Kodi muli ndi mankhwala a kachilombo ka HIV (Raltegravir)? Tiyeni tikambirane mwatsatanetsatane za izi!

Kodi dokotala wanu wakupatsani mankhwala otchedwa Raltegravir ngati mankhwala ochizira matenda a HIV ? Kapena mukufuna kudziwa zambiri za mankhwalawa? Mulimonsemo, mwafika pamalo oyenera. Uwu ndi mankhwala ofunikira omwe amathandiza kuwongolera matenda a HIV ndipo pakadali pano amagwiritsidwa ntchito kwambiri padziko lonse lapansi. Lero, tikambirana za mapiritsi awa (Raltegravir) m'njira yosavuta kumva, komanso yochezeka.

Mwachidule, (Raltegravir) ndi mankhwala omwe ali m'gulu la mankhwala otchedwa ( antiretroviral ) . Amagwiritsidwa ntchito pochiza anthu omwe ali ndi kachilombo ka HIV. Komabe, si mankhwala omwe amaperekedwa okha. Nthawi zambiri amaperekedwa pamodzi ndi mankhwala ena angapo. Pokhapokha pamene kufalikira kwa kachilombo ka HIV m'thupi, ndiko kuti, kuchulukana kwa kachilomboka, kungalamuliridwe bwino.

Chofunika kwambiri ndichakuti mankhwalawa si mankhwala athunthu a kachilombo ka HIV. Izi zikutanthauza kuti sangachotse kachilombo ka HIV konse. Komabe, ngati mumwa mankhwalawa moyenera, amatha kuchepetsa kwambiri kuchuluka kwa kachilombo ka HIV m'thupi lanu. Izi zipatsa chitetezo chamthupi lanu mphamvu, komanso zimachepetsa chiopsezo chotenga matenda ena okhudzana ndi kachilombo ka HIV. Chifukwa chake, izi zidzakuthandizani kwambiri kuti mukhale ndi moyo wathanzi.

Chinanso n'chakuti mankhwalawa angathandizenso kuchepetsa chiopsezo chopatsira munthu wina kachilombo ka HIV. Komabe, muyeneranso kukumbukira kuti sangathetsedwe kotheratu. Chifukwa chake, ndikofunikira kupitiriza kuchita zinthu monga kugonana motetezeka.

Mungapeze mankhwala awa (Raltegravir) pamsika pansi pa mayina (Isentress) kapena (Isentress HD) . Dokotala wanu mwina anakulemberani limodzi mwa mayina awa.

Kodi ndiyenera kumuuza chiyani dokotala ndisanayambe kugwiritsa ntchito mankhwalawa?

Chabwino, tsopano tiyeni tiwone zomwe muyenera kuuza dokotala wanu kapena wothandizira zaumoyo musanayambe kumwa mankhwalawa (Raltegravir). Izi ndizofunikira kwambiri, chifukwa kutengera izi dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu komanso momwe angawaperekere. Musabise zinthuzi, chifukwa zidzakhala zovuta kwa inu.

• Ngati muli ndi matenda aliwonse a chiwindi: Ndiko kuti, ngati munakhalapo ndi vuto longa jaundice kale, kapena ngati muli ndi matenda ena a chiwindi, monga cirrhosis, muyenera kufotokoza momveka bwino.
• Ngati muli ndi maganizo ofuna kudzipha, mukukonzekera kudzipha, kapena munayesapo kudzipha kale: Nkhaniyi ndi yovuta, koma ndikofunikira kwambiri kuuza dokotala wanu . Ngati wina aliyense m'banja mwanu adachitapo izi, muuzeninso. Mankhwala ena amatha kuwonjezera mitundu iyi ya matenda amisala.
• Ngati muli ndi vuto la Raltegravir, mankhwala ena aliwonse, lactose (mankhwala ena ali ndi izi), chakudya, utoto, ndi zotetezera: Anthu ena sachita bwino zinthu zina, monga ziphuphu kapena kuyabwa zikagwiritsidwa ntchito pakhungu. Ngati mukudziwa chilichonse chotere, onetsetsani kuti mwatiuza.
• Ngati muli ndi pakati kapena mukukonzekera kutenga pakati: Muyenera kusamala kwambiri ndi mankhwala aliwonse omwe mumamwa panthawiyi, chifukwa angakhudze mwana.
• Ngati ndinu mayi woyamwitsa: Mankhwala ena amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, choncho muyenera kuuza dokotala wanu za izi.

Ngati mwanena izi molondola, dokotala akhoza kukuthandizani mwanjira yotetezeka kwambiri.

Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

Iyi ndi gawo lofunika kwambiri. Kaya mankhwalawo ndi abwino bwanji, ngati sanagwiritsidwe ntchito bwino, sadzapereka zotsatira zomwe mukufuna.

Muyenera kumwa mankhwalawa ndi kapu ya madzi. Tsatirani malangizo omwe ali pa chizindikiro cha mankhwala monga momwe dokotala wanu wakupatsani. Mutha kumwa ndi chakudya kapena ayi, sizili choncho. Komabe, musaswe, kuphwanya, kapena kutafuna piritsi ili. Mezani piritsi lonse. Ngati mumaliphwanya ndikumwa, momwe mankhwalawo amalowetsedwa m'thupi angasinthe, zomwe zingachititse kuti lisagwire bwino ntchito kapena kuonjezera chiopsezo cha zotsatirapo zake.

Ndikofunikira kwambiri kumwa mankhwala anu panthawi yoyenera komanso nthawi yoyenera. Musamwe mankhwala ochulukirapo kapena ochepera kuposa momwe dokotala wanu wanenera. Kuti mankhwala anu a HIV agwire ntchito bwino, muyenera kumwa mlingo uliwonse monga momwe mwalangizidwira. Musadumphe mlingo. Musasiye kumwa mankhwala anu ngakhale mutamva bwino pang'ono. Ganizirani ngati muli pankhondo, kachilomboka ndi mdani. Mankhwala ndi chida chanu. Ngati mwaphonya mlingo, zimakhala ngati mwaika zida zanu pansi pakati pa nkhondo. Kenako kachilomboka kakhoza kukweranso, osati zokhazo, komanso kakhoza kukana mankhwalawo, komanso mankhwala ena omwe mukumwa. Kenako chithandizo chimakhala chovuta kwambiri. Chifukwa chake, musasiye kumwa mankhwala anu popanda upangiri wa dokotala wanu.

Kodi mankhwalawa ayenera kuperekedwa kwa ana aang'ono?

Ngati mukufuna kupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu wa ana za izi. Nthawi zina muyenera kusamala kwambiri mukamapatsa ana aang'ono mankhwalawa. Mlingo wake ungasiyane malinga ndi zaka zawo komanso kulemera kwawo. Ayenera kumwedwa monga momwe dokotala wanenera.

Nanga bwanji ngati nditamwa mankhwala ochulukirapo?

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha, koma imbani nthawi yomweyo malo owongolera poizoni (ku Sri Lanka, nthawi zambiri amapezeka kuchipatala cha dziko lonse) kapena chipinda chadzidzidzi chapafupi. Musataye nthawi.

Mankhwalawa ndi anu okha!

Kumbukiraninso izi, dokotala wakupatsani mankhwala awa. Chifukwa chake, musapatse wina aliyense mankhwala awa, ngakhale atakhala ndi zizindikiro zomwezo monga inu. Mkhalidwe wa aliyense ndi wosiyana, kotero mankhwala omwewo sangagwire ntchito kwa aliyense.

Nanga bwanji ngati ndaphonya mlingo wa mankhwala?

Ngati mwaiwala kumwa mlingo, musadandaule. Imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi ya mlingo wanu wotsatira yayandikira (mwachitsanzo, mkati mwa maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri kapena kumwa mlingo wowonjezera. Kuchita izi sikungathandize, ndipo kungowonjezera chiopsezo cha zotsatirapo zoyipa. Ngati nthawi zambiri mumaiwala kumwa mankhwala anu, lankhulani ndi dokotala wanu za izi ndikukhazikitsa chikumbutso (chikumbutso cha foni, alamu).

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa?

Tsopano tiyeni tiwone zinthu zina zomwe zingayambitse mavuto pogwiritsa ntchito mankhwalawa (Raltegravir), kutanthauza kuti, zinthu zina zomwe zingayambitse kuyanjana . Mankhwala ena, zowonjezera zina zomwe mumamwa, ndi zina zotero zingakhudze momwe mankhwalawa amagwirira ntchito. Izi zikutanthauza kuti, amatha kuchepetsa mphamvu ya (Raltegravir), kuiwonjezera, kapena kuyambitsa zotsatira zina zoyipa. Chifukwa chake, mukayamba mankhwalawa, ndikofunikira kwambiri kuuza dokotala wanu zonse zomwe mukugwiritsa ntchito pakadali pano.

