Wamphamvu Antiviral Agent
Ribavirin ndi mankhwala amphamvu oletsa tizilombo toyambitsa matenda omwe amagwiritsidwa ntchito pochiza matenda a chiwindi a chiwindi . Sizimvetsetsa kuti ribavirin koma, koma nthawi zambiri, imalepheretsa kuti kachilombo ka HIV kamene kamatha kufotokoza. Ribavirin imavomerezedwa ndi Food and Drug Administration (FDA) pofuna kuchiza matenda a hepatitis C ndipo ali pa List of World Health Organisation List of Medicine Essential.
Ribavirin imagulitsidwa pansi pa mayina osiyanasiyana, kuphatikizapo Copegus, Rebetol, Ribasphere, ndi RibaPak.
Kugwiritsa Ntchito Mankhwala
Asanayambe kumwa mankhwala opatsirana mwachindunji (DAAs) mu 2013-kuphatikizapo mankhwala Sovaldi , Harvoni , Daklinza ndi Viekira Pak , pakati pa ena-njira yowunikira kwambiri yochizira matenda a hepatitis C anali ndi kuphatikiza kwa ribavirin ndi peginterferon . Mankhwala awiriwa amadziwika kuti ali ndi zotsatira zoyenera za mankhwala, zina zomwe zingakhale zozama. Komabe, mankhwala ophatikizidwawo adatha kupeza njira yowonjezereka yowonjezereka (mankhwala ochiritsira mankhwala) pafupifupi 50%.
Masiku ano, ndi a DAAs atsopano, kugwiritsidwa ntchito kwa ribavirin kwacheperapo ngakhale kuti kudakalipo mu njira zina zochiritsira, makamaka ndi zovuta zapachibadwa ( genotypes ) za kachilombo komanso odwala omwe ali ndi mankhwala olephera komanso / kapena matenda aakulu.
Ulamuliro wa Mankhwala
Ribavirin imatengedwa pamlomo, kawirikawiri m'madzimadzi awiri amachotsedwa maola 12. Mlingo wa mlingo ukuchokera 800 mg mpaka 1,400 mg pa tsiku. Dokotala wanu adziŵe kuchuluka kwa ribavirin kuti azilemba malinga ndi kachilombo ka HIV yanu, kulemetsa kwanu, ndi mankhwala ena omwe adzagwiritsidwe ntchito pothandizira.
Zotsatira Zochiza Chithandizo
Zotsatira za ribavirin zidzasiyana pakati pa munthu ndi munthu, ndipo anthu ena omwe akuyang'anira zidzakhala zovuta kwambiri pamene ena akuwona zizindikiro akuganiza kuti sungatheke. Zotsatira zofala zomwe zimagwirizanitsidwa ndi ntchito ya peginterferon ndi:
- Matenda a magazi (10%)
- Mutu
- Kukhumudwa ndi nkhawa
- Kusokonezeka maganizo
- Kutaya tsitsi (alopecia)
- Kutentha
- Kusagona
- Zowawa zofanana (arthralgia)
- Kupweteka kwa minofu ( myalgia )
- Anorexia
- Neutropenia
- Nsowa ndi kusanza
- Fever
- Chills
- Kutopa
Odwala pa chithandizo nthawi zambiri amalankhula za Riba Rage, omwe amadziwika ndi kukhumudwa kawirikawiri ndi kukhumudwa mwadzidzidzi. Ngakhale kuti mawuwa akusonyeza chifukwa chake ndi ribavirin, nthawi zambiri zimagwirizanitsidwa ndi peginterferon. Nthaŵi zina amatha kupanikizika kuti athetse vutoli, makamaka kwa odwala omwe ali ndi matenda omwe alipo kale.
Ndalama Zothandizira ndi Kufikira
Chithandizo chokwanira cha ribavirin chingakhale mtengo koma, mwatsoka, ndi a DAAs atsopano, nthawi ya mankhwala ndi yayifupi kwambiri kuposa kale. M'mbuyomu, ikhoza kuwononga ndalama zokwana madola 12,000 pa nthawi yonse. Masiku ano, ndikuyembekeza kuti mtengowu ukhale madola 2,500 pa maphunziro a masabata 12 ndi $ 5,000 pa maphunziro a masabata 16.
Medicaid, Medicare, ndi inshuwalansi yaumwini nthawi zambiri idzapindulitsa mtengo wa interferon pamene chithandizo cha hepatitis C chivomerezedwa.
Pothandizira mankhwala omwe angagwiritsidwe ntchito ndi odwala omwe ali oyenerera, angathandizidwe ndi odwala omwe ali oyenerera, komanso pulogalamu yothandizira odwala (PAP) kwa odwala omwe sali ovomerezeka kapena ochepa.
Malingaliro ochizira
Ribavirin amaonedwa kuti ndi yotetezeka kwa anthu ambiri, koma pali anthu ena omwe chithandizo chawo chimatsutsana. Ribavirin iyenera kupeŵa pazifukwa zotsatirazi:
- Ngati muli ndi pakati. Kafukufuku wa chipatala wasonyeza kuti ribavirin imayambitsa zolepheretsa kubereka . Azimayi ayenera kutumizidwa ndi ribavirin ngati chithandizo choyambitsa chithandizo cha chithandizo chisanachitike ndi cholakwika. Kuonjezerapo, mitundu iwiri ya kulera imalangizidwa kwa mayi ndi mkazi wake panthawi ya chithandizo komanso kwa miyezi isanu ndi umodzi mutatha kutsirizidwa.
- Ngati mukuyamwitsa.
- Ngati muli ndi matenda a impso, matenda a mtima amodzi kapena matenda aakulu a chiwindi.
- Ngati muli ndi matenda a chiwindi.
Nthawi zonse onetsetsani kuti dokotala wanu ali ndi mbiri yakale ya zamankhwala, kuphatikizapo zambiri zokhudza matenda ena omwe mungakhale nawo (mwachitsanzo, kachilombo ka HIV , matenda a shuga) kapena ndondomeko iliyonse yomwe mungafunike kutenga.
Zotsatira:
Genentech. "Copegus: Mfundo zazikulu zofotokozera." Idapezeka pa December 31, 2015.
Merck "Rebetol: Mfundo zazikulu za Kufotokozera Zomwe Mukudziwa." Idapezeka pa December 31, 2015.