Uma uphila ne-HIV, cishe uyazi ukubaluleka kokwelashwa okunqunywe udokotela wakho ukuze ugcine impilo yakho iphilile futhi ijwayelekile. Ngokulandela lezi zindlela zokwelapha ngqo, ungalawula igciwane emzimbeni wakho futhi uphile impilo enempilo. Namuhla sizokhuluma ngephilisi elilodwa elibaluleke kakhulu, inhlanganisela yemithi emithathu. Amagama aleli ayinkimbinkimbi kancane: i-Doravirine, i-Lamivudine, ne-Tenofovir Disoproxil Fumarate . Itholakala kakhulu emakethe ngaphansi kwegama elithi DELSTRIGO . Ake sixoxe ngalo muthi kalula, ngendlela ongayiqonda.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo umuthi wokulwa namagciwane . Lokhu kusho ukuthi usebenza ngokuvimbela igciwane lesandulela ngculaza ukuthi lingasabalali emzimbeni wakho, okungukuthi, ngokunciphisa igciwane ukuthi lingaphindaphindeki. Ngenxa yokuthi uyinhlanganisela yemithi emithathu, lo muthi unekhono elikhulu lokuhlasela igciwane kusuka ezinhlangothini ezahlukene nokulilawula.
Into ebaluleke kakhulu: Lo muthi awulona ikhambi le-HIV noma i-AIDS. Kodwa-ke, uyalawula igciwane futhi usize amasosha omzimba wakho ahlale eqinile. Ngakho ungaphila impilo enempilo nesebenzayo.
Okunye okufanele ukukhumbule ukuthi ngisho noma uthatha lo muthi, kusenengozi yokudlulisela igciwane lesandulela ngculaza kwabanye. Futhi, lo muthi awuvikeli kwezinye izifo ezithathelwana ngocansi (STI). Ngakho-ke, kubaluleke kakhulu ukwenza ucansi oluphephile.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Kubaluleke kakhulu ukuthi udokotela wakho azi konke ngawe. Kulapho kuphela lapho engakwazi khona ukukunikeza ukwelashwa okufanele nokuphephile kakhulu. Ngaphambi kokuqala lo muthi, qiniseka ukuthi wazisa udokotela wakho uma unezinye zezimo ezilandelayo.
| Isimo okudingeka usibike | Kungani lokho kubalulekile? |
|---|---|
| Izinkinga zamathambo (isib. i-osteoporosis) | Kukhona ithuba lokuthi amathambo abe buthaka uma lo muthi usetshenziswa isikhathi eside. Ngakho-ke, kubalulekile ukuthi udokotela akuqaphele lokhu. |
| Ukutheleleka kwe-Hepatitis B | Uma uyeka ukuthatha lo muthi, izimpawu zakho ze-hepatitis B zingase zibe zimbi ngokuzumayo. Ngakho-ke kubalulekile ukuthi udokotela wakho akuqaphele lokhu. |
| Isifo sezinso | Njengoba umuthi ukhishwa emzimbeni ngezinso, kubalulekile ukuqapha ukusebenza kwezinso. Umthamo womuthi kungadingeka ulungiswe. |
| Isifo sesibindi | Uma unesifo sesibindi, kubalulekile ukuthi udokotela wakho azi ngaso. |
| Ukungezwani nokudla, umuthi, noma idayi | Kubaluleke kakhulu ukuze kuphephe ukwazi ukuthi une-allergy kunoma yiziphi izithako ezikulo muthi. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kufanele ukhulume nodokotela wakho ngezinzuzo kanye nokubi kokusebenzisa lo muthi ngesikhathi sokukhulelwa. |
| Uma umntwana enceliswa ibele | Ukuncelisa akukhuthazwa omama abanegciwane lesandulela ngculazi, futhi kufanele ukhulume nodokotela wakho ngokuncelisa ngenkathi uthatha lo muthi. |
Ngingawusebenzisa kanjani umuthi?
Indlela yokusebenzisa lo muthi ilula kakhulu, kodwa kubalulekile ukulandela imiyalelo ngqo.
- Gwinya leli philisi ngengilazi yamanzi.
- Ungayithatha lokhu nokudla noma ngaphandle kokudla.
- Uma uzizwa uphatheke kabi esiswini ngemva kokuthatha umuthi, yidla ukudla ngaphambi kokuthatha umuthi.
- Into ebaluleke kakhulu: Zama ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekuyalele.
Ingabe kuyingozi ukweqa umthamo wemithi?
Yebo, kungaba yingozi kakhulu. Cabanga ngale mithi njengamasosha alwa negciwane lesandulela ngculazi emzimbeni wakho. Uma uphuza amaphilisi akho nsuku zonke, lawo masosha agcina igciwane lilawulwa. Kodwa uma weqa umthamo, kufana nokunikeza amasosha ikhefu nokunikeza igciwane ithuba lokuba namandla futhi. Khona-ke igciwane lingajwayela imithi, futhi kamuva imithi ingayeka ukusebenza. Lokhu sikubiza ngokuthi igciwane elimelana nemithi. Ngakho-ke, ungayeki ukuthatha imithi noma weqe umthamo nganoma yisiphi isizathu ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo.
