Ngezinye izikhathi amasosha omzimba wethu aba buthakathaka kancane, ikakhulukazi ngemva kokuhlinzwa okukhulu njengokufakelwa isitho. Ngezikhathi ezinjengalezi, ngisho namagciwane avame ukungasikhathazi angangena emzimbeni futhi abangele ukutheleleka okukhulu. Ezimweni ezinjalo ezikhethekile, namuhla sizokhuluma ngomuthi okhethekile odokotela abancomayo ukuze bawuvikele kulezo zifo ezibangelwa amagciwane. Igama lalowo muthi yi-Letermovir.
Uhlobo luni lomuthi i-Letermovir?
Kalula nje, i-Letermovir iwumuthi olwa namagciwane. Ayisebenzi kuwo wonke amagciwane, kodwa ihlasela ngqo uhlobo lwegciwane olubizwa nge -Cytomegalovirus (CMV) . Nakuba leli gciwane le-CMV livame ukubathinta kakhulu abantu abaphilile, lingabangela ukutheleleka okukhulu kubantu abanezivikeli mzimba ezibuthakathaka.
Ingozi yokutheleleka yi-CMV iphezulu kakhulu ngemva kokwelashwa okufana nokufakelwa umnkantsha. I-Letermovir isetshenziselwa ukuvimbela leyo ngozi.
Lo muthi uyatholakala emakethe ngaphansi kwegama lomkhiqizo elithi `(Prevymis)`. Kodwa kungakhathaliseki ukuthi yiliphi igama, ungawusebenzisa kuphela uma udokotela ekunike wona.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuqala i-Letermovir, kubaluleke kakhulu ukuxoxa nodokotela wakho ngomlando wakho wezempilo ophelele. Qiniseka ukuthi ukhuluma ngalokhu okulandelayo ikakhulukazi:
- Uma unesifo sezinso .
- Uma unesifo sesibindi .
- Uma uke waba nokusabela kokungezwani komzimba ne-Letermovir noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe, noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, noma ukuthi umthamo udinga ukushintshwa yini.
Ngingawusebenzisa kanjani umuthi?
Kulungile, manje ake sibone ukuthi lo muthi ungawusebenzisa kanjani kahle.
- Gwinya leli philisi lonke ngengilazi yamanzi. Ungaliphuli, ulichoboze, noma ulihlafune.
- Ungakuthatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukukuthatha nokudla.
- Thatha umuthi wakho nsuku zonke , ngesikhathi esinqunyiwe kanye nezikhawu ezinqunyiwe. Ungalokothi uthathe okungaphezu kwenani elinqunyiwe.
- Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho. Kungase kudingeke ukuthi uqede yonke inkambo.
Ingabe lo muthi kufanele unikezwe izingane?
Uma unikeza izingane lo muthi, kufanele ukhulume nodokotela wezingane ngakho futhi ulandele iseluleko sakhe. Kungadingeka ukunakekelwa okukhethekile.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ungakhathazeki. Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma useduze kakhulu nomthamo wakho olandelayo (isibonelo, phakathi namahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe amaphilisi amabili ngesikhathi esisodwa.
Kubaluleke kakhulu: Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwemithi)
I-Letermovir umuthi ongasebenzisana neminye imithi eminingi. Lokhu kusho ukuthi uma uthathwa neminye imithi, imiphumela ye-Letermovir noma imiphumela yomunye umuthi ingashintsha, noma imiphumela emibi kakhulu ingase ivele.
Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe odokotela, ethengwe ekhemisi, imithi yendabuko, amavithamini, imikhiqizo yamakhambi) .
Amathebula amabili angezansi azokwenza lokhu kucace kakhudlwana.
| Isexwayiso! Ungalokothi uthathe i-Letermovir kanye nalomuthi! | |
|---|---|
| I-Pimozide | Ama-alkaloid e-Ergot (isb. i-Ergotamine) |
| I-St. John's Wort (umkhiqizo wezitshalo) | I-Bosentan |
| Eminye imithi ye-HIV/AIDS (isib. i-Efavirenz, i-Nevirapine) | Eminye imithi yokwelapha izifo (isib. i-Rifampin, i-Nafcillin) |
| Eminye imithi yokwelapha ukuxhuzula (isib. i-Carbamazepine, i-Phenytoin) | I-Modafinil, i-Thioridazine |
| Qaphela! Tshela udokotela wakho uma uthatha i-Letermovir kanye nalo muthi. | |
|---|---|
| Imithi yokwehlisa i-cholesterol (isib., i-Atorvastatin, i-Simvastatin) | Imithi yesifo sikashukela (isib. i-Glyburide, i-Rosiglitazone) |
| Imithi evimbela ukujiya kwegazi (isib. i-Warfarin) | I-Amiodarone, i-Quinidine, enikezwa isifo senhliziyo |
| Imithi yokuvimbela amasosha omzimba (isib., i-Cyclosporine, i-Tacrolimus, i-Sirolimus) | Izibulali-zinhlungu (isib. iFentanyl, i-Alfentanil) |
| Imithi yokwelapha ukucasuka kwesisu/i-gastritis (isib. i-Omeprazole, i-Pantoprazole) | I-Midazolam, i-Voriconazole |
Lolu hlu aluphelele. Ngakho-ke, kungumthwalo wakho ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi kanye nemiphumela emibi
Ngesikhathi ethatha lo muthi, udokotela wakho angenza izinto ezifana nokusebenza kwegazi ukuze aqaphe isimo sakho.
Imiphumela emibi okufanele ibikwe kudokotela ngokushesha
- Ukusabela okukhulu kokungezwani komzimba : Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nokuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwamehlo, izindebe, ulimi, noma ubuso.
Imiphumela emibi evamile engase ivele futhi okufanele ibikwe kudokotela uma iqhubeka
- Ubuhlungu besisu
- Uhudo
- Isicanucanu nokuhlanza
- Ikhanda elibuhlungu
- Ukukhwehlela
- Ukukhathala
- Ukuvuvukala kwamaqakala, izandla, noma izinyawo
Uma lezi zimpawu ziqhubeka noma zikukhathaza, khuluma nodokotela wakho.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, hamba uye egumbini lezimo eziphuthumayo esibhedlela esiseduze (i-ETU) ngokushesha.Uma kungenjalo, shayela i-National Poison Information Center e-Colombo National Hospital bese ucela iseluleko ngokushesha.
Ungagcina kanjani imithi?
- Gcina kude nezingane .
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Letermovir umuthi okhethekile ovikela igciwane elibizwa nge-CMV. Kufanele isetshenziswe kuphela ngokunconywa udokotela.
- Ngaphambi kokuqala lo muthi, tshela udokotela wakho ngalo lonke ulwazi lwakho lwezempilo kanye nayo yonke eminye imithi oyithathayo.
- Gwinya iphilisi lonke, ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna. Ungalokothi uthathe umthamo ophindwe kabili uma uphuthelwa umthamo.
- Lo muthi ungowakho kuphela. Ungawabelani nabanye nganoma yisiphi isizathu.
- Uma ubona noma yiziphi izimpawu zokungezwani komzimba (njengokuvuvukala kobuso, amaqhubu), funa iseluleko sezokwelapha ngokushesha.
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