Ngemva kokuba udokotela wakho eseqinisekisile ukuthi une-HIV, kungenzeka ukuthi utshelwe ukuthi uqale ukuthatha le nhlanganisela yemithi. Njengoba inamagama amathathu (i-Efavirenz, i-Lamivudine, ne-Tenofovir), kungabonakala kudida kancane ekuqaleni. Kodwa ungakhathazeki. Lena inhlanganisela ephumelela kakhulu yemithi esetshenziswa ukulawula i-HIV emhlabeni wonke. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi usebenza kanjani emzimbeni, ukuthi uwuthatha kanjani, nokuthi yini okufanele uyiqaphele ngendlela elula ongayiqonda.
Kwenzekani ngempela ngale nhlanganisela yemithi?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezintathu zemithi. Sibiza lokhu ngokuthi "imithi yokulwa negciwane lengculazi." Lokhu okwenziwa yileli philisi ukuvimba igciwane le-HIV emzimbeni wakho ukuthi lingasabalali, okungukuthi, lilawula igciwane ukuthi lingaphindaphindi.
Cabanga ngegciwane lesandulela ngculazi njengesitha esihlasela uhlelo lokuzivikela lomzimba wakho (uhlelo lokuzivikela). Lo muthi unciphisa amandla alowo muthi futhi uwugcine ulawulwa. Lokhu kuvumela uhlelo lwakho lokuzivikela ukuthi lusebenze ngamandla futhi.
Into ebaluleke kakhulu: Lo muthi awulaphi ngokuphelele i-HIV. Okusho ukuthi, awuwuqedi ngokuphelele igciwane emzimbeni. Kodwa ulawula ukusabalala kwegciwane emzimbeni kahle kakhulu, ukukusiza ukuthi uphile impilo ende, enempilo, nejwayelekile.
Okunye okufanele ukukhumbule ukuthi ngisho noma uthatha lo muthi, ingozi yokudlulisela i-HIV komunye umuntu ayiqedwa ngokuphelele. Ngakho-ke, kubaluleke kakhulu ukuqhubeka nokulandela imikhuba yocansi ephephile. Futhi, lo muthi awuvikeli kwezinye izifo ezithathelwana ngocansi (ama-STI).
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezempilo ophelele. Ngakho-ke uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho. Ungafihli lutho, ngoba lubaluleke kakhulu ekuphepheni kwakho.
| Ukugula noma ezinye izinto | Kungani lokho kubalulekile? |
|---|---|
| Izinkinga zamathambo (isib., i-osteoporosis) | Isithako esikulo muthi, i-Tenofovir, ngezinye izikhathi singathinta ukuqina kwamathambo. |
| Isifo senhliziyo | Kwezinye izimo, isigqi sokushaya kwenhliziyo singathinteka. |
| Umlando wezinkinga zempilo yengqondo (njengokucindezeleka, ukukhathazeka) noma ukusebenzisa kabi izidakamizwa | Isithako i-Efavirenz singathinta impilo yengqondo. Kubalulekile ukuqaphela lokhu uma uke waba nezinkinga ngaphambilini. |
| I-Pancreatitis | Lo muthi awuvamile ukubangela i-pancreatitis. Ingozi iphezulu uma uke wayisebenzisa ngaphambili. |
| Isithuthwane noma ukuxhuzula (Ukuxhuzula) | Ngenxa yokuthi lo muthi ungathinta isimiso sezinzwa, kufanele uqaphele ukuthi kungenzeka ukuthi uhlaselwe yisifo sokuwa. |
| Ukungezwani neminye imithi, ukudla noma izinto ezithile | Kubalulekile ukusazisa uma une-allergies ezithakweni zalo muthi noma yini enye. |
| Uma uzama ukukhulelwa noma ukhulelwe | Kufanele ukhulume nodokotela wakho mayelana nokuphepha kwalomuthi ngesikhathi sokukhulelwa. |
| Uma umntwana enceliswa ibele | Lo muthi ungadluliselwa enganeni ngobisi lwebele, ngakho xoxa ngalokhu nodokotela wakho. |
Iyiphi indlela engcono kakhulu yokusebenzisa umuthi?
Lena yingxenye ebaluleke kakhulu okudingeka uyilandele ngqo. Ukuze uthole okuningi ngomuthi, udinga ukuwuthatha njengoba uyalelwe.
