Kodi dokotala wanu wakupatsani mankhwala awa kuti athetse matenda a HIV? Ali ndi mayina awiri, Darunavir ndi Cobicistat. Mwina mumadziwa ndi dzina la PREZCOBIX. Mungakhale ndi mafunso kapena nkhawa pang'ono za mankhwalawa. Zimenezo ndi zachilendo. Lero, tikambirana za mankhwalawa m'njira yochezeka komanso yosavuta, momwe amagwirira ntchito, momwe angamwere, komanso zomwe muyenera kusamala nazo.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, uwu ndi mtundu wa mankhwala omwe amagwira ntchito yolimbana ndi kachilombo ka HIV. M'mawu azachipatala, timatcha mankhwalawa kuti "mankhwala oletsa kachilombo ka HIV". Izi kwenikweni ndi kuphatikiza mitundu iwiri ya mankhwala mu piritsi limodzi. Izi zikutanthauza kuti, Darunavir ndi mankhwala oletsa kachilomboka, ndipo Cobicistat ndi mankhwala omwe amawonjezera mphamvu ya mankhwalawa (booster).
Chofunika kwambiri ndichakuti iyi si njira yochizira matenda a HIV. Komabe, imayang'anira kuchuluka kwa kachilombo ka HIV m'thupi lanu (viral load). Izi zikutanthauza kuti imachepetsa mphamvu ya kachilomboka yowononga chitetezo cha mthupi lanu, kukuthandizani kukhala ndi moyo wathanzi komanso wabwinobwino. Komanso, ikagwiritsidwa ntchito moyenera, mankhwalawa amatha kuchepetsa kwambiri, ngati sichoncho, chiopsezo chopatsira kachilombo ka HIV kwa wina.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kuti dokotala wanu adziwe zonse zokhudza thanzi lanu kuti athe kusankha chithandizo choyenera komanso chotetezeka kwambiri kwa inu. Chifukwa chake, ngati muli ndi chilichonse mwa izi, musabise chilichonse ndipo muuzeni dokotala wanu.
- Ngati muli ndi matenda a shuga (`Diabetes Mellitus`).
- Ngati muli ndi vuto la magazi kuundana monga hemophilia.
- Ngati muli ndi matenda aliwonse a impso.
- Ngati muli ndi matenda aliwonse a chiwindi.
- Ngati mwakhalapo ndi vuto la ziwengo chifukwa cha Darunavir, Cobicistat, mankhwala a sulfa, kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati ndinu mayi amene akuyamwitsa mwana.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Chinsinsi chachikulu cha kupambana kwa chithandizochi ndichakuti musaphonye mlingo wa mankhwala ndikumwa panthawi yake. Umu ndi momwe mungamwere mankhwalawo:
1. Imwani ndi chakudya: Mankhwalawa ayenera kumwedwa ndi chakudya . Musamwe muli ndi mimba yopanda kanthu.
2. Imwani ndi kapu ya madzi: Mezani piritsi lonse ndi kapu ya madzi.
3. Imwani panthawi yoyenera:Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
4. Musasiye kumwa mankhwala anu: Ngakhale mutamva bwino, musasiye kumwa mankhwala anu popanda upangiri wa dokotala. Ngati simugwiritsa ntchito mankhwalawo, kachilombo ka HIV kakhoza kukhala kosagonja osati kokha ku mankhwala awa komanso ku mankhwala ena. Timatcha kuti "Kusagonja ku Mankhwala". Ngati zimenezo zitachitika, zimakhala zovuta kwambiri kuchiza.
Kodi mumatani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati mlingo wanu wotsatira uli pasanathe maola 12, thawani mlingo womwe mwaphonya. Ingomwani mlingo wanu wotsatira panthawi yomwe mwakonza.
Chofunika kwambiri: Musamwe mankhwala owirikiza kawiri kuti mubwezeretse mlingo woyiwalika.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Izi ndi zofunika kwambiri chifukwa mankhwalawa amatha kuyanjana ndi mankhwala ena. Chifukwa chake, ndikofunikira kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa.
| Musamwe Mankhwalawa Mosakayikira! | |
|---|---|
| Alfuzosin | Rifampin |
| Mankhwala a matenda a mtima monga Dronedarone, Ivabradine, ndi Ranolazine | Sildenafil (yothandiza pa kuthamanga kwa magazi m'mapapo) |
| Mankhwala oletsa khunyu monga Carbamazepine, Phenytoin, ndi Phenobarbital | Wort wa St. John (mankhwala azitsamba) |
| Mankhwala a cholesterol monga Lomiptide, Lovastatin, ndi Simvastatin | Triazolam, Midazolam (yogwiritsidwa ntchito popangitsa tulo) |
| Mankhwala monga Ergotamine ndi Dihydroergotamine a mutu waching'alang'ala | Cisapride, Pimozide, Lurasidone |
| Ikhozanso Kugwirizana ndi Mankhwala Awa | |
|---|---|
| Mankhwala ena a HIV kapena Edzi | Mankhwala ena a cholesterol monga Atorvastatin, Rosuvastatin |
| Mitundu ya mahomoni, kuphatikizapo mapiritsi oletsa kubereka | Mankhwala opha tizilombo monga Clarithromycin |
| Mankhwala ochepetsa magazi monga Warfarin ndi Apixaban | Mankhwala oletsa bowa monga ketoconazole |
| Mankhwala othamanga magazi monga Amlodipine ndi Metoprolol | Mankhwala oletsa kuvutika maganizo monga Sertraline ndi Amitriptyline |
| Mankhwala olimbikitsa kugonana monga Sildenafil (Viagra), Tadalafil | Ma steroid monga Fluticasone ndi Budesonide |
| Mankhwala oletsa khansa, mankhwala ochepetsa ululu ndi mankhwala ena ambiri | Mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa |
Mndandandawu si wokwanira. Choncho, perekani dokotala wanu mndandanda wathunthu wa mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera), komanso ngati mumasuta kapena kumwa mowa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kupimidwa nthawi zonse ndi dokotala: Onetsetsani kuti mwapita ku chipatala masiku omwe dokotala wanu wakuuzani kuti mupimidwe. Kayezetseni magazi oyenera.
- Matenda oopsa pakhungu: Mankhwalawa nthawi zina angayambitse matenda aakulu pakhungu . Izi zitha kuchitika ngakhale milungu ingapo mutayamba kumwa mankhwala. Ngati muyamba kutupa kofiira, kofiirira komwe kumakhala ndi zizindikiro monga malungo kapena kuzizira, kutsatiridwa ndi matuza kapena khungu lotupa, uzani dokotala wanu nthawi yomweyo. Komanso, ngati muyamba kutupa kofiira pamodzi ndi kutupa kwa nkhope, milomo, kapena kutupa kwa ma lymph nodes m'khosi kapena m'khwapa, ichi chingakhale chizindikiro choopsa kwambiri. Ngati muwona chilichonse chonga ichi, funsani upangiri wa dokotala nthawi yomweyo.
- Kuletsa kubereka: Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka, mphamvu yawo ingachepe mukamamwa mankhwalawa. Chifukwa chake, onetsetsani kuti mwalankhula ndi dokotala wanu za kugwiritsa ntchito njira ina yoletsa kubereka, monga makondomu .
- Kuchuluka kwa shuga m'magazi: Mankhwalawa angapangitse kuti shuga m'magazi mwanu achuluke. Ngati muli ndi matenda a shuga, yang'anani shuga m'magazi mwanu nthawi zonse. Lankhulani ndi dokotala wanu za kusintha zakudya kapena mankhwala ngati pakufunika kutero.
- Kufalikira kwa kachilombo ka HIV: Ngakhale kuti mankhwalawa amachepetsa chiopsezo chofalikira kwa kachilombo ka HIV, saletsa kotheratu. Choncho lankhulani ndi dokotala wanu za kuchita zogonana zotetezeka komanso njira zopewera kufalikira kwa matendawa kudzera m'magazi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina.
| Mtundu wa zotsatira zoyipa | Zizindikiro |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Mavuto a chiwindi | Mkodzo wakuda, chikasu cha maso kapena khungu (jaundice), kupweteka m'mimba, nseru, kusowa chilakolako cha chakudya. |
| Matenda a pakhungu kwambiri | Kufiira kwa khungu, kutupa, kutuluka kwa khungu (ngakhale mkati mwa mkamwa), malungo, kutupa kwa mkamwa. |
| Mavuto a impso | Kuvuta kukodza, kusintha kwa kuchuluka kwa mkodzo wotuluka, kupweteka kwa msana. |
| Kuwonjezeka kwa shuga m'magazi | Ludzu/njala yochuluka kuposa masiku onse, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kuwawa kwam'mimba | Kutsegula m'mimba |
| Mutu | Mutu waukulu |
| Kusintha kwa kagawidwe ka mafuta m'thupi | Kuchulukana kwa mafuta m'chiuno ndi m'mbuyo, kuonda nkhope ndi miyendo. |
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi mankhwala omwe amaletsa matenda a HIV, koma sachiza matendawo kwathunthu.
- Chofunika kwambiri: Musasiye kumwa mankhwala aliwonse. Musasiye kumwa mankhwala anu popanda upangiri wa dokotala.
- Mankhwalawa ayenera kumwedwa ndi chakudya .
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati muwona chilichonse monga kutupa kwambiri pakhungu limodzi ndi malungo ndi kutupa, funsani thandizo la dokotala nthawi yomweyo.
- Ngati mukugwiritsa ntchito mapiritsi oletsa kubereka, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira yowonjezera yodzitetezera, monga kondomu, chifukwa mwina sizingathandize kwenikweni.
- Ndikofunikira kwambiri kulankhulana ndi dokotala nthawi zonse komanso kupita kuzipatala pa masiku omwe akonzedwa.
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