Munyori: William Ramirez
Zuva Rekusika: 22 Gunyana 2021
Gadziridza Zuva: 17 Mbudzi 2024
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USMLE: Medical Video Lectures Pharmacology about Ganciclovir by UsmleTeam
Vhidhiyo: USMLE: Medical Video Lectures Pharmacology about Ganciclovir by UsmleTeam

Zvemukati

Ganciclovir inogona kudzikisa huwandu hwemhando dzese dzemasero muropa rako, zvichikonzera zvakakomba uye kutyisidzira hupenyu. Udza chiremba wako kana iwe kana wakamboshaya ropa (masero matsvuku eropa haaunze okisijeni yakakwana kumativi ese emuviri); neutropenia (isingasviki pane yakajairwa maseru machena eropa); thrombocytopenia (pasi peyakajairika nhamba yemaplatelet); kana mamwe matambudziko eropa kana kubuda ropa. Udza chiremba wako kana iwe wakamboita matambudziko eropa sechimwe chikamu mhedzisiro yemushonga chero. Udza chiremba wako uye wemishonga kana uri kutora kana kutora chero ipi yemishonga inotevera: anticoagulants ('blood thinners') senge warfarin (Coumadin); cancer chemotherapy mishonga; dapsone; flucytosine (Ancobon); heparin; immunosuppressants akadai azathioprine (Azasan, Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), uye tacrolimus (Prograf); interferon (Infergen, Intron A, PEGASYS, PEG-Intron, Roferon-A); mishonga yekurapa hutachiona hwehutachiona hwehutachiona hweHIV (HIV) uye akawana immunodeficiency syndrome (AIDS) inosanganisira didanosine (Videx), zalcitabine (HIVID), kana zidovudine (Retrovir, AZT); nonsteroidal anti-anogumbura mishonga yekurapa kurwadziwa nekuzvimba senge aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), nevamwe; pentamidine (NebuPent, Pentam); pyrimethamine (Daraprim, muFansidar); steroids senge dexamethasone (Decadron), prednisone (Deltasone), kana vamwe; trimethoprim / sulfamethoxazole (co-trimoxazole, Bactrim, Septra); kana kana iwe wakagamuchira kana uri kugamuchira radiation (X-ray) kurapwa.Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza: kuneta zvakanyanya; ganda rakachenuruka; kurwadziwa nemusoro; dzungu; kuvhiringidzika; kukurumidza kurova kwemoyo; kunetseka kurara kana kuramba wakarara; kushaya simba; mweya wekufema; kubuda ropa kusingawanzo kana kupwanya; kana kurwadziwa pahuro, fivha, kutonhora, kukosora, kana zvimwe zviratidzo zvehutachiona.


Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira zvimwe bvunzo kuti atarise mhinduro yemuviri wako kune ganciclovir.

Mhuka dzerabhoritari dzakapihwa ganciclovir dzakave nehurema hwekuzvarwa. Hazvizivikanwe kana ganciclovir ichikonzera kuberekwa kuremara muvanhu. Kana iwe uchikwanisa kuve nepamuviri, iwe unofanirwa kushandisa zvinobudirira kudzora kubereka uchitora ganciclovir. Kana iwe uri murume uye mumwe wako achigona kubata pamuviri, iwe unofanirwa kushandisa kondomu paunenge uchinwa mushonga uyu, uye kwemazuva makumi mapfumbamwe mushure mekurapwa kwako. Taura nachiremba wako kana iwe uine mibvunzo nezve kudzora kuberekwa. Usashandise ganciclovir kana iwe uri nepamuviri kana kuronga kuve nepamuviri. Kana iwe ukava nepamuviri uchitora ganciclovir, dana chiremba wako nekukurumidza.

Mhuka dzerabhoritari dzakapihwa ganciclovir dzakagadzira huwandu hwepasi hwehurume (mashoma masero ekubereka evarume) nematambudziko ekubereka. Izvo hazvizivikanwe kana ganciclovir inokonzeresa kudzikira kwemurume muvanhurume kana matambudziko nekubereka muvakadzi.

Mhuka dzerabhoritari dzakapihwa ganciclovir dzakagadzira gomarara. Hazvizivikanwe kana ganciclovir inowedzera njodzi yekenza muvanhu.


