Doravirine, Lamivudine, iyo Tenofovir

Qanacsan

• Kahor qaadashada doravirine, lamivudine, iyo tenofovir,
• Doravirine, lamivudine, iyo tenofovir waxay sababi karaan 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 astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

Isku darka doravirine, lamivudine, iyo tenofovir waa in aan loo isticmaalin in lagu daaweeyo infekshinka fayraska cagaarshowga B (HBV, infekshinka beerka ee socda). U sheeg dhakhtarkaaga haddii aad qabtid ama aad u malaynaysid inaad leedahay cudurka HBV. Dhakhtarkaaga ayaa laga yaabaa inuu ku tijaabiyo si aad u ogaato inaad HBV qabtid ka hor intaadan bilaabin daaweyntaada doravirine, lamivudine, iyo tenofovir. Haddii aad HBV leedahay oo aad qaadatid doravirine, lamivudine, iyo tenofovir, xaaladaadu si lama filaan ah ayey uga sii dari kartaa markaad joojiso qaadashada doravirine, lamivudine, iyo tenofovir.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa ku baari doona oo amri doona tijaabooyinka shaybaarka kahor, inta lagu guda jiro, iyo si joogto ah dhowr bilood kadib markaad joojiso qaadashada doravirine, lamivudine, iyo tenofovir.

Kala hadal dhakhtarkaaga khatarta (yada) qaadashada doravirine, lamivudine, iyo tenofovir.

Isku darka doravirine, lamivudine, iyo tenofovir waxaa loo isticmaalaa in lagu daaweeyo infekshanka difaaca jirka ee aadanaha (HIV) ee dadka waaweyn ee aan lagu daaweyn daawooyinka kale ee HIV. Isku darka ayaa sidoo kale loo isticmaalaa in lagu beddelo daaweynta daawada ee hadda jirta dad gaar ah oo horey u qaatay daawooyinka HIV. Doravirine waxay ku jirtaa nooc daawooyin ah oo loo yaqaan non-nucleoside reverse transcriptase inhibitors (NNRTIs). Lamivudine iyo tenofovir waxay ku jiraan nooc daawooyin ah oo loo yaqaan 'nucleoside reverse transcriptase inhibitors' (NRTIs). Isku darka doravirine, lamivudine, iyo tenofovir waxay ku shaqeeyaan hoos u dhigida xaddiga HIV ee jirka ku jira. In kasta oo iskudhafka doravirine, lamivudine, iyo tenofovir 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 isbeddello kale oo hab-nololeed ah ayaa yareyn kara halista ah u-qaadista (faafinta) fayraska HIV dadka kale.

Isku darka doravirine, lamivudine, iyo tenofovir waxay u yimaadaan sidii miis afka lagu qaato. Caadi ahaan waxaa la qaataa ama cunno la'aan maalintii hal mar. Qaado doravirine, lamivudine, iyo tenofovir isla waqti isku mid ah 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 doravirine, lamivudine, iyo tenofovir sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Isku darka doravirine, lamivudine, iyo tenofovir waxay gacan ka geysaneysaa xakameynta cudurka HIV laakiin ma daaweyso. Sii wad inaad qaadato doravirine, lamivudine, iyo tenofovir xitaa haddii aad fiicnaan dareento. Ha u joojin qaadashada doravirine, lamivudine, iyo tenofovir adigoon la hadlin dhakhtarkaaga. Haddii aad joojiso qaadashada doravirine, lamivudine, iyo tenofovir ama aad seegto qiyaaso, xaaladaadu way sii adkaan kartaa in la daweeyo. Marka sahaydaada doravirine, lamivudine, iyo tenofovir ay bilaabaan inay hoos u dhacaan, wax badan ka hel dhakhtarkaaga ama farmashiistahaaga.

