Zomwe muyenera kudziwa zokhudza mapiritsi a Efavirenz

Kodi dokotala wakupatsani mankhwala otchedwa Efavirenz ochizira matenda a HIV? Kapena kodi munthu amene mumamudziwa amagwiritsa ntchito mankhwalawa? Ndikofunikira kwambiri kudziwa bwino za mitundu iyi ya mankhwala. Chifukwa ndi pamenepa pamene tingapeze chithandizo choyenera ndikukhala ndi moyo wathanzi. Choncho lero, tiyeni tikambirane za mankhwala otchedwa Efavirenz m'njira yosavuta yomwe mungamvetse.

Kodi Efavirenz ndi chiyani?

Mwachidule, Efavirenz ndi mankhwala omwe ali mgulu la ma antiretroviral . Amagwiritsidwa ntchito pochiza matenda a HIV, koma amaperekedwa pamodzi ndi mankhwala ena angapo. Sangathe kuchiritsa matenda a HIV kwathunthu. Komabe, amatha kuchepetsa kuchuluka kwa HIV m'thupi lanu. Amathandizanso kuchepetsa chiopsezo chofalitsa kachilombo ka HIV kwa ena, koma sangathe kuletsa kwathunthu. Chifukwa chake, ndikofunikira kwambiri kutsatira njira zodzitetezera.

Nthawi zina mankhwalawa angagwiritsidwenso ntchito pa matenda ena. Mutha kufunsa dokotala wanu kapena wamankhwala za izi.

Dzina lodziwika bwino la mankhwalawa ndi Sustiva.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kumwa mankhwalawa?

Musanayambe kumwa Efavirenz, pali zinthu zina zomwe muyenera kuuza dokotala wanu. Chifukwa iwo ndi omwe adzadziwe ngati mankhwalawa ndi oyenera kwa inu, kuchuluka kwa mankhwala omwe angakupatseni, komanso zinthu zomwe muyenera kudziwa.

Nazi zinthu zofunika kuzidziwa:

• Ngati muli ndi matenda a mtima: Mankhwalawa angakhudze anthu omwe ali ndi matenda enaake a mtima mosiyana.
• Ngati munayamba mwakhalapo ndi vuto la mankhwala osokoneza bongo kapena mowa kapena ngati muli ndi vuto lotere: Zinthu izi zingakhudze momwe mankhwalawa amagwirira ntchito.
• Ngati mudadwalapo matenda amisala monga kuvutika maganizo: Ndikofunikira kwambiri kudziwitsa dokotala wanu za izi chifukwa mankhwalawa amatha kukhudza matenda ena amisala.
• Ngati muli ndi matenda a chiwindi: Popeza mankhwala amachotsedwa m'thupi ndi chiwindi, muyenera kusamala ngati muli ndi vuto la chiwindi.
• Ngati muli ndi mbiri ya khunyu kapena kukomoka.
• Ngati mukumwa mankhwala ena aliwonse: Izi sizikutanthauza okhawo omwe dokotala wanu wakupatsani, komanso mankhwala ena aliwonse omwe mumawagula, mankhwala azitsamba, mavitamini, ndi zina zotero. Muyenera kutiuza zonsezo, chifukwa mankhwala ena amatha kusokonezana ndi Efavirenz.
• Ngati muli ndi vuto la ziwengo chifukwa cha efavirenz, mankhwala ena, zakudya, utoto, kapena zotetezera.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba:Kusamala kwambiri kuyenera kutengedwa mukamagwiritsa ntchito mankhwalawa panthawi ya mimba.
• Ngati ndinu mayi woyamwitsa.

Ndikofunikira kwambiri kuti thanzi lanu lidziwe dokotala wanu mfundo zonsezi popanda kuzibisa.

Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

Kugwiritsa ntchito mankhwalawa moyenera ndiye chinsinsi cha chithandizo chogwira mtima.

• Piritsi ili liyenera kumwedwa pakamwa ndi kapu ya madzi .
• Tsatirani monga momwe dokotala wanu walembera pa chizindikiro cha mankhwala.
• Mankhwalawa ayenera kumwedwa pamimba yopanda kanthu. Izi zikutanthauza kuti, mphindi 30 musanadye, kapena maola awiri mutadya. Musamwe pamodzi ndi chakudya.
• Musaswe, kuphwanya, kapena kutafuna piritsi. Mezani piritsi lonse.
• Mankhwalawa nthawi zambiri amatengedwa usiku musanagone. Izi zili choncho chifukwa zina mwa zotsatirapo zake (monga chizungulire) sizimaonekera bwino mukagona.
• Imwani mankhwala nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kuti thupi lanu likhale ndi mankhwala okwanira nthawi zonse.
• Musamwe mankhwala ochulukirapo kapena ochepera kuposa omwe dokotala wakupatsani.
• Kuti chithandizo chanu cha HIV chigwire ntchito bwino, muyenera kumwa mlingo uliwonse monga momwe mwalangizidwira.
• Musamadumphe mlingo wa mankhwala. Ngakhale mutamva bwino, musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti mutero. Ngati mudumpha mlingo, kachilombo ka HIV kakhoza kukhala kosagonja osati kokha ku mankhwalawa komanso ku mankhwala ena a HIV. Izi zingapangitse kuti chithandizo chikhale chovuta.
• Musasiye kumwa mankhwala popanda upangiri wa dokotala.

Ngati mupatsa ana mankhwalawa:

Mankhwalawa angaperekedwenso kwa ana nthawi zina. Koma pali njira zapadera zodzitetezera. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu wa ana mosamala za izi ndipo funsani upangiri.

Chochita ngati mwamwa mankhwala ochulukirapo? ('Kupitirira muyeso')

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani malo owongolera poizoni kapena chipinda chodzidzimutsa chapafupi nthawi yomweyo.

Dziwani: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi ena.

Kodi mumatani ngati mwaphonya mlingo wa mankhwala?

Nthawi zina tingaphonye mlingo wa mankhwala, eti? Ngati ndi choncho, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri kapena wowonjezera.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Efavirenz imatha kuyanjana ndi mankhwala ena, zitsamba, mankhwala ogulitsidwa kunja kwa chipatala, ndi mavitamini omwe mukumwa. Izi zikutanthauza kuti akamwedwa pamodzi, amatha kukhudza wina ndi mnzake. Nthawi zina, mphamvu ya Efavirenz imatha kuchepa, kuwonjezeka, kapena zotsatirapo zake zimatha kukwera.

Musamwe Efavirenz pamodzi ndi mankhwala otsatirawa:

• Disopyramide
• Elbasvir; grazoprevir (`elbasvir; grazoprevir`)
• Rifapentine
• Voriconazole

Kuphatikiza apo, mankhwala otsatirawa angagwirizane ndi Efavirenz:

• Amiodarone
• Artemether; Lumefantrine
• Clarithromycin
• Mahomoni achikazi, mwachitsanzo mapiritsi oletsa kubereka, ma patch, mphete, kapena jakisoni omwe ali ndi ma estrogens kapena progestins
• Mankhwala oletsa kuthamanga kwa magazi, monga diltiazem, nifedipine, verapamil
• Mankhwala a cholesterol, monga simvastatin
• Mankhwala a kuvutika maganizo, nkhawa, kapena matenda ena amisala
• Mankhwala ochizira matenda a bowa, monga ketoconazole, itraconazole, posaconazole
• Mankhwala a khunyu kapena zipsinjo, monga carbamazepine, phenobarbital, phenytoin
• Mapiritsi ogonetsa
• Methadone
• Mankhwala ena a HIV
• Mpunga wofiira wa yisiti
• Rifabutin
• Rifampin
• Sirolimus
• Tacrolimus
• Warfarin

Mndandandawu sukuphatikizapo zinthu zonse zomwe zingachitike. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mankhwala azitsamba, mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, ndi zowonjezera zakudya. Komanso, uzani dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala osokoneza bongo. Zinthu zina zingakhudze mankhwala anu.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa?

