Mea Kākau: Clyde Lopez
Lā O Ka Hana: 23 Iulai 2021
HōʻAno Hou I Ka Lā: 20 Kepakemapa 2024
Anonim
Management of NRTI Resistance
Wikiō: Management of NRTI Resistance

Anter

ʻAʻole pono e hoʻohana ʻia ka hui pū ʻana o doravirine, lamivudine, a me tenofovir e mālama ai i ka maʻi hepitis B hepatitis (HBV; kahi maʻi ate 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 doravirine, lamivudine, a me tenofovir. Inā loaʻa iā ʻoe ka HBV a lawe ʻoe i ka doravirine, lamivudine, a me tenofovir, e ʻinoʻino paha kou ʻano ke kū ʻoe i ka lawe ʻana i ka doravirine, lamivudine, a me tenofovir.

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E nānā ana kāu kauka iā ʻoe a kauoha i nā hoʻokolohua lab ma mua, i ka manawa, a me nā manawa mau no kekahi mau mahina ma hope o kou haʻalele ʻana i ka lawe ʻana i doravirine, lamivudine, a me tenofovir.

E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana iā doravirine, lamivudine, a me tenofovir.

Hoʻohana ʻia ka hui pū ʻana o doravirine, lamivudine, a me tenofovir e mālama ai i ka maʻi o ka maʻi pale maʻi (HIV) kanaka i nā mākua i mālama ʻole ʻia me nā lāʻau HIV ʻē aʻe. Hoʻohana pū ʻia ka hui e hoʻololi i ka lāʻau lapaʻau o kēia manawa i kekahi poʻe e lawe nei i nā lāʻau HIV. Aia ʻo Doravirine i kahi papa o nā lāʻau i kapa ʻia nā non-nucleoside huli transcriptase (NNRTI). Aia ʻo Lamivudine a me tenofovir i loko o ka papa o nā lāʻau i kapa ʻia he nucleoside reverse transcriptase inhibitors (NRTI). ʻO ka hui pū ʻana o doravirine, lamivudine, a me tenofovir e hana nei ma ka hōʻemi ʻana i ka nui o ka maʻi HIV i loko o ke kino. ʻOiai ʻo ka hui pū ʻana o doravirine, lamivudine, a me tenofovir ʻaʻole hiki ke hoʻōla iā HIV, hoʻoliʻiliʻi paha ia i kou manawa o ka hoʻomohala ʻia ʻana o ka maʻi i loaʻa i ka maʻi maʻi (AIDS) a me nā maʻi e pili ana i ka maʻi HIV e like me nā maʻi ʻino 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 lawe ʻana (hoʻolaha) i ka maʻi HIV i kekahi poʻe ʻē aʻe.


ʻO ka hui pū ʻana o doravirine, lamivudine, a me tenofovir e hele mai ana i papa ʻaina e lawe ʻia e ka waha. Lawe mau ʻia me ka ʻai ʻole a ʻai ʻole hoʻokahi manawa i kēlā me kēia lā. Lawe iā doravirine, lamivudine, a me 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 iā doravirine, lamivudine, a me 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.

ʻO ka hui pū ʻana o doravirine, lamivudine, a me tenofovir kōkua i ka mālama ʻana i ka maʻi HIV akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i doravirine, lamivudine, a me tenofovir ʻoiai inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i doravirine, lamivudine, a me tenofovir me ke kamaʻilio ʻole ʻana me kāu kauka. Inā kū ʻoe i ka lawe ʻana i ka doravirine, lamivudine, a me tenofovir a i ʻole nalo ʻana i nā lāʻau, e ʻoi aku ka paʻakikī o kou ʻano e mālama. Ke hoʻomaka ka haʻahaʻa o kāu lako o doravirine, lamivudine, a me tenofovir, e kiʻi hou mai kāu kauka a kauka paha.


E noi i kāu kauka lāʻau a kauka paha no kahi kope o ka ʻike a ka mea hana no ka mea 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 doravirine, lamivudine, a me tenofovir,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka doravirine, lamivudine, a me tenofovir, nā lāʻau ʻē aʻe, a i ʻole nā ​​mea hana i loko o ka doravirine, lamivudine, a me nā papa tenofovir. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka inā lawe ʻoe i ka carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), enzalutamide (Xtandi), mitotane (Lysodren), oxcarbazepine (Trileptal), phenobarbital, phenytoin (Dilantin, Phenytek), rifampin (Rifad, ma Rifamate, ma Rifater), rifapentine (Priftin), a i ʻole wort ʻo St. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe iā doravirine, lamivudine, a me tenofovir inā ʻoe e lawe nei i hoʻokahi a ʻoi aku paha o kēia mau lāʻau a i ʻole lawe i kekahi o lākou i loko o 4 mau pule i hala.
  • 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); cidofovir; ganciclovir (Cytovene); ledipasvir / sofosbuvir (Harvoni); sofosbuvir / velpatasvir (Epculsa); sorbitol a i ʻole nā ​​lāʻau i loaʻa ka sorbitol; valacyclovir (Valtrex); a me valganciclovir (Valcyte). E haʻi i kāu kauka inā e lawe nei ʻoe i ka rifabutin (Mycobutin) a i ʻole lawe ʻia i loko o 4 mau pule i hala. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao. Hiki ke launa pū kekahi me nā lāʻau ʻē aʻe me doravirine, lamivudine, a me tenofovir, no laila e haʻi 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 i kāu kauka inā loaʻa iā ʻoe kekahi o nā ʻano i ʻōlelo ʻia i ka ʻARlelo Aʻo IMPORTANT, a inā i loaʻa a loaʻa paha iā ʻoe nā pilikia iwi e like me ka osteoporosis (kahi ʻano e lahilahi a nāwaliwali nā iwi a haki maʻalahi), nā haʻi iwi, a me nā konāhua. maʻi.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi ʻaʻohe e hele a hele mai paha e like me cytomegalovirus (CMV; kahi maʻi viral i kumu ʻia nā hōʻailona i nā mea maʻi me nā ʻōnaehana pale nawaliwali), mycobacterium avium complex maʻi (MAC; kahi maʻi bacteria e hiki ai ke hōʻeha i nā ʻōuli koʻikoʻi i ka poʻe me ka maʻi SIDA), ka niumonia, a me ka tuberculosis (TB; kahi ʻano maʻi lele); a i ʻole kahi maʻi autoimmune (nā kūlana e hoʻomohala ke hōʻeha ka ʻōnaehana immune i nā hunaola olakino i loko o ke kino e kuhi hewa) e like me ka maʻi ʻo Graves (kahi e hoʻouka ai ke kino i ka gland thyroid e hana ana i mea e overactive), polymyositis ʻaʻole wīwī i ka ʻili), maʻi ʻo Guillain-Barré (nāwaliwali, ʻūlū, a me ka hiki ʻole o ka palapū ma muli o ka hōʻino ʻia ʻana o ke aʻalolo), a me ka hepatitis autoimmune (ke ʻano e hoʻouka aku ai nā hunaola o ke ake pale i ke ake)
  • e haʻi i kāu kauka inā hāpai ʻoe a i ʻole hoʻolālā e hāpai. Inā hāpai ʻoe i ka lawe ʻana i doravirine, lamivudine, a me tenofovir, e kāhea i kāu kauka. E haʻi i kāu kauka inā ʻoe e hānai waiū ana. ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a inā ʻoe e lawe iā doravirine, lamivudine, a me tenofovir.
  • 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 ʻoi paha i ka wā o kāu mālama ʻana me doravirine, 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 Doravirine, 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:

  • ʻūpā
  • nausea
  • moeʻuhane ʻino
  • paʻakikī e hiamoe a hiamoe paha
  • hiamoe
  • pāhoehoe

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 kiʻi i ka lāʻau olakino olakino.

  • hoʻemi i ka urination a i ʻole ka pehu ʻana o nā wāwae
  • ʻeha iwi; ʻeha ma nā lima a me nā wāwae; ʻehaʻeha a nāwaliwali paha; a haki iwi paha

Hoʻokumu paha ʻo Doravirine, 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. Mai wehe i ka desiccant (maloʻo maloʻo) mai ka ʻōmole.

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.

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

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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