Ngaba ugqirha wakho ukunike iyeza elitsha lokulawula imeko yakho ye-HIV? Elo yeza lisenokubonakala lide kancinci, akunjalo? I-Efavirenz, i-Lamivudine, i-Tenofovir... Olu ngokwenene ziintlobo ezintathu zamayeza. Kodwa ukuze kube lula kuwe, zonke iintlobo ezintathu zamayeza zidibene zibe yipilisi enye. Ke namhlanje, masithethe ngale yeza, indlela yokuyisebenzisa, izinto ekufuneka uzilumkele, kunye nemiphumo emibi, ngendlela elula kakhulu onokuyiqonda.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, le pilisi ineentlobo ezintathu zamayeza alwa nentsholongwane kaGawulayo. Sibiza la mayeza okulwa neentsholongwane kaGawulayo. Eli yeza lisetyenziswa njengonyango lwentsholongwane kaGawulayo.
Kubalulekile ukukhumbula ukuba olu asilonyango lwe -HIV . Nangona kunjalo, lulawula intsholongwane ye-HIV emzimbeni wakho kwaye luyigcine ikwinqanaba eliphantsi kakhulu. Oku kuya kunceda ukugcina amasosha omzimba wakho eqinile kwaye akuncede uphile ubomi obude nobunempilo.
Kwaye xa isetyenziswa ngokuchanekileyo, eli yeza linciphisa kakhulu umngcipheko wokudlulisela intsholongwane kaGawulayo komnye umntu. Kodwa aliyisusi ngokupheleleyo ingozi. Ngoko ke kubalulekile ukuqhubeka nokulandela iindlela ezikhuselekileyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Kubaluleke kakhulu ukuxoxa ngembali yakho yempilo nogqirha wakho ngaphambi kokuba uqale eli yeza. Olu lwazi luya kuqinisekisa ukuba eli yeza likulungele na. Kubaluleke kakhulu ukuxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
- Iingxaki zamathambo (ezifana nokuqhekeka kwamathambo ngaphambili, i-osteoporosis )
- Iimeko zentliziyo
- Ukuba ukhe wasebenzisa iziyobisi okanye utywala ngaphambili
- Iingxaki zengqondo ( ukudakumba , iingcinga zokuzibulala, okanye ezinye izifo zengqondo)
- Iimeko ezifana ne -pancreatitis
- Iimeko ezifana nesifo sokuwa okanye ukuxhuzula
- Ukuba une-allergy kwizithako ezikweli yeza (i-Efavirenz, i-Lamivudine, i-Tenofovir) okanye kwamanye amayeza, ukutya, okanye iidayi.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa umntwana
Ukuthetha ngokukhululekileyo ngezi zinto kubaluleke kakhulu kukhuseleko lwakho.
Ungayisebenzisa njani le yeza ngokuchanekileyo?
Ukuze ufumane okuninzi kweli yeza, kubalulekile ukulisebenzisa njengoko kuyalelwe.
- Indlela yokuthatha: Ginya le pilisi ngeglasi yamanzi.
- Ufanele uyisebenzise nini: Yithathe njengoko ugqirha wakho ekuyalele. Eli yeza lidla ngokuthathwa ngaphambi kokuba ulale, kuba linokukunceda ukuthintela isiyezi xa ulele .
- Yisela isisu esingenanto : Oku kubaluleke kakhulu. Eli yeza kufuneka lisetyenziswe esiswini esingenanto . Oko kuthetha ukuba, lithathe ubuncinane imizuzu engama-30 ngaphambi kokutya okanye iiyure ezi-2 emva kokutya . Musa ukulisebenzisa eli yeza kunye nokutya.
- Yithathe ngexesha: Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla.
- Musa ukutsiba iidosi: Le yeyona nto ibalulekileyo. Nokuba uzive ungcono, musa ukuyeka ukuthatha iyeza okanye ukutsiba idosi ngaphandle kwengcebiso kagqirha wakho. Ukuba uphoswa ziidosi ezinjalo, intsholongwane ye-HIV inokumelana neli yeza. Siyibiza ngokuba yi-'(Drug Resistance)'. Emva koko, kunokwenzeka ukuba la mayeza angakwazi ukulawula intsholongwane.
Umthamo ogqithisileyo
Ukuba ucinga ukuba uthathe eli yeza kakhulu ngempazamo,
yiya kwangoko kwiSebe lezeMpilo eziNgxamisekileyo (ETU) okanye utsalele umnxeba
iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
Kuthekani ukuba ndiphoswa yidosi?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo.
Ungaze uthathe iidosi ezimbini ngaxeshanye. Amanye amayeza anokusebenza kunye nale mayeza
Xa usela eli yeza, kubalulekile ukuxelela ugqirha wakho ngawo onke amanye amayeza owasebenzisayo, kuquka lawo achazwe ngugqirha wakho, lawo athengwa kwikhemesti, amayeza okudambisa iintlungu, iivithamini, amayeza esintu, kwaneemveliso zezityalo. Amanye amayeza anokusebenzisana nalo mayeza aze abangele iingxaki. Itheyibhile engezantsi idwelisa ezimbalwa zala mayeza. Olu luhlu aluphelelanga. Kungoko ke, kubaluleke kakhulu
ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo .
| Uhlobo lweziyobisi | Inkcazo kunye nemizekelo |
|---|
| Amayeza angafanele athathwe | Kukho amayeza amaninzi angafanele asetyenziswe xa usebenzisa eli yeza. Imizekelo iquka: `voriconazole`, `rifapentine`, `elbasvir; grazoprevir`. |
| Amayeza anokubangela iingxaki | - Amanye amayeza okubulala iintsholongwane (umz. i-clarithromycin, i-rifampin)
- Amayeza okwehlisa i-cholesterol (umz. i-atorvastatin, i-simvastatin)
- Amayeza esifo sentliziyo kunye noxinzelelo lwegazi oluphezulu
- Amayeza okulwa nesifo sokuwa (umz. i-carbamazepine, i-phenytoin)
- Amayeza e-hormone, kuquka iipilisi zokulawula ukuzalwa
- Ii-antifungal (umz. i-ketoconazole)
- Iipilisi zokunciphisa iintlungu (ii-NSAIDS - umz. i-ibuprofen)
|
Izinto ekufuneka ziqwalaselwe xa usebenzisa iyeza
- Uvavanyo lwezonyango: Yiya rhoqo ekliniki njengoko ugqirha wakho ekuyalele. Kubaluleke kakhulu ukuba kwenziwe uvavanyo lwegazi ngamaxesha amiselweyo.
- Iimpendulo ezinzulu zesikhumba: Ngamanye amaxesha, ulusu lunokubangelwa kukungezwani komzimba kakhulu emva kweeveki emva kokuba uqalise eli yeza. Ukuba ulusu lwakho luba bomvu, lurhawuzelelwa ngumkhuhlane, iintlungu zomzimba, amadyungudyungu, amadyungudyungu eluswini, izilonda emlonyeni, okanye ukudumba kobuso okanye imilebe, tsalela umnxeba ugqirha wakho ngoko nangoko.
- IHepatitis B: Ukuba uneHepatitis B, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba uyeke le mithi, njengoko ukuyeka le mithi kunokubangela iimpawu zeHepatitis B zibe mandundu.
- Ukudinwa kunye nokozela: Eli yeza linokukwenza uzive unesizungu okanye ulele. Ngoko ke, ziphephe izinto ezifuna ulumke, njengokuqhuba okanye ukusebenzisa oomatshini , ude wazi kakuhle indlela eli yeza elikuchaphazela ngayo. Yima kancinci xa uvuka kwindawo ohleli kuyo okanye xa uphuma ebhedini.
- Ulawulo lokuzala: Oku kubaluleke kakhulu. Iipilisi zokulawula ukuzala zisenokungasebenzi kakuhle xa usebenzisa la mayeza. Ke ngoko, ukuba ufuna ukuthintela ukukhulelwa, ngokuqinisekileyo kufuneka usebenzise olunye uhlobo lolawulo lokuzala, njengekhondom . Thetha nogqirha wakho ngale nto.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengalo naliphi na iyeza, eli linokuba nemiphumo emibi. Eminye yayo iyingozi, eminye yayo ixhaphakile.
Uhlu lweziphumo ebezingalindelekangaIziphumo ebezingalindelekanga ezifuna unyango ngokukhawulezaIziphumo ebezingalindelekanga eziqhelekileyo ekufuneka zixelwe kugqirha ukuba ziyaqhubeka
- Ulusu oluneziqhushumbisi ezibukhali, ukurhawuzelela, ukuxobuka
- Ukudumba kobuso, imilebe, ulwimi
- Ubunzima bokuphefumla
- Utshintsho olukhulu engqondweni (uxinzelelo olukhulu, iingcinga zokuzibulala)
- Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga
- Intlungu okanye ubuthathaka bemisipha
| - Iimpawu zomonakalo wesibindi (umchamo otyheli okanye omdaka, ukutyheli kwamehlo nolusu, iintlungu kwinxalenye ephezulu ngasekunene yesisu, ukudinwa kakhulu)
- Isicaphucaphu esikhulu, ukuhlanza, iintlungu zesisu ezingaqhelekanga
|
- Ukukhohlela, ukuphefumla
- Urhudo (intlungu yesisu)
- Ukungalali, amaphupha angaqhelekanga
- Intloko ebuhlungu
- Utshintsho kwimilo yomzimba, njengokuqokelelwa kwamafutha kwiindawo ezithile zomzimba (isisu, umqolo) kunye nokuncitshiswa kweengalo, imilenze, nobuso
|
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into, thetha nogqirha wakho ngayo.
Umyalezo Wokuya Ekhaya
- Soloko usela eli yeza kanye njengoko ugqirha wakho ekuyalele, ngexesha elimiselweyo, ungenanto esiswini. Ungaze uphoswe yidosi.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Ukuba ubona iimpawu ze-allergy enkulu, ezinje ngamadyungudyungu eluswini kunye nokudumba, funa ingcebiso kagqirha ngokukhawuleza.
- Eli yeza alinyangi i-HIV. Liyilawula kuphela. Ngoko ke qhubeka ulandela iindlela ezikhuselekileyo.
- Ukuba ungumfazi onokukwazi ukuzala, kubalulekile ukusebenzisa olunye uhlobo lokulawula ukuzala, njengekhondom, ngelixa usebenzisa eli yeza.
- Ungoyiki ukuthetha nogqirha wakho ngayo nayiphi na ingxaki. Bakhona ukukunceda.
I-HIV, i-Efavirenz, i-Lamivudine, i-Tenofovir, i-Antiretroviral, unyango lwe-HIV, i-AIDS, amayeza, iziphumo ebezingalindelekanga, impilo
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