Peginterferon Alfa-2a Injection

Anter

• Ma mua o ka hoʻohana ʻana i ka peginterferon alfa-2a,
• ʻO Peginterferon alfa-2a paha ke kumu o nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
• Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole ka ʻĀINA WAIKU SPECIAL, e kelepona koke i kāu kauka:
• Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

ʻO Peginterferon alfa-2a paha ke kumu a hoʻomāhuahua paha i nā ʻano aʻe, a he koʻikoʻi paha ia a make paha: nā maʻi. nā maʻi noʻonoʻo me ke kaumaha, ka naʻau a me nā pilikia o ka lawena, a i ʻole nā ​​manaʻo ʻeha a pepehi paha iā ʻoe iho; e hoʻomaka ana e hoʻohana hou i nā lāʻau i ke alanui inā ʻoe i hoʻohana i ka wā ma mua; nā maʻi ischemic (nā kūlana i loaʻa ʻole ke kahe o ke koko i kahi o ke kino) e like me ka angina (ʻeha o ka umauma), hōʻeha puʻuwai, hahau, a i ʻole colitis (huʻu o ka ʻōpū); a me nā maʻi autoimmune (nā kūlana e hoʻouka ai ka ʻōnaehana pale i hoʻokahi a ʻoi paha mau ʻāpana o ke kino) i hiki ke hoʻopili i ke koko, nā hono, nā puʻupaʻa, nā ake, nā mumū, nā ʻili, ka ʻili, a me ka ʻaʻaki thyroid. E haʻi i kāu kauka inā loaʻa ʻoe i kahi maʻi; aiʻole inā ua loaʻa a loaʻa paha iā ʻoe kahi maʻi autoimmune; atherosclerosis (hoʻoliʻiliʻi o nā kīʻaha koko mai nā waihona momona); maʻi ʻaʻai; ʻeha ka umauma; kolitis; mimikō; maʻi hohola; ke koko kiʻekiʻe; kiʻekiʻe kolesterol; HIV (maʻi pale maʻi kanaka) a i ʻole ʻo AIDS (loaʻa maʻi maʻi maʻi maʻiodeodeode); kuʻi puʻuwai kūlike ʻole; maʻi noʻonoʻo e like me ke kaumaha, hopohopo, a i ʻole ka noʻonoʻo ʻana a i ʻole ke hoʻāʻo ʻana e pepehi iā ʻoe iho; maʻi maʻi akepaʻa ma mua o ka hepatitis B a i ʻole C; aiʻole ka puʻuwai, ka puʻuwai, ka akemā a me ka maʻi thyroid. E haʻi pū aku i kāu kauka inā inu ʻoe a inu paha i ka nui o ka wai ʻona, a inā ʻoe e hoʻohana a hoʻohana paha i nā lāʻau o ke alanui a i ʻole hoʻohana nui ʻole i nā lāʻau lapaʻau. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka: ka maʻi diarrhea a i ʻole ka ʻōpū. ʻeha o ka ʻōpū, palupalu a huʻu paha; ʻeha ka umauma; kuʻi puʻuwai kūlike ʻole; nāwaliwali; nalowale o ka hoʻohui ʻana; ʻōlohelohe; nā hoʻololi i kou ʻano a i ʻole ʻano hana; kaumaha; ukiuki; hopohopo; nā manaʻo e pepehi a hōʻeha paha iā ʻoe iho; hallucinating (ke ʻike nei i nā mea a i ʻole ka lohe ʻana i nā leo i ʻole); huhū a i ʻole ʻano pīhoihoi paha i ke ʻano; lilo o ka launa pū ʻana me ka ʻoiaʻiʻo; hana kolohe; paʻakikī i ka hanu ʻana; ke kuni, ke anu, ka puʻu, ka ʻāʻī, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi; e ʻū ana i ka melemele melemele a ʻulaʻula paha; ʻāʻā a ʻeha paha i ka wā e mimi ai, a i ʻole ka mimi pinepine paha; kahe koko ʻole a ʻeha paha; mimi ʻeleʻele; ʻōniʻoniʻo o ke ʻōpū māmā; luhi loa; melemele o ka ʻili a i ʻole nā ​​maka; ʻehaʻeha koʻikoʻi a ʻeha pū paha; a i ʻole ke ʻino ʻana o kahi maʻi autoimmune.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua e nānā i ka pane o kou kino i ka peginterferon alfa-2a.

