Ngati muli ndi kachilombo ka HIV (Human Immunodeficiency Virus), mwina mwamvapo za mankhwala a Atazanavir, ndipo mwina mukumwa. Uwu ndi mankhwala ofunikira kwambiri paulendo wanu wochizira. Mankhwalawa timawatcha kuti ``(Antiretroviral)```. Chifukwa chake, lero tikambirana za mankhwalawa, zomwe amachita, komanso zomwe muyenera kusamala nazo mukamawagwiritsa ntchito, mwaubwenzi komanso mosavuta.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Atazanavir ndi mankhwala omwe amaletsa kufalikira kwa kachilombo ka HIV m'thupi, kutanthauza kuti amachepetsa ntchito ya kachilomboka. Nthawi zambiri amaperekedwa pamodzi ndi mankhwala ena a kachilombo ka HIV.
Chofunika ndichakuti iyi si njira yochiritsira kachilombo ka HIV, koma ingakuthandizeni kulamulira kachilomboka ndikukhala ndi moyo wathanzi.
Komanso, kumbukirani kuti kumwa mankhwalawa sikuchotsa chiopsezo chofalitsa kachilombo ka HIV kwa ena. Chifukwa chake, ndikofunikira kupitiriza kutsatira njira zotetezeka. Lankhulani ndi dokotala wanu za izi mtsogolo.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Kuti mukhale otetezeka, muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse pansipa musanayambe kumwa mankhwalawa.
- Ngati muli ndi matenda a shuga.
- Ngati muli ndi matenda otsekeka magazi monga hemophilia.
- Ngati muli ndi kugunda kwa mtima kosakhazikika.
- Ngati muli ndi matenda a impso.
- Ngati muli ndi matenda a chiwindi.
- Ngati muli ndi vuto la atazanavir kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi woyamwitsa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala anu, muyenera kuwamwa monga momwe mwalangizidwira.
- Imwani mankhwalawa ndi kapu ya madzi.
- Imwani mankhwalawa nthawi zonse mukadya .
- Yesani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Chitani izi chizolowezi.
- Musamwe mankhwala ochulukirapo kuposa omwe dokotala wanu wakupatsani pazifukwa zilizonse.
- Musasiye kumwa mankhwala kapena kulumpha mlingo, ngakhale mutamva bwino. Kuchita zimenezi kungapangitse kuti kachilombo ka HIV kasathenso kukana mankhwala awa ndi mankhwala ena. Izi zikutanthauza kuti mankhwalawo angasiye kugwira ntchito mtsogolo. Musasiye kumwa mankhwalawo popanda upangiri wa dokotala.
Ngati mupatsa ana...
Mankhwalawa nthawi zina amaperekedwa kwa ana azaka zopitirira 6. Komabe, pali njira zapadera zodzitetezera. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wa ana za izi.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala omwe sayenera kugwiritsidwa ntchito ndi Atazanavir ndipo muyenera kusamala nawo
Iyi ndi gawo lofunika kwambiri. Atazanavir ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo zitsamba, mavitamini, komanso mankhwala omwe amagulitsidwa mumsika wamankhwala.
