Nyuma yuko muganga wawe yemeje ko wanduye agakoko gatera SIDA, ushobora kuba warabwiwe gutangira gufata iyi miti ivanze. Kubera ko ifite amazina atatu (Efavirenz, Lamivudine, Tenofovir), bishobora kugaragara nk'ibiteye urujijo mu ntangiriro. Ariko ntugahangayike. Iyi ni imiti ikoreshwa mu kurwanya agakoko gatera SIDA ku isi yose. None rero uyu munsi, reka tuganire kuri uyu muti, uko ukora mu mubiri, uko uwufata, n'icyo ugomba kwitondera mu buryo bworoshye ushobora gusobanukirwa.
Ni iki koko kigenda gishoboka kuri iyi miti ivanze?
Mu magambo make, iyi ni uruvange rw'ubwoko butatu bw'imiti. Iyi miti tuyita "imiti igabanya ubukana bwa virusi itera SIDA." Icyo iyi miti ikora ni ukubuza virusi itera SIDA mu mubiri wawe gukwirakwira kurushaho, ni ukuvuga ko igenzura virusi kwiyongera.
Tekereza virusi itera SIDA nk'umwanzi wibasira ubwirinzi bw'umubiri wawe (ubudahangarwa bw'umubiri). Uyu muti ugabanya imbaraga z'uwo mwanzi kandi ugakomeza kuwugenzura. Ibi bituma ubudahangarwa bw'umubiri wawe bwongera gukora neza.
Ikintu cy'ingenzi: Uyu muti ntukiza burundu virusi itera SIDA. Ni ukuvuga ko udakuraho burundu virusi mu mubiri. Ariko ugenzura neza ikwirakwira rya virusi mu mubiri, ukagufasha kubaho ubuzima burambye, bufite ubuzima bwiza kandi busanzwe.
Ikindi kintu ugomba kwibuka ni uko nubwo wafata uyu muti, ibyago byo kwanduzanya agakoko gatera SIDA n'undi muntu ntibiba birangiye burundu. Kubwibyo, ni ngombwa cyane gukomeza gukurikiza imibonano mpuzabitsina yirinze. Nanone, uyu muti nturinda izindi ndwara zandurira mu mibonano mpuzabitsina (STIs).
Ibintu ugomba kubwira muganga wawe mbere yo gutangira uyu muti
Mbere yuko muganga wawe akwandikira uyu muti, azakenera kumenya amateka y’ubuzima bwawe. Niba rero ufite imwe mu ndwara zavuzwe haruguru, menya neza ko wabibwiye muganga wawe. Ntugahishe ikintu icyo ari cyo cyose, kuko ari ingenzi cyane ku mutekano wawe.
| Indwara cyangwa izindi mpamvu | Kuki ibyo ari ingenzi? |
|---|---|
| Ibibazo by'amagufwa (urugero: osteoporosis) | Ikigize uyu muti, Tenofovir, rimwe na rimwe gishobora kugira ingaruka ku bucucike bw'amagufwa. |
| Indwara z'umutima | Mu bihe bimwe na bimwe, umuvuduko w'umutima utera ushobora kugira ingaruka. |
| Amateka y'ibibazo by'ubuzima bwo mu mutwe (nk'ihungabana, guhangayika) cyangwa gukoresha ibiyobyabwenge nabi | Ikigize Efavirenz gishobora kugira ingaruka ku buzima bwo mu mutwe. Ni ngombwa kubimenya niba warigeze kugira ibibazo mbere. |
| Pancreatite | Uyu muti ushobora gutera pancreatitis gake cyane. Ingaruka ziba nyinshi niba warigeze kuwufata mbere. |
| Indwara y'igicuri cyangwa indwara zo mu mutwe (Indwara zo mu mutwe) | Kubera ko uyu muti ushobora kugira ingaruka ku mitsi, ugomba kumenya ko ushobora kurwara ibicurane. |
| Allergie ku yindi miti, ibiryo cyangwa ibindi bintu | Ni ngombwa kutumenyesha niba ufite aleriji ku bigize uyu muti cyangwa ikindi kintu icyo ari cyo cyose. |
| Niba urimo kugerageza gutwita cyangwa utwite | Ugomba kuvugana na muganga wawe ku bijyanye n'umutekano w'uyu muti mu gihe utwite. |
| Niba umwana yonsa | Uyu muti ushobora kwanduza umwana binyuze mu mashereka, bityo rero ganira na muganga wawe kuri ibi. |
Ni ubuhe buryo bwiza bwo gufata umuti?
Iki ni cyo gice cy'ingenzi ugomba gukurikiza neza. Kugira ngo ugire umusaruro mwiza ku muti, ugomba kuwufata neza uko wanditswe.
