Tus Sau: William Ramirez
Hnub Kev Tsim: 22 Lub Cuaj Hli Ntuj 2021
Hloov Hnub: 21 Lub Rau Hlis Ntuj 2024
Anonim
USMLE: Medical Video Lectures Pharmacology about Ganciclovir by UsmleTeam
Daim Duab: USMLE: Medical Video Lectures Pharmacology about Ganciclovir by UsmleTeam

Zoo Siab

Ganciclovir tuaj yeem txo qis ntawm txhua hom cell hauv koj cov ntshav, ua rau muaj teeb meem loj thiab txo lub neej. Qhia rau koj tus kws kho mob yog tias koj tau ua lossis tsis tau ua haujlwm ntshav tsawg dua (cov ntshav liab tsis xa cov pa oxygen txaus rau txhua qhov ntawm lub cev); neutropenia (tsawg dua li ib txwm muaj cov qe ntshav dawb); thrombocytopenia (tsawg dua li ib txwm ntawm cov qe hlau); lossis lwm yam teebmeem ntshav lossis los ntshav. Qhia rau koj tus kws kho mob yog tias koj tau txhim kho cov teeb meem ntshav tshwm sim los ntawm qhov tshwm sim ntawm kev siv tshuaj. Qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj noj lossis siv ib qho tshuaj ntawm cov tshuaj hauv qab no: anticoagulants ('ntshav roj') xws li warfarin (Coumadin); dapsone; flucytosine (Ancobon); heparin; cov tshuaj tiv thaiv kab mob xws li azathioprine (Azasan, Imuran), cyclosporine (Neoral, Sandimmune), methotrexate (Rheumatrex), sirolimus (Rapamune), thiab tacrolimus (Prograf); interferons (Infergen, Intron A, PEGASYS, PEG-Intron, Roferon-A); cov tshuaj los kho tib neeg cov tshuaj tiv thaiv kab mob (HIV) thiab tau txhaj tshuaj tiv thaiv kab mob (AIDS) suav nrog didanosine (Videx), zalcitabine (HIVID), lossis zidovudine (Retrovir, AZT); nonsteroidal anti-inflammatory tshuaj los kho qhov mob thiab o xws li tshuaj aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), thiab lwm tus; pentamidine (NebuPent, Pentam); pyrimethamine (Daraprim, hauv Fansidar); cov tshuaj steroids xws li dexamethasone (Decadron), prednisone (Deltasone), lossis lwm tus; trimethoprim / sulfamethoxazole (co-trimoxazole, Bactrim, Septra); lossis yog tias koj tau txais lossis tau txais kev xoo hluav taws xob (xoo hluav taws xob) kev kho mob.Yog hais tias koj muaj cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd: nkees dhau heev; daj ntseg tawv nqaij; mob taub hau; kiv taub hau; tsis meej pem; lub plawv dhia ceev; teeb meem tsis tsaug zog los yog pw tsaug zog; tsis muaj zog; txog siav; los ntshav los sis doog ntshav; lossis mob caj pas, ua npaws, ua daus no, hnoos, lossis lwm yam cim ntawm tus kabmob.


Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws kho mob yuav xaj qee yam kev kuaj xyuas txhawm rau xyuas koj lub cev cov lus teb rau ganciclovir.

Kuaj tsiaj txhu uas tau muab ganciclovir tsim muaj mob ua tsis tau zoo. Kuj tsis paub meej tias ganciclovir ua rau muaj kev yug menyuam tsis zoo hauv tib neeg. Yog tias koj tuaj yeem cev xeeb tub, koj yuav tsum siv tshuaj tswj kom muaj txiaj ntsig zoo thaum noj ganciclovir. Yog tias koj yog tus txiv neej thiab koj tus khub tuaj yeem cev xeeb tub, koj yuav tsum siv hnab looj thaum siv cov tshuaj no, thiab 90 hnub tom qab koj kho tas. Tham nrog koj tus kws kho mob yog tias koj muaj lus nug txog kev tswj tsis pub muaj menyuam. Tsis txhob siv ganciclovir yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Yog tias koj cev xeeb tub thaum noj ganciclovir, hu rau koj tus kws kho mob tam sim ntawd.

