Okudingeka ukwazi ngomjovo we-Foscarnet

Ingabe udokotela wakho ukutshelile noma othile oseduze nawe ukuthi uzoqala ukuthatha umuthi obizwa ngokuthi i-Foscarnet? Noma wake wazibuza ngalomuthi? Lomuthi akuyona into ovame ukuyithenga ekhemisi bese uyisebenzisa ekhaya. Lomuthi okhethekile onikezwa esibhedlela, ngaphansi kokuqashwa kwezokwelapha. Ngakho-ke namuhla, ake sixoxe kafushane ngalomuthi obizwa ngokuthi i-Foscarnet.

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Iyini i-Foscarnet?

Kalula nje, i-Foscarnet iwumuthi olwa namagciwane . Isebenza ngokulawula nokuvimba ukusabalala kwamagciwane athile angena emizimbeni yethu futhi abangele izifo.

Lomuthi uvame ukusetshenziselwa ukwelapha noma ukuvimbela ukutheleleka kwegciwane le-herpes kanye nokutheleleka kwe-cytomegalovirus (CMV). Lokhu kubaluleke kakhulu kubantu abanezivikeli mzimba ezibuthakathaka (njengalabo abane-HIV noma abathola ukufakelwa), njengoba i-CMV ingadala umonakalo omkhulu emehlweni (i-retinitis) noma kwezinye izitho zomzimba. Lomuthi ubaluleke kakhulu ezimweni ezinjalo.

Into ebalulekile ukuthi, lokhu akuwona umuthi womkhuhlane ovamile. Lo umuthi onikezwa ngemithambo yegazi (i-infusion) yezifo ezibangelwa amagciwane ezinkulu esibhedlela, ngaphansi kokuqashwa okuseduze kodokotela nabahlengikazi.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi

Ngaphambi kokuthi uqale ukwelashwa nge-Foscarnet, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele, njengoba ezinye izimo zempilo zidinga ukunakekelwa okukhethekile lapho usebenzisa lo muthi.

Uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho.

Isimo sempilo	Kungani ukuqaphela kubalulekile? (Kalula nje)
Isifo sezinso	Lomuthi ukhishwa emzimbeni ngezinso. Uma izinso zibuthakathaka, umuthi unganqwabelana emzimbeni futhi wandise imiphumela emibi.
Isifo senhliziyo	Lo muthi ngezinye izikhathi ungabangela ukungalingani kwesilinganiso senhliziyo.
Amazinga aphansi e-calcium, i-magnesium, i-phosphorus, noma i-potassium egazini	I-Foscarnet ingabangela izinguquko ezengeziwe kula mazinga amaminerali, ngakho-ke kubalulekile ukuqaphela lokhu kusenesikhathi.
Ukuquleka	Kukhona ingozi engavamile yokuxhuzula ngalo muthi.
Izibalo zegazi eziphansi	Udokotela kufanele aqaphele noma yiliphi iseli elimhlophe legazi eliphansi, iseli elibomvu legazi, noma inani lama-platelet.
Ukukhulelwa noma uhlela ukukhulelwa/ukuncelisa	Njengoba ukuphepha kwalomuthi kungakaqinisekiswa ngesikhathi sokukhulelwa nokuncelisa, kubalulekile ukutshela udokotela wakho ngalokhu.
Ukungezwani komzimba neminye imithi	Uma une-allergy ku-Foscarnet noma kunoma yimuphi omunye umuthi, ukudla, noma udayi, sicela usazise.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma usola ukuthi uthathe umuthi omningi kakhulu, kufanele wazise abasebenzi bezokwelapha ngokushesha. Ngaphandle kwalokho, shayela iNational Poisons Information Centre eColombo National Hospital . Esimweni esiphuthumayo, kubalulekile ukuya e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.

Ukusebenzisana nezinye izidakamizwa

I-Foscarnet umuthi ongasebenzisana neminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, imikhiqizo yamakhambi).

I-Foscarnet akufanele isetshenziswe kanye nemithi elandelayo.

