Siyazi ukuthi kubaluleke kangakanani ukuthatha imithi oyinikezwe udokotela ngesikhathi uma uphila negciwane lengculazi. Udokotela wakho kungenzeka ukuthi ukunikeze inhlanganisela yemithi emithathu ephilisini elilodwa. Namuhla sizokhuluma ngemithi eyodwa enjalo, inhlanganisela yemithi emithathu ebizwa ngokuthi i-Abacavir, i-Dolutegravir kanye ne-Lamivudine. Itholakala ngaphansi kwegama lomkhiqizo i-Triumeq PD. Ngemva kokufunda lesi sihloko, uzoba nokuqonda okungcono ngalo muthi.
Kalula nje, kwenzekani ngalo muthi?
Empeleni leli iphilisi elilodwa, kodwa liqukethe imithi emithathu enamandla elwa negciwane lesandulela ngculazi. Sibiza le mithi ngokuthi imithi yokulwa namagciwane. Umsebenzi oyinhloko walo muthi ukulawula igciwane lesandulela ngculazi emzimbeni wakho. Okusho ukuthi, uvimba igciwane ukuthi lingaphindaphindi futhi lisabalale emzimbeni wakho.
Into ebaluleke kakhulu: Lokhu akulona ikhambi le-HIV. Kodwa-ke, kungasiza ekulawuleni igciwane, kugcine amasosha omzimba wakho eqinile, futhi kukusize uphile impilo enempilo nejwayelekile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka abe nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unezinye zezimo ezingezansi, qiniseka ukuthi uyamtshela ngakho.
- Isifo senhliziyo: Uma unezinkinga zenhliziyo, njengomlando we-cholesterol ephezulu.
- Isifo sezinso: Uma kukhona ubuthakathaka ekusebenzeni kwezinso, ukwazi lokhu kuzosiza udokotela ukuthi anqume umthamo ofanele wemithi.
- Isifo sesibindi: Lokhu kubaluleke kakhulu uma unesifo sesibindi esifana ne-Hepatitis B.
- Ukungezwani komzimba: Sitshele uma une-allergies kunoma yimuphi omunye umuthi, ukudla, noma idayi, hhayi nje i-Abacavir, i-Dolutegravir, noma i-Lamivudine equkethwe kulo muthi.
Uyisebenzisa kanjani kahle le mithi?
Lo muthi uza ngesimo sephilisi lokumiswa ngomlomo. Ngakho-ke, kubaluleke kakhulu ukwazi indlela efanele yokuwusebenzisa.
1. Ukuncibilikisa: Faka amanzi enkomishini engamamililitha angu-20 (20 mL) eza nomuthi bese ubeka ithebhulethi kuyo.
2. Ukuxuba: Hlanganisa kahle cishe umzuzu owodwa noma emibili. Kufanele kuncibilike kungabikho zigaxa ezisele.
3. Phuza ngokushesha: Lokhu kufanele kuphuzwe zingakapheli imizuzu engama-30 ngemva kokuncibilika.
4. Ngaphambi noma ngemva kokudla?: Ungayithatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzizwa uphatheke kabi esiswini, kungcono ukudla ukudla bese ukukuphuza.
5.Gcina isikhala ngemithi ethile: Ungathathi ama-antacid, izithasiselo zensimbi, izithasiselo ze-calcium, njll. ngokuvuvukala kwesisu kanye ne-gastritis ngesikhathi esifanayo nalomuthi. Kufanele uthathe izinto ezinjalo emahoreni ama-2 ngaphambi noma emahoreni ayisithupha ngemva kokuthatha lomuthi . Buza udokotela wakho ngolwazi olwengeziwe ngalokhu.
Ungalokothi uphule, uchoboze, noma uhlafune iphilisi. Thatha umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho. Ungayeki imithamo. Ukwenza kanjalo kungabangela ukuthi igciwane le-HIV lingamelani nalo muthi kuphela, kodwa futhi neminye imithi.
Into eyingozi kakhulu okufanele uyiqaphele kakhulu - ukungezwani komzimba okukhulu!
Lokhu kuyinto ebaluleke kakhulu okufanele uyazi ngalomuthi. Inani elincane labantu lingaba nokusabela okukhulu kokungezwani komzimba (ukusabela okukhulu kokuzwela) emuthini obizwa ngokuthi i-Abacavir, oqukethwe kulo muthi. Lokhu kungaba yingozi empilweni.