E hāʻawi aku kāu kauka a me kāu kauka lāʻau iā ʻoe i ka pepa ʻikepili a ka mea hana (Kauka Lapaʻau) ke hoʻomaka ʻoe i ka lāʻau me peginterferon alfa-2a a i kēlā me kēia manawa e hoʻopiha hou i kāu kauka. E heluhelu pono i ka ʻike a nīnau i kāu kauka a kauka paha inā he nīnau kāu. Hiki iā ʻoe ke kipa aku i ka pūnaewele ʻo Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) a i ʻole pūnaewele o ka mea hana e kiʻi i ka Medication Guide.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka hoʻohana ʻana i ka peginterferon alfa-2a.

Hoʻohana hoʻokahi ʻia ʻo Peginterferon alfa-2a a i ʻole ka huipū ʻia me nā lāʻau ʻē aʻe e mālama ai i ka maʻi hepitis (wā lōʻihi) hepatitis C (ka pehu ʻana o ke akepaʻa i hoʻokumu ʻia e kahi virus) i ka poʻe e hōʻike ana i nā hōʻino o ke ake. Hoʻohana pū ʻia ʻo Peginterferon alfa-2a e mālama i ka maʻi hepatitis B mau loa (ka pehu ʻana o ke akepaʻa e ka maʻi virus) i ka poʻe e hōʻike ana i nā hōʻino o ke ake. Aia ʻo Peginterferon alfa-2a i kahi papa o nā lāʻau i kapa ʻia interferons. ʻO Peginterferon kahi hui o interferon a me polyethylene glycol, ka mea e kōkua i ka interferon e noho paʻa i kou kino no kahi manawa lōʻihi. Hana ʻo Peginterferon ma ka hoʻemi ʻana i ka nui o ka maʻi hepitis C (HCV) a i ʻole ka maʻi hepitis B (HBV) i ke kino. ʻAʻole hiki i ka Peginterferon alfa-2a ke hōʻola i ka hepatitis C a i ʻole ka hepatitis B a pale paha iā ʻoe mai ka hoʻomohala ʻana i nā maʻi hepitis C a i ʻole hepatitis B e like me ka cirrhosis (scarring) o ke akepaʻa, ke akepaʻa o ke ake, a i ʻole ke kanesa maʻi ate. ʻAʻole hiki i ka Peginterferon alfa-2a ke pale aku i ka hoʻolaha ʻana o ka maʻi hepa C a i ʻole he hepatitis B i kekahi poʻe ʻē aʻe.

Hele mai ʻo Peginterferon alfa-2a ma ke ʻano he hopena (wai) i loko o kahi kīʻaha, kahi syringe i hoʻomākaukau ʻia, a me kahi autoinjector disposable e hoʻowalewale subcutaneously (i ka momona momona ma lalo o ka ʻili). Hoʻokomo pinepine ʻia ia i hoʻokahi manawa i ka pule, ma ka lā like o ka pule, a ma kahi o ka manawa like o ka lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. E hoʻohana pono i ka peginterferon alfa-2a e like me ke kuhikuhi. Mai hoʻohana i ka ʻoi aku a i ʻole ka liʻiliʻi o kēia lāʻau a hoʻohana pinepine paha ma mua o ka mea i kauoha ʻia e kāu kauka.

