Ese muganga wawe yakwandikiye umuti witwa Rilpivirine wo kurwanya ubwandu bwawe bwa virusi itera SIDA? Uyu munsi rero turaganira kuri uyu muti, icyo ukorera imibiri yacu, uburyo bwo kuwukoresha neza, n'icyo tugomba kwitondera cyane cyane mu gihe dufata uyu muti. Tekereza ibi nk'ikiganiro n'inshuti yawe magara.
Ni iki koko kigenda gitya kuri uyu muti?
Muri make, Rilpivirine ni umuti ufasha mu kugabanya ibimenyetso by'ubwandu bwa virusi itera SIDA mu kugabanya ikwirakwira rya virusi itera SIDA mu mubiri.
Ariko ni ngombwa kwibuka ibi: Uyu muti si umuti wa virusi itera SIDA cyangwa SIDA. Nanone, hari amahirwe ko ushobora kwanduza undi muntu virusi itera SIDA mu gihe ufata uyu muti. Kubwibyo, ni ngombwa gukurikiza uburyo bwizewe. Uyu muti nturinda izindi ndwara zandurira mu mibonano mpuzabitsina (STIs).
EDURANT ni izina rizwi cyane ry'uyu muti ku isoko.
Ibintu ugomba kubwira muganga wawe mbere yo gutangira imiti
Ni ngombwa cyane ko muganga wawe amenya neza uko ubuzima bwawe buhagaze mbere yo kuguha uyu muti. Niba ufite imwe muri izi ndwara zikurikira, menya neza ko wabibwiye muganga wawe.
- Niba ufite indwara y'umutima .
- Niba ufite indwara ziterwa n'impyiko .
- Niba ufite indwara y'umwijima .
- Niba ufite ibibazo by'ubuzima bwo mu mutwe (nk'ihungabana).
- Niba warigeze kugira allergie cyangwa se ukagira ingaruka zidasanzwe kuri Rilpivirine cyangwa undi muti uwo ari wo wose, ibiryo, cyangwa irangi.
- Niba urimo kugerageza gutwita cyangwa usanzwe utwite .
- Niba uri umubyeyi wonsa .
Kuganira na muganga wawe ku mugaragaro kuri ibi bintu ni ingenzi cyane ku mutekano wawe.
Ni gute neza neza nkoresha uyu muti?
Kugira ngo uyu muti wungukire neza, ni ngombwa kuwufata neza.
- Kunywa ikinini mu gihe urya: Iki kinini kigomba kunyobwa mu kirahuri cy'amazi. Icy'ingenzi ni ukuginywa mu gihe urya. Ni byiza kuginywa mu ntangiriro y'ifunguro.
- Fata ku gihe, ntusibe doze: Fata imiti yawe buri munsi, nk'uko muganga wawe yabigutegetse. Ntusibe doze. Iyo ubikoze, virusi ishobora kudakira uyu muti gusa, ahubwo no ku yindi miti. Ibyo bivuze ko umuti ushobora kudakora neza.
- Ntugahagarare kugeza igihe muganga wawe akubwira: Komeza gukoresha ubu buryo kugeza igihe muganga wawe akubwira guhagarika.
Witondere cyane cyane niba uyifata hamwe n'imiti ya gastritis.
Niba ufata imiti ivura indwara ya gastritis, ugomba kuyitondera cyane.
- Aside: Niba ufata imiti igabanya aside irimo aluminiyumu, karubone kalisiyumu, cyangwa hydroxide ya manyeziyumu (urugero: Digene, Gelusil), ntugomba kuyifata icyarimwe na Rilpivirine. Aside igomba gufatwa amasaha 2 mbere cyangwa amasaha 4 nyuma yo gufata Rilpivirine.
- Antagonists za H2-receptor: Niba ufata imiti nka famotidine, cimetidine, nizatidine, cyangwa ranitidine, ugomba kuyifata mu gihe gitandukanye. Ugomba gufata iyi miti amasaha 12 mbere cyangwa amasaha 4 nyuma yo gufata Rilpivirine.
Niba utumva neza ibi bihe, ongera ubaze muganga wawe kugira ngo akwemeze.
Iyo ubihaye abana
Uyu muti ushobora kwandikirwa abana barengeje imyaka 12 mu bihe bimwe na bimwe. Ariko, bisaba ingamba zidasanzwe zo kwirinda, bityo vugana na muganga wawe kuri uwo muti.
Wakora iki niba wabuze dose y'umuti?
Dushobora kwibagirwa gufata umuti umwe buri munsi. Niba ibyo bibaye, dore icyo twakora:
- Niba wibuka ko mu masaha 12 uhereye igihe ugomba gufata umuti, fata vuba bishoboka hamwe n'ifunguro. Fata igipimo gikurikiraho ku gihe gisanzwe.
- Ariko, niba wibuka amasaha arenga 12 nyuma y'igihe cyagenwe, ntugafate dose yabuze. Simbuka hanyuma ufate dose ikurikira ku gihe cyagenwe.
- Ntukigere ufata dose ebyiri cyangwa izindi dose.
