Kurarama neHIV kunogona kuoma dzimwe nguva, asi unoziva kuti nekurapwa kwakakodzera, unogona kurarama hupenyu hwakanaka uye hwakajairika. Zvakakosha kunzwisisa mishonga yauri kutora panguva yekurapwa uku. Nhasi, tiri kutaura nezvemusanganiswa wemishonga mitatu yekudzivirira utachiona inogona kubatsira kudzora HIV. Ngatitarisei kuti chii, kuti inoshanda sei, uye zvaunofanira kuziva.
Ngationei kuti mushonga uyu chii chaizvo.
Zvichitaurwa zviri nyore, uyu musanganiswa wemishonga mitatu. Kureva kuti, mishonga yese mitatu inorwisa mavhairasi , Emtricitabine, Rilpivirine, uye Tenofovir Disoproxil Fumarate, inowanikwa mupiritsi rimwe chete. Munyika medu, mushonga uyu unowanikwa pasi pezita rekuti `Complera`.
Basa rayo guru nderekuderedza huwandu hwehutachiona hweHIV (viral load) mumuviri wako, kusimbisa masoja emuviri wako, uye kukubatsira kuti urambe uine hutano hwakanaka.
Yeuka: Mushonga uyu mushonga weHIV, kwete mushonga. Zvakare, mushonga uyu unoderedza njodzi yekutapurira HIV kune vamwe, asi haudziviriri zvachose. Saka, zvakakosha kuramba uchitevera nzira dzakachengeteka.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga
Usati wasarudza kana mushonga uyu wakakunakira, chiremba wako anofanira kuziva nhoroondo yako yese yehutano. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Mamiriro ako ezvinhu | Sei zvichikosha kuzivisa chiremba? |
|---|---|
| Matambudziko emapfupa (semuenzaniso osteoporosis) | Mushonga weTenofovir dzimwe nguva unogona kukanganisa kuwanda kwemapfupa. |
| Chirwere cheitsvo | Sezvo mishonga iyi ichiburitswa mumuviri kuburikidza neitsvo, zvakakosha kuti uzive mashandiro anoita itsvo dzako. |
| Chirwere chechiropa, kunyanya Hepatitis B | Zviratidzo zveHepatitis B zvinogona kuwedzera kana mushonga uyu ukamiswa. Kushanda kwechiropa kunogonawo kukanganiswa. |
| Kuora mwoyo kana kufunga kuzviuraya | Chiremba anofanira kuziva zvimwe zvezvinhu zviri mumushonga uyu, sezvo zvichigona kukonzera kuchinja kwemanzwiro. |
| Chirwere chemwoyo | Zvakakosha kuti chiremba azive nezvemamwe matambudziko emwoyo. |
| Kurwara nemimwe mishonga, chikafu, kana zvimwe zvinhu | Izvi zvakakosha kuziva kana une allergies kune chero chinhu chiri mumushonga uyu. |
| Kuva nepamuviri kana kutarisira mwana | Unofanira kukurukura nachiremba wako nezvekushandiswa kwemushonga uyu panguva yekuzvitakura. |
| Kuyamwisa | Kuyamwisa hakukurudzirwi kuna vanaamai vane HIV, saka taurai nachiremba wenyu nezvazvo zvakare. |
Ndinofanira kushandisa mushonga uyu sei?
Kuti mushonga uyu uwane pundutso yakakwana, zvakakosha kuushandisa nemazvo.
- Inwai nekudya: Inwai piritsi iri negirazi remvura panguva yekudya . Musainwa mudumbu musina chinhu. Rilpivirine inonyoroveswa zvakanaka nemuviri kana ikatorwa pamwe chete nechikafu.
- Inwa mushonga nenguva: Ita tsika yekunwa mushonga wako panguva imwe chete zuva nezuva. Izvi zvichabatsira kuchengetedza huwandu hwemushonga muropa rako hwakafanana.
- Usasiye mishonga: Chinhu chakakosha pakurapa HIV kutora mushonga wako usingarasikirwe nedosi rimwe chete. Kunyangwe uchinzwa zviri nani, usarega kutora mushonga wako kusvika chiremba wako akuudza kuti udaro.
- Sei zvisina kunaka kusvetuka mishonga? Kana ukasvetuka mishonga, hutachiona hunogona kuramba mushonga uyu. Kana izvozvo zvikaitika, zvichava zvakaoma kudzora hutachiona nemishonga iyi nemimwe mishonga yeHIV.
Ko kana ndikarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera utore mushonga (semuenzaniso, maawa asingasviki gumi nemaviri), svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga kaviri.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu wakawandisa netsaona, usavhunduka. Fonera National Poisons Information Centre paColombo National Hospital nekukasika. Kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kupindirana kweMishonga)
Zvakakosha zvikuru kuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yechivanhu yauri kutora, sezvo mimwe mishonga inogona kukanganisa kushanda kwemushonga uyu weHIV.
| USATORA mushonga uyu pamwe chete nechimwe chinhu. | |
|---|---|
| Mishonga yePPI yekurapa gastritis | Mishonga yakaita seEsomeprazole, Omeprazole, Lansoprazole, nePantoprazole. Iyi mishonga inoderedza zvakanyanya kupinda kwemishonga yeHIV mumuviri. |
| Mimwe mishonga inopihwa yekurwisa kurwara (Mishonga yeSeizure) | Mishonga yakaita seCarbamazepine, Phenobarbital, Phenytoin. |
| Rifampin, Rifapentine | Aya maantibiotic anopiwa kurapa chirwere cherurindi. |
| Muti weSt. John's | Imishonga yemishonga inobatsira pakugara zvakanaka kwepfungwa. |
| Dexamethasone | (Kana ukatora mishonga inopfuura imwe chete panguva imwe chete). |
| Kana uri kutora izvi, iva nechokwadi chekuudza chiremba wako (ZIVISA CHIREMBA WAKO) | |
| Mimwe mishonga ye gastritis (antacids, H2-blockers) | Mishonga inorwisa asidhi yakaita seDigene, Gaviscon kana mishonga yakaita seFamotidine, Cimetidine. Iyi inofanira kutorwa maawa mashoma mushonga weHIV usati watorwa kana kuti watorwa. |
| Mamwe maantibiotics nema fungicides | Mishonga yakaita seClarithromycin neKetoconazole. |
| Methadone | Kurapa kupindwa muropa nezvinodhaka. |
Migumisiro inogona kuitika kana uchitora mushonga
Kufanana nemushonga upi zvawo, mushonga uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe midiki, asi mimwe inoda kurapwa nekukurumidza.
Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika:
- Kusangana kwakanyanya kweganda: fivha, kurwadziwa kwemuviri, mapundu matsvuku, ganda rinobuda matumbu kana kuti rinobuda matumbu. Kuzvimba kwechiso, miromo, uye mapundu madiki pamutsipa kana muhapwa.
- Kurwara neallergy: mapundu eganda, kuvaviwa, mapundu.
- Zviratidzo zvekukuvadzwa kwechiropa: weti yero yakasviba kana kuti yebrown, maziso neganda zvakatsvuka, kurwadziwa kumusoro kwedumbu kurudyi, kuneta kwakanyanya, kuda kurutsa.
- Zviratidzo zvekukuvara kweitsvo: Kuomerwa nekuita weti kana kuchinja huwandu hweweti inoburitswa.
- Zviratidzo zveLactic Acidosis: kufema zvakaoma, kurwadziwa kwetsandanyama, kurwadziwa kwemudumbu kusingawanzoitiki, kuda kurutsa, kurutsa, dzungu.
- Kuchinja kwepfungwa: kuora mwoyo kwakanyanya, kufunga nezvekuzviuraya, kusagadzikana.
- Kuchinja kwekurova kwemoyo: Kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka.
Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo:
- Kuvhiringidzika pakurara kana kurota zvisina kujairika
- Musoro
- Manyoka
- Kuchinja kweruvara rweganda (kunyanya zvanza netsoka)
- Kuchinja kwemafuta emuviri (semuenzaniso, kuwedzera kwemafuta akakomberedza dumbu, musana, uye chiuno, kutetepa kwemakumbo).
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisina kutaurwa pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Mushonga uyu mushonga unodzora HIV, asi haurapike zvachose.
- Inwa mushonga panguva imwe chete zuva nezuva, pamwe chete nekudya . Usambofa wakarega kudya.
- Iva nechokwadi chekuudza chiremba wako nezvemishonga yese, mavhitamini, nezvimwe zvirwere zvauri kutora.
- Tsvaga rubatsiro rwechiremba nekukasika kana ukasangana nematambudziko akakomba, akadai sekusagadzikana kweganda, kutsvuka kwemaziso, kurwadziwa kwakanyanya mudumbu, kana kuchinja kwepfungwa.
- Mushonga uyu wakanyorerwa iwe chete. Usambougovana nevamwe.
- Kugara uchitaura nachiremba wako uye kuenda kukiriniki sezvakarongwa kwakakosha zvikuru pakugara zvakanaka kwako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Emtricitabine, Rilpivirine, uye Tenofovir (Tenofovir / Odefsey, Complera) zvinoshandiswa pai?
Uyu musanganiswa weART inoshanda zvikuru - Antiretroviral Therapy uye mishonga mitatu yazvino iri mupiritsi rimwe chete (Single-tablet Regimen) inowanikwa muma pharmacy kurwisa hutachiona hwe'AIDS / HIV (Human Immunodeficiency Virus)'! Mushure mekunwa piritsi iri kamwe chete pazuva (pamwe nechikafu), rinodzivirira hutachiona hweHIV kuti husawande muropa ne100%, zvichidzora hutachiona kusvika pahuwandu hwehutachiona husingaonekwe.
💬 Piritsi iri (Complera/Odefsey) rinomisa sei hutachiona hweHIV kuti husawande (kutapurirana)?
Kuti vhairasi ibereke, inofanira kupinda mune rimwe remasero edu yokopa meseji yayo yekutanga (RNA) muDNA yedu. Muchina unoshandiswa nevhairasi iyi iReverse Transcriptase enzyme. Piritsi iri rinobva kumativi ese uye rinoisa 'zvinhu zvisina kunaka (NRTI/Emtricitabine/Tenofovir)' uye 'matombo anovhara (NNRTI/Rilpivirine)' mumuchina iwoyo. Ipapo vhairasi yeHIV haichakwanisi kuberekerana zvakare uye inoshaya simba.
💬 Ndezvipi migumisiro mikuru nenjodzi huru (Black Box Warning) zvinogona kuitika kana munhu achitora piritsi iri reHIV?
Njodzi huru yemishonga iyi mitatu inobva kuTenofovir! Izvi zvinogona kukonzera kuti mapfupa emurwere anyunguduke/atyoke nyore nyore (Kurasikirwa nemapfupa / Osteoporosis) uye itsvo dzimire zvachose (Lactic acidosis / Renal Toxicity). Zvakare, usatore piritsi iri kana 'uine nzara usina chikafu (dumbu risina chinhu)' chero chikonzero chipi zvacho! (Rilpivirine haipindi mumuviri, mushonga wacho haushande)!
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