
Imikhiqizo etholakalayo
Cytovene, Cytovene IV
Mayelana naleli khambi
I-Ganciclovir liyithrombisi yokuqeda ama-virus. Isetshenziswa ekwelapheni ukutheleleka okubangelwa yi-virus. I-Ganciclovir isetshenziswa ekwelapheni izimpawu zokutheleleka kwe-cytomegalovirus (CMV) emehlweni kubantu abakhubazekile uhlelo lwabo lokukhulisa ukhuseleko. Lokhu kuhlanganisa iziguli ezine-acquired immune deficiency syndrome (AIDS). I-Ganciclovir ngeke iphulukise lokhu kutheleleka kwamehlo, kodwa kungasiza ukuvimbela izimpawu ezingabi zimbi kakhulu. Isetshenziswa futhi ekusizeni ukuvimbela ukutheleleka kwe-CMV kubantu abamukela ukuhlinzwa kwamalunga noma amathambo, kanye neziguli ezine-human immunodeficiency virus (HIV) ephakeme. I-Ganciclovir ingasetshenziswa kwezinye izifo ezinkulu ze-CMV njengoba kunqunywe udokotela wakho. Kodwa-ke, ayisebenzi ekwelapheni ama-virus athile, njengokubanda okuvamile noma isifo soflu. Lolu dokotela lungabangela ezinye izingozi ezinkulu, kuhlanganise nokuwohloka kwegazi nezinye izinkinga zegazi. Ngaphambi kokuba uqale ukwelashwa nge-ganciclovir, wena nodokotela wakho kufanele nixoxe ngezinzuzo zaleli dokotela kanye nezingozi zokuyisebenzisa. I-Ganciclovir kufanele inikezwe kuphela yi-dokotela wakho noma ngaphansi kokunakekelwa kwakhe. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma kunquma ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqulu ozowenza wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engaqondakali noma ebangelwa ukungezwani kwalolu hlobo lomuthi noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unanoma yiluphi olunye uhlobo lokungezwani, njengokudla, izibonakaliso, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. I-Ganciclovir ingabangela imiphumela emibi emzimbeni kunoma yimuphi umuntu. Ngakho-ke, kubalulekile ukuthi uxoxe nodokotela womntwana ngezinzuzo ezingase zenziwe yilolu hlobo lomuthi kanye nezingozi zokusebenzisa. Imithi eminingi ayifundwanga ngokukhethekile kubantu abadala. Ngakho-ke, kungenzeka kungaziwa ukuthi isebenza ngendlela efanayo njengoba isebenza kubantu abadala abasebancane noma uma ibangela imiphumela emibi noma izinkinga ezahlukene kubantu abadala. Ayikho imininingwane ekhethekile ehambisana nokusetshenziswa kwe-ganciclovir kubantu abadala nokuyisebenzisa kwezinye izigaba zobulili. Azikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingase zibe khona nezingozi ezingase zibe khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba imithi ethile ingafanele isetshenziswe ndawonye, kwezinye izimo imithi emibili ehlukene ingase isetshenziswe ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Uma uthola le mithi, kubalulekile ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekuqondeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo akuvame ukunconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yemiphumela emibi ethile, kodwa ukusebenzisa kokubili imithi kungase kube ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Imithi ethile akufanele isetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nanoma iyiphi imithi kungabangela ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwalolu hlobo lomuthi. Qiniseka ukuthi utshela udokotela wakho uma unanoma yiziphi ezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Kubalulekile ukuthi uthathe ama-ganciclovir capsules ngokudla. Lokhu kwenzelwe ukuqinisekisa ukuthi imithi iyanyamalala ngokuphelele emzimbeni futhi isebenze kahle. Ukuze uthole imiphumela emihle kakhulu, i-ganciclovir kufanele inikezwe isikhathi esigcwele sokwelashwa. Futhi, le mithi isebenza kangcono uma kunani elihlala limi egazini. Ukuze kusize ukugcina inani lihlala limi, i-ganciclovir kufanele inikezwe ngesikhathi esibekiwe. Inani lemithi le mithi lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemithi olithathayo lixhomeke emandleni emithi. Futhi, inani lemithi olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwamadoze, nobude besikhathi olithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.