- Fata n'amazi: Mirira iki kinini cyose n'ikirahure cy'amazi.
- Fata mu nda irimo ubusa: Ibi ni ingenzi cyane. Ugomba gufata umutiUfata nibura iminota 30 mbere yo kurya, cyangwa amasaha 2 nyuma yo kurya. Umuti unyurwa neza n'umubiri iyo uwufashe uri mu nda idafite icyo kurya.
- Uyifate mbere yo kuryama: Ubusanzwe, gufata uyu muti mbere yo kuryama bivuze ko isereri cyangwa gusinzira bishobora gutera bizakugeraho mu gihe usinziriye, bityo ntibizabangamira imirimo yawe ya buri munsi.
- Ntugasimbuze doze kubera impamvu iyo ari yo yose: Fata imiti yawe ku gihe kimwe buri munsi, nk'uko muganga wawe yabigutegetse. Gusimbuza doze bishobora gutuma virusi itera SIDA idashobora kuyirwanya. Ibi bishobora gutuma uyu muti ndetse n'indi miti ya SIDA itagira icyo ikora mu mubiri wawe. Ibi ni bibi cyane.
- Ntugahagarike kugeza igihe muganga wawe akubwira: Uko waba umeze kose, komeza gufata uyu muti kugeza igihe muganga wawe azakubwiye guhagarika.
Wakora iki niba urenze urugero rw'umuti ?
Niba ubona ko wafashe ibinini byinshi kurusha uko ubyibwira, ntutinde. Jya mu ishami rishinzwe ubutabazi bwihuse (ETU) ry’ibitaro bikwegereye. Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Wakora iki niba wabuze dose y'umuti?
Twese rimwe na rimwe twibagirwa ibintu. Ntugahangayike niba wabuze dose.
- Fata dose yabuze ukimara kubyibuka.
- Ariko, niba igihe cyo gufata dose ikurikira kigeze hafi, jya ureka dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe.
- Ntugafate doze ebyiri kugira ngo wishyure doze watakaje.
Ibintu byihariye ugomba kwitondera mu gihe ufata imiti
Ugomba kwita cyane ku buzima bwawe mu gihe ukoresha uyu muti.
- Gusuzumwa kwa muganga buri gihe: Muganga wawe akunze kugusaba gupimwa amaraso. Gusuzuma ibyo bipimo byose ku gihe. Bizagufasha kureba uburyo umuti ugira ingaruka ku mubiri wawe, niba virusi iri mu nzira yo kuyirwanya, ndetse niba ingingo zawe nk'umwijima n'impyiko bikora neza.
- Indwara zikomeye z'uruhu: Hari abantu bashobora kugira ingaruka zikomeye ku ruhu nyuma y'ibyumweru bike cyangwa amezi make batangira uyu muti. Niba ufite umuriro, ububabare ku mubiri, uduheri dutukura cyangwa tw'umuhengeri ku ruhu rwawe, uduheri, uruhu rurimo gushisha, cyangwa utunyangingo twa lymph twabyimbye mu maso, ku minwa, mu ijosi, cyangwa mu kwaha, hita ubonana na muganga.
- Gutwara no gukoresha imashini: Uyu muti ushobora gutera isereri no kugorana kwibanda ku bantu bamwe. Kubwibyo, irinde gutwara cyangwa gukoresha imashini kugeza igihe umenye neza uko uyu muti umeze.
- Ikoreshwa ry'inzoga:Kunywa uyu muti hamwe n'inzoga bishobora kongera ingaruka mbi nko kuzungera no gusinzira. Ntabwo ari byiza ku mwijima wawe.
- Hepatite B: Niba urwaye virusi itera SIDA na Hepatite B, guhagarika uyu muti mu buryo butunguranye bishobora gutuma ibimenyetso bya Hepatite B birushaho kwiyongera. Kubwibyo, menya neza ko waganiriye na muganga wawe ku bijyanye no guhagarika uyu muti.
- Kwirinda Gutwita: Niba ukoresha ibinini byo kuboneza urubyaro (birimo estrogen na progestin), gufata uyu muti bishobora kugabanya imikorere yabyo. Kubwibyo, ganira na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro, nka agakingirizo, usibye kubikoresha.
Ingaruka mbi z'umuti
Nk’uko bimeze ku muti uwo ari wo wose, ibi bishobora gutera ingaruka mbi. Ariko si buri wese ubibona. Zimwe ni mbi cyane, izindi ni ibisanzwe. Icy'ingenzi ni ukubimenya no gushaka inama z'abaganga vuba na bwangu mu gihe ubonye ikintu gikomeye.
Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya
Niba ubonye kimwe mu bimenyetso biri hepfo, gana muganga cyangwa ujye kwa muganga vuba.
| Ingaruka mbi | Uko wumva umeze |
|---|---|
| Indwara zo kwangirika kw'umubiri | Uruhu rushyushye, kuribwa, kubyimba mu maso, iminwa, ururimi cyangwa umuhogo, no kugorwa no guhumeka. |
| Gukomereka k'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'igifu, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye cyangwa umukara, amaso cyangwa uruhu bihinduka umuhondo, ndetse n'umunaniro ukabije. |
| Impinduka mu mutwe no mu myitwarire | Guhangayika cyane, kubura amahoro, urujijo, kubona ibintu mu buryo butari bwo, uburakari, ibitekerezo byo kwiyahura, kwiheba. |
| Pancreatite | Ububabare bukomeye mu nda bugera mu mugongo, ububabare burushaho kwiyongera iyo urya cyangwa ukoze ku nda, umuriro, isesemi no kuruka. |
| Gukomereka mu mpyiko | Kugabanuka k'umuvuduko w'inkari, kubyimba utubuto tw'ibirenge, amaboko cyangwa ibirenge. |
| Lactic acidosis (ubwiyongere bwa aside lactic mu maraso) | Kubabara imitsi cyangwa kugorama, kubabara mu gifu, guhumeka bigoranye, kumererwa nabi muri rusange no kunanirwa. |
| Ibibazo by'imitsi | Kubabara cyangwa kubabara mu maguru, intege nke z'imitsi, impinduka mu maso, kugorwa no kuvuga, kugorwa no kugenda, gucika intege. |
Ingaruka mbi zikunze kugaragara ariko zigomba kumenyeshwa muganga mu gihe zikomeje
Ibi bikunze kugabanuka mu minsi mike, ariko niba bikomeje cyangwa bikakubangamira cyane, vugana na muganga wawe.
- Kubabara umugongo
- Impiswi
- Umutwe
- Isesemi
- Kubabara mu gifu
- Kubura ibitotsi cyangwa inzozi zidasanzwe
Indi miti idakwiye gukoreshwa hamwe n'uyu muti kandi ishobora guteza ibibazo
Iki ni igice cy'ingenzi cyane. Ugomba kubwira muganga wawe indi miti yose ufata (harimo na vitamine n'imiti y'ibimera). Imiti imwe n'imwe ishobora kugira ingaruka ku iyi miti ya SIDA igatera ibibazo bikomeye.
Imiti idakwiye gufatwa hamwe:
- Indi miti iyo ari yo yose irimo ibintu bigize uyu muti (efavirenz, emtricitabine, lamivudine, tenofovir)
- Disopiramide
- Elbasvir; grazoprevir
- Rifapentine
- Voriconazole
Indi miti ishobora gutera ibibazo (menyesha muganga wawe niba urimo kuyifata):
- Imiti igabanya cholesterol (urugero: Atorvastatin, Simvastatin)
- Antibiyotike (urugero: Clarithromycin, Rifampin)
- Imiti irwanya fungane (urugero: Ketoconazole, Itraconazole)
- Imiti ivura indwara z'umutima n'umuvuduko ukabije w'amaraso (urugero: Diltiazem, Verapamil)
- Imiti igabanya ububabare bw'imitsi (urugero: Carbamazepine, Phenytoin)
- Imiti ivura indwara zo mu mutwe (urugero: Bupropion, Sertraline)
- Imiti igabanya ububabare (NSAIDS) (urugero: Ibuprofen, Naproxen)
- Warfarin (umuti ugabanya amaraso)
- Imiti ivura agakoko gatera SIDA cyangwa izindi ndwara zandura
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe imiti yose ufata.
Ubutumwa bwo kujyana mu rugo
- Uyu muti ugenzura ikwirakwira rya virusi itera SIDA mu mubiri wawe. Ntabwo uvura indwara, ahubwo ugufasha kubaho ubuzima bwiza.
- Fata umuti uri mu nda irimo ubusa , mu gihe kimwe buri munsi, nk'uko muganga yabivuze. Ntuzigere usimbuka dose.
- Bwira muganga wawe izindi ndwara zose ufite hamwe n'indi miti yose ufata.
- Niba ugize ingaruka mbi zikomeye, nko kugira uruhu rurerure, ibibazo by'umwijima, cyangwa impinduka zikomeye mu mutwe, shaka ubufasha kwa muganga byihutirwa.
- Niba wumva uri wenyine cyangwa wihebye mu gihe ufata uyu muti, vugana na muganga wawe, umuntu wo mu muryango wawe, cyangwa inshuti wizeye. Ntabwo uri wenyine.
- Iyo uvuwe neza, ushobora kubaho neza urwaye virusi itera SIDA.
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