Nevirapine
Zvemukati
- Usati watora nevirapine,
- Nevirapine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
Nevirapine inogona kukonzeresa, kutyisidzira hupenyu kukuvadza kwechiropa, kuita kweganda, uye kugadzikana. Udza chiremba wako kana wakambove kana wakambove nechirwere chechiropa, kunyanya hepatitis B kana C. Chiremba wako angangokuudza kuti usatore nevirapine. Uyezve udza chiremba wako kana uine mapundu kana imwe ganda mamiriro usati watanga kutora nevirapine. Kana ukasangana nechimwe chezviratidzo zvinotevera, rega kutora nevirapine uye udane chiremba wako nekukurumidza: mapundu, kunyanya kana akaomarara kana achiuya pamwe chete nezvimwe zvezviratidzo zviri pane izvi zvinyorwa; kuneta zvakanyanya; kushaya simba kana kushaya simba kwese; kusvotwa; kurutsa; kurasikirwa nenzara; rima (tii mavara) weti; zvituru zvakachenuruka; yero yeganda kana maziso; kurwadziwa kumusoro kwepamusoro chikamu chedumbu; fivha, huro, kutonhora, kana zvimwe zviratidzo zvehutachiona; flu-kunge zviratidzo; tsandanyama kana majoini aches; mhoni; maronda emuromo; matsvuku kana kuzvimba maziso; mikoko; kuvava; kuzvimba kwechiso, huro, rurimi, miromo, maziso, maoko, tsoka, makumbo, kana makumbo ezasi; hoarseness; kana kunetseka kufema kana kumedza.
Kana chiremba wako akakuudza kuti rega kutora nevirapine nekuti waive neganda rakakomba kana kuita kwechiropa, haufanire kutora nevirapine zvakare.
Chiremba wako anokutangira iwe pane yakaderera dosi yeevirapine uye nekuwedzera yako dose mushure memazuva gumi nemana. Izvi zvinoderedza njodzi yekuti iwe uchave nekukuvara kwakakomba ganda. Kana iwe ukagadzira chero rudzi rwekupenga kana chimwe chezviratidzo zvakanyorwa pamusoro apa iwe uri kutora yakaderera dosi ye nevirapine, fonera chiremba wako ipapo ipapo. Usawedzere dhizaini yako kusvikira mapundu kana zviratidzo zvaenda.
Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira zvimwe bvunzo kuti atarise mhinduro yemuviri wako kune nevirapine, kunyanya mukati memavhiki gumi nemasere ekurapwa kwako.
Chiremba wako kana wemishonga anokupa pepa reruzivo rwemurwere (reMedicine Gwara) paunotanga kurapwa nevirapine uye nguva yega yega paunozadza tsamba yako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kuwana iyo Medication Gwaro kubva kune iyo FDA webhusaiti: http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm.
Taura nachiremba wako nezve njodzi dzekutora nevirapine. Pane njodzi huru yekuti unozoita kukuvara kwakakomba kwechiropa panguva yekurapwa kwako kana uri mukadzi uye kana uine huwandu hweCD4 (huwandu hwerimwe rudzi rwehutachiona hunorwa nesero muropa rako).
Nevirapine inoshandiswa pamwe chete nemimwe mishonga yekurapa hutachiona hwehutachiona hwehutachiwana hweHIV muvanhu vakuru nevana vane mazuva gumi nemashanu zvichikwira. Nevirapine haifanire kushandiswa kurapa vashandi vezvehutano kana vamwe vanhu vanobatwa nehutachiona hweHIV mushure mekubata neropa rine hutachiona hweHIV, zvinyama, kana zvimwe zvinwiwa zvemumuviri. Nevirapine iri mukirasi yemishonga inonzi isiri-nucleoside reverse transcriptase inhibitors (NNRTIs). Inoshanda nekuderedza huwandu hweHIV muropa. Kunyangwe nevirapine isingarape HIV, inogona kudzikisira mukana wako wekuwana immunodeficiency syndrome (AIDS) nezvirwere zvine chekuita neHIV zvakadai sehutachiona hwakakomba kana gomarara. Kutora mishonga iyi pamwe nekuita bonde rakachengeteka uye kuita dzimwe nzira dzehupenyu dzinogona kudzikisa njodzi yekuparadzira (kuparadzira) hutachiona hweHIV kune vamwe vanhu.
Nevirapine inouya sehwendefa, piritsi rakaburitswa, uye kumiswa (mvura) kutora nemuromo uine kana usina chikafu. Piritsi uye kuturika zvinowanzo kutorwa kamwe pazuva kwevhiki mbiri uyezve kaviri pazuva mushure memavhiki maviri ekutanga. Iyo yakawedzerwa-kuburitsa piritsi inowanzo kutorwa kamwe pazuva, zvichitevera kweanenge mavhiki maviri ekurapwa nemapiritsi evirapine akajairwa kana kumiswa. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora nevirapine chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.
Medza nevirapine nezvinwiwa zvakaita semvura, mukaka, kana soda.
Medza mahwendefa akasunungurwa-akazara; usatsemure, kutsenga, kana kuvapwanya.
Zunza mvura zvinyoro nyoro usati washandisa kusanganisa mushonga zvakaenzana. Shandisa yemukanwa dosing mukombe kana dosing sirinji kuyera yako dose. Zviri nani kushandisa sirinji, kunyanya kana dosi yako iri pasi pe5 mL (1 teaspoon). Kana iwe ukashandisa iyo dosing mukombe, tanga kunwa iyo yese mishonga iyo iwe yawakayera mune iyo dosing mukombe. Zvino zadza dosing mukombe nemvura uye nekunwa mvura kuti uve nechokwadi chekuti iwe unowana yako yakazara dosi.
Nevirapine inogona kudzora HIV asi haizorape. Ramba uchitora nevirapine kunyangwe uchinzwa zvakanaka. Usarega kutora nevirapine kana mumwe wemimwe mishonga yauri kutora kurapa HIV kana AIDS usina kutaura nachiremba wako. Chiremba wako anogona kukuudza kuti rega kutora mishonga yako mune imwe nzira. Kana ukarasikirwa nemadhizaini kana kurega kutora nevirapine, mamiriro ako anogona kuve akaoma kurapa.
Kana ukasatora nevirapine kwemazuva manomwe kana kupfuura, usatange kuitora zvakare usina kutaura nachiremba wako. Chiremba wako anozokutangira pane yakaderera dhivhosi yeevirapine, uye nekuwedzera yako dose mushure memasvondo maviri.
Nevirapine dzimwe nguva inoshandiswa kudzivirira vana vasati vaberekwa vane vanaamai vane HIV kana AIDS kubva mukutapukirwa neHIV panguva yekuzvarwa.
Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.
Usati watora nevirapine,
- udza chiremba wako uye wemishonga kana uri weergoria kune nevirapine kana chero mumwe mushonga.
- udza chiremba wako uye wemishonga mishonga yekunyorera uye isina kunyoreswa, mavitamini, uye zvinovaka muviri zvaunotora. Ive neshuwa yekutaura chero eanotevera: anticoagulants ('blood thinner') senge warfarin (Coumadin); mamwe maantifungal akadai fluconazole (Diflucan), itraconazole (Sporanox), ketoconazole (Nizoral), uye voriconazole (Vfend); mapiritsi ekudzivirira kubereka kana iwe uri kuatora nekuda kwezvimwe zvikonzero kunze kwekudzivirira kubata pamuviri; calcium chiteshi blockers senge diltiazem (Cardizem, Dilacor, Tiazac), nifedipine (Adalat, Procardia), uye verapamil (Calan, Covera, Isoptin, Verelan); clarithromycin (Biaxin); imwe kenza chemotherapy mishonga yakadai secyclophosphamide (Cytoxan); cisapride (Propulsid); cyclosporine (Neoral, Sandimmune); ergot alkaloids akadai ergotamine (Cafergot, Ercaf, vamwe); fentanyl (Duragesic, Actiq); mishonga yekurova kwemoyo zvisina kujairika senge amiodarone (Cordarone) uye disopyramide (Norpace); mishonga yekubatwa kwakadai sa carbamazepine (Tegretol), clonazepam (Klonopin), uye ethosuximide (Zarontin); methadone (Dolophine), mimwe mishonga yeHIV kana AIDS yakaita seamprenavir (Agenerase), atazanavir (Reyataz), efavirenz (Sustiva), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir uye ritonavir mubatanidzwa (Kaletra), nelfinavir (Viracept) , uye saquinavir (Fortovase, Invirase); prednisone (Deltasone); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane); sirolimus (Rapamune); uye tacrolimus (Prograf). Mimwe mishonga yakawanda inogona kusangana nevirapine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isingawanikwe pane ino runyorwa. Chiremba wako angangoda kushandura kuyerwa kwemishonga yako kana kukutarisisa zvakanyatso chenjera mhedzisiro.
