Tikudziwa mavuto okhala ndi kachilombo ka HIV. Kuthana ndi mankhwala ambiri tsiku lililonse nthawi zina kumakhala kovuta. Chifukwa chake, lero tikambirana za kuphatikiza kwa mankhwala atatu mu piritsi limodzi omwe angathandize kuti njira yochizira iyi ikhale yosavuta kwa inu. Dokotala wanu mwina adakulemberani izi, kapena mwina mudamvapo za izi. Tiyeni tikambirane mwachidule.
Kodi mankhwala awa ndi chiyani? Mwachidule...
Izi ndi kuphatikiza kwa mankhwala atatu: Doravirine, Lamivudine, ndi Tenofovir Disoproxil Fumarate. Zonsezi ndi mankhwala oletsa mavairasi omwe amagwira ntchito yolimbana ndi kachilombo ka HIV, kutanthauza mankhwala oletsa mavairasi. Chomwe piritsi ili limachita ndikupangitsa moyo wanu kukhala wosavuta pochita izi mu piritsi limodzi, m'malo momwa mapiritsi ambiri patsiku.
Koma ndikofunikira kukumbukira izi: Mankhwalawa si mankhwala ochizira matenda a HIV. M'malo mwake, amathandiza kuchepetsa kuchuluka kwa kachilombo ka HIV m'thupi lanu ndikulimbitsa chitetezo cha mthupi lanu. Komanso, akagwiritsidwa ntchito moyenera, mankhwalawa amachepetsa kwambiri chiopsezo chopatsira kachilombo ka HIV kwa wina. Koma sachotsa chiopsezocho kotheratu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya thanzi lanu. Choncho, ngati muli ndi nkhawa iliyonse pa chilichonse mwa izi, musabise dokotala wanu.
| Matenda kapena zoona zake | N’chifukwa chiyani zimenezo n’zofunika? |
|---|---|
| Matenda a impso kapena mavuto ena ofanana nawo. | Popeza zina mwa zosakaniza zomwe zili mu mankhwalawa zimatuluka m'thupi kudzera mu impso, ndikofunikira kudziwa za momwe impso zimagwirira ntchito. |
| Matenda a chiwindi , makamaka matenda a chiwindi cha chiwindi B. | Ngati muli ndi matenda a chiwindi cha mtundu wa B, kusiya kumwa mankhwalawa kungapangitse kuti zizindikiro zanu ziwonjezeke, choncho dokotala wanu ayenera kudziwa izi. |
| Mavuto a mafupa (monga kufooka kwa mafupa, kufooka kwa mafupa, kusweka kwa mafupa pafupipafupi). | Gawo la tenofovir la mankhwalawa nthawi zina lingakhudze kuchulukana kwa mafupa. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa . | Ndikofunikira kwambiri kukambirana ndi dokotala wanu za chitetezo cha mankhwalawa panthawi ya mimba ndi kuyamwitsa. |
| Ngati muli ndi vuto la ziwengo ndi chilichonse mwa zinthu zomwe zili mu mankhwalawa kapena mankhwala ena aliwonse, chakudya, kapena utoto . | Izi ndizofunikira kwambiri kuti tipewe vuto lalikulu la ziwengo. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndi zophweka kwambiri. Muyenera kumwa piritsi limodzi patsiku, ndi kapu ya madzi. Mutha kumwa ndi chakudya kapena ayi. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa ndi chakudya.
Chofunika kwambiri!
Musadumphe mlingo pazifukwa zilizonse. Ichi ndi chinthu chofunikira kwambiri chomwe muyenera kukumbukira. Ngati mudumpha mlingo, kachilombo kamene kali m'thupi lanu kayamba kulimbana ndi mankhwalawa. Izi zikutanthauza kuti kachilomboka kadzakhala kosagonja ku mankhwalawa (kosagonja ku kachilombo ka HIV). Ngati zimenezo zitachitika, osati mankhwala awa okha, komanso mankhwala ena operekedwa a HIV sangagwire ntchito kwa inu. Choncho, imwani mankhwalawo panthawi yoyenera, monga momwe dokotala wanenera.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Tonsefe nthawi zina timaiwala. Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira ikafika, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi mwamsanga. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Mankhwala ena omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa ndipo muyenera kusamala nawo
Uzani dokotala wanu za mankhwala onse omwe mumamwa, osati okhawo omwe dokotala wanu wakupatsani, komanso mankhwala aliwonse ochepetsa ululu omwe amagulitsidwa kunja kwa chipatala, mankhwala a Ayurvedic, mavitamini, ndi zitsamba zomwe mumagwiritsa ntchito. Mankhwala ena amatha kusokonezana ndi mankhwalawa.
| Musamwe mankhwala awa pamodzi ndi mankhwalawa! | |
|---|---|
| Mankhwala ena a HIV: Mankhwala aliwonse okhala ndi Efavirenz, Etravirine, Nevirapine | Mankhwala opha tizilombo: Mitundu ina monga Rifampin, Rifapentine |
| Mankhwala a khunyu: Mitundu monga Carbamazepine, Oxcarbazepine, Phenobarbital, Phenytoin | Zogulitsa zitsamba: St. John's wort |
| Mankhwala oletsa khansa: Apalutamide, Enzalutamide, Mitotane | |
| Ngati mukumwa mankhwala awa, lankhulani ndi dokotala wanu ndipo samalani kwambiri! | |
| Mankhwala ochepetsa ululu ndi oletsa kutupa (NSAIDs): Zinthu monga Ibuprofen, Naproxen. | Mankhwala a matenda ena opatsirana ndi mavairasi: Adefovir, Acyclovir, Valacyclovir, Ganciclovir, ndi zina zotero. |
| Mankhwala ena a HIV. | Rifabutin ndi mankhwala opha tizilombo. |
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani ku chipatala masiku omwe dokotala wanu wakupatsani kuti mukayeze matenda anu. Ndikofunikira kuti muyeze magazi anu nthawi yake.
- Zizindikiro zatsopano: Ngati mukupeza zizindikiro zatsopano, ngakhale mukuganiza kuti ndi zazing'ono, uzani dokotala wanu.
- Kufalikira kwa kachilombo ka HIV: Ngakhale mutagwiritsa ntchito mankhwalawa, kachilombo ka HIV kamatha kufalikira kwa munthu wina kudzera mu kugonana kapena kukhudzana ndi magazi. Funsani gulu lanu la zaumoyo za njira zotetezeka zopewera izi.
- Ngati muli ndi Hepatitis B: Ngati muli ndi matenda a Hepatitis B, musasiye kumwa mankhwalawa popanda upangiri wa dokotala pazifukwa zilizonse. Kuchita zimenezi kungayambitse matenda a chiwindi chanu kukulirakulira mwadzidzidzi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Zina mwa izo zimakhala zachilendo ndipo zimatha pakatha masiku ochepa. Koma zinthu zina ziyenera kusamalidwa nthawi yomweyo.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo! | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kupweteka kwa mafupa kapena minofu | Kupweteka kwa mafupa, kupweteka kwa minofu kapena kufooka. |
| Zizindikiro za matenda | Malungo, kuzizira, chifuwa, pakhosi, mabala osachiritsa, kupweteka pokodza. |
| Izi nthawi zambiri sizimakhala zoopsa, koma ngati zikupitirira, uzani dokotala wanu . | |
| Mutu, chizungulire | Kutsegula m'mimba, nseru |
| Kutopa kapena kutopa kosazolowereka | Maloto achilendo kapena omveka bwino |
Kodi ndiyenera kusunga bwanji mankhwalawo?
- Sungani kutali ndi ana ndi ziweto.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Sungani mankhwalawo m'botolo loyambirira, lotsekedwa bwino, komanso lotetezedwa ku chinyezi.
- Musachotse paketi ya desiccant yomwe ili mkati mwa botolo. Imapangitsa kuti mankhwalawo akhale ouma.
- Tayani mankhwala omwe atha ntchito popanda kuwagwiritsa ntchito.
Uthenga Wopita Nawo Kunyumba
- Iyi ndi piritsi limodzi lomwe limaphatikiza mankhwala atatu kuti chithandizo cha HIV chikhale chosavuta. Sichichiritsa matendawa, koma chimawongolera.
- Chofunika kwambiri ndichakuti musalumphe mlingo wa mankhwala pazifukwa zilizonse. Kuchita zimenezi kungapangitse kuti kachilomboka kakhale kosagonja ku mankhwalawo.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa (kuphatikizapo mankhwala ochepetsa ululu ndi mavitamini).
- Ngati mukukumana ndi mavuto aakulu monga kutupa pankhope, kupuma movutikira, kapena kutupa pakhungu, funsani upangiri wa dokotala nthawi yomweyo.
- Pitirizani kutsatira njira zotetezeka kuti mupewe kufalikira kwa kachilombo ka HIV. Ngati muli ndi mafunso, kambiranani momasuka ndi dokotala wanu.
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