I-Ribavirin Ingumuthi Wokuvimbela Umuthi Othathwe Ngama-Interferon
I-Ribavirin (eyaziwa nangokuthi i-Copegus noma i-Rebetol) iyisidakamizwa sokulwa negciwane lesandulela ngculazi esithinta i- hepatitis C futhi ihlale ishiwo nge-interferon (ngokuvamile i-peginterferon). Imiphumela emibi evela ekuhlanganisweni kwe- ribavirin ne-interferon (noma i- peginterferon ) ivamile futhi abanye abantu bangabathinta kakhulu kangangokuthi baphazamisa ukwelashwa. Njengoba i-ribavirin ingasetshenziswanga yedwa njengokwelapha kwesifo sofuba, imithelela emibi empeleni ivela kuhlanganiswa kwe-ribavirin ne-interferon.
Nasi uhlu lwemiphumela emibi kakhulu:
- I-anemia , i-blood disorder lapho kungekho amangqamuzana egazi abomvu okwanele ukuthwala oksijini. Umphumela uba ukuthi ukhathele. Ngemuva kwamasonto amabili okwelapha i-ribavirin, abantu abangaba ngu-10% bakhula uhlobo olubi lwe-anemia.
- Izinwele
- Ukuthukuthela nokukhathazeka
- Ukucindezeleka. Ngezinye izikhathi abantu abasebenzisa i-ribavirin bakhula ukucindezeleka okukhulu futhi bangaba nemicabango yokuzibulala. Lemiphumela emibi, kanye nokucasula okujwayelekile, aziwa ngokungaziwa njengeRiba Rage, yize zibangelwa ngempela yi-interferon. Kubantu abaningi, lemiphumela emibi ingalawulwa ngama-anti-depressants noma eminye imithi. Kubalulekile ukuhlola izimpawu zokushintsha kokuziphatha ngesikhathi sokwelashwa ngakho udokotela wakho angasiza ekulawuleni noma yikuphi ukucindezeleka okuthuthukayo ngokushesha. Kubantu abanenkinga eyaziwa ngengqondo, kungenzeka ukuthi udokotela wakho uzofuna ukuqala ukwelapha okuvimbela ngaphambi kokuba uqale ukwelashwa. Abanye abantu abanokucindezeleka okukhulu noma umlando wokuzibulala bangase bakwazi ukuqala ukwelashwa kwesifo sofuba.
- I-Alopecia (ukulahlekelwa izinwele)
- Ukuchithwa
- Ukungalali (ukukhathazeka ukulala)
- I-Arthralgia ( ubuhlungu obuhlangene )
- I-Myalgia (ubuhlungu besisu)
- I-Anorexia ( ukulahlekelwa kwesidlo )
- I-Neutropenia . I-neutropenia yinkinga yegazi ebangelwa ukulahlekelwa kwe-neutrophils, uhlobo lwegazi elimhlophe elibhubhisa amabhaktheriya. I-Neutropenia cishe yiphumela lokunciphisa umsebenzi we-bone lomnkantsha, okuyinto yokwelashwa okuhlanganiswayo, futhi kungase kusho ukuthi umzimba wakho uzoba nenkinga yokulwa nokutheleleka kwama-bacterium.
- I-nausea nokuhlanza
- Fever
- Ama-Chills
- Ukukhathala (ukhathala)
Abanye abantu bangase bahlangabezane nemiphumela emibi eminingi.
Yini ngempela i-Ribavirin?
I-Ribavirin ingokwaseklasini yemithi elwa namagciwane ebizwa ngokuthi i-nucleoside analogues. Uma kuthathwe i-interferon, njenge-peginterferon alfa-2a (Pegasys) noma i-peginterferon i-alpha-2b (i-PEG-Intron), i-Ribavirin isiza ukumisa ukusabalala kwesifo sofuzo esibhedlela. Akucaci ukuthi ngabe i-Ribavirin ihlangene neminye imithi empeleni iyakwelapha, ivimbela ukusabalala kwesifo sofuba esithile kwabanye abantu noma ivimbela ukulimala kwesibindi.
I-Ribavirin ithathwa ngomlomo njenge-capsule, ithebulethi noma isisombululo somlomo. I-Ribavirin ivame ukuthathwa ngokudla kabili ngosuku. Ama-capsules e-Ribavirin adinga ukugwinya angacacile futhi ahlukaniswe. Uma uthatha i-Ribavirin emanzini, kubalulekile ukugubha isisombululo kahle futhi usebenzise i-spoon yokulinganisa.
Ingabe i-Ribavirin Ingayiphatha Izifo Okunye Kune-Hepatitis?
Ngokuthakazelisayo, i-Ribavirin ingasetshenziselwa ukwelapha umkhuhlane we-viral hemorrhagic obangelwa izifo ezifana ne-Ebola. I-Ebola yisifo esibulalayo esasakazwa ngokuxhumana ngokuqondile nomzimba wamanzi noma igazi. I-Ebola yisifo esabe siphezulu emhlabeni jikelele lapho kunesiqhumane esikhulu kunazo zonke e-Ebola esivela eNtshonalanga Afrika ngo-2014. Ngenhlanhla, amathuba okuthi ukuqubuka kwe-Ebola kuzokwenzeka e-United States iphansi.
I-Ribavirin ingasetshenziselwa ukuphatha isifo esinzima sokuphefumula (SARS).
Imithombo
I-Copegus Echaza Ulwazi Nezokwelapha
I-Katzung, i-BG. Isisekelo sokuPhepha nokuPhepha kwemithi, 10e. ENew York, McGraw-Hill, 2007.
Ulwazi lomkhiqizo weRebetol.