Kodi dokotala wanu wakuuzani kapena munthu wina wapafupi nanu kuti muyamba kumwa mankhwala otchedwa Foscarnet? Kapena munayamba mwadzifunsapo za mankhwala awa? Mankhwalawa si chinthu chomwe nthawi zambiri mumagula ku pharmacy ndikugwiritsa ntchito kunyumba. Awa ndi mankhwala apadera omwe amaperekedwa kuchipatala, moyang'aniridwa ndi dokotala. Chifukwa chake lero, tiyeni tikambirane mwachidule za mankhwala awa otchedwa Foscarnet.
Kodi Foscarnet ndi chiyani?
Mwachidule, Foscarnet ndi mankhwala oletsa mavairasi . Imagwira ntchito poletsa kufalikira kwa mavairasi ena omwe amalowa m'thupi mwathu ndi kuyambitsa matenda.
Mankhwalawa nthawi zambiri amagwiritsidwa ntchito pochiza kapena kupewa matenda a herpes virus ndi matenda a cytomegalovirus (CMV). Izi ndizofunikira kwambiri kwa anthu omwe ali ndi chitetezo chamthupi chofooka (monga omwe ali ndi kachilombo ka HIV kapena omwe amalandira chithandizo cha opaleshoni), chifukwa CMV imatha kuwononga maso kwambiri (retinitis) kapena ziwalo zina. Mankhwalawa ndi ofunikira kwambiri pazochitika zotere.
Chofunika ndichakuti, iyi si mankhwala a chimfine wamba. Iyi ndi mankhwala omwe amaperekedwa kudzera m'mitsempha (kulowetsedwa) kwa matenda oopsa a mavairasi m'chipatala, moyang'aniridwa ndi madokotala ndi anamwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanayambe kulandira chithandizo ndi Foscarnet, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yanu yonse ya thanzi, chifukwa matenda ena amafunika chisamaliro chapadera mukamagwiritsa ntchito mankhwalawa.
Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
| Mkhalidwe wa thanzi | N’chifukwa chiyani kudziwa zinthu n’kofunika? (Mwachidule) |
|---|---|
| Matenda a impso | Mankhwalawa amachotsedwa m'thupi kudzera mu impso. Ngati impso zili zofooka, mankhwalawa amatha kusonkhana m'thupi ndikuwonjezera zotsatirapo zake. |
| Matenda a mtima | Mankhwalawa nthawi zina angayambitse vuto la kugunda kwa mtima. |
| Kuchepa kwa calcium, magnesium, phosphorous, kapena potaziyamu m'magazi | Foscarnet ingayambitse kusintha kwina kwa mineral iyi, choncho ndikofunikira kudziwa izi pasadakhale. |
| Kugwidwa ndi khunyu | Pali chiopsezo chosowa cha khunyu ndi mankhwalawa. |
| Kuchuluka kwa magazi m'magazi | Dokotala ayenera kudziwa ngati maselo oyera a m'magazi ali otsika, maselo ofiira a m'magazi, kapena kuchuluka kwa ma platelet m'magazi kuli kotsika. |
| Kukhala ndi pakati kapena kukonzekera kutenga pakati/kuyamwitsa | Popeza chitetezo cha mankhwalawa sichinadziwike bwino panthawi ya mimba ndi kuyamwitsa, ndikofunikira kuuza dokotala wanu za izi. |
| Matenda a chifuwa cha mankhwala ena | Ngati muli ndi vuto la Foscarnet kapena mankhwala ena aliwonse, chakudya, kapena utoto, chonde tidziwitseni. |
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Izi zimaperekedwa kuchipatala, kotero mwayi woti izi zichitike ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, muyenera kudziwitsa ogwira ntchito zachipatala nthawi yomweyo. Kapena, imbani National Poisons Information Centre ku Colombo National Hospital . Pakagwa mwadzidzidzi, ndikofunikira kupita ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kuyanjana ndi mankhwala ena
Foscarnet ndi mankhwala omwe angagwirizane ndi mankhwala ena. Choncho, uzani dokotala wanu za mankhwala onse omwe mukumwa (mankhwala olembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala achikhalidwe, mavitamini, ndi mankhwala azitsamba).
Foscarnet sayenera kugwiritsidwa ntchito limodzi ndi mankhwala otsatirawa.
- Cidofovir
- Cisapride
- Dronedarone
- Pimozide
- Thioridazine
Kuphatikiza apo, imatha kuyanjana ndi mankhwala ena ambiri. Mwachitsanzo:
- Mankhwala ena omwe angakhudze impso (monga Amphotericin B, Gentamicin, NSAIDs, mankhwala ochepetsa ululu)
- Mankhwala omwe amakhudza kugunda kwa mtima (mankhwala omwe amatalikitsa nthawi ya QT)
- Mankhwala ena oletsa mavairasi (monga Acyclovir, Ganciclovir)
- Mankhwala ochepetsa mphamvu ya mkodzo
- Aspirin
Mndandanda uwu sunathe. Chifukwa chake, ndibwino kupatsa dokotala mndandanda wonse mwa kunena kuti, "Ndikumwa mankhwala awa."
Zinthu zoti muziganizire panthawi ya chithandizo
- Mayeso Okonzedwa: Pitani kwa dokotala wanu pa masiku omwe akonzedwa monga momwe mwalangizidwira. Kuchuluka kwa mchere m'magazi mwanu, ntchito ya impso, ndi kuchuluka kwa maselo m'magazi kuyenera kufufuzidwa nthawi zonse. Musadumphe mayesowa.
- Kusowa madzi m'thupi: Uzani dokotala kapena namwino wanu ngati muli ndi kutsegula m'mimba kwambiri, nseru, kapena kusanza, kapena ngati mukutuluka thukuta kwambiri. Kusowa madzi m'thupi kungakhale koopsa mukamamwa mankhwalawa.
- Kusanza: Ngati mukumva dzanzi kapena kumva kuwawa mkamwa mwanu, milomo, manja, kapena mapazi, uzani dokotala wanu nthawi yomweyo . Ichi chingakhale chizindikiro chachikulu cha kuchepa kwa calcium m'magazi.
- Kuzunguzika ndi kugona: Mankhwalawa angakupangitseni kugona pang'ono kapena kuzunguzika. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa akukukhudzirani. Makamaka ngati ndinu munthu wokalamba, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala kapena kuyimirira. Izi zitha kuchepetsa chiopsezo cha chizungulire ndi kugwa.
Zotsatirapo zoyipa za mankhwalawa
Monga mankhwala ena aliwonse, Foscarnet ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala/namwino nthawi yomweyo | |
|---|---|
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| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
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Uthenga Wopita Nawo Kunyumba
- Foscarnet ndi mankhwala amphamvu omwe amaperekedwa m'mitsempha kuchipatala chifukwa cha matenda akuluakulu a mavairasi.
- Musanayambe chithandizo, ndikofunikira kuuza dokotala wanu za matenda onse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Ngati mukukumana ndi zotsatirapo zoyipa kwambiri panthawi ya chithandizo, monga dzanzi m'miyendo, kuvutika kupuma, kapena kusintha kwa kugunda kwa mtima, dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Musadumphe mayeso a magazi ndi mayeso ena omwe dokotala wanu wakupatsani.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kulankhula ndi dokotala wanu momasuka za mankhwalawa.
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