Kodi dokotala wanu wakupatsani mankhwala oletsa kachilombo ka HIV? Dzina la mankhwalawo likhoza kukhala lophatikiza Dolutegravir ndi Rilpivirine. Nthawi zambiri limabwera pansi pa dzina la JULUCA. Musasokonezedwe ndi mayina, omwe ndi ovuta pang'ono. Munkhaniyi, tikambirana za mankhwalawa, zomwe amachita pathupi lanu, komanso njira zodzitetezera zomwe muyenera kutsatira mukamagwiritsira ntchito, m'njira yosavuta yomwe mungamvetse.

⚡ Interactive Clinical Tool

⚖️

BMI Calculator

Know your body mass index (BMI) and weight classification

Open Interactive Calculator →

Kodi mankhwala otchedwa Dolutegravir; Rilpivirine ndi chiyani?

Mwachidule, iyi ndi mankhwala awiri oletsa kachilombo ka HIV omwe amagwira ntchito yolimbana ndi kachilombo ka HIV. Cholinga chachikulu cha izi ndikulamulira momwe kachilombo ka HIV kamagwirira ntchito m'thupi lanu ndikuchepetsa mphamvu zake.

Taganizirani izi ngati chishango chomwe chimachepetsa mphamvu ya kachilomboka. Izi zimalamulira kwambiri kufalikira ndi kukula kwa kachilomboka m'thupi.

Koma apa muyenera kukumbukira chinthu chofunika kwambiri . Mankhwalawa sachiritsa kachilombo ka HIV kotheratu. Izi zikutanthauza kuti, si mankhwala, koma ndi mankhwala . Komanso, ngakhale mutamwa mankhwalawa, chiopsezo chofalitsa kachilombo ka HIV kwa munthu wina sichidzathetsedwa kotheratu. Chiwopsezo chimenecho chimachepa kwambiri. Chifukwa chake, muyenera kupitiriza kutsatira njira zotetezeka.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala

Ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu musanapereke mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli popanda kubisa chilichonse .

Matenda a chiwindi: Ngati muli ndi matenda aliwonse a chiwindi omwe munali nawo kale, chonde tiuzeni za matendawa.
Mavuto amisala: Ndikofunikira kudziwitsa dokotala wanu ngati munakhalapo ndi maganizo ofuna kudzipha, mapulani, kapena kuyesa kudzipha kale, kapena ngati wina m'banja mwanu ali ndi mbiri ya izi.
Matenda a ziwengo: Uzani dokotala wanu ngati muli ndi vuto la ziwengo ku Dolutegravir, Rilpivirine, kapena mankhwala ena aliwonse, chakudya, kapena utoto womwe uli mu mankhwalawa.
Mimba: Izi ndizofunikira kwambiri ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukukonzekera kutenga pakati posachedwa . Mankhwalawa angakhudze mwana wosabadwa.
Kuyamwitsa: Ngati ndinu mayi woyamwitsa, muyeneranso kuuza dokotala wanu za nkhaniyi.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kudziwa momwe mungagwiritsire ntchito bwino.

Imwani ndi chakudya: Mankhwalawa ayenera kumwedwa ndi kapu ya madzi ndi chakudya . Musamwe musanadye kalikonse.
Imwani pa nthawi yake: Yesetsani kumwa mankhwala anu nthawi yomweyi tsiku lililonse, monga momwe dokotala wanu wanenera. Chitani izi chizolowezi.
Musaphonye mlingo: Kaya mukumva bwino bwanji, musadumphe mlingo kapena kusiya kumwa mankhwala anu popanda upangiri wa dokotala. Kudumpha mlingo kungayambitse kachilombo ka HIV kukhala kosatha ku mankhwala awa. Ngati mutero, mankhwalawa, komanso mankhwala ena a HIV, sangagwire ntchito kwa inu mtsogolo.
Bwanji ngati mwamwa mankhwala ochulukirapo?: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Nanga bwanji ngati ndaphonya mlingo?: Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri.

Mankhwalawa ndi a inu nokha. Musagawire ena mankhwala anu, ngakhale atakhala ndi zizindikiro zomwezo monga inu.

Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)

Iyi ndi gawo lofunika kwambiri. Mankhwala ena angayambitse mavuto akamwedwa ndi mankhwalawa. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) .

Gome ili m'munsimu likuwonetsa mankhwala ena omwe angayambitse mavuto ndi mankhwalawa.

