Okudingeka ukwazi ngamaphilisi e-Efavirenz

Ingabe udokotela ukunike umuthi obizwa nge-Efavirenz wokwelapha ukutheleleka nge-HIV? Noma ingabe othile omaziyo usebenzisa lo muthi? Kubaluleke kakhulu ukuba nolwazi oluhle ngalezi zinhlobo zemithi. Ngoba yilapho kuphela lapho singathola khona ukwelashwa okufanele futhi siphile impilo enempilo. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa nge-Efavirenz ngendlela elula ongayiqonda.

Iyini i-Efavirenz?

Kalula nje, i-Efavirenz iyisidakamizwa esisekilasini lama-antiretroviral . Isetshenziselwa ukwelapha ukutheleleka nge-HIV, kodwa inikezwa kanye neminye imithi eminingana. Ayikwazi ukwelapha ngokuphelele ukutheleleka nge-HIV. Kodwa-ke, inganciphisa inani le-HIV emzimbeni wakho. Iphinde isize ekunciphiseni ingozi yokusabalalisa i-HIV kwabanye, kodwa ayikwazi ukuyimisa ngokuphelele. Ngakho-ke, kubaluleke kakhulu ukulandela izinyathelo zokuphepha.

Ngezinye izikhathi lo muthi ungasetshenziswa nakwezinye izimo zezokwelapha. Ungabuza udokotela wakho noma usokhemisi ngalokhu.

Igama lomkhiqizo elidumile lalo muthi yi-Sustiva.

Yini okufanele ngiyitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukuthatha i-Efavirenz, kunezinto okufanele uzitshele udokotela wakho. Ngoba bazonquma ukuthi lo muthi ukulungele yini, ukuthi kufanele ukunike malini, nokuthi yiziphi izinto okufanele uziqaphele.

Nazi ezinye izinto ezibalulekile okufanele uziqaphele:

• Uma unesifo senhliziyo: Lo muthi ungathinta abantu abanezinkinga ezithile zenhliziyo ngendlela ehlukile.
• Uma wake waba umlutha wezidakamizwa noma utshwala noma uma unenkinga enjalo njengamanje: Lezi zinto zingathinta ukusebenza kahle komuthi.
• Uma uke waba nesifo sengqondo esifana nokucindezeleka: Kubaluleke kakhulu ukwazisa udokotela wakho ngalokhu njengoba lo muthi ungathinta ezinye izimo zengqondo.
• Uma unesifo sesibindi: Njengoba imithi isuswa emzimbeni yisibindi, kufanele uqaphele uma unenkinga yesibindi.
• Uma unomlando wokuquleka noma isifo sokuwa.
• Uma uthatha eminye imithi: Lokhu akusho nje kuphela leyo enqunywe udokotela wakho, kodwa futhi nanoma yimiphi imithi ethengwa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, njll. Kufanele usitshele ngayo yonke, njengoba eminye imithi ingasebenzisana ne-Efavirenz.
• Uma une-allergy ku-efavirenz, eminye imithi, ukudla, amadayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa:Kufanele kuqashelwe ngokukhethekile lapho usebenzisa lo muthi ngesikhathi sokukhulelwa.
• Uma ungumama oncelisayo.

Kubaluleke kakhulu empilweni yakho ukutshela udokotela wakho wonke la maqiniso ngaphandle kokuwafihla.

Uyisebenzisa kanjani le mithi ngendlela efanele?

Ukusebenzisa lo muthi ngendlela efanele kuyisihluthulelo sokwelashwa okuphumelelayo.

• Leli philisi kufanele liphuzwe ngomlomo kanye nengilazi yamanzi .
• Landela njengoba nje udokotela wakho ebhale ilebula likadokotela.
• Lomuthi kufanele uthathwe esiswini esingenalutho. Okusho ukuthi, okungenani imizuzu engama-30 ngaphambi kokudla, noma amahora ama-2 ngemva kokudla. Ungawuthathi kanye nokudla.
• Ungaliphuli, ulichoboze, noma ulihlafune. Gwinya lonke iphilisi.
• Lo muthi uvame ukuthathwa ebusuku ngaphambi kokulala. Lokhu kungenxa yokuthi eminye yemiphumela emibi (isibonelo, isiyezi) ayibonakali kangako uma ulele.
• Thatha umuthi ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina amazinga afanayo omuthi emzimbeni wakho.
• Ungathathi okungaphezu noma okungaphansi kwenani elibekwe udokotela.
• Ukuze ukwelashwa kwakho kwe-HIV kusebenze kahle, udinga ukuthatha yonke imithamo njengoba kuyalelwe.
• Ungayeki ukuthatha imithi. Ngisho noma uzizwa ungcono, ungayeki ukuthatha imithi yakho kuze kube yilapho udokotela wakho ekuyala ukuba uyeke. Uma weqa imithi, igciwane le-HIV lingaba sengozini yokungamelani nalo muthi kuphela kodwa neminye imithi ye-HIV. Lokhu kungenza ukwelashwa kube nzima kakhulu.
• Ungayeki ukuthatha imithi ngaphandle kweseluleko sikadokotela wakho.

Uma unikeza izingane lo muthi:

Lo muthi unganikezwa nezingane kwezinye izimo ezikhethiwe. Kodwa kunezindlela zokuqapha ezikhethekile. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wezingane ngakho ngokucophelela bese uthola iseluleko.

Yini okufanele uyenze uma uthatha umuthi omningi kakhulu? ('Umthamo oweqile')

Uma ucabanga ukuthi uphuze umuthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo esibhedlela esiseduze ngokushesha.

Sicela uqaphele: Lo muthi unikezwe wena kuphela. Ungawubelani nabanye.

Wenzani uma uphuthelwa umthamo wemithi?

Ngezinye izikhathi singaphuthelwa umthamo wemithi, akunjalo? Uma kunjalo, thatha 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 noma umthamo owengeziwe.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

I-Efavirenz ingasebenzisana neminye imithi, amakhambi, imithi etholakala ngaphandle kwemithi kadokotela, kanye namavithamini owathathayo. Lokhu kusho ukuthi uma ithathwa ndawonye, ​​ingaba nomthelela komunye nomunye. Ngezinye izikhathi, ukusebenza kahle kwe-Efavirenz kungancishiswa, kwandiswe, noma imiphumela emibi inganda.

Ungayithathi i-Efavirenz kanye nemithi elandelayo:

• I-Disopyramide
• Elbasvir; i-grazoprevir (`elbasvir; grazoprevir`)
• I-Rifapentine
• I-Voriconazole

Ngaphezu kwalokho, imithi elandelayo ingasebenzisana ne-Efavirenz:

• I-Amiodarone
• I-Artemether; I-Lumefantrine
• I-Clarithromycin
• Ama-hormone abesifazane, isibonelo amaphilisi okuvimbela inzalo, ama-patches, amasongo, noma imijovo equkethe ama-estrogen noma ama-progestin
• Imithi yokucindezela kwegazi, isibonelo i-diltiazem, i-nifedipine, i-verapamil
• Imithi ye-cholesterol, isib. i-simvastatin
• Imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo
• Imithi yokutheleleka kwesikhunta, isibonelo i-ketoconazole, i-itraconazole, i-posaconazole
• Imithi yokwelapha ukuxhuzula noma ukuquleka, isibonelo i-carbamazepine, i-phenobarbital, i-phenytoin
• Amaphilisi okulala
• I-Methadone
• Eminye imithi ye-HIV
• Ilayisi lemvubelo ebomvu
• I-Rifabutin
• I-Rifampin
• I-Sirolimus
• I-Tacrolimus
• I-Warfarin

Lolu hlu alufaki konke ukuxhumana okungenzeka. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imikhiqizo yamakhambi, imithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, kanye nezithasiselo zokudla. Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nomuthi wakho.

Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?