Mugadziri anoyambira kuti ganciclovir inofanirwa kushandiswa chete pakurapa varwere vane zvimwe zvirwere nekuti mushonga unogona kukonzeresa mhedzisiro uye parizvino hakuna ruzivo rwakakwana kutsigira kuchengetedzeka uye kugona mune mamwe mapoka evarwere. (Ona chikamu, NEI mushonga uyu uchinyorerwa?)

Taura nachiremba wako nezve njodzi dzekutora ganciclovir.

Ganciclovir capsules anoshandiswa kurapa cytomegalovirus (CMV) retinitis (hutachiona hwemaziso hunogona kukonzera hupofu) muvanhu vane immune system isiri kushanda zvakajairika. Ganciclovir capsules anoshandiswa kurapa CMV retinitis mushure mekunge mamiriro acho ave kudzorwa nemutsinga (jekiseni mumutsipa) ganciclovir. Ganciclovir inoshandiswawo kudzivirira chirwere checytomegalovirus (CMV) muvanhu vakawana immunodeficiency syndrome (AIDS) kana vakagashira chiumbwa uye vari panjodzi yechirwere cheCMV. Ganciclovir iri mukirasi yemishonga inonzi antivirals. Inoshanda nekudzivirira kupararira kwechirwere cheCMV kana kudzikisira kukura kweCMV.


Ganciclovir inouya sekapuleti kutora nemuromo. Inowanzo kutorwa nechingwa katatu kana katanhatu pazuva.Kuti ikubatsire kuyeuka kutora ganciclovir, itore panguva dzakada kufanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora ganciclovir chaizvo sezvakarairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza macapsules akazara; usavhure, kupatsanura, kutsenga, kana kuvapwanya.

Ive nekuchengera kana uchibata ganciclovir capsules. Usarega ganda rako, maziso, muromo, kana mhuno zvichisangana neakapwanyika kana akapwanyika ganciclovir capsules. Kana kusangana kwakadai kukaitika, geza ganda rako zvakanaka nesipo nemvura kana sukurudza maziso ako zvakanaka nemvura isina mvura.

Iwe kazhinji unogashira intravenous (kupinda mutsinga) ganciclovir kwemavhiki akati wandei usati watanga kutora ganciclovir capsules. Kana hutano hwako huchiwedzera kuwedzera panguva yekurapa kwako, unogona kupihwa kosi yechipiri yeiyo intravenous ganciclovir. Chiremba wako anogona kudzikisa dhizaini yako yeganciclovir capsules kana iwe ukava nemhedzisiro.

Ganciclovir inodzora CMV asi hairape, zvinogona kutora nguva usati wanzwa kubatsirwa kwakazara kweganciclovir. Ramba uchitora ganciclovir kunyangwe iwe uchinzwa zvakanaka. Usarega kutora ganciclovir usina kutaura nachiremba wako. Kumira kutora ganciclovir nekukurumidza kunogona kukonzera huwandu hweCMV muropa rako kuti iwedzere kana hutachiona kuti husabatikane nemushonga uyu.

Mugadziri wacho anoti mushonga uyu haufanire kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora ganciclovir,

  • udza chiremba wako uye wemishonga kana uri weergoria kune ganciclovir, acyclovir (Zovirax), valganciclovir (Valcyte), kana chero mumwe mushonga.
  • usatore ganciclovir kana uri kutora valganciclovir (Valcyte).
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzerwa nezvehutano, uye mishonga yemakwenzi yauri kutora. Ive neshuwa yekutaura mishonga yakanyorwa muchikamu CHINOKOSHA CHENYENZO uye chero ipi inotevera: aminoglycoside maantibioti akadai amikacin (Amikin), gentamicin (Garamycin), neomycin (New-Rx, New-Fradin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi), nevamwe; amphotericin B (Fungizone); captopril (Capoten, muCapozide); diuretics ('mapiritsi emvura'); foscarnet (Foscavir); macomputer egoridhe akadai sauranofin (Ridaura) kana aurothioglucose (Solganal); imipenem-cilastatin (Primaxin); immune globulin (gamma globulin, BayGam, Carimmune, Gammagard, vamwe); methicillin (Staphcillin); muromonab-CD3 (OKT3); mycophenolate mofetil (CellCept); nitrate senge isosorbide dinitrate (Isordil, Sorbitrate) kana nitroglycerin zvigadzirwa; penicillamine (Cuprimine, Depen); primaquine; probenecid; rifampin (Rifadin, Rimactane); kana zvimwe zvakafanana nenucleoside seacyclovir (Zovirax), famciclovir (Famvir), uye ribavirin (Copegus, Rebetol, Virazole, muRebetron). Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe wakambove kana nechero ipi yemamiriro ezvinhu ataurwa muchikamu CHINOKOSHA CHENYENZO kana chero eanotevera mamiriro: chirwere chepfungwa; pfari; matambudziko eziso kunze kweCMV retinitis; itsvo, kana chirwere chechiropa.
  • udza chiremba wako kana iwe uchiyamwisa. Iwe haufanire kuyamwisa pazamu uchitora ganciclovir. Taura nachiremba wako nezvekuti unogona kutanga riini kuyamwisa mushure mekumira kutora ganciclovir.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti uri kutora ganciclovir.
  • iwe unofanirwa kuziva kuti ganciclovir inogona kukuita iwe kukotsira, kutenderera, kusagadzikana, kuvhiringidzika kana kushoma wakangwarira, kana kunogona kukonzeresa. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.

Ive neshuwa yekumwa yakawanda mvura paunenge uchitora ganciclovir.

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.

Ganciclovir inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

  • kusvotwa
  • kurutsa
  • manyoka
  • kuvimbiswa
  • kurwadziwa nemudumbu
  • belching
  • kurasikirwa nenzara
  • shanduko mukugona kuravira chikafu
  • muromo wakaoma
  • maronda emuromo
  • kujairika kurota
  • huta
  • kuora mwoyo
  • vangadikitira
  • kufashaira
  • kurwadza kwekubatana kana kwemhasuru kana kupwanya

Mimwe mhedzisiro inogona kuve yakakomba. Zviratidzo zvinotevera hazvishamise, asi kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingeita

  • kuona mabara, kupenya kwechiedza, kana keteni rakasviba pamusoro pezvose
  • kuderera kwekuita weti
  • mikoko
  • mapundu
  • kuvava
  • kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
  • chiveve, kurwadziwa, kutsva, kana kugwinha maoko kana tsoka
  • kukwazisana maoko ausingakwanise kudzora
  • kunetseka kufema kana kumedza
  • kurwadziwa pachipfuva
  • manzwiro anochinja
  • pfari

Ganciclovir inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

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).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-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.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa 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 wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo runowanikwawo pamhepo 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:

  • kusvotwa
  • kurutsa
  • manyoka
  • kurasikirwa nenzara
  • kubuda ropa zvisina kujairika kana kupwanya
  • kuneta zvakanyanya
  • kushaya simba
  • ganda rakachenuruka
  • musoro
  • dzungu
  • kuvhiringidzika
  • kukurumidza kurova kwemoyo
  • kunetseka kurara
  • mweya wekufema
  • kurwadziwa pahuro, fivha, kutonhora, kukosora, kana zvimwe zviratidzo zvehutachiona
  • kuderera kwekuita weti
  • kuzvimba kwemaoko, maoko, tsoka, makumbo, kana makumbo ezasi
  • pfari
  • yero yeganda kana maziso
  • furu-kunge zviratidzo
  • kurwadziwa kumusoro kwepamusoro chikamu chedumbu

Chiremba wako anogona kuraira bvunzo dzemaziso nguva dzose paunenge uchitora mushonga uyu. Chengetedza zvese zvakagadzwa na ophthalmologist (bvunzo dzemaziso).

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti uri kutora ganciclovir.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako. Usarega kupihwa ganciclovir kuchipera.

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.

  • Cytovene® Oral
  • Nordexoyguanosine
  • DHPG Sodium
  • GCV Sodium

Ichi chigadzirwa chakapiswa hachisisiri pamusika. Dzimwe nzira dzinogona kuwanikwa.

Yakagadziridzwa Yakagadziridzwa - 05/15/2016

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