Ngati mukulandira chithandizo cha kachilombo ka HIV, dokotala wanu wakupatsani mankhwala osiyanasiyana. Nthawi zina, mankhwala ena amagwiritsidwa ntchito kuti awonjezere mphamvu ya mankhwala akuluakulu, kutanthauza kuti, 'kuwonjezera' mphamvu yake. Ndicho chimene tikukamba lero, 'chowonjezera mphamvu ya mankhwala'. Dzina la mankhwala awa ndi Cobicistat. Tiyeni tikambirane za chilichonse chokhudza izi mosavuta komanso mwaulemu.
Kodi Cobicistat ndi mankhwala amtundu wanji?
Mwachidule, Cobicistat ndi mankhwala omwe amawonjezera mphamvu ya mankhwala ena a HIV, ndikuwonjezera mphamvu zawo. Ganizirani mankhwala anu akuluakulu a HIV ngati ngwazi. Cobicistat ali ngati munthu amene amathandiza ngwaziyo, ndikuwonjezera mphamvu zake.
Mankhwalawa salimbana ndi kachilombo ka HIV kokha. Komabe, amathandiza mankhwala ena a HIV (mankhwala oletsa kachilombo ka HIV) omwe mumamwa kuti akhalebe m'thupi lanu kwa nthawi yayitali komanso kuti akhale ndi mphamvu zambiri. Izi zimawonjezera kwambiri mphamvu ya mankhwala akuluakulu.
Chofunika kwambiri: Mankhwalawa sachiza matenda a HIV kwathunthu. Komanso, kumwa mankhwalawa sikuchotsa kwathunthu chiopsezo chofalitsa kachilombo ka HIV kwa munthu wina. Chifukwa chake, ndikofunikira kwambiri kutsatira njira zotetezeka.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kumvetsetsa bwino za thanzi lanu. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi zotsatirazi:
- Ngati muli ndi matenda aliwonse a impso .
- Ngati muli ndi matenda aliwonse a chiwindi .
- Ngati muli ndi vuto la cobicistat kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukuyembekezera mwana posachedwa.
- Ngati ndinu mayi woyamwitsa .
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kugwiritsa ntchito mankhwalawa moyenera ndikofunikira kwambiri kuti chithandizo chikhale chothandiza.
- Mezani piritsi ili ndi galasi la madzi.
- Chofunika kwambiri: Mankhwalawa ayenera kumwedwa ndi chakudya . Musamwe musanadye chilichonse.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.
- Imwani mlingo wokhawo womwe dokotala wakupatsani, komanso nthawi zonse monga momwe mwalangizidwira.
- Musasiye kumwa mankhwala kapena kudumpha mlingo pazifukwa zilizonse popanda upangiri wa dokotala.Pitirizani kumwa mankhwala anu ngakhale mutakhala bwino. Ngati musiya kumwa mankhwalawo, kachilombo ka HIV kakhoza kukhala kosagonja ku mankhwala amenewa. Izi ndi zoopsa kwambiri.
Kodi mankhwalawa ayenera kuperekedwa kwa ana?
Mankhwalawa nthawi zina amaperekedwa kwa ana, koma amafunika njira zina zodzitetezera. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wa ana za mankhwalawa.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mwangozi mwamwa mankhwala ochulukirapo kuposa momwe muyenera kumwa, ndiko kuti, ngati mwamwa mopitirira muyeso, musachite mantha. Pitani nthawi yomweyo ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha. Musagawire mankhwala awa ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mukukumbukira kumwa mlingo ndipo patatha maola opitilira 12 kuti mutenge mlingo wotsatira, imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati patatha maola ochepera 12 kuti mutenge mlingo wotsatira, imwani mlingo womwe mwaphonya. Dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Chofunika kwambiri! Mankhwala ena omwe angagwirizane ndi Cobicistat (Kuyanjana kwa Mankhwala)
Iyi ndi gawo lofunika kwambiri lomwe muyenera kudziwa za mankhwalawa. Cobicistat imatha kuyanjana ndi mankhwala ena ambiri. Izi zingapangitse kuti mankhwala ena asagwire bwino ntchito, ndipo mankhwala ena akhoza kukhala oopsa m'thupi. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala azitsamba .
