I doctor-in HIV positive i nih thu a finfiah hnuah, he damdawi inkawp hi ei tan turin an hrilh che a ni mai thei. Hming pathum (Efavirenz, Lamivudine, Tenofovir) a neih avangin a tir lamah chuan a buaithlak deuhin a lang thei. Mahse, lungngai suh. Hei hi khawvel hmun hrang hranga HIV dona atana hman damdawi hmanraw tangkai tak a ni. Chuvangin vawiinah hian he damdawi, taksaa a hnathawh dan, ei dan leh fimkhur tur chu awlsam tak, hriatthiam awlsam takin i sawi dawn nia.
Hetiang damdawi inzawmkhawm hi eng nge thleng tak tak?
A awlsam zawngin, hei hi damdawi chi thum inzawmkhawm a ni. Hengte hi "antiretroviral damdawi" kan ti a ni. He pill hian a tih chu i taksaa HIV hrik chu a darh zel loh nan a titawp a, chu chu virus pung zel tur a control tihna a ni.
HIV virus hi i taksa defence system (immune system) beitu hmelma angin ngaihtuah la. He damdawi hian chu hmelma chakna chu a ti tlem a, a thunun thei a ni. Hei hian i immune system chu a thawk chak lehzual thei a ni.
A pawimawh ber: He damdawi hian HIV a tidam kim lo. Chu chu taksa atanga hri hi a paih bo vek lo tihna a ni. Mahse taksaa virus darh zel tur chu a control tha hle a, hun rei tak chhung nun hrisel, pangngai tak nei turin a pui che a ni.
Thil dang hriat reng tur chu he damdawi hi i ei lai pawhin mi dang hnena HIV kai theihna hlauhawmna chu a bo vek lo tih hi a ni. Chuvangin safe sex practice zawm chhunzawm zel a pawimawh hle. Tin, he damdawi hian mipat hmeichhiatna hmanga kai theih natna dang (STI) lakah a veng lo bawk.
He damdawi hi i ei tan hmaa i doctor hnena i hrilh tur thilte
I doctor-in he damdawi a pek hma hian i hriselna chanchin kimchang a hriat a ngai dawn a ni. Chuvangin a hnuaia tarlan te hi i neih chuan i doctor hnenah hrilh ngei ang che. Engmah thup suh, i himna atan a pawimawh em em a ni.
| Natna emaw thil dang emaw | Engvângin nge chu chu a pawimawh? |
|---|---|
| Ruh lama harsatna (e.g., ruh natna) . | He damdawi-a thil tel, Tenofovir hian a chang chuan ruh density a tichhe thei a ni. |
| Lung natna | A then phei chuan heartbeat rhythm a nghawng thei bawk. |
| Rilru lam harsatna (depression, lungkhamna ang chi) emaw, ruihhlo hmansualna emaw history nei | Efavirenz ingredient hian rilru hriselna a nghawng thei a ni. Tun hmaa harsatna i lo neih tawh chuan hei hi hriat chian a pawimawh. |
| Pancreatitis natna a ni | He damdawi hian pancreatitis a thlen tam lo hle. A hmaa i lo neih tawh chuan a risk a sang zawk. |
| Epilepsy emaw seizures (Seizures) emaw a awm thei. | He damdawi hian nervous system a nghawng theih avangin seizure awm theihna tur i hriat a ngai a ni. |
| Damdawi dang, ei leh in emaw thil dang emaw allergy nei | He damdawi emaw thil dang emaw allergy i neih chuan min hriattir a pawimawh hle. |
| Naupai tum emaw, naupai emaw i nih chuan | Naupai laiin he damdawi hi a him leh him loh chungchang hi doctor nen in sawipui tur a ni. |
| Naute chu hnute pek a nih chuan | He damdawi hi nu hnute tui hmangin naute hnenah a kal thei a, chuvangin he thu hi i doctor nen sawiho rawh. |
Damdawi ei dan tha ber chu eng nge ni?
Hei hi a pawimawh ber chu i zawm chiang tur a ni. Damdawi atanga hlawkna tam ber i hmuh theih nan a pek ang chiah chiah i ei a ngai a ni.
- Tui nen ei: He tablet hi tui glass khat nen a pumin ei rawh.
- Pum ruak la rawh: Hei hi a pawimawh hle. Damdawi i ei a ngai a niChaw ei hma minute 30 tal ei tur a ni a, chaw ei hnu darkar 2 tal ei tur a ni. Damdawi hi pum ruak a ei hian taksain a hip lut tha ber.
- Mut hmain ei rawh: A tlangpuiin, mut hmaa he damdawi hi ei hian i mut laiin luak chhuak emaw, mutthilh emaw a thlen thei tihna a ni a, chuvangin nitin hnathawhna a tibuai lo ang.
- Eng thil vang pawh nise dose skip suh: Nitin i damdawi chu hun khatah ei thin la, i doctor-in a tih ang chiah khan ei thin ang che. Dose skip hian HIV virus chu damdawi lakah a do thei lo thei a ni. Hei hian he damdawi chauh ni lovin HIV damdawi dangte pawh i taksaah a tihlawhtling lo thei a ni. Hei hi a hlauhawm hle mai.
- I doctor-in a tih hma loh chuan chawlhsan suh: Engtiang pawhin i rilru a hahdam a, i doctor-in chawlhsan tura a tih che hma loh chuan he damdawi hi ei chhunzawm zel ang che.
I overdose chuan engtin nge i tih ang ?
I ngaihtuah aia tam pill i ei tawh nia i hriat chuan tihkhawtlai suh. I hnai ber damdawi in Emergency Department (ETU) ah kal nghal rawh. A nih loh leh Colombo National Hospital-a National Poisons Information Center-ah thurawn dil turin phone la.
Damdawi dose i ei loh chuan engtin nge i tih ang?
Thil kan theihnghilh fo thin. Dose i miss a nih chuan lungngai suh.
- I hriatreng veleh missed dose kha ei nghal rawh.
- Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan missed dose kha skip la, a hun ruatah dose dang ei mai rawh.
- Dose hloh tawh chu tihpun nan double dose ei suh.
Damdawi ei huna fimkhur tur thil bik
He damdawi i hman lai hian i hriselna tlem tal i enkawl belh a ngai a ni.
- Damdawi lam enfiah fo: I doctor chuan thisen test turin a ti fo ang che. Chu test zawng zawng chu a hun takah tih vek rawh. Damdawi hian i taksa a nghawng dan te, virus hi control theih a nih leh nih loh te, i taksa peng hrang hrang, i thin leh kal ang chi te hian hna a thawk tha em tih te an hriat theih nan an pui ang che.
- Vun natna khirh tak: Mi thenkhat chuan he damdawi hi an ei tan atanga kar engemaw zat emaw, thla engemaw zat emaw hnuah vun natna nasa tak an nei thei. I khawsik, taksa na, i vunah hmun sen emaw, sen emaw, vun hring emaw, vun hring emaw, i hmai, hmui, kawr emaw, i kutphah emawa lymph node hring emaw i neih chuan doctor pan nghal rawh.
- Driving leh machinery hman dan: He damdawi hian mi thenkhatah lu a ti na thei a, concentration a ti harsa thei bawk. Chuvangin, he damdawi hian engtin nge a nghawng che tih chiang taka i hriat hma chuan lirthei khalh emaw, machinery emaw hman loh tur a ni.
- Zu in hman dan:He damdawi hi zu nena ei hian side effects, luak chhuak leh mut theih lohna a tipung thei a ni. I liver tan pawh a tha lo.
- Hepatitis B: HIV leh Hepatitis B i vei chuan he damdawi hi chawlhsan thut chuan Hepatitis B symptoms a tizual thei a ni. Chuvangin damdawi ei khap dan tur chungchangah doctor nen inbia ngei ang che.
- Naupai venna: Naupai venna damdawi (estrogen leh progestin awmna) i hman chuan he damdawi ei hian a thatna a ti tlem thei. Chuvangin, naupai venna hmanraw dang, condom hman bakah hian i doctor nen inbia ang che.
Damdawi hmansualna (side effects) te
Damdawi dang ang bawkin hei hian side effect a nei thei a ni. Mahse, mi zawng zawngin an hmu vek lo. Ṭhenkhat chu serious an ni a, ṭhenkhat erawh chu normal an ni thung. A pawimawh ber chu hengte hi hriat chian a, thil pawi tak i hriat chuan damdawi lam thurawn la nghal a ni.
Side effect na tak tak, doctor hnena hriattir nghal tur
A hnuaia symptoms te hi i hmuh chuan doctor rawn la, damdawi inah pawh tlai lovin kal rawh.
| Side effect a awm thei | I rilru put hmang |
|---|---|
| Allergic Reaction awm thei te | Vun vun rawng, hnim hring, hmai, hmui, lei emaw kawr emaw a hring, thawk harsa. |
| Liver Hliam a awm | Pum dinglam chunglam natna, chaw ei chak lohna, luak chhuak, bawlhhlawh rawng hring, zun dum emaw sen emaw, mit emaw vun sen emaw, hah lutuk. |
| Rilru leh nungchang inthlak danglamna | Lungkhamna nasa tak, rilru hahdam lohna, buaina, thil hmuh theih loh, thinrimna, mahni intihhlum tumna, lungngaihna. |
| Pancreatitis natna a ni | Pum natna nasa tak, hnungzang thlenga radiating, chaw ei emaw, pum khawih emaw a na zual, khawsik, rilru hahna, leh luak chhuak. |
| Kidney Hliam a awm | Zun chhuah tlem, ke ruh, kut leh ke ruh hring. |
| Lactic Acidosis (thisen chhunga lactic acid tihpun) 1.1. | Muscle na emaw stiffness emaw, pum na, thawk harsa, general discomfort leh hah. |
| Nervous system lama harsatna a awm | Ke leh ke ruh natna emaw, na emaw, taksa ruh chak lohna, mit a inthlak danglam, tawng harsa, kal harsa, seizures. |
Side effects awm fo mahse a awm reng chuan doctor hnenah hriattir tur a ni
Hengte hi ni engemaw zat chhungin a reh tlangpui a, mahse a awm reng emaw, a tibuai nasa emaw a nih chuan doctor nen inbia ang che.
- Hnung lam natna
- Kawthalo
- Lu na
- Luhai
- Pum natna
- Mut theih lohna emaw mumang mak tak tak emaw
He damdawi nena hman loh tur leh harsatna thlen thei damdawi dang
Hei hi a pawimawh hle a ni. Damdawi dang i ei zawng zawng (vitamin leh herbal remedies te pawh tel) i doctor hnenah i hrilh tur a ni. Damdawi thenkhat chuan he HIV damdawi nen hian an inzawm a, harsatna lian tak a thlen thei a ni.
Damdawi ei dun ngai loh tur: 1.1.
- He damdawi chhunga thil tel (efavirenz, emtricitabine, lamivudine, tenofovir) awmna damdawi dang eng pawh .
- Disopyramide hmanga siam a ni
- Elbasvir-a chuan; grazoprevir hmanga enkawl a ni
- Rifapentine hmanga siam a ni
- Voriconazole a ni
Damdawi dang harsatna thlen thei (hengte hi i ei a nih chuan doctor hrilh rawh):
- Cholesterol tihhniamna damdawi (e.g., Atorvastatin, Simvastatin) .
- Antibiotics (e.g. Clarithromycin, Rifampin) te hi a tha hle a ni.
- Antifungals (e.g. Ketoconazole, Itraconazole) te hi a tha hle.
- Lung natna leh thisen sang damdawi (e.g. Diltiazem, Verapamil) .
- Hriselna atana hman tur damdawi (e.g. Carbamazepine, Phenytoin) .
- Rilru natna damdawi (e.g. Bupropion, Sertraline) .
- Natna tidamtu (NSAIDS) (e.g. Ibuprofen, Naproxen) .
- Warfarin (thisen tithianghlimtu) .
- HIV emaw, hri kai dang emaw damdawi
He list hi a kim lo a, chuvangin i damdawi ei zawng zawng doctor hnenah hrilh vek a him ber.
Take-Home Thuchah a ni
- He damdawi hian i taksaa HIV hrik darh dan a thunun a ni. Natna a tidam lo va, nun hrisel tak nei turin a pui che a ni.
- Damdawi hi chaw ei loh laiin , nitin hun khatah ei thin ang che, doctor-in a sawi angin. Dose pakhat mah skip ngai suh.
- I doctor hnenah natna dang i neih leh damdawi dang i ei lai te hrilh la.
- Side effect na tak tak, vun allergy na tak, thin lam harsatna, rilru lama inthlak danglamna nasa tak i neih chuan damdawi lam thurawn zawng nghal rawh.
- He damdawi i ei lai hian nangmah chauh emaw, lungngaihna emaw i neih chuan i doctor emaw, i chhungte emaw, i thian rintlak emaw nen inbia ang che. Nangmah chauh i ni lo.
- Inenkawlna mumal tak a awm chuan HIV nen hlawhtling takin i nung thei ang.
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