Kuaj tsiaj txhu uas tau muab ganciclovir tsim cov phev qis dua (tsawg dua pojniam deev) thiab cov teeb meem kev muaj me nyuam. Nws tsis paub yog tias ganciclovir ua rau cov phev suav tsawg dua hauv tus txiv neej lossis teeb meem nrog kev muaj me nyuam hauv poj niam.

Kuaj tsiaj txhu uas tau muab ganciclovir tsim muaj mob qog noj ntshav. Kuj tsis paub meej tias ganciclovir tsig muaj feem yuav ua mob qog nqaij hlav cancer rau tib neeg.


Cov chaw tsim tshuaj lag luam ceeb toom tias ganciclovir yuav tsum tsuas yog siv rau kev kho mob ntawm cov neeg mob uas muaj qee yam kab mob vim tias cov tshuaj yuav ua rau muaj kev phiv loj heev thiab tam sim no tsis muaj cov ntaub ntawv txaus los txhawb kev nyab xeeb thiab ua tau zoo hauv lwm pab pawg ntawm cov neeg mob. (Saib nqe lus, VIM LI CAS Qhov tshuaj no tau sau tseg?)

Tham nrog koj tus kws kho mob txog cov kev pheej hmoo ntawm kev noj ganciclovir.

Ganciclovir tsiav tshuaj yog siv los kho cytomegalovirus (CMV) retinitis (mob rau qhov muag uas tuaj yeem ua rau dig muag) hauv cov neeg uas lub cev tsis ua haujlwm zoo. Ganciclovir tsiav tshuaj tau siv los kho CMV retinitis tom qab tus mob tau tswj hwm los ntawm cov leeg ntshav (txhaj rau hauv cov leeg) ganciclovir. Ganciclovir kuj tseem siv los tiv thaiv cytomegalovirus (CMV) rau cov neeg uas tau txhaj tshuaj tiv thaiv kab mob (AIDS) lossis tus neeg tau txais kev hloov khoom nruab nrog cev thiab muaj feem yuav raug tus kab mob CMV. Ganciclovir yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua antivirals. Nws ua haujlwm los ntawm kev tiv thaiv kev kis tus kabmob CMV lossis qeeb ib qho kev loj hlob ntawm CMV.


Ganciclovir los ua tshuaj ntsiav los noj ntawm qhov ncauj. Nws feem ntau noj nrog zaub mov peb mus rau rau 6 zaug hauv ib hnub.Yuav pab koj nco qab noj ganciclovir, noj nws ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj ganciclovir raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Nqos cov tsiav tshuaj tag nrho; tsis txhob qhib, cais, zom, lossis tsoo lawv.

Ua tib zoo saib xyuas thaum tuav ganciclovir tsiav tshuaj. Tsis txhob cia koj cov tawv nqaij, ob lub qhov muag, qhov ncauj, lossis qhov ntswg sib chwv nrog lub kaus mom uas tawg lossis tawg ganciclovir. Yog tias muaj kev sib cuag zoo li no, muab xab npum thiab dej los ntxuav koj daim tawv nqaij kom zoo.

Koj feem ntau yuav tau txais cov leeg ntshav (rau hauv txoj hlab ntshav) ganciclovir rau ob peb lub lis piam ua ntej koj pib noj ganciclovir tsiav tshuaj. Yog tias koj tus mob tsis zoo ntxiv thaum lub sijhawm kho koj tus mob, koj tuaj yeem raug muab tshuaj zaum ob rau qhov tso quav ganciclovir. Koj tus kws kho mob tuaj yeem txo koj cov koob tshuaj ganciclovir tsiav tshuaj yog tias koj muaj kev mob tshwm sim.

