Mea Kākau: Joan Hall
Lā O Ka Hana: 2 Pepeluali 2021
HōʻAno Hou I Ka Lā: 20 Nowemapa 2024
Anonim
INH and Rifapentine Treatment for LTBI
Wikiō: INH and Rifapentine Treatment for LTBI

Anter

Hoʻohana ʻia ʻo Rifapentine me nā lāʻau ʻē aʻe e mālama i ka tuberculosis (TB; kahi maʻi nui e pili ana i nā akemāmā a i kekahi manawa nā ʻāpana ʻē aʻe o ke kino) i nā mākua a me nā keiki he 12 mau makahiki a ʻoi paha. Hoʻohana ʻia ʻo Rifapentine me ka isoniazid (Laniazid) e mālama ai i nā mākua a me nā keiki ʻo 2 mau makahiki a ʻoi aku ka nui me ka latent (hoʻomaha a nongrowing) TB, me nā mea e pili kokoke ana me nā poʻe i loaʻa i ka TB, kahi hōʻoia maikaʻi o ka maʻi tuberculin, ka maʻi pale maʻi kanaka. (HIV), a i ʻole nā ​​mea me ka pulmonary fibrosis (scarring o nā akemā me kahi kumu ʻike ʻole). Aia ʻo Rifapentine i kahi papa o nā lāʻau i kapa ʻia antimycobacterial. Hana ia ma ka luku ʻana i nā koʻohune i kumu i ka maʻi.

ʻAʻole holo nā Antibiotics e like me rifapentine no nā anu, flu, a me nā maʻi viral ʻē aʻe. ʻO ka hoʻohana ʻana i nā lāʻau ʻaloʻalo ke pono ʻole lākou e hoʻonui i kou makaʻu i ka loaʻa ʻana o ka maʻi i hope e kū kūʻē ʻana i ka lāʻau antibiotic.

Hele mai ʻo Rifapentine ma ke ʻano he papa e lawe ma ka waha. Ke hoʻohana ʻia ka rifapentine e mālama i ka TB hana, lawe mau ʻia ia me ka meaʻai i ʻelua mau pule, me nā kaha ma kahi o 3 mau lā ke kaʻawale, no nā mahina 2 mua a laila hoʻokahi pule no 4 mau mahina. Ke hoʻohana ʻia ka rifapentine e mālama i ka maʻi TB latent, pono ia me ka ʻai i lawe ʻia i kēlā me kēia pule. Lawe i ka rifapentine ma kahi o ka manawa like i kēlā me kēia lā i hoʻopaʻa ʻia. 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. Lawe pono i ka rifapentine e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.


Inā hiki ʻole iā ʻoe ke ale i nā papa, hiki iā ʻoe ke lūlū iā lākou a kāwili i ka lāʻau i loko o kahi liʻiliʻi o ka meaʻai semisolid e like me ka pudding a i ʻole ka ʻoma. E ale koke i ka hui; mai mālama iā ia no ka hoʻohana ma hope.

E hoʻomau i ka lawe ʻana i ka rifapentine a hiki i kou hoʻopau ʻana i ke kuhikuhi a ʻoiai inā ʻoe e ʻoi aku ka maikaʻi, a akahele. Inā kū koke ʻoe i ka lawe ʻana i ka rifapentine, ʻaʻole hiki ke mālama loa ʻia i kāu maʻi a hiki i ke kūpikipiki ke kūʻē i nā antibiotic. Inā ʻoe e ʻike i nā mahele lāʻau o rifapentine, hiki iā ʻoe ke hoʻomohala ʻole a i ʻole nā ​​hōʻailona koʻikoʻi ke hoʻomaka ʻoe e lawe hou i ka lāʻau.

