Unoziva here mapiritsi eBedaquiline anoshandiswa kurapa chirwere cherurindi? Ngatikurukurei!

Iwe kana mumwe munhu waunoziva akamboonekwa aine chirwere cheTB (TB) uye akanyorerwa mushonga nachiremba here? Panguva iyoyo, ungangove wakapihwa mushonga uyu unonzi `(Bedaquiline)`. Uyu une simba zvishoma, uye mushonga unoda kutarisirwa kwakakosha. Saka, zvakakosha kuti hutano hwako huve hwakanaka kuziva chaizvo nezvemushonga uyu unonzi `(Bedaquiline)`. Ngatitaurei nezveizvi zvakadzama, handiti?

Mushonga uyu chii? Chii chinonzi `(Bedaquiline)`?

Zvichitaurwa zviri nyore, `(Bedaquiline)` mushonga unopiwa kurapa hutachiona hweTB mumapapu ako. Unowanzo shandiswa kune dzimwe nyaya dzakaoma dzeTB kana mimwe mishonga yeTB isingashande. Unogonawo kuona `(Sirturo)` sezita remushonga uyu.

Zvisinei, vanachiremba dzimwe nguva vanogona kushandisa mushonga uyu kune zvimwe zvirwere zvakare. Saka kana muine mibvunzo, zvakanaka kubvunza chiremba wenyu kana munhu ari kupharmacy.

Ndezvipi zvinhu zvandinofanira kuudza chiremba ndisati ndatora mushonga uyu?

Usati watanga kushandisa `(Bedaquiline)`, zvakakosha kuudza chiremba wako kana timu yezvekurapa nezve zvinotevera: Izvi zvakakosha zvikuru nekuti ndizvo zvichasarudza kana mushonga uyu wakakodzera iwe uye kuti unofanira kupiwa sei.

• Chirwere chemwoyo : Une chirwere chemwoyo here? Wakamborwara nemoyo here? Kana zvakadaro, iva nechokwadi chekutiudza.
• Kurova kwemoyo kusina kurongeka: Wakambova nedambudziko rekurova kwemoyo kusina kurongeka kana kuti nekukurumidza here? Izvi zvinofanirawo kutaurwa.
• Munyu mushoma muropa: Wakamboonekwa uine calcium, magnesium , kana potassium shoma muropa rako here?
• HIV kana AIDS : Une hutachiwana hwe `(HIV)` here kana kuti une `(AIDS)`?
• Kushandisa Doro : Munonwa doro nguva dzose here? Kana zvakadaro, ndapota taurai izvozvo.
• Chirwere chechiropa: Une chirwere chechiropa here? Wakambova nechirwere chejaundice here, kana kuti vanachiremba vakakuudza kuti chiropa chako hachina simba? Kana uine chimwe chezvirwere izvi, unofanira kuvaudza zvechokwadi.Nekuti mushonga uyu dzimwe nguva unogona kukanganisa chiropa.
• Zvirwere zveThyroid: Pane dambudziko here negland reThyroid?
• Kurwara: Une allergies here nemishonga `(Bedaquiline)`, mimwe mishonga, chikafu, madhayi, kana zvinochengetedza? Tiudze, kunyangwe iri diki.
• Kubata pamuviri: Une pamuviri here parizvino? Kana kuti uri kutarisira kubata pamuviri here?
• Kana uri amai vanoyamwisa: Uri amai vanoyamwisa here?

Kana ukandiudza zvinhu izvi usingazvivanzi, chiremba anogona kukurapa zvakachengeteka.

Ndinofanira kushandisa mushonga uyu sei?

Ichi chinhu chaunofanirawo kuziva chaizvo. Chinhu chakakosha ndechekutora mushonga sezvataurwa nachiremba.

• Unofanira kunwa piritsi iri negirazi remvura.
• Chinhu chakakosha ndechekutora mushonga uyu nechikafu. Usautore usina chinhu mudumbu. Mushonga uyu unonyoroveswa zvakanaka nemuviri kana ukatorwa nechikafu.
• Mushonga uyu uchapihwa kwauri uchitarisirwa nenyanzvi yehutano, senge chiremba kana mukoti.
• Inwa mushonga wako panguva yakakodzera uye panguva dzakakodzera. Usatore mushonga unopfuura kana kuti ushoma pane wawakaudzwa nachiremba wako kuti unwe.
• Kunyangwe uchinzwa zviri nani, unofanira kupedza mushonga wese wawakanyorerwa nachiremba wako. Muchirwere chakadai seTB, kurega mushonga kana wava kunzwa zviri nani kune njodzi huru . Kana ukadaro, chirwere chinogona kudzoka, uye mushonga wacho ungasashande. Saka, usarega mushonga chero upi zvawo kana kurega kuutora usati waudzwa nachiremba.

