Tikudziwa kufunika komwa mankhwala omwe mwapatsidwa panthawi yake mukakhala ndi kachilombo ka HIV. Dokotala wanu mwina adakupatsani mankhwala osakaniza atatu mu piritsi limodzi. Lero tikambirana za mankhwala amodzi otere, kuphatikiza mankhwala atatu otchedwa Abacavir, Dolutegravir ndi Lamivudine. Amapezeka pansi pa dzina la Triumeq PD. Mukawerenga nkhaniyi, mudzamvetsetsa bwino mankhwalawa.
Mwachidule, kodi chimachitika ndi chiyani ndi mankhwalawa?
Iyi ndi piritsi limodzi, koma ili ndi mankhwala atatu amphamvu omwe amalimbana ndi kachilombo ka HIV. Mankhwalawa timawatcha kuti ma antiretroviral. Ntchito yayikulu ya mankhwalawa ndikulamulira kachilombo ka HIV m'thupi lanu. Izi zikutanthauza kuti, amaletsa kachilomboka kuti kasachuluke ndikufalikira m'thupi lanu.
Chofunika kwambiri: Iyi si mankhwala a kachilombo ka HIV. Komabe, ingathandize kulamulira kachilomboka, kusunga chitetezo cha mthupi lanu chili champhamvu, komanso kukuthandizani kukhala ndi moyo wathanzi komanso wabwinobwino.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse pansipa, onetsetsani kuti mwawauza za vutoli.
- Matenda a mtima: Ngati muli ndi vuto lililonse la mtima, monga mbiri ya cholesterol yambiri.
- Matenda a impso: Ngati pali kufooka kulikonse pakugwira ntchito kwa impso, kudziwa izi kungathandize dokotala kudziwa mlingo woyenera wa mankhwala.
- Matenda a chiwindi: Izi ndizofunikira makamaka ngati muli ndi matenda a chiwindi monga Hepatitis B.
- Matenda a ziwengo: Tiuzeni ngati muli ndi vuto lililonse la ziwengo ku mankhwala ena, chakudya, kapena utoto, osati Abacavir, Dolutegravir, kapena Lamivudine okha omwe ali mu mankhwalawa.
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Mankhwalawa amabwera ngati piritsi lopaka pakamwa. Chifukwa chake, ndikofunikira kwambiri kudziwa njira yoyenera yogwiritsira ntchito.
1. Kusungunuka: Onjezani madzi mu kapu ya 20 milliliter (20 mL) yomwe imabwera ndi mankhwalawo ndipo ikani piritsilo mmenemo.
2. Kusakaniza: Sakanizani bwino kwa mphindi imodzi kapena ziwiri. Iyenera kusungunuka popanda zotupa zilizonse zotsala.
3. Imwani nthawi yomweyo: Imwani mkati mwa mphindi 30 mutasungunuka.
4. Musanadye kapena mutadya?: Mungathe kumwa izi muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kudya chakudya ndikumwa.
5.Sungani mpata ndi mankhwala ena: Musamwe mankhwala oletsa asidi, mankhwala owonjezera achitsulo, mankhwala owonjezera a calcium, ndi zina zotero. pa kutupa m'mimba ndi gastritis nthawi imodzi ndi mankhwala awa. Muyenera kumwa zinthu zotere maola awiri musanayambe kumwa mankhwala awa kapena maola 6 mutatha kumwa . Funsani dokotala wanu kuti mudziwe zambiri za izi.
Musamaswe, kuphwanya, kapena kutafuna piritsi. Imwani mlingo wolembedwa panthawi yomwe mwapatsidwa, monga momwe dokotala wanu wanenera. Musadumphe mlingo. Kuchita izi kungapangitse kuti kachilombo ka HIV kasagonjetsedwe osati kokha ndi mankhwalawa, komanso ndi mankhwala ena.
Chinthu choopsa kwambiri chomwe muyenera kusamala nacho kwambiri ndi - ziwengo zoopsa!
Ichi ndi chinthu chofunikira kwambiri kudziwa za mankhwalawa. Anthu ochepa akhoza kukhala ndi vuto lalikulu la ziwengo (hypersensitivity reaction) ku mankhwala otchedwa Abacavir, omwe ali mu mankhwalawa. Izi zitha kukhala zoopsa pa moyo.
