Indinavir

Qanacsan

• Kahor qaadashada indinavir,
• Indinavir waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii astaamahani ay daran yihiin ama aysan tagi doonin:
• Indinavir waxay sababi kartaa waxyeelo. Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Indinavir waxaa loo isticmaalaa dawooyin kale si loogu daaweeyo infekshanka fayraska difaaca jirka ee aadanaha (HIV). Indinavir waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'protease inhibitors'. Waxay ku shaqeysaa iyadoo la yareeyo qadarka HIV ee dhiiga ku jira. In kasta oo indinavir uusan bogsiinaynin HIV, waxay yareyn kartaa fursaddaada inaad kuhesho cillad difaac la'aanta jirka (AIDS) iyo cudurrada la xiriira HIV sida infekshannada 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 u gudbinta fayraska HIV dadka kale.

Indinavir waxay u timaadaa sidii kaabsal uu afka ku qaato. Waxaa badanaa la qaataa 8dii saacadoodba mar (saddex jeer maalintii). Qaado indinavir qiyaastii 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. U qaado indinavir sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Ku qaado indinavir calool madhan, 1 saac cuntada ka hor ama 2 saacadood ka dib cuntada, biyo, caano aan dufan lahayn ama aan dufan lahayn, casiir, kafee, ama shaah. Si kastaba ha noqotee, haddii indinavir caloosha kaa xanaajiso, waxaa lagu qaadan karaa cunto fudud, sida rooti qallalan ama kalluun galley leh caano aan dufan lahayn ama aan dufan lahayn. Kala hadal dhakhtarkaaga ama farmashiistaha waxa ku saabsan cuntooyinka lagu qaadan karo indinavir.

Ha burburin ama ha calalin kaabsolka, laakiin waa la furi karaa oo lagu qasi karaa khudradda miraha (sida mooska).

Sii wad inaad qaadato indinavir xitaa haddii aad caafimaad qabto. Ha u joojin daawada indinavir adiga oo aan la hadlin dhakhtarkaaga.

Dhakhtarkaagu wuxuu u baahan karaa inuu carqaladeeyo daaweyntaada haddii aad la kulanto waxyeelo gaar ah. Hubso inaad u sheegto dhakhtarkaaga sida aad dareemeyso inta lagu jiro daweynta indinavir.

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

Indinavir sidoo kale waxaa mararka qaarkood loo isticmaalaa dawooyin kale si loogu daaweeyo shaqaalaha daryeelka caafimaadka iyo shakhsiyaadka kale ee la kulmay infekshanka HIV ka dib markay si lama filaan ah ula xiriiraan dhiigga wasakhaysan HIV, unugyada, ama dheecaannada kale ee jirka. Kala hadal dhakhtarkaaga khataraha suurtagalka ah ee isticmaalka daroogada ee xaaladdaada.

Kahor qaadashada indinavir,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay indinavir, dawooyinka kale, ama wax kasta oo ka kooban kaabsoolaha indinavir. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanayso mid ka mid ah daawooyinka soo socda: alfuzosin (Uroxatral); alprazolam (Xanax); amiodarone (Nexterone, Pacerone); cisapride (Propulsid) (aan laga heli karin Mareykanka); daawooyinka nooca ergot sida dihydroergotamine (D.H.E 45, Migranal), ergonovine (Ergotrate), ergotamine (Ergomar, Cafergot, Migergot), iyo methylergonovine (Methergine); lovastatin (Altoprev, Mevacor); lurasidone (Latuda); midazolam (Loogu talagalay) afka; pimozide (Orap); sildenafil (kaliya magaca Revatio ee loo isticmaalo cudurka sanbabada); simvastatin (Zocor, oo ku yaal Vytorin); ama triazolam (Halcion). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan indinavir.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinada, iyo nafaqada nafaqada aad qaadanaysid ama qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: bosentan (Tracleer); Kaalshiyam-kanaal xirayaasha sida amlodipine (Norvasc, in Amturnide, in Tekamlo), felodipine, nicardipine, iyo nifedipine (Adalat, Afeditab, Procardia); carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, kuwa kale); daawooyinka kalastarolka ka yareeya (statins) sida atorvastatin (Lipitor, in Caduet) iyo rosuvastatin (Crestor); clarithromycin (Biaxin, gudaha PrevPac); colchicine (Colcrys, Mitigare, oo ku yaal Col-Probenecid); dexamethasone; fluconazole (Diflucan); fluticasone (Flonase, Flovent, Advair, Dymista); itraconazole (Onmel, Sporanox); ketoconazole (Extina, Nizoral, Xolegel); daawooyinka kale ee HIV oo ay ka mid yihiin atazanavir (Reyataz, in Evotaz), delavirdine (Rescriptor), efavirenz (Sustiva, in Atripla), nelfinavir (Viracept), nevirapine (Viramune), ritonavir (Norvir, in Kaletra, in Viekira Pak), iyo saina (Invirase); daawooyinka garaaca wadnaha aan caadiga ahayn sida lidocaine (Glydo, Xylocaine) iyo quinidine (Nuedexta); daawooyinka xakameynaya nidaamka difaaca jirka sida cyclosporine (Gengraf, Neoral, Sandimmune), sirolimus (Rapamune), iyo tacrolimus (Astagraf XL, Envarsus XR, Prograf); midazolam (Versed) cirbad ahaan; qaar ka mid ah fosfodiesterase inhibitors (PDE-5 inhibitors) oo loo isticmaalo cillad aan caadi ahayn sida sildenafil (Viagra), tadalafil (Adcirca, Cialis), iyo vardenafil (Levitra, oo ku taal Staxyn); phenobarbital; phenytoin (Dilantin, Phenytek); quetiapine (Seroquel); rifabutin (Mycobutin); rifampin (Rifadin, Rimactane, gudaha Rifamate, Rifater); salmeterol (Serevent, Advair); trazodone; iyo venlafaxine (Effexor). 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 indinavir, markaa hubi inaad u sheegto dhakhtarkaaga dhammaan daawooyinka aad qaadanaysid, xitaa kuwa aan ka muuqan liiskan.
• u sheeg dhakhtarkaaga waxa ka soo baxa dhirta aad qaadanaysid, gaar ahaan johannesört wort.
• haddii aad qaadanayso didanosine (Videx), qaado ugu yaraan hal saac ka hor ama ka dib indinavir.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa qabtid hemophilia (cillad dhiig bax ah oo uusan dhiiggu si sax ah u xinjiroobin), sonkorow, ama kelyo ama beer xanuun.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanayso indinavir, wac dhakhtarkaaga. Waa inaadan naas nuujin haddii aad qabtid HIV ama haddii aad qaadanaysid indinavir.
• waa inaad ogaataa in dufanka jirkaagu uu kordhin karo ama u dhaqaaqi karo meelo kala duwan oo jirkaaga ah sida naasahaaga, dhabarka kore, qoorta, laabta, iyo aagga caloosha. Lumitaan lugaha, gacmaha, iyo wajiga ayaa waliba dhici kara.
• waa inaad ogaataa inaad la kulmi karto hyperglycemia (kordhinta sonkorta dhiiggaaga) inta aad qaadanaysid dawadan, xitaa haddii aadan horey u qabin cudurka macaanka. Isla markiiba u sheeg dhakhtarkaaga haddii aad isku aragto mid ka mid ah astaamaha soo socda inta aad qaadanaysid indinavir: harraad aad u daran, kaadi badan, gaajo aad u daran, aragga oo xumaada, ama daciifnimo. Aad ayey muhiim u tahay inaad wacdid dhakhtarkaaga isla marka aad isku aragto mid ka mid ah astaamahan, maxaa yeelay sonkorta dhiigga ee sareysa ee aan la daaweyn waxay sababi kartaa xaalad halis ah oo loo yaqaan ketoacidosis. Ketoacidosis wuxuu noqon karaa mid nafta halis geliya haddii aan lagu daaweyn marxaladda hore. Calaamadaha lagu garto ketoacidosis waxaa ka mid ah afka oo qalala, lallabbo iyo matag, neefta oo ku qabata, neefta oo urta miraha, iyo miyirka oo yaraada.
• 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 wakhti kasta inta lagu jiro daaweyntaada indinavir, hubi inaad u sheegto dhakhtarkaaga.

Cab ugu yaraan 48 wiqiyadood (1.5 litir), oo qiyaastii ah lix galaas 8-ounce (240-mililitir), biyo ama cabitaanno kale 24-kii saacadoodba.

Kala hadal dhakhtarkaaga wax ku saabsan cunitaanka canab-gacmeedka iyo cabitaanka casiir canab ah adoo qaadanaya dawadan.

Haddii aad seegto qiyaas ka yar 2 saacadood, qaado qiyaasta la seegay isla marka aad xusuusatoba. Si kastaba ha noqotee, haddii aad seegto qiyaas ka badan 2 saacadood, ka bood qiyaasta la seegay oo sii wad jadwalkaaga qiyaasta daawada ee caadiga ah. Ha qaadan laba-qaadasho si aad uhesho mid kaa dhaafay.

Indinavir waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii astaamahani ay daran yihiin ama aysan tagi doonin:

• beddel dareenka dhadhanka

Indinavir waxay sababi kartaa waxyeelo. Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah

• finan
• finan
• cuncun
• xoqidda ama maqaarka oo bararaya
• dhabar xanuun
• xanuun dhinaca jirkaaga ah
• caloosha dhexdeeda ilaa hoose
• dhiig kaadida ku jira
• murqo xanuun ama daciifnimo
• lallabbo
• daal fara badan
• dhiigbax ama nabar aan caadi ahayn
• cunto xumo
• xanuun qeybta kore ee midig ee calooshaada
• astaamaha hargabka oo kale ah
• kaadi huruud ah ama bunni ah
• hurdi maqaarka ama indhaha
• neefta oo ku qabata
• garaaca wadnaha
• jahwareer
• dawakhaad
• madax xanuun
• cirro

Indinavir waxay sababi kartaa 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. Sifeeyaha (wakiilka qalajinta) ayaa lagu darayaa kaabsoolkaaga; tan ku hayso dhaladaada dawada markasta. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

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.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• xanuun dhinaca jirkaaga ah
• dhiig kaadida ku jira
• lallabbo
• matagid
• shuban

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaaga ayaa amri doona tijaabooyinka shaybaarrada qaarkood si loo hubiyo jawaabtaada indinavir.

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.

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