Iyo muganga wawe akwandikiye umuti mushya cyangwa undi muntu wa hafi wawe uvura agakoko gatera SIDA, ni ibisanzwe kumva ufite amatsiko, ndetse wenda no kugira ubwoba, kuri wo. Cyane cyane ku bijyanye n'umuti nka Lopinavir; Ritonavir. None rero uyu munsi, reka twige ibisobanuro byose kuri uyu muti, nk'aho twavuganye n'inshuti.
Uyu muti witwa Lopinavir; Ritonavir ni uwuhe?
Mu magambo make, ni umuti w'amazi ukozwe mu miti ibiri igabanya ubukana bw'indwara ziterwa na virusi itera SIDA. Urimo Lopinavir na Ritonavir. Ubusanzwe ukoreshwa hamwe n'indi miti mu kuvura ubwandu bwa virusi itera SIDA.
Igikuru ni uko uyu muti udakiza burundu virusi itera SIDA. Ariko, ugenzura virusi mu mubiri wawe kandi ugakomeza ubudahangarwa bw'umubiri wawe. Nanone, iyo ukoreshejwe neza, uyu muti ushobora kugabanya cyane, nubwo utakuraho burundu, ibyago byo kwanduzanya virusi itera SIDA ku wundi muntu.
Abaganga bashobora rimwe na rimwe kuguha uyu muti ku zindi ndwara, bityo niba ufite ikibazo icyo ari cyo cyose, baza muganga wawe.
Ni iki nabwira muganga mbere yo gukoresha uyu muti?
Mbere yo gutangira uyu muti, ni ngombwa kubwira muganga wawe amakuru akurikira, kuko ugomba kwitonda cyane mu gihe ukoresha uyu muti ufite ibi bibazo.
- Niba urwaye diyabete.
- Niba ufite indwara y'umutima.
- Niba ufite indwara ziterwa n'amaraso nka hemophilia.
- Niba warigeze kugira pancreatitis.
- Niba ufite indwara y'umwijima.
- Niba ufite ikibazo cy'ubwivumbure kuri Lopinavir, Ritonavir, amavuta ya castor, indi miti, ibiryo, amarangi cyangwa imiti irinda ubushyuhe.
- Niba utwite cyangwa ugerageza gutwita.
- Niba wonsa umwana.
Ni gute neza neza ukoresha uyu muti?
Kugira ngo uyu muti wungukire neza, ni ngombwa cyane kuwukoresha neza.
- Nywa uyu muti w'amazi n'ikirahure cy'amazi. Buri gihe fata uyu muti hamwe n'ifunguro .
- Koresha ikiyiko cyangwa igikombe cyanditseho ikimenyetso cyatanzwe na muganga wawe kugira ngo upime ingano y'umuti. Gupima ukoresheje ikiyiko gisanzwe gikoreshwa mu rugo ntabwo ari byo.
- Fata umuti wawe ku gihe kimwe buri munsi, buri gihe. Ntuwufate kenshi kuruta uko muganga akubwira.
- Ntuzigere ureka gukoresha imiti.Ntureke gufata imiti yawe nubwo waba wumva umeze neza. Iyo usibye imiti, virusi itera SIDA ishobora kuba idashobora kuyinywa n'indi miti. Ibi bivuze ko umuti ushobora kudakora neza mu gihe kizaza.
- Irinde guhagarika imiti utabanje kugirwa inama na muganga .
Iyo bihawe abana bato
Uyu muti ushobora guhabwa abana bato bafite iminsi 14 mu bihe bimwe na bimwe byihariye. Ariko muganga wawe ni we uzabifatira umwanzuro. Kubwibyo, niba uha uyu muti umwana, vugana n'umuganga w'abana wawe kubyerekeye.
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe imiti myinshi kurusha uko ubyibwira, jya ku bitaro bikuru byita ku butabazi bwihuse (ETU). Cyangwa hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo kugira ngo bakugire inama.
Icyitonderwa: Uyu muti wanditswe kuri wowe gusa. Ntukigere uwusangira n'undi muntu uwo ari we wese.
Wakora iki niba wabuze dose y'umuti?
Niba wibagiwe gufata dose, fata ako kanya wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, rekeraho dose yabuze hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri.
Ni iyihe miti yindi ifitanye isano n'uyu muti kandi idakwiye gufatwa hamwe?
