Tiyeni tiphunzire zonse zokhudza mapiritsi a Valganciclovir m'njira yosavuta.

Kodi dokotala wakupatsani mankhwala a Valganciclovir? Kapena wachibale wanu kapena mnzanu akumwa? Ngati ndi choncho, ndikofunikira kuti mudziwe zambiri za mankhwalawa. Nthawi zonse ndi bwino kumvetsetsa pang'ono za mankhwala aliwonse musanamwe.

Kodi Valganciclovir ndi chiyani?

Mwachidule, Valganciclovir ndi mankhwala oletsa mavairasi . Izi zikutanthauza kuti, imathandiza kulimbana ndi mitundu ina ya mavairasi omwe amalowa m'thupi lathu ndikulamulira kuwonongeka komwe amayambitsa. Mwina mwawonapo mankhwalawa pansi pa dzina la ``Valcyte``.

Makamaka, pali mtundu wa kachilombo kotchedwa Cytomegalovirus (CMV) . Kachilomboka kangayambitse matenda m'maso mwathu (CMV retinitis), komanso matenda m'ziwalo zina za thupi (monga mapapo, matumbo). Valganciclovir imagwiritsidwa ntchito kwambiri pochiza matenda otere komanso kupewa matenda atsopano.

Kodi mankhwalawa amaperekedwa liti?

Monga ndanenera kale, mankhwalawa amagwiritsidwa ntchito makamaka pa matenda a CMV.

• Chithandizo cha matenda a maso (CMV retinitis) omwe amayamba chifukwa cha CMV.
• Kupewa kapena kuchiza kufalikira kwa matenda a CMV ku ziwalo zina za thupi.
• Nthawi zina, mankhwalawa amaperekedwanso kwa anthu omwe adasamutsidwa chiwalo kuti achepetse chiopsezo chotenga matenda a CMV.

Komabe, dokotala akhoza kukupatsani mankhwala awa pazifukwa zina zachipatala kupatula zomwe tatchula pamwambapa. Chifukwa chake, ngati muli ndi mafunso okhudza chifukwa chomwe mwapatsidwa mankhwala awa, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala musanamwe mankhwala?

Musanayambe kumwa Valganciclovir, ndikofunikira kuuza dokotala wanu kapena wamankhwala amene amapereka mankhwalawo zinthu izi . Izi zili choncho chifukwa dokotalayo adzagwiritsa ntchito izi kusankha ngati mankhwalawa ndi oyenera kwa inu, mlingo woti akupatseni, komanso zinthu zina zomwe muyenera kusamala nazo.

• Ngati muli ndi matenda a impso: Impso zanu ndi zomwe zimathandiza kusefa zinyalala ndikusunga thupi lanu loyera. Ngati impso zanu zili zofooka kapena zili ndi matenda, zinthu ngati mankhwalawa sizingatulutsidwe bwino m'thupi lanu. Kenako mankhwalawo amatha kusonkhana m'thupi lanu ndikuyambitsa mavuto. Ndicho chifukwa chake ndikofunikira kuuza dokotala wanu za izi.
• Ngati muli ndi maselo oyera a m'magazi, ma platelet, kapena maselo ofiira ochepa m'magazi anu (kuchuluka kwa magazi m'magazi anu):Mankhwalawa nthawi zina amatha kuchepetsa kwambiri kuchuluka kwa maselo amenewa m'magazi. Chifukwa chake, ngati muli kale ndi vutoli, ndikofunikira kwambiri kuti dokotala wanu adziwe za vutoli.
• Uzani dokotala wanu ngati mwakhalapo ndi vuto la ganciclovir, valganciclovir, mankhwala ena aliwonse, chakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati, kapena mukufuna kutenga mimba. Iyi ndi mfundo yofunika kwambiri, tidzakambirana za izi mwatsatanetsatane mtsogolo.
• Ngati mukuyamwitsa.

Kukambirana zinthu izi ndi dokotala wanu kudzakuthandizani kwambiri kuti mupeze chithandizo mosamala.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Mukamagwiritsa ntchito mankhwalawa, ndi bwino kutsatira malangizo monga momwe mwalangizidwira. Pokhapokha mudzatha kupindula mokwanira ndi mankhwalawa ndikuchepetsa zotsatirapo zake.

• Mapiritsi awa ayenera kumwedwa ndi kapu ya madzi .
• Tsatirani malangizo omwe ali pa chizindikiro cha dokotala molondola .
• Mankhwalawa ayenera kumwedwa ndi chakudya . Apo ayi, musamwe pamimba yopanda kanthu.
• Musamatafune kapena kuphwanya mapiritsi awa. Mezani piritsi lonse. Kuchita zimenezi kungasokoneze mphamvu ya mankhwala.
• Ngati piritsi lasweka mwangozi, musalikhudze ndi manja anu opanda kanthu . Ngati mapiritsi osweka otere akhudza khungu lanu, tsukani nthawi yomweyo malowo bwino ndi sopo ndi madzi . Mankhwalawa nthawi zina amatha kuvulaza khungu.
• Yesetsani kumwa mankhwala anu pa nthawi yake, nthawi yomweyo tsiku lililonse .
• Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera.
• Ngakhale mutamva bwino, imwani mankhwalawo kwa nthawi yonse yomwe dokotala wanu wakupatsani . Musasiye kumwa pakati. Kuchita zimenezi kungayambitse matenda kubwerera.
• Musadumphe mlingo .