Yang'anani mosamala matebulo awiri omwe ali pansipa.
| Chenjezo! Musamwe mankhwala awa ndi Cobicistat. | |
|---|---|
| Mtundu wa mankhwala | Zitsanzo (Mayina a Chingerezi) |
| Matenda osiyanasiyana | alfuzosin, cisapride, dronedarone, irinotecan, lurasidone, naloxegol, pimozide, ranolazine, sildenafil, triazolam |
| Za cholesterol | lovastatin, simvastatin |
| Mutu (Migraine) | dihydroergotamine, ergotamine, methylergonovine |
| Kwa ogona kapena opaleshoni | midazolam (yomwe imaperekedwa mkamwa) |
| Mankhwala ena a HIV/AIDS | etravirine, fosamprenavir, indinavir, lopinavir; ritonavir, nevirapine, ritonavir, saquinavir, tipranavir |
| Kugwidwa ndi khunyu | carbamazepine, fosphenytoin, phenobarbital, phenytoin |
| Chifuwa chachikulu | rifampin |
| Zogulitsa zitsamba | Wort wa St. John |
| Ngati mukumwa mankhwalawa, onetsetsani kuti mwalankhula ndi dokotala wanu. | |
|---|---|
| Gulu la mankhwala | Zitsanzo (Mayina a Chingerezi) |
| Maantibayotiki, mankhwala opha tizilombo toyambitsa matenda | clarithromycin, erythromycin, itraconazole, ketoconazole |
| Kuthamanga kwa magazi ndi matenda a mtima | amlodipine, carvedilol, diltiazem, metoprolol, verapamil, amiodarone, digoxin |
| Khansa ya m'magazi/khansa | dasatinib, nilotinib, vinblastine, vincristine |
| Matenda amisala, kuvutika maganizo | buspirone, diazepam, risperidone, thioridazine |
| Kuletsa magazi kuundana | warfarin, apixaban, rivaroxaban, dabigatran |
| Cholesterol | atorvastatin, rosuvastatin |
| Mapiritsi oletsa kubereka ndi mahomoni | ma estrogen, ma progestin, mapiritsi oletsa kubereka |
| Ma steroid - mapiritsi kapena ma inhaler | budesonide, fluticasone, dexamethasone, methylprednisolone |
| Mankhwala opha ululu | fentanyl, methadone, tramadol |
*Mndandanda uwu sunathe. Pakhoza kukhala mankhwala ena omwe angagwirizane. Choncho nthawi zonse uzani dokotala wanu za chilichonse chomwe mukumwa.*
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Onetsetsani kuti mwapita kwa dokotala wanu. Mungafunike kuyezetsa magazi kuti muwone momwe impso zanu ndi chiwindi chanu zimagwirira ntchito pamene mukumwa mankhwalawa.
- Kufalikira kwa kachilombo ka HIV: Monga tanenera kale, kachilombo ka HIV kangathe kufalikira kwa munthu wina kudzera m'kugonana kapena magazi, ngakhale mutakhala mukumwa mankhwalawa. Lankhulani ndi dokotala wanu za njira zopewera izi.
- Kuletsa kubereka: Izi ndizofunikira kwambiri ngati ndinu mkazi amene mukugwiritsa ntchito mapiritsi oletsa kubereka. Kumwa mankhwala a cobicistat kungachepetse mphamvu ya mapiritsi oletsa kubereka. Chifukwa chake, onetsetsani kuti mukugwiritsa ntchito njira ina yoletsa kubereka, monga makondomu, panthawiyi. Lankhulani ndi dokotala wanu za izi ndipo onetsetsani kuti mwatsimikiza.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Cobicistat ingayambitse zotsatirapo zina mwa anthu ena. Zina mwa izi ndi zoopsa, pomwe zina ndi zochepa.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zizindikiro zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Mavuto a chiwindi | Maso kapena khungu limakhala lachikasu, mkodzo wakuda, ndowe zotumbululuka, komanso kumva kutopa. |
| Mavuto a impso | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe umatuluka. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kutentha thupi, kutopa kosazolowereka. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kusanza, kusanza, kuvutika m'mimba, kutsegula m'mimba. |
| Zina | Mutu, kusowa tulo, kutopa, kupweteka msana kapena khosi. |
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani pamalo omwe ana sangafikire.
- Sungani kutentha kwa chipinda (pakati pa 15-30 Celsius).
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Cobicistat ndi mankhwala othandizira omwe 'amawonjezera' mphamvu ya mankhwala ena a HIV, osati mankhwala omwe amagwira ntchito okha.
- Nthawi zonse imwani mankhwalawa pamodzi ndi chakudya. Musamaphonye chakudya.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati mukumwa mapiritsi oletsa kubereka, gwiritsani ntchito njira ina, monga kondomu, kuti mupewe kutenga mimba.
- Ngati mukukumana ndi mavuto aakulu monga khungu kukhala lachikasu, mkodzo wakuda, kapena kupuma movutikira, uzani dokotala wanu nthawi yomweyo.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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