Tiyeni tiphunzire za mapiritsi a Lamivudine ndi Tenofovir omwe amagwiritsidwa ntchito pochiza kachilombo ka HIV? (Lamivudine; Tenofovir Disoproxil Fumarate)

Kodi dokotala wanu anakuyambitsani mankhwala atsopano ochizira kachilombo ka HIV? Kodi dzinalo ndi lovuta kulikumbukira? Musadandaule. Lero tikulankhula za mankhwala omwe mudapatsidwa otchedwa Lamivudine ndi Tenofovir. Awa ndi kuphatikiza kwa mankhwala awiri ochepetsa mphamvu ya kachilombo ka HIV. Tiyeni tisunge mosavuta, momveka bwino, komanso ngati kuti tikulankhula ndi mnzanu.

Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?

Mwachidule, mankhwalawa ndi osakaniza mankhwala awiri amphamvu omwe amalimbana ndi kachilombo ka HIV. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena pochiza kachilombo ka HIV. Taganizirani ngati asilikali awiri apadera omwe akumenyana ndi mdani. Pamodzi, mankhwala awiriwa amayang'anira kuchuluka kwa kachilombo ka HIV (viral load) m'thupi lanu.

Mankhwalawa akhoza kukhala ndi mayina monga `CIMDUO` kapena `TEMIXYS`.

Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala

Dokotala wanu ayenera kukhala ndi chithunzi chonse cha inu musanapereke mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza za vutoli.

• Mavuto a mafupa: Ngati muli ndi kufooka, kupweteka, kapena mavuto ena ndi mafupa anu.
• Matenda a impso: Izi ndizofunikira kwambiri ngati muli ndi vuto lililonse la impso, chifukwa impso zimathandiza kuchotsa mankhwala awa m'thupi.
• Matenda a chiwindi: Ngati muli ndi matenda a chiwindi monga Hepatitis B, ndikofunikira kuwafotokozera.
• Pancreatitis: Ngati mudakumanapo ndi vutoli kale.
• Matenda a ziwengo: Ngati muli ndi ziwengo ndi mankhwala awa (`Lamivudine`, `Tenofovir`), mankhwala ena, zakudya, kapena zotetezera.
• Mimba: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, muyenera kulankhula ndi dokotala wanu za izi.

Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?

Ili ndiye gawo lofunika kwambiri. Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito monga momwe mwalangizidwira.

• Momwe mungamwere: Mezani piritsi ili ndi kapu ya madzi. Mutha kumwa ndi chakudya kapena ayi. Sankhani malinga ndi zomwe mukufuna.
• Tsiku lomalizira:Monga momwe dokotala ananenera, yesani kumwa mankhwala anu nthawi yomweyo tsiku lililonse. Chitani izi chizolowezi.
• Musadumphe mlingo: Ichi ndiye chinthu chofunikira kwambiri. Musaphonye mlingo umodzi. Musasiye kumwa mankhwala anu ngakhale mutamva bwino. Ngati mudumpha mlingo, kachilombo ka HIV kangazolowere mankhwalawo. Ngati zimenezo zitachitika, kangayambe kusamva bwino, zomwe zikutanthauza kuti mankhwalawo sangagwire ntchito bwino pambuyo pake. Vuto lalikulu ndi limenelo.
• Kusiya: Musasiye kumwa mankhwala awa mwadzidzidzi popanda upangiri wa dokotala.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

Imwani mankhwala anu 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 umodzi nthawi imodzi, mwachitsanzo, kawiri.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Mankhwala ena omwe mukumwa angakhudze momwe mankhwalawa amagwirira ntchito. Chifukwa chake, perekani dokotala wanu mndandanda wonse wa mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe, mavitamini, ndi mankhwala azitsamba.

Mavuto angachitike, makamaka, ndi mankhwala otsatirawa:

• Mankhwala ena a HIV (monga `atazanavir`, `darunavir`, `emtricitabine`)
• Maantibayotiki ena (monga `gentamicin`, `tobramycin`)
• Mankhwala opatsirana ndi mavairasi (monga `acyclovir`, `valacyclovir`)
• Mankhwala a NSAID (monga ibuprofen ndi naproxen) ochizira ululu ndi kutupa
• Mankhwala a Hepatitis C (monga ledipasvir; sofosbuvir, sofosbuvir; velpatasvir)

Mndandandawu sunathe, kotero ndibwino kuuza dokotala wanu zonse zomwe mukumwa.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zina. Zina zimakhala zoopsa, zina zimakhala zofala. Chofunika kwambiri ndikudziwa izi ndikuchitapo kanthu mwachangu ngati pakufunika kutero.

Zinthu zina zofunika kuzikumbukira mukamamwa mankhwala

• Kuyezetsa magazi pafupipafupi: Pitani kwa dokotala nthawi zonse kuti azitha kuyang'anira matenda anu. Mukamamwa mankhwalawa, muyenera kuyezetsa magazi ofunikira kuti muwone impso zanu, chiwindi, ndi kuchuluka kwa kachilombo m'magazi mwanu. Musazengereze izi.
• Chiwindi cha chiwindi B:Ngati muli ndi Hepatitis B ndi HIV, onetsetsani kuti mwalankhula ndi dokotala musanasiye kumwa mankhwalawa, chifukwa kusiya kumwa mankhwalawa kungapangitse kuti zizindikiro za Hepatitis B ziwonjezeke.
• Kufalikira kwa kachilombo ka HIV: Kumbukirani kuti kachilombo ka HIV kamafalikira kudzera mu kugonana kapena magazi. Lankhulani momasuka ndi dokotala wanu za njira zotetezeka zopewera matendawa.