ILamivudine, iThebhulethi yomlomo

Umxholo

• Amagqabantshintshi ngelamivudine
• Yintoni ilamivudine?
• Kutheni isetyenziswa
• Ingaba isebenza kanjani
• Iziphumo ebezingalindelekanga zeLamivudine
• Iziphumo eziqhelekileyo ezichaphazelekayo
• Iziphumo ebezingalindelekanga ezimandundu
• I-Lamivudine inokusebenzisana namanye amayeza
• Emtricitabine
• I-Trimethoprim / sulfamethoxazole
• Iziyobisi eziqukethe i-sorbitol
• Ungayithatha njani i-lamivudine
• Umthamo wosulelo lwe-HIV
• Ukuqwalaselwa okhethekileyo kwedosi
• Umyinge wosulelo lwe-hepatitis B virus (HBV)
• Ukuqwalaselwa okhethekileyo kwedosi
• Izilumkiso zeLamivudine
• Isilumkiso se-FDA: ukusetyenziswa kwe-HBV kunye ne-HIV
  
• I-Lactic acidosis kunye nokwandiswa kwesibindi okunzima kunye nesilumkiso sesibindi esinamafutha
• Isilumkiso sepancreatitis
• Isilumkiso sesifo sesibindi
• Isilumkiso se-Immune reconstitution syndrome (IRS)
• Isilumkiso sokumelana neHBV
• Isilumkiso somzimba
• Izilumkiso zabantu abaneemeko ezithile zempilo
• Izilumkiso kwamanye amaqela
• Thatha njengoko kuyalelwe
• Ukuqwalaselwa okubalulekileyo kokuthatha i-lamivudine
• Ngokubanzi
• Ukugcina
• Ukuzalisa kwakhona
• Ukubeka iliso kwezonyango
• Ukufumaneka
• Ngaphambi kogunyaziso
• Ngaba zikhona ezinye iindlela?

Isilumkiso se-FDA

Eli chiza linesilumkiso esibhokisiweyo. Esi sisilumkiso esibi kakhulu esivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Isilumkiso esinebhokisi silumkisa oogqirha kunye nezigulana malunga neziyobisi ezinokuba yingozi.

• Ukuba unayo i-HBV kwaye uthathe i-lamivudine kodwa uyeke ukuyithatha, usulelo lwakho lwe-HBV lunokuba mandundu ngakumbi. Umboneleli wakho wezononophelo lwempilo kuya kufuneka akubeke esweni ngononophelo olukhulu ukuba oku kuyenzeka. Kwakhona, yazi ukuba xa i-lamivudine imiselwe usulelo lwe-HIV, ichazwe ngendlela eyahlukileyo. Sukusebenzisa i-lamivudine emiselweyo ukunyanga i-HIV. Ngendlela efanayo, ukuba unentsholongwane kaGawulayo, musa ukusebenzisa i-lamivudine emiselweyo ukunyanga usulelo lwe-HBV.

Amagqabantshintshi ngelamivudine

1. Ithebhulethi yomlomo yeLamivudine iyafumaneka njengechiza elenziwe lafana nelo lenziwa ngumenzi kunye negama elinegama lophawu. Igama lebrand: Epivir, Epivir-HBV.
2. ILamivudine iza njengecwecwe lomlomo kunye nesisombululo somlomo.
3. Ithebhulethi yomlomo yeLamivudine isetyenziselwa ukunyanga usulelo lwe-HIV kunye nosulelo lwe-hepatitis B (HBV).

Yintoni ilamivudine?

I-Lamivudine sisiyobisi sikagqirha. Iza njengecwecwe lomlomo kunye nesisombululo somlomo.

Ithebhulethi yomlomo yeLamivudine iyafumaneka njengegama lophawu lweziyobisi i-Epivir kunye ne-Epivir-HBV. Ikwafumaneka njengechiza elenza la machiza. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala exabisa ixabiso lawo kunexabiso lawo. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye iifom njengegama legama lophawu.

Ukuba uthatha i-lamivudine ukunyanga i-HIV, uyakuyithatha njengenxalenye yonyango oludibeneyo. Oko kuthetha ukuba kuyakufuneka uyithathe kunye namanye amayeza ukunyanga usulelo lwakho lwe-HIV.

