Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 22 Iune 2021
HōʻAno Hou I Ka Lā: 24 Iune 2024
Anonim
Management of NRTI Resistance
Wikiō: Management of NRTI Resistance

Anter

ʻAʻole pono e hoʻohana ʻia ʻo Lamivudine a me tenofovir e mālama ai i ka maʻi ʻo ka maʻi hepatitis B (HBV; kahi maʻi akepaʻa e hoʻomau nei). E haʻi i kāu kauka inā loaʻa a manaʻo paha ʻoe he HBV kāu. E hoʻāʻo paha kāu kauka iā ʻoe e ʻike inā loaʻa iā ʻoe ka HBV ma mua o kou hoʻomaka ʻana i kāu lāʻau me lamivudine a me tenofovir. Inā loaʻa iā ʻoe ka HBV a lawe ʻoe i ka lamivudine a me ka tenofovir, e pōʻino wale paha kou ʻano ke kū ʻoe i ka lawe ʻana i ka lamivudine a me ka tenofovir. E nānā ana kāu kauka iā ʻoe a kauoha pinepine i nā hoʻokolohua lab no kekahi mau mahina ma hope o kou hoʻōki ʻana i ka lawe ʻana i ka lamivudine a me tenofovir e ʻike ai inā ua ʻino kāu HBV.

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 iā lamivudine a me tenofovir.

Hoʻohana ʻia ka hui ʻana o lamivudine a me tenofovir me nā lāʻau ʻē aʻe e mālama i ka maʻi HIV i nā mākua a me nā keiki. Aia ʻo Lamivudine a me tenofovir i kahi papa o nā lāʻau i kapa ʻia ʻo nucleoside a me nā nucleotide huli transcriptase (NRTI). Hana lākou ma ka hoʻolohi i ka hoʻolaha ʻana o ka maʻi HIV i ke kino. ʻOiai ʻaʻole e hoʻōla ka lamivudine a me tenofovir i ka maʻi HIV, hiki i kēia mau lāʻau ke hoʻoliʻiliʻi i kou manawa o ka hoʻomohala ʻia ʻana o ka maʻi maʻi maʻi (AIDS) a me nā maʻi e pili ana i ka maʻi HIV e like me nā maʻi nui a i ʻole ka maʻi ʻaʻai. ʻO ka lawe ʻana i kēia mau lāʻau a me ka hoʻomaʻamaʻa ʻana i ka moekolohe ʻoi aku ka maikaʻi a me ka hoʻololi ʻana i nā ʻano nohona ʻē aʻe e hōʻemi paha i ka makaʻi ʻana o ka loaʻa ʻana a i ʻole ka lawe ʻana i ka maʻi HIV i kekahi poʻe ʻē aʻe.


ʻO ka hui pū ʻana o lamivudine a me tenofovir e hele mai ma ke ʻano he papa e lawe ʻia e ka waha. Lawe pinepine ʻia me ka ʻai ʻole a ʻai ʻole hoʻokahi manawa i ka lā. Lawe i ka lamivudine a me ka tenofovir ma kahi o ka manawa like i kēlā me kēia 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. Lawe pono i ka lamivudine a me ka tenofovir 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.

E hoʻomau i ka lawe ʻana i lamivudine a me tenofovir ʻoiai inā ʻoluʻolu ʻoe. Mai hoʻōki i ka lawe ʻana i lamivudine a me tenofovir me ka walaʻau ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe ʻana i ka lamivudine a me ka tenofovir a hiki i kahi manawa pōkole, a i ʻole ʻoe e lele i nā kaha, e kūʻē paha ka maʻi i nā lāʻau a ʻoi aku paha ka paʻakikī o ka mālama ʻana.

E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea maʻi.

Hoʻohana pū ʻia ka hui pū ʻana o lamivudine a me tenofovir me nā lāʻau ʻē aʻe e mālama i nā limahana olakino a i ʻole nā ​​mea ʻē aʻe i hōʻike ʻia i ka maʻi HIV ma hope o ka hui pū ʻole ʻana me ke koko i hoʻoweliweli ʻia me nā maʻi o ke kino. E kamaʻilio me kāu kauka e pili ana i nā pilikia o ka hoʻohana ʻana i kēia lāʻau no kou maʻi.


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 lamivudine a me tenofovir,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka lamivudine, tenofovir, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea i loko o ka lamivudine a me nā papa tenofovir. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • pono ʻoe e ʻike i kēlā me kēia lamivudine a me tenofovir i loaʻa pākahi ʻia me nā inoa o Epivir, Epivir-HBV (hoʻohana ʻia e mālama ai i ka maʻi hepitis B), Vemlidy (hoʻohana ʻia e mālama ai i ka maʻi hepitis B), a me Viread, a me ka hoʻohui pū ʻia me nā lāʻau ʻē aʻe me inoa inoa o Atripla, Biktarvy, Combivir, Complera, Descovy, Epzicom, Genvoya, Odefsey, Stribild, Symfi, Triumeq, Trizivir, a me Truvada. E haʻi i kāu kauka inā lawe ʻoe i kekahi o kēia mau lāʻau e maopopo ai ʻaʻole i loaʻa iā ʻoe ka lāʻau like i ʻelua mau manawa.
  • 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 haʻi pono i kekahi o kēia mau mea: acyclovir (Sitavig, Zovirax); aminoglycosides e like me amikacin, gentamicin, streptomycin, a me tobramycin; aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin) a me naproxen (Aleve, Naprosyn); atazanavir (Reyataz, i Evotaz); cidofovir; darunavir and ritonavir (Prezista lāua ʻo Norvir); didanosine (Videx); ganciclovir (Cytovene); interferon alfa (Intron A, Roferon-A); ledipasvir / sofosbuvir (Harvoni); lopinavir / ritonavir (Kaletra); ribavirin (Copegus, Rebetol, Ribasphere); sofosbuvir / velpatasvir (Epculsa); sorbitol a i ʻole nā ​​lāʻau i hōʻoluʻolu ʻia me sorbitol; trimethoprim (Primsol, ma Bactrim, Septra); valacyclovir (Valtrex); a me valganciclovir (Valcyte). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Nui paha nā lāʻau ʻē aʻe e launa pū paha me lamivudine a me tenofovir, 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 hōʻike ʻole ʻia ma kēia papa inoa.
  • e haʻi aku i kāu kauka inā loaʻa iā ʻoe kekahi o nā ʻano i ʻōlelo ʻia i ka ʻĀina Aʻoaʻo koʻikoʻi, a inā i loaʻa a loaʻa paha iā ʻoe nā pilikia iwi e like me ka osteoporosis (kahi ʻano e lahilahi a nāwaliwali ai nā iwi a haki maʻalahi) a i ʻole nā ​​haʻi iwi, hepatitis C a i ʻole nā ​​maʻi maʻi akepau, a i ʻole nā ​​maʻi ʻeha. No nā keiki e lawe ana i kēia lāʻau, e haʻi aku i kāu kauka inā loaʻa a i ʻole loaʻa paha iā lākou pancreatitis a i ʻole i loaʻa i ka lāʻau lapaʻau me ka lāʻau analogic nucleoside e like me ka NRTI i ka wā i hala.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i lamivudine a me tenofovir e kāhea i kāu kauka. ʻAʻole pono ʻoe e hānai waiū inā loaʻa ʻoe i ka maʻi HIV a inā ʻoe e lawe ana i ka lamivudine a me ka tenofovir.
  • e hoʻomaopopo ʻoe i ka momona o kou kino e hoʻonui a neʻe paha i nā wahi like ʻole o kou kino, e like me kou kua i luna, ʻāʻī ('' buffalo hump ''), nā umauma, a puni kou ʻōpū. ʻIke paha ʻoe i ka nalo ʻana o ka momona o ke kino mai kou alo, mau wāwae, a me kou mau lima.
  • pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kāu ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i hala i kou kino a i ʻole e hana i nā hanana ʻē aʻe. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi a i ʻole nā ​​kūlana. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha i ka wā o kāu mālama ʻana me lamivudine a me tenofovir e haʻi pono i kāu kauka.

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 Lamivudine a me tenofovir i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻeha poʻo
  • ʻeha ka ʻōpū
  • nausea
  • ka luaʻi
  • pāhoehoe
  • puʻuwai puʻuwai
  • nele i ka ikaika
  • ʻeha kua
  • ʻehaʻeha a ʻeha pū paha
  • manaʻo kaumaha
  • hopohopo
  • pilikia e hiamoe ana a hiamoe paha
  • ʻūpā
  • ʻū, puhi, a i ʻole ʻeha ʻeha i nā lima a i ʻole nā ​​wāwae
  • ʻalalā a palaka paha

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli e kāhea koke i kāu kauka a i ʻole e loaʻa i ka lāʻau lapaʻau olakino.

  • hives, paʻakikī i ka hanu ʻana a me ka ale ʻana paha, ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, a me nā maka, keu
  • ʻeha ʻeha mau, pilikia ka hanu ʻana, ʻeha o ka ʻōpū, nausea, luaʻi, anuanu keu hoʻi i kou mau lima a me kou mau wāwae, ʻano paupauaho a hoʻomālamalama ʻia paha, ka luhi nui a palupalu paha, ka wikiwiki o ka puʻuwai.
  • melemele o ka ʻili a i ʻole nā ​​maka, mimi ʻeleʻele, noho aliʻi ʻulaʻula, nausea, luaʻi, nalo ʻole o ka makemake, a ʻeha paha, ʻeha, a palupalu paha i ka ʻaoʻao ʻākau i luna o ka ʻōpū.
  • hoʻemi i ka urination, pehu o nā wāwae
  • ʻeha iwi, ʻeha ma nā lima a me nā wāwae, haki ka iwi, ʻehaʻeha a nāwaliwali paha, ʻeha pū
  • ʻeha mau e hoʻomaka i ka hema hema a i ʻole ka waena o ka ʻōpū akā hiki ke pālahalaha i ke kua, nausea, luaʻi (i nā keiki maʻi wale nō)

Hoʻokumu paha ʻo Lamivudine a me tenofovir 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.

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.

E mālama i kahi lako o lamivudine a me tenofovir ma ka lima. Mai kali a hiki i ka pau ʻana o kāu lāʻau e hoʻopiha hou 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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