Udokotela wakho uzokunikeza ikhadi lesixwayiso uma uqala ukuthatha lo muthi. Kubalulekile ukugcina lelo khadi nawe ngaso sonke isikhathi.
Qaphela kakhulu ngalezi zimpawu:
- Ukuqhuma kwesikhumba
- Imfiva
- Isicanucanu nokuhlanza
- Isisu esibuhlungu
- Ukukhathala okukhulu, ubuhlungu bomzimba
- Umuzwa wokuthi "kunzima kakhulu" ovame ukuzwakala
Uma uhlangabezana nesinye noma ngaphezulu salezi zimpawu, yeka ukuthatha umuthi ngokushesha bese uthintana nodokotela wakho ngokushesha. Ungawuqali kabusha lo muthi nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela imiphumela emibi kakhulu phakathi namahora ambalwa.
Eminye imithi engahambisani nalo muthi
Kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo, njengoba eminye imithi ingasebenzisana nalo muthi. Ithebula elingezansi libala eminye yale mithi.
| Uhlobo lwesidakamizwa | Izibonelo namanothi akhethekile |
|---|---|
| Imithi okungafanele ithathwe | I-Dofetilide (umuthi wesifo senhliziyo). Noma yimuphi omunye umuthi oqukethe i-Abacavir noma i-Lamivudine. |
| Eminye imithi ye-HIV noma ye-AIDS | Imithi efana ne-Efavirenz, i-Etravirine, i-Nevirapine, i-Tipranavir/ritonavir. |
| Imithi yokwelapha isithuthwane | Izidakamizwa ezifana neCarbamazepine, iPhenytoin, nePhenobarbital. |
| Imithi yezinkinga zesisu | Ama-antacid aqukethe i-aluminium noma i-magnesium, i-Sucralfate. (Gcina igebe lamahora amaningana). |
| Imithi yokwelapha ezinye izifo | I-Rifampin (umuthi wesifo sofuba), i-Ribavirin, i-Sulfamethoxazole; i-trimethoprim (SMX-TMP). |
| Eminye imithi kanye nezithasiselo | I-Metformin (yesifo sikashukela), i-Methadone, i-St. John's Wort (isitshalo esithathwe ngamakhambi), izithasiselo zensimbi ne-calcium. |
Yimiphi imiphumela emibi engalindelwa?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ivamile. Kubalulekile ukwazi ukuthi iyini.
| Uma uhlangabezana nalezi zimpawu, shayela udokotela wakho ngokushesha. | |
|---|---|
| Ukulimala Kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, ukuphuzi kwamehlo noma isikhumba, umchamo omnyama. |
| Isifo senhliziyo | Ukuqina kwesifuba, amahlombe, nezingalo, ubunzima bokuphefumula, kanye nokujuluka. |
| I-Lactic acidosis (i-Lactic Acid Ephezulu) | Ukuqhaqhazela kwemisipha noma ubuhlungu, ubuhlungu besisu, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka (ngisho nangaphakathi emlonyeni). |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Uhudo | Ngokuvamile kuyaphela zingakapheli izinsuku ezimbalwa. |
| Ikhanda elibuhlungu | Kungase kube nobuhlungu bekhanda obuncane. |
| Ubunzima bokulala | Ubuthongo bungase buphazamiseke. |
| Ukukhathala | Ungase uzizwe ukhathele kancane. |
Wenzani uma kunesimo esiphuthumayo?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ungalokothi weqe umthamo.
- Qaphela kakhulu izimpawu zokusabela okukhulu kokungezwani komzimba (umkhuhlane, ukuqubuka kwesikhumba, ubuhlungu besisu). Uma uhlangabezana nanoma yiziphi zalezi zimpawu, yeka ukuthatha umuthi bese ushayela udokotela wakho ucingo ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma uyeka ukuthatha umuthi nganoma yisiphi isizathu, ungaphinde uwuqale ngaphandle kweseluleko sikadokotela wakho.
- Lo muthi ulawula igciwane lesandulela ngculazi, kodwa awuselaphi ngokuphelele. Ngakho-ke qhubeka nokulandela imiyalelo kadokotela wakho.
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