Ingabe udokotela wakho uke wakunikeza lo muthi wokwelapha igciwane lesandulela ngculaza? Unamagama amabili, iDarunavir kanye neCobicistat. Ungase uwazi ngegama lomkhiqizo i-PREZCOBIX. Ungase ube nemibuzo noma ngisho nokukhathazeka okuncane ngalo muthi. Lokho kuvamile. Namuhla, sizoxoxa ngalo muthi ngendlela enobungane nelula, ukuthi usebenza kanjani, ukuthi uwuthatha kanjani, nokuthi yini okufanele uyiqaphele.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lolu uhlobo lomuthi olusebenza ngokumelene negciwane lesandulela ngculazi. Ngokwezokwelapha, lokhu sikubiza ngokuthi umuthi "wokulwa negciwane lengculazi". Empeleni lokhu kuyinhlanganisela yezinhlobo ezimbili zomuthi ephilisini elilodwa. Okusho ukuthi, i-Darunavir umuthi wokulwa negciwane, kanti i-Cobicistat umuthi owandisa ukusebenza kahle kwalowo muthi (i-booster).
Into ebalulekile ukuthi lokhu akulona ikhambi lokutheleleka nge-HIV. Kodwa-ke, kulawula inani le-HIV emzimbeni wakho (umthwalo wegciwane). Lokhu kusho ukuthi kunciphisa ikhono legciwane lokulimaza amasosha omzimba wakho, kukusize uphile impilo enempilo nejwayelekile. Futhi, uma usetshenziswa kahle, lo muthi unganciphisa kakhulu, uma ungawuqedi, ingozi yokudlulisela i-HIV komunye umuntu.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubalulekile ukuthi udokotela wakho azi imininingwane ephelele yesimo sakho sempilo ukuze akwazi ukukhetha ukwelashwa okufanele nokuphephile kakhulu kuwe. Ngakho-ke, uma unanoma yikuphi kwalokhu okulandelayo, ungafihli lutho bese utshela udokotela wakho.
- Uma unesifo sikashukela (`Diabetes Mellitus`).
- Uma unesifo sokujiya kwegazi njenge-hemophilia.
- Uma unesifo sezinso.
- Uma unesifo sesibindi.
- Uma uke waba nokusabela kokungezwani komzimba neDarunavir, iCobicistat, imithi ye-sulfa, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisa ingane.
Ngingawusebenzisa kanjani lo muthi?
Imfihlo enkulu yempumelelo yalokhu kwelashwa ukuthi ungalokothi uphuthelwe umthamo wemithi nokuwuthatha ngesikhathi esihleliwe. Nansi indlela yokuthatha umuthi:
1. Thatha kanye nokudla: Lo muthi kufanele uthathwe kanye nokudla . Ungawuthathi esiswini esingenalutho.
2. Phuza nengilazi yamanzi: Gwinya ithebhulethi lonke nengilazi yamanzi.
3. Yithathe ngesikhathi esifanele:Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekuyalele.
4. Ungayeki ukuthatha imithi yakho: Ngisho noma uzizwa ungcono, ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho. Uma weqa imithi, igciwane le-HIV lingaba yisivikelo hhayi kulo muthi kuphela kodwa nakweminye imithi. Lokho sikubiza ngokuthi "Ukumelana Nemithi". Uma lokho kwenzeka, kuba nzima kakhulu ukukwelapha.
Wenzani uma uphuthelwa umthamo wemithi?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma umthamo wakho olandelayo ungaphansi kwamahora ayi-12, yeqa umthamo ophuthelwe. Vele uthathe umthamo wakho olandelayo ngesikhathi esihleliwe.
Okubaluleke kakhulu: Ungalokothi uthathe umthamo ophindwe kabili wemithi ukuze ubuyisele umthamo okhohliwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Eminye imithi engase ihlangane nalo muthi
Lokhu kuyingxenye ebaluleke kakhulu ngoba lo muthi ungasebenzisana neminye imithi. Ngakho-ke, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
| Ungayisebenzisi Nakancane Le Muthi! | |
|---|---|
| I-Alfuzosin | I-Rifampin |
| Imithi yesifo senhliziyo efana ne-Dronedarone, i-Ivabradine, ne-Ranolazine | I-Sildenafil (ye-hypertension yamaphaphu) |
| Imithi yokulwa nesifo sokuwa efana neCarbamazepine, iPhenytoin, nePhenobarbital | I-St. John's Wort (umuthi wamakhambi) |
| Imithi ye-cholesterol efana neLomiptide, iLovastatin, neSimvastatin | I-Triazolam, i-Midazolam (esetshenziselwa ukuvusa ubuthongo) |
| Imithi efana ne-Ergotamine ne-Dihydroergotamine ye-migraines | I-Cisapride, i-Pimozide, i-Lurasidone |
| Ingase Isebenzisane Nale Mithi | |
|---|---|
| Eminye imithi ye-HIV noma ye-AIDS | Eminye imithi ye-cholesterol efana ne-Atorvastatin, i-Rosuvastatin |
| Izinhlobo zama-hormone, okuhlanganisa namaphilisi okulawula ukuzalwa | Ama-antibiotic afana ne-Clarithromycin |
| Izinto zokunciphisa igazi ezifana neWarfarin ne-Apixaban | Imithi yokulwa nesikhunta efana ne-ketoconazole |
| Imithi yokucindezeleka kwegazi ephezulu njenge-Amlodipine ne-Metoprolol | Imithi yokucindezeleka efana ne-Sertraline ne-Amitriptyline |
| Izikhuthazi zocansi ezifana neSildenafil (Viagra), iTadalafil | Ama-steroid afana ne-Fluticasone ne-Budesonide |
| Imithi yokulwa nomdlavuza, izinhlungu zobuhlungu kanye neminye imithi eminingi | Amavithamini, imithi yamakhambi, kanye nezithasiselo ozithathayo |
Lolu hlu aluphelele. Ngakho-ke, nikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo), nokuthi uyabhema noma uyaphuza utshwala.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Qiniseka ukuthi uya emtholampilo ngezinsuku udokotela wakho akutshele zona bese uyohlolwa. Yenza ukuhlolwa kwegazi okudingekayo.
- Ukusabela okukhulu kwesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba . Lokhu kungenzeka ngisho namasonto ambalwa ngemva kokuqala umuthi. Uma uba nokuqubuka okubomvu, okumfusa okunezimpawu ezifana nomkhuhlane noma ukubanda, kulandelwe amabhamuza noma isikhumba esiqhekekayo, tshela udokotela wakho ngokushesha. Futhi, uma uba nokuqubuka okubomvu kanye nokuvuvukala kobuso, izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni, lokhu kungaba uphawu olubi kakhulu. Uma ubona into efana nale, funa iseluleko sezokwelapha ngokushesha ngaphandle kokulibala.
- Ukuvimbela inzalo: Uma usebenzisa amaphilisi okuvimbela inzalo, ukusebenza kwawo kungancipha ngenkathi uthatha lo muthi. Ngakho-ke, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokusebenzisa olunye uhlobo lokuvimbela inzalo oluyisithiyo, njengamakhondomu .
- Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini lakho. Uma unesifo sikashukela, hlola amazinga kashukela egazini lakho njalo. Khuluma nodokotela wakho mayelana nokushintsha kokudla noma imithi uma kudingeka.
- Ukudluliswa kwe-HIV: Nakuba lo muthi unciphisa ingozi yokudluliswa kwe-HIV, awuwuvimbeli ngokuphelele. Ngakho-ke khuluma nodokotela wakho mayelana nokwenza ucansi oluphephile nezindlela zokuvimbela ukusabalala kwesifo ngegazi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi.
| Uhlobo lomphumela ongemuhle | Izimpawu |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinkinga zesibindi | Umchamo omnyama, ukuphuzi kwamehlo noma isikhumba (i-jaundice), ubuhlungu besisu, isicanucanu, nokulahlekelwa yisifiso sokudla. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka kwesikhumba (ngisho nangaphakathi emlonyeni), umkhuhlane, ukuvuvukala kwezinsini. |
| Izinkinga zezinso | Ubunzima bokuchama, ushintsho enanini lomchamo ophumayo, ubuhlungu beqolo. |
| Ushukela wegazi okhuphukile | Ukoma/indlala kakhulu kunokujwayelekile, ukuchama njalo, ukukhathala okukhulu, ukubona okufiphele. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Isisu esibuhlungu | Uhudo |
| Ikhanda elibuhlungu | Ikhanda elijwayelekile |
| Izinguquko ekusakazweni kwamafutha emzimbeni | Ukuqongelela kwamafutha esinqeni nasemhlane, ukuncipha kobuso nemilenze. |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uwukwelashwa okulawula ukutheleleka nge-HIV, kodwa awukwelaphi ngokuphelele.
- Okubaluleke kakhulu: Ungalokothi weqe umthamo wemithi. Ungayeki ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Lo muthi kufanele uthathwe kanye nokudla .
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemithi yamakhambi oyithathayo.
- Uma ubona noma yini efana nokuqubuka okukhulu kwesikhumba okuhambisana nomkhuhlane nokuvuvukala, funa iseluleko sezokwelapha ngokushesha.
- Uma usebenzisa amaphilisi okuvimbela inzalo, khuluma nodokotela wakho ngokusebenzisa indlela yokuvikela eyengeziwe, njengekhondomu, njengoba ingase ingasebenzi kahle.
- Kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi uye emitholampilo ngezinsuku ezihleliwe.
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