Kodi dokotala wanu anakupatsani Symtuza kuti muchiritse matenda anu a HIV? Ndi piritsi limodzi lokha, koma lili ndi mitundu inayi yosiyanasiyana ya mankhwala. Kotero lero, tiyeni tikambirane m'njira yosavuta komanso yochezeka za zomwe piritsi ili limachita, momwe liyenera kugwiritsidwira ntchito, komanso zinthu zomwe tiyenera kudziwa.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, mankhwalawa (omwe nthawi zambiri amadziwika ndi dzina lodziwika bwino la Symtuza) amagwiritsidwa ntchito poletsa zizindikiro za kachilombo ka HIV. Izi zikutanthauza kuti, amagwira ntchito poletsa kufalikira kwa kachilombo ka HIV m'thupi lanu, zomwe zikutanthauza kuti amaletsa kachilomboka kuti kasachuluke.
Koma ndikofunikira kukumbukira izi: Mankhwalawa sachiza kachilombo ka HIV kapena Edzi. Amangolamulira kachilomboka komanso kukuthandizani kukhala ndi moyo wathanzi.
Komanso, ngakhale mukumwa mankhwalawa, pali mwayi woti mutha kupatsira kachilombo ka HIV kwa ena, ndiko kuti, mutha kutenga kachilomboka. Chifukwa chake, ndikofunikira kwambiri kutsatira njira zotetezeka. Komanso, mankhwalawa sateteza ku matenda ena opatsirana pogonana (STIs).
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Choncho ngati muli ndi vuto lililonse m'munsimu, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi hemophilia , vuto la magazi kuundana.
- Ngati muli ndi matenda a impso .
- Ngati muli ndi matenda a chiwindi .
- Uzani dokotala wanu ngati mwakhalapo ndi vuto la Darunavir, Cobicistat, Emtricitabine, Tenofovir, kapena mankhwala ena aliwonse a sulfa omwe ali mu mankhwalawa. Uzaninso dokotala wanu ngati muli ndi vuto lililonse la mankhwala ena, zakudya, kapena zosungira.
- Ngati mukuyesera kutenga mimba kapena muli kale ndi pakati .
- Ngati ndinu mayi woyamwitsa .
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kudziwa momwe mungagwiritsire ntchito bwino.
- Imwani piritsi ili ndi kapu ya madzi .
- Onetsetsani kuti mwamwa mankhwalawa mukadya . Musamwe muli ndi mimba yopanda kanthu.
- Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanu wanenera. Musadumphe mlingo.Ngati simugwiritsa ntchito mankhwala otere, kachilombo ka HIV kakhoza kukhala kosagonja ku mankhwala awa komanso ngakhale mankhwala ena. Izi zikutanthauza kuti pambuyo pake, mankhwalawo sangagwire ntchito.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Ngati mupatsa ana mankhwalawa...
Muyenera kusamala kwambiri popereka mankhwalawa kwa ana. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu mosamala za izi.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mwadzidzidzi mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa, musachite mantha. Imbani nthawi yomweyo National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi mwachangu momwe mungathere.
Chofunika kwambiri: Mankhwalawa aperekedwa kwa inu nokha. Musagawane mankhwalawa ndi wina aliyense pazifukwa zilizonse.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
N'zotheka kuphonya mlingo. Ngati izi zitachitika, imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira ikafika, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri kapena kuposerapo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana)
Mankhwalawa angagwirizane ndi mankhwala ena. Chifukwa chake, ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa. Samalani kwambiri ndi mankhwala omwe ali pansipa.
| Mankhwalawa sayenera kumwedwa ndi Symtuza. | |
|---|---|
| Alfuzosin | Pimozide |
| Mankhwala ena a matenda a mtima, monga dronedarone, ivabradine, ndi ranolazine | Rifampin |
| Mankhwala ena omwe amagwiritsidwa ntchito pochiza khunyu, monga carbamazepine, phenytoin, ndi phenobarbital | Sildenafil (yomwe ingaperekedwe chifukwa cha kuthamanga kwa magazi m'mapapo) |
| Colchicine (ngati muli ndi vuto la chiwindi kapena impso) | Wort wa St. John (mankhwala azitsamba) |
| Elbasvir; grazoprevir | Triazolam |
| Lurasidone | Midazolam |
| Mankhwala a cholesterol monga lomitapide, lovastatin, ndi simvastatin | Mankhwala ena a HIV kapena Edzi (monga Adefovir) |
| Mankhwala ena a mutu waching'alang'ala, monga dihydroergotamine ndi ergotamine | Irinotecan |
| Ngati mukumwa mankhwala awa, dziwitsani dokotala wanu. |
|---|
| Mankhwala opha tizilombo toyambitsa matenda, Mahomoni, Mankhwala a khansa, Mankhwala opha bowa, Mankhwala a matenda amisala, Mankhwala ochepetsa magazi, Mankhwala opha ululu (NSAIDs, Opioids), Ma steroids, Mankhwala a kuthamanga kwa magazi, Mankhwala ena a cholesterol, Mankhwala a matenda a mtima, ndi mitundu ina yambiri ya mankhwala. |
| Uwu si mndandanda wathunthu. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (omwe amalembedwa ndi dokotala, omwe amagulitsidwa pamtengo wotsika, mankhwala azitsamba, mavitamini). Uzaninso dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo. |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
Mukamamwa mankhwalawa, muyenera kusamala kwambiri ndi zinthu zina.
- Kupimidwa ndi dokotala nthawi zonse: Pitani kwa dokotala nthawi ndi nthawi kuti muwone momwe mukuyendera. Lankhulani ndi dokotala wanu ngati mukupeza zizindikiro zatsopano. Mungafunikenso kuyezetsa magazi kofunikira mukamamwa mankhwalawa.
- Kupewa kufalikira kwa kachilombo ka HIV: Kachirombo ka HIV kamafalikira kudzera mu kugonana ndi magazi. Lankhulani ndi dokotala wanu za momwe mungaletsere kufalikira kwa kachilomboka.
- Matenda oopsa pakhungu: Mankhwalawa nthawi zina angayambitse matenda aakulu pakhungu. Izi zingachitike ngakhale milungu ingapo mutayamba kumwa mankhwala. Uzani dokotala wanu nthawi yomweyo ngati mukuyamba kutupa ndi zizindikiro monga malungo kapena kuzizira . Matendawa amatha kukhala ofiira kapena ofiirira kenako n’kutuluka matuza kapena kutsekeka. Kapena, ngati mukuyamba kutupa ndi kutupa pankhope, milomo, kapena ma lymph nodes otupa pakhosi kapena m’khwapa, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati muli ndi Hepatitis B: Ngati mulinso ndi matenda a Hepatitis B, muyenera kulankhula ndi dokotala musanasiye kumwa mankhwalawa, chifukwa kusiya kumwa mankhwalawa kungapangitse kuti zizindikiro za Hepatitis B ziwonjezeke.
- Kuletsa kubereka: Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka kapena njira zina zomwe zili ndi mahomoni (estrogen ndi progestin), mphamvu yawo ingachepe mukamamwa mankhwalawa. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga kondomu).
- Kuchuluka kwa shuga m'magazi: Mankhwalawa amatha kuonjezera kuchuluka kwa shuga m'magazi. Chiwopsezochi chimakhala chachikulu kwa anthu omwe ali kale ndi matenda a shuga. Funsani dokotala wanu momwe mungachepetsere chiopsezochi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amazilandira.
| Zotsatira zoyipa | Kufotokozera ndi choti muchite |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kutopa kosazolowereka. |
| Kuvulala kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kuwonjezeka kwa shuga m'magazi (hyperglycemia) | Ludzu losazolowereka kapena kukodza kwambiri, kutopa kosazolowereka, kusawona bwino. |
| Matenda aakulu a khungu | Kufiira, kutupa, kutuluka kwa khungu (ngakhale mkati mwa pakamwa). Zilonda za pakhungu zokhala ndi malungo komanso kutupa kwa ma lymph nodes. |
| Lipodystrophy | Kusintha kwa momwe mafuta m'thupi amasungidwira (monga kuchuluka kwa mafuta m'mimba kapena kumbuyo, kuchepa kwa mafuta pankhope, m'manja, kapena m'miyendo). |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Kupweteka m'mimba/kupweteka m'mimba | Kutsegula m'mimba |
| Kutopa | Kusanza |
| Mutu | Gasi |
Kodi mumasunga ndi kutaya bwanji mankhwalawo?
- Kusunga: Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire. Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius). Musagwiritse ntchito mankhwala otha ntchito.
- Kutaya: Njira yabwino yotaya mankhwala osagwiritsidwa ntchito kapena omwe atha ntchito ndikuwapereka ku pulogalamu yapadera. Funsani dokotala wanu za izi. Ngati sizingatheke, musatulutse mapiritsi m'chimbudzi kapena mwachindunji m'zinyalala. Chotsani mapiritsiwo m'botolo, sakanizani ndi chinthu monga khofi wophikidwa, dothi, kapena zinyalala za amphaka zomwe zagwiritsidwa ntchito, ndikuziyika m'thumba kapena chidebe chotseka ndikuzitaya m'zinyalala.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa amaletsa kachilombo ka HIV, koma sachiza kachilomboka kwathunthu.
- Imwani mankhwala anu panthawi yomwe mwauzidwa, pamodzi ndi chakudya , monga momwe dokotala wanu wakuuzani. Musamaphonye chakudya chilichonse.
- Uzani dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala azitsamba omwe mukumwa.
- Funani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu, monga kutupa pakhungu, chikasu m'maso kapena pakhungu, komanso malungo.
- Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka, lankhulani ndi dokotala wanu za njira yotetezeka kwambiri, chifukwa mankhwalawa angapangitse kuti asagwire bwino ntchito.
- Pitirizani kulankhulana ndi dokotala wanu nthawi zonse. Musaope kukambirana naye nkhawa iliyonse.
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