Nazi zina mwa zinthu zomwe zingagwirizane ndi Raltegravir:

• (carbamazepine) (uyu ndi mankhwala omwe nthawi zambiri amaperekedwa kwa khunyu)
• Mankhwala ena oletsa asidi (awa nthawi zambiri amagwiritsidwa ntchito pa matenda a gastritis ndi kutupa m'mimba, makamaka omwe ali ndi aluminiyamu ndi magnesium)
• (etravirine) (Uwu ndi mankhwala ena operekedwa a HIV)
• (phenobarbital) (Izi zimagwiritsidwanso ntchito pa khunyu, ndipo nthawi zina zimathandizanso kugona)
• (phenytoin) (iyi ndi mankhwala a khunyu)
• (rifampin) (Iyi ndi mankhwala akuluakulu omwe amagwiritsidwa ntchito pochiza chifuwa chachikulu. Ngati mumwa mankhwalawa, mlingo wanu wa (Raltegravir) uyenera kusinthidwa)
• (tipranavir) (iyi ndi mankhwala ena operekedwa a HIV)

Mndandanda uwu si wokwanira. Izi zikutanthauza kuti, pakhoza kukhala zinthu zina zomwe zingagwirizane ndi mankhwalawa. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wakupatsani, omwe mwagula pa kauntala), mankhwala azitsamba, mavitamini (zowonjezera zakudya), ndi zina zonse zomwe mukumwa.Komanso, onetsetsani kuti mwauza dokotala wanu ngati mukusuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo, chifukwa zina mwa zinthuzi zingakhudze momwe mankhwala anu amagwirira ntchito.

Zinthu zoti muzisamala nazo mukamamwa mankhwalawa

Ndikofunikira kwambiri kupitiriza kuonana ndi dokotala wanu kapena katswiri wa zaumoyo kuti akakuwoneni pamene mukumwa mankhwala awa (Raltegravir). Apa ndi pamene angathe kuona ngati mankhwalawo akukuthandizani komanso ngati pali mavuto aliwonse. Ngati muli ndi zizindikiro zatsopano, ngakhale zazing'ono, uzani dokotala wanu.

Mukamamwa mankhwalawa, muyeneranso kuchita mayeso ofunikira a magazi . Izi zithandiza dokotala wanu kuona momwe ziwalo zanu zamkati (monga chiwindi ndi impso zanu) zikugwirira ntchito komanso ngati mankhwalawa akukhudza chilichonse. Apitilizanso kuchita mayeso kuti ayesere kuchuluka kwa kachilombo ka HIV ndi kuchuluka kwa maselo a CD4 (izi zili ngati asilikali m'thupi lanu).

Chinanso, mukudziwa kuti kachilombo ka HIV kamafalikira kwa ena kudzera mu kugonana ndi magazi. Ngakhale mutamwa mankhwalawa, lankhulani ndi dokotala wanu za momwe mungaletsere kufalikira kwa kachilombo ka HIV. Ndikofunikira kutsatira njira zotetezeka, zomwe zingakutetezeni inu ndi okondedwa anu.

Kodi zotsatirapo zake zingakhale zotani?

Monga mankhwala ena aliwonse, Raltegravir ingayambitse mavuto ena mwa anthu ena. Si aliyense amene amawapeza, koma ndi bwino kudziwa zomwe zingatheke. Pali mavuto ena omwe muyenera kuuza dokotala wanu akangoyamba kumene. Palinso ena omwe nthawi zambiri si nkhani yaikulu, koma ngati apitirira, muyenera kuuza dokotala wanu ngati akukuvutitsani.

Zotsatirapo zomwe muyenera kuuza dokotala wanu kapena katswiri wa zaumoyo nthawi yomweyo:

Ngati mukukumana ndi zizindikiro izi, musatenge mopepuka. Funsani dokotala nthawi yomweyo.

• Zizindikiro za ziwengo: Izi zikuphatikizapo ziphuphu pakhungu , kuyabwa , ziphuphu , kutupa kwa nkhope, milomo, ndi lilime. Izi zitha kukhala zoopsa kwambiri ndipo zingayambitsenso kuvutika kupuma.
• Kuvuta kupuma: Ngati mukumva ngati mukuvutika kupuma.
• Ngati mukumva nkhawa, kukhumudwa, kapena kuopa chilichonse.
• Malungo kapena kuzizira, komanso kupweteka pakhosi. Izi zitha kukhala zizindikiro za matenda.
• Kupweteka kwa minofu kapena kufooka (kungasonyeze vuto lotchedwa Myopathy/Rhabdomyolysis, makamaka ngati mkodzo uli wakuda)
• Ngati mukumva kufiira, kutupa, kutsekeka, kapena kutsekeka kwa khungu, kuphatikizapo mkamwa mwanu, izi zitha kukhala zotsatirapo zoopsa pakhungu, monga matenda a Stevens-Johnson .
• Maganizo ofuna kudzipha kapena kusintha kwina kwa maganizo.
• Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe umatuluka. (Muyeneranso kuyang'ana ngati impso zawonongeka.)
• Kutuluka magazi kapena mabala osazolowereka pa thupi.
• Wofooka kapena wotopa kwambiri.
• Kulemera, makamaka kuzungulira chiuno, msana, kapena nkhope, manja, ndi miyendo, pamene pakati pa thupi kumakulirakulira. Ichi chingakhale chizindikiro cha vuto lotchedwa lipodystrophy , lomwe ndi kusintha kwa momwe mafuta amasungidwira m'thupi.

