Kodi dokotala wanu wakupatsani mankhwala otchedwa Rilpivirine kuti muchepetse kachilombo ka HIV? Lero tikambirana za mankhwala awa, momwe amagwirira ntchito m'thupi lathu, momwe tingawagwiritsire ntchito moyenera, komanso zomwe tiyenera kusamala nazo makamaka tikamamwa mankhwalawa. Ganizirani izi ngati kukambirana ndi mnzanu wapamtima.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, Rilpivirine ndi mankhwala omwe amathandiza kuchepetsa zizindikiro za kachilombo ka HIV mwa kuchepetsa kufalikira kwa kachilombo ka HIV m'thupi.
Koma ndikofunikira kukumbukira izi: Mankhwalawa si mankhwala a kachilombo ka HIV kapena Edzi. Komanso, pali mwayi woti mungapereke kachilombo ka HIV kwa wina pamene mukumwa mankhwalawa. Chifukwa chake, ndikofunikira kutsatira njira zotetezeka. Mankhwalawa saletsa matenda ena opatsirana pogonana (STIs).
EDURANT ndi dzina lodziwika bwino la mankhwala awa pamsika.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Ngati muli ndi matenda a mtima .
- Ngati muli ndi matenda okhudzana ndi impso .
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi mavuto amisala (monga kuvutika maganizo).
- Ngati munakhalapo ndi vuto la ziwengo kapena vuto lachilendo la Rilpivirine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati mukuyesera kutenga mimba kapena muli kale ndi pakati .
- Ngati ndinu mayi woyamwitsa .
Kulankhula momasuka ndi dokotala wanu za zinthu izi n'kofunika kwambiri kuti mukhale otetezeka.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kumwa moyenera.
- Imwani ndi chakudya: Piritsi ili liyenera kumwedwa ndi kapu ya madzi. Chofunika kwambiri ndikumwa ndi chakudya. Ndi bwino kumwa piritsili kumayambiriro kwa chakudya.
- Imwani pa nthawi yake, musadumphe mlingo: Imwani mankhwala anu tsiku lililonse, monga momwe dokotala wanu wanenera. Musadumphe mlingo. Ngati mutero, kachilomboka kakhoza kukhala kosagonjetseka osati ndi mankhwalawa okha, komanso ndi mankhwala ena. Izi zikutanthauza kuti mankhwalawo sangagwire ntchito bwino.
- Musasiye mpaka dokotala wanu atakuuzani kuti: Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Samalani kwambiri ngati mukumwa limodzi ndi mankhwala a gastritis.
Ngati mukumwa mankhwala a gastritis, muyenera kusamala kwambiri ndi izi.
- Mankhwala Oletsa Kuchuluka kwa Ma asidi: Ngati mukumwa mankhwala oletsa kuchulukitsa kwa asidi omwe ali ndi aluminiyamu, calcium carbonate, kapena magnesium hydroxide (monga Digene, Gelusil), simuyenera kumwa mankhwalawa nthawi imodzi ndi Rilpivirine. Mankhwala oletsa kuchulukitsa kwa asidi ayenera kumwedwa maola awiri musanayambe kumwa Rilpivirine kapena maola anayi mutatha kumwa.
- Mankhwala oletsa ma H2 receptor: Ngati mukumwa mankhwala monga famotidine, cimetidine, nizatidine, kapena ranitidine, muyenera kuwamwa nthawi ina. Muyenera kumwa mankhwala awa maola 12 musanayambe kumwa Rilpivirine kapena maola 4 mutatha kumwa Rilpivirine.
Ngati simukumvetsa bwino nthawi zimenezi, funsani dokotala wanu kachiwiri kuti atsimikizire.
Ngati mupereka kwa ana
Mankhwalawa amatha kuperekedwa kwa ana azaka zopitilira 12 nthawi zina. Komabe, amafunika njira zapadera zodzitetezera, choncho lankhulani ndi dokotala wanu za mankhwalawa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Tikhoza kuiwala kumwa mankhwala omwewo tsiku lililonse. Ngati zimenezo zitachitika, nazi zomwe mungachite:
- Ngati mukukumbukira kuti muyenera kumwa mankhwalawo mkati mwa maola 12 kuchokera nthawi yomwe muyenera kumwa, imwani mwamsanga mukadya. Imwani mlingo wotsatira panthawi yake.
- Komabe, ngati mukukumbukira maola opitilira 12 kuchokera nthawi yomwe mwakonza, musamwe mlingo womwe mwaphonya. Dumphani ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.
- Musamwe mlingo wowirikiza kawiri kapena mlingo wowonjezera.