Kodi ndiyenera kusamala kwambiri ndikapereka mankhwalawa kwa ana?

Inde, nthawi zina mankhwala awa amaperekedwa kwa ana aang'ono. Angalimbikitsidwe kwa makanda a mwezi umodzi, pazifukwa zapadera . Komabe, pali zinthu zina zomwe muyenera kusamala nazo mukamapatsa ana. Chifukwa chake, lankhulani ndi dokotala wa ana za izi ndikutsatira malangizo ake molondola. Perekani mankhwalawo kwa mwana monga momwe dokotalayo wanenera, malinga ndi kuchuluka kwa zomwe wanena.

Chimachitika ndi chiyani ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)

Ngati mukuganiza kuti inuyo kapena wina wamwa mankhwala ochulukirapo, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi nanu nthawi yomweyo . Ndikofunikira kwambiri.

Chidziwitso chofunikira:Mankhwalawa aperekedwa kwa inu nokha. Musapereke mankhwala anu kwa ena , ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo. Zingawavulaze.

Nanga bwanji ngati ndaphonya mlingo?

Nthawi zina mumalephera kumwa mankhwala. Ngati zimenezo zitachitika, imwani mankhwala omwe mwaphonya mwamsanga mukangokumbukira . Komabe, ngati ali pafupi kwambiri ndi mlingo wanu wotsatira mukakumbukira (mwachitsanzo, ndi maola ochepa okha), dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza . Musamwe mlingo wowirikiza kawiri , zomwe zikutanthauza kumwa mlingo womwe mwaphonya ndi mlingo wotsatira nthawi imodzi. Kuchita zimenezi kungayambitse zotsatirapo zoyipa.

Kodi mankhwalawa amagwirizana ndi mankhwala ena? (Kodi ndi chiyani chomwe chingagwirizane ndi mankhwalawa?)

Inde, mankhwala awa otchedwa Valganciclovir amatha kuyanjana ndi mankhwala ena omwe mukumwa. Izi zikutanthauza kuti angasinthe momwe mankhwala ena amagwirira ntchito, kusintha momwe Valganciclovir imagwirira ntchito, kapena kuwonjezera zotsatirapo zake.

Mwachitsanzo:

• Amphotericin B
• Mankhwala ena a khansa (monga adriamycin, doxorubicin, vinblastine, vincristine)
• Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda a HIV (monga didanosine, zidovudine)
• Cyclosporine
• Dapsone
• Flucytosine `(flucytosine)`
• Hydroxyurea `(hydroxyurea)`
• Imipenem; cilastatin `(imipenem; cilastatin)`
• Mycophenolate mofetil `(mycophenolate mofetil)`
• Pentamidine `(pentamidine)`
• Probenecid `(probenecid)`
• Sulfamethoxazole; trimethoprim `(sulfamethoxazole; trimethoprim)`
• Tacrolimus

Mndandanda uwu si wokwanira. Pakhoza kukhala mankhwala ena. Chifukwa chake, onetsetsani kuti mwauza dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, omwe mwagula pamtengo wotsika, mankhwala azitsamba, mavitamini, zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osaloledwa . Zina mwa izi zingakhudze mankhwalawa.

Ndi zinthu zina ziti zomwe tiyenera kudziwa tikamamwa mankhwalawa?

Pali zinthu zingapo zomwe muyenera kusamala nazo mukamamwa mankhwalawa.

Mayeso azachipatala ndi mayeso a maso...

• Dokotala wanu akamamwa mankhwalawa, ayenera kukuonani nthawi zonse (kuyezetsa magazi nthawi zonse) . Ayeneranso kuchita ntchito zina zofunika kwambiri m'magazi . Izi ziwunika momwe mankhwalawa akukhudzira thupi lanu komanso ngati akhudza maselo anu amagazi.
• Ngati muli ndi matenda a maso (CMV retinitis) omwe amayamba chifukwa cha CMV, muyenera kuyesedwa maso anu milungu inayi kapena isanu ndi umodzi iliyonse .

Musaiwale kumwa madzi ambiri...

Mukamamwa mankhwalawa, imwani magalasi osachepera 6 mpaka 8 a madzi patsiku . Kumwa madzi ambiri kungathandize kupewa zotsatirapo zina zomwe zingachitike ndi mankhwalawa.

Samalani ndi kugona ndi chizungulire...

• Mankhwalawa angakupangitseni kugona kapena kuzunguzika . Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
• Samalani mukadzuka pamalo okhala kapena mukakhala pansi pamalo oyimirira . Izi zingathandize kuchepetsa chizungulire kapena kukomoka, makamaka ngati ndinu wodwala wokalamba.

