HIV vei nun hi a chang chuan a harsa thei hle a, mahse enkawlna dik tak nen chuan nun pangngai, hrisel takin i nung thei tih i hria a ni. He enkawlna zinkawngah hian damdawi i ei tur te hi hriatthiam a pawimawh hle. Vawiin hian HIV dona atana pui thei antiretroviral damdawi pathum special combination kan sawi dawn a ni. Eng nge a nih, engtin nge a hnathawh, eng nge i hriat chian a ngai tih hi han thlir ila.
He damdawi hi eng nge a nih chiang takin i zawng chhuak ang u.
A awlsam zawngin, hei hi damdawi pathum inzawmkhawm a ni. Chu chu, antiviral damdawi pathum , Emtricitabine, Rilpivirine, leh Tenofovir Disoproxil Fumarate te hi pill pakhatah a awm vek tihna a ni. Kan ramah hian he damdawi hi `Complera` brand name hnuaiah hmuh theih a ni.
A hnathawh ber chu i taksaa HIV virus (viral load) awm zat tihtlem a, i taksa hriselna tichaktu, hriselna tha taka awm theihna tura puih hi a ni.
Hriat reng tur: He damdawi hi HIV damdawi a ni a, damdawi a ni lo. Tin, he damdawi hian midang hnena HIV kai theihna a ti tlem a, mahse a veng kim lo. Chuvangin, hmanraw him tak tak zawm chhunzawm zel a pawimawh hle.
Damdawi ei tan hmaa doctor hnena i hrilh tur thilte
He damdawi hi i tan a tha em tih i ngaihtuah hmain i doctor chuan i hriselna chanchin kimchang a hriat hmasak phawt a ngai ang. A hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che :
| I dinhmun | Engvangin nge doctor hriattir a pawimawh? |
|---|---|
| Ruh lama harsatna (e.g. ruh natna) . | Damdawi Tenofovir hian a chang chuan ruh density a tichhe thei bawk. |
| Kal natna | Heng damdawi te hi kal hmanga taksa atanga chhuak a nih avangin i kal hnathawh dan hriat a pawimawh hle. |
| Liver natna, a bik takin Hepatitis B | He damdawi hi tihtawp a nih chuan Hepatitis B symptoms hi a na zual thei. Liver function pawh a nghawng thei bawk. |
| Depression emaw mahni intihhlum tumna emaw | He damdawi atana thil tel thenkhat hi doctor chuan a hriat chian a ngai a, chu chuan mood a tidanglam thei a ni. |
| Lung natna | Doctor tan chuan thinlung natna thenkhat hriat a pawimawh hle. |
| Damdawi dang, ei tur dang emaw, thil dang emaw allergy nei | Hei hi he damdawi chhunga thil awm zawng zawng allergy i neih leh neih loh hriat a pawimawh hle. |
| Naupai emaw, nau neih emaw | Naupai laia he damdawi hman dan tur hi doctor nen in sawiho tur a ni. |
| Nau hnute pek | HIV vei nu tan chuan nau hnute pek hi a tha lo a, chuvangin hemi chungchang pawh hi i doctor nen inbia ang che. |
Engtin nge damdawi hi ka hman ang?
He damdawi hi a hlawk ber tur chuan dik taka hman a pawimawh hle.
- Chaw ei rualin ei: He pill hi chaw ei rualin tui glass khat nen ei thin ang che . Pum ruak ah ei loh tur. Rilpivirine hi chaw ei ruala ei hian taksain a hip lut tha ber.
- A hun takah ei rawh: Nitin hun khata i damdawi ei thin kha tih danah siam rawh. Hei hian i thisena damdawi level chu a inmil theih nan a pui ang.
- Dose skip suh: HIV enkawlna atana pawimawh ber chu i damdawi ei tur pakhat mah tlachham lova ei hi a ni. I rilru a hahdam a nih pawhin doctor-in a tih hma loh chuan i damdawi ei kha bansan suh.
- Engvangin nge dose skip hi a tha lo? Dose i skip chuan virus hian he damdawi hi a do thei a ni. Chutiang a nih chuan he damdawi leh HIV damdawi dang hmanga hri hi control a harsa zawk ang.
Damdawi dose khat ka ei loh chuan engtin nge ni ang?
Dose i ei theihnghilh chuan i hriatreng veleh ei nghal rawh. Mahse, i hriatreng hunah i dose leh tur hun a lo thleng tawh a nih chuan (entir nan, darkar 12 aia rei lo) i missed dose chu skip la, i dose leh tur chu a hun ruat saah ei rawh. Double dose ei ngai suh.
Damdawi ka ei tam lutuk chuan engtin nge ni ang?
He damdawi hi i ei tam lutuk nia i hriat chuan hlauthawng suh. Colombo National Hospital-a National Poisons Information Center-ah phone nghal rawh. A nih loh leh damdawi in hnai ber Emergency Treatment Unit (ETU)-ah kal rawh.
He damdawi nena inzawm thei damdawi dang (Drug Interactions) .
Damdawi, vitamin, leh traditional medicine i ei zawng zawng hi doctor hnenah hrilh a pawimawh hle a, damdawi thenkhat hian he HIV damdawi hman tangkai dan hi a nghawng thei a ni.
| He damdawi hi engmah nen EI LO RAWH. | |
|---|---|
| PPI damdawi hi gastritis tan a ni | Damdawi chi hrang hrang Esomeprazole, Omeprazole, Lansoprazole, leh Pantoprazole te hi a ni. Chungte chuan HIV damdawi taksaa a luh theihna chu nasa takin a ti tlem a ni. |
| Fit tan damdawi pek thenkhat (Seizure damdawi) . | Damdawi chi hrang hrang Carbamazepine, Phenobarbital, Phenytoin te a ni. |
| Rifampin, Rifapentine tih te hi a ni | Hengte hi TB natna atana antibiotics pek thin a ni. |
| St. John-a rulhut a ni | Rilru hriselna atana herbal product a ni. |
| Dexamethasone a ni | (A vawi khatnaah dose khat aia tam i ei chuan). |
| Hengte hi i ei a nih chuan i doctor hnenah hrilh ngei ang che (INFORM YOUR DOCTOR) | |
| Gastritis damdawi dang (antacids, H2-blockers) 1.1. | Antacids Digene, Gaviscon emaw damdawi Famotidine, Cimetidine ang chi te pawh a awm thei. Hengte hi HIV damdawi ei hma emaw, ei hnu darkar engemaw zat ei tur a ni. |
| Antibiotics leh antifungal thenkhat | Damdawi Clarithromycin leh Ketoconazole te. |
| Methadone a ni | Ruihhlo ngawlvei enkawlna a ni. |
Damdawi ei laiin side effects a awm thei
Damdawi dang ang bawkin he damdawi hian mi thenkhatah side effect a nei thei a ni. Ṭhenkhat chu tenau deuh an ni a, ṭhenkhat erawh chu ngaihven vat a ngai thung.
Side effect na tak tak, doctor hnena hriattir nghal tur:
- Vun natna nasa tak: khawsik, taksa na, vun sen, vun hring emaw, vun hring emaw. Hmai, hmui, leh kawr emaw, kawr emaw-a hliam tenau te.
- Allergic reactions: vun natna , vun hring, hives.
- Liver chhiatna chhinchhiahna: zun dum dum emaw sen hring emaw, mit leh vun sen, pum dinglam chunglam na, hah lutuk, luak chhuak.
- Kidney chhiatna chhinchhiahna: Zun harsatna emaw, zun chhuah zat inthlak danglam emaw.
- Lactic Acidosis symptoms: thawk harsa, taksa ruh na, pum na danglam tak, luak chhuak, luak chhuak, luak chhuak.
- Rilru lam inthlak danglamna: lungngaihna nasa tak, mahni intihhlum tumna, buaina.
- Heart rate inthlak danglamna: I thinlung chu a thawk chak emaw, a thawk mumal lo emaw ang maia inhriatna.
Side effects nasat loh tlangpui, mahse a awm reng chuan doctor hnenah hriattir tur:
- Mut buai emaw, mumang danglam tak emaw
- Lu na
- Kawthalo
- Vun rawng inthlak danglam (a bik takin kephah leh kephah) .
- Taksa thau dahkhawm dan inthlak danglamna (e.g., pum, hnungzang leh kawr vel thau tam, ke leh ke ruh hring).
He list-a tarlan loh symptom dang danglam tak i neih chuan i doctor nen pawh chutiang lam chu sawipui rawh.
Take-Home Thuchah a ni
- He damdawi hi HIV control thei damdawi a ni a, mahse a tidam kim lo.
- Nitin damdawi chu hun khatah ei la, chaw ei nen . Chaw ei pawh skip ngai suh.
- Damdawi dang, vitamin leh damdawi dang i ei zawng zawngte chu i doctor hnenah hrilh vek ang che.
- Side effect na tak tak, vun natna nasa tak, mit sen, pum na nasa tak, rilru lam inthlak danglamna te i neih chuan doctor pan nghal rawh.
- He damdawi hi i tan chauh pek a ni. Midang hnenah share ngai suh.
- I doctor nena inbiak reng reng leh hun ruat anga clinic kal hi i hriselna atan a pawimawh hle.
👩🏽 ⚕️ Zawhna dang (FAQ)
💬 Emtricitabine, Rilpivirine, leh Tenofovir (Tenofovir / Odefsey, Complera) te hi eng atan nge hman?
Hei hi ART tha tak tak - Antiretroviral Therapy leh damdawi dawr hrang hranga ‘AIDS / HIV (Human Immunodeficiency Virus)’ virus dona atana hman theih damdawi 3 thar ber ber pill pakhata (Single-tablet Regimen) te inzawmkhawm a ni! He pill hi ni khatah vawi khat (ei tur nen) ei hnuah chuan HIV virus chu thisenah 100% in a pung thei lo a, virus chu hriat theih loh viral load thlengin a control a ni.
💬 Engtin nge he pill (Complera/Odefsey) hian HIV hrik pung (kai darh) chu a titawp vek?
Virus pakhatin a replicate theih nan kan cell pakhatah a lut a, a original message (RNA) chu kan DNA-ah a copy a ngai a ni. Hemi atana virus hian a hman machine chu Reverse Transcriptase enzyme a ni. He pill hi a sir lehlamah lo chhuak a ni a, chu machine chhungah chuan ‘thil dik lo (NRTI/Emtricitabine/Tenofovir)’ leh ‘blocking stones (NNRTI/Rilpivirine)’ te a dah a ni. Tichuan HIV virus hi a replicate leh thei tawh lo va, a chak lo ta a ni.
💬 He HIV pill ei hian a side effect lian ber ber leh hlauhawm ber ber (Black Box Warning) awm thei te chu engte nge ni?
Heng damdawi 3 te hlauhawm ber chu Tenofovir atanga lo chhuak a ni! Hei hian damlo ruhte chu awlsam takin a hmin/chhe thei (Bone loss / Osteoporosis) a, kal a titawp vek thei (Lactic acidosis / Renal Toxicity). Tin, eng thil vang pawha ‘chaw ei lova riltam (rilru ruak)’ i nih chuan he pill hi ei suh! (Rilpivirine hi taksaah a lut lova, damdawi hian hna a thawk lo)!
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