Haddii lagaa daaweynayo caabuqa HIV, dhakhtarkaaga ayaa kuu qoray daawooyin kala duwan. Mararka qaar, daawo kale ayaa loo isticmaalaa in lagu kordhiyo waxtarka daawada ugu muhiimsan, taas oo ah, in la 'kordhiyo'. Taasi waa waxa aan maanta ka hadlayno, 'kor u qaadida daawada'. Magaca daawadani waa Cobicistat. Aan si fudud oo edeb leh uga hadalno wax walba oo ku saabsan arrintan.
Waa maxay nooca daawada Cobicistat?
Si fudud haddii loo dhigo, Cobicistat waa daawo kordhisa waxtarka daawooyinka kale ee HIV, taasoo kordhisa awooddooda. Ka fikir daawadaada ugu weyn ee HIV sidii geesi. Cobicistat waa sida qofka ka caawiya geesigaas, isagoo kordhinaya awooddiisa.
Dawadani keligeed ma la dagaallanto fayraska HIV. Si kastaba ha ahaatee, waxay ka caawisaa daawooyinka kale ee HIV (daawooyinka ka hortagga fayraska) ee aad qaadato inay ku sii jiraan jirkaaga muddo dheer iyo xoog badan. Tani waxay si weyn u kordhinaysaa waxtarka daawada ugu weyn.
Aad muhiim u ah: Daawadani si buuxda uma daaweyso caabuqa HIV. Sidoo kale, qaadashada daawadani si buuxda uma baabi'inayso khatarta ah in HIV loo gudbiyo qof kale. Sidaa darteed, aad ayay muhiim u tahay in la raaco habab ammaan ah.
Waxyaabaha aad u sheegi karto dhakhtarkaaga ka hor intaadan bilaabin daawadan
Kahor inta uusan dhakhtarkaagu kuu qorin daawadan, wuxuu u baahan doonaa inuu si buuxda u fahmo xaaladdaada caafimaad. Sidaa darteed, hubi inaad dhakhtarkaaga u sheegto haddii aad qabto mid ka mid ah kuwan soo socda:
- Haddii aad qabto wax cudur kelyaha ah .
- Haddii aad qabto wax cudur beerka ah .
- Haddii aad xasaasiyad ku leedahay cobicistat ama daawo kasta oo kale, cunto, ama rinji.
- Haddii aad uur leedahay ama aad dhawaan filayso ilmo .
- Haddii aad tahay hooyo naas nuujinaysa .
Sideen u isticmaali karaa daawada?
Isticmaalka daawadan si sax ah ayaa lagama maarmaan u ah daaweyn wax ku ool ah.
- Kiniinkan ku liq koob biyo ah.
- Aad muhiim u ah: Daawadan waa in lala qaataa cunto . Ha qaadan calool madhan.
- Caado ka dhig inaad daawadaada qaadato waqti isku mid ah maalin kasta. Tani waxay kaa caawin doontaa inaad heerarka daawada ee jirkaaga ku jira ay ahaadaan kuwo isku mid ah.
- Qaado oo keliya qiyaasta uu dhakhtarkaagu kuu qoray, oo keliya inta jeer ee laguu qoray.
- Ha joojin qaadashada daawada ama ha ka boodin qiyaasaha sabab kasta ha ahaatee adigoon talo ka helin dhakhtarkaaga.Sii wad qaadashada daawadaada xitaa haddii aad dareento fiicnaan. Haddii aad ka boodo qiyaasaha, fayraska HIV wuxuu noqon karaa mid u adkaysta daawooyinkan. Tani waa xaalad aad khatar u ah.
Daawadan ma la siinayaa carruurta?
Dawadan mararka qaarkood waxaa loo qoraa carruurta, laakiin waxay u baahan tahay taxaddar gaar ah. Sidaa darteed, haddii aad dawadan siinayso ilmahaaga, kala hadal dhakhtarkaaga carruurta.
Xad-dhaaf xad-dhaaf ah
Haddii aad si kama' ah u qaadato daawo ka badan inta aad u baahan tahay, taasi waa, haddii aad xad dhaafto, ha argagixin. Isla markiiba tag Qaybta Daaweynta Degdegga ah (ETU) ee isbitaalka ugu dhow. Ama wac Xarunta Macluumaadka Sunta Qaranka ee Isbitaalka Qaranka ee Colombo si aad talo u hesho.
Daawadan adiga ayaa laguu qoray. Weligaa ha la wadaagin daawadan cid kale.
Maxaa la sameeyaa haddii aad seegto qiyaas daawo ah?
Haddii aad xasuusato inaad qaadato qiyaas oo ay ka badan tahay 12 saacadood ilaa qiyaastaada xigta ee la qorsheeyay, qaado qiyaasta la seegay sida ugu dhakhsaha badan ee aad xasuusato. Si kastaba ha ahaatee, haddii ay ka yar tahay 12 saacadood ilaa qiyaastaada xigta ee la qorsheeyay, ka bood qiyaasta la seegay. Ka bood qiyaasta la seegay oo qaado qiyaastaada xigta wakhtiga loo qorsheeyay. Weligaa ha qaadan laba qiyaasood hal mar.
Aad muhiim u ah! Daawooyinka kale ee la falgeli kara Cobicistat (Isdhexgalka Daroogada)
Kani waa qaybta ugu muhiimsan ee aad u baahan tahay inaad ka ogaato dawadan. Cobicistat waxay la falgeli kartaa daawooyin kale oo badan. Tani waxay ka dhigi kartaa daawooyinka qaar kuwo aan waxtar lahayn, daawooyinka qaarna waxay sun u noqon karaan jirka. Sidaa darteed, waa lagama maarmaan inaad dhakhtarkaaga u sheegto dhammaan daawooyinka aad qaadanayso, oo ay ku jiraan fiitamiinnada, daawooyinka dhirta, iyo waxyaabaha dhirta laga sameeyo .
Si taxaddar leh u eeg labada jadwal ee hoose.
| Digniin! Weligaa ha qaadan daawadan iyadoo la isticmaalayo Cobicistat. | |
|---|---|
| Nooca daawada | Tusaalooyin (Magacyada Ingiriisiga) |
| Cudurro kala duwan | alfuzosin, cisapride, dronedarone, irinotecan, lurasidone, naloxegol, pimozide, ranolazine, sildenafil, triazolam |
| Kolestaroolka | lovastatin, simvastatin |
| Madax-xanuun (Dhagax-xanuun) | dihydroergotamine, ergotamine, methylergonovine |
| Hurdo ama qalliin | midazolam (afka) |
| Daawooyinka kale ee HIV/AIDS | etravirine, fosamprenavir, indinavir, lopinavir; ritonavir, nevirapine, ritonavir, saquinavir, tipranavir |
| Suuxdin | carbamazepine, fosphenytoin, phenobarbital, phenytoin |
| Qaaxada | rifampin |
| Alaabada dhirta | Wort-ka St. John |
| Haddii aad qaadanayso daawadan, hubi inaad la hadasho dhakhtarkaaga. | |
|---|---|
| Qaybta daroogada | Tusaalooyin (Magacyada Ingiriisiga) |
| Antibiyootikada, daawooyinka antifungal-ka | Clarithromycin, erythromycin, itraconazole, ketoconazole |
| Cadaadiska dhiigga iyo cudurka wadnaha | amlodipine, carvedilol, diltiazem, metoprolol, verapamil, amiodarone, digoxin |
| Kansarka Kansarka/Kansarka | dasatinib, nilotinib, vinblastine, vincristine |
| Cudur maskaxeed, niyad-jab | buspirone, diazepam, risperidone, thioridazine |
| Si looga hortago xinjirowga dhiigga | warfarin, apixaban, rivaroxaban, dabigatran |
| Kolestarool | Atorvastatin, rosuvastatin |
| Kiniiniyada ka hortagga uurka iyo hoormoonada | estrogens, progestins, kiniiniyada xakamaynta dhalmada |
| Isteeroydhiska - neef-qaadashada ama kiniiniyada | budesonide, fluticasone, dexamethasone, methylprednisolone |
| Xanuun baabi'iyeyaasha | fentanyl, methadone, iyo tramadol |
*Liiskani ma dhammaystirna. Waxaa jiri kara daawooyin kale oo is-dhexgeli kara. Markaa had iyo jeer u sheeg dhakhtarkaaga wax kasta oo aad qaadanayso.*
Waxyaabaha ay tahay inaad maskaxda ku hayso marka aad qaadanayso daawada
- Baaritaan caafimaad oo joogto ah: Hubi inaad tagto ballanta dhakhtarkaaga. Waxaa laga yaabaa inaad u baahato baaritaan dhiig si loo hubiyo shaqada kelyahaaga iyo beerkaaga inta aad qaadanayso dawadan.
- Gudbinta HIV: Sidaan horay u soo sheegnay, HIV wali waxaa loogu gudbin karaa qof kale galmo ama dhiig, xitaa haddii aad qaadanayso daawadan. Kala hadal dhakhtarkaaga siyaabaha looga hortagi karo tan.
- Xakamaynta dhalmada: Tani aad bay muhiim u tahay haddii aad tahay haweeney isticmaaleysa kiniiniyada ka hortagga uurka. Qaadashada daawada cobicistat waxay yareyn kartaa waxtarka kiniiniyada ka hortagga uurka. Sidaa darteed, hubi inaad isticmaasho nooc kale oo ka hortagga uurka, sida kondhomka, inta lagu jiro waqtigan. Kala hadal dhakhtarkaaga arrintan oo hubi.
Waxyeellooyinka laga yaabo inay dhacaan sababtoo ah daawada
Sida daawo kasta, Cobicistat waxay dadka qaar u keeni kartaa waxyeellooyin. Qaar ka mid ah kuwan waa kuwo halis ah, halka kuwa kalena ay yihiin kuwo fudud.
| Nooca waxyeellooyinka soo raaca | Astaamaha |
|---|---|
| Calaamadaha ay tahay in isla markiiba dhakhtarka loo sheego | |
| Falcelinta xasaasiyadda | Finan maqaarka ah, cuncun, barar wejiga, bushimaha ama carrabka. |
| Dhibaatooyinka beerka | Indhaha ama maqaarka oo huruud noqda, kaadi madow, saxaro cirro leh, iyo dareen caajisnimo. |
| Dhibaatooyinka kelyaha | Kaadida oo dhib kugu ah ama isbeddel ku yimaada xaddiga kaadida ee soo baxaysa. |
| Calaamadaha kale ee halista ah | Neefsashada oo dhib kugu ah, dareen qandho leh, daal aan caadi ahayn. |
| Calaamadaha aan badanaa ahayn kuwo halis ah, laakiin waa in loo sheegaa dhakhtarka haddii ay sii jiraan | |
| Dhibaatooyinka nidaamka dheefshiidka | Lallabo, matag, calool xanuun, shuban. |
| Kale | Madax-xanuun, hurdo la'aan, daal, xanuun dhabarka ama qoorta ah. |
Sidee baad daawadaada u kaydin lahayd?
- Ka fogee carruurta.
- Ku kaydi heerkulka qolka (inta u dhaxaysa 15-30 Celsius).
- Iska tuur daawada dhacday.
Fariinta Guriga La Qaadanayo
- Cobicistat waa daawo kaabayaal ah oo 'kor u qaadaysa' ficilka daawooyinka kale ee HIV, ee maaha daawo keligeed shaqeysa.
- Daawadan had iyo jeer qaado cuntada. Weligaa ha ka boodin cuntada.
- Hubi inaad dhakhtarkaaga u sheegto dhammaan daawooyinka kale, fiitamiinnada, iyo waxyaabaha dhirta laga sameeyo ee aad qaadanayso.
- Haddii aad qaadanayso kiniiniyada ka hortagga uurka, isticmaal hab dheeraad ah, sida kondhom, si aad uga hortagto uurka.
- Haddii aad la kulanto waxyeellooyin halis ah sida maqaarka oo huruud noqda, kaadi madow, ama neefsasho dhib ah, isla markiiba u sheeg dhakhtarkaaga.
- Dawadan adiga oo keliya ayaa loogu talagalay. Weligaa ha la wadaagin dadka kale.
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