Kodi dokotala wanu wakupatsani mankhwala ochizira matenda a HIV? Ngati ndi choncho, mwina mwalandira mankhwala angapo ophatikizana mu piritsi limodzi. Mankhwala amtunduwu tsopano amagwiritsidwa ntchito kwambiri pochiza. Lero tikambirana za mankhwala ophatikizana. Ngakhale dzina la mankhwala awa lingawoneke lalitali komanso lovuta, musadandaule. Tidzalifotokoza m'njira yosavuta kuti mumvetse.
Kodi mankhwala amenewa ndi chiyani kwenikweni?
Mwachidule, ndi kuphatikiza kwa mankhwala anayi mu piritsi limodzi. Lili ndi mankhwala atatu omwe amagwira ntchito motsutsana ndi kachilombo ka HIV (komwe timatcha mankhwala oletsa kachilombo ka HIV) ndi mankhwala ena omwe amawonjezera mphamvu ya mankhwala amenewo, kapena 'kuwalimbikitsa'. Piritsi ili limagwiritsidwa ntchito poletsa matenda a HIV.
Chofunika kwambiri kukumbukira ndichakuti iyi si mankhwala a kachilombo ka HIV. Komabe, imalamulira kuchuluka kwa kachilombo m'thupi lanu, imathandizira chitetezo chanu cha mthupi, komanso imakuthandizani kukhala ndi moyo wathanzi. Komanso, ikagwiritsidwa ntchito moyenera, mankhwalawa amatha kuchepetsa kwambiri , ngati sakuchotsa kwathunthu, chiopsezo chopatsira kachilombo ka HIV kwa wina.
Mankhwalawa amapezeka pamsika pansi pa dzina la `STRIBILD`.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwadziwitsa dokotala wanu za vutoli.
- Ngati muli ndi mavuto a mafupa (monga osteoporosis, kusweka mafupa pafupipafupi).
- Ngati muli ndi matenda a impso kapena munadwalapo kale.
- Ngati muli ndi matenda a chiwindi (monga Hepatitis B, Hepatitis C).
- Ngati mwakhalapo ndi vuto la ziwengo ndi mankhwala a `elvitegravir, cobicistat, emtricitabine, tenofovir` omwe ali mu mankhwalawa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati , kapena mukukonzekera kukhala ndi mwana .
- Ngati mukuyamwitsa mwana wanu .
Ndikofunikira kwambiri kuti chitetezo chanu chidziwike popanda kubisa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kugwiritsa ntchito bwino.
- Imwani piritsi ili ndi kapu ya madzi.
- Chofunika kwambiri: Nthawi zonse imwani mankhwalawa mukadya. Musamwe muli ndi njala m'mimba. Mankhwalawa amalowa bwino m'thupi akamwedwa pamodzi ndi chakudya.
- Imwani mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera. Khalani ndi chizolowezi chomwa mankhwalawo nthawi yomweyo tsiku lililonse popanda kusintha nthawi.
- Musamwe mowa wochuluka kapena wochepa kuposa womwe walangizidwa.
- Musasiye kumwa mankhwala. Musasiye kumwa mankhwala anu ngakhale mutamva bwino. Ngati musiya kumwa mankhwala, kachilombo ka HIV kakhoza kukhala kosagonja osati kokha ku mankhwalawa komanso ku mankhwala ena a HIV. Ngati izi zitachitika, chithandizo chidzakhala chovuta kwambiri.
- Musasiye kumwa mankhwala popanda upangiri wa dokotala.
Kodi mankhwalawa ayenera kuperekedwa kwa ana?
