Kodi inuyo kapena munthu wina amene mumamudziwa adapatsidwa mankhwala a kachilombo ka HIV? Ngati ndi choncho, muyenera kuti mudamvapo za mitundu yosiyanasiyana ya mankhwala omwe madokotala amapereka. Lero tikambirana za kuphatikiza kwa mapiritsi amodzi ofunikira kwambiri. Tiyeni timvetse zonse zokhudza mankhwalawa, omwe amadziwika ndi dzina lodziwika bwino la `Genvoya`, mwachidule.
Kodi mankhwala amenewa ndi amtundu wanji kwenikweni?
Mwachidule, ndi piritsi limodzi lomwe limaphatikiza mankhwala atatu ochepetsa mphamvu ya kachilombo ka HIV, komanso mankhwala owonjezera mphamvu omwe amawonjezera mphamvu ya mankhwalawo. Zosakaniza zake zazikulu ndi `Elvitegravir`, `Cobicistat`, `Emtricitabine` ndi `Tenofovir Alafenamide`.
Chofunika kwambiri ndichakuti izi si mankhwala a kachilombo ka HIV. Koma zimathandiza kuchepetsa kuchuluka kwa kachilombo ka HIV m'thupi lanu komanso kuteteza chitetezo cha mthupi lanu kukhala champhamvu.
Komanso, akagwiritsidwa ntchito moyenera, mankhwalawa amachepetsa kwambiri chiopsezo chofalitsa kachilombo ka HIV kwa munthu wina. Komabe, ndikofunikira kukumbukira kuti chiopsezochi sichimatha kotheratu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanapereke mankhwala awa, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse mwa izi:
- Ngati muli ndi vuto lililonse lokhudzana ndi impso .
- Ngati muli ndi matenda aliwonse a chiwindi .
- Ngati mudakumanapo ndi vuto la ziwengo ndi chilichonse chomwe chili mu mankhwalawa, mankhwala ena, chakudya, kapena chosungira.
- Ngati muli ndi pakati , kapena mukuyembekezera mwana .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Imwani ndi chakudya: Nthawi zonse imwani mankhwala awa pamodzi ndi chakudya ndi kapu ya madzi. Musamwe muli ndi mimba yopanda kanthu.
- Imwani pa nthawi yake: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kuti milingo ya mankhwala m'thupi lanu ikhale yofanana.
- Musamasiye kumwa mankhwala anu: Ichi ndi chinthu chofunika kwambiri. Kaya mukumva bwino bwanji, musasiye kumwa mankhwala anu popanda upangiri wa dokotala.Ngati muchita zimenezo, kachilombo ka HIV kakhoza kukhala kosatha ku mankhwala awa ndipo kakhoza kukhala kosatha ku mankhwalawa. Zimenezi n’zoopsa kwambiri.
- Ngati mupatsa ana: Ngati mwana wanu wapatsidwa mankhwala awa, onetsetsani kuti mwalankhula ndi dokotala wa ana kuti akupatseni upangiri.
- Ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo molakwika, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital . Kapena, pitani ku chipatala chapafupi cha Emergency Department (ETU) mwachangu momwe mungathere.
Kumbukirani, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Iyi ndi gawo lofunika kwambiri. Kumwa mankhwalawa pamodzi ndi mankhwala ena kungayambitse mavuto aakulu. Uzani dokotala wanu za mankhwala onse omwe mumamwa, kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala achikhalidwe.
| Musamwe mankhwala awa pamodzi nawo! | |
|---|---|
| Mtundu wa mankhwala | Zitsanzo |
| Mankhwala ena ochepetsa mafuta m'thupi | lovastatin, simvastatin |
| Mankhwala ena a khunyu | carbamazepine, phenobarbital, ndi phenytoin |
| Mankhwala a chifuwa chachikulu | rifampin |
| Mankhwala ena a mutu/migraine | dihydroergotamine, ergotamine |
| Mankhwala ena oletsa mavairasi a HIV/AIDS | Funsani dokotala. |
| Mankhwala azitsamba | Wort wa St. John |
| Mankhwala ena omwe angayambitse mavuto ndi mankhwalawa (uzani dokotala wanu ) | |
|---|---|
| Mankhwala oletsa asidi | Mankhwala a asidi m'mimba |
| Maantibayotiki, mankhwala opha tizilombo toyambitsa matenda | clarithromycin, itraconazole, ketoconazole |
| Mankhwala a kuthamanga kwa magazi ndi matenda a mtima | amlodipine, metoprolol, verapamil |
| Mankhwala a matenda amisala ndi kuvutika maganizo | risperidone, thioridazine |
| Mapiritsi oletsa kubereka ndi mitundu ya mahomoni | Ma Estrogen, ma progestin |
| Mitundu ya ma steroid | prednisolone, dexamethasone, fluticasone (zopumira) |
Iyi si mndandanda wathunthu, choncho ndikofunikira kwambiri kuuza dokotala wanu za chilichonse chomwe mukugwiritsa ntchito.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi pafupipafupi: Pitani kukayezetsa magazi pafupipafupi ndi dokotala wanu. Mungafunike kuyezetsa magazi kuti muwone momwe impso zanu ndi chiwindi chanu zimagwirira ntchito pamene mukumwa mankhwalawa.
- Matenda a Hepatitis B: Ngati muli ndi matenda a Hepatitis B, kusiya kumwa mankhwalawa popanda upangiri wa dokotala wanu kungapangitse kuti zizindikiro za Hepatitis B ziwonjezeke. Choncho kambirananinso za zimenezo.
- Kuletsa kubereka: Mankhwalawa angachepetse mphamvu ya mapiritsi oletsa kubereka. Chifukwa chake, ngati mukufuna kupewa kutenga mimba, muyenera kugwiritsa ntchito njira ina yoletsa kubereka, monga kondomu. Lankhulani ndi dokotala wanu za izi ndipo funsani upangiri wina.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina zimakhala zoopsa, zina zimakhala zofala.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu/bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, kutopa kwambiri, malungo. |
| Zizindikiro za kuwonongeka kwa impso | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe umatuluka. |
| Zizindikiro zina zazikulu | Kugunda kwa mtima mofulumira kapena kosasinthasintha, kupweteka kwa minofu kapena kufooka. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kusasangalala m'mimba | Kutsegula m'mimba, nseru. |
| Zina | Mutu, kutopa. |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwalawa nthawi yomweyo tsiku lililonse, pamodzi ndi chakudya. Musamalumphe mlingo uliwonse.
- Iyi si njira yochiritsira kachilombo ka HIV, koma imathandiza kulamulira kachilomboka ndikukhala ndi moyo wathanzi.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa, ngakhale mavitamini.
- Ngati mukukumana ndi mavuto aakulu monga chikasu cha maso, mkodzo wakuda, kapena ziphuphu pakhungu, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kukambirana ndi dokotala wanu.
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