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 lawe ʻana i ka rifapentine,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka rifapentine, rifabutin (Mycobutin), rifampin (Rifadin, Rimactane, ma Rifamate, i Rifater), rifaximin (Xifaxan), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa rifapentine. E noi i kāu kauka lāʻau a nānā i ke alakaʻi lāʻau no kahi papa inoa o nā mea hoʻohui.
  • 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 mālama pono i kekahi o kēia mau mea: nā lāʻau antibiotic e like me chloramphenicol, ciprofloxacin (Cipro), clarithromycin (Biaxin, i Prevpac), dapsone, a me doxycycline (Doryx, Monodox, Vibramycin, a me nā mea ʻē aʻe); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); nā antifungals e like me fluconazole (Diflucan), itraconazole (Onmel, Sporanox), a me ketoconazole; nā poloka channel calcium e like me diltiazem (Cardizem, Taztia, Tiazac, a me nā mea ʻē aʻe), nifedipine (Adalat, Afeditab, Procardia), a me verapamil (Calan, Covera, Verelan); clofibrate (Atromid-S; ʻaʻole loaʻa hou ma U.S.); cyclosporine (Gengraf, Neoral, Sandimmune); diazepam (Valium); digoxin (Lanoxin); disopyramide (Norpace); glyburide (Diabeta, Glynase); glipizide (Glucotrol); haloperidol (Haldol); Nā lāʻau HIV levothyroxine (Levoxyl, Synthroid, Tirosint); methadone (Dolophine, Methadose); mexiletine, phenobarbital; phenytoin (Dilantin, Phenytek); prednisone (Rayos); propranolol (Hemangeol, Inderal, InnoPran); quinidine (i Nuedexta), quinine (Qualaquin); sildenafil (Revatio, Viagra); tacrolimus (Astagraf, Envarsus, Prograf); theophylline (Elixophyllin, Theochron, Uniphyl); tocainide (Tonocard; ʻaʻole loaʻa hou ma U.S.); a me nā antidepressants tricyclic e like me amitriptyline a me nortriptyline (Pamelor). Nui paha nā lāʻau ʻē aʻe e launa pū me ka rifapentine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea ʻaʻole i ʻike ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā lawe a hoʻohana paha ʻoe i nā kaola pale hormonal (nā lāʻau kaohi o ka hānau ʻana, nā pāhoʻi, nā apo, nā implants, a me nā injection). Hiki i ka Rifapentine ke hoʻemi i ka hopena o nā kaola hormonal. E hoʻohana ʻoe i kahi hana ʻē aʻe o ka kaohi hānau ʻana ke lawe ʻoe i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i ka kaohi hānau ʻoiai e lawe ana i ka rifapentine.
  • e haʻi aku i kāu kauka inā he TB ʻeleu kāu a i ʻole inā pane ʻole ʻoe i nā lāʻau TB ʻē aʻe a i ʻole inā he porphyria paha kāu (kahi e kūkulu ai kekahi mau mea kūlohelohe i ke kino a e hōʻeha paha i ka ʻeha o ka ʻōpū, hoʻololi i ka noʻonoʻo a me ka lawena. a i ʻole nā ​​ʻōuli ʻē aʻe), maʻi HIV, a i ʻole nā ​​maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i ka rifapentine, e kāhea i kāu kauka.
  • mai hānai i ka wā e lawe ana i ka rifapentine. Hoʻokumu paha ʻo Rifapentine i ka waiū umauma e ʻulaʻula ʻalani.
  • e haʻi i kāu kauka inā ʻoe e komo i nā aniani pili palupalu a i ʻole nā ​​niho ʻāpala. Hoʻokumu paha ʻo Rifapentine i nā kala ʻulaʻula mau loa i kāu aniani pili.

Inā ʻaʻole haʻi kāu kauka iā ʻoe, e hoʻomau i kāu papaʻai maʻamau.


E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Rifapentine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ka hoʻoliʻiliʻi kuikawa (melemele, ʻalani-ʻalani, a i ʻole kala ʻeleʻele) o kou ʻili, niho, luha, mimi, noho, hou, a me nā waimaka
  • ʻūpā
  • maule ana
  • hoʻonui sweating

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

  • diarrhea (a i 2 mahina ma hope o kou iapaau ana)
  • hūwī
  • ʻūlili
  • hives
  • ʻū me ka huehue
  • paʻakikī i ka hanu ʻana
  • ʻulaʻula, ʻalalā, a i ʻole nā ​​maka hoʻonāukiuki
  • fiva
  • ʻōhū
  • nā hoʻololi i ka noʻonoʻo a me ka lawena
  • ka pehu o nā maka, ka maka, ka lehelehe, ka elelo, ka ʻāʻī, ka lima, ka lima, ka wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • wikiwiki a i ʻole kuʻi puʻuwai puʻuwai
  • nausea
  • ka luaʻi
  • ʻeha ka umauma
  • ʻo nā ʻōuli e like me ka flu e like me ke kuni, ke anuanu, ka ʻeha o ka mākala, ka ʻeha o ka ʻū, ka luhi, a me ka ʻeha poʻo
  • ʻeha ka ʻōpū
  • nalo ʻai ʻole
  • mimi ʻeleʻele
  • ʻeha puʻupuʻu a huʻi paha
  • melemele o ka ʻili a me nā maka

Hoʻokumu paha ʻo Rifapentine i 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 ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

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

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.

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.

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

  • koko i ka mimi
  • ʻūlili
  • ʻeha o ke kino a i ʻole ʻoʻoleʻa

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka rifapentine.

Ma mua o ka hoʻāʻo ʻana o kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua ke lawe nei ʻoe i ka rifapentine.

Mai ʻae i kahi mea ʻē aʻe e lawe 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.

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