I-Lamivudine yisidakamizwa esilashwa yi-anti-virus esetshenziselwa ukwelapha isifo sofuba esingapheli. Kuthengiswa ngaphansi kwegama lohlobo lwe-Epivir-HBV kanye negama lohlobo lwe-Epivir lokuphatha ukutheleleka nge-HIV , ngokuvamile ngokuhambisana nezinye izidakamizwa zokulwa negciwane .
Eqinisweni, iLamivudine yaqala ukwakha ukwelapha izidakamizwa zegciwane lesandulela ngculaza futhi yatholwa ukuthi iyinuthi elwa namagciwane ephumelelayo yokwelashwa kwesifo sofuba
Inhloso yokwelapha isifo sofuba esingapheli esibizwa ngokuthi i-hepatitis B ukuthi iqukethe ukuphindaphinda kwegciwane futhi ngaleyo ndlela igweme ukulimala kwesibindi. Kukhona okwamanje akuyona inguqulo yesizukulwane yalesi sidakamizwa e-United States. Odokotela abaningi e-United States abavame ukusebenzisa i-lamivudine njengokwelashwa kokukhetha kuqala iziguli ezine-hepatitis B (i-HPV), njengoba kunezinye izidakamizwa eziphumelela kakhulu . Noma kunjalo, kungase kube ukukhetha okuhle kubantu abakhethiwe.
Enye yezinzuzo ze-lamivudine uma kuqhathaniswa nezinye izinketho zokwelapha ukuthi kungabizi kakhulu: Unyaka owodwa wokwelapha ne-lamivudine we-hepatitis B ungadola u-$ 4200. Kodwa-ke, izindleko zezidakamizwa ziyahlukahluka ngokusekelwe ezintweni eziningi, njengokuthi unayo umshuwalense wezempilo, lapho uhlala khona nokuthi iyiphi ikhemisi oyisebenzisayo.
Indlela i-Lamivudine ithathwa ngayo
I-Lamivudine itholakala efomeni elilodwa futhi njengephilisi. Isidakamizwa sithathwa nsuku zonke ngonyaka owodwa, futhi singathathwa noma ngaphandle kokudla.
Izinga elijwayelekile lingalungiswa kulabo abanenkinga yezinso.
Okuqhamuka uma udla imishanguzo
Isimo esingavamile futhi esingaba yisifo esibulalayo okuthiwa i-lactic acidosis singakhula ngeziguli ezithatha lamivudine. Iziguli ezithatha i-lamivudine ezithola lezi zibonakaliso ezilandelayo kufanele zithole usizo oluphuthumayo lwezokwelapha: ubuhlungu besisu noma ubuthakathaka, ukuzwa umfutho noma umkhuhlane emagcekeni nasemilenzeni, inkathazo yokuphefumula, ubuhlungu besisu, isisindo senhliziyo ngokuhlanza, isilinganiso senhliziyo esisheshayo noma esingalingani, isizungu, noma ukuzwa kakhulu buthaka noma ukhathele.
Uma une-hepatitis B ungase uhlakulele izimpawu zesibindi ngemuva kokuyeka ukuthatha le mithi, ngisho nezinyanga ngemuva kokuyeka. Udokotela wakho angase afune ukuhlola umsebenzi wesibindi zakho izinyanga ezimbalwa ngemuva kokuyeka ukusebenzisa i-lamivudine. Vakashela udokotela wakho njalo.
Ngaphezu kwalokho, kubalulekile ukuthi ungashintshi phakathi kwamalungiselelo ahlukahlukene we-lamivudine, futhi kufanele kunakekelwe njalo isikhathi sokuvuselelwa okuhlinzekwa ukuthi kulungiselelwa okufanayo. Amaphilisi e-Epivir kanye ne-liquid aqukethe isilinganiso esiphezulu somuthi kune-Epivir-HBV.
Okokugcina, labo abasebenzisa izidakamizwa bangase babe nokulwa nezidakamizwa, okusho ukuthi izidakamizwa zingase zisebenzise kangcono ngokuhamba kwesikhathi.
Ngubani Okungafanele Athathe Lamivudine?
Noma ubani ophikisayo ku-lamivudine akufanele athathe lesi sidakamizwa. Futhi, kubalulekile ukwazi isimo sakho se-HIV ngoba ukuthatha i-lamivudine kungaba nzima kakhulu ukuphatha i-HIV. Uma une-HIV ne-HBV, ungaqali ukwelashwa kokutheleleka ngaphandle kokubonisana nodokotela onolwazi lokuphatha zonke izifo.
> Imithombo:
Ukuphathwa kwe-US nokuDrug. Izifo zokwelashwa ezibizwa nge-Viral Hepatitis.
UpToDate, Basow, DS (Ed), UpToDate, Waltham, MA, 2010.