Indlela yokuLawula iintlungu ze-HIV

Umxholo

• Ukufumana uncedo lwentlungu engapheliyo
• Ubudlelwane phakathi kwe-HIV kunye nentlungu engapheliyo
• Ukufumana unyango olufanelekileyo kwiintlungu ezinxulumene ne-HIV
• Intlungu ezingezizo i-opioid ziyabuyisa
• I-anesthetics yezihloko
• Iipioids
• Intsholongwane kaGawulayo
• Thetha nomboneleli wezempilo

Ukufumana uncedo lwentlungu engapheliyo

Abantu abaphila ne-HIV bahlala befumana iintlungu ezingapheliyo, okanye zexesha elide. Nangona kunjalo, izizathu ezingqalileyo zale ntlungu ziyahluka. Ukuchonga unobangela weentlungu ezinxulumene ne-HIV kunokunceda ukunciphisa iindlela zokonyango, ke kubalulekile ukuba uthethe ngale mpawu kunye nomboneleli wezempilo.

Ubudlelwane phakathi kwe-HIV kunye nentlungu engapheliyo

Abantu abaphila ne-HIV banokufumana iintlungu ezingapheliyo ngenxa yosulelo okanye amayeza ayinyangayo. Ezinye izinto ezinokubangela iintlungu zibandakanya:

• ukudumba kunye nomonakalo wemithambo-luvo obangelwe lusulelo
• ukwehlisa ukhuseleko kwiziphumo ze-HIV kumajoni omzimba
• iziphumo ebezingalindelekanga zonyango lwe-HIV

Iintlungu ezibangelwa yi-HIV zihlala zinyangeka. Nangona kunjalo, iