Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Rilpivirine ukulawula ukutheleleka kwakho yi-HIV? Ngakho-ke namuhla sizoxoxa ngalo muthi, ukuthi wenzani emizimbeni yethu, ukuthi ungawusebenzisa kanjani ngendlela efanele, nokuthi yini okudingeka siyiqaphele kakhulu lapho sithatha lo muthi. Cabanga ngalokhu njengengxoxo nomngane wakho omkhulu.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Rilpivirine umuthi osiza ekuphatheni izimpawu zokutheleleka nge-HIV ngokunciphisa ukusabalala kwegciwane le-HIV emzimbeni.
Kodwa kubalulekile ukukhumbula lokhu: Lomuthi awulona ikhambi le-HIV noma i-AIDS. Futhi, kusenethuba lokuthi ungadlulisela igciwane le-HIV komunye umuntu ngenkathi uthatha lomuthi. Ngakho-ke, kubalulekile ukulandela izindlela eziphephile. Lomuthi awuvimbeli ezinye izifo ezithathelwana ngocansi (ama-STI).
I-EDURANT igama elaziwayo lalo muthi emakethe.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle ngesimo sakho sempilo ngaphambi kokukunikeza lo muthi. Uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
- Uma unesifo senhliziyo .
- Uma unezinkinga ezihlobene nezinso .
- Uma unesifo sesibindi .
- Uma unezinkinga zempilo yengqondo (njengokucindezeleka).
- Uma wake waba nokungezwani komzimba noma ukusabela okungajwayelekile ku-Rilpivirine noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma uzama ukukhulelwa noma usuvele ukhulelwe .
- Uma ungumama oncelisayo .
Ukukhuluma ngokukhululekile nodokotela wakho ngalezi zinto kubaluleke kakhulu ukuze uphephe.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi kulo muthi, kubalulekile ukuwuthatha ngendlela efanele.
- Thatha kanye nokudla: Leli philisi kufanele liphuzwe nengilazi yamanzi. Into ebaluleke kakhulu ukuliphuza kanye nokudla. Kungcono ukuthatha iphilisi ekuqaleni kokudla.
- Yithathe ngesikhathi, ungeqi imithamo: Thatha umuthi wakho nsuku zonke, njengoba nje udokotela wakho ekuyalele. Ungeqi imithamo. Uma wenza kanjalo, igciwane lingaba sengozini hhayi kuphela kulo muthi, kodwa nakweminye imithi. Lokho kusho ukuthi umuthi ungase ungasebenzi kahle.
- Ungayeki kuze kube yilapho udokotela wakho ekutshele ukuthi: Qhubeka nokusebenzisa lo muthi kuze kube yilapho udokotela wakho ekutshele ukuthi uyeke.
Qaphela kakhulu uma uyisebenzisa kanye nomuthi we-gastritis.
Uma uthatha imithi ye-gastritis, udinga ukunaka kakhulu lokhu.
- Ama-antacid: Uma uthatha ama-antacid aqukethe i-aluminium, i-calcium carbonate, noma i-magnesium hydroxide (isib. i-Digene, i-Gelusil), akufanele uwathathe ngesikhathi esifanayo ne-Rilpivirine. Ama-antacid kufanele athathwe emahoreni ama-2 ngaphambi noma emahoreni ama-4 ngemuva kokuthatha i-Rilpivirine.
- Ama-H2-receptor antagonists: Uma uthatha imithi efana ne-famotidine, i-cimetidine, i-nizatidine, noma i-ranitidine, kufanele uyithathe ngesikhathi esihlukile. Kufanele uthathe le mithi emahoreni ayi-12 ngaphambi noma emahoreni ama-4 ngemuva kokuthatha i-Rilpivirine.
Uma ungaqondi kahle lezi zikhathi, cela udokotela wakho futhi ukuthi akuqinisekise.
Uma uyinika izingane
Lo muthi unganikezwa izingane ezingaphezu kweminyaka eyi-12 kwezinye izimo ezikhethiwe. Kodwa-ke, udinga izinyathelo zokuphepha ezikhethekile, ngakho khuluma nodokotela wakho ngawo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Singase sikhohlwe ukuphuza umuthi ofanayo nsuku zonke. Uma lokho kwenzeka, nakhu okufanele ukwenze:
- Uma ukhumbula zingakapheli amahora ayi-12 kusukela ngesikhathi okufanele uthathe ngaso umuthi, thatha ngokushesha ngangokunokwenzeka ngesikhathi sokudla. Thatha umthamo olandelayo ngesikhathi esijwayelekile.
- Kodwa-ke, uma ukhumbula amahora angaphezu kwe-12 ngemva kwesikhathi esibekiwe, ungaphuzi umthamo ongawusebenzisi. Yeqa bese uphuza umthamo olandelayo ngesikhathi esibekiwe.
- Ungalokothi uthathe umthamo ophindwe kabili noma imithamo eyengeziwe.
