ʻO Rifabutin
Anter
- Ma mua o ka lawe ʻana i ka rifabutin,
- Hoʻokumu paha ʻo Rifabutin i nā hopena ʻaoʻao. Hiki i ka ʻili, ka waimaka, ke kuha, ka hou, ka mimi, a me nā noho, e ʻalani ʻalani paha; maʻamau kēia hopena a e kū ke hoʻopau ʻoe i ka lawe ʻana i kēia lāʻau. 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. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
Kōkua ʻo Rifabutin i ka pale a hoʻolohi paha i ka hoʻolaha ʻana o ka maʻi Mycobacterium avium complex (MAC; kahi maʻi bacteria e hiki ai ke hōʻeha i nā hōʻailona koʻikoʻi) i nā mea maʻi me ka maʻi maʻi maʻi (HIV). Hoʻohana ʻia ia i ka hui pū me nā lāʻau ʻē aʻe e hoʻopau H. pylori, he koʻohune ke kumu o ka ulcer. Aia ʻo Rifabutin 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 rifabutin 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 Rifabutin ma ke ʻano he capsule e lawe ma ka waha. Lawe ʻia ʻo Rifabutin i hoʻokahi manawa i ka lā me ka ʻai ʻole. Inā loaʻa ʻoe i ka nausea a i ʻole ka luaʻi ke lawe ʻoe i kāu lāʻau, e haʻi paha kāu kauka iā ʻoe e lawe i ka rifabutin ma kahi lāʻau ma lalo o ʻelua mau manawa i ka lā me ka meaʻai. 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 lawe i ka rifabutin 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 pilikia ʻoe i ka ale ʻana i ka capsule, hoʻowahāwahā ʻoe i nā ʻike o ka capsule a hui pū me ka ʻāpala.
Hoʻohana ʻia ʻo Rifabutin i kekahi manawa me ka hui pū me nā lāʻau ʻē aʻe e mālama i ka maʻi MAC i pāhola ʻia i loko o ke kino. Hoʻohana pū ʻia ia i kekahi manawa me ka hui pū me nā lāʻau ʻē aʻe e mālama i ka maʻi kō (TB; kahi maʻi puʻuwai koʻikoʻi). 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 ka rifabutin,
- e haʻi i kāu kauka a me kāu kauka lāʻau inā he maʻi ʻoe i ka rifabutin, rifampin (Rifadin, Rimactane, ma Rifamate, Rifater), rifapentine (Priftin), rifaximin (Xifaxan), nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā capsule rifabutin. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- E haʻi i kāu kauka inā lawe ʻoe i ka delavirdine (Rescriptor) a i ʻole voriconazole (Vfend). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka rifabutin inā ʻoe e lawe i hoʻokahi aʻoi aku paha o kēia mau lāʻau.
- e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, a me nā mea hoʻopihaʻai pono ʻole āu e lawe nei a hoʻolālā paha e lawe. E haʻi pono i kekahi o kēia mau mea: clarithromycin (Biaxin, i Prevpac); fluconazole (Diflucan); ʻO nā mea kūpale protease HIV e like me atazanavir (Reyataz, i Evotaz), darunavir (Prezista, i Prezcobix), fosamprenavir (Lexiva), indinavir (Crixivan), lopinavir (i Kaletra), nelfinavir (Viracept), ritonavir (Norvirie, i Kaletra, in Technoavir , Viekira Pak), saquinavir (Invirase), a me tipranavir (Aptivus); itraconazole (Sporanox, Onmel); a me ka posaconazole (Noxafil). 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 ka rifabutin, 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.
- e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi ate a i ʻole puʻupaʻa.
- 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 ka rifabutin, e kāhea i kāu kauka.
- 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 implant, a me nā hoʻowalewale) i mea e pale ai i ka hāpai keiki. E hoʻopilikia paha ʻo Rifabutin i ka hana o ka pale hormonal. E kamaʻilio me kāu kauka e pili ana i nā ʻano hana ʻē aʻe o ka kaohi hānau e holo pono nāu.
- e haʻi i kāu kauka inā ʻoe e komo i nā aniani pili palupalu. Hoʻokumu paha ʻo Rifabutin i nā kiko kala-ʻalani mau ma kāu mau aniani kelepona.
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 Rifabutin i nā hopena ʻaoʻao. Hiki i ka ʻili, ka waimaka, ke kuha, ka hou, ka mimi, a me nā noho, e ʻalani ʻalani paha; maʻamau kēia hopena a e kū ke hoʻopau ʻoe i ka lawe ʻana i kēia lāʻau. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- nausea
- puʻuwai puʻuwai
- hoʻolewa
- ʻenekini
- pāhoehoe
- abdominal eha
- hoʻololi i ke ʻano o ka ʻono
- hūwī
- ʻeha mākala
Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, e kāhea koke aku i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino olakino.
- ka wai a i ʻole ke koko, nā ʻōpū o ka ʻōpū, a i ʻole ke kuni i ka wā e lapaʻau ai a i ʻole ʻelua a ʻoi paha mau mahina ma hope o ka hoʻokū ʻana i ka lāʻau.
- ʻehu, hives, paʻakikī i ka hanu ʻana a me ka ale ʻana paha, ka pehu ʻana o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, a me nā maka, ke kani, a me ka maka ʻākala, a me ka maʻi flu e like me nā ʻōuli.
- ʻulaʻula ka maka, ʻeha, ʻike maka a i ʻole nā loli hou
- ʻū ka lōʻihi lōʻihi, ke kuʻi nei i ke koko, ka ʻeha o ka umauma, ka pohō kaumaha ʻole i wehewehe ʻole ʻia, ka luhi nui loa, ke kuni, ka hou ʻana i ka pō, ka haʻalulu, a me ka make ʻole o ka makemake.
- ʻāpā ʻaʻano ʻole a hoʻokahe koko paha
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.
E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane iā rifabutin.
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.
- ʻO Mycobutin®
- ʻO Talicia (ma ke ʻano he huahana hui pū me Amoxicillin, Omeprazole, Rifabutin)