Ingabe udokotela wakho ukutshelile ukuthi une-Hepatitis C? Ingabe ukunike lo muthi obizwa ngokuthi i-Vosevi njengokwelashwa kwawo? Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Njengoba lo muthi uyinkimbinkimbi, ngizokuchazela wona ngesiSinhala, njengokungathi ukhuluma nomngane. Ake sixoxe nje ngalo muthi, ukuthi uwusebenzisa kanjani, kanye nezinto okufanele uziqaphele.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo umuthi olwa namagciwane. Okusho ukuthi, umuthi olawula futhi uqede inani legciwane emzimbeni. Wenzelwe ngqo ukwelapha ukutheleleka ngegciwane okubizwa ngokuthi i-Hepatitis C. I-Hepatitis C igciwane elilimaza isibindi. Lo muthi uvimba igciwane ukuthi lingaphindaphindeki (likhule) emzimbeni.
Lo muthi unezithako ezintathu ezisebenzayo eziyinhloko: iSofosbuvir, iVelpatasvir, kanye neVoxilaprevir. Zonke ezintathu zisebenza ndawonye ukulwa negciwane.
Into ebaluleke kakhulu ukuthi lo muthi awufaneleki ezifweni ezivamile zamagciwane njengomkhuhlane kanye ne-flu. Usetshenziswa kuphela kwi-hepatitis C.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngenxa yokuthi lo muthi unamandla kakhulu, kubaluleke kakhulu ukunikeza udokotela wakho ukulandisa okuphelele ngempilo yakho ngaphambi kokuqala ukwelashwa. Uma unezinye zalezi zimo, qiniseka ukuthi uyamtshela.
- Uma unesifo sikashukela .
- Uma une -HIV noma i-AIDS .
- Uma uke waba nesifo sesibindi noma okwamanje unesifo esingesona i-hepatitis C, okuhlanganisa i-hepatitis B (HBV) .
- Uma ukhulelwe noma uhlela ukukhulelwa maduze .
- Uma ungumama oncelisayo .
- Uma une -allergy ku-Sofosbuvir, Velpatasvir, Voxilaprevir, noma yimuphi omunye umuthi, ukudla, noma idayi equkethwe kulo muthi.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha.
Ngingawusebenzisa kanjani umuthi?
Ukuthatha umuthi njengoba nje udokotela ekuyalile kubaluleke kakhulu ukuze ukwelashwa kuphumelele.
- Leli iphilisi eliphuzwayo. Liphuze nengilazi yamanzi.
- Kubalulekile ukuthatha lo muthi kanye nokudla. Ungawuthathi esiswini esingenalutho.
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke ngangokunokwenzeka. Lokhu kuzosiza ukugcina umuthi usebenza ezingeni elifanayo emzimbeni wakho.
- Noma uzizwa kahle,Thatha yonke imithi oyinikezwe udokotela wakho. Ungayeki ukuyithatha phakathi nendawo. Ukwenza kanjalo kungabangela ukuthi igciwane liphinde libuye.
- Uma ucabanga ukuthi uphuze umuthi omningi , ungesabi bese ushayela ucingo ngokushesha eNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kuseduze kakhulu nesikhathi somthamo wakho olandelayo (isibonelo, kusele amahora ambalwa nje), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi umthamo ophindwe kabili nganoma yisiphi isizathu.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Lena yingxenye ebaluleke kakhulu. Eminye imithi oyithathayo ingathinta indlela lo muthi osebenza ngayo. Futhi, lo muthi ungashintsha indlela eminye imithi esebenza ngayo. Ngakho-ke, yazisa udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, ethengwe ekhemisi), amavithamini, ngisho nemikhiqizo yamakhambi .