Dolutegravir; Kuyanjana komwe kungatheke ndi Rilpivirine
Mankhwala omwe sayenera kumwedwa pamodzi
Phoenix/Mankhwala ena a khunyu	Carbamazepine, Oxcarbazepine, Phenobarbital, ndi Phenytoin
Mankhwala ena omwe amagwiritsidwa ntchito pa matenda a gastritis (Proton Pump Inhibitors)	Esomeprazole, Pantoprazole, Omeprazole, Lansoprazole, Rabeprazole
Mankhwala ena a matenda a bowa	Fluconazole, Itraconazole, Ketoconazole, Posaconazole, Voriconazole
Mankhwala ena a chifuwa chachikulu	Rifampin, Rifapentine
Mankhwala ena	Dexamethasone, Dofetilide, St. John's wort, Cisapride, Pimozide, Thioridazine, Ziprasidone
Mankhwala omwe angayambitse kuyanjana ndipo ayenera kumwedwa motsatira upangiri wa dokotala
Maantibayotiki ena	Clarithromycin, Erythromycin, Rifabutin
Mankhwala ena a gastritis (Antacids)	Aluminium hydroxide, Magnesium hydroxide, Calcium carbonate, Cimetidine, Famotidine
Zowonjezera	Zakudya zowonjezera za calcium, zakudya zowonjezera zachitsulo
Mankhwala ena	Metformin, Methadone, Sucralfate, mankhwala omwe amakhudza kayendedwe ka mtima (mankhwala otalikitsa nthawi ya QT)

Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu zonse zomwe mumamwa.

Zinthu zofunika kusamala nazo mukamamwa mankhwala

Kuyezetsa magazi pafupipafupi: Pitani kwa dokotala nthawi ndi nthawi. Iye akhoza kuchita mayeso ofunikira a magazi kuti aone momwe mankhwalawo akukhudzira thupi lanu.
Matenda aakulu pakhungu: Izi ndizofunikira kwambiri. Ngati mukuyamba kutupa pakhungu ndi zizindikiro monga kutentha thupi kapena kuzizira, milungu ingapo kapena miyezi ingapo mutayamba kumwa mankhwala, uzani dokotala nthawi yomweyo . Kutupa kumeneku kumatha kukhala kofiira kapena kofiirira, kenako matuza ndi kutuluka. Kapena kungakhale kutupa kofiira komwe kumakhala ndi ma lymph nodes otupa pankhope, pamilomo, kapena pakhosi/m'khwapa. Ichi chikhoza kukhala chizindikiro cha matenda oopsa otchedwa DRESS syndrome, omwe amafunika chithandizo chachangu.
Kuwonongeka kwa chiwindi: Mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, komanso kutopa kwambiri kungakhale zizindikiro za mavuto a chiwindi. Uzani dokotala wanu nthawi yomweyo.
Kusintha kwa maganizo: Ngati mukukumana ndi kusintha kwa maganizo, kuvutika maganizo, kapena maganizo ofuna kudzipha, uzani dokotala wanu kapena wokondedwa wanu nthawi yomweyo.

Zotsatirapo zoyipa za mankhwalawa

Mtundu wa zotsatira zoyipa	Makhalidwe
Zinthu zoti muuze dokotala nthawi yomweyo	Matenda monga ziphuphu pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime Kuvuta kupuma Kupweteka kwa minofu kapena mafupa Ziphuphu ndi malungo ndi kutupa kwa ma lymph nodes Kufiira, kutupa, khungu lotupa (lingathenso kuchitika mkamwa) Zizindikiro za mavuto a chiwindi (mkodzo wakuda, khungu/maso achikasu, kupweteka m'mimba) Maganizo ofuna kudzipha kapena kusintha kwakukulu kwa maganizo
Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira	Kutsegula m'mimba Mutu Kuvuta kugona

Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.

Uthenga Wopita Nawo Kunyumba

Nthawi zonse imwani mankhwalawa pamodzi ndi chakudya , panthawi yolembedwa ndi dokotala wanu. Musadumphe mlingo.
Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa. Mankhwala ena, makamaka a gastritis, sayenera kumwedwa limodzi ndi awa.
Ngati mukumva kutentha thupi limodzi ndi kutupa pakhungu , kusintha kwa maganizo, kapena zizindikiro za kuwonongeka kwa chiwindi, funsani upangiri wa dokotala nthawi yomweyo.
Kumbukirani kuti uwu ndi mankhwala, osati mankhwala, a kachilombo ka HIV. Pitirizani kuchita zogonana zodziteteza .
Pewani kutenga mimba mukumwa mankhwalawa. Ngati mukukonzekera kutenga mimba, kambiranani ndi dokotala wanu kaye.