Siyazazi izinselele zokuphila ne-HIV. Ukuthatha amaphilisi nsuku zonke nokuphuza imithi ngesikhathi kungaba yinto ekhathazayo ngezinye izikhathi. Ngakho-ke, ucabangani ngomjovo owuthola njalo ngenyanga noma ezimbili esikhundleni sokuthatha la maphilisi nsuku zonke? Namuhla sizokhuluma ngenye yezindlela ezintsha zokwelashwa. Kuyinhlanganisela yemithi emibili ebizwa ngokuthi i-Cabotegravir ne-Rilpivirine.
Uyini ngempela lo muthi?
Kalula nje, lo umuthi we-antiretroviral osebenza ngokumelene negciwane lesandulela ngculazi. Utholakala emakethe ngaphansi kwegama elithi Cabenuva . Okukhethekile ngalokhu ukuthi esikhundleni sokuthatha amaphilisi nsuku zonke, lokhu kwelashwa kungatholakala njengomjovo emisipheni kanye ngenyanga noma ezinyangeni ezimbili.
Kodwa kubalulekile ukukhumbula lokhu: Lo muthi awulona ikhambi lokutheleleka nge-HIV. Ulawula kuphela igciwane le-HIV emzimbeni. Futhi, ukuthatha lo muthi akuqedi ngokuphelele ingozi yokudlulisela i-HIV komunye umuntu, kodwa kunciphisa kakhulu leyo ngozi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala ukwelashwa
Ngaphambi kokuthi uqale lo muthi wokugomela, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi ubatshela nganoma yiziphi izimo ezingezansi.
- Isifo senhliziyo: Uma uke waba nesifo senhliziyo noma uke waba naso.
- Isifo sesibindi: Uma unezinkinga ngesibindi sakho.
- Izinkinga zempilo yengqondo: Uma wake waba nezimo zempilo yengqondo njengokucindezeleka.
- Ukungezwani komzimba: Uma une-allergy kule mithi (i-Cabotegravir, i-Rilpivirine) noma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kufanele nakanjani utshele udokotela wakho.
Ngokusekelwe kulolu lwazi, kuzoba lula kudokotela wakho ukunquma ukuthi lokhu kwelashwa kulungile yini kuwe noma cha.
Lo muthi wokugoma usetshenziswa kanjani?
Lona akuwona umuthi ongawuthatha ekhaya. Lona umjovo onikezwa emisipheni yakho nguchwepheshe wezempilo oqeqeshiwe esibhedlela noma emtholampilo .
Into ebaluleke kakhulu ukuthi ungalokothi uphuthelwe umthamo ohleliwe womuthi wokugoma . Uma uphuthelwa umthamo, igciwane le-HIV emzimbeni wakho lingakhula ukumelana nalo muthi kanye neminye imithi enikezwa i-HIV.Kungenzeka. Uma lokho kwenzeka, kuzoba nzima kakhulu ukwelapha. Ngakho-ke, qhubeka nokuthola umuthi wokugoma ngesikhathi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke ukwelashwa.
Ingabe lokhu kufaneleka ezinganeni ezincane?
Kwezinye izimo ezikhethekile, lokhu kwelashwa kunikezwa nezingane ezincane ezingaphezu kweminyaka eyi-12. Kodwa-ke, kudinga ukubhekwa okukhethekile kwezokwelapha.
Kuthiwani uma ngithola imithi eminingi kakhulu?
Lona umuthi osetshenziswa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane. Kodwa-ke, uma ucabanga ukuthi kungenzeka ukuthi uphuze kakhulu lo muthi, shayela iNational Poisons Information Centre eColombo National Hospital ngokushesha, noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela . Ungawunikezi omunye umuntu nganoma yisiphi isizathu.
Ngenzenjani uma ngiphuthelwa usuku lokugoma oluhleliwe?
Kubalulekile ukuthola umuthi wokugoma ngesikhathi. Uma ngesizathu esithile ungakwazi ukuya esimisweni sakho sokubonana nodokotela, shayela udokotela wakho noma ikliniki ngokushesha ubazise. Bazokweluleka ngalokho okufanele ukwenze ngokulandelayo.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, njengoba eminye imithi ingaphazamisa ukusebenza kahle kwalo muthi wokugomela. Sebenzisa ithebula elingezansi ukuze uthole umbono ocacile.
| Isigaba sezidakamizwa | Izibonelo nezincazelo |
|---|---|
| Imithi okungafanele ithathwe ngalo muthi wokugomela | |
| I-Dexamethasone (isilinganiso esingaphezu kwesisodwa) | Lolu uhlobo lwe-steroid. Ukuyithatha izikhathi ezingaphezu kwesisodwa kungabangela izinkinga. |
| Eminye imithi yokwelapha isithuthwane | Isibonelo: I-Carbamazepine, i-Oxcarbazepine, i-Phenobarbital, i-Phenytoin |
| Amanye ama-antibiotic anikezwa isifo sofuba | Isib: Rifabutin, Rifampin, Rifapentine |
| I-wort kaSt. John | Lesi isithasiselo semithi. |
| Eminye imithi engabangela izinkinga (tshela udokotela wakho ) | |
| Amanye ama-antibiotic | Isibonelo: I-Azithromycin, i-Clarithromycin, i-Erythromycin |
| I-Methadone | Umuthi onikezwa abantu abalutha izidakamizwa. |
Lolu hlu aluphelele. Tshela udokotela wakho ngawo wonke amavithamini, imikhiqizo yamakhambi, kanye nemithi ongayithatha ngaphandle kwemithi kadokotela . Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Vakashela umtholampilo ngezinsuku ezihleliwe bese ubona udokotela wakho. Uma uthola izimpawu ezintsha, khuluma naye ngazo. Kungase kudingeke futhi ukuthi uhlolwe igazi ngesikhathi usebenzisa lokhu kwelashwa.
- Ukudluliswa kwe-HIV: Khumbula ukuthi i-HIV isakazeka ngokuxhumana ngokocansi noma ngegazi. Khuluma nodokotela wakho ngezindlela eziphephile zokuvimbela lokhu.
- Ukusabela okukhulu kwesikhumba: Lokhu kubaluleke kakhulu. Ukusabela okukhulu kwesikhumba kungenzeka emavikini noma ngisho ezinyangeni ngemuva kokuqala lo muthi. Qaphela izimpawu ezilandelayo:
- Ukuqubuka kwesikhumba okunezimpawu ezifana nomkhuhlane noma umkhuhlane.
- Amabala abomvu noma ansomi avela esikhumbeni, kamuva aqhuma noma aqhekeke.
- Ukuvuvukala okubomvu esikhumbeni okunokuvuvukala kobuso, izindebe, noma ama-lymph node entanyeni nasemakhwapheni.
Uma ubona noma yiziphi zalezi zimpawu, ungalibali ukubona udokotela wakho noma uye esibhedlela ngokushesha .
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lo muthi wokugoma ungabangela imiphumela emibi. Eminye yayo ingaba mibi kakhulu, kanti eminye ingaba yinto evamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuluma, ukuvuvukala kobuso, izindebe, nolimi. |
| Ubunzima bokuphefumula | Ukuphefumula kanzima, ukuphefumula okusheshayo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Izinguquko zengqondo | Imicabango yokuzibulala, ukukhathazeka okukhulu, kanye nokudideka kwengqondo. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Izici ezijwayelekile | Umkhuhlane, ikhanda elibuhlungu, isiyezi, isicanucanu, ukuhlanza. |
| Ubuhlungu endaweni yokujova | Ubomvu, ukuvuvukala, noma ubuhlungu lapho kujovwe khona. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cabotegravir kanye ne-Rilpivirine (Cabenuva) umuthi wokugomela osetshenziselwa ukulawula i-HIV, kodwa awulona ikhambi.
- Lo mjovo unikezwa esibhedlela noma emtholampilo. Kubalulekile ukuthola umjovo ngosuku oluhleliwe. Ungalokothi weqe usuku.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu ezifana nokungezwani komzimba okukhulu kwesikhumba (ukuqubuka okubangelwa umkhuhlane, amabhamuza) noma izinguquko zengqondo (ukukhathazeka okukhulu, ukucindezeleka).
- Landela njalo imiyalelo kadokotela wakho futhi ube khona emihlanganweni ehleliwe yasemtholampilo.
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