E hoʻomaka paha kāu kauka iā ʻoe ma ka mahele lāʻau o peginterferon alfa-2a. Hiki i kāu kauka ke hōʻemi i kāu lāʻau inā ʻike ʻoe i nā hopena koʻikoʻi o ka lāʻau. E ʻike pono i kāu kauka pehea kou ʻano i kou wā e mālama ai a nīnau i kāu kauka a kauka paha inā he mau nīnau kāu e pili ana i ka nui o nā lāʻau āu e lawe ai.

E hoʻomau i ka hoʻohana ʻana i ka peginterferon alfa-2a ʻoiai inā ʻoluʻolu ʻoe. Mai hoʻōki i ka hoʻohana ʻana i ka peginterferon alfa-2a me ka walaʻau ʻole ʻana me kāu kauka.

E hoʻohana wale i ka mana a me ke ʻano o ka interferon a kāu kauka i kuhikuhi ai. Mai hoʻohana i kahi mana hou o interferon a i ʻole kuapo ma waena o peginterferon alfa-2a i loko o nā hue, nā syringes i hoʻopihapiha ʻia, a me nā autoinjectors disposable me ke kamaʻilio ʻole ʻana me kāu kauka. Inā ʻoe e hoʻololi i kahi mana ʻokoʻa a i ʻole ke ʻano interferon, pono paha e hoʻololi i kāu lāʻau.

Hiki iā ʻoe ke hoʻopili iā peginterferon alfa-2a iā ʻoe iho a i ʻole he hoaaloha a ʻohana paha e hāʻawi iā ʻoe i nā injection. Ma mua o kou hoʻohana ʻana i ka peginterferon alfa-2a no ka manawa mua, ʻo ʻoe a me ka mea e hāʻawi ana i nā kuʻikuʻi e pono e heluhelu i ka ʻike a ka mea hana no ka mea maʻi e hele pū ana me ia. E noi i kāu kauka a kauka paha e hōʻike iā ʻoe a i ʻole i ke kanaka e hoʻopili ana i ka lāʻau pehea e ʻoki ai iā ia. Inā hoʻokomo kekahi kanaka i ka lāʻau no ʻoe, e ʻike pono ua ʻike ʻo ia i ka hōʻalo ʻana i nā needlestick i hiki ʻole ke pale ʻia ka maʻi hepatitis.

Hiki iā ʻoe ke hoʻopili i ka peginterferon alfa-2a ma nā wahi āpau o kou ʻōpū a me nā ʻūhā, koe wale nō kou piko (pihi ʻōpū) a me kou pūhaka. E hoʻohana i kahi kiko ʻokoʻa no kēlā me kēia pahu kui. Mai hoʻohana i ke kiko o ka pahu kui like i ʻelua manawa i ka lālani. Mai hoʻokomo i ka peginterferon alfa-2a i kahi ʻeha kahi ʻeha, ʻulaʻula, ʻāʻī, ʻili, maʻi, a ʻano maikaʻi ʻole i kēlā me kēia ʻano.

Inā ʻaʻole ʻoe e loaʻa i ka lāʻau i kuhikuhi ʻia ma muli o kahi pilikia (e like me ka leakage a puni ka pūnaewele injection), e kāhea i kāu kauka.

Mai hoʻohana hou i nā syringes, nā nila, a me nā ipu o peginterferon alfa-2a. E hoʻolei i nā nila a me nā ʻenekini i loko o kahi ipu kūpaʻa. E kamaʻilio me kāu kauka a kauka paha e pili ana i ka hoʻolei ʻana i ka ipu kūpaʻa.

Ma mua o kou hoʻohana ʻana i ka peginterferon alfa-2a, e nānā i ka hopena ma ka hue, syringe prefilled, a i ʻole autoinjector pono. Mai hoʻoluliluli i nā hue, nā syringes, a i ʻole nā ​​autoinjectors i loaʻa i nā peginterferon alfa-2a. Pono ka lāʻau e akāka a manuahi hoʻi i nā mea lele. E hōʻoia i ka hue a i ʻole ka syringe e ʻike pono ʻaʻohe kulu a nānā i ka lā pau. Mai hoʻohana i ka hopena inā ua pau ka lā, discolored, cloudy, loaʻa nā ʻāpana, a i ʻole i loko o kahi ipu leaky a i ʻole syringe. E hoʻohana i kahi hopena hou, a hōʻike i ka mea i hōʻino a make paha i kāu kauka a kauka paha.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka hoʻohana ʻana i ka peginterferon alfa-2a,

• e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka peginterferon alfa-2a, nā alpha interferons ʻē aʻe, nā lāʻau ʻē aʻe, ka wai ʻona benzyl, a i ʻole polyethylene glycol (PEG). E noi i kāu kauka inā ʻaʻole ʻoe e maopopo inā he lāʻau āpau ʻoe i ka maʻi āpau he alpha interferon.
• e haʻi i kāu kauka inā ua loaʻa iā ʻoe ka interferon alfa injection no ka mālama ʻana i ka maʻi hepatitis C.
• e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E ʻike pono i kekahi o kēia mau mea: kekahi mau lāʻau no ka HIV a me ka maʻi AIDS e like me abacavir (Ziagen, ma Epzicom, ma Trizivir), didanosine (ddI a i ʻole Videx), emtricitabine (Emtriva, ma Truvada), lamivudine (Epivir, i Combivir, ma Epzicom, ma Trizivir), stavudine (Zerit), tenofovir (Viread, ma Truvada), zalcitabine (HIVID), a me zidovudine (Retrovir, ma Combivir, ma Trizivir); methadone (Dolophine, Methadose); mexiletine (Mexitil); naproxen (Aleve, Anaprox, Naprosyn, nā mea ʻē aʻe); riluzole (Rilutek); tacrine (Cognex); telbivudine (Tyzeka); a me theophylline (TheoDur, nā mea ʻē aʻe). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Pili pū paha nā lāʻau ʻē aʻe he nui me ka peginterferon alfa-2a, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea hoʻi i ʻike ʻole ʻia ma kēia papa inoa.
• e haʻi i kāu kauka a kauka paha inā ua loaʻa iā ʻoe kahi transplant organ (ʻoki e hoʻololi i kahi ʻōpū i ke kino). E haʻi aku i kāu kauka inā loaʻa a loaʻa paha iā ʻoe kekahi o nā ʻano i ʻōlelo ʻia i ka ʻĀina Aʻoaʻo IMPORTANT a i ʻole kekahi o kēia mau mea: anemia (ʻaʻole lawe ʻia nā oxygen i nā oxygen ʻē aʻe i nā ʻāpana ʻē aʻe o ke kino), a i ʻole nā ​​pilikia me kou mau maka. a i ʻole pancreas.
• E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai a i ʻole hānai waiu. Hiki paha i ka Peginterferon alfa-2a ke hoʻopōʻino i ka fetus a i ʻole e hoʻohoka iā ʻoe (nalowale kāu pēpē). E kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i ka kaohi hānau ke lawe ʻoe i kēia lāʻau. ʻAʻole pono ʻoe e hānai i ka wā e lawe ana ʻoe i kēia lāʻau.
• inā ke ʻoki nei ʻoe, e like me ke kaha ʻana o ka niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe ana ʻoe i ka peginterferon alfa-2a.
• pono ʻoe e ʻike i ka peginterferon alfa-2a e hoʻohoka ai ʻoe, huikau ai ʻole e hiamoe ai. Mai hoʻokele i kahi kaʻa a hana i nā mīkini a ʻike ʻoe i ka hopena o kēia lāʻau iā ʻoe.
• mai inu i ka waiʻona i ka wā e lawe nei ʻoe i ka peginterferon alfa-2a. Hiki i ka wai ʻona ke hana i kou maʻi maʻi ʻino.
• pono ʻoe e ʻike hiki iā ʻoe ke ʻike i nā hōʻailona like flu e like me ka maʻi poʻo, ke kuni, ka haʻalulu, ka luhi, nā ʻehaʻeha, a me nā ʻeha pū i ka wā o kāu lapaʻau me peginterferon alfa-2a Inā pilikia kēia mau ʻōuli, e nīnau i kāu kauka inā pono ʻoe e lawe i kahi pain over-the-counter pain and fever fever ma mua o kou hoʻopili ʻana i kēlā me kēia kau o peginterferon alfa-2a. Makemake paha ʻoe e hoʻokomo i ka peginterferon alfa-2a i ka manawa moe a hiki iā ʻoe ke hiamoe ma o nā ʻōuli.