| Uhlobo lomuthi | Izinto okufanele uzicabangele |
|---|---|
| Ungawuthathi lo muthi kanye nanoma yimuphi omunye umuthi. | |
| I-Rifampin (umuthi wesifo sofuba) | Lokhu kungavimba ngokuphelele iVosevi ekusebenzeni. |
| Qiniseka ukuthi utshela udokotela wakho uma uthatha lo muthi. | |
| Eminye imithi yesifo senhliziyo | Isibonelo: i-Amiodarone, i-Digoxin, i-Dabigatran, i-Warfarin |
| Imithi yokwehlisa i-cholesterol (ama-statin) | Isibonelo: i-Atorvastatin, i-Rosuvastatin, i-Simvastatin |
| Imithi yokwelapha i-gastritis (ama-antacid) | Isibonelo: I-Omeprazole, i-Famotidine, i-Cimetidine kanye nemithi yoketshezi. (Lena ingadinga ukuthathwa ngezikhathi ezahlukene.) |
| Imithi yokwelapha ukuxhuzula/ ukuxhuzula | Isibonelo: i-Carbamazepine, i-Phenobarbital, i-Phenytoin |
| Eminye imithi ye-HIV/AIDS | Isibonelo: i-Efavirenz, i-Tenofovir |
| I-St. John's Wort (umkhiqizo wezitshalo) | Lokhu kunganciphisa ukusebenza kahle kwe-Vosevi. |
| Eminye imithi | Eminye imithi eminingi efana neCyclosporine, Rifabutin, Methotrexate, neTopotecan. |
Izinto okufanele uziqaphele kakhulu lapho uthatha umuthi
- Ama-aphoyintimenti okulandelela: Qiniseka ukuthi uyawagcina ama-aphoyintimenti kadokotela wakho. Ngesikhathi sokwelashwa, kungadingeka ukuthi uhlolwe igazi ukuze kuhlolwe ukusebenza kwesibindi sakho kanye nomthamo wegciwane.
- Ukuvuselelwa kwe-Hepatitis B (HBV): Lokhu kubaluleke kakhulu. Uma wake waba nokutheleleka kwe-hepatitis B (HBV) ngaphambili, igciwane le-HBV elingasebenzi lingase liphinde lisebenze ngenkathi uthatha lo muthi. Ngakho-ke, kubalulekile ukutshela udokotela wakho uma uke waba ne-HBV ngaphambili. Uma lokhu kwenzeka, udokotela wakho uzokuqapha eduze.
- Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungabangela izinguquko emazingeni kashukela egazini lakho. Ngakho-ke, hlola amazinga kashukela egazini lakho njalo. Uma kudingeka, khuluma nodokotela wakho mayelana nokuthi udinga ukwenza izinguquko ekudleni kwakho noma emithini yesifo sikashukela.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa kubalulekile ukuqaphela.
| Umphumela Ongemuhle | Okufanele ngikwenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
| Izimpawu zokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ubuso, ulimi, ubunzima bokuphefumula. | Shayela udokotela wakho ngokushesha noma uye e-ETU esibhedlela esiseduze. |
| Izimpawu zokulimala kwesibindi: umchamo ophuzi/onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, indle ephaphathekile, ukulahlekelwa yisifiso sokudla, ukuhlanza, kanye nokuzizwa ukhathele. | |
| Ikhanda elibuhlungu kakhulu, isiyezi, isimo sengqondo sokucindezeleka. | |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa ingaba yinkinga | |
| Ikhanda elibuhlungu | Uma lokhu kuqhubeka noma kukukhathaza, yazisa udokotela wakho. |
| Ukukhathala | |
| Isicanucanu | |
| Uhudo | |
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi (i-Vosevi) usetshenziswa kuphela ukwelapha ukutheleleka ngegciwane le-hepatitis C.
- Njalo thatha umuthi kanye nokudla. Ungawuthathi esiswini esingenalutho.
- Thatha umuthi isikhathi sonke osinikwe udokotela. Ungayeki ukuwuthatha noma ngabe uzizwa ungcono.
- Qiniseka ukuthi utshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma ubona izimpawu zokulimala kwesibindi, njengokuphuzi kwamehlo, umchamo omnyama, noma ukuzizwa ukhathele, yazisa udokotela wakho ngokushesha.
- Uma unemibuzo noma ukukhathazeka ngalo muthi, kungcono ukubuza udokotela okwelaphayo ngawo kunokusesha i-inthanethi.
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