Dokotala wanu adzakupatsani khadi lochenjeza mukayamba kumwa mankhwala awa. Ndikofunikira kusunga khadi limenelo nthawi zonse.
Samalani kwambiri ndi zizindikiro izi:
- Kutupa pakhungu
- Malungo
- Kusanza ndi kusanza
- Kuwawa kwam'mimba
- Kutopa kwambiri, kupweteka kwa thupi
- Kumva kuti "ndizovuta kwambiri" komwe nthawi zambiri kumamveka
Ngati mukukumana ndi chimodzi mwa zizindikiro izi, siyani kumwa mankhwala nthawi yomweyo ndipo funsani dokotala nthawi yomweyo. Musayambitsenso mankhwala awa pazifukwa zilizonse popanda upangiri wa dokotala wanu. Kuchita izi kungayambitse zotsatirapo zoyipa kwambiri mkati mwa maola ochepa.
Mankhwala ena omwe sagwirizana ndi mankhwalawa
Ndikofunikira kuuza dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mumamwa, chifukwa mankhwala ena amatha kusokonezana ndi mankhwalawa. Tebulo lomwe lili pansipa likuwonetsa ena mwa mankhwala awa.
| Mtundu wa mankhwala | Zitsanzo ndi zolemba zapadera |
|---|---|
| Mankhwala omwe sayenera kumwedwa | Dofetilide (mankhwala a matenda a mtima). Mankhwala ena aliwonse okhala ndi Abacavir kapena Lamivudine. |
| Mankhwala ena a HIV kapena Edzi | Mankhwala monga Efavirenz, Etravirine, Nevirapine, Tipranavir/ritonavir. |
| Mankhwala a khunyu | Mankhwala monga Carbamazepine, Phenytoin, ndi Phenobarbital. |
| Mankhwala a mavuto am'mimba | Mankhwala oletsa asidi okhala ndi aluminiyamu kapena magnesium, Sucralfate. (Sukani kwa maola angapo). |
| Mankhwala a matenda ena | Rifampin (mankhwala a chifuwa chachikulu), Ribavirin, Sulfamethoxazole; trimethoprim (SMX-TMP). |
| Mankhwala ena ndi zowonjezera | Metformin (ya matenda a shuga), Methadone, St. John's Wort (chotsitsa cha zitsamba), zowonjezera zachitsulo ndi calcium. |
Ndi zotsatirapo ziti zomwe zingayembekezeredwe?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Zina ndi zoopsa, zina ndi zofala. Ndikofunikira kudziwa kuti ndi chiyani.
| Ngati mukukumana ndi zizindikiro izi, imbani dokotala nthawi yomweyo. | |
|---|---|
| Kuvulala kwa Chiwindi | Ululu m'mimba pamwamba kumanja, kusowa chilakolako cha chakudya, maso kapena khungu kukhala lachikasu, mkodzo wakuda. |
| Matenda amtima | Kulimba pachifuwa, mapewa, ndi manja, kuvutika kupuma, ndi kutuluka thukuta. |
| Lactic acidosis (Lactic acid yambiri) | Kugwedezeka kwa minofu kapena kupweteka, kupweteka m'mimba, kuvutika kupuma, kutopa kwambiri. |
| Matenda a pakhungu kwambiri | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu. | |
| Kutsegula m'mimba | Kawirikawiri zimachepa patatha masiku ochepa. |
| Mutu | Pakhoza kukhala mutu pang'ono. |
| Kuvuta kugona | Tulo tingasokonezeke. |
| Kutopa | Mungamve kutopa pang'ono. |
Chochita pakakhala ngozi?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwala awa monga momwe dokotala wanu wanenera, panthawi yoyenera. Musamalumphe mlingo.
- Samalani kwambiri ndi zizindikiro za vuto lalikulu la ziwengo (malungo, ziphuphu pakhungu, kupweteka m'mimba). Ngati mukukumana ndi zizindikiro izi, siyani kumwa mankhwalawo ndipo imbani dokotala nthawi yomweyo.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati musiya kumwa mankhwala pazifukwa zilizonse, musayambenso kumwa popanda upangiri wa dokotala.
- Mankhwalawa amaletsa kachilombo ka HIV, koma sachiza kwathunthu. Choncho pitirizani kutsatira malangizo a dokotala wanu.
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