Kutheni isetyenziswa

ILamivudine isetyenziselwa ukunyanga izifo ezimbini ezahlukeneyo zentsholongwane: i-HIV kunye ne-hepatitis B (HBV).

Ingaba isebenza kanjani

ILamivudine ikudidi lweziyobisi ekuthiwa zii-nucleoside reverse transcriptase inhibitors (NRTIs). Iklasi leziyobisi liqela lamayeza asebenza ngendlela efanayo. La machiza ahlala esetyenziselwa ukunyanga iimeko ezifanayo.

I-Lamivudine ayilunyangi usulelo lwe-HIV okanye lwe-HBV. Nangona kunjalo, iyanceda ukucothisa ukuqhubela phambili kwezi zifo ngokunciphisa amandla eentsholongwane zokuziphindaphinda (zenze iikopi zazo).

Ukuze uphinde uphinde usasaze emzimbeni wakho, i-HIV kunye ne-HBV kufuneka usebenzise i-enzyme ebizwa ngokuba yi-reverse transcriptase. Ii-NRTI ezinjenge-lamivudine ziyayithintela le enzyme. Eli nyathelo lithintela i-HIV kunye ne-HBV ekubeni zenze iikopi ngokukhawuleza, zinciphise ukusasazeka kweentsholongwane.

Xa i-lamivudine isetyenziswa yodwa ukunyanga i-HIV, inokukhokelela ekuxhathisweni ngamachiza. Kufuneka isetyenziswe ngokudibeneyo namanye amachiza ee-antiretroviral ubuncinci ukulawula i-HIV.

Iziphumo ebezingalindelekanga zeLamivudine

Ithebhulethi yomlomo yeLamivudine inokubangela iziphumo ebezingalindelekanga ezinobulali okanye ezinobuzaza. Olu luhlu lulandelayo luqulathe ezinye zeziphumo ebezingalindelekanga ezinokubakho ngelixa uthatha i-lamivudine. Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga ezinokubakho.

Ngolwazi oluthe kratya malunga neziphumo ebezingalindelekanga ezinokubakho ze-lamivudine, okanye iingcebiso ngendlela yokujongana nefuthe elibi, thetha nogqirha wakho okanye usokhemesti.

Iziphumo eziqhelekileyo ezichaphazelekayo

Iziphumo eziqhelekileyo eziqhelekileyo ezinokuthi zenzeke nge-lamivudine ziquka:

• ukukhohlela
• urhudo
• ukudinwa
• intloko ebuhlungu
• i-malaise (ukungakhululeki ngokubanzi)
• Iimpawu zeempumlo, ezinjengeempumlo ezibalekayo
• isicaphucaphu

Iziphumo ebezingalindelekanga ezimandundu

Shayela ugqirha wakho ngokukhawuleza ukuba unemiphumo emibi. Tsalela umnxeba ku-911 ukuba iimpawu zakho ziziva zisongela ubomi okanye ukuba ucinga ukuba unempilo kaxakeka. Iziphumo ebezingalindelekanga ezimandundu kunye neempawu zazo zinokubandakanya oku kulandelayo:

• I-Lactic acidosis okanye ukwanda kakhulu kwesibindi. Iimpawu zingabandakanya:
  • isisu esibuhlungu
  • urhudo
  • ukuphefumla nzulu
  • iintlungu zemisipha
  • ubuthathaka
  • uziva ubanda okanye unesiyezi
• Ipancreatitis. Iimpawu zingabandakanya:
  • ukudumba kwesisu
  • intlungu
  • isicaphucaphu
  • ukugabha
  • ukuthamba xa uchukumisa isisu
• Hypersensitivity okanye anaphylaxis. Iimpawu zingabandakanya:
  • Ngokukhawuleza okanye ngokukhawuleza
  • iingxaki zokuphefumla
  • urhwebo
• Isifo sesibindi. Iimpawu zingabandakanya:
  • umchamo omnyama
  • Ukuphelelwa ngumdla wokutya
  • ukudinwa
  • i-jaundice (isikhumba esityheli)
  • isicaphucaphu
  • ukuthamba kwindawo yesisu
• Usulelo lomngundo, inyumoniya, okanye isifo sephepha. Oku kunokuba ngumqondiso wokuba uhlangabezana ne-immune reconstitution syndrome.