Zotsatira zoyipa zomwe zingachitike (kuyanjana) ndi mankhwalawa
Mankhwala ena angayambitse mavuto aakulu akamwedwa ndi Rilpivirine. Chifukwa chake, ndikofunikira kuuza dokotala wanu ngati mukumwa mankhwala aliwonse omwe ali pansipa.
| Mankhwala omwe sayenera kumwedwa ndi Rilpivirine | |
|---|---|
| Mankhwala a matenda a bowa | fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole |
| Mankhwala a khunyu | carbamazepine, oxcarbazepine, phenobarbital, phenytoin |
| Mankhwala ena a gastritis (kutupa m'mimba) | Mankhwalawa ndi monga: rabeprazole, rabeprazole, pantoprazole, omeprazole, lansoprazole, |
| Zina | Cisapride, Dexamethasone (mankhwala opitilira umodzi), Dronedarone, Lumacaftor/ivacaftor, Pimozide, Rifampin, Rifapentine, St. John's Wort, Thioridazine |
Kuwonjezera pa mndandanda uwu, mankhwala ena angagwirizane ndi izi. Mwachitsanzo:
- Maantibayotiki ena monga clarithromycin ndi erythromycin.
- Methadone
- Mankhwala ena oletsa mavairasi a HIV.
- Mankhwala ena omwe amayambitsa kusintha kwa kugunda kwa mtima.
Choncho, ndi bwino kupatsa dokotala wanu mndandanda wonse wa mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi mankhwala ogulitsidwa kunja kwa chipatala).
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani kwa dokotala nthawi ndi nthawi kuti muwone momwe chithandizo chanu chikupitira patsogolo. Kambiranani naye za zizindikiro zatsopano zomwe muli nazo. Mungafunikenso kuyezetsa magazi.
- Kupewa kufalikira kwa kachilombo ka HIV: Kachirombo ka HIV kamafalikira kudzera mu kugonana kapena magazi. Lankhulani ndi dokotala wanu za momwe mungapewere.
- Matenda aakulu pakhungu: Anthu ena akhoza kukhala ndi matenda aakulu pakhungu ngakhale patatha milungu ingapo akugwiritsa ntchito mankhwalawa. Uzani dokotala wanu nthawi yomweyo ngati muyamba kutupa ndi zizindikiro monga malungo kapena kuzizira. Matendawa amatha kukhala ofiira kapena ofiirira, kenako matuza ndipo khungu likhoza kuyamba kutuluka. Komanso, musanyalanyaze kutupa kofiira ndi kutupa kwa nkhope, milomo, kapena ma lymph nodes otupa m'khosi kapena m'khwapa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, Rilpivirine ingayambitse zotsatirapo zina. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a chifuwa kapena Angioedema | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime, manja kapena mapazi, kuvutika kumeza kapena kupuma. |
| Zizindikiro za kuwonongeka kwa chiwindi | Ululu m'mimba pamwamba pa kumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, khungu kapena maso achikasu, komanso kutopa kosazolowereka. |
| Matenda aakulu a khungu | Kufiira, kutupa, ndi kutsekeka kwa khungu, kuphatikizapo mkati mwa pakamwa. |
| Kusintha kwa thanzi la maganizo | Maganizo odzivulaza, kusintha kwa maganizo, kuvutika maganizo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
|---|---|
| Mutu | Kuvuta kugona |
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kodi mumateteza bwanji mankhwala anu?
- Sungani pamalo omwe ana sangafikire: Sungani pamalo omwe ana ndi ziweto sangafikire.
- Kutentha koyenera: Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Tetezani ku kuwala: Sungani mankhwalawo mu botolo loyambirira lomwe adalowamo. Izi zithandiza kupewa kuwonongeka ndi kuwala.
- Mankhwala otha ntchito: Musawagwiritse ntchito pazifukwa zilizonse tsiku lotha ntchito litadutsa. Tayani bwino.
Uthenga Wopita Nawo Kunyumba
- Rilpivirine ndi mankhwala omwe amaletsa kachilombo ka HIV, koma si mankhwala.
- Piritsi ili liyenera kumwedwa ndi chakudya .
- Musasiye kumwa mankhwala pazifukwa zilizonse. Musasiye kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti muchite zimenezo.
- Uzani dokotala wanu za mankhwala ena aliwonse omwe mukumwa (makamaka mankhwala a gastritis).
- Ngati mukukumana ndi zotsatirapo zoyipa, monga matuza pakhungu kapena ziphuphu pamodzi ndi malungo, funsani upangiri wa dokotala nthawi yomweyo .
- Ngati muli ndi mafunso kapena nkhawa zokhudzana ndi mankhwalawa, musaope kukambirana ndi dokotala wanu.
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