Tiyeni tiphunzire za mapiritsi a Abacavir, Dolutegravir, ndi Lamivudine, omwe amathandiza kuchepetsa kachilombo ka HIV.

Ngati dokotala wanu wakupatsani mankhwala otchedwa Abacavir, Dolutegravir, Lamivudine kuti muchepetse kachilombo ka HIV , nkhaniyi ikuthandizani kupeza mayankho a mafunso anu ndi mantha anu okhudza mankhwalawa. Tiyeni tikambirane za mankhwalawa mwachidule, sichoncho?

Kodi mankhwalawa ndi chiyani? N’chifukwa chiyani akuperekedwa?

Mwachidule, ndi kuphatikiza kwa mankhwala atatu ochepetsa mphamvu ya kachilombo ka HIV mu piritsi limodzi. Mutha kudziwa ndi dzina lodziwika bwino la TRIUMEQ. Amagwiritsidwa ntchito pothandiza kuwongolera matenda oyambitsidwa ndi kachilombo ka HIV.

Chofunika kwambiri ndichakuti izi si mankhwala a kachilombo ka HIV. Komabe, zimathandiza kuchepetsa kufalikira kwa kachilombo ka HIV m'thupi komanso kuteteza chitetezo cha mthupi lanu kukhala champhamvu.

Madokotala angagwiritsenso ntchito mankhwalawa pa matenda ena. Chifukwa chake, ngati muli ndi mafunso ena okhudza izi, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndiyenera kumuuza chiyani dokotala asanayambe kumwa mankhwalawa?

Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu mbiri yanu ya thanzi. Makamaka ngati muli ndi vuto lililonse mwa izi:

• Ngati muli ndi matenda a mtima.
• Ngati mumamwa mowa nthawi zonse.
• Ngati muli ndi matenda a impso .
• Ngati muli ndi matenda a chiwindi.
• Ngati mumagwiritsa ntchito fodya (ndudu).
• Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwala a abacavir, dolutegravir, lamivudine, mankhwala ena, lactose mu mkaka, zakudya, mitundu yopangira , kapena zosungira.
• Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati.
• Ngati mukuyamwitsa mwana.

Ndikofunikira kwambiri kukhala oona mtima pa zinthu izi, kuti mukhale otetezeka komanso kuti mupindule kwambiri ndi mankhwala.

Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?

Tiyeni tikambiranenso za momwe tingamwere mankhwalawa.

• Piritsi iliMuyenera kumwa pakamwa ndi madzi.
• Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani piritsi lonse nthawi yomweyo.
• Mungathe kumwa izi muli ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba kapena kutentha pamtima, ndi bwino kumwa izi muli ndi chakudya.
• Chofunika kwambiri ndikumwa mankhwala monga momwe dokotala wanenera, panthawi yoyenera, komanso mu mlingo woyenera. Musadumphe mlingo. Chifukwa ngati mudumpha mlingo, kachilombo ka HIV kakhoza kukhala kosagonja osati ku mankhwalawa okha, komanso ku mankhwala ena a HIV. Izi zikutanthauza kuti mankhwalawa sangagwire ntchito.
• Muyenera kupitiriza kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.

Komanso, ngati mukumwa mankhwala a sucralfate, mankhwala opangidwa ndi buffered (monga aspirin wopangidwa ndi buffered), mankhwala oletsa asidi okhala ndi aluminiyamu kapena magnesium, kapena mankhwala otseretsa ululu, musamwe mankhwalawa nthawi imodzi ndi mankhwala a HIV awa. Muyenera kumwa mankhwala a HIV awa kapena mankhwala ena osachepera maola awiri musanayambe kumwa kapena maola asanu ndi limodzi mutamwa. Ngati izi zikuwoneka zovuta, funsani dokotala wanu kapena wamankhwala kuti akupatseni malangizo enieni.

Mukapatsidwa mankhwala awa, malo ogulitsa mankhwala adzakupatsani kabuku ka malangizo apadera kotchedwa ``MedGuide'' . Mudzalandira limodzi ndi mankhwala aliwonse omwe mumalandira komanso nthawi iliyonse mukalandira mankhwala owonjezera. Ndikofunikira kwambiri kuwerenga nthawi zonse ndikumvetsetsa zomwe zili mmenemo.

Kodi mankhwala awa angaperekedwe kwa ana?

Nthawi zina zapadera, mankhwalawa angaperekedwenso kwa ana. Komabe, njira zapadera zodzitetezera ziyenera kutsatiridwa. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu mosamala za izi ndipo fufuzani tsatanetsatane wake.

Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo oletsa poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo.

Kumbukirani, mankhwalawa ndi a inu nokha. Musapatse wina aliyense mankhwala anu.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Eya, n'zotheka, sichoncho? Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira, dumphani mlingo womwe mwaphonya ndikutenga mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kapena kumwa mlingo wowonjezera.

Ndi mankhwala ena ati omwe angagwirizane ndi mankhwalawa?

Iyi ndi mfundo yofunika kwambiri. Mankhwala ena amatha kusokonezana ndi mankhwala a HIV, zomwe zikutanthauza kuti amatha kusokoneza. Ngati ndi choncho, mphamvu ya mankhwalawa ikhoza kuchepa kapena zotsatira zake zingawonjezere.

Musamwe mankhwala a HIV awa pamodzi ndi mankhwala awa:

• Muli abacavir kapena lamivudineMankhwala ena aliwonse.
• Mankhwala aliwonse okhala ndi emtricitabine.
• Dofetilide.

Komanso, mankhwala otsatirawa angagwirizane ndi mankhwala a HIV awa:

• Mowa kapena zinthu zokhala ndi mowa.
• Mankhwala ena oletsa mavairasi a HIV kapena Edzi, mwachitsanzo: efavirenz, etravirine, nevirapine, fosamprenavir/ritonavir, tipranavir/ritonavir.
• Mankhwala oletsa kutupa, monga aspirin woletsa kutupa.
• Zakudya zowonjezera za calcium.
• Mankhwala ena oletsa asidi.
• Mankhwala ena otsekula m'mimba .
• Mankhwala ena omwe amaperekedwa pa matenda a chimfine ndi awa: carbamazepine, oxcarbazepine, phenytoin, ndi phenobarbital.
• Interferon.
• Zowonjezera zachitsulo.
• Metformin (mankhwala a matenda ashuga).
• Methadone.
• Nelfinavir.
• Ribavirin.
• Rifampin (mankhwala a chifuwa chachikulu).
• Sorbitol.
• Wort wa St. John (Hypericum perforatum) (iyi ndi mankhwala owonjezera a zitsamba).
• Sucralfate.
• Sulfamethoxazole; trimethoprim, SMX-TMP.

Mndandanda uwu si wokwanira. Choncho, uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe simunawagule , mankhwala azitsamba, mavitamini, ndi zowonjezera zakudya), komanso ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena. Zinthu zina zingakhudze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

Pali zinthu zingapo zomwe muyenera kusamala nazo mukamamwa mankhwalawa.

• Pitani kwa dokotala nthawi zonse kuti muone ngati muli ndi thanzi labwino. Ngati mukupeza zizindikiro zatsopano, lankhulani ndi dokotala wanu za zizindikirozo. Mungafunikenso kuchita ntchito yofunika kwambiri yokhudza magazi panthawiyi.
• Mwina mukudziwa kuti kachilombo ka HIV kamafalikira kwa ena kudzera mu kugonana ndi magazi. Lankhulani ndi dokotala wanu za njira zoletsera kufalikira kwa kachilombo ka HIV. Kutsatira malangizo amenewo ndikofunikira kwambiri kwa inu ndi okondedwa anu.
• Ngati muli ndi matenda a Hepatitis B ndipo mukuganiza zosiya kumwa mankhwala a HIV, onetsetsani kuti mwalankhula ndi dokotala wanu za vutoli, chifukwa kusiya kumwa mankhwalawa kungapangitse kuti zizindikiro za Hepatitis B yanu ziwonjezeke.

Chisamaliro chapadera pa ziwengo zoopsa!

Izi ndizofunikira kwambiri.Anthu ochepa kwambiri akhoza kukhala ndi vuto lalikulu la ziwengo (hypersensitivity reaction) ku mankhwala awa. Zizindikiro zina za mankhwalawa ndi izi:

• Kutupa pakhungu
• Malungo
• Kusanza, kusanza
• Kuwawa kwam'mimba
• Kutopa kwambiri, kupweteka kwa thupi
• Kawirikawiri kumverera kudwala

Mndandanda wa zizindikiro izi uli mu Chenjezo Card lomwe mudzalandira kuchokera ku pharmacy. Ndibwino kusunga khadi ili nanu nthawi zonse. Ngati mukukumana ndi zizindikiro izi mukumwa mankhwala awa, siyani kumwa nthawi yomweyo ndipo funsani dokotala wanu.

Ngati musiya kumwa mankhwalawa chifukwa mukuganiza kuti mwina munali ndi vuto la ziwengo, musayambenso kumwa popanda upangiri wa dokotala. Kuchuluka kwa mphamvu ya thupi kumatha kuchitika patangopita maola ochepa ndipo kumatha kubweretsa kutsika kwa magazi komwe kungawononge moyo wanu komanso imfa.

Mimba ndi kuyamwitsa

Musatenge mimba mukumwa mankhwalawa. Ngati mukufuna kutenga mimba kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Mankhwalawa angayambitse mavuto aakulu kwa mwana wanu wosabadwa. Funsani dokotala wanu kuti mudziwe zambiri.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Ena ndi owopsa, ena ndi abwinobwino.

Ngati mukukumana ndi zotsatirapo zotsatirazi, muyenera kuuza dokotala wanu mwamsanga:

• Matenda a ziwengo: kutupa pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime kapena pakhosi.
• Zizindikiro za matenda a mtima: Kupweteka kapena kupsinjika pachifuwa, mapewa, manja, kapena nsagwada, nseru, kupuma movutikira, thukuta lozizira, kukomoka, kapena kumva chizungulire.
• Zizindikiro za kuchuluka kwa lactic acid m'magazi ndi monga: kupweteka kwa minofu kapena kupweteka m'mimba, kupweteka m'mimba, kupuma movutikira, kusapeza bwino, komanso kutopa kwambiri.
• Zizindikiro za matenda: malungo, kuzizira, chifuwa, kapena kupweteka pakhosi.
• Zizindikiro za kuvulala kwa chiwindi: kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, kufooka kapena kutopa kosazolowereka.
• Kufiira, kutupa, kutsekeka, ndi kutsekeka kwa khungu (ngakhale mkati mwa pakamwa).

Zotsatirapo zomwe dokotala nthawi zambiri safunika kuzitchula, koma ziyenera kutchulidwa ngati zikupitirira kapena zikuvutitsa:

• Kutsegula m'mimba (kupweteka m'mimba)
• Kutopa (kutopa)
• Mutu (kupweteka mutu)
• Kusowa tulo (kuvutika kugona)

Si zotsatirapo zonse zomwe zalembedwa pamndandandawu, choncho ngati muwona china chake chachilendo, chonde funsani dokotala wanu.

Kodi ndiyenera kusunga kuti mankhwalawa?

Ndikofunikanso kwambiri kusunga mankhwala moyenera.

• Sungani pamalo omwe ana ndi ziweto sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, pakati pa madigiri 68 ndi 77 Fahrenheit).
• Tetezani ku chinyezi. Sungani botolo/paketi ya mankhwala otsekedwa bwino. Musachotse paketi yaying'ono mkati mwa botolo (zomwe zimapangitsa kuti mankhwala asaume).
• Musagwiritse ntchito mankhwala omwe atha ntchito kale.

Kodi mumataya bwanji mankhwala osagwiritsidwa ntchito?

Si bwino kungotaya mankhwala otha ntchito kapena osafunikira m'zinyalala.

• Pitani nawo ku pulogalamu yoti mutenge mankhwala . Mutha kudziwa zambiri za malo otere ku pharmacy yanu kapena ku polisi.
• Ngati simungathe kubweza mankhwalawo mwanjira imeneyo, yang'anani chizindikiro cha mankhwala kapena kapepala komwe kali mkati kuti muwone ngati ayenera kutayidwa m'zinyalala kapena kutayidwa m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati kuli bwino kutaya zinyalala, tulutsani mankhwalawo mu chidebecho. Sakanizani ndi zinyalala za amphaka, dothi, kapena khofi wophwanyidwa. Ikani osakanizawo mu thumba kapena chidebe, sungani bwino, ndikutaya mu zinyalala.

Kabuku aka ndi chidule chokha. Sikangakhale ndi mfundo zonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Uthenga Wopita Nawo Kunyumba

Chabwino, tiyeni tikukumbutseninso mfundo zofunika kwambiri kuchokera pa zomwe takambirana.

• Kuti muchepetse kachilombo ka HIV , ndikofunikira kwambiri kumwa mapiritsi awa a ``(Abacavir; Dolutegravir; Lamivudine)`` monga momwe dokotala wanenera, panthawi yomwe mwapatsidwa, komanso osadumpha mapiritsi aliwonse.
• Musaiwale kuuza dokotala wanu za mankhwala ena omwe mukumwa komanso momwe thanzi lanu lilili .
• Dziwani bwino kwambiri zizindikiro za ziwengo . Ngati mukukumana nazo, uzani dokotala wanu nthawi yomweyo.
• Ngakhale kuti mankhwalawa sachiza kachilombo ka HIV, angakuthandizeni kulamulira kachilomboka ndikukhala ndi moyo wathanzi.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, musaope kufunsa dokotala wanu kapena wogwira ntchito zachipatala.

Simuli nokha, pali madokotala ndi magulu azaumoyo oti akuthandizeni paulendowu. Choncho tiyeni tikhale olimba mtima ndikugwiritsa ntchito bwino mankhwala athu.

HIV , abacavir, dolutegravir, lamivudine, mankhwala oletsa mavairasi, AIDS, zotsatirapo zake, kugwiritsa ntchito mankhwala