Omusawo akuwandiikidde eddagala okufuga embeera ya siriimu yo? Erinnya ly’eddagala lino liyinza okuba nga lya Dolutegravir ne Rilpivirine nga ligatta. Ebiseera ebisinga ejja wansi w’erinnya lya brand erya JULUCA. Tosoberwa mannya, agazibu katono. Mu kitundu kino, tugenda kwogera ku ddagala lino, bye likola ku mubiri gwo, n’okwegendereza kw’olina okukola ng’olikozesa, mu ngeri ennyangu ennyo gy’osobola okutegeera.

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Eddagala lino eriyitibwa Dolutegravir liri ki; Eddagala lya Rilpivirine?

Mu ngeri ennyangu, lino ddagala bbiri eriweweeza ku kawuka ka siriimu nga ligatta wamu erikola ku kawuka ka siriimu. Ekigendererwa ekikulu mu kino kwe kufuga emirimu gy’akawuka ka siriimu mu mubiri gwo n’okukendeeza ku maanyi gaako.

Kilowoozeeko ng’engabo ekendeeza ku maanyi g’akawuka. Kino okusinga kifuga okusaasaana n’okwongera okukula kw’akawuka mu mubiri.

Naye wano olina okujjukira ekintu ekikulu ennyo . Eddagala lino teriwonya ddala siriimu. Kwe kugamba, si ddagala, wabula ddagala . Ekirala, ne bw’omira eddagala lino, akabi k’okusiiga akawuka ka siriimu eri omuntu omulala tekajja kuggwaawo ddala. Obulabe obwo bukendeera nnyo. N’olwekyo, olina okweyongera okugoberera enkola ezitali za bulabe.

Ebintu by’olina okubuulira omusawo nga tonnatandika kumira ddagala

Kikulu nnyo omusawo wo okumanya ebyafaayo by’obulamu bwo mu bujjuvu nga tannakuwa ddagala lino. N’olwekyo, bw’oba olina emu ku mbeera zino wammanga, kakasa nti ozibuulira omusawo wo nga tokwese kintu kyonna .

Obulwadde bw’ekibumba: Bw’oba olina obulwadde bw’ekibumba obwaliwo edda, tukusaba obubuulire.
Ensonga z’obulamu bw’obwongo: Kikulu okutegeeza omusawo wo oba obadde n’ebirowoozo by’okwetta, enteekateeka oba okugezaako okwetta mu biseera eby’emabega, oba omuntu mu maka go alina ebyafaayo by’ekyo.
Allergy: Buulira omusawo wo bw’oba olina allergy ku Dolutegravir, Rilpivirine, oba eddagala eddala lyonna, emmere oba langi eri mu ddagala lino.
Olubuto: Kino kikulu nnyo bw’oba oli lubuto, ng’ogezaako okufuna olubuto, oba ng’oteekateeka okufuna olubuto mu bbanga ttono . Eddagala lino liyinza okukwata omwana ali mu lubuto.
Okuyonsa: Bw’oba oli maama ayonsa, era olina okukitegeeza omusawo wo.

Ddala eddagala lino ngukozesa ntya?

Okusobola okufunamu ennyo mu ddagala lino, kikulu nnyo okumanya engeri y’okulikozesaamu obulungi.

Limira n’emmere: Eddagala lino olina okulimira n’egiraasi y’amazzi n’emmere . Tomira ku lubuto lwereere.
Limira mu budde: Fuba okumira eddagala lyo mu ssaawa nga y’emu buli lunaku, ng’omusawo bwe yakulagidde ddala. Kino kifuule omuze.
Tosubwa ddoozi: Ne bw’oba owulira bulungi otya, tobuuka ddoozi oba okulekera awo okumira eddagala lyo nga tolina magezi ga musawo. Okubuuka ddoozi kiyinza okuvaako akawuka ka siriimu okuziyiza eddagala lino. Bw’okola bw’otyo, eddagala lino, awamu n’eddagala eddala erya siriimu, liyinza obutakukolera mu biseera eby’omu maaso.
Watya singa omira eddagala lingi?: Bw’oba olowooza nti onywedde eddagala lingi, kuba mangu ekitongole kya National Poisons Information Center mu ddwaaliro lya Colombo National Hospital , oba genda mu kitongole ekikola ku bujjanjabi obw’amangu (ETU) mu ddwaaliro erikuli okumpi.
Watya singa nsubwa ddoozi?: Ddira ddoozi esubiddwa amangu ddala ng’ojjukira. Wabula bwe kiba nga kinaatera okutuuka ku ddoozi yo eddako, buuka ddoozi gy’osubiddwa n’omira ddoozi eddako mu ssaawa gye wategese. Tomirangako ddoozi ya mirundi ebiri.

Eddagala lino lya ggwe wekka. Togabana ddagala lyo na balala, ne bwe baba nga balina obubonero bwe bumu naawe.

Eddagala eddala eriyinza okukwatagana n’eddagala lino (Drug Interactions) .

Kino kitundu kikulu nnyo. Eddagala erimu liyinza okuleeta obuzibu bw’omira n’eddagala lino. N’olwekyo buulira omusawo wo ku ddagala lyonna ly’omira (nga mw’otwalidde ne vitamiini, eddagala ly’omuddo, n’eddagala eriweweeza ku bulwadde) .

Omulongooti wansi gulaga eddagala erimu eriyinza okuleeta obuzibu ku ddagala lino.