Ganciclovir tswj CMV tab sis nws tsis kho nws.Nws tej zaum yuav siv sijhawm qee lub sijhawm ua ntej koj hnov ​​tag nrho cov txiaj ntsig ganciclovir. Txuas ntxiv noj cov ganciclovir txawm hais tias koj xis nyob. Tsis txhob tsum tseg noj ganciclovir yam tsis tham nrog koj tus kws kho mob. Kev txiav kom noj ganciclovir sai dhau lawm yuav ua rau kom CMV hauv koj cov ntshav nce siab lossis tus kab mob yuav tawm tsam qhov tshuaj no.

Cov tuam txhab tsim tawm hais tias cov tshuaj no yuav tsum tsis txhob raug siv rau lwm yam kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj ganciclovir,

  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj ua xua nrog ganciclovir, acyclovir (Zovirax), valganciclovir (Valcyte), lossis lwm yam tshuaj noj.
  • tsis txhob noj ganciclovir yog tias koj noj valganciclovir (Valcyte).
  • qhia rau koj tus kws kho mob thiab tus kws muag tshuaj tias lwm yam tshuaj thiab cov tshuaj uas tsis yog kws kho mob, cov vitamins, khoom noj khoom haus zoo, thiab tshuaj ntsuab koj noj yog dab tsi. Nco ntsoov hais txog cov tshuaj teev tseg rau hauv seem tseem ceeb ceeb toom thiab ib qho ntawm cov hauv qab no: aminoglycoside cov tshuaj tua kab mob xws li amikacin (Amikin), gentamicin (Garamycin), neomycin (New-Rx, New-Fradin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi), thiab lwm yam; amphotericin B (Fungizone); captopril (Capoten, hauv Capozide); diuretics ('dej tshuaj'); foscarnet (Foscavir); cov khoom sib txuas kub xws li auranofin (Ridaura) lossis aurothioglucose (Solganal); imipenem-cilastatin (Primaxin); tiv thaiv kab mob globulin (gamma globulin, BayGam, Carimmune, Gammagard, lwm tus); methicillin (Staphcillin); muromonab-CD3 (OKT3); mycophenolate mofetil (CellCept); nitrates xws li isosorbide dinitrate (Isordil, Sorbitrate) lossis nitroglycerin cov khoom lag luam; penicillamine (Cuprimine, Depen); primaquine; probenecid; phom phom (Rifadin, Rimactane); lossis lwm cov nucleoside analogues xws li acyclovir (Zovirax), famciclovir (Famvir), thiab ribavirin (Copegus, Rebetol, Virazole, hauv Rebetron). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv.
  • qhia rau koj tus kws kho mob yog tias koj tau lossis tau muaj ib yam mob uas tau hais hauv ntu CEEB TOOM TSEEM CEEB los yog ib qho ntawm cov xwm txheej hauv qab no: mob hlwb; qaug dab peg; cov teeb meem qhov muag tsis yog CMV retinitis; raum, lossis mob rau daim siab.
  • qhia rau koj tus kws kho mob yog tias koj pub mis. Koj yuav tsum tsis txhob pub niam mis thaum noj ganciclovir. Tham nrog koj tus kws kho mob txog thaum koj tuaj yeem pib pub mis niam tom qab koj tsum tsis noj ganciclovir.
  • yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws khomob lossis kws kho hniav uas koj noj ganciclovir.
  • koj yuav tsum paub tias ganciclovir tuaj yeem ua rau koj tsaug zog, kiv taub hau, tsis ruaj khov, tsis meej pem lossis tsis paub meej, lossis yuav ua rau qaug dab peg. Tsis txhob tsav tsheb los sis siv lub tshuab ua haujlwm kom txog thaum koj paub tias cov tshuaj no cuam tshuam rau koj li cas.

Nco ntsoov haus dej kom ntau thaum koj tab tom noj ganciclovir.