• Bona udokotela wakho njalo ukuze ahlolwe. Khuluma nodokotela wakho nganoma yiziphi izimpawu ezintsha onazo. Kuzodingeka futhi ukuthi uhlolwe igazi ngesikhathi uthatha lo muthi.
• Lomuthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba.Lokhu kungenzeka zingakapheli amasonto noma izinyanga ezimbalwa uqale umuthi. Uma uqubuka sengathi unomkhuhlane futhi awuzizwa kahle, bheka udokotela ngokushesha. Lokhu kuqhuma kungase kube bomvu noma kube nsomi bese kuba amabala aqhekeke. Noma, uma ubona ukuqhuma okubomvu kanye nama-lymph node avuvukele ebusweni bakho, ezindebeni, entanyeni, noma emakhwapheni, tshela udokotela wakho .
• I-HIV isakazekela kwabanye ngokuxhumana ngokocansi noma ngokuxhumana ngegazi. Khuluma nodokotela wakho ngezindlela zokuvimba ukusabalala kwe-HIV.
• Ungase uzizwe ulele noma unesizungu. Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kunganciphisa amathuba okuba nesizungu nokuwa. Gwema ukusebenzisa utshwala nezidakamizwa ezishintsha imizwa (zasemgwaqweni) ngenkathi uthatha lo muthi. Zingenza le miphumela emibi ibe mibi kakhulu.
• Amaphilisi okuvimbela inzalo angase angasebenzi kahle ngenkathi uthatha lo muthi. Ngakho-ke, khuluma nodokotela wakho mayelana nokusebenzisa uhlobo olwengeziwe lokuvimbela inzalo (isibonelo, ikhondomu). Abesifazane abaseminyakeni yokuzala kufanele nakanjani basebenzise uhlobo oluthembekile lokuvimbela inzalo (ukuvimbela inzalo okuvinjelwe).

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Efavirenz ingabangela imiphumela emibi. Eminye iyingozi, eminye ayibi kakhulu.

Imiphumela emibi okufanele ibikwe kudokotela noma kuchwepheshe wezempilo ngokushesha:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe nolimi.
• Izinguquko zokuziphatha: ukucindezeleka okukhulu, imicabango engavamile, imicabango yokuzibulala, intukuthelo enkulu.
• Ukuphupha izinto ezingekho: Ukubona noma ukuzwa izinto ezingekho ngempela.
• Ukungakwazi ukunyakaza noma ukukhuluma ngendlela evamile.
• Lokhu kungafaka phakathi ukubomvu, ukuqubuka, ukuxebuka, ngisho nangaphakathi emlonyeni.
• Izimpawu zokulimala kwesibindi: umchamo ophuzi omnyama noma onsundu, uzizwa ukhathele, uzizwa unomkhuhlane, indle ephaphathekile, ukuphelelwa yisifiso sokudla, isicanucanu, ubuhlungu ohlangothini oluphezulu kwesokudla lwesisu, ukukhathala okungavamile, kanye nokuphuzi kwamehlo noma isikhumba.

Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):

• Uhudo
• Ubunzima bokulala, amaphupho angajwayelekile
• Isiyezi
• Inkinga yokugxila
• Isisu esibuhlungu, ukuhlanza
• Ukukhuluphala - ikakhulukazi okhalweni, emhlane, noma ebusweni, ezingalweni nasemilenzeni.

Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.

Ngingawugcina kuphi lo muthi?

• Gcina kude nezingane.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86).
• Lahla imithi ephelelwe yisikhathi.

Inothi elibalulekile: Leli shidi lolwazi liyisifinyezo kuphela. Lingase lingabi nayo yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, sicela ukhulume nodokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo.

Okokugcina, izinto okufanele uzikhumbule

Kulungile, ngakho-ke ngithemba ukuthi unombono othile nge-Efavirenz. Khumbula, nakuba ukuphila ne-HIV kuyinselele, ngokwelashwa okufanele nokulandela iseluleko sikadokotela wakho, nawe ungaphila impilo evamile nenempilo.

• Thatha imithi yakho ngesikhathi esifanele, njengoba kuyalelwe udokotela wakho.
• Ungaphuthelwa yinoma yisiphi isikhathi.
• Uma unenkinga yokungakhululeki, izimpawu ezintsha, noma yini ekukhathazayo , ungakufihli bese utshela udokotela wakho.
• Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
• Hamba uyohlolwa njalo ngudokotela.
• Landela imikhuba ephephile ukuvimbela ukusabalala kwe-HIV.

Awuwedwa. Kukhona odokotela, abahlengikazi, kanye nabathandekayo bakho abakhona ukuzokusiza nokulalela imibuzo yakho. Cabanga kahle, hlala uqinile!

I - Efavirenz, i-Sustiva, i-HIV, i-AIDS, i-antiretroviral, imithi, ukwelashwa nge-HIV, imiphumela emibi, impilo