Iki ni ingenzi cyane. Lopinavir; Ritonavir ni umuti ushobora kugira ingaruka ku yindi miti myinshi. Hari imiti ishobora guteza ibibazo bikomeye iyo uyifashe. Bwira muganga wawe imiti yose ufata (harimo na vitamine, imiti y'ibimera, n'inyongeramusaruro).
| Ntuzigere ufata iyi miti hamwe na Lopinavir; Ritonavir. | |
|---|---|
| alfuzosine | lurasidone |
| Imiti imwe n'imwe ivura imihangayiko cyangwa ibitotsi (midazolam, triazolam) | meperidine |
| Imiti imwe n'imwe ya kanseri (apalutamide, enzalutamide) | naloxegol |
| Imiti imwe n'imwe ivura cholesterol (lomitapide, lovastatin, simvastatin) | pimozide |
| Imiti imwe n'imwe ivura indwara z'ibihumyo (fluconazole, posaconazole) | ranolazine |
| Imiti imwe n'imwe ivura umwijima wa C (elbasvir; grazoprevir, boceprevir, n'indi) | umuceri w'umusemburo utukura |
| Cisapride | ribociclib |
| dronedarone | rifampine |
| eletriptan | silodosine |
| Alkaloids za Ergot (dihydroergotamine, ergotamine, nibindi) | Umutobe wa Mutagatifu Yohani |
| thioridazine | umusemburo w'uburogepanti |
Imiti ikurikira ishobora no kugira ingaruka kuri ibi, bityo rero menya neza ko wabibwiye muganga wawe niba ufata imwe muri izi.
- Ibinini byo kuboneza urubyaro
- Imiti imwe n'imwe ivura umuvuduko w'amaraso, cholesterol, kanseri, n'indwara zo mu mutwe
- Imiti ibuza amaraso kuzura (urugero: warfarin, rivaroxaban)
- Imiti ivura indwara z'umutima
- Indi miti ivura indwara z'ibihumyo (urugero: itraconazole, ketoconazole)
- Imiti irimo steroid (urugero: prednisone, fluticasone)
- Indi miti ivura virusi itera SIDA cyangwa indi miti
- Indi miti myinshi ...
Uru rutonde ntirwuzuye, bityo ni byiza kubwira muganga wawe imiti yose ufata.
Ingingo zihariye ugomba kwitondera mu gihe ufata umuti
- Kwisuzumisha kwa muganga buri gihe: Jyana na muganga wawe buri gihe mu gihe ufata imiti. Mubwire niba hari ibimenyetso bishya ugaragaje. Ushobora kandi gukenera gukora isuzuma ry'amaraso muri iki gihe.
- Kwirinda ikwirakwira rya virusi itera SIDA: VIH yandura binyuze mu gukora imibonano mpuzabitsina cyangwa amaraso. Vugana na muganga wawe uburyo bwo kuyirinda.
- Kuboneza urubyaro: Ibinini byo kuboneza urubyaro bishobora kudakora neza mu gihe ufata uyu muti, bityo vugana na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro (urugero, agakingirizo).
- Igipimo cy'isukari mu maraso: Uyu muti ushobora kongera igipimo cy'isukari mu maraso. Niba urwaye diyabete, baza muganga wawe niba ukeneye guhindura indyo yawe cyangwa imiti.
- Inzoga: Hari imiti imwe n'imwe iri muri uyu muti ishobora kuba irimo inzoga nke. Kubwibyo, niba ufata imiti nka metronidazole cyangwa disulfiram, ushobora kugira ingaruka mbi ku nzoga. Kubwibyo, menyesha muganga wawe ibyayo.
Ingaruka mbi zishobora kubaho kuri uyu muti
Kimwe n'indi miti yose, iyi ishobora gutera ingaruka mbi. Zimwe ni mbi, izindi ni izisanzwe.
| Ubwoko bw'ingaruka mbi | Ibiranga |
|---|---|
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya |
|
| Ingaruka mbi ubusanzwe zitari zikomeye (ariko zigomba kumenyeshwa muganga mu gihe zikomeje) |
Ni gute wakwirinda imiti?
- Bika ahantu abana batagera.
- Bika umuti muri firigo ku bushyuhe buri hagati ya dogere selisiyusi 2 na 8 (36-46 Fahrenheit).
- Tata umuti wose usigaye nyuma y'itariki ntarengwa.
- Niba umuti uwubika ku bushyuhe bw'icyumba (kugeza kuri selisiyusi 25 / 77 Fahrenheit), ugomba gutabwa nyuma y'amezi 2 .
Ubutumwa bwo kujyana mu rugo
- Lopinavir; Ritonavir ni umuti urwanya agakoko gatera SIDA, ariko si umuti.
- Buri gihe fata uyu muti hamwe n'ifunguro, mu gipimo cyagenwe na muganga wawe. Ntugasimbuke amafunguro.
- Ni ingenzi cyane kumenyesha muganga wawe indi miti yose ufata.
- Kubera ko ibinini byo kuboneza urubyaro bishobora kutagira ingaruka nziza mu gihe ufata uyu muti, ganira na muganga wawe ku bijyanye no gukoresha ubundi buryo bwo kuboneza urubyaro.
- Iyo habayeho ingaruka mbi zikomeye (uduheri tw'uruhu, guhumeka bigoranye, umutima utera cyane), shaka ubufasha bwa muganga ako kanya.
- Bika uyu muti muri firigo.
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