Ingabe wena noma othile oseduze nawe unikezwe ukwelashwa kwe-HIV? Uma kunjalo, phakathi kwemithi udokotela wakho akunika yona kungaba umuthi obizwa ngokuthi i-Didanosine. Uma uzwa leli gama, ungase uzizwe ungajwayelekile. Kodwa ungakhathazeki nhlobo. Lo muthi obalulekile ozokusiza ohambweni lwakho lokuphila ne-HIV. Namuhla, sizoxoxa ngalo muthi, ukuthi uthinta kanjani umzimba, ukuthi uwusebenzisa kanjani ngendlela efanele, nokuthi yini okudingeka uyiqaphele kakhulu.
Kalula nje, iyini i-Didanosine?
I-Didanosine, ngezinye izikhathi ebizwa ngokuthi i-ddI, iyisidakamizwa esisekilasini lama-antiretroviral . Lokhu kusho ukuthi isebenza ngokulwa negciwane lesandulela ngculaza emzimbeni wakho.
Cabanga ngale ndlela: I-HIV iyigciwane elizama ukusabalala ngokushesha emzimbeni, lizenze amakhophi alo. Lokho okwenziwa yimithi efana ne-didanosine ukuvimba igciwane ukuthi lingazakhi amakhophi alo futhi lisabalale. Kufana nokuthi liphazamisa umsebenzi wegciwane.
Into ebaluleke kakhulu ukuthi lo muthi awulona ikhambi le-HIV. Kodwa-ke, ungasiza ekulawuleni igciwane emzimbeni wakho, ugcine amasosha omzimba wakho eqinile, futhi ukusize uphile impilo enempilo nende.
Lo muthi awuvame ukunikezwa wodwa. Ekwelashweni kwe-HIV, odokotela bawunikeza kanye neminye imithi eminingana yokulwa namagciwane. Lo muthi ohlanganisiwe ungalawula igciwane ngezindlela ezahlukene. Futhi, uma uthathwa ngendlela efanele, unganciphisa kakhulu , uma ungawuqedi ngokuphelele, ingozi yokusabalalisa i-HIV komunye umuntu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ukuze uphephe futhi uthole okuningi ngemithi yakho, kubalulekile ukutshela udokotela wakho ngomlando wakho wezempilo ophelele ngaphambi kokuqala i-didanosine. Qiniseka ukuthi utshela udokotela wakho nganoma yikuphi kwalokhu okulandelayo:
- Ukungezwani komzimba: Uma uke waba nokusabela kokungezwani komzimba ne-didanosine, noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Isifo sezinso noma sesibindi: Uma unesifo sezinso noma sesibindi.
- I-Pancreatitis: Uma uke waba ne-pancreatitis ngaphambilini, isimo lapho i-pancreas ivuvukala khona.
- Ukuba ndikindiki: Uma une-ndimpression, ubuhlungu, noma ukungakhululeki okuqhubekayo (ukucasuka noma ukuba ndikindiki) ezandleni noma ezinyaweni zakho.
- I-Gout: Uma unesifo esibizwa ngokuthi i-gout.
- Ukusetshenziswa kotshwala:Uma uphuza njalo, khuluma nodokotela wakho ngokwethembeka ngakho.
- Ezinye izimo: Uma unesifo esingavamile njenge-phenylketonuria.
- Ukukhulelwa nokuncelisa: Kubalulekile ukwazisa udokotela wakho uma ukhulelwe, uzama ukukhulelwa, noma uncelisa.
Ungayisebenzisa kanjani imithi ngendlela efanele?
Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa njengoba kuyalelwe. Khumbula le miyalelo ngokucophelela.
Isikhathi esingcono kakhulu sokuthatha umuthi
Lomuthi kufanele uthathwe esiswini esingenalutho ngaso sonke isikhathi . Lokho kusho ukuthi:
- Thatha okungenani imizuzu engama-30 ngaphambi kokudla.
- Uma kungenjalo, thatha okungenani amahora amabili ngemva kokudla.
- Ungalokothi uwathathe la maphilisi kanye nokudla, ngoba lokhu kuzovimbela umuthi ukuthi umunceke kahle emzimbeni.
Izindlela zokuthatha amaphilisi
Kunezindlela ezimbili zokuthatha la maphilisi.
1. Hlafuna bese ugwinya: Ungawahlafuna kahle amaphilisi aze aqedwe ngokuphelele bese uwagwinya ngengilazi yamanzi.
2. Ncibilikisa bese uphuza: Ncibilikisa amaphilisi ku-ounce elilodwa (cishe izipuni ezimbili) zamanzi noma ujusi we-apula ocacile kuphela . Ungancibilikisi kunoma yisiphi isiphuzo. Hlanganisa amaphilisi kahle aze ancibilike, bese uwaphuza wonke ngesikhathi esisodwa. Uma uwancibilikisa kujusi we-apula, ungawagcina ekamelweni lokushisa cishe ihora. Kodwa-ke, uma ungakwazi ukuwaphuza kungakapheli ihora, walahle.
Ungakhohlwa: Kubaluleke kakhulu ukuphuza umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele, futhi ngaphandle kokulahlekelwa umthamo owodwa . Ungayeki ukuphuza umuthi wakho noma ngabe uzizwa ungcono. Uma weqa umthamo, igciwane le-HIV lingaba sengozini yokumelana nalo muthi neminye imithi. Uma lokhu kwenzeka, kuzoba nzima kakhulu ukwelapha.
Ingabe lo muthi kufanele unikezwe izingane?
Kwezinye izimo, lo muthi unganikezwa izingane ezincane ezineminyaka engu-2 ubudala. Kodwa-ke, udinga izinyathelo zokuphepha ezikhethekile. Uma ingane yakho inikezwe lo muthi, xoxa ngawo kahle nodokotela wezingane bese ulandela imiyalelo yakhe ngokucophelela.
Yini okufanele uyenze uma umthamo wemithi ukhuphukile noma umthamo ungatholakali?
Ukweqisa umthamo
Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Umthamo Ongafanele
Thatha umthamo ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo ephindwe kabili noma eyengeziwe nganoma yisiphi isizathu.
Eminye imithi engase ihlangane ne-didanosine (Ukusebenzisana Kwemithi)
Eminye imithi oyithathayo ingase ihlangane ne-didanosine, inciphise ukusebenza kwayo noma yandise imiphumela emibi, ngakho-ke qaphela kakhulu ngalokhu.
| Imithi engasebenzisana ne-didanosine | |
|---|---|
| Ungayithathi i-didanosine kanye nalomuthi. | |
| I-Allopurinol | I-Ribavirin |
| I-Stavudine | |
| Qaphela kakhulu uma uthatha i-didanosine kanye nalo muthi. | |
| Ama-antacid | I-Delavirdine |
| I-Ganciclovir | I-Hydroxyurea |
| I-Indinavir | I-Itraconazole |
| I-Ketoconazole | I-Methadone |
| I-Tenofovir | Amanye ama-antibiotic, njenge-ciprofloxacin, i-levofloxacin, ne-tetracycline |
Lolu hlu aluphelele, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, ngisho nezithasiselo ozithathayo.
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-didanosine ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela ingaba yingozi, ngakho-ke kubalulekile ukuyiqaphela.
| Umphumela Ongemuhle | Yini okufanele uyenze? |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. | Funa iseluleko sezokwelapha ngokushesha. |
| Ubuhlungu obukhulu besisu, isicanucanu, nokuhlanza: Lokhu kungaba izimpawu ze-pancreatitis. | Shayela udokotela wakho ngokushesha. |
| Izimpawu zokulimala kwesibindi: umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, ukukhathala okukhulu. | Shayela udokotela wakho ngokushesha. |
| Ubuhlungu, ukungazweli, noma ukusha ezithweni. | Tshela udokotela wakho ngalokhu. |
| Ubunzima bokuphefumula, isiyezi, ukushintsha kwamehlo, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. | Funa iseluleko sezokwelapha ngokushesha. |
| Izimpawu zokutheleleka: umkhuhlane, ukubanda, umphimbo obuhlungu, ukukhwehlela. | Tshela udokotela wakho ngalokhu. |
| Imiphumela emibi evame ukungabi yingozi, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhudo | Uma lokhu kuqhubeka noma kukukhathaza, tshela udokotela wakho. |
| Ikhanda elibuhlungu | |
| Izinguquko endleleni amafutha omzimba agcinwa ngayo (ukwanda kwamafutha okhalweni nasemhlane noma ukuncipha kobuso, izingalo, nemilenze) | |
Umlayezo Wokuya Nawe Ekhaya
- I-Didanosine umuthi olawula i-HIV, kodwa awusiqedi ngokuphelele lesi sifo.
- Njalo thatha lo muthi esiswini esingenalutho. Thatha isigamu sehora ngaphambi kokudla noma amahora amabili ngemva kokudla.
- Thatha umuthi njengoba udokotela emyalile, ngaphandle kokweqa umthamo owodwa. Ukweqa umthamo kungabangela ukuthi igciwane lingakwazi ukumelana nomuthi.
- Uma uzwa izimpawu ezifana nokungazweli ezithweni zakho, ubuhlungu obukhulu besisu, noma ukuphuzi kwesikhumba, yazisa udokotela wakho ngokushesha.
- Gwema ukuphuza utshwala ngenkathi uthatha lo muthi.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini nemithi yendabuko).
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