Remdesivir (indlela ye-intravenous)
Imikhiqizo etholakalayo
Veklury
Mayelana naleli khambi
I-Remdesivir injection isetshenziswa ekwelapheni isifo seCoronavirus 2019 (COVID-19) kubantu abasisibhedlela. Isetshenziswa futhi ekwelapheni i-COVID-19 emaphakathi kuya kwabunzima kulabo abangasisibhedlela abasezingeni elikhulu lokufudukela ku-COVID-19 ebuhlungu (isib. ukungena esibhedlela, ukufa). I-Remdesivir iyimithi yokulwa ne-viral ehlula i-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Lolu lwemi lukunikezwa kuphela ngudokotela wakho noma ngaphansi kokunakekelwa kwakhe okuqondile. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa okulandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma kunquma ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqakathekile noma oluhambisana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokwaleka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezingalinda ukusetshenziswa kokudubula kwe-remdesivir ezinganeni ezivela ekuzalweni kuya kwiminyaka engaphansi kwengu-18 ubudala futhi ezisindayo okungenani ama-kilogram angu-1.5 (kg). Ukuphepha kanye nokusebenza kahle kuye kwaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kokudubula kwe-remdesivir kubantu abadala. Kodwa-ke, abantu abadala banesibopho esikhulu sokuba nezinkinga ze-liver, ikidney, noma inhliziyo ezihlobene nobudala, okungase kudinge ukuba qaphele kubantu abamukela le mithi. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izimithi kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Uma wamukele le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlanganisiwe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo akuvamile ukunconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngezimithi ezithile kungase futhi kubangele ukusebenzisana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Umshula wesibeletho noma omunye ochwepheshe bezempilo oqeqeshwe uzohlinzeka ngalolu lwemi ongokwelapha. Lunikezwa nge-IV catheter efakwe kwenye yezinzwa zakho. Kumele lunikezwe kancane, ngakho-ke i-IV izohlala isikhathi esingaphansi kwamamizuzu angu-30 kuya kwangu-120. Lolu lwemi luza nephepha lemininingwane yomguli. Funda bese ulandela lezi zinkomba ngokucophelela. Buza udokotela wakho noma umthengisi wezidakamizwa uma unemibuzo. Abahlinzwa esibhedlela: Lolu lwemi ngokuvamile lunikezwa kanye ngosuku izinsuku eziyi-5 kuya kwezi-10. Udokotela wakho uzothatha isinqumo sokuthi udinga imithi emingaki. Abahlinzwa abangenawo esibhedlela: Kufanele uthole lolu lwemi ezinsukwini eziyi-7 ukusukela ekuqaleni kwezifo ze-COVID-19. Lolu lwemi ngokuvamile lunikezwa kanye ngosuku izinsuku ezi-3.
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.