Valganciclovir (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Valcyte
Mayelana naleli khambi
I-Valganciclovir isetshenziswa ekwelapheni izimpawu ze-cytomegalovirus (CMV) retinitis, ukutheleleka emehlweni abantu abane-acquired immunodeficiency syndrome (AIDS). I-Valganciclovir ngeke iphulukise lokhu kutheleleka kwamehlo, kodwa ingasiza ekunqobeni izimpawu ezingabi zimbi kakhulu. I-Valganciclovir iyilokhu antiviral. Isetshenziswa ekwelapheni ukutheleleka okubangelwa yi-viruses. Lolu lwemi isetshenziswa futhi ukuvimbela isifo se-CMV kubantu abamukelwe ukutshalwa kwezilonda (eg, inhliziyo, isibindi, noma ukutshalwa kwezitho zezinkalakatha). Lolu lwemi lungabangela ezinye izingozi ezinkulu, kufaka phakathi i-anemia nezinye izinkinga zegazi. Ngaphambi kokuba uqale ukwelashwa nge-valganciclovir, wena nodokotela wakho kufanele nixoxe ngenzuzo yale mi, kanye nezingozi zokuyisebenzisa. Lolu lwemi lutholakala kuphela ngomyalelo wodokotela. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engaqondakali noma ebangelwa uketshezi kulo muthi noma kunoma iyiphi eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezizobeka umkhawulo ekusebenziseni i-valganciclovir ukuvimbela isifo se-CMV kubantwana abafakwe izinkulungwane zezinkulungwane nezinhliziyo. Kodwa-ke, ukuphepha nokuphumelela kwe-valganciclovir ekuvimbeleni isifo se-CMV akukaqiniswa kubantwana abafakwe izinkulungwane zesibindi, kubantwana abafakwe izinkulungwane zezinkulungwane abaneminyaka engaphansi kwezinyanga ezine, nakubantwana abafakwe izinkulungwane zezinhliziyo abaneminyaka engaphansi kwenyanga. Nakuba izifundo ezifanele mayelana nobudlelwano bobukhulu nemiphumela ye-valganciclovir azikwenziwe kubantu abadala, azikho izinkinga ezikhethekile zabantu abadala ezibhalwe kuze kube manje. Kodwa-ke, abantu abadala banethuba elikhulu lokuba nezinkinga zesibindi, izinkulungwane, noma izinhlanzi ezihlobene nobudala, okuyobe kudinga ukuqapha nokulungiswa komthamo kubantu abamukela i-valganciclovir. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa lo muthi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha lo muthi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa akufanele zisetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Uma uthatha lo muthi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlaliswe ngezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lo muthi nanoma yimiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa lo muthi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibuhlungu, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lo muthi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibuhlungu kodwa kungase kungaphepheki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani lo muthi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwalo muthi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemithi njengoba nje uqondisiwe yidoctor yakho. Ungalishintshi inani lemithi noma uyeke ukuyisebenzisa ngaphandle kokubheka kuqala kudoctor yakho. Uma izinga lemithi yakho liyaphela, xhumana nadoctor yakho noma umthengisi wemithi ngaphambi kwesikhathi. Ungazivumeli ukuba uphele le mithi. Le mithi kufanele ifike nephepha lemininingwane yomguli. Funda futhi ulandele lezi zinkomba ngokucophelela. Buza udokotela wakho uma unemibuzo. Kubalulekile ukuthi uyithathe le mithi ngokudla. Lokhu kuqinisekisa ukuthi imithi ithathelwa ngokugcwele emzimbeni futhi isebenze kahle. Gwinya ithebulethi yonke. Ungayaphula, uyicindezele, noma uyigaye. Qaphela ukungayiphathi ithebulethi ephukile noma ecindezelwe. Uma uthinta amathebulethi aphukile noma acindezelwe noma ulwetshe lomlomo oluxubile, geza isikhumba sakho ngesepha namanzi acwebile. Uma imithi ingena emehlweni akho, geza ngamanzi acwebile. Uma usebenzisa ulwetshe lomlomo, sebenzisa umthwali womlomo ofika nephakheji ukulinganisa inani ngalinye ngokuqondile. Isipuni sendlu ejwayelekile singase singabi nesilinganiso esifanele selwetshe. Uma uthatha ama-capsules e-ganciclovir (Cytovene®) ngaphambi kokushintshela kuma-tablets e-valganciclovir (Valcyte®), inani lemithi yakho lingashintsha. Nakuba le mithi yombili iphela inkinga efanayo, ithathelwa ngokuhlukile emzimbeni wakho. Qiniseka ukuthi uyayiqonda imiyalo emisha ye-Valcyte® ukuze ungathathi amathebulethi amaningi kakhulu. Ukuze uthole imiphumela emihle kakhulu, i-valganciclovir kufanele inikezwe isikhathi esigcwele sokwelashwa. Futhi, le mithi isebenza kangcono uma kunenani elihlala limi egazini. Ukuze ugcine inani lihlala limi, i-valganciclovir kufanele ithathelwe ngesikhathi esiqondile. Inani lemithi leli lizohluka kubantu abahlukene. Landela imiyalo yedokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithi oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithi, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa inani lemithi, lithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi senani lakho elilandelayo, susa inani eliphuthelwe futhi ubuyele esikhathini sakho sokuthatha imithi. Ungawandisi amanani. Gcina kubantu abangabantwana. Ungagcini imithi esephelile noma imithi engasadingeki. Buza ochwepheshe bezempilo ukuthi kufanele uyilahule kanjani imithi oyisebenzisayo. Gcina imithi esitsheni esivalekile ekushiseni kweqembu, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayigandisi. Gcina ulwetshe lomlomo oluxubile esihlalweni. Ungalugandisi. Lahla imithi engasetshenzisiwe ngemva kwezinsuku ezingama-49 ngezinhlelo zokuthatha imithi yomphakathi uma zitholakala.
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.