Ukusabela okungekuhle okungenzeka (ukusebenzisana) nalo muthi
Eminye imithi ingabangela izinkinga ezinkulu uma ithathwa nge-Rilpivirine. Ngakho-ke, kubalulekile ukutshela udokotela wakho uma uthatha noma yimiphi imithi ebhalwe ngezansi.
| Imithi okungafanele ithathwe neRilpivirine | |
|---|---|
| Umuthi wokutheleleka kwesikhunta | i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, i-voriconazole |
| Umuthi wokwelapha ukuxhuzula | i-carbamazepine, i-oxcarbazepine, i-phenobarbital, i-phenytoin |
| Eminye imithi yokwelapha i-gastritis (ukuvuvukala kwesisu) | i-esomeprazole, i-pantoprazole, i-omeprazole, i-lansoprazole, i-rabeprazole |
| Okunye | I-Cisapride, i-Dexamethasone (ngaphezu komthamo owodwa), i-Dronedarone, i-Lumacaftor/ivacaftor, i-Pimozide, i-Rifampin, i-Rifapentine, i-St. John's Wort, i-Thioridazine |
Ngaphezu kwalolu hlu, eminye imithi ingasebenzisana nalokhu. Isibonelo:
- Amanye ama -antibiotic afana ne-clarithromycin ne-erythromycin.
- I-Methadone
- Eminye imithi yokulwa namagciwane ye-HIV.
- Eminye imithi ebangela ushintsho ekushayeni kwenhliziyo.
Ngakho-ke, kungcono ukunikeza udokotela wakho uhlu oluphelele lwazo zonke izidakamizwa ozithathayo (kufaka phakathi amavithamini, imikhiqizo yamakhambi, kanye nemithi ethengiswa ngaphandle kwemithi kadokotela).
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Bona udokotela wakho ngezikhathi ezithile ukuze uhlole inqubekela phambili yokwelashwa kwakho. Khuluma naye nganoma yiziphi izimpawu ezintsha onazo. Kungase kudingeke futhi ukuthi uhlolwe igazi.
- Ukuvimbela ukusabalala kwe-HIV: I-HIV isakazeka ngokuxhumana ngokocansi noma ngegazi. Khuluma nodokotela wakho mayelana nendlela yokuyivimbela.
- Ukusabela okukhulu kwesikhumba: Abanye abantu bangase babe nokusabela okukhulu kwesikhumba ngisho nangemva kwamasonto ambalwa besebenzisa lo muthi. Tshela udokotela wakho ngokushesha uma uba nokuqhuma okunezimpawu ezifana nomkhuhlane noma ukubanda. Lokhu kuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala futhi isikhumba singase siqale ukuqhekeka. Futhi, ungawushayi indiva ukuqhuma okubomvu okunokuvuvukala kobuso, izindebe, noma ama-lymph node avuvukele entanyeni noma emakhwapheni.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, i-Rilpivirine ingabangela imiphumela emibi. Eminye iyingozi kakhulu, kanti eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukungezwani komzimba noma i-Angioedema | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, kanye nokukhathala okungavamile. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu, ukuqubuka, kanye nokuqhekeka kwesikhumba, kuhlanganise nangaphakathi emlonyeni. |
| Izinguquko zempilo yengqondo | Imicabango yokuzilimaza, ukushintshashintsha kwemizwelo, imizwa yokucindezeleka. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
|---|---|
| Ikhanda elibuhlungu | Ubunzima bokulala |
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Uyivikela kanjani imithi yakho?
- Gcina kude nezingane: Gcina kude nezingane nezilwane ezifuywayo.
- Izinga lokushisa elifanele: Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20-25).
- Vikela ekukhanyeni: Gcina umuthi ebhodleleni lokuqala owafika kulo. Lokhu kuzosiza ekuvimbeleni umonakalo ovela ekukhanyeni.
- Imithi ephelelwe yisikhathi: Ungayisebenzisi nganoma yisiphi isizathu ngemva kosuku lokuphelelwa yisikhathi. Yilahle ngendlela efanele.
Umlayezo Wokuya Nawe Ekhaya
- I-Rilpivirine umuthi olawula igciwane lesandulela ngculaza, kodwa awulona ikhambi.
- Leli philisi kufanele lithathwe kanye nokudla .
- Ungayeki ukuthatha imithi nganoma yisiphi isizathu. Ungayeki ukuthatha imithi kuze kube yilapho udokotela wakho ekuyala ukuthi uyeke.
- Tshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo (ikakhulukazi imithi ye-gastritis).
- Uma uhlangabezana nemiphumela emibi kakhulu, njengemivimbo yesikhumba noma ukuqubuka kanye nomkhuhlane, funa iseluleko sezokwelapha ngokushesha .
- Uma unemibuzo noma ukukhathazeka ngalo muthi, ungesabi ukuxoxa ngawo nodokotela wakho.
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