Delavirdine

Qanacsan

• Kahor qaadashada delavirdine,
• Delavirdine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada delavirdine oo wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

Delavirdine hadda lagama heli karo Mareykanka.

Delavirdine waxaa loo isticmaalaa dawooyin kale si loogu daaweeyo infekshanka fayraska difaaca jirka ee aadanaha (HIV). Delavirdine wuxuu ku jiraa nooc daawooyin ah oo la yiraahdo non-nucleoside reverse transcriptase inhibitors (NNRTIs). Waxay ku shaqeysaa iyadoo la yareeyo qadarka HIV ee dhiiga ku jira. In kasta oo delavirdine uusan bogsiinaynin HIV, waxay yareyn kartaa fursaddaada inaad kuhesho cudurada difaaca jirka (AIDS) iyo cudurada la xiriira HIV sida infekshanada halista ah ama kansarka. Qaadashada daawooyinkan oo ay weheliso ku-dhaqan galmo badbaado leh iyo is-beddello kale oo qaab nololeed ah ayaa yareyn kara halista ah u gudbinta (faafitaanka) cudurka HIV dadka kale.

Delavirdine wuxuu u yimaadaa kiniin ahaan afka laga qaato. Caadi ahaan waxaa la qaataa seddex jeer maalintii cunno ama la'aan. Qaado delavirdine isla waqtiyadaas maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado delavirdine sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Haddii aad dhibaato ku qabtid liqidda kiniiniyada 100-mg ah, waxaa lagu kala firdhin karaa biyo. Si aad isugu diyaariso, ku dar afar kaniini ugu yaraan 3 wiqiyadood (90 mililitir) oo biyo ah, u oggolow inaad taagnaato daqiiqado yar, ka dibna walaaq ilaa ay kiniinnada oo dhami ka milmaan. Cab iskudhafka biyaha-delavirdine isla markaaba. Raaci muraayadda oo liq biyo raacinta si aad u hubiso inaad heshay qaddarka oo dhan. Kiniiniyada 200-mg (oo ka yar kaniiniyada 100-mg) waa in had iyo jeer la wada liqo, maxaa yeelay si dhakhso ah uma milmaan biyaha.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad qaadato kiniiniyada delavirdine ee leh liinta ama casiirka karamberriga haddii aad leedahay xaalado caafimaad oo gaar ah sida achlorhydria (xaalad caloosha wax yar ama aan lahayn aashito). Raac tilmaamahan si taxaddar leh.

Delavirdine wuu xakamayn karaa HIV laakiin ma daaweyn doono. Sii wad inaad qaadato daawada 'delavirdine' xitaa haddii aad fiicnaan dareento. Ha u joojin qaadashada daawada loo yaqaan 'delavirdine' ama mid ka mid ah daawooyinka kale ee aad u qaadaneyso in aad ku daweyso HIV ama AIDS adiga oo aan la hadlin dhakhtarkaaga. Marka sahaydaada delavirdine ay bilaabato inay hoos u dhacdo, wax badan ka hel dhakhtarkaaga ama farmashiistahaaga. Haddii aad seegto qiyaasaha ama aad joojiso qaadashada delavirdine, xaaladdaadu way sii adkaan doontaa in la daweeyo.

