Lamivudine ndi mankhwala osokoneza bongo omwe amagwiritsidwa ntchito pochizira matenda a chiwindi a B. Ikugulitsidwa pansi pa dzina lakuti Epivir-HBV komanso dzina lakuti Epivir pochiza kachilombo ka HIV , kawirikawiri kuphatikizapo mankhwala ena oletsa tizilombo toyambitsa matenda.
Ndipotu, Lamivudine poyamba inayamba kukhala mankhwala osokoneza bongo kwa HIV ndipo kenaka inapezeka ngati yodwala mankhwala ochepetsa tizilombo toyambitsa matenda a hepatitis B.
Cholinga cha kuchiza matenda a chiwindi ndi matenda a chiwindi ndi kuteteza kubwezeretsa kachilomboka kotero kuti chitetezo cha chiwindi chiwonongeke. Pakalipano palibe mankhwala achilendo ku United States. Madokotala ambiri ku United States samakonda kugwiritsa ntchito lamivudine ngati njira yoyamba yothandizira odwala matenda a hepatitis B (HPV), chifukwa pali mankhwala ena omwe amathandiza kwambiri . Komabe, zingakhale kusankha bwino kwa anthu osankhidwa.
Imodzi mwa ubwino wa lamivudine poyerekeza ndi njira zina zothandizira ndizovuta mtengo: Chaka chimodzi cha mankhwala ndi lamivudine chifukwa cha matenda a chiwindi a B akhoza kutenga $ 4200. Komabe, ndalama za mankhwala zimasiyana mosiyana ndi zinthu zambiri, monga ngati muli ndi inshuwalansi, komwe mukukhala komanso mankhwala omwe mumagwiritsa ntchito.
Momwe Lamivudine Amatengedwera
Lamivudine amapezeka pamadzi komanso piritsi. Mankhwalawa amatengedwa tsiku ndi tsiku kwa chaka chimodzi, ndipo amatha kutenga kapena wopanda chakudya.
Mayi amatha kusintha kwa omwe ali ndi mavuto a impso.
Zotsatira Zotsatira
Chinthu chosavuta komanso chotheka kwambiri chotchedwa lactic acidosis chingapangidwe ndi odwala omwe amatha lamivudine. Odwala omwe amatha kutenga lamivudine omwe amawona zizindikiro zotsatirazi ayenera kupeza chithandizo chamankhwala chodzidzimutsa: kupweteka kwa minofu kapena kufooka, kupweteka kwa thupi kapena kuzizira m'manja ndi miyendo, vuto la kupuma, kupweteka kwa m'mimba, kunyoza ndi kusanza, kuthamanga kwa mtima kapena kusagwirizana, chizungulire, kapena kumverera kwambiri wofooka kapena wotopa.
Ngati muli ndi chiwindi cha mtundu wa B mungathe kukhala ndi zizindikiro za chiwindi mukasiya kumwa mankhwalawa, ngakhale miyezi mutatha. Dokotala wanu angafune kuyang'anira chiwindi chanu kwa miyezi ingapo mutasiya kugwiritsa ntchito lamivudine. Pitani kuchipatala nthawi zonse.
Kuwonjezera apo, ndikofunika kuti musasinthe pakati pa mapulani osiyanasiyana a lamivudine, ndipo chisamaliro chiyenera kutengedwa nthawi iliyonse kukonzanso kumaperekedwa kuti kukonzekera komweku kuperekedwa. Mapiritsi a Epivir ndi madzi ali ndi mlingo wapamwamba wa mankhwala kuposa Epivir-HBV.
Pomalizira pake, ogwiritsa ntchito mankhwalawa amatha kumwa mankhwala osokoneza bongo, kutanthauza kuti mankhwalawa amatha kukhala osapindulitsa.
Yemwe sayenera kutenga Lamivudine
Aliyense yemwe ali ndi matendawa kwa lamivudine sayenera kumwa mankhwalawa. Komanso, ndizofunika kudziwa momwe mulili kachilombo ka HIV chifukwa kutenga lamivudine kungakhale kovuta kwambiri kuchiza HIV. Ngati muli ndi kachilombo ka HIV ndi HBV, musayambe kuchiza matendawa popanda kufunsa dokotala yemwe amachiza matenda onsewa.
> Zotsatira:
US Food and Drug Administration. Tizilombo toyambitsa matenda a Hepatitis.
Kupititsa patsogolo, Basow, DS (Ed), UpToDate, Waltham, MA, 2010.