I-Lamivudine inokusebenzisana namanye amayeza

Ithebhulethi yomlomo yeLamivudine inokusebenzisana namanye amayeza. Unxibelelwano olwahlukileyo kunokubangela iziphumo ezahlukeneyo. Umzekelo, ezinye zinokuphazamisa ukusebenza kakuhle kwesiyobisi, ngelixa ezinye zinokubangela ukwanda kweempembelelo.

Apha ngezantsi kukho uluhlu lwamayeza anokusebenzisana ne-lamivudine. Olu luhlu alunazo zonke iziyobisi ezinokuthi zisebenzisane ne-lamivudine.

Ngaphambi kokuba uthathe i-lamivudine, qiniseka ukuxelela ugqirha wakho kunye nosokhemisti malunga nawo onke amayeza, ekhawuntareni, kunye nezinye iziyobisi ozithathayo. Baxelele malunga nazo naziphi na iivithamini, amayeza esintu kunye nezixhasi ozisebenzisayo. Ukwabelana ngolu lwazi kunokukunceda uphephe unxibelelwano olunokubakho.

Ukuba unemibuzo malunga nokunxibelelana kweziyobisi okunokuchaphazela, buza ugqirha wakho okanye usokhemesti.

Emtricitabine

Musa ukuthatha i-emtricitabine ukuba uthatha ne-lamivudine. Zifana neziyobisi kwaye ukuzithatha kunye kunokonyusa iziphumo ezinobungozi ze-emtricitabine. Iziyobisi eziqukethe i-emtricitabine zibandakanya:

• Emtricitabine (Emtriva)
• emtricitabine / tenofovir disoproxil fumarate (Truvada)
• emtricitabine / tenofovir alafenamide fumarate (Descovy)
• i-efavirenz / emtricitabine / tenofovir disoproxil fumarate (Atripla)
• i-rilpivirine / emtricitabine / tenofovir disoproxil fumarate (iComplera)
• i-rilpivirine / emtricitabine / tenofovir alafenamide fumarate (i-Odefsey)
• Emtricitabine / tenofovir disoproxil fumarate / elvitegravir / cobicistat (Stribild)
• emtricitabine / tenofovir alafenamide fumarate / elvitegravir / cobicistat (iGenvoya)

I-Trimethoprim / sulfamethoxazole

Le nhlanganisela yokubulala iintsholongwane isetyenziselwa ukunyanga izifo ezahlukeneyo, kubandakanya usulelo lomchamo kunye nohudo. ILamivudine inokusebenzisana nala machiza. Thetha nogqirha wakho ukuba uthatha le ntsholongwane. Amanye amagama kuyo aquka:

• IBactrim
• I-Septra DS
• ICotrim DS

Iziyobisi eziqukethe i-sorbitol

Ukuthatha i-sorbitol kunye ne-lamivudine kunokunciphisa inani le-lamivudine emzimbeni wakho. Oku kunokuyenza ingasebenzi kakuhle. Ukuba kunokwenzeka, ukuphepha ukusebenzisa i-lamivudine kunye nawaphi na amayeza aqukethe i-sorbitol. Oku kubandakanya amayeza kagqirha kunye neka-counter. Ukuba kufuneka uthathe i-lamivudine ngamachiza ane-sorbitol, ugqirha wakho uya kuthi abeke esweni umthwalo wakho wentsholongwane ngokusondeleyo.

Ungayithatha njani i-lamivudine

Idosi ye-lamivudine emiselwe ngugqirha wakho iya kuxhomekeka kwizinto ezininzi. Oku kubandakanya:

• uhlobo kunye nobunzima bemeko oyisebenzisayo i-lamivudine ukunyanga
• iminyaka yakho
• uhlobo lwe-lamivudine oyithathayo
• ezinye iimeko zonyango onokuba nazo

Ngokuqhelekileyo, ugqirha wakho uya kukuqala kwiqondo eliphantsi kwaye ulungelelanise ixesha elide ukufikelela kumthamo olungele wena. Ekugqibeleni baya kumisela idosi encinci enika isiphumo esifunekayo.