Ruzivo Rwakakosha (MedGuide): Nguva dzese dzaunowana mushonga uyu kubva ku pharmacy, uchapihwa kapepa kemirairo kakakosha kanonzi ``(MedGuide)`` pamwe chete nawo. Une ruzivo rwakakosha nezvemushonga uyu. Iva nechokwadi chekuuverenga nokungwarira nguva dzese.

Mushonga uyu unofanira kupiwa kuvana vadiki here?

Kana muri kupa mwana wenyu mudiki mushonga uyu, taurai navanachiremba vevana nezve mushonga uyu. Dzimwe nguva, mumamiriro ezvinhu akasiyana, mushonga uyu unogona kunyorerwa vana vane makore mashanu chete. Zvisinei, pane zvimwe zvinhu zvekungwarira.

Ko kana ndikatora mushonga wakawandisa? (Kunyanya kunwa mushonga)

Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuchipatara chiri pedyo kana kufonera nzvimbo inoona nezve chepfu nekukasika . Usatambisa nguva.

Chimwe chinhu: Mushonga uyu ndewako chete. Usamboupa shamwari, nhengo yemhuri, kana mumwe munhu , kunyangwe vaine chirwere chakafanana newe. Mishonga yakasiyana inoshanda kuvanhu vakasiyana.

Chii chaunofanira kuita kana ukarasikirwa nemushonga?

Zvakakosha kutora mushonga wako sezvawakarairwa. Uyewo, iva nechokwadi chekuti wachengeta nguva yawakarairwa nachiremba. Kana ukarasikirwa nenguva yakatarwa kana kuti usingakwanise kutora mushonga wako nenguva, fonera chiremba wako kana nyanzvi yehutano nekukasika. Vachakuudza zvekuita zvinotevera.

Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?

Iyi inyaya yakakoshawo zvikuru. Mushonga uyu, unonzi "Bedaquiline", unogona kushanda pamwe chete nemimwe mishonga yauri kutora. Kana izvi zvikaitika, kushanda kwemushonga mumwe chete kunogona kudzikira, kuwedzera, kana kukonzera migumisiro yakaipa.

Usambofa watora `(Bedaquiline)` nemishonga iyi:

• Doro
• `cisapride`
• `dronedarone`
• `pimozide`
• `thioridazine`

Uyewo, mishonga inotevera inogona kushanda pamwe chete ne `(Bedaquiline):

• Mishonga inorwisa utachiona yeHIV kana AIDS (semuenzaniso, efavirenz)
• `arsenic trioxide`
• Mamwe maantibiotic (semuenzaniso azithromycin, chloroquine, ciprofloxacin, clarithromycin, erythromycin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, rifampin, rifapentine, rifabutin)
• Mimwe mishonga yekurapa fungus (semuenzaniso fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole)
• Mimwe mishonga inoshandiswa kurapa kurova kwemoyo kusina kurongeka (semuenzaniso amiodarone, disopyramide, dofetilide, ibutilide, procainamide, propafenone, quinidine, sotalol)
• Mimwe mishonga yekurapa kuda kurutsa (semuenzaniso chlorpromazine, droperidol)
• Mimwe mishonga yekurapa zvirwere zvepfungwa (semuenzaniso haloperidol)
• `methadone`
• Mimwe mishonga inowedzera nguva yemoyo inonzi 'QT interval' (ndiko kuti, inokonzera mashandiro asina kujairika emagetsi mumoyo)
• `ziprasidone`

Rondedzero iyi haina kukwana. Panogona kunge paine mimwe mishonga yakawanda. Saka, udza chiremba wako nezvemishonga yese yaunotora (yakanyorwa nachiremba, inotengeswa pasina kunyorerwa chiremba, mishonga yemishonga, mavitamini, zvekudya - zvese). Zvakare, iva nechokwadi chekuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga. Zvimwe zvinhu zvinogona kukanganisa mushonga uyu.

Chii chandinofanira kungwarira pandinenge ndichitora mushonga uyu?