Chidziwitso chapadera chokhudza mimba (kwa akazi ndi amuna)

Nkhaniyi ndi yofunika kwambiri, choncho mvetserani mosamala.

• Kwa akazi:
• Ngati mukuyembekezera mwana, kapena ngati mukuganiza kuti muli ndi pakati, muyenera kuuza dokotala wanu nthawi yomweyo .
• Musatenge mimba mukumwa mankhwalawa.
• Ngati ndinu mkazi amene ali ndi mwayi wobereka, muyenera kugwiritsa ntchito njira zolerera zogwira mtima mukamamwa mankhwalawa komanso kwa masiku osachepera 30 mutasiya kumwa mankhwalawa.
• Mankhwalawa akhoza kukhala ndi zotsatirapo zoyipa kwambiri pa mwana wosabadwa . Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

• Kwa amuna:
• Amuna ayeneranso kudziwa izi. Sikoyenera kubereka mwana pamene mukumwa mankhwalawa .
• Ngati mukugonana ndi mnzanu amene angathe kutenga pakati, muyenera kugwiritsa ntchito kondomu mukumwa mapiritsi ndipo kwa masiku osachepera 90 mutasiya kumwa mapiritsi.
• Izi ndi cholinga chopewa kuvulaza mwana wosabadwa. Funsani dokotala wanu kuti akuuzeni zambiri za izi.

Ndi zotsatirapo ziti zomwe ndingazindikire?

Monga mankhwala ena aliwonse, Valganciclovir ingayambitse zotsatira zina. Komabe, si aliyense amene amalandira. Pali zotsatira zina, ndipo ngati mukuziona, muyenera kupita kwa dokotala wanu kapena kuchipatala nthawi yomweyo.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, funsani upangiri wa dokotala nthawi yomweyo .

• Matenda a ziwengoZinthu monga: ziphuphu pakhungu, kuyabwa kapena ziphuphu, kutupa kwa nkhope, milomo, kapena lilime.
• Mavuto opuma.
• Kusintha kwa masomphenya.
• Kumva kufooka kapena mutu wopepuka, kugwa.
• Malungo kapena kuzizira, pakhosi lopweteka.
• Kuona zinthu m'maganizo, kutayika kwa kukhudzana ndi zenizeni.
• Ululu, kumva kuwawa, dzanzi m'manja kapena m'mapazi.
• Kugwidwa ndi khunyu.
• Zizindikiro za kuvulala kwa impso: vuto la kukodza kapena kusintha kwa kuchuluka kwa mkodzo.
• Maganizo ofuna kudzipha kapena kusintha kwina kwa maganizo.
• Kutuluka magazi kapena mabala osazolowereka.
• Kumva kufooka kwambiri kapena kutopa.

Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira:

Zotsatirapo zoyipa izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira kapena zikukuvutitsani, uzani dokotala wanu.

• Kudzimbidwa
• Chifuwa
• Kutsegula m'mimba
• Kutaya chilakolako
• Kusanza, kusanza
• Kupweteka m'mimba
• Kusowa tulo (vuto la kugona)

Mndandandawu sungakhale ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho. Ngati mukufuna, muthanso kunena za zotsatirapo zoyipa ku FDA (1-800-FDA-1088).

Kodi ndiyenera kusunga kuti mankhwala anga?

• Sungani mankhwalawa kutali ndi ana komanso kutali ndi ana . Izi ndizofunikira kwambiri.
• Sungani kutentha kwa chipinda, pakati pa madigiri 15 ndi 30 Celsius (madigiri 59 mpaka 86 F). Musayiike pamalo otentha kwambiri, ozizira, kapena chinyezi.
• Musagwiritse ntchito mankhwala otha ntchito . Tayani bwino.

Zinthu zofunika kwambiri zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tsopano mwamvetsa bwino mankhwala a Valganciclovir omwe tinakambirana. Pomaliza, kumbukirani mfundo izi kachiwiri:

• Tsatirani malangizo a dokotala wanu molondola. Imwani mankhwalawo monga mwalangizidwira, panthawi yake, komanso nthawi yonse yomwe mwalangizidwa.
• Uli ndi chiyani?Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse kapena mankhwala omwe mukumwa.
• Mukamamwa mankhwalawo , imwani pamodzi ndi chakudya ndipo imwani madzi ambiri.
• Tsatirani malangizo okhudza mimba (kwa akazi ndi amuna) molondola. Izi ndizofunikira kwambiri.
• Ngati mukukumana ndi zotsatirapo zoyipa, funsani upangiri wa dokotala nthawi yomweyo.
• Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu kapena wamankhwala .

Kumbukirani kuti nkhaniyi ndi yongofuna kudziwa zambiri. Siyenera kuonedwa ngati uphungu wa dokotala. Uphungu wa dokotala wanu nthawi zonse ndi wofunika kwambiri.

Ndikukufunirani kuchira mwachangu!

` valganciclovir, cytomegalovirus, CMV, mavairasi, zotsatira zoyipa, mankhwala, Valcyte