Olu lwazi lulandelayo luchaza iidosi eziqhelekileyo ezisetyenziswayo okanye ezicetyiswayo. Nangona kunjalo, qiniseka ukuthatha idosi ekumisela ugqirha wakho. Ugqirha wakho uya kumisela eyona idosi ilungele iimfuno zakho.

Umthamo wosulelo lwe-HIV

Ngokwesiqhelo: ILamivudine

• Ifom: ithebhulethi yomlomo
• Amandla: 150 mg, 300 mg

Igama lebrand: Epivir

• Ifom: ithebhulethi yomlomo
• Amandla: 150 mg, 300 mg

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Umyinge oqhelekileyo: 300 mg yonke imihla. Le mali inokunikwa njenge-150 mg kabini ngemini, okanye i-300 mg kanye ngemini.

Idosi yomntwana (iminyaka eyi-3 ukuya kwi-17 iminyaka)

Idosi isekwe kubunzima bomntwana wakho.

• Umyinge oqhelekileyo: I-4 mg / kg, kabini ngemini, okanye i-8 mg / kg kanye yonke imihla.
  • Kubantwana abanobunzima be-14 kg (31 lbs) ukuya kwi-20 kg (44 lbs): 150 mg kanye ngemini, okanye i-75 mg kabini yonke imihla.
  • Kubantwana abanobunzima obungama-20 (44 lbs) ukuya kwi -25 kg (55 lbs): 225 mg kanye yonke imihla, okanye i-75 mg kusasa kunye ne-150 mg ngokuhlwa.
  • Kubantwana abanobunzima obungama-25 kg (55 lbs): 300 mg kanye yonke imihla, okanye i-150 mg kabini yonke imihla.

Umthamo womntwana (iminyaka eyi-0-2 iinyanga)

Umthamo wabantwana abangaphantsi kweenyanga ezintathu awusekwanga.

Ukuqwalaselwa okhethekileyo kwedosi

• Kubantwana nakwabanye abangenako ukugwinya iipilisi: Abantwana kunye nabanye abangakwaziyo ukuginya iipilisi banokuthatha isisombululo somlomo endaweni yoko. Umthamo usekwe kubunzima bomzimba. Ugqirha womntwana wakho uya kugqiba umyinge. Le fom yeethebhulethi iyathandwa kubantwana abanobunzima obungama-31 eekhilogram (14 kg) kwaye banokuginya iipilisi.
• Kubantu abanesifo sezintso: Izintso zakho azinakucwangcisa i-lamivudine egazini lakho ngokukhawuleza ngokwaneleyo. Ugqirha wakho unokukunika idosi engezantsi ukuze inqanaba leziyobisi lingaphakami kakhulu emzimbeni wakho.

Umyinge wosulelo lwe-hepatitis B virus (HBV)

Igama lebrand: I-Epivir-HBV

• Ifom: ithebhulethi yomlomo
• Amandla: 100 mg

Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)

• Umyinge oqhelekileyo: 100 mg kanye ngemini.

Umthamo womntwana (iminyaka eyi-2-17 iminyaka)

Idosi isekwe kubunzima bomntwana wakho. Kubantwana abadinga ngaphantsi kwe-100 mg ngosuku, kufuneka bathathe isisombululo somlomo sesi siyobisi.

• Umyinge oqhelekileyo: 3 mg / kg kanye ngemini.
• Ubuninzi besilinganiso: 100 mg yonke imihla.

Idosi yomntwana (iminyaka eyi-0-1 iminyaka)

Umthamo wabantwana abangaphantsi kweminyaka emi-2 awusekwanga.

Ukuqwalaselwa okhethekileyo kwedosi

• Kubantwana nakwabanye abangenako ukugwinya iipilisi: Abantwana kunye nabanye abangakwaziyo ukuginya iipilisi banokuthatha isisombululo somlomo endaweni yoko. Umthamo usekwe kubunzima bomzimba. Ugqirha womntwana wakho uya kugqiba umyinge.
• Kubantu abanesifo sezintso: Izintso zakho azinakucwangcisa i-lamivudine egazini lakho ngokukhawuleza ngokwaneleyo. Ugqirha wakho unokukunika idosi engezantsi ukuze inqanaba leziyobisi lingaphakami kakhulu emzimbeni wakho.