- Thatha namanzi: Gwinya leli philisi lonke nengilazi yamanzi.
- Thatha isisu esingenalutho: Lokhu kubaluleke kakhulu. Udinga ukuthatha umuthiPhuza okungenani imizuzu engama-30 ngaphambi kokudla, noma amahora ama-2 ngemva kokudla. Umuthi umuncwa kangcono ngumzimba uma uthathwa esiswini esingenalutho.
- Yithathe ngaphambi kokulala: Ngokuvamile, ukuthatha lo muthi ngaphambi kokulala kusho ukuthi noma yisiphi isiyezi noma ukozela okungase kubangelwe kuzokwenzeka ngenkathi ulele, ngakho ngeke kuphazamise imisebenzi yakho yasemini.
- Ungayeqi imithamo nganoma yisiphi isizathu: Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekuyalele. Ukweqa imithamo kungabangela ukuthi igciwane le-HIV limelane nomuthi. Lokhu kungenza hhayi lo muthi kuphela kodwa neminye imithi ye-HIV ingasebenzi emzimbeni wakho. Lokhu kuyingozi kakhulu.
- Ungayeki kuze kube yilapho udokotela wakho ekutshele ukuthi: Kungakhathaliseki ukuthi uzizwa kahle kangakanani, qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshele ukuthi uyeke.
Yini okufanele uyenze uma uphuza ngokweqile ?
Uma ucabanga ukuthi usuphuze amaphilisi amaningi kunalokho okucabangayo, ungalibali. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze nawe ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Sonke siyakhohlwa izinto ngezinye izikhathi. Ungakhathazeki uma uphuthelwa umthamo.
- Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
- Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo uma ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe.
- Ungathathi imithamo ephindwe kabili ukuze ubuyisele umthamo ongawusebenzisi.
Izinto ezikhethekile okufanele uziqaphele lapho uthatha imithi
Udinga ukunakekela impilo yakho kancane ngenkathi usebenzisa lo muthi.
- Ukuhlolwa njalo kwezokwelapha: Udokotela wakho uvame ukukucela ukuthi uhlolwe igazi. Yenza konke lokho kuhlolwa ngesikhathi. Kuzokusiza ubone ukuthi umuthi uwuthinta kanjani umzimba wakho, ukuthi igciwane liyalawuleka yini, nokuthi izitho zakho ezifana nesibindi sakho nezinso zisebenza kahle yini.
- Ukusabela okukhulu kwesikhumba: Abanye abantu bangase babe nokusabela okukhulu kwesikhumba emavikini ambalwa noma ezinyangeni ezimbalwa ngemuva kokuqala lo muthi. Uma unomkhuhlane, izinhlungu zomzimba, amabala abomvu noma ansomi esikhumbeni sakho, amabhamuza, isikhumba esiqhekekayo, noma ama-lymph node avuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni, bona udokotela ngokushesha.
- Ukushayela nokusebenzisa imishini: Lo muthi ungabangela isiyezi kanye nobunzima bokugxila kwabanye abantu. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
- Ukusetshenziswa kotshwala:Ukuthatha lo muthi notshwala kungandisa imiphumela emibi njengokuzizwa unesizungu kanye nokozela. Akukuhle futhi esibindini sakho.
- I-Hepatitis B: Uma une-HIV kanye ne-Hepatitis B, ukuyeka lo muthi ngokuzumayo kungenza izimpawu zakho ze-Hepatitis B zibe zimbi kakhulu. Ngakho-ke, qiniseka ukuthi ukhuluma nodokotela wakho mayelana nokuyeka umuthi.
- Ukuvimbela Ukukhulelwa: Uma usebenzisa amaphilisi okuvimbela inzalo (aqukethe i-estrogen ne-progestin), ukuthatha lo muthi kunganciphisa ukusebenza kwawo. Ngakho-ke, khuluma nodokotela wakho ngokusebenzisa olunye uhlobo lokuvimbela inzalo, njengamakhondomu, ngaphezu kokuwasebenzisa.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Eminye iyingozi, kanti eminye ivamile. Into ebaluleke kakhulu ukuqaphela lokhu futhi ufune iseluleko sezokwelapha ngokushesha uma ubona noma yini eyingozi.
Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha
Uma uhlangabezana nanoma yiziphi izimpawu ezingezansi, bona udokotela noma uye esibhedlela ngokushesha.
| Umphumela ongemuhle | Indlela ozizwa ngayo |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukulimala Kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, kanye nokukhathala okukhulu. |
| Izinguquko zengqondo nezokuziphatha | Ukukhathazeka okukhulu, ukungahlaliseki, ukudideka, imibono engekho, intukuthelo, imicabango yokuzibulala, ukucindezeleka. |
| I-Pancreatitis | Ubuhlungu obukhulu besisu obuphuma emhlane, ubuhlungu obuba bubi kakhulu lapho udla noma uthinta isisu, umkhuhlane, isicanucanu nokuhlanza. |
| Ukulimala Kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| I-Lactic Acidosis (ukwanda kwe-lactic acid egazini) | Ubuhlungu noma ukuqina kwemisipha, ubuhlungu besisu, ubunzima bokuphefumula, ukungakhululeki okuvamile kanye nokukhathala. |
| Izinkinga zesistimu yezinzwa | Ukuba ndikindiki noma ubuhlungu ezithweni, ubuthakathaka bemisipha, ukushintsha kombono, ubunzima bokukhuluma, ubunzima bokuhamba, ukuxhuzula. |
Imiphumela emibi evamile kodwa okufanele ibikwe kudokotela uma iqhubeka
Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka noma kukukhathaza kakhulu, khuluma nodokotela wakho.
- Ukuhlungu obusemhlane
- Uhudo
- Ikhanda elibuhlungu
- Isicanucanu
- Ubuhlungu besisu
- Ukungalali noma amaphupho angajwayelekile
Eminye imithi okungafanele isetshenziswe nalo muthi futhi engabangela izinkinga
Lena yingxenye ebaluleke kakhulu. Kufanele utshele udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi ingasebenzisana nalo muthi we-HIV futhi ibangele izinkinga ezinkulu.
Imithi okungafanele ithathwe ndawonye:
- Noma yimuphi omunye umuthi oqukethe izithako kulo muthi (i-efavirenz, i-emtricitabine, i-lamivudine, i-tenofovir)
- I-Disopyramide
- I-Elbasvir; i-grazoprevir
- I-Rifapentine
- I-Voriconazole
Eminye imithi engabangela izinkinga (yazisa udokotela wakho uma uyisebenzisa):
- Imithi yokwehlisa i-cholesterol (isib., i-Atorvastatin, i-Simvastatin)
- Ama-antibiotic (isib. i-Clarithromycin, i-Rifampin)
- Ama-antifungal (isib. i-Ketoconazole, i-Itraconazole)
- Imithi yesifo senhliziyo kanye nomfutho wegazi ophakeme (isib. i-Diltiazem, i-Verapamil)
- Imithi yokulwa nokuxhuzula (isib. iCarbamazepine, iPhenytoin)
- Imithi yokugula ngengqondo (isib. iBupropion, iSertraline)
- Izidambisi-zinhlungu (ama-NSAID) (isib. i-Ibuprofen, i-Naproxen)
- I-Warfarin (isidakamizwa esinciphisa igazi)
- Imithi ye-HIV noma ezinye izifo ezibangelwa amagciwane
Lolu hlu aluphelele, ngakho-ke kungcono ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi ulawula ukusabalala kwegciwane lesandulela ngculazi emzimbeni wakho. Awusiqedi lesi sifo, kodwa uyakusiza ukuthi uphile impilo enempilo.
- Thatha umuthi esiswini esingenalutho , ngesikhathi esifanayo nsuku zonke, njengoba udokotela eshilo. Ungalokothi weqe umthamo.
- Tshela udokotela wakho nganoma yiziphi ezinye izifo onazo kanye nanoma yimiphi eminye imithi oyiphuzayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi engathi sína, njengokungezwani komzimba okukhulu kwesikhumba, izinkinga zesibindi, noma izinguquko ezinkulu zengqondo, funa iseluleko sezokwelapha ngokushesha.
- Uma uzizwa unesizungu noma ucindezelekile ngenkathi uthatha lo muthi, khuluma nodokotela wakho, ilungu lomndeni, noma umngane omethembayo. Awuwedwa.
- Ngokwelashwa okufanele, ungaphila ngempumelelo ne-HIV.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho