I-Tenofovir, ebizwa nangokuthi i-tenofovir disoproxil fumarate, iyisidakamizwa se-anti-virus eselapha isifo sofuba esingapheliyo (HBV) esikudala kubantu nabantwana abaneminyaka engu-12 nangaphezulu. Ibuye isetshenziswe, ngokuhambisana nezinye izidakamizwa, ukuphatha igciwane lesandulela ngculaza noma i- HIV . Kuthengiswa ngaphansi kwegama elithi Viread yi-Gilead Sciences, Inc.
Indlela Esebenza ngayo
I-HBV igciwane elingenalo i-noncytopathic, okusho ukuthi igciwane ngokwabo alilimazi ngokuqondile isibindi.
Kunalokho, lapho umzimba unesifo se-HBV, isimiso somzimba sokuvikela omzimba sikhipha ukuhlaselwa kwegciwane futhi kubangele ukulimala kokubambisana ngendlela yokuvuvukala nokulimala esibindi. I-Tenofovir iyingxenye yekilasi lemithi eyaziwa ngokuthi i-nucleoside reverse transcriptase inhibitors ( NRTIs ). Lokhu kusebenza ngokunciphisa inani legciwane le-hepatitis B egazini, okuyinto egcina igciwane le-immune livulekile. Ngeke kuphulukise isibindi se-hepatitis B, singavimbele ukucindezeleka kwesifo njengesi-cirrhosis yesibindi noma umdlavuza wesibindi, futhi ngeke kuvimbele ukusabalalisa igciwane kwabanye.
Amanye Amagama we-Tenofovir
Awekho izidakamizwa zama generic ezitholakalayo.
Ukuphumelela
I-Tenofovir ingaphatha kahle i-hepatitis B kakhulu kwabanye abantu. Kwezinye izimo, i-tenofovir iyasebenza kakhulu kune-adefovir ne-lamivudine. Ucwaningo lwakamuva lubonisa ukuthi i-tenofovir iyinqubo yokwelashwa ehlala isikhathi eside ephephile futhi ephumelelayo ye-HBV, ikakhulukazi kubantu abaye bahlakulela ukumelana ne-lamivudine.
Ngaphezu kwalokho, lolu cwaningo lubonisa ukuthi luholela emiphumeleni emiphakathini ehlobene nezinso futhi azikho ukulahleka kwamathambo okwelashwa.
Indlela Yokuyithatha
I-Viread iyi-tablet ye-300 mg. Ukuze isifo sofuba esingapheli esibhedlela esingapheli , i-dosing esejwayelekile kubantu abadala i-300 mg kanye ngosuku futhi ingathathwa noma ngaphandle kokudla. Lesi sifo singashintsha kubantu abanezinkinga zezinso.
Izindleko
Unyaka owodwa wezokwelapha nge-tenofovir ungadla imali engaphezu kwezingu-8,000 zamaRandi. Kodwa-ke, izindleko zezidakamizwa ziyahlukahluka ngokusekelwe ezintweni eziningi, njengokuthi unayo umshuwalense wezempilo , lapho uhlala khona nokuthi iyiphi ikhemisi oyisebenzisayo.
Okuqhamuka uma udla imishanguzo
Imiphumela emibi eyenzekayo ye-tenofovir ihlanganisa:
- Uhudo
- Izinwele
- Ukucindezeleka
- Rash
- Itching
- Fever
- Kunzima ukulala noma ukulala
- Igesi
- Ukulahlekelwa kwesisindo
Ngaphezu kwalokho, izinkinga ezinkulu zesibindi, kanye nesimo esaziwa ngokuthi i-lactic acidosis, singathuthuka kalula ngeziguli ezithatha i-tenofovir. Uma uthola izimpawu ezilandelayo ngenkathi uthatha i-tenofovir, kufanele ubize udokotela wakho noma ufune usizo lwezokwelapha oluphuthumayo:
- I-nasusea eqhubekayo kanye / noma ukuhlanza
- Ubuhlungu besisu / isisu
- Amapulangwe asePale
- Umchamo omnyama
- I-jaundice (ukuphuka kwamehlo kanye / noma isikhumba)
- Ukukhathala okukhulu
- Ukuphefumula okusheshayo noma okunzima
- Ukulala
- Ubuhlungu besisu kanye / noma ubuthakathaka
- Isikhumba sobandayo
Ubani Ongayithathi I-Tenofovir
Noma ubani ophikisana ne-tenofovir akufanele athathe lesi sidakamizwa. Futhi kubalulekile ukwazi isimo sakho se-HIV ngoba ukuthatha i-tenofovir kungaba nzima kakhulu ukuphatha i-HIV. Uma une-HIV ne-HBV, ungaqali ukwelashwa kokutheleleka ngaphandle kokubonisana nodokotela onolwazi lokuphatha zonke izifo. I-Tenofovir ihlukaniswa njengesidakamizwa sesigaba B ukuze isetshenziswe ekukhulelweni, okusho ukuthi abukho ubufakazi obukhombisa ukuthi kuyingozi kumama okhulelwe noma ingane yakhe.
> Umthombo:
Ukuphathwa kwe-US nokuDrug. Izifo zokwelashwa ezibizwa nge-Viral Hepatitis.
UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2010.