- udza chiremba wako uye wemishonga kuti ndezvipi zvigadzirwa zvemakwenzi zvauri kutora, kunyanya St. John's wort.
- udza chiremba wako kana iwe kana wakambove nechirwere cheitsvo, kunyanya kana iwe uchirapwa nedialysis (kurapwa kwekuchenesa ropa kunze kwemuviri apo itsvo dzisiri kushanda zvakanaka).
- udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Kana ukaita nhumbu uchitora nevirapine, fonera chiremba wako. Haufanire kuyamwa kana uine hutachiwana hweHIV kana uri kutora nevirapine.
- iwe unofanirwa kuziva kuti uyu mushonga unogona kudzora kubereka muvakadzi. Taura nachiremba wako nezve njodzi dzekutora mushonga uyu kana uine zvinetsekana nezve kubereka.
- iwe unofanirwa kuziva kuti mafuta emuviri wako anogona kuwedzera kana kuenda kune dzimwe nzvimbo dzemuviri wako senge chiuno chako, kumusoro kumashure, mutsipa ('' nyati hump ''), mazamu, uye kutenderedza dumbu rako. Iwe unogona kucherechedza kurasikirwa kwemafuta emuviri kubva kumeso kwako, makumbo, uye maoko.
- Unofanirwa kuziva kuti paunenge uchinwa mishonga yekurapa hutachiona hweHIV, immune system yako inogona kusimba uye yotanga kurwisa zvimwe hutachiona zvaive mumuviri wako kana kukonzera zvimwe zviitiko kuti zviitike. Izvi zvinogona kukonzera iwe kukudziridza zviratidzo zveawo hutachiona kana mamiriro. Kana uine zviratidzo zvitsva kana zvichikura panguva yekurapwa neevirapine, ita chokwadi chekuudza chiremba wako.
Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.
Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.
Nevirapine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
- musoro
- manyoka
- kurwadziwa nemudumbu
Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe chezviratidzo zvakanyorwa mune CHINOKOSHA CHENYENZO chikamu, dana chiremba wako nekukurumidza.
Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).
Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).
Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe uye kusvika kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakavharira makapu ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye kubva kwavari uye kusvika. http://www.upandaway.org
Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Panzvimbo iyoyo, nzira yakanakisa yekurasa mishonga yako ndeyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.
Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.
Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:
- kuzvimba kwemaoko, tsoka, makumbo, kana makumbo ezasi
- zvinorwadza matsvuku mapundu paganda
- kuneta zvakanyanya
- kupindwa nechando
- musoro
- kunetseka kurara kana kuramba wakarara
- kusvotwa
- kurutsa
- mapundu
- dzungu
Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.
Kana iwe uri kutora akawedzeredzwa-kuburitsa mapiritsi, iwe unogona kuona chimwe chinhu chinotaridzika kunge hwendefa mune chako chigaro. Iri rinongova ndiro remahwendefa risina chinhu, uye izvi hazvireve kuti hauna kuwana dhosi rako rakazara remushonga.
Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.
- Viramune®
- Viramune® XR