Eddagala lya Dolutegravir; Enkolagana eyinza okubaawo ne Rilpivirine
Eddagala eritaliiko kumira wamu
Phoenix/Eddagala erimu erijjanjaba obulwadde bw’okusannyalala	Carbamazepine, Oxcarbazepine, Ekirungo kya Phenobarbital, Ekirungo kya Phenytoin
Eddagala erimu erikozesebwa ku bulwadde bw’olubuto (Proton Pump Inhibitors) .	Esomeprazole, Pantoprazole, Omeprazole, Lansoprazole, Rabeprazole
Eddagala erimu erijjanjaba yinfekisoni za ffene	Fluconazole, Itraconazole, Ketoconazole, Posaconazole, eddagala lya Voriconazole
Eddagala erimu eriwonya akafuba	Rifampin, eddagala eriyitibwa Rifapentine
Eddagala eddala	Eddagala lya Dexamethasone, Dofetilide, Ensigo ya St. John, Cisapride, Pimozide, Thioridazine, Ziprasidone
Eddagala eriyinza okuleeta enkolagana era nga lirina okumira wansi w’amagezi g’abasawo
Eddagala erimu eritta obuwuka	Ekirungo kya Clarithromycin, Ekirungo kya Erythromycin, Rifabutin
Eddagala eddala eriwonya obulwadde bw’olubuto (Antacids) .	Aluminiyamu haidrokisayidi, Magnesium haidrokisayidi, Kalisiyamu kaboni, Cimetidine, Famotidine
Ebikozesebwa mu kugatta	Ebirungo bya calcium, Ebirungo ebiyamba ekyuma
Eddagala eddala	Metformin, Methadone, Sucralfate, eddagala erikosa ennyimba z’omutima (eddagala eriwangaaza ekiseera kya QT) .

Olukalala luno terujjuvu, n’olwekyo kirungi okubuulira omusawo wo buli ky’omira.

Ebintu by’olina okwegendereza ng’omira eddagala

Okwekebejja buli kiseera: Laba omusawo buli luvannyuma lwa kiseera. Asobola okukola omulimu ogwetaagisa ogw’omusaayi okulaba engeri eddagala gye likwata ku mubiri gwo.
Ebizibu by’olususu eby’amaanyi: Kino kikulu nnyo. Bw’ofuna ekizimba ku lususu ng’olina obubonero ng’omusujja oba okuziyira, nga wayise wiiki oba emyezi mitono ng’otandise eddagala, tegeeza omusawo wo amangu ago . Ekizimba kino kiyinza okufuuka ekimyufu oba kakobe, olwo ne kivaamu ebizimba ne kisekula. Oba kiyinza okuba ekizimba ekimyufu nga kirimu ennywanto ezizimba mu maaso, emimwa, oba mu bulago/enkwawa. Kino kiyinza okuba akabonero k’embeera ey’amaanyi eyitibwa DRESS syndrome, eyeetaaga okujjanjabibwa mu bwangu.
Okwonooneka kw’ekibumba: Omusulo ogwa kyenvu/kitaka enzirugavu, amaaso oba olususu okufuuka kyenvu, okulumwa olubuto olwa waggulu ku ddyo, n’okukoowa ennyo biyinza okuba obubonero bw’obuzibu mu kibumba. Buulira omusawo wo amangu ago.
Enkyukakyuka mu mbeera: Bw’ofuna enkyukakyuka mu muudu, okwennyamira, oba ebirowoozo by’okwetta, tegeeza omusawo wo oba omuntu wo mu bwangu.

Ebizibu ebiva mu ddagala lino

Ekika ky’ebizibu ebivaako

Obubonero

Ebintu by’olina okuloopa ew’omusawo mu bwangu

Alergy nga okusiiyibwa ku lususu, okusiiyibwa, okuzimba mu maaso, emimwa, olulimi
Okukaluubirirwa okussa
Obulumi mu binywa oba ebinywa
Okusiiyibwa n’omusujja n’okuzimba ennywanto z’omusaayi
Okumyuuka, ebizimba, okusekula olususu (era bisobola okubaawo munda mu kamwa) .
Obubonero bw’obuzibu mu kibumba (omusulo enzirugavu, olususu/amaaso okufuuka kyenvu, olubuto okulumwa) .
Ebirowoozo by’okwetta oba enkyukakyuka ez’amaanyi mu muudu

Ebintu ebitera obutaba bya maanyi, naye nga birina okuloopebwa eri omusawo singa bisigala

Embiro

Okulumizibwa omutwe

Obuzibu okwebaka

Bw’ofuna obubonero obulala obutali bwa bulijjo obutayogerwako mu lukalala luno, yogerako n’omusawo wo nabwo.

Obubaka Obutwala Awaka

Bulijjo eddagala lino limira n’emmere , mu kiseera ekiragiddwa, ng’omusawo bw’akulagira. Tobuuka ddoozi.
Buulira omusawo wo ku ddagala eddala lyonna, vitamiini, n’ebirungo ebiyamba omubiri gw’omira. Eddagala erimu naddala ery’obulwadde bw’olubuto, tolina kumira na lino.
Bw’ofuna omusujja awamu n’okusiiyibwa okw’amaanyi ku lususu , enkyukakyuka mu mbeera y’omuntu, oba obubonero bw’ekibumba okwonooneka, genda mangu omusawo amagezi.
Jjukira nti buno bujjanjabi, so si ddagala, eriwonya akawuka ka siriimu. Sigala ng'okola akaboozi akataliiko bulabe .
Weewale okufuna olubuto ng’omira eddagala lino. Bw’oba oteekateeka okufuna olubuto, sooka oyogere n’omusawo wo.