Ingabe udokotela wakho wakubhalela umuthi omusha wokulawula isimo sakho se-HIV? Lowo muthi ungase ubonakale umude kancane, akunjalo? I-Efavirenz, i-Lamivudine, i-Tenofovir... Empeleni lokhu kuyizinhlobo ezintathu zemithi. Kodwa ukuze kube lula kuwe, zonke izinhlobo ezintathu zemithi zihlanganiswe zaba iphilisi elilodwa. Ngakho-ke namuhla, ake sixoxe ngalo muthi, ukuthi ungawusebenzisa kanjani, izinto okufanele uziqaphele, kanye nemiphumela emibi, ngendlela elula kakhulu ongayiqonda.
Kwenzekani ngempela ngalo muthi?
Kalula nje, leli philisi liqukethe izinhlobo ezintathu zemithi elwa negciwane lesandulela ngculazi. Sibiza le mithi ngokuthi i-antiretroviral. Lo muthi usetshenziswa njengokwelapha i-HIV.
Kubalulekile ukukhumbula ukuthi lokhu akulona ikhambi le -HIV . Kodwa-ke, kuyalawula igciwane le-HIV emzimbeni wakho futhi kuligcine lisezingeni eliphansi kakhulu. Lokhu kuzosiza ekugcineni amasosha omzimba wakho eqinile futhi kukusize uphile impilo ende nenempilo.
Futhi uma isetshenziswa kahle, lo muthi unciphisa kakhulu ingozi yokudlulisela igciwane lesandulela ngculaza komunye umuntu. Kodwa awuqedi ingozi ngokuphelele. Ngakho-ke kubalulekile ukuqhubeka nokulandela izindlela eziphephile.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuxoxa ngomlando wempilo yakho nodokotela wakho ngaphambi kokuqala lo muthi. Lolu lwazi luzonquma ukuthi lo muthi ukulungele yini. Kubaluleke kakhulu ukutshela udokotela wakho uma unezinye zezimo ezilandelayo:
- Izinkinga zamathambo (njengokuphuka kwamathambo ngaphambilini, i-osteoporosis )
- Izimo zenhliziyo
- Uma uke waba umlutha wezidakamizwa noma utshwala ngaphambilini
- Izinkinga zengqondo ( ukucindezeleka , imicabango yokuzibulala, noma ezinye izifo zengqondo)
- Izifo ezifana ne -pancreatitis
- Izimo ezifana nesifo sokuwa noma ukuquleka
- Uma une-allergy kunoma yiziphi izithako ezikulo muthi (i-Efavirenz, i-Lamivudine, i-Tenofovir) noma eminye imithi, ukudla, noma amadayi.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa umntwana
Ukukhuluma ngokukhululekile ngalezi zinto kubaluleke kakhulu ukuze uphephe.
Ungayisebenzisa kanjani le mithi ngendlela efanele?
Ukuze uthole okuningi kulo muthi, kubalulekile ukuwuthatha njengoba kuqondiswe.
- Indlela Yokuthatha: Gwinya leli philisi ngengilazi yamanzi.
- Isikhathi Sokuthatha: Thatha njengoba kuqondiswe udokotela wakho. Lo muthi uvame ukuthathwa ngesikhathi sokulala, njengoba ungasiza ekuvimbeleni isiyezi ngenkathi ulele .
- Thatha isisu esingenalutho : Lokhu kubaluleke kakhulu. Lo muthi kufanele uthathwe esiswini esingenalutho . Lokho kusho ukuthi, uwuthathe okungenani imizuzu engama-30 ngaphambi kokudla noma amahora ama-2 ngemva kokudla . Ungawuthathi lo muthi kanye nokudla.
- Yithathe ngesikhathi: Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke.
- Ungayeqi imithamo: Lena yinto ebaluleke kakhulu. Ngisho noma uzizwa ungcono, ungayeki ukuthatha umuthi noma weqe umthamo ngaphandle kweseluleko sikadokotela wakho. Uma uphuthelwa imithamo enjalo, igciwane le-HIV lingaba sengozini yokumelana nalo muthi. Lokhu sikubiza ngokuthi `(Ukumelana Nemithi)`. Ngemva kwalokho, kungenzeka ukuthi le mithi ngeke ikwazi ukulawula igciwane.
Ukweqisa umthamo
Uma ucabanga ukuthi uphuze kakhulu lo muthi ngephutha,
shesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze noma ushayele
i-National Poisons Information Centre e-Colombo National Hospital .
Kuthiwani uma ngiphuthelwa umthamo?
Uma ukhohlwa ukuthatha 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 imithamo emibili ngesikhathi esisodwa. Eminye imithi engase ihlangane nalo muthi
Uma uthatha lo muthi, kubalulekile ukutshela udokotela wakho ngayo yonke eminye imithi oyithathayo, okuhlanganisa naleyo enqunywe udokotela wakho, leyo ethengwe ekhemisi, imithi yobuhlungu, amavithamini, imithi yendabuko, ngisho nemikhiqizo yamakhambi. Eminye imithi ingasebenzisana nalo muthi futhi ibangele izinkinga. Ithebula elingezansi libala embalwa yale mithi kuphela. Lolu hlu aluphelele. Ngakho-ke, kubaluleke kakhulu
ukutshela udokotela wakho ngayo yonke imithi oyithathayo .
| Uhlobo lwesidakamizwa | Incazelo nezibonelo |
|---|
| Imithi okungafanele ithathwe | Kunemithi eminingana okungafanele ithathwe ngenkathi uthatha lo muthi. Izibonelo zifaka: `voriconazole`, `rifapentine`, `elbasvir; grazoprevir`. |
| Imithi engabangela izinkinga | - Amanye ama-antibiotic (isib. i-clarithromycin, i-rifampin)
- Imithi yokwehlisa i-cholesterol (isib. i-atorvastatin, i-simvastatin)
- Imithi yesifo senhliziyo kanye nomfutho wegazi ophezulu
- Imithi yokulwa nesifo sokuwa (isib. i-carbamazepine, i-phenytoin)
- Imithi yama-hormone, okuhlanganisa namaphilisi okulawula ukuzalwa
- Ama-antifungal (isb. i-ketoconazole)
- Izibulali-zinhlungu (ama-NSAID - isibonelo i-ibuprofen)
|
Izinto okufanele uzicabangele lapho uthatha umuthi
- Ukuhlolwa kwezokwelapha: Yiba khona njalo emihlanganweni yasemtholampilo njengoba udokotela wakho ekuyalele. Kubaluleke kakhulu futhi ukuthi kwenziwe ukuhlolwa kwegazi ngezikhathi ezihleliwe.
- Ukusabela okukhulu kwesikhumba: Ngezinye izikhathi, ukusabela okukhulu kwesikhumba kungase kwenzeke emavikini ngemva kokuqala lo muthi. Uma ukhula isikhumba esibomvu nesilumayo esinomkhuhlane, izinhlungu zomzimba, amabhamuza, amabhamuza esikhumba, izilonda emlonyeni, noma ukuvuvukala kobuso noma izindebe, shayela udokotela wakho ngokushesha.
- I-Hepatitis B: Uma une-Hepatitis B, kufanele ukhulume nodokotela wakho ngaphambi kokuyeka lo muthi, njengoba ukuyeka lo muthi kungase kube kubi kakhulu izimpawu ze-Hepatitis B.
- Ukuzungeza kanye nokozela: Lo muthi ungakwenza uzizwe uzungeza noma ulele. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini , uze wazi kahle ukuthi lo muthi uthinta kanjani wena. Sukuma kancane uma uvuka endaweni yokuhlala noma uma uvuka embhedeni.
- Ukulawula inzalo: Lokhu kubaluleke kakhulu. Amaphilisi okulawula inzalo angase angasebenzi kahle ngenkathi uthatha lo muthi. Ngakho-ke, uma ufuna ukuvimbela ukukhulelwa, kufanele nakanjani usebenzise olunye uhlobo lokulawula inzalo, njengekhondomu . Khuluma nodokotela wakho ngalokhu.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
Ukuhlukaniswa kwemiphumela emibiImiphumela emibi edinga ukunakekelwa kwezokwelapha ngokusheshaImiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka
- Ukuvuvukala okukhulu kwesikhumba, ukulunywa, ukuxebuka
- Ukuvuvukala kobuso, izindebe, ulimi
- Ubunzima bokuphefumula
- Izinguquko ezinkulu zengqondo (ukucindezeleka okukhulu, imicabango yokuzibulala)
- Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
- Ubuhlungu noma ubuthakathaka bemisipha
| - Izimpawu zokulimala kwesibindi (umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo nesikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukukhathala okukhulu)
- Isicanucanu esinzima, ukuhlanza, ubuhlungu besisu obungavamile
|
- Ukukhwehlela, ukuphefumula
- Uhudo (ubuhlungu besisu)
- Ukungalali, amaphupho angajwayelekile
- Ikhanda elibuhlungu
- Izinguquko esimweni somzimba, njengokuqongelela kwamafutha ezindaweni ezithile zomzimba (isisu, umhlane) kanye nokuncipha kwezingalo, imilenze, nobuso
|
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona okunye, khuluma nodokotela wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- Njalo thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesikhathi osibekiwe, esiswini esingenalutho. Ungalokothi uphuthelwe umthamo.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma ubona izimpawu zokusabela okukhulu kokungezwani komzimba, njengokuqubuka kwesikhumba okukhulu nokuvuvukala, funa iseluleko sikadokotela ngokushesha.
- Lo muthi awulaphi i-HIV. Uyayilawula kuphela. Ngakho qhubeka ulandele izindlela eziphephile.
- Uma ungowesifazane onethuba lokuzala, kubalulekile ukusebenzisa enye indlela yokuvimbela inzalo, njengekhondomu, ngenkathi uthatha lo muthi.
- Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izinkinga. Bakhona ukuzokusiza.
I-HIV, i-Efavirenz, i-Lamivudine, i-Tenofovir, i-Antiretroviral, Ukwelashwa kwe-HIV, i-AIDS, Imithi, Imiphumela Engemihle, Impilo
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