Ngaba uyazi iipilisi zeBedaquiline ezisetyenziselwa ukunyanga isifo sephepha? Masithethe!

Ngaba wena okanye umntu omaziyo ukhe wafunyaniswa ukuba unesifo sephepha (TB) waza wamiselwa amayeza aso ngugqirha? Ngelo xesha, kusenokwenzeka ukuba wawunikwe eli yeza libizwa ngokuba yi-`(Bedaquiline)`. Eli linamandla kancinci, kwaye liyeza elifuna ingqalelo ekhethekileyo. Ngoko ke, kubaluleke kakhulu kwimpilo-ntle yakho ukwazi kakuhle ngeli yeza libizwa ngokuba yi-`(Bedaquiline)`. Makhe sithethe ngale nto ngokweenkcukacha, akunjalo?

Yintoni le yeza? Yintoni `(iBedaquiline)`?

Ngamafutshane, `(Bedaquiline)` liyeza elinikwa ukunyanga usulelo lwesifo sephepha (TB) emiphungeni yakho. Lidla ngokusetyenziselwa iimeko ezinzima ze`(TB)` xa amanye amayeza esifo sephepha engasebenzi. Ungabona `(Sirturo)` njengegama lophawu lwale yeza.

Nangona kunjalo, oogqirha ngamanye amaxesha banokulisebenzisa eli yeza nakwezinye iimeko . Ngoko ke ukuba unemibuzo, kungcono ukubuza ugqirha wakho okanye umntu okwikhemesti.

Zeziphi izinto ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?

Ngaphambi kokuba uqale ukusebenzisa `(iBedaquiline)`, kubalulekile ukuxelela ugqirha wakho okanye iqela lezonyango ngale nto ilandelayo: Oku kubaluleke kakhulu kuba kuya kugqiba ukuba eli yeza lifanelekile na kuwe kwaye lifanele linikwe njani.

• Isifo sentliziyo : Ngaba unesifo sentliziyo? Ngaba wakha wahlaselwa yintliziyo ngaphambili? Ukuba kunjalo, qiniseka ukuba usixelele.
• Ukubetha kwentliziyo okungaqhelekanga: Ngaba wakha waba nemeko apho ukubetha kwentliziyo yakho bekungaqhelekanga okanye kukhawuleze? Oku kufanele kukhankanywe nako.
• Amanqanaba etyuwa egazini aphantsi: Ngaba wakha wafunyaniswa ukuba unezinga eliphantsi le-calcium, i-magnesium , okanye i-potassium egazini lakho ?
• I-HIV okanye i-AIDS : Ngaba wosulelwe yi -`(HIV)` okanye unayo i-`(AIDS)`?
• Ukusetyenziswa kotywala : Ngaba usela utywala rhoqo? Ukuba kunjalo, nceda uxele oko.
• Isifo sesibindi: Ngaba unesifo sesibindi? Ngaba wakha wanayo imbali ye-jaundice ngaphambili, okanye oogqirha bakuxelele ukuba isibindi sakho sibuthathaka? Ukuba unayo nayiphi na kwezi meko, ngokuqinisekileyo kufuneka ubaxelele.Kuba eli yeza ngamanye amaxesha linokuchaphazela isibindi.
• Izifo ze-thyroid: Ngaba kukho ingxaki kwi-thyroid gland?
• Ii-Allergies: Ngaba unayo nayiphi na i-allergies kwiyeza `(Bedaquiline)`, nayiphi na enye iyeza, ukutya, iidayi, okanye izithinteli? Sixelele, nokuba yinto encinci.
• Ukukhulelwa: Ngaba ukhulelwe okwangoku? Okanye unethemba lokukhulelwa?
• Ukuba ungumama oncancisayo: Ngaba ungumama oncancisayo?

Ukuba undixelela ezi zinto ungazifihli, ugqirha angakunyanga ngokukhuselekileyo.

Ndingayisebenzisa njani le yeza?

Oku nako yinto ekufuneka uyazi kakuhle. Eyona nto ibalulekileyo kukuthatha amayeza kanye njengoko ugqirha etshilo.

• Ufanele usele le pilisi neglasi yamanzi.
• Eyona nto ibalulekileyo kukuthatha eli yeza kunye nokutya. Musa ukulithatha ungatyanga. Eli yeza lifunxwa ngcono ngumzimba xa lithathwa kunye nokutya.
• Eli yeza liza kunikwa phantsi kweliso lengcali yezempilo, njengogqirha okanye umongikazi.
• Sela amayeza akho ngexesha elifanelekileyo nangexesha elifanelekileyo. Musa ukuthatha ngaphezulu okanye ngaphantsi komlinganiselo ochazwe ngugqirha wakho.
• Nokuba uzive ungcono, ngokuqinisekileyo kufuneka ugqibe yonke ikhosi yamayeza owanikwe ngugqirha wakho. Kwisifo esifana nesifo sephepha, ukuyeka amayeza xa uzive ungcono kancinci kuyingozi kakhulu . Ukuba wenza njalo, isifo sinokubuya, kwaye amayeza asenokungasebenzi. Ngoko ke, musa ukulishiya iyeza nangasiphi na isizathu okanye uyeke ukulithatha ngaphambi kokuba ugqirha akuxelele ukuba wenze njalo.

Ulwazi oluKhethekileyo (iMedGuide): Ngalo lonke ixesha ufumana eli yeza kwikhemesti, uza kunikwa incwadana yemiyalelo ekhethekileyo ethi ``(iMedGuide)`` kunye nalo. Liqulethe ulwazi olubaluleke kakhulu malunga neli yeza. Qiniseka ukuba ulifunda ngononophelo ngalo lonke ixesha.

Ngaba eli yeza lifanele linikwe abantwana abancinci?

Ukuba unika umntwana wakho omncinci eli yeza, thetha nogqirha wezingane ngalo. Ngamanye amaxesha, phantsi kweemeko ezikhethekileyo, eli yeza linokunikwa abantwana abaneminyaka emi-5 ubudala. Nangona kunjalo, kukho izinto ekufuneka uzilumkele kakhulu.

Kuthekani ukuba ndithatha amayeza amaninzi kakhulu? (Umthamo ogqithisileyo)

Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lokulawula ityhefu ngoko nangoko . Musa ukuchitha ixesha.

Enye into: Eli yeza lelakho wedwa. Ungaze ulinike umhlobo, ilungu losapho, okanye nabani na omnye , nokuba bakwimeko efanayo neyakho. Amayeza ahlukeneyo asebenza kubantu abahlukeneyo.

Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?

Kubaluleke kakhulu ukusela amayeza akho njengoko kuyalelwe. Kwakhona, qiniseka ukuba uyawagcina amalungiselelo kagqirha wakho. Ukuba uphoswa yintlanganiso ebekiweyo okanye awukwazi ukuwasela amayeza akho ngexesha, tsalela umnxeba ugqirha wakho okanye ingcali yezempilo ngokukhawuleza. Baza kukuxelela into omawuyenze ngokulandelayo.

Ngawaphi amanye amayeza anokusebenza kunye nale mithi?

Le yingongoma ebaluleke kakhulu. Eli yeza, elibizwa ngokuba yi-"Bedaquiline", linokusebenzisana namanye amayeza owasebenzisayo. Ukuba oku kuyenzeka, ukusebenza kakuhle kwelinye iyeza kunokuncipha, kwandiswe, okanye kubangele iziphumo ebezingalindelekanga eziyingozi.

Ungaze uthathe `(iBedaquiline)` kunye nala mayeza:

• Utywala
• `cisapride`
• `i-dronedarone`
• `pimozide`
• `thioridazine`

Kwakhona, la mayeza alandelayo anokusebenzisana ne-`(Bedaquiline):

• Amayeza okulwa nentsholongwane kaGawulayo okanye i-AIDS (umzekelo, i-efavirenz)
• `i-arsenic trioxide`
• Amanye amayeza okubulala iintsholongwane (umz. azithromycin, chloroquine, ciprofloxacin, clarithromycin, erythromycin, gemifloxacin, levofloxacin, moxifloxacin, norfloxacin, ofloxacin, pentamidine, rifampin, rifapentine, rifabutin)
• Amanye amayeza osulelo lwefungus (umz. i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, i-voriconazole)
• Amanye amayeza asetyenziselwa ukunyanga ukubetha kwentliziyo okungahambelaniyo (umz. i-amiodarone, i-disopyramide, i-dofetilide, i-ibutilide, i-procainamide, i-propafenone, i-quinidine, i-sotalol)
• Amanye amayeza okunyanga isicaphucaphu (umz. i-chlorpromazine, i-droperidol)
• Amanye amayeza onyango lweengxaki zengqondo (umz. i-haloperidol)
• `i-methadone`
• Amanye amayeza andisa ixesha lentliziyo elithi `QT interval` (oko kukuthi, abangela indlela engaqhelekanga yokusebenza kombane entliziyweni)
• `ziprasidone`

Olu luhlu aluphelelanga. Kusenokuba kukho amanye amayeza amaninzi. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amayeza amiselweyo, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, izongezo zokutya - yonke into). Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye izinto zinokudibana nalo mayeza.

Yintoni endifanele ndiyilumkele xa ndisebenzisa eli yeza?

Ufanele unikele ingqalelo engakumbi emzimbeni wakho ngelixa uthatha i-`(Bedaquiline)`.

• Ukuba iimpawu zakho (umz. ukukhwehlela, ukuphefumla kancinci, umkhuhlane) aziphucuki okanye zibonakala ngathi ziya zisiba mandundu, xelela ugqirha wakho ngoko nangoko.
• Ufanele ubone ugqirha wakho ngamaxesha athile. Ngelixa usela eli yeza, kunokufuneka wenze uvavanyo lwegazi ukujonga inani legazi lakho kunye nokusebenza kwesibindi sakho. Ukuba ugqirha wakho ukuxelela ukuba wenze olu vavanyo, qiniseka ukuba uyalwenza.
• Ukuba ungumama oncancisayo:Thetha nogqirha wakho ngaphambi kokuba uncancise umntwana wakho ngelixa usebenzisa eli yeza. Ukuba uncancisa, xelela ugqirha wakho ngoko nangoko ukuba umchamo womntwana wakho ubonakala umnyama kunesiqhelo, okanye ukuba indle yakhe ibonakala ikhaphukhaphu kunesiqhelo, okanye ukuba amehlo akhe abonakala ejika abe tyheli.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, iBedaquiline inokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa kulungile ukuzazi.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, yiya kugqirha okanye esibhedlele ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela okanye ukurhawuzelela, ukudumba kobuso, imilebe, okanye ulwimi.
• Ukukhohlela igazi:
• Iimpawu zotshintsho oluyingozi kwisantya sentliziyo: iintlungu zesifuba; isiyezi; ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga; ukubetha kwentliziyo; ukutyhafa, isiyezi; ubunzima bokuphefumla.
• Iimpawu zomonakalo wesibindi: umchamo otyheli okanye omdaka omnyama; ukuziva ungaphilanga, umkhuhlane; indle ekhanyayo; ukungabi namdla wokutya; iintlungu kwicala eliphezulu lasekunene lesisu; ukudinwa okanye ukudinwa kakhulu; ukutyheli kwamehlo okanye ulusu (i-jaundice).

Iziphumo ebezingalindelekanga azibalulekanga kangako, kodwa ukuba ziyaqhubeka, kufuneka uxelele ugqirha wakho :

Ezi azinabungozi, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Intloko ebuhlungu (intloko ebuhlungu)
• Intlungu yamalungu
• Isicaphucaphu
• Intlungu yesisu

Olu luhlu lusenokungabandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona into engaqhelekanga, buza ugqirha wakho ngayo. Ungaxela iziphumo ebezingalindelekanga kwi-FDA (Food and Drug Administration) ku-1-800-FDA-1088 (nangona oku kungasebenzi eSri Lanka, ukuze nje uqaphele). ESri Lanka, kungcono ukuxelela ugqirha wakho.

Ufanele uwagcine njani amayeza akho?

Kubalulekile nokuba ugcine amayeza akho ngokufanelekileyo.

• Gcina kude nokufikelela kwabantwana.
• Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius / 59 kunye ne-86 degrees Fahrenheit).
• Gcina eli yeza kwibhotile okanye kwipakethi yalo yokuqala owalinikwa yona.
• Lahla naliphi na iyeza eliphelelwe lixesha.

Okokugqibela, eyona nto ibalulekileyo

Njengoko ubona, `(iBedaquiline)` liyeza elifanele lisetyenziswe ngononophelo. Kodwa ungoyiki. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho ngokuchanekileyo. Ukuba kukho into ongayiqondiyo okanye unamathandabuzo, buza ugqirha wakho okanye umntu okwikhemesti ukuze akucacisele.

Isifo sephepha sisifo esinyangekayo. Kodwa kufuneka sithathe amayeza afanelekileyo ixesha elifanelekileyo. Inkxaso yakho ngamandla amakhulu okuphumelela kweli dabi. Ndikunqwenelela ukuchacha ngokukhawuleza!

` I-Bedaquiline, Isifo Sephepha, Isifo Sephepha, Usulelo Lwemiphunga, Amayeza, Iziphumo Ezingalindelekanga, Iingcebiso Zempilo, iSirturo