Ingaruka mbi zishobora kubaho (uburyo uyu muti ukorana)
Hari imiti ishobora guteza ibibazo bikomeye iyo ifashwe na Rilpivirine. Kubwibyo, ni ngombwa kubibwira muganga wawe niba ufata imwe muri iyi miti ikurikira.
| Imiti idakwiye gufatwa hamwe na Rilpivirine | |
|---|---|
| Umuti uvura indwara z'ibihumyo | fluconazole, itraconazole, ketoconazole, posaconazole, voriconazole |
| Umuti uvura ibisebe | carbamazepine, oxcarbazepine, phenobarbital, phenytoin |
| Imiti imwe n'imwe ivura indwara ya gastritis (kubyimba mu gifu) | esomeprazole, pantoprazole, omeprazole, lansoprazole, rabeprazole |
| Ibindi | Cisapride, Dexamethasone (dose irenze imwe), Dronedarone, Lumacaftor/ivacaftor, Pimozide, Rifampin, Rifapentine, St. John's Wort, Thioridazine |
Uretse uru rutonde, indi miti ishobora kugira ingaruka kuri ibi. Urugero:
- Amwe mu matibayotike nka clarithromycin na erythromycin.
- Methadone
- Indi miti igabanya ubukana bwa virusi itera SIDA.
- Indi miti itera impinduka mu muvuduko w'umutima.
Kubwibyo, ni byiza guha muganga wawe urutonde rwuzuye rw'imiti yose ufata (harimo na vitamine, ibikomoka ku bimera, n'imiti igurishwa mu kigo).
Ibintu ugomba kwitondera mu gihe ufata imiti
- Gusuzumwa kwa muganga buri gihe: Jyana na muganga wawe buri gihe kugira ngo urebe aho ubuvuzi bwawe bugeze. Muganire ku bimenyetso bishya ufite. Ushobora kandi gukenera gupimwa amaraso.
- Kwirinda ikwirakwira rya virusi itera SIDA: VIH yandura binyuze mu gukora imibonano mpuzabitsina cyangwa amaraso. Vugana na muganga wawe uburyo bwo kuyirinda.
- Indwara zikomeye z'uruhu: Hari abantu bashobora kugira ingaruka zikomeye z'uruhu ndetse na nyuma y'ibyumweru byinshi bakoresheje uyu muti. Bibwire muganga wawe ako kanya niba ugize ibiheri birimo ibimenyetso nk'umuriro cyangwa ubukonje. Ibi biheri bishobora guhinduka umutuku cyangwa umuhengeri, hanyuma uduheri tugatangira gushwanyagurika. Nanone, ntukirengagize ibiheri bitukura birimo kubyimba mu maso, ku minwa, cyangwa kubyimba kw'uturemangingo tw'imitsi mu ijosi cyangwa mu kwaha.
Ni izihe ngaruka mbi zishobora guterwa n'umuti?
Nk'uko bimeze ku muti uwo ari wo wose, Rilpivirine ishobora gutera ingaruka mbi. Zimwe ni mbi cyane, izindi zikaba zisanzwe.
| Ingaruka mbi zigomba kumenyeshwa muganga wawe ako kanya | |
|---|---|
| Kurwara indwara zo mu bwonko cyangwa indwara ya angioedema | Uruhu rushyushye, kuribwa, kubyimba mu maso, mu maso, mu minwa, mu rurimi, mu maboko cyangwa mu birenge, kugorwa no kumira cyangwa guhumeka. |
| Ibimenyetso by'indwara y'umwijima | Kubabara mu gice cyo hejuru cy'iburyo cy'inda, kubura ubushake bwo kurya, isesemi, amacandwe y'umuhondo wijimye cyangwa umukara, uruhu cyangwa amaso bihinduka umuhondo, ndetse n'umunaniro udasanzwe. |
| Indwara zikomeye ku ruhu | Gutukura, uduheri, no gushibuka k'uruhu, ndetse no mu kanwa. |
| Impinduka mu buzima bwo mu mutwe | Ibitekerezo byo kwiyangiza, impinduka mu byiyumvo, kumva wihebye. |
| Ingaruka mbi ubusanzwe zitari zikomeye, ariko zigomba kumenyeshwa muganga mu gihe zikomeje | |
|---|---|
| Umutwe | Kugorwa no gusinzira |
Bite ho iyo mfashe imiti myinshi?
Niba ubona ko wafashe uyu muti urenze urugero, hamagara ikigo cy’igihugu gishinzwe amakuru ku burozi mu bitaro by’igihugu bya Colombo , cyangwa ujye mu ishami rishinzwe kuvura byihutirwa (ETU) ry’ibitaro biri hafi yawe.
Ni gute warinda imiti yawe?
- Bika kure y'abana: Bika kure y'abana n'amatungo.
- Ubushyuhe bukwiye: Bika ahantu hashyushye mu cyumba (hagati ya dogere selisiyusi 20-25).
- Rinda urumuri: Bika umuti mu icupa ry'umwimerere wazanywemo. Ibi bizafasha kwirinda kwangirika kw'urumuri.
- Imiti irangiye: Ntukayikoreshe ku mpamvu iyo ari yo yose nyuma y'itariki ntarengwa. Ijugunye neza.
Ubutumwa bwo kujyana mu rugo
- Rilpivirine ni umuti urwanya virusi itera SIDA, ariko si umuti.
- Iki ginini kigomba gufatwa n'amafunguro .
- Ntugahagarike imiti kubera impamvu iyo ari yo yose. Ntugahagarike gufata imiti kugeza igihe muganga wawe agutegetse.
- Bwira muganga wawe indi miti yose ufata (cyane cyane imiti ya gastritis).
- Niba ugize ingaruka mbi zikomeye, nko kurwara uduheri ku ruhu cyangwa kurwara uduheri hamwe n'umuriro, shaka ubufasha kwa muganga byihutirwa .
- Niba ufite ikibazo cyangwa impungenge kuri uyu muti, ntutinye kubiganiraho na muganga wawe.
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