Mankhwalawa nthawi zina amaperekedwa kwa ana azaka zopitirira 12. Komabe, izi ziyenera kusankhidwa ndi dokotala wa ana. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, onetsetsani kuti mwalankhula ndi dokotala wanu za izi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, 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 wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. 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 angayambitse mavuto ndi mankhwalawa
Iyi ndi gawo lofunika kwambiri. Mankhwala a HIV awa amatha kuyanjana ndi mankhwala ena. Angapangitse kuti mankhwala a HIV asagwire bwino ntchito, kapena angasinthe momwe mankhwala ena amagwirira ntchito, zomwe zimayambitsa zotsatirapo zoopsa.
| Mankhwala oti mupewe ndi mankhwalawa | |
|---|---|
| Gulu la mankhwala | Zitsanzo |
| Mankhwala ena a khunyu | carbamazepine, phenobarbital, phenytoin |
| Mankhwala ena ochepetsa mafuta m'thupi | lovastatin, simvastatin |
| Mankhwala ena a HIV/AIDS | Mankhwala ena a HIV (pokhapokha ngati dokotala walamula) |
| Mankhwala azitsamba | St. John's wort |
| Mankhwala ena | alfuzosin, cisapride, lurasidone, pimozide, sildenafil ( ), rifampin |
| Mankhwala ena omwe angayambitse mavuto ndi mankhwalawa (Gwiritsani ntchito mosamala) | |
|---|---|
| Gulu la mankhwala | Zitsanzo |
| Mankhwala oletsa asidi | Mankhwala ochizira kutupa m'mimba |
| Maantibayotiki ena | clarithromycin, rifabutin |
| Mankhwala ochizira kuthamanga kwa magazi ndi matenda a mtima | amlodipine, metoprolol, verapamil |
| Mapiritsi ndi mahomoni olerera banja | Mapiritsi oletsa kubereka, mankhwala ena a mahomoni |
| Mankhwala a steroid | prednisolone, dexamethasone, fluticasone (inhalers) |
Chofunika: Mndandanda uwu sunathe. Uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, mankhwala achikhalidwe, ndi china chilichonse chomwe mukumwa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuyezetsa dokotala nthawi zonse: Onetsetsani kuti mwapita kwa dokotala wanu pa nthawi yomwe mwakonza. Ngati mukupeza zizindikiro zatsopano, lankhulani ndi dokotala wanu za zizindikirozo. Mukamamwa mankhwalawa, mungafunike kuyezetsa magazi kuti muwone momwe impso zanu, chiwindi, ndi ziwalo zina zimagwirira ntchito.
- Kupewa kufalikira kwa kachilombo ka HIV: Kachirombo ka HIV kamafalikira kudzera mu kugonana ndi magazi. Lankhulani ndi dokotala wanu za njira zotetezeka zopewera kufalikira kwa kachilombo ka HIV mukumwa mankhwalawa.
- Chiwindi B: Ngati muli ndi matenda a Chiwindi B, kusiya kumwa mankhwalawa mwadzidzidzi kungapangitse kuti zizindikiro za Chiwindi B ziwonjezeke. Choncho, lankhulani ndi dokotala musanasiye kumwa mankhwalawa.
- Kuletsa kubereka: Mankhwalawa angathandize kuchepetsa mphamvu ya mapiritsi oletsa kubereka. Chifukwa chake, ngati mukufuna kupewa kutenga mimba, onetsetsani kuti mukugwiritsa ntchito njira ina yolerera, monga makondomu, kuwonjezera pa mapiritsi olerera. Lankhulani ndi dokotala wanu za izi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, kapena lilime |
| Zizindikiro za kuwonongeka kwa impso | Kuvuta kukodza, kusintha kwa kuchuluka kwa mkodzo wopangidwa |
| 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 zina zazikulu | Kuvuta kupuma, kugunda kwa mtima mofulumira kapena kosakhazikika, kupweteka kwa minofu kapena kufooka |
| Ngati zizindikiro izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Kutsegula m'mimba | Mutu |
| Kusanza | Kutopa |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala awa monga momwe dokotala wanu wanenera, panthawi yomwe mwapatsidwa, komanso pa chakudya . Musamaphonye chakudya chilichonse.
- Ngakhale kuti iyi si njira yochiritsira kachilombo ka HIV, ndikofunikira kulamulira kachilomboka ndikukhala ndi moyo wathanzi.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Popeza mphamvu ya mapiritsi oletsa kubereka ingachepe mukamwa mankhwalawa, ndikofunikira kwambiri kugwiritsa ntchito njira ina yolerera, monga makondomu .
- Ngati zizindikiro za zotsatirapo zoyipa (khungu likusintha kukhala lachikasu, kupuma movutikira, komanso ziwengo zoopsa), funsani dokotala nthawi yomweyo .
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