Unofanira kunyatsoteerera muviri wako paunenge uchitora mushonga we`(Bedaquiline)`.

• Kana zviratidzo zvako (semuenzaniso kukosora, kufema zvishoma, fivha) zvikasavandudzika kana kuti zvichiratidza kunge zviri kuwedzera kuipa, taurira chiremba wako nekukasika.
• Unofanira kuona chiremba wako nguva nenguva. Paunenge uchitora mushonga uyu, ungangoda kuongororwa ropa kuti uone huwandu hweropa rako uye mashandiro echiropa chako. Kana chiremba wako akakuudza kuti uite bvunzo idzi, iva nechokwadi chekuti wadziita.
• Kana uri amai vanoyamwisa:Taura nachiremba wako usati wayamwisa mwana wako paunenge uchitora mushonga uyu. Kana uchiyamwisa, udza chiremba wako nekukasika kana weti yemwana wako ikaita seyakasviba kupfuura yakajairika, kana kuti tsvina yake ikaita seyakareruka kupfuura yakajairika, kana maziso ake achiita seari kuchinja kuita yero.

Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?

Kufanana nemushonga upi zvawo, `(Bedaquiline)` inogona kukonzera mimwe migumisiro yakaipa. Haasi munhu wese anowana, asi zvakanaka kuziva nezvazvo.

Migumisiro yaunofanira kuudza chiremba wako nezvayo nekukasika:

Kana ukaona chimwe chezviratidzo izvi, enda kuna chiremba kana kuchipatara nekukasika:

• Kurwara nepfungwa: Mapundu paganda, kuvaviwa kana mapundu, kuzvimba kwechiso, miromo, kana rurimi.
• Kukosora ropa:
• Zviratidzo zvekuchinja kwekurova kwemoyo zvine njodzi: kurwadziwa pachipfuva; dzungu; kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka; kurova kwemoyo zvakanyanya; kupera simba, dzungu; kunetseka kufema.
• Zviratidzo zvekukuvara kwechiropa: weti yero yakasviba kana yebrown; kunzwa kusanzwa zvakanaka, fivha; tsvina yakachenuruka; kurasikirwa nechido chekudya; kurwadziwa kumusoro kurudyi kwedumbu; kuneta zvakanyanya kana kuneta; kutsvuka kwemaziso kana ganda (jaundice).

Migumisiro isingawanzova nyaya huru, asi kana ikaramba iripo, unofanira kuudza chiremba wako kuti:

Izvi hazviwanzo kuva nengozi, asi kana zvikaramba zvichikunetsa, udza chiremba wako:

• Musoro (musoro)
• Kurwadziwa kwemajoini
• Kusvotwa
• Kurwadziwa kwedumbu

Rondedzero iyi ingasave nemhedzisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitika, bvunza chiremba wako nezvazvo. Unogona zvakare kuzivisa migumisiro yacho kuFDA (Food and Drug Administration) panhamba 1-800-FDA-1088 (kunyange izvi zvisingashande muSri Lanka, kungoziva). MuSri Lanka, zvakanaka kuudza chiremba wako.

Unofanira kuchengeta sei mushonga wako?

Zvakakoshawo kuchengetedza mishonga yako nemazvo.

• Chengeta kure nevana.
• Chengeta patembiricha yemukamuri (pakati pe15 ne30 degrees Celsius / 59 ne86 degrees Fahrenheit).
• Chengeta mushonga uyu mubhodhoro kana paketi rawakapihwa.
• Rasa mushonga chero upi zvawo wapfuura zuva rawo rekupera.

Chekupedzisira, chinhu chinonyanya kukosha

Sezvamunoona, `(Bedaquiline)` mushonga unofanirwa kushandiswa nekungwarira. Asi musatya. Chinhu chakakosha ndechekutevera mirairo yachiremba wenyu nemazvo. Kana musinganzwisisi chimwe chinhu kana kuti musina chokwadi, bvunzai chiremba wenyu kana munhu ari kupharmacy kuti akutsanangurirei.

Chifuva chirwere chinorapika. Asi chinoda kunwa mushonga wakakodzera kwenguva yakakodzera. Rutsigiro rwenyu ndiro simba guru rekukunda hondo iyi. Ndinokushuvirai kupora nekukurumidza!

Bedaquiline , Tibhii, TB, Utachiona hweMapapu, Mishonga, Migumisiro, Mazano Ehutano, Sirturo