Ingabe udokotela wakho ukunike umuthi wokulawula isimo sakho se-HIV? Igama lomuthi lingase libe yinhlanganisela ye-Dolutegravir ne-Rilpivirine. Ngokuvamile liza ngaphansi kwegama lomkhiqizo i-JULUCA. Ungadideki ngamagama, ayinkimbinkimbi kancane. Kulesi sihloko, sizoxoxa ngalo muthi, ukuthi wenzani emzimbeni wakho, kanye nezinyathelo zokuphepha okudingeka uzithathe ngenkathi uwusebenzisa, ngendlela elula kakhulu ongayiqonda.
Uyini lo muthi obizwa ngokuthi i-Dolutegravir; i-Rilpivirine?
Kalula nje, lokhu kuyinhlanganisela yemithi emibili yokulwa namagciwane esebenza ngokumelene negciwane lesandulela ngculazi. Inhloso eyinhloko yalokhu ukulawula ukusebenza kwegciwane lesandulela ngculazi emzimbeni wakho nokunciphisa amandla alo.
Cabanga ngakho njengesivikelo esinciphisa amandla egciwane. Lokhu kulawula kakhulu ukusabalala nokukhula okuqhubekayo kwegciwane emzimbeni.
Kodwa lapha udinga ukukhumbula into ebaluleke kakhulu . Lo muthi awulaphi ngokuphelele i-HIV. Okusho ukuthi, awulona ikhambi, kodwa uwukwelashwa . Futhi, noma ngabe uthatha lo muthi, ingozi yokudlulisela igciwane le-HIV komunye umuntu ngeke iqedwe ngokuphelele. Leyo ngozi incishiswa kakhulu. Ngakho-ke, kufanele uqhubeke nokulandela izindlela eziphephile.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele ngaphambi kokukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho ngazo ngaphandle kokufihla lutho .
- Isifo sesibindi: Uma unesifo sesibindi esivele sikhona, sicela usitshele ngaso.
- Izinkinga zempilo yengqondo: Kubalulekile ukwazisa udokotela wakho uma uke waba nemicabango, izinhlelo, noma imizamo yokuzibulala esikhathini esidlule, noma uma othile emndenini wakho enomlando walokhu.
- Ukungezwani komzimba: Tshela udokotela wakho uma une-allergy ku-Dolutegravir, i-Rilpivirine, noma yimuphi omunye umuthi, ukudla, noma idayi equkethwe kulo muthi.
- Ukukhulelwa: Lokhu kubaluleke kakhulu uma ukhulelwe, uzama ukukhulelwa, noma uhlela ukukhulelwa maduze . Lo muthi ungase uthinte ingane engakazalwa.
- Ukuncelisa: Uma ungumama oncelisayo, kufanele futhi utshele udokotela wakho ngakho.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngalo muthi, kubaluleke kakhulu ukwazi ukuthi ungawusebenzisa kanjani ngendlela efanele.
- Thatha kanye nokudla: Lo muthi kufanele uphuzwe nengilazi yamanzi kanye nokudla . Ungawuphuzi esiswini esingenalutho.
- Yithathe ngesikhathi: Zama ukuphuza imithi yakho cishe ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekuyalele. Yenza lokhu kube umkhuba.
- Ungaphuthelwa yimithamo: Kungakhathaliseki ukuthi uzizwa kahle kangakanani, ungayeki imithamo noma uyeke ukuthatha imithi yakho ngaphandle kweseluleko sikadokotela wakho. Ukweqa imithamo kungabangela ukuthi igciwane le-HIV likhule ukumelana nalo muthi. Uma wenza kanjalo, lo muthi, kanye neminye imithi ye-HIV, ungase ungakusebenzeli esikhathini esizayo.
- Kuthiwani uma uphuza umuthi omningi kakhulu?: Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
- Kuthiwani uma ngiphuthelwa umthamo?: Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Lo muthi ungowakho kuphela. Ungabelani ngomuthi wakho nabanye, noma ngabe banezimpawu ezifanayo nezakho.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Lena yingxenye ebaluleke kakhulu. Eminye imithi ingabangela izinkinga uma ithathwa ngalo muthi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo) .
Ithebula elingezansi libala eminye imithi engabangela izinkinga ngalo muthi.
| I-Dolutegravir; Ukuxhumana okungenzeka ne-Rilpivirine | |
|---|---|
| Imithi okungafanele ithathwe ndawonye | |
| I-Phoenix/Eminye imithi yokwelapha isithuthwane | I-Carbamazepine, i-Oxcarbazepine, i-Phenobarbital, i-Phenytoin |
| Eminye imithi esetshenziselwa i-gastritis (Proton Pump Inhibitors) | I-Esomeprazole, i-Pantoprazole, i-Omeprazole, i-Lansoprazole, i-Rabeprazole |
| Eminye imithi yokwelapha izifo zesikhunta | I-Fluconazole, i-Itraconazole, i-Ketoconazole, i-Posaconazole, i-Voriconazole |
| Eminye imithi yokwelapha isifo sofuba | I-Rifampin, i-Rifapentine |
| Eminye imithi | I-Dexamethasone, i-Dofetilide, i-St. John's wort, i-Cisapride, i-Pimozide, i-Thioridazine, i-Ziprasidone |
| Imithi engabangela ukusebenzisana futhi okufanele ithathwe ngaphansi kweseluleko sikadokotela | |
| Amanye ama-antibiotic | I-Clarithromycin, i-Erythromycin, i-Rifabutin |
| Eminye imithi ye-gastritis (ama-antacid) | I-aluminium hydroxide, i-magnesium hydroxide, i-calcium carbonate, i-cimetidine, i-famotidine |
| Izithasiselo | Izithako ze-calcium, Izithako ze-Iron |
| Eminye imithi | I-Metformin, i-Methadone, i-Sucralfate, izidakamizwa ezithinta isigqi senhliziyo (izidakamizwa ezinweba isikhathi se-QT) |
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Bonana nodokotela wakho ngezikhathi ezithile. Angenza umsebenzi wegazi odingekayo ukuze abone ukuthi umuthi uwuthinta kanjani umzimba wakho.
- Ukusabela okukhulu kwesikhumba: Lokhu kubaluleke kakhulu. Uma uhlaselwa ukuqubuka kwesikhumba okunezimpawu ezifana nomkhuhlane noma ukubanda, ngemva kwamasonto ambalwa noma izinyanga ezimbalwa uqale umuthi, tshela udokotela wakho ngokushesha . Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala bese kukhishwa. Noma kungaba ukuqubuka okubomvu okunama-lymph node avuvukele ebusweni, ezindebeni, noma entanyeni/emakhwapheni. Lokhu kungaba uphawu lwesimo esibi esibizwa ngokuthi i-DRESS syndrome, esidinga ukwelashwa ngokushesha.
- Ukulimala kwesibindi: Umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, kanye nokukhathala okukhulu kungaba izimpawu zezinkinga zesibindi. Tshela udokotela wakho ngokushesha.
- Ukushintsha kwesimo sengqondo: Uma ubhekana nokushintsha kwesimo sengqondo, ukucindezeleka, noma imicabango yokuzibulala, tshela udokotela wakho noma othandekayo wakho ngokushesha.
Imiphumela emibi yomuthi
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Izinto okufanele uzibike kudokotela ngokushesha |
|
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo futhi.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi kanye nokudla , ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho. Ungayeki imithamo.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo. Eminye imithi, ikakhulukazi leyo ye-gastritis, akufanele ithathwe nalena.
- Uma uzwa umkhuhlane kanye nokuqubuka kwesikhumba okukhulu , ukushintsha kwemizwa, noma izimpawu zokulimala kwesibindi, funa iseluleko sezokwelapha ngokushesha.
- Khumbula ukuthi lokhu kuyindlela yokwelapha i-HIV, hhayi ikhambi. Qhubeka nocansi oluphephile .
- Gwema ukukhulelwa ngenkathi uthatha lo muthi. Uma uhlela ukukhulelwa, khuluma nodokotela wakho kuqala.
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