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

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada doravirine, lamivudine, iyo tenofovir,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay doravirine, lamivudine, iyo tenofovir, daawooyin kale, ama mid ka mid ah maaddooyinka ku jira doravirine, lamivudine, iyo kiniiniyada tenofovir. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadaneyso carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), enzalutamide (Xtandi), mitotane (Lysodren), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), rifampin (Rampin) gudaha Rifamate, Rifater), rifapentine (Priftin), ama St. John's wort. Dhakhtarkaaga ayaa u badan inuu kuu sheego inaadan qaadan doravirine, lamivudine, iyo tenofovir haddii aad hada qaadaneyso mid ama in kabadan oo ka mid ah daawooyinkan ama aad midkood qaadatay 4-tii usbuuc ee la soo dhaafay.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: acyclovir (Sitavig, Zovirax); aminoglycosides sida amikacin, gentamicin, streptomycin, iyo tobramycin; asbiriin iyo dawooyinka kale ee nonsteroidal anti-bararka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); cidofovir; ganciclovir (Cytovene); ledipasvir / sofosbuvir (Harvoni); sofosbuvir / velpatasvir (Epculsa); sorbitol ama daawooyinka ku jira sorbitol; valacyclovir (Valtrex); iyo valganciclovir (Valcyte). U sheeg dhakhtarkaaga haddii aad qaadanayso rifabutin (Mycobutin) ama aad qaadatay 4tii toddobaad ee la soo dhaafay. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca. Daawooyin kale oo badan ayaa sidoo kale la falgeli kara doravirine, lamivudine, iyo tenofovir, marka hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga haddii aad qabtid mid ka mid ah xaaladaha lagu xusay qaybta DIGNIINTA MUHIIM AH, ama haddii aad qabto ama aad waligaa la kulantay dhibaatooyin lafo ah oo ay ka mid yihiin lafo-beel (xaalad ah in lafuhu noqdaan kuwo khafiif ah oo daciif ah oo si fudud u jaba), jabka lafaha, ama kalyaha cudur.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid infekshin aan tagaynin ama imanaysa ama tagaysa sida cytomegalovirus (CMV; infekshin fayras ah oo sababi kara astaamo bukaanjiifka leh habdhiska difaaca daciifka ah), mycobacterium avium complex disease (MAC; infekshan bakteeriya oo sababi kara astaamo halis ah dadka qaba AIDS), oof-wareen, ama qaaxada (TB, nooc ka mid ah infekshanka sambabaha); ama cudur isdifaaca jirka (xaalado soo kordha marka nidaamka difaaca jirka uu si qalad ah ugu weeraro unugyada caafimaadka qaba jirka) sida cudurka Graves (xaalad jirku ku weeraro qanjirka qanjirka 'thyroid' taasoo keenta inuu noqdo mid kacsan), polymyositis (xaalad sababa murqaha oo daciifa laakiin maaha maqaarka maqaarka), Guillain-Barré syndrome (daciifnimo, xoqid, iyo curyaannimo suurtagal ah sababo la xiriira dhaawaca dareemayaasha lama filaan ah), iyo hepatitis autoimmune (xaalad unugyada unugyada difaaca jirka ay weeraraan beerka).
• u sheeg dhakhtarkaaga haddii aad uur leedahay ama aad qorsheyneyso inaad uur yeelato. Haddii aad uur yeelato inta aad qaadanayso doravirine, lamivudine, iyo tenofovir, wac dhakhtarkaaga. U sheeg dhakhtarkaaga haddii aad naas nuujiso. Waa inaadan naas nuujin haddii aad qabtid HIV ama haddii aad qaadanaysid doravirine, lamivudine, iyo tenofovir.
• 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 horay ugu jiray jirkaaga ama u sababi kara xaalado kale inay dhacaan. Tani waxay kugu sababi kartaa inaad yeelato calaamadaha cuduradaas ama xaaladahaas. Haddii aad leedahay calaamado cusub ama ka sii daraya inta lagu jiro daweyntaada doravirine, lamivudine, iyo tenofovir 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.

Doravirine, lamivudine, iyo tenofovir waxay sababi karaan waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahani ay daran yihiin ama aanad tagin:

• dawakhaad
• lallabbo
• riyooyin aan caadi ahayn
• dhibaato xagga hurdada ama hurdada ah
• lulmid
• shuban

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamahan, wac takhtarkaaga isla markiiba ama u hesho daaweyn caafimaad oo deg-deg ah:

• kaadida oo yaraata ama lugaha oo barara
• lafo xanuun; xanuun ku dhaca gacmaha ama lugaha; murqo xanuun ama daciifnimo; ama jabka lafaha

Doravirine, lamivudine, iyo tenofovir waxay sababi karaan 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). Ha ka saarin dhalada suuxiyaha (wakiilka qalajinta).

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

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.

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.

Ku hay sahayda dawvirine, lamivudine, iyo tenofovir gacanta. Ha sugin illaa ay kaa dhammaato daawada si aad ugu buuxiso dawada laguu qoray.

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.

• Delstrigo^®