Kodi dokotala wanu wakupatsani mankhwala awa kwa inu kapena munthu wina wapafupi nanu amene ali ndi kachilombo ka HIV? Ngati ndi choncho, nkhaniyi ikuthandizani kuthetsa mafunso, kukayikira, komanso mantha omwe mungakhale nawo okhudza mankhwalawa. Ndikofunikira kwambiri kumwa mankhwala oyenera mukakhala ndi kachilombo ka HIV. Tiyeni tikambirane za mapiritsi awa opangidwa pophatikiza mankhwala awiri otchedwa Atazanavir ndi Cobicistat.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi mankhwala ochepetsa mphamvu ya kachilombo ka HIV. Chapadera chake ndi chakuti ili ndi mitundu iwiri ya mankhwala mu piritsi limodzi.
1. Atazanavir: Iyi ndi mankhwala akuluakulu omwe amalamulira kuchulukana kwa kachilombo ka HIV m'thupi.
2. Cobicistat: Izi zimagwira ntchito ngati 'booster'. Izi zikutanthauza kuti zimathandiza kuti mankhwala a Atazanavir akhalebe m'thupi lathu kwa nthawi yayitali komanso mochuluka. Izi zimawonjezera mphamvu ya mankhwala akuluakulu.
Piritsi ili nthawi zambiri limagwiritsidwa ntchito limodzi ndi mankhwala ena pochiza kachilombo ka HIV. Nthawi zambiri limagulitsidwa pansi pa dzina la EVOTAZ .
Ndikofunikira kwambiri kudziwa kuti mankhwalawa sangachiritse kachilombo ka HIV kotheratu. Koma angakuthandizeni kukhala ndi moyo wathanzi mwa kulamulira kuchuluka kwa kachilombo m'thupi lanu. Komanso, akamwedwa moyenera, amatha kuchepetsa kwambiri, ngati sakuchotsa kwathunthu, chiopsezo chofalitsa kachilombo ka HIV kwa ena.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Dokotala wanu ayenera kumvetsetsa bwino za thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi vuto la magazi kuundana monga hemophilia .
- Ngati muli ndi matenda a impso kapena chiwindi .
- Ngati muli ndi vuto la kugunda kwa mtima kapena matenda ena a mtima.
- Ngati muli ndi ziwengo ku Atazanavir, Cobicistat, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso ngati mlingo wake uyenera kusinthidwa.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito bwino.
- Imwani piritsi ili ndi kapu ya madzi.Mezani kwathunthu.
- Onetsetsani kuti mwamwa mankhwalawa ndi chakudya . Musamwa mankhwalawa muli ndi njala m'mimba. Mankhwalawa amalowa bwino m'thupi akamwedwa ndi chakudya.
- Yesetsani kumwa mankhwala anu nthawi yoyenera tsiku lililonse. Chitani izi chizolowezi.
- Ngakhale mutamva bwino, musasiye kumwa mankhwalawo pazifukwa zilizonse popanda upangiri wa dokotala.
- Musasiye kumwa mankhwala. Ngati mutero, kachilombo ka HIV kakhoza kukhala kosagonja ku mankhwalawa. Kenako chithandizochi chingalephereke.
Ngati mupatsa ana mankhwalawa...
Mankhwalawa nthawi zina angapatsidwe ana, koma amafunika njira zina zodzitetezera. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wa ana za mankhwalawa mosamala.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
N'zotheka kuiwala kumwa mankhwala. Ngati zimenezo zitachitika, musadandaule.
- Ngati patatha maola opitilira 12 musanayambe kumwa mapiritsi ena, imwani nthawi yomweyo.
- Koma ngati patatha maola ochepera 12 kuti mutenge mlingo wotsatira, dumphani mlingo womwe mwaphonya. Imwani mlingo wotsatira panthawi yomwe mwakonza.
- Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe munayiwala. (Musamwe milingo iwiri)
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Iyi ndi gawo lofunika kwambiri. Atazanavir; Cobicistat imatha kuyanjana ndi mankhwala ena ambiri. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ogulitsidwa kunja kwa chipatala) .
Gome ili m'munsimu likuwonetsa mankhwala ena omwe angagwirizane ndi mankhwalawa.
| Gulu la mankhwala | Zitsanzo |
|---|---|
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse. | |
| Mankhwala ena ochepetsa mafuta m'thupi | Lovastatin, Simvastatin |
| Mankhwala ena a mutu (mtundu wa Ergot) | Dihydroergotamine, Ergotamine |
| Mankhwala ena a HIV/AIDS | Indinavir, Nevirapine |
| Mankhwala ena operekedwa kwa odwala matenda a khunyu | Carbamazepine, Phenobarbital, ndi Phenytoin |
| Wort wa St. John, chomera | (Anthu ena amaona izi ngati kuvutika maganizo) |
| Mankhwala ena osiyanasiyana | Alfuzosin, Ranolazine, Lurasidone, Pimozide, Sildenafil (yothandiza pa matenda oopsa a m'mapapo), Triazolam, Midazolam (mapiritsi omwa) |
| Gwiritsani ntchito pokhapokha ngati dokotala wakupatsani malangizo chifukwa mankhwalawa angakhudze mankhwalawo. | |
| Maantibayotiki, mankhwala opha tizilombo toyambitsa matenda | Clarithromycin, Itraconazole, Ketoconazole |
| Mankhwala a matenda a mtima ndi kuthamanga kwa magazi | Amlodipine, Diltiazem, Digoxin, Verapamil |
| Mankhwala ochepetsa magazi | Warfarin, Apixaban, Rivaroxaban |
| Mankhwala a gastritis yam'mimba | Mankhwala oletsa asidi, monga Omeprazole, Famotidine |
| Mapiritsi oletsa kubereka ndi mahomoni | (Izi zitha kukhala ndi magwiridwe antchito ochepa) |
| Mitundu ya ma steroid | Prednisolone, Dexamethasone, Fluticasone (zopumira) |
Mndandandawu sunathe, choncho ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena, koma si aliyense amene amazilandira.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda oopsa a pakhungu | Malungo amatsagana ndi ziphuphu zofiira kapena zofiirira pakhungu, matuza, khungu lotuluka, zilonda mkamwa, ndi kutupa kwa ma lymph nodes pankhope, milomo, khosi, kapena m'khwapa. |
| Maso kapena khungu kukhala lachikasu , mkodzo wakuda | Izi zitha kukhala zizindikiro za vuto la chiwindi. |
| Kugunda kwa mtima kosakhazikika, chizungulire, kumva kukomoka | Kungakhale chizindikiro cha vuto la mtima. |
| Zizindikiro za kuchuluka kwa shuga m'magazi | Kuwonjezeka kwa ludzu, njala, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kutsegula m'mimba | Mutu |
| Kupweteka kwa minofu | Kuvuta kugona |
| Kukhumudwa | Kusintha kwa momwe mafuta m'thupi amasungidwira (monga, kuchuluka kwa mafuta kuzungulira mimba, msana, ndi khosi, kuonda kwa miyendo) |
Uthenga Wopita Nawo Kunyumba
- Onetsetsani kuti mwamwa mankhwalawa pamodzi ndi chakudya .
- Musasiye kumwa mankhwala pazifukwa zilizonse. Imwani nthawi yomweyo tsiku lililonse.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala a Ayurvedic).
- Ngati mukuona zizindikiro za vuto lalikulu la ziwengo, monga ziphuphu pakhungu ndi matuza pamodzi ndi malungo, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati ndinu mkazi amene mukugwiritsa ntchito mapiritsi oletsa kubereka , lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga makondomu).
- Sungani mankhwalawa pamalo otetezeka kutentha kwa chipinda, komwe ana sangawafikire.
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