Ngati izi zikukuchitikirani, chonde pitani kwa dokotala nthawi yomweyo. Musataye nthawi. Zingakhale zofunikira kusiya kapena kusintha mankhwala.

Zotsatirapo zomwe nthawi zambiri sizimafuna upangiri wa dokotala, koma ziyenera kufotokozedwa kwa dokotala wanu ngati zikupitirira kapena zikuvutitsa:

Izi nthawi zambiri zimatha patatha masiku ochepa. Komabe, ngati zikupitirira kapena zikusokoneza zochita zanu za tsiku ndi tsiku, uzani dokotala wanu .

• Kutsegula m'mimba.
• Chizungulire.
• Mutu.
• Kusanza, kusanza.
• Kupweteka m'mimba.
• Kuvutika kugona.

Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zilizonse zomwe sizili pamndandandawu koma zikuwoneka zachilendo, lankhulani ndi dokotala wanu za izo. Zingakhale zokhudzana ndi mankhwala awa, kapena zingakhale zina. Ndikofunikira kudziwa bwino zomwe zikuchitika.

Mukhozanso kuuza FDA za zotsatirazi mwa kuyimbira 1-800-FDA-1088 (iyi ndi nambala ya ku US, ngati muli ku Sri Lanka ndi bwino kuuza dokotala wanu).

Kodi ndiyenera kusunga bwanji mankhwalawo?

Mankhwalawa ayenera kusungidwa pamalo omwe ana aang'ono sangawafikire. Izi ndizofunikira kwambiri. Mapiritsi ena ali ndi utoto, kotero amatha kuwoneka ngati zoseweretsa kwa ana aang'ono.

Sungani mankhwalawo kutentha kwa chipinda, pakati pa madigiri 20 ndi 25 Celsius (madigiri 68 ndi 77 Fahrenheit). Musawasunge m'malo otentha kwambiri (monga padzuwa la dzuwa, pafupi ndi chitofu) kapena pamalo onyowa kwambiri (monga bafa). Kuchita izi kungachepetse ubwino wa mankhwalawo. Tayani mankhwala aliwonse osagwiritsidwa ntchito nthawi yomweyo tsiku lotha ntchito likadutsa. Kugwiritsa ntchito mankhwala otha ntchito sikungakuthandizeni, ndipo kungayambitse zotsatirapo zoipa.

Ichi ndi chidule cha zomwe takambirana zokhudza mankhwala (Raltegravir). Mwina sangakhale ndi zonse zomwe mukufuna. Ngati muli ndi mafunso ena okhudza mankhwalawa, chonde funsani dokotala wanu, wamankhwala, kapena wopereka chithandizo chamankhwala. Adzakhala okondwa kukuthandizani.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tikambirane zinthu zofunika kwambiri zomwe muyenera kukumbukira kuchokera pa zomwe takambirana. Makamaka, izi ndi zinthu zomwe muyenera kukumbukira:

• (Raltegravir) ndi mankhwala operekedwa kuti achepetse kachilombo ka HIV. Sichichiritsa matendawa, koma chimaletsa kachilomboka ndipo chimathandiza kuti moyo wanu ukhale wabwino komanso wautali.
• Tsatirani malangizo a dokotala wanu molondola. Musamadumphe chakudya, imwani mankhwala anu pa nthawi yake, ndipo musasiye kumwa popanda upangiri wa dokotala. Ichi ndiye chinsinsi cha chithandizo chopambana.
• Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo. Izi zithandiza kupewa kuyanjana ndi mankhwala ena.
• Dziwani zizindikiro zatsopano ndi zotsatirapo zake. Ngati muwona chilichonse choopsa, uzani dokotala wanu nthawi yomweyo. Funsani dokotala wanu ngati muli ndi nkhawa iliyonse, ngakhale itakhala yaying'ono.
• Pitani kukayezetsa nthawi zonse. Ndikofunikira kwambiri pa thanzi lanu. Dokotala akhoza kuyang'anira momwe mulili.
• Mankhwalawa ndi a inu nokha. Musawapatse ena, chifukwa angawavulaze.
• Tsatirani njira zodzitetezera kuti mupewe kufalikira kwa kachilombo ka HIV. Uwu ndi udindo wanu.

Mukagwiritsa ntchito mankhwalawa moyenera, mudzatha kukhala ndi moyo wathanzi komanso wokangalika. Ngati muli ndi mafunso kapena nkhawa zilizonse, musaope kulankhula ndi dokotala wanu. Iwo alipo kuti akuthandizeni. Simuli nokha paulendowu!

'Raltegravir, Isentress, HIV, AIDS, ma antiretroviral, mankhwala, mankhwala, chithandizo cha HIV, zotsatirapo zake, kachilombo