Abun ciki (ratelgravir) wani abu ne mai amfani da magunguna wanda ke amfani da shi wajen maganin cutar HIV . Isressress ita ce ta farko mai hadewa da za a ba shi izini ta Cibiyar Abinci da Druggun Amurka (FDA).
A watan Oktoban 2007, an ba da izini don amfani da tsofaffi waɗanda ke da tsayayya da wasu maganin rigakafi . Amma daga watan Yulin 2009, daga bisani a watan Disamba na shekarar 2011, FDA ta fadada alamarta, ta ba da damar yin amfani da dukkanin yara da ke dauke da cutar HIV, da yara masu shekaru 2-18.
Aikin kwayoyi yana cikin cikin kwayoyi da aka bada shawarar yanzu a matsayin zaɓi na farko don cutar HIV a Amurka
Formulations
Ana samuwa a cikin wasu nau'i daban daban:
- Ga tsofaffi da yara tsofaffi, Ana iya samun Isentress a matsayin kwamfutar hannu mai nauyin fim na 400mg, mai kyau a siffar da ruwan hoda-orange a launi. Lambar "207" an saka shi a gefe daya.
- Ga yara da ba za su iya ɗaukar Allunan, Isentress yana samuwa a matsayin ɗaya mai tsayi na 100mg (m, mai laushi, wanda aka sanya a gefe ɗaya tare da "477," ya sha don rabuwa) ko kuma 25mg mai laushi (rawaya mai rawaya, zagaye, wanda aka sanya a gefe daya tare da "473 "). Dukkanin su ne orange-banana flavored.
- Don kananan yara baza su iya ɗauka ba, Isentress yana samuwa a cikin guda-fakitin, 100mg na baka dakatar. An dakatar da kwakwalwa ta ruwa tare da 5mL na ruwa kuma an gudanar da shi tare da sirinji na baka. Da zarar an hade, za'a yi amfani da shiri na baki a cikin minti 30, tare da duk wanda ya ɓacewa nan da nan ya jefar da shi. An dakatar da labaran banza.
Kada ku maye gurbin ɗayan ɗayan ɗakin da ake amfani da shi ko kuma kwance na kwaskwarima don Allunan mai launi na fim din Isentress kamar yadda tsarin ba su da kwayar halitta. Yi amfani kawai kamar yadda aka umarce (duba Dosages a kasa).
Dosages
Gigaren 400mg, mai launi na fim ya kamata a ba da umurni ga manya da kuma 'ya'yan yaran da suka iya haɗiye allunan, kamar haka:
- Manya: guda 400mg kwamfutar hannu, dauka sau biyu a kowace rana
- Ga yara ko matasa 55 fam (25kg) ko fiye da: 400mg kwamfutar hannu, dauka sau biyu a kowace rana
Za a ba da Allunan Allunan mai laushi ga 'ya'yan da suke kimanin kilogram (20kg) ko fiye waɗanda basu iya haɗiye Allunan, kamar haka:
- 44 fam (20kg) zuwa kasa da 62 fam (28kg): 150mg sau biyu a kowace rana
- 62 fam (28kg) zuwa kasa da 88 fam (40kg): 200mg sau biyu a kowace rana
- Fiye da 88 fam (40kg): 300mg sau biyu a kowace rana
Dole ne a ba da izinin kwantar da hankulan yara ko kayan ado mai banƙyama ga yara suna kimanin kilo 6.5 (3kg) zuwa kasa da 55 fam (25kg), kamar haka:
- 6.5 fam (3kg) zuwa kasa da 8.8 laka (4kg): 1mL (20mg) aka shirya dakatar da bugu sau biyu a kowace rana
- 8.8 fam (4kg) zuwa kasa da 13 fam (6kg): 1.5mL (30mg) aka shirya dakatar da bugu sau biyu a kowace rana
- 13 fam (6kg) zuwa kasa da 17 fam (8kg): 2mL (40mg) aka shirya dakatar da bugu sau biyu a kowace rana
- 17 fam (8kg) zuwa kasa da 24 fam (11kg): 3mL (60mg) aka shirya dakatar da bugu sau biyu a kowace rana
- 24 fam (11kg) zuwa kasa da 30 fam (14kg): 4mL (80kg) aka shirya dakatar da murya ta hanyar yin amfani dashi sau biyu a kowace rana ko 75,000 m tablets na yau da kullum.
- 30 fam (14kg) zuwa kasa da fam 100 (20kg): 5mL (100kg) aka shirya dakatar da murya ta hanyar dauka sau biyu a kowace rana ana dauke da nau'ikan da ake amfani dasu a kowace rana.
Drug Administration
Ana iya ɗaukar kayan ciki tare da ko ba tare da abinci ba. Ba za a iya ɗauka ba a kan kansa kuma dole ne a sanya shi a matsayin ɓangare na hade maganin antiretroviral (cART) .
Hanyoyin Kasuwanci
Abubuwan da aka fi sani dasu (abin da ke faruwa a cikin 2% ko žananan lokuta) sune:
- Insomnia
- Ciwon kai
- Dizziness
- Jiɗa
- Wulo
Contraindications
Babu
Drug-Drug Interactions
Don Allah a ba da shawara ga likitanka idan kana shan kowane magungunan nan masu mahimmanci kamar yadda ba a ba da shawarar don yin hadin gwiwar tare da Isentress kuma zai iya tsoma baki tare da maganin kwayoyi:
- Rivampin-tushen maganin rigakafi: Rifadan, Rifater, Rifamate, Rimactane
- Aluminum- ko magnetium-tushen antacids (misali, Tums, Milk na Magnesia, da dai sauransu.)
Abubuwa
Marasa lafiya da ke fama da rashin lafiyan jiki bayan fara Isentress ya kamata tuntube likitan su nan da nan. Dole ne a dakatar da magani kuma a nemi likita idan an sami raguwa tare da zazzabi, tsoka ko haɗaɗɗun haɗari, blisters or sores, redness ko kumburi da idanu, kumburi ko fuska, ko matsalolin numfashi. Marasa lafiya waɗanda suka rigaya sun sami maganin rashin lafiya ga Isentress kada a sake kalubalantar su tare da miyagun ƙwayoyi bayan ƙaddamar da bayyanar cututtuka.
Binciken dabba bai nuna rashin lahani na haihuwa ko tayi ba yayin haifa a cikin yara ko zomaye da aka fallasa zuwa Isentress. Duk da haka, ba a riga an kafa tasirin Isentress akan jarirai nono ba, kuma, sakamakon haka, ba a ba da shawarar shan shayarwa ga iyayen mata masu daukar Isentress.
Sources:
Ma'aikatar Lafiya da Ayyukan Dan Adam (DHHS). "Sharuɗɗa don Amfani da Ma'aikata marasa lafiya a HIV-1-Infected Adults and Adolescents." Rockville, Maryland.
FDA. "FDA ta bunkasa amfani da kwayar cutar HIV a yara da matasa." Silver Spring, Maryland; Disamba 21, 2011.
Reuters. "BABI NA KASHI 2-FDA Ya Yarda Ƙarfafa Amfani da Harkokin Cutar HIV a cikin Merck." Yuli 9, 2009.
Cibiyar Abinci da Druggun Amurka (FDA). "Hanyoyin Cutar Drug - Drug Name: Isentress (ratelgravir) 400mg Tablets." Silver Spring, Maryland; Oktoba 12, 2007.