• Pitani kwa dokotala wanu nthawi zonse kuti akakuwoneni. Lankhulani ndi dokotala wanu za zizindikiro zatsopano zomwe muli nazo. Muyeneranso kuyezetsa magazi ofunikira mukamamwa mankhwalawa.
• Mankhwalawa nthawi zina angayambitse mavuto aakulu pakhungu.Izi zitha kuchitika mkati mwa milungu ingapo kapena miyezi ingapo mutayamba kumwa mankhwala. Ngati mukuyamba kutupa komwe kumamveka ngati muli ndi malungo ndipo simukumva bwino, pitani kwa dokotala nthawi yomweyo. Kutupa kumeneku kumatha kukhala kofiira kapena kofiirira kenako kumatupa ndi kutuluka. Kapena, ngati muwona kutupa kofiira komanso kutupa kwa ma lymph nodes pankhope panu, milomo, khosi, kapena m'khwapa, uzani dokotala wanu .
• Kachirombo ka HIV kamafalikira kwa ena kudzera mu kugonana kapena kukhudzana ndi magazi. Lankhulani ndi dokotala wanu za njira zoletsera kufalikira kwa kachilombo ka HIV.
• Mungamve ngati muli ndi tulo kapena chizungulire. Musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Kuchita zimenezi kungachepetse mwayi wokhala ndi chizungulire ndi kugwa. Pewani kugwiritsa ntchito mowa ndi mankhwala osokoneza bongo (omwe amasokoneza maganizo) mukamamwa mankhwalawa. Zingapangitse kuti zotsatirapo zake zikhale zoyipa kwambiri.
• Mapiritsi oletsa kubereka sangagwire ntchito bwino mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga kondomu). Azimayi a msinkhu wobereka ayenera kugwiritsa ntchito njira yodalirika yolerera kubereka (zoletsa kubereka).

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Efavirenz ingayambitse zotsatira zina zoyipa. Zina zimakhala zoopsa, zina sizili zoopsa kwambiri.

Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala kapena katswiri wa zaumoyo nthawi yomweyo:

• Matenda a ziwengo: ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, ndi lilime.
• Kusintha kwa khalidwe: kuvutika maganizo kwambiri, malingaliro achilendo, malingaliro ofuna kudzipha, mkwiyo waukulu.
• Kuona zinthu m'maganizo: Kuona kapena kumva zinthu zomwe sizilipo kwenikweni.
• Kulephera kuyenda kapena kulankhula bwino.
• Izi zingaphatikizepo kufiira, kutupa, kutsekeka, komanso ngakhale mkati mwa pakamwa.
• Zizindikiro za kuvulala kwa chiwindi: mkodzo wakuda wachikasu kapena bulauni, kumva kutopa, kumva kutentha thupi, ndowe zoyera, kusowa chilakolako cha chakudya, nseru, kupweteka kumtunda kwa kumanja kwa m'mimba, kutopa kosazolowereka, ndi chikasu cha maso kapena khungu.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kutsegula m'mimba
• Kuvuta kugona, maloto achilendo
• Chizungulire
• Kuvuta kuganizira kwambiri
• Kupweteka m'mimba, kusanza
• Kulemera - makamaka kuzungulira m'chiuno, msana, kapena nkhope, manja, ndi miyendo.

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Lankhulani ndi dokotala wanu kuti akupatseni upangiri wa zamankhwala wokhudza zotsatirapo zake.

Kodi ndiyenera kusunga kuti mankhwalawa?

• Sungani pamalo omwe ana sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 15 ndi 30 Celsius, pakati pa madigiri 59 ndi 86 Fahrenheit).
• Tayani mankhwala otha ntchito.

Chofunika kudziwa: Tsamba ili ndi chidule chokha. Silingakhale ndi tsatanetsatane wonse. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde lankhulani ndi dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina.

Pomaliza, zinthu zoti muzikumbukira

Chabwino, ndikukhulupirira kuti muli ndi lingaliro lina la Efavirenz. Kumbukirani, ngakhale kukhala ndi kachilombo ka HIV kuli kovuta, ndi chithandizo choyenera ndikutsatira upangiri wa dokotala wanu, inunso mutha kukhala ndi moyo wabwinobwino komanso wathanzi.

• Imwani mankhwala anu nthawi yake, monga momwe dokotala wanu wanenera.
• Musaphonye nthawi iliyonse.
• Ngati muli ndi vuto lililonse, zizindikiro zatsopano, kapena chilichonse chomwe chikukudetsani nkhawa , musabise ndipo muuzeni dokotala wanu.
• Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
• Pitani kukayezetsa dokotala nthawi zonse.
• Tsatirani njira zodzitetezera kuti mupewe kufalikira kwa kachilombo ka HIV.

Simuli nokha. Pali madokotala, anamwino, ndi okondedwa anu omwe akukuthandizani ndikumvetsera mafunso anu. Ganizirani zabwino, khalani olimba mtima!

Efavirenz , Sustiva, HIV, AIDS, ma ARV, mankhwala, chithandizo cha HIV, zotsatirapo zake, thanzi