Weydii farmashiistahaaga ama dhakhtarkaaga nuqul ka mid ah macluumaadka soo saaraha ee bukaanka.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada delavirdine,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay delavirdine, daawooyin kale, ama wax ka mid ah maaddooyinka ku jira kiniinnada delavirdine. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanaysid alprazolam (Xanax); dawooyinka xasaasiyadda qaarkood sida astemizole (Hismanal) (oo aan hadda laga helin Mareykanka) iyo terfenadine (Seldane) (oo aan hadda laga helin Mareykanka); dawooyinka nooca ergot qaarkood sida dihydroergotamine (DHEE 45, Migranal), ergonovine (Ergotrate), ergotamine tartrate (Ergomar, Cafergot, in Migergot), iyo methylergonovine (Methergine); cisapride (Propulsid) (mar dambe ma laga heli karo Mareykanka); midazolam (Aayaad); pimozide (Orap); iyo triazolam (Halcion). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaadan qaadan delavirdine haddii aad qaadanaysid mid ama in kabadan oo daawooyinkan ah.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, iyo nafaqada nafaqada ee aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: amphetamines such as amphetamine (Adderall) and dextroamphetamine (Dexadrine, Dextrostat); daawooyinka xinjirowga lidka ku ah ('khafiifiyeyaasha dhiigga') sida warfarin (Coumadin); Kaalshiyamka kaaliyayaasha sida amlodipine (Norvasc), diltiazem (Cardizem, Dilacor, Tiazac), felodipine (Plendil), isradipine (DynaCirc), nicardipine (Cardene), nifedipine (Adalat, Procardia), nimodipine (Nimotop) nis , iyo verapamil (Calan, Covera, Isoptin, Verelan); daawooyinka qaarkood si loo daaweeyo kolestaroolka sare sida atorvastatin (Lipitor), cerivastatin (Baycol), fluvastatin (Lescol), lovastatin (Mevacor), iyo simvastatin (Zocor); dawooyinka qaarkood ee lagu daaweeyo qalalka sida carbamazepine (Tegretol, Carbatrol), phenobarbital, iyo phenytoin (Dilantin, Phenytek); clarithromycin (Biaxin); cyclosporine (Neoral, Sandimmune); dexamethasone (Decadron); fluticasone (Flonase, Flovent, Veramyst); daawooyinka loogu talagalay garaaca wadnaha aan caadiga ahayn sida amiodarone (Cordarone), bepridil (Bepadin) (oo aan hadda laga helin Mareykanka), lidocaine, quinidine, flecainide (Tambocor), iyo propafenone (Rythmol); daawooyinka caloosha, calool xanuun, ama boogaha sida cimetidine (Tagamet), famotidine (Pepcid), lansoprazole (Prevacid), nizatidine (Axid), omeprazole (Prilosec), iyo ranitidine (Zantac); methadone (Dolophine, Methadose); p-pillerka (kaniiniyada xakameynta dhalmada); dawooyin kale oo lagu daaweeyo HIV oo ay ka mid yihiin didanosine (Videx), efavirenz (Sustiva, in Atripla), etravirine (Intelence), indinavir (Crixivan), lopinavir (Kaletra), maraviroc (Selzentry), nelfinavir (Viracept), nevirapine (Viram) rilpivirine (Edurant, oo dhammeystiran), ritonavir (Norvir, Kaletra), iyo saquinavir (Invirase); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); sildenafil (Viagra); sirolimus (Rapamune); tacrolimus (Prograf); iyo trazodone (Desyrel). Daawooyin kale oo badan ayaa laga yaabaa inay la falgalaan delavirdine, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa dhirta ka soo baxda ee aad qaadanaysid, gaar ahaan St. John's wort. Waa inaadan qaadan johannesört St. John intaad qaadaneysid delavirdine.
• haddii aad qaadanayso didanosine (Videx), qaado ugu yaraan 1 saac ka hor ama 1 saac ka dib qaadashada delavirdine.
• haddii aad qaadanayso antacids, qaado antacid ugu yaraan 1 saac kahor ama 1 saac ka dib qaadashada delavirdine.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabatay achlorhydria (xaalad caloosha ay ku yar tahay ama aan lahayn aashito) ama beerka ama cudurka kelyaha.
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelato inta aad qaadanaysid daawada 'delavirdine', wac dhakhtarkaaga. U sheeg dhakhtarkaaga haddii aad naas nuujinayso. Waa inaadan naas nuujin haddii aad qabtid cudurka HIV ama haddii aad qaadanaysid dawada loo yaqaan 'delavirdine'.
• waa inaad ogaataa in dufanka jirkaagu uu kordhi karo ama u dhaqaaqi karo meelo kala duwan oo jirkaaga ah sida naasahaaga, dhabarka kore iyo qoorta, ama hareeraha jirkaaga. Lumitaan lugaha, gacmaha, iyo wajiga ayaa waliba dhici kara.
• Waa inaad ogaataa inta aad qaadanaysid dawooyinka lagu daaweynayo infekshinka HIV, nidaamkaaga difaaca ayaa laga yaabaa inuu sii xoogeysto oo uu bilaabo inuu la dagaallamo infekshannada kale ee horey ugu jiray jirkaaga. Tani waxay kugu sababi kartaa inaad yeelato calaamadaha infekshannadaas. Haddii aad leedahay calaamado cusub ama ka sii daraya ka dib markii aad bilowdid daaweynta delavirdine, hubi inaad u sheegto dhakhtarkaaga.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Qaado qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay. Haddii aad seegto dhowr qiyaasood, wac dhakhtarkaaga si aad u weydiiso sida aad ugu sii socon karto qaadashada daawada 'delavirdine'.

Delavirdine wuxuu sababi karaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• daal fara badan
• madax xanuun
• lallabbo
• shuban
• finan

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, jooji qaadashada delavirdine oo wac dhakhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo degdeg ah:

• finan yaryar oo ay weheliyaan astaamo kale sida qandho, finno, nabarro afka ah, indho casaan ama barara, ama murqo ama kalagoys xanuun
• finan
• cuncun
• barar wejiga, cunaha, carrabka, bushimaha, indhaha, gacmaha, cagaha, anqawyada, ama lugaha hoose
• xabeeb
• neefsashada ama wax liqidda oo ku adkaata

Delavirdine wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu dalban karaa tijaabooyinka shaybaarrada qaarkood si loo hubiyo jawaabtaada delavirdine.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Qoraal^®