I-Cidofovir
I-Cisapride
I-Dronedarone
I-Pimozide
I-Thioridazine

Ngaphezu kwalokho, ingasebenzisana neminye imithi eminingi. Isibonelo:

Eminye imithi engathinta izinso (isib. i-Amphotericin B, i-Gentamicin, imithi yokubulala ubuhlungu yama-NSAID)
Imithi ethinta izinga lokushaya kwenhliziyo (imithi enweba isikhathi se-QT)
Eminye imithi yokulwa namagciwane (njenge-Acyclovir, i-Ganciclovir)
Imithi yokuhlanza
I-aspirini

Lolu hlu aluphelele. Ngakho-ke, kuphephile ukunikeza udokotela wakho uhlu oluphelele ngokuthi, "Ngithatha lo muthi."

Izinto okufanele uzicabangele ngesikhathi sokwelashwa

Ukuhlolwa Okuhleliwe: Yiya kudokotela wakho ngezinsuku ezihleliwe njengoba kunqunyiwe. Amazinga akho amaminerali egazini, ukusebenza kwezinso, kanye nenani lamaseli egazi kuzodingeka lihlolwe njalo. Ungayeqi lezi zivivinyo.
Ukuphelelwa amanzi emzimbeni: Tshela udokotela wakho noma umhlengikazi uma unesifo sohudo esibi, isicanucanu, noma ukuhlanza, noma uma ujuluka kakhulu. Ukuphelelwa amanzi emzimbeni kungaba yingozi ngenkathi uthatha lo muthi.
Ukuba ndikindiki: Uma uzwa ukuba ndikindiki noma ukuqaqamba emlonyeni wakho, ezindebeni, ezandleni, noma ezinyaweni, tshela udokotela wakho noma umhlengikazi wakho ngokushesha . Lokhu kungaba uphawu olubi lwamazinga aphansi e-calcium egazini.
Ukuzungeza kanye nokozela: Lo muthi ungakwenza uzizwe ulele kancane noma uzungeza. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi umuthi ukuthinta kanjani. Ikakhulukazi uma ungumuntu osekhulile, ungavuki ngokuzumayo endaweni ohleli kuyo noma omile. Lokhu kunganciphisa ingozi yokuzungeza kanye nokuwa.

Imiphumela emibi yomuthi

Njenganoma yimuphi umuthi, i-Foscarnet ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.

Imiphumela emibi okufanele ibikwe kudokotela/kumhlengikazi ngokushesha
Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi Ubunzima bokuphefumula Izinguquko zombono Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile Umkhuhlane, ukukhwehlela, umphimbo obuhlungu	Ukuba ndikindiki noma ubuhlungu ezithweni Ukuquleka Ubunzima bokuchama noma ushintsho enanini lomchamo owukhiqizayo Ukopha noma ukuklwebheka okungavamile Ubuhlungu noma ukuvuvukala endaweni yokujova Ukukhathala noma ubuthakathaka obungavamile
Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka
Ukukhathazeka Uhudo Ikhanda elibuhlungu Isifiso sokudla	Isimo sengqondo sokucindezeleka Isicanucanu, ukuhlanza Ubuhlungu besisu Ukwehlisa isisindo

Umlayezo Wokuya Nawe Ekhaya

I-Foscarnet iwumuthi onamandla onikezwa ngemithambo esibhedlela ngenxa yokutheleleka okukhulu kwegciwane.
Ngaphambi kokuqala ukwelashwa, kubalulekile ukutshela udokotela wakho ngazo zonke izimo zezokwelapha onazo kanye nayo yonke imithi oyiphuzayo.
Uma uhlangabezana nanoma yimiphi imiphumela emibi ngesikhathi sokwelashwa, njengokuba ndikindiki ezithweni zomzimba, ubunzima bokuphefumula, noma ushintsho ekushayeni kwenhliziyo, yazisa abasebenzi bezokwelapha ngokushesha.
Ungayeki ukuhlolwa kwegazi okuhleliwe kanye nokunye ukuhlolwa okunqunywe udokotela wakho.
Uma unemibuzo mayelana nalo muthi, ungesabi ukukhuluma ngokukhululekile nodokotela wakho ngawo.