Noj cov koob tshuaj uas ploj lawm sai li sai tau thaum koj nco qab nws. Txawm li cas los xij, yog tias nws yuav luag txog rau koob tshuaj txuas ntxiv, hla cov koob tshuaj uas tsis nco qab noj thiab txuas ntxiv koj lub sijhawm noj tshuaj kom tsis tu ncua. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Ganciclovir yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

  • xeev siab
  • ntuav
  • zawv plab
  • cem quav
  • mob plab
  • hlwv
  • tsis qab los noj mov
  • hloov pauv qhov muaj peev xwm mus saj cov zaub mov
  • qhov ncauj qhuav
  • qhov ncauj tawm
  • npau suav txawv txawv
  • kev tshee
  • kev nyuaj siab
  • hws
  • yaug
  • mob pob qij txha los yog mob leeg nqaij lossis mob plab

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Cov tsos mob hauv qab no yog qhov tsis tshua pom tshwm sim, tab sis yog tias koj ntsib ib qho twg ntawm lawv, lossis cov uas teev rau hauv seem ceeb toom ceeb toom, hu rau koj tus kws kho mob tam sim ntawd:

  • pom specks, flashes ntawm lub teeb, lossis ntaub tsaus dua txhua yam
  • tsis tso zis tsawg
  • khaus
  • ua pob
  • khaus
  • o ntawm tes, caj npab, ko taw, pob taws, lossis ceg qis
  • loog, mob, kub hnyiab, lossis kov nyob hauv txhais tes lossis taw
  • sib tuav tes uas koj tswj tsis tau
  • ua pa nyuaj lossis nqos
  • mob hauv siab
  • mus ob peb vas hloov
  • qaug dab peg

Ganciclovir yuav ua rau muaj kev phiv ntxiv. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

  • xeev siab
  • ntuav
  • zawv plab
  • tsis qab los noj mov
  • ntshav txawv lossis doog ntshav
  • nkees dhau heev lawm
  • tsis muaj zog
  • daj ntseg tawv nqaij
  • mob taub hau
  • kiv taub hau
  • tsis meej pem
  • lub plawv dhia ceev
  • teeb meem pw tsaug zog
  • txog siav
  • mob caj pas, ua npaws, ua daus no, hnoos, lossis lwm yam cim ntawm tus kab mob
  • tsis tso zis tsawg
  • o ntawm tes, caj npab, ko taw, pob taws, lossis ceg qis
  • qaug dab peg
  • daj ntawm daim tawv nqaij lossis qhov muag
  • cov tsos mob khaub thuas zoo li
  • mob hauv sab saud hauv plab

Koj tus kws kho mob yuav xaj kom kuaj qhov muag tsis tu ncua thaum koj noj cov tshuaj no. Khaws txhua lub sijhawm teem mus ntsib tus kws kho qhov muag (kuaj qhov muag).

Ua ntej muaj kev sim ntsuas, qhia rau koj tus kws kho mob thiab cov neeg ua haujlwm hauv chav kuaj pom tias koj noj ganciclovir.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj. Tsis txhob cia koj cov khoom ganciclovir khiav tawm.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

  • Cytovene® Qhov ncauj
  • Nordexoyguanosine
  • DHPG Sodium
  • GCV Sodium

Cov khoom muaj npe khoom no tsis nyob rau ntawm kev ua lag luam. Muaj lwm cov kev xaiv uas siv tau.

Kawg Kho - 05/15/2016

Ntawv Tshaj Tawm

Ntshav siab hauv lub qhov muag: cov tsos mob, ua rau thiab ua dab tsi

Ntshav siab hauv lub qhov muag: cov tsos mob, ua rau thiab ua dab tsi

T i yooj yim pom, mob hnyav hauv lub qhov muag lo i xeev iab thiab ntuav yog qee cov t o mob ua muaj nt hav iab rau lub qhov muag tuaj yeem ua, qhov muag mob ua ua rau t i pom kev zuj zu . Qhov no t h...
Dab tsi yog psychobiotics, lawv cov txiaj ntsig thiab lawv ua haujlwm li cas

Dab tsi yog psychobiotics, lawv cov txiaj ntsig thiab lawv ua haujlwm li cas

Hauv tib neeg lub cev muaj ob hom kab mob loj, cov ua pab t wj kev noj qab hau huv, ua yog hu ua probiotic , thiab cov ua muaj lub luag haujlwm ua rau ki mob thiab kab mob.Xw li P ychobiotic yog ib ho...