Ake sifunde ngamaphilisi e-Abacavir, i-Dolutegravir, kanye ne-Lamivudine, asiza ekulawuleni i-HIV.

Uma udokotela wakho ekunike umuthi obizwa ngokuthi i-Abacavir, i-Dolutegravir, i-Lamivudine ukulawula ukutheleleka kwakho yi-HIV , lesi sihloko sizokusiza ukuthola izimpendulo zemibuzo yakho kanye nokwesaba kwakho ngakho. Ake sixoxe ngalo muthi ngamazwi alula, akunjalo?

Uyini lo muthi? Kungani unikezwa?

Kalula nje, iyinhlanganisela yemithi emithathu yokulwa namagciwane ephilisini elilodwa. Ungase ulazi ngegama lomkhiqizo i-TRIUMEQ. Isetshenziselwa ukusiza ukulawula ukutheleleka okubangelwa yigciwane lesandulela ngculaza.

Into ebalulekile ukuthi lokhu akulona ikhambi le-HIV. Kodwa-ke, kusiza ukulawula ukusabalala kwegciwane le-HIV emzimbeni futhi kugcina amasosha omzimba wakho eqinile.

Odokotela bangasebenzisa lo muthi nakwezinye izimo. Ngakho-ke, uma uneminye imibuzo mayelana nalokhu, kungcono ukubuza udokotela wakho noma usokhemisi.

Yini okufanele ngiyitshele udokotela ngaphambi kokuqala lo muthi?

Ngaphambi kokuba uqale ukuthatha lo muthi, kubalulekile ukutshela udokotela wakho ngomlando wempilo yakho. Ikakhulukazi uma unezinye zezimo ezilandelayo:

• Uma unesifo senhliziyo.
• Uma uphuza njalo.
• Uma unesifo sezinso .
• Uma unesifo sesibindi.
• Uma usebenzisa ugwayi (ugwayi).
• Uma uke waba nokusabela kokungezwani komzimba nemithi i-abacavir, i-dolutegravir, i-lamivudine, eminye imithi, i-lactose ebisini, ukudla, imibala yokwenziwa , noma izithasiselo.
• Uma ukhulelwe noma unethemba lokukhulelwa.
• Uma uncelisa ingane.

Kubaluleke kakhulu ukwethembeka ngalezi zinto, kokubili ngenxa yokuphepha kwakho kanye nokuzuza ngokugcwele emithini.

Uyisebenzisa kanjani kahle le mithi?

Ake sixoxe nangokuthi ungawuthatha kanjani lo muthi.

• Leli philisiKufanele uyiphuze ngomlomo ngamanzi.
• Ungaliphuli, ulichoboze, noma ulihlafune. Gwinya lonke iphilisi ngesikhathi esisodwa.
• Ungakuthatha lokhu nokudla noma ngaphandle kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu noma isilungulela, kungcono ukukuthatha nokudla.
• Into ebaluleke kakhulu ukuphuza umuthi njengoba nje udokotela emyalile, ngesikhathi esifanele, nangesilinganiso esifanele. Ungaweqi imithamo. Ngoba uma weqa imithamo, igciwane le-HIV lingaba sengozini hhayi kuphela kulo muthi, kodwa nakweminye imithi ye-HIV. Lokho kusho ukuthi umuthi ungase ungasebenzi.
• Kufanele uqhubeke nokusebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.

Futhi, uma uthatha i-sucralfate, imithi ehlanganisiwe (njenge-aspirin ehlanganisiwe), ama-antacid aqukethe i-aluminium noma i-magnesium, noma ama-laxative, ungazithathi ngesikhathi esifanayo nale mithi ye-HIV. Kufanele uthathe le mithi ye-HIV noma leyo mithi okungenani emahoreni amabili ngaphambi noma emahoreni ayisithupha ngemva kokuyithatha. Uma lokhu kubonakala kuyinkimbinkimbi, cela udokotela wakho noma usokhemisi ukuthi akunike imiyalelo ethile.

Uma unikezwe lo muthi, ikhemisi lizokunikeza incwajana yemiyalelo ekhethekile ebizwa ngokuthi ``MedGuide'' . Uzoyithola kanye nodokotela ngamunye kanye nesikhathi ngasinye lapho uthola umuthi wokugcwalisa. Kubaluleke kakhulu ukufunda nokuqonda ulwazi olukuwo njalo.

Ingabe lo muthi unganikezwa izingane?

Kwezinye izimo ezikhethekile, lo muthi unganikezwa nezingane. Kodwa-ke, kumele kulandelwe izinyathelo zokuphepha ezikhethekile. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo ngokucophelela bese uthola imininingwane.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo esibhedlela esiseduze ngokushesha.

Khumbula, lo muthi ungowakho wedwa. Ungalokothi unike omunye umuntu umuthi wakho.

Wenzani uma uphuthelwa umthamo wemithi?

O, kungenzeka lokho, akunjalo? Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa noma uthathe umthamo owengeziwe.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Leli iphuzu elibaluleke kakhulu. Eminye imithi ingasebenzisana nalo muthi we-HIV, okusho ukuthi ingawuphazamisa. Uma kunjalo, ukusebenza kwalo muthi kungancipha noma imiphumela emibi inganda.

Ungalokothi uthathe lo muthi we-HIV kanye nemithi elandelayo:

• Iqukethe i-abacavir noma i-lamivudineNoma yimuphi omunye umuthi.
• Noma yimuphi umuthi oqukethe i-emtricitabine.
• I-Dofetilide.

Futhi, imithi elandelayo ingasebenzisana nalo muthi we-HIV:

• Imikhiqizo equkethe utshwala noma utshwala.
• Eminye imithi yokulwa namagciwane ye-HIV noma i-AIDS, isibonelo: i-efavirenz, i-etravirine, i-nevirapine, i-fosamprenavir/ritonavir, i-tipranavir/ritonavir.
• Imithi ehlanganisiwe, isibonelo, i-aspirin ehlanganisiwe.
• Izithako ze-calcium.
• Ama-antacid athile.
• Imithi ethile yokuhlambulula isisu .
• Eminye imithi enikezwayo yokuquleka ifaka: i-carbamazepine, i-oxcarbazepine, i-phenytoin, kanye ne-phenobarbital.
• I-Interferon.
• Izithasiselo zensimbi.
• I-Metformin (umuthi wesifo sikashukela).
• I-Methadone.
• I-Nelfinavir.
• I-Ribavirin.
• I-Rifampin (umuthi wesifo sofuba).
• ISorbitol.
• I-St. John's Wort (i-Hypericum perforatum) (lesi isithasiselo semithi).
• I-Sucralfate.
• I-Sulfamethoxazole; i-trimethoprim, i-SMX-TMP.

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo zokudla), kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nomuthi wakho.

Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?

Kunezinto ezimbalwa okudingeka uziqaphele kakhulu uma uthatha lo muthi.

• Bona udokotela wakho njalo ukuze uhlole impilo yakho. Uma uthola izimpawu ezintsha, khuluma nodokotela wakho ngazo. Kungase kudingeke futhi ukuthi kwenziwe umsebenzi wegazi obalulekile phakathi nalesi sikhathi.
• Cishe uyazi ukuthi i-HIV isakazeka kwabanye ngokuxhumana ngokocansi nangegazi. Khuluma nodokotela wakho ngezindlela zokuvimba ukusabalala kwe-HIV. Ukulandela leyo miyalelo kubaluleke kakhulu kuwe nakubantu obathandayo.
• Uma une-Hepatitis B futhi ucabanga ukuyeka lo muthi we-HIV, qiniseka ukuthi ukhuluma nodokotela wakho ngakho, njengoba ukuyeka lo muthi kungase kube kubi kakhulu izimpawu zakho ze-Hepatitis B.

Ukunakwa okukhethekile ekungezwani komzimba okukhulu!

Lokhu kubaluleke kakhulu.Inani elincane kakhulu labantu lingase libe nokusabela okukhulu kokungezwani komzimba (ukusabela kokungezwani komzimba) kulo muthi. Ezinye zezimpawu zalokhu yilezi:

• Ukuqhuma kwesikhumba
• Imfiva
• Isicanucanu, ukuhlanza
• Isisu esibuhlungu
• Ukukhathala okukhulu, ubuhlungu bomzimba
• Ngokuvamile uzizwa ungaphilile

Uhlu lwalezi zimpawu lufakiwe ekhadini lesixwayiso ozolithola ekhemisi. Kungumqondo omuhle ukugcina leli khadi nawe ngaso sonke isikhathi. Uma uhlangabezana nanoma yiziphi zalezi zimpawu ngenkathi uthatha lo muthi, yeka ukuwuthatha ngokushesha bese uthintana nodokotela wakho.

Uma uyeka ukuthatha lo muthi ngoba ucabanga ukuthi kungenzeka ukuthi ube nokusabela kokungezwani komzimba, ungaqali ukuwuthatha futhi ngaphandle kweseluleko sikadokotela wakho. Ukusabela okukhulu kokungezwani komzimba kungavela emahoreni ambalwa futhi kungaqhubekela phambili ekucindezelekeni kwegazi okusongela impilo ngisho nokufa.

Ukukhulelwa nokuncelisa

Ungakhulelwa ngenkathi uthatha lo muthi. Uma uzama ukukhulelwa noma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha. Lo muthi ungabangela imiphumela emibi kakhulu enganeni yakho engakazalwa. Cela udokotela wakho ukuthola ulwazi olwengeziwe.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye iyingozi, eminye ijwayelekile.

Uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo, kufanele utshele udokotela wakho ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
• Izimpawu zokuhlaselwa yinhliziyo: Ubuhlungu noma ukuqina esifubeni, emahlombe, ezingalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, ukujuluka okubandayo, ukuquleka, noma ukuzizwa udidekile.
• Izimpawu zamazinga aphezulu e-lactic acid egazini zifaka: ubuhlungu bemisipha noma ukuqaqamba, ubuhlungu besisu, ubunzima bokuphefumula, ukungakhululeki okuvamile, kanye nokukhathala okukhulu.
• Izimpawu zokutheleleka: umkhuhlane, ukubanda, ukukhwehlela, noma umphimbo obuhlungu.
• Izimpawu zokulimala kwesibindi: ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, ubuthakathaka noma ukukhathala okungavamile.
• Ukubomvu, ukuqubuka, ukuxebuka, kanye nokuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni).

Imiphumela emibi okungadingeki ukuthi udokotela ayisho, kodwa okufanele ishiwo uma iqhubeka noma ikhathaza:

• Uhudo (ubuhlungu besisu)
• Ukukhathala (ukukhathala)
• Ikhanda elibuhlungu (ikhanda elibuhlungu)
• Ukungalali (ubunzima bokulala)

Akuzona zonke imiphumela emibi ezibalwe kulolu hlu, ngakho-ke uma ubona noma yini engavamile, sicela uxhumane nodokotela wakho.

Ngingawugcina kuphi lo muthi?

Kubaluleke kakhulu futhi ukugcina imithi ngendlela efanele.

• Gcina kude nezingane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25, phakathi kwama-degree Fahrenheit angu-68 no-77).
• Vikela emswakama. Gcina ibhodlela/iphakethe lomuthi livaliwe kahle. Ungalisusi iphakethe elincane elingaphakathi ebhodleleni (okuvimbela umuthi ukuthi wome).
• Ungasebenzisi umuthi ophelelwe yisikhathi.

Ulahla kanjani umuthi ongasetshenziswanga?

Akuyona into enhle ukumane ulahle imithi ephelelwe yisikhathi noma engafuneki emgqonyeni kadoti.

• Bayise ohlelweni lokubuyisela imithi . Ungathola ngezindawo ezinjalo ekhemisi lakho noma emaphoyiseni.
• Uma ungakwazi ukuyibuyisela ngaleyo ndlela, hlola ilebula yemithi noma incwajana engaphakathi ukuze ubone ukuthi kufanele yini ilahlwe kudoti noma ilahlwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma kuphephile ukulahla udoti, khipha umuthi esitsheni. Uhlanganise nodoti wekati, inhlabathi, noma ikhofi eligayiwe. Faka ingxube esikhwameni noma esitsheni, uyivale kahle, bese uyiphonsa kudoti.

Leli pheshana liyisifinyezo kuphela. Lingase lingabi nalo lonke ulwazi. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho ake sikukhumbuze futhi ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho.

• Ukuze ulawule i-HIV , kubaluleke kakhulu ukuphuza la maphilisi "(Abacavir; Dolutegravir; Lamivudine)" njengoba nje udokotela ewayalile, ngesikhathi esibekiwe, futhi ngaphandle kokweqa noma yiliphi.
• Ungakhohlwa ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo kanye nezimo zakho zempilo .
• Qaphela kakhulu izimpawu zokungezwani komzimba . Uma uhlangabezana nanoma yiziphi izimpawu, tshela udokotela wakho ngokushesha.
• Nakuba lo muthi ungelaphi i-HIV, ungakusiza ukuthi ulawule igciwane futhi uphile impilo enempilo.
• Uma unemibuzo noma ukungabaza, ungesabi ukubuza udokotela wakho noma isisebenzi sezempilo.

Awuwedwa, kunodokotela namaqembu ezempilo azokusiza kulolu hambo. Ngakho-ke masihlale siqinile futhi sisebenzise imithi yethu ngendlela efanele.

I - HIV, i-abacavir, i-dolutegravir, i-lamivudine, imithi yokulwa namagciwane, i-AIDS, imiphumela emibi, ukusetshenziswa kwemithi