Izilumkiso zeLamivudine

Eli chiza liza nezilumkiso ezininzi.

Isilumkiso se-FDA: ukusetyenziswa kwe-HBV kunye ne-HIV

• Eli chiza linesilumkiso sebhokisi emnyama. Isilumkiso sebhokisi emnyama sisilumkiso esinzulu esivela kuLawulo lokutya kunye noLawulo lweziyobisi (FDA). Isilumkiso sebhokisi emnyama silumkisa oogqirha kunye nezigulana malunga neziphumo zeziyobisi ezinokuba yingozi.
• Ukuba unayo i-HBV kwaye uthathe i-lamivudine kodwa uyeke ukuyithatha, usulelo lwakho lwe-HBV lunokuba mandundu ngakumbi. Umboneleli wakho wezononophelo lwempilo kuya kufuneka akubeke esweni ngononophelo olukhulu ukuba oku kuyenzeka. Kwakhona, qaphela ukuba i-lamivudine emiselwe usulelo lwe-HIV yokomelela okwahlukileyo. Sukusebenzisa i-lamivudine emiselweyo ukunyanga i-HIV. Ngendlela efanayo, ukuba unentsholongwane kaGawulayo, musa ukusebenzisa i-lamivudine emiselweyo ukunyanga usulelo lwe-HBV.

I-Lactic acidosis kunye nokwandiswa kwesibindi okunzima kunye nesilumkiso sesibindi esinamafutha

Ezi meko zenzekile kubantu abathatha i-lamivudine, uninzi lwenzeka kwabafazi. Ukuba unempawu zale meko, biza ugqirha wakho ngoko nangoko. Ezi mpawu zinokubandakanya iintlungu zesisu, urhudo, ukuphefumla nzulu, iintlungu zemisipha, ubuthathaka, kunye nokuziva ubanda okanye unesiyezi.

Isilumkiso sepancreatitis

I-Pancreatitis, okanye ukudumba kwepancreas, kuye kwenzeka kakhulu kunqabile kubantu abathatha i-lamivudine. Iimpawu zepancreatitis zibandakanya ukuqunjelwa sisisu, iintlungu, isicaphucaphu, ukugabha kunye nokuthantamisa xa uchukumisa isisu. Abantu abaye baba ne-pancreatitis kwixa elidlulileyo banokuba semngciphekweni omkhulu.

Isilumkiso sesifo sesibindi

Unokuphuhlisa isifo sesibindi ngelixa uthatha eli chiza. Ukuba sele unayo i-hepatitis B okanye i-hepatitis C, i-hepatitis yakho inokuya isiba mandundu. Iimpawu zesifo sesibindi zinokubandakanya umchamo omnyama, ukuphelelwa ngumdla, ukukhathala, i-jaundice (isikhumba esityheli), isicaphucaphu kunye nokuthamba kwindawo yesisu.

Isilumkiso se-Immune reconstitution syndrome (IRS)

Nge-IRS, amajoni akho omzimba aphilayo abangela usulelo obukade unalo ukubuya. Imizekelo yosulelo oludlulileyo olunokubuya lubandakanya usulelo lokungunda, inyumoniya, okanye isifo sephepha. Ugqirha wakho unokufuna ukunyanga usulelo oludala ukuba oku kuyenzeka.

Isilumkiso sokumelana neHBV

Olunye usulelo lwe-HBV lunokunganyangeki kunyango lwe-lamivudine. Xa oku kusenzeka, iyeza alisakwazi ukuyicoca intsholongwane emzimbeni wakho. Ugqirha wakho uza kujonga amanqanaba akho e-HBV esebenzisa uvavanyo lwegazi, kwaye unokucebisa ngonyango olwahlukileyo ukuba amanqanaba akho e-HBV ahlala ephezulu.

Isilumkiso somzimba

Ukuba ufumana ivili, imingxunya, okanye iingxaki zokuphefumla emva kokuthatha eli chiza, unokuba ulwalamano nalo. Yeka ukuthatha kwangoko kwaye uye kwigumbi likaxakeka okanye tsalela umnxeba ku-911.

Ukuba ubukhe wadibana ne-lamivudine kwixa elidlulileyo, ungaphindi uyithathe. Ukuyithatha kwakhona kunokuba yingozi (kubangele ukufa).

Izilumkiso zabantu abaneemeko ezithile zempilo

Kubantu abane-hepatitis C: Ukuba unentsholongwane kaGawulayo kunye nosulelo lwe-hepatitis C (HCV) kwaye uthathe i-interferon kunye ne-ribavirin kusulelo lwe-HCV, unokufumana umonakalo wesibindi. Ugqirha wakho kufuneka abeke iliso kumonakalo wesibindi ukuba udibanisa i-lamivudine nala machiza.

Kubantu abanePancreatitis: Abantu ababene-pancreatitis kwixa elidlulileyo banokuba semngciphekweni omkhulu wokuphinda babe kwimeko kwakhona xa besebenzisa eli chiza. Iimpawu zepancreatitis zinokubandakanya ukuqaqamba kwesisu, iintlungu, isicaphucaphu, ukugabha kunye nokuthantamisa xa uchukumisa isisu.

Kubantu abanomsebenzi wokunciphisa izintso: Ukuba unesifo sezintso okanye unciphise umsebenzi wezintso, izintso zakho azinakucwangcisa i-lamivudine emzimbeni wakho ngokukhawuleza ngokwaneleyo. Ugqirha wakho unokunciphisa idosi yakho ukuze iyeza lingakhi emzimbeni wakho.

Izilumkiso kwamanye amaqela

Abafazi abakhulelweyo: Akukho zifundo zaneleyo nezilawulwa kakuhle ze-lamivudine kwabasetyhini abakhulelweyo.I-Lamivudine kufuneka isetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho singaphezulu kobungozi bokukhulelwa.

Biza ugqirha wakho ukuba ukhulelwe ngelixa uthatha eli chiza.

Kubafazi abancancisayo:

• Kwabasetyhini abane-HIV: Icebisa ukuba abafazi baseMelika abane-HIV bangancancisi ukuze kuthintelwe ukuhambisa i-HIV ngobisi lwebele.
• Abafazi abane-HBV: I-Lamivudine iyadlula kubisi lwebele. Nangona kunjalo, akukho zifundo zaneleyo zibonisa iimpembelelo ezinokuba nazo kumntwana oncanciswa, okanye kwimveliso yobisi lukamama.

Ukuba uncelisa umntwana wakho, thetha nogqirha wakho. Xoxa ngezibonelelo zokuncancisa, kunye nemingcipheko yokubeka umntwana wakho kwi-lamivudine xa kuthelekiswa nomngcipheko wokungafumani nyango kwimeko yakho.

Kubantu abadala: Ukuba uneminyaka engama-65 okanye ngaphezulu, umzimba wakho unokuqhubekeka neli chiza kancinci. Ugqirha wakho unokukuqala kwidosi eyehlisiweyo ukuze okuninzi kwesi siyobisi kungakhi emzimbeni wakho. Amayeza amaninzi emzimbeni wakho anokuba yityhefu.

Thatha njengoko kuyalelwe

I-Lamivudine isetyenziselwa unyango lwexesha elide. Kunokubakho iziphumo ezibi kakhulu zempilo ukuba awulithathi eli chiza kanye ngendlela akuxelela ngayo ugqirha wakho.

Ukuba uyeka ukuthatha ichiza okanye ungayithathi kwaphela: Usulelo lwakho lunokuba lubi ngakumbi. Unokuba nosulelo olunzulu kakhulu kunye neengxaki ze-HIV okanye ze-HBV.

Ukuba uphosa idosi okanye awuthathi ichiza kwishedyuli: Ukuthatha eli chiza ngaxeshanye yonke imihla kukonyusa amandla akho okugcina intsholongwane ilawulwa. Ukuba awukwenzi oko, uzibeka emngciphekweni wokosuleleka.

Yintoni omele uyenze xa uphosa idosi: Ukuba ulibale ukuthatha idosi yakho, yithabathe kwangoko xa ukhumbula. Ukuba ziiyure nje ezimbalwa kude kufike idosi yakho elandelayo, linda kwaye uthathe idosi yakho yesiqhelo ngexesha eliqhelekileyo.

Thatha ipilisi enye ngexesha. Ungaze uzame ukubamba ngokuthatha iipilisi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyingozi.

Ungaxela njani ukuba ichiza liyasebenza: Ukubona ukuba unyango lwakho lusebenza njani, ugqirha wakho uya kujonga:

• Iimpawu
• Umthwalo wentsholongwane. Bayakwenza ubalo lwentsholongwane ukulinganisa inani leekopi zentsholongwane ye-HIV okanye ye-HBV emzimbeni wakho.
• Inani leeseli ze-CD4 (ze-HIV kuphela). Ubalo lwe-CD4 luvavanyo olulinganisa inani leeseli ze-CD4 emzimbeni wakho. Iiseli ze-CD4 ziiseli ezimhlophe zegazi ezilwa nosulelo. Ukwanda kwenani le-CD4 luphawu lokuba unyango lwakho lwe-HIV luyasebenza.

Ukuqwalaselwa okubalulekileyo kokuthatha i-lamivudine

Gcina ezi ngqwalaselo engqondweni ukuba ugqirha wakho ukumisela i-lamivudine.

Ngokubanzi

• Ungathatha i-lamivudine kunye okanye ngaphandle kokutya.
• Unokusika okanye utyumle ithebhulethi ye-lamivudine.
• Ukuba unengxaki yokusebenzisa ifom yecwecwe leziyobisi, buza ugqirha wakho malunga nefom yesisombululo.

Ukugcina

• Gcina iipilisi ze-lamivudine kubushushu begumbi phakathi kwama-68 ° F kunye nama-77 ° F (20 ° C nama-25 ° C).
• Amacwecwe ngamanye amaxesha anokuba kumaqondo obushushu aphakathi kwe-59 ° F kunye ne-86 ° F (15 ° C kunye ne-30 ° C).
• Gcina iibhotile zamacwecwe zivalwe ngokuqinileyo ukuzigcina zintsha kwaye zinamandla.
• Sukugcina eli yeza kwiindawo ezifumileyo okanye ezimanzi, ezinjengezindlu zangasese.

Ukuzalisa kwakhona

Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.

Ukubeka iliso kwezonyango

Ukubeka iliso kunyango ngelixa uthatha eli chiza kunokubandakanya:

• ukuqeshwa nogqirha wakho
• ukuvavanywa kwegazi maxa wambi kokusebenza kwesibindi kunye ne-CD4 count
• olunye uvavanyo

Ukufumaneka

• Tsalela umnxeba phambili: Ayizizo zonke iikhemesti ezigcina eli chiza. Xa ugcwalisa amayeza akho, qiniseka ukutsalela umnxeba phambili ukuze uqiniseke ukuba bayawenza.
• Imali encinci: Ukuba ufuna amacwecwe ambalwa kuphela, kuya kufuneka ubize ikhemesti yakho kwaye ubuze ukuba ngaba lihambisa inani elincinci leepilisi kuphela. Ezinye iikhemesti azikwazi ukuhambisa kuphela inxenye yebhotile.
• Iikhemesti ezikhethekileyo: Eli chiza lihlala lifumaneka kwiikhemesti ezikhethekileyo ngesicwangciso sakho seinshurensi. Ezi khemesti zisebenza njengee-pharmacy zoku-odola ngeposi kwaye zilithumele kuwe eli chiza.
• Iikhemesti ze-HIV: Kwiidolophu ezinkulu, kuya kuhlala kukho iikhemesti ze-HIV apho unokuthi ugcwalise imigqaliselo yakho. Buza ugqirha wakho ukuba kukho ikhemesti ye-HIV kwindawo yakho.

Ngaphambi kogunyaziso

Iinkampani ezininzi zeinshurensi zifuna ukugunyazwa kwangaphambili kwesi siyobisi. Oku kuthetha ukuba ugqirha wakho uyakufuna ukufumana imvume kwinkampani yeinshurensi ngaphambi kokuba inkampani yakho yeinshurensi ihlawule amayeza.

Ngaba zikhona ezinye iindlela?

Zininzi iziyobisi kunye nendibaniselwano ezinokunyanga usulelo lwe-HIV kunye ne-HBV. Ezinye zinokukulungela ngakumbi kunezinye. Thetha nogqirha wakho malunga nezinye iindlela ezinokwenzeka.

Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.