Inu i nā wai he nui ke lawe ʻoe i kēia lāʻau.

Inā hoʻomanaʻo ʻoe i ka hopena i hala i hala ma mua o 2 mau lā ma hope o ka manawa e hoʻonoho ʻia ai, e hoʻopili i ka lāʻau i hala ke hoʻomanaʻo ʻoe iā ia. A laila e hoʻopili i kāu lāʻau hou aʻe i kāu lā i hoʻonohonoho mau ʻia i ka pule aʻe. Inā hala ma mua o 2 mau lā mai ka lā āu i hoʻonohonoho ʻia ai e hoʻopili i ka lāʻau, e nīnau i kāu kauka a i ʻole ka mea kauka lāʻau he aha kāu e hana ai. Mai hoʻohana i kahi lāʻau pālua a hoʻohana paha i kahi ʻoi aku ma mua o hoʻokahi mahele i 1 pule e pani no kahi mahele i hala.

ʻO Peginterferon alfa-2a paha ke kumu o nā hopena. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

• ʻeha, ʻeha, ʻulaʻula, pehu, a i ʻole ukiuki ma kahi āu i injected ai i ka peginterferon alfa-2a
• hoʻohuhū ʻōpū
• ka luaʻi
• puʻuwai puʻuwai
• waha maloo
• nalo ʻai ʻole
• Kaumaha emi
• pāhoehoe
• ʻili maloʻo a ʻili paha
• poho lauoho
• paʻakikī e hiamoe a hiamoe paha
• luhi
• nāwaliwali
• paʻakikī e noʻonoʻo a hoʻomanaʻo paha
• ka houʻu ʻana
• ʻūpā

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. ʻAʻole ʻike pinepine ʻia nā ʻōuli aʻe, akā inā ʻike ʻoe i kekahi o ia mau mea, a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo AOAO IMPORTANT a i ʻole ka ʻĀINA WAIKU SPECIAL, e kelepona koke i kāu kauka:

• ʻike hihi, hoʻololi i ka hihiʻo, a i ʻole nalo ʻana o ka hihiʻo
• ʻeha ʻeha o lalo
• hūwī
• hives
• ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
• paʻakikī i ka ale ʻana
• hulahula

ʻO Peginterferon alfa-2a paha ke kumu o nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i loko o ka pahu hau, akā mai hoʻopili. Mai haʻalele i ka peginterferon alfa-2a ma waho o ka pahu hau no 24 mau hola (1 lā). E mālama i ka peginterferon alfa-2a mai ka mālamalama.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Inā ʻaʻole i hāʻule ka mea i hōʻino ʻia, e kāhea i ke kauka nāna i kuhikuhi i kēia lāʻau. Makemake paha ke kauka e kauoha i nā hoʻokolohua lab.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

• luhi
• kahe koko ʻole ʻana a palapū paha
• fiva, ʻeha puʻu, ʻalalā, ʻū, a i ʻole nā ​​hōʻailona ʻē aʻe o ka maʻi

Mai ʻae i kekahi e hoʻohana i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

• Pegasys^®