Lamivudine
Anter
- Ma mua o ka lawe ʻana i ka lamivudine,
- Hoʻokumu paha ʻo Lamivudine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
E haʻi aku i kāu kauka inā loaʻa a manaʻo paha ʻoe he maʻi maʻi hepatitis B (HBV; kahi maʻi akepaʻa mau). 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 ka lamivudine. Inā loaʻa iā HBV a lawe ʻoe i lamivudine, e ʻinoʻino paha kou ʻano ke kū ʻoe i ka lawe ʻana i ka lamivudine. E nānā ana kāu kauka iā ʻoe a kauoha pinepine i nā hoʻokolohua lab no nā mahina he nui ma hope o kou hoʻōki ʻana i ka lawe ʻana i ka lamivudine e ʻike inā ua ʻino kāu HBV.
ʻO nā papa Epivir a me ka wai (hoʻohana ʻia e mālama ai i nā maʻi hoʻomaʻemaʻe kanaka (HIV)) ʻaʻole hiki ke hoʻololi ʻia me nā papa Epivir-HBV a me ka wai (hoʻohana ʻia e mālama ai i ka maʻi hepitis B). Aia i loko o Epivir kahi mahele lāʻau ʻoi loa o ka lamivudine ma mua o Epivir-HBV. ʻO ka mālama ʻana me Epivir-HBV i nā maʻi i loaʻa i ka maʻi HIV e hiki ai ke hōʻemi iki ʻia ka maʻi HIV me nā lamivudine a me nā lāʻau ʻē aʻe. Inā loaʻa iā ʻoe ka maʻi HIV a me ka maʻi hepitis B, pono ʻoe e lawe iā Epivir wale nō. Inā lawe ʻoe iā Epivir-HBV no ka maʻi hepitis B, e kamaʻilio me kāu kauka e pili ana i kāu pilikia no ka maʻi HIV.
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 lamivudine.
E kamaʻilio me kāu kauka e pili ana i ka makaʻu o ka lawe ʻana i ka lamivudine.
Hoʻohana ʻia ʻo Lamivudine (Epivir) me nā lāʻau ʻē aʻe e mālama ai i ka maʻi maʻi (HIV) kanaka i nā mākua a me nā keiki he 3 mau makahiki a ʻoi paha. Hoʻohana ʻia ʻo Lamivudine (Epivir-HBV) e mālama i ka maʻi hepitis B. Aia ʻo Lamivudine i loko o ka papa o nā lāʻau i kapa ʻia he nucleoside reverse transcriptase inhibitors (NRTI). Hana ia ma ka hoʻemi ʻana i ka nui o ka maʻi HIV a me ka hepatitis B i ke koko. ʻOiai ʻaʻole hoʻōla ka lamivudine i ka maʻi HIV, hiki iā ia 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 ʻino a i ʻole ka maʻi ʻaʻai. ʻO ka lawe ʻana i kēia mau lāʻau me ka hana palekana ʻana i ka moekolohe a me ka hoʻololi ʻana i nā ʻano nohona ʻē aʻe e hōʻemi paha i ka lawe ʻana (hoʻolaha) ʻana i ka maʻi HIV a i ʻole hepatitis B i kekahi poʻe ʻē aʻe.
Hele mai ʻo Lamivudine ma ke ʻano he papaha a me ka hopena waha (wai) e lawe ma ka waha. Lawe pinepine ʻia ʻo Lamivudine (Epivir) i hoʻokahi a ʻelua paha manawa i ka lā me ka ʻai ʻole. Lawe pinepine ʻia ʻo Lamivudine (Epivir-HBV) i hoʻokahi manawa i 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. Lawe pono i ka lamivudine 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.
Mālama ʻo Lamivudine i ka maʻi HIV a me ka maʻi hepitis B akā ʻaʻole ia e hoʻōla iā lākou. E hoʻomau i ka lawe lamivudine ʻoiai ʻoe e ʻoluʻolu. Mai hōʻoki i ka lawe ʻana i ka lamivudine me ke kamaʻilio ʻole ʻana me kāu kauka. Ke hoʻomaka haʻahaʻa kāu lako o lamivudine, e kiʻi hou aʻe mai kāu kauka a kauka paha. Inā ʻaʻole ʻoe e nalo i nā lāʻau a oki paha i ka lawe ʻana i ka lamivudine, e lilo ana kou ʻano i mea paʻakikī e mālama.
Hoʻohana pū ʻia ʻo Lamivudine i kekahi manawa me ka hoʻohui pū 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 kū ʻole ʻana me ke koko i hoʻoweliweli ʻia e ka maʻi HIV. E kamaʻilio me kāu kauka e pili ana i nā pilikia e hiki ke hoʻohana 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 lamivudine,
- e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka lamivudine, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa lamivudine a i ʻole ka hopena waha. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
- e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E haʻi pono i kēia mau mea: interferon alfa (Intron A), ribavirin (Copegus, Rebetol, a me nā mea ʻē aʻe), sorbitol; a me trimethoprim / sulfamethoxazole (Bactrim, Septra).
- e haʻi i kāu kauka inā loaʻa a loaʻa paha iā ʻoe ka maʻi maʻi hepatitis C a i ʻole nā maʻi ʻē aʻe, nā maʻi puʻupaʻa, a me nā maʻi pancreas (i nā keiki wale nō).
- 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, e kāhea i kāu kauka. ʻAʻole pono ʻoe e hānai i ka hānai inā loaʻa ʻoe i ka maʻi HIV a inā ʻoe e lawe i ka lamivudine.
- pono ʻoe e ʻike ʻoiai ʻoe e lawe nei i nā lāʻau e mālama ai i ka maʻi HIV, e ikaika paha kou ʻōnaehana pale a hoʻomaka e hakakā i nā maʻi ʻē aʻe i loko o kou kino. Hiki iā ʻoe ke hoʻomohala i nā ʻōuli o kēlā mau maʻi. Inā loaʻa iā ʻoe nā hōʻailona hou a pōʻino paha ma hope o ka hoʻomaka ʻana o ka mālama ʻana me lamivudine, e ʻike pono i kāu kauka.
- inā he maʻi diabetes ʻoe, pono ʻoe e ʻike aia he 3 mau huna o ka sukuka i kēlā me kēia punetēpu (15 ml) o ka hopena lamivudine.
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 i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:
- pāhoehoe
- ʻeha poʻo
- paʻakikī e hiamoe a hiamoe paha
- kaumaha
- ihu ihu
Inā ʻike ʻoe i kekahi o nā ʻōuli i lalo a i ʻole nā mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka.
- hūwī
- ka luaʻi (i nā keiki)
- nausea (i nā keiki)
- ka ʻeha mau e hoʻomaka i ka wahi o ka ʻōpū akā hiki ke pālahalaha i ka hope (i nā keiki)
- numbness, tingling, a ʻā paha i nā manamana lima a me nā manamana wāwae
- luhi nui loa; nāwaliwali, lōkihi a i ʻole lightheadedness; wikiwiki a i ʻole kōkō puʻuwai puʻuwai; ʻeha ʻeha; ʻeha o ka ʻōpū me ka nausea a me ka luaʻi; ka hanu ʻana a paʻakikī paha i ka hanu ʻana; nā ʻōuli e like me ka flu e like me ke kuni, ke anuanu, a me ka ʻeha; aiʻole ke anuanu, keu hoʻi i nā lima a me nā wāwae
- nā ʻōniʻoniʻo o ke ʻōpū māmā; melemele o ka ʻili a i ʻole nā maka; lilo o ka makemake ʻole; kahe koko ʻole a ʻeha paha; melemele ʻeleʻele a ʻeleʻele paha; aiʻole kaʻeha ma kaʻaoʻao'ākau o luna o ka'ōpū
Hoʻokumu paha ʻo Lamivudine 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. ʻAʻole pono e hoʻomaʻalili ʻia ka hopena waha; Eia naʻe, pono e mālama ia i loko o kahi me.
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 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.
- Epivir®
- ʻO Epivir-HBV®
- Epzicom® (i loaʻa ʻo Abacavir, Lamivudine)
- 3TC