Dokotala wanu akakupatsani mankhwala atsopano a HIV kwa inu kapena munthu amene ali pafupi nanu, n'zachibadwa kukhala ndi chidwi pang'ono, komanso mwina mantha, okhudza mankhwalawo. Makamaka za mankhwala monga Lopinavir; Ritonavir. Kotero lero, tiyeni tiphunzire zonse zokhudza mankhwalawa, ngati kuti tikulankhula ndi mnzanu.
Kodi mankhwala otchedwa Lopinavir ndi ati; Ritonavir?
Mwachidule, ndi madzi opangidwa kuchokera ku mankhwala awiri ochepetsa mphamvu ya kachilombo ka HIV. Muli Lopinavir ndi Ritonavir. Nthawi zambiri amagwiritsidwa ntchito limodzi ndi mankhwala ena pochiza matenda a HIV.
Chofunika kwambiri ndichakuti mankhwalawa sachiza kachilombo ka HIV kotheratu. Komabe, amalamulira kachilomboka m'thupi lanu ndikulimbitsa chitetezo chamthupi lanu. Komanso, akagwiritsidwa ntchito moyenera, mankhwalawa amatha kuchepetsa kwambiri, ngakhale kuti sachotsa kwathunthu, chiopsezo chofalitsa kachilombo ka HIV kwa wina.
Madokotala nthawi zina angakupatseni mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso, funsani dokotala wanu.
Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?
Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu mfundo zotsatirazi, chifukwa muyenera kusamala kwambiri mukamagwiritsa ntchito mankhwalawa ndi matenda awa.
- Ngati muli ndi matenda a shuga.
- Ngati muli ndi matenda a mtima.
- Ngati muli ndi matenda okhudzana ndi magazi monga hemophilia.
- Ngati kale munali ndi pancreatitis.
- Ngati muli ndi matenda a chiwindi.
- Ngati muli ndi vuto la ziwengo ku Lopinavir, Ritonavir, mafuta a castor, mankhwala ena, zakudya, utoto kapena zosungira.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba.
- Ngati mukuyamwitsa mwana.
Kodi mumagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kwambiri kuwagwiritsa ntchito moyenera.
- Imwani mankhwala amadzimadzi awa ndi kapu ya madzi. Nthawi zonse imwani mankhwalawa mukadya .
- Gwiritsani ntchito supuni kapena chikho chokhacho cholembedwa bwino chomwe dokotala wanu wakupatsani kuti muyese kuchuluka kwa mankhwala. Kuyeza ndi supuni zokhazikika zomwe zimagwiritsidwa ntchito kunyumba sikolondola.
- Imwani mankhwala anu nthawi yomweyo tsiku lililonse, nthawi ndi nthawi. Musamwe pafupipafupi kuposa momwe dokotala wanu wanenera.
- Musasiye kumwa mankhwala.Musasiye kumwa mankhwala anu ngakhale mutamva bwino. Ngati mwadumpha mlingo, kachilombo ka HIV kakhoza kukhala kosagonja ku mankhwala awa ndi mankhwala ena. Izi zikutanthauza kuti mankhwalawo sangagwire ntchito bwino mtsogolo.
- Pewani kusiya kumwa mankhwala popanda upangiri wa dokotala .
Akapatsidwa ana aang'ono
Mankhwalawa angaperekedwe kwa makanda aang'ono ngati masiku 14 pazochitika zina zapadera. Koma dokotala wanu ndiye amene angasankhe izi. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana, lankhulani ndi dokotala wa ana za izi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri mwangozi kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Chofunika kudziwa: Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Ndi mankhwala ena ati omwe amakhudzana ndi mankhwalawa ndipo sayenera kumwedwa pamodzi?
Iyi ndi gawo lofunika kwambiri. Lopinavir; Ritonavir ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena ambiri. Mankhwala ena angayambitse mavuto aakulu ngati atamwedwa nawo. Choncho uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya).
| Musamwe mankhwala awa pamodzi ndi Lopinavir; Ritonavir. | |
|---|---|
| alfuzosin | lurasidone |
| Mankhwala ena oletsa nkhawa kapena tulo (midazolam, triazolam) | meperidine |
| Mankhwala ena a khansa (apalutamide, enzalutamide) | naloxegol |
| Mankhwala ena a cholesterol (lomitapide, lovastatin, simvastatin) | pimozide |
| Mankhwala ena a matenda a bowa (fluconazole, posaconazole) | ranolazine |
| Mankhwala ena a chiwindi cha mtundu wa C (elbasvir; grazoprevir, boceprevir, ndi zina zotero) | mpunga wofiira wa yisiti |
| Cisapride | ribociclib |
| dronedarone | rifampin |
| eletriptan | silodosin |
| Ma alkaloid a Ergot (dihydroergotamine, ergotamine, ndi zina zotero) | Wort wa St. John |
| thioridazine | ubrogepant |
Mankhwala otsatirawa angagwirizanenso ndi izi, choncho onetsetsani kuti mwadziwitsa dokotala wanu ngati mukumwa chilichonse mwa izi.
- Mapiritsi oletsa kubereka
- Mankhwala ena a kuthamanga kwa magazi, cholesterol, khansa, ndi khunyu
- Mankhwala omwe amaletsa magazi kuundana (monga warfarin, rivaroxaban)
- Mankhwala a matenda a mtima
- Mankhwala ena ochizira matenda a bowa (monga itraconazole, ketoconazole)
- Mankhwala okhala ndi steroid (monga prednisone, fluticasone)
- Mankhwala ena a HIV kapena Edzi
- Mankhwala ena ambiri...
Mndandandawu sunathe, choncho ndibwino kuuza dokotala wanu za mankhwala onse omwe mumamwa.
Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala
- Kupimidwa kuchipatala nthawi zonse: Pitani kwa dokotala nthawi zonse mukumwa mankhwala. Muuzeni ngati mukuyamba zizindikiro zatsopano. Mungafunikenso kuchitidwa magazi ena ofunika panthawiyi.
- Kupewa kufalikira kwa kachilombo ka HIV: Kachirombo ka HIV kamafalikira kudzera mu kugonana kapena magazi. Lankhulani ndi dokotala wanu za njira zopewera izi.
- Kuletsa kubereka: Mapiritsi oletsa kubereka sangagwire ntchito bwino mukamamwa mankhwalawa, choncho lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka (monga makondomu).
- Kuchuluka kwa shuga m'magazi: Mankhwalawa angawonjezere kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala anu.
- Mowa: Zina mwa zinthu zomwe zili mu mankhwalawa zitha kukhala ndi mowa wochepa. Chifukwa chake, ngati mukumwa mankhwala monga metronidazole kapena disulfiram, mungakhale ndi vuto losasangalatsa ndi mowa. Chifukwa chake, dziwitsani dokotala wanu za izi.
Zotsatirapo zomwe zingachitike ndi mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina zimakhala zoopsa, zina zimakhala zofala.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo |
|
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira) |
Kodi mumasunga bwanji mankhwala kukhala otetezeka?
- Sungani pamalo omwe ana sangafikire.
- Sungani mankhwalawo mufiriji pamalo otentha pakati pa madigiri 2 ndi 8 Celsius (36-46 Fahrenheit).
- Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
- Ngati musunga mankhwalawo kutentha kwa chipinda (mpaka madigiri 25 Celsius / madigiri 77 Fahrenheit), ayenera kutayidwa patatha miyezi iwiri .
Uthenga Wopita Nawo Kunyumba
- Lopinavir; Ritonavir ndi mankhwala omwe amaletsa kachilombo ka HIV, koma si mankhwala.
- Nthawi zonse imwani mankhwalawa pamodzi ndi chakudya, mu mlingo womwe dokotala wanu wakupatsani. Musadumphe chakudya.
- Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa.
- Popeza mapiritsi oletsa kubereka sangakhale othandiza kwambiri mukamagwiritsa ntchito mankhwalawa, lankhulani ndi dokotala wanu za kugwiritsa ntchito njira ina yolerera kubereka.
- Ngati pali zotsatirapo zoyipa kwambiri (matuza a pakhungu, kuvutika kupuma, kugunda kwa mtima mofulumira), funsani dokotala nthawi yomweyo.
- Sungani mankhwalawa mufiriji.
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