| Gulu la mankhwala | Zitsanzo ndi mafotokozedwe |
|---|---|
| Mankhwala omwe sayenera kumwedwa ndi Atazanavir (MUSAMWE pamodzi ndi awa) | |
| Mankhwala a matenda osiyanasiyana | alfuzosin, belinostat, cisapride, etravirine, indinavir, irinotecan, lomitapide, lovastatin, midazolam, naloxegol, nevirapine, pimozide, rifampin, rifapentine, simvastatin, triazolam, zalcitabine |
| Mankhwala ena ochizira mutu | dihydroergotamine, ergonovine, ergotamine, methylergonovine |
| Matenda a chiwindi | elbasvir; grazoprevir |
| Kuthamanga kwa magazi m'mapapo | sildenafil (ikaperekedwa ngati Revatio) |
| Zogulitsa zitsamba | Wort wa St. John, mpunga wa yisiti wofiira |
| Mankhwala omwe angagwirizane ndi Atazanavir, ndipo ayenera kumwedwa mosamala (Mutenge ndi CHENJERANI, angagwirizane ndi) | |
| Kwa mavuto am'mimba | Mankhwala oletsa asidi, cimetidine, famotidine, omeprazole, lansoprazole, ndi ena. |
| Kuthamanga kwa magazi, matenda a mtima | Mankhwala ena operekedwa pa matenda awa |
| Za cholesterol | Mankhwala monga atorvastatin ndi rosuvastatin |
| Kwa matenda amisala, kuvutika maganizo | Mankhwala monga lurasidone ndi quetiapine |
| Mapiritsi a kulera | Mapiritsi oletsa kubereka okhala ndi estrogen ndi progestin |
| Zina | buprenorphine, clarithromycin, cyclosporine, fluticasone, rifabutin, salmeterol, sirolimus, tacrolimus, warfarin, mankhwala a matenda a bowa, mankhwala a khunyu, ndi mankhwala ena a HIV. |
Zinthu zomwe muyenera kuziganizira mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Pitirizani kukaonana ndi dokotala wanu ndikupeza mayeso ofunikira a magazi. Kambiranani naye za zizindikiro zilizonse zatsopano zomwe mwawona.
- Matenda aakulu pakhungu: Anthu ena akhoza kukhala ndi vuto lalikulu pakhungu, ngakhale milungu ingapo atayamba kumwa mankhwalawa. Izi zingaphatikizepo malungo, kupweteka kwa thupi, ziphuphu pakhungu zofiira kapena zofiirira, matuza, kapena khungu lotupa.Ngati mukuona, uzani dokotala wanu nthawi yomweyo. Komanso, ngati paoneka ziphuphu zofiira pamodzi ndi kutupa kwa nkhope, milomo, kapena ziphuphu zazing'ono pakhosi kapena m'khwapa, izi zitha kukhala chizindikiro chachikulu.
- Njira zolerera: Mapiritsi olerera angakhale osagwira ntchito bwino mukamagwiritsa ntchito mankhwalawa. Choncho lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera, monga makondomu.
- Kuchuluka kwa shuga m'magazi: Mankhwalawa angapangitse kuti shuga m'magazi mwanu achuluke. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya kapena mankhwala anu.
- Kugwira ntchito kwa impso: Popeza kungakhudze impso, imwani madzi ambiri mukamamwa mankhwalawa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Atazanavir ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Ziwengo monga ziphuphu pakhungu, kuyabwa, kutupa | Kutupa kwa miyendo, khosi, ndi miyendo, limodzi ndi malungo |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni, maso/khungu limasintha chikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, nseru, kusowa chilakolako cha chakudya |
| Zizindikiro za kuwonongeka kwa impso | Kuvuta kukodza, kusintha kwa kuchuluka kwa mkodzo womwe umatuluka, magazi mu mkodzo wanu, kupweteka kwa msana |
| Zizindikiro zina zazikulu | Zizindikiro za matenda monga kugunda kwa mtima kosakhazikika, kukomoka, malungo, ndi kuzizira |
| Ngati izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kukhumudwa | Kutsegula m'mimba |
| Chizungulire | Mutu |
| Kupweteka kwa minofu | Kuvutika kugona |
| Kusanza m'manja, m'mapazi, komanso mozungulira pakamwa | Kulemera m'chiuno ndi kumbuyo komanso kuonda nkhope, manja, ndi miyendo |
Mndandandawu suli ndi zotsatirapo zonse zoyipa. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho.
Uthenga Wopita Nawo Kunyumba
- Atazanavir ndi mankhwala omwe amaletsa kachilombo ka HIV, koma sachiza kachilomboka kwathunthu.
- Musadumphe mlingo pazifukwa zilizonse. Imwani mankhwala anu nthawi yomweyo tsiku lililonse, pamodzi ndi chakudya.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, ngakhale mavitamini.
- Samalani kwambiri ndi zilonda zazikulu pakhungu zomwe zimabwera chifukwa cha kutentha thupi. Ngati zoterezi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Popeza mapiritsi oletsa kubereka sangakhale othandiza kwambiri mukamagwiritsa ntchito mankhwalawa, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera, monga makondomu.
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, musaope kufunsa dokotala wanu.
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