Wenzani uma uphuthelwa umthamo wemithi?
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 umthamo ophindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu ngephutha, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawabelani nabanye nganoma yisiphi isizathu.
Eminye imithi okungafanele ithathwe nalo muthi
Umuthi owodwa esiwuthathayo 'ungasebenzisana' nomunye. Uma lokho kwenzeka, ukusebenza kahle komuthi owodwa kungancipha, kwande, noma kubangele imiphumela emibi engafuneki. Ngakho-ke, kufanele wazise udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje leyo enqunywe udokotela wakho, kodwa futhi nemithi yokunciphisa ubuhlungu, amavithamini, imithi ye-Ayurvedic, kanye nezithasiselo zamakhambi ozithenga ekhemisi.
Imithi engezansi ingase ihlangane kakhulu nalo muthi.
| Ungalokothi uzithathe lezi zinto ndawonye. | |
|---|---|
| Uhlobo lomuthi | Izibonelo |
| Eminye imithi ye-HIV | I-Efavirenz, i-Etravirine, i-Nevirapine |
| Imithi yokulwa nomdlavuza | I-Apalutamide, i-Enzalutamide, i-Mitotane |
| Amanye ama-antibiotic | I-Rifampin, i-Rifapentine |
| Imithi yokwelapha isithuthwane | I-Carbamazepine, i-Oxcarbazepine, i-Phenobarbital, i-Phenytoin |
| Imikhiqizo yezitshalo | I-wort kaSt. John |
| Qiniseka ukuthi utshela udokotela wakho uma uthatha lezi zidakamizwa. | |
| Eminye imithi yokulwa namagciwane | I-Adefovir, i-Cidofovir, i-Acyclovir, i-Ganciclovir |
| Ama-Painkiller (NSAIDS) | I-Ibuprofen, i-Naproxen |
| Amanye ama-antibiotic | I-Rifabutin, ama-Aminoglycosides |
*Lolu hlu aluphelele. Kungcono ukutshela udokotela wakho ngazo zonke izinto ozithathayo.*
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Udokotela wakho uzokukuhlola njalo. Ungayeqi lezo zikhathi zokuqokwa. Uzophinde akucele ukuhlolwa kwegazi ukuze aqaphe intuthuko yakho.
- Qaphela izimpawu: Uma izimpawu zakho ziba zimbi kakhulu noma kuvela izimpawu ezintsha, tshela udokotela wakho ngokushesha.
- Ukunakwa okukhethekile kwe-hepatitis B: Uma une-hepatitis B, ungacabangi ngisho nokuyeka imithi yakho ngaphandle kokubonisana nodokotela wakho. Ukwenza kanjalo kungase kubhebhethekise lesi sifo.
- Impilo yamathambo:Kukhona ingozi yokulahlekelwa amathambo (ukulahlekelwa ubuningi bamathambo) uma lo muthi uthathwa isikhathi eside. Lokhu kungandisa ingozi yokuqhekeka kwamathambo. Khuluma nodokotela wakho ngempilo yamathambo akho. Thola iseluleko ngezinto ezifana nokudla ukudla okucebile nge-calcium ne-vitamin D.
Imiphumela emibi engaba khona
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu, kodwa akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Izimpawu zokutheleleka | Umkhuhlane, ukubanda, ukukhwehlela, umphimbo obuhlungu. |
| Ukusabela okukhulu kwesikhumba | Ubomvu, amaqhubu, isikhumba esixebukayo (ngisho nangaphakathi emlonyeni). |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhudo | Ukuvuvukala kwesisu. |
| Isiyezi | Isiyezi. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
| Ukungalali noma amaphupho angajwayelekile | Izinkinga zokulala noma amaphupho acacile, angavamile. |
Ugcina kanjani imithi yakho iphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni eyomile, engenamanzi (phakathi kwama-degrees Celsius angu-20-25).
- Gcina umuthi ebhodleleni lokuqala owafika kulo. Vala isivalo sebhodlela ngokuqinile.
- Ungasusi iphakethe elincane (i-desiccant) elingaphakathi ebhodleleni. Lokhu kuvimbela umuthi ekumunceni umswakama.
- Lahla imithi ephelelwe yisikhathi. Buza udokotela wakho ukuthi ungayilahla kanjani ngendlela efanele imithi engafuneki noma ephelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uyasiza ekulawuleni igciwane lesandulela ngculaza, kodwa awuyelaphi ngokuphelele.
- Phuza imithi yakho ngezikhathi ezihleliwe, njengoba kuyalelwe udokotela wakho, ngaphandle kokweqa noma yikuphi ukudla. Lokhu kubalulekile ukuze ukwelashwa kwakho kuphumelele.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma kuvela imiphumela emibi kakhulu (njengokungezwani komzimba, izinkinga zezinso), funa iseluleko sezokwelapha ngokushesha.
- Kubaluleke kakhulu ukuhlala uxhumana nodokotela wakho njalo futhi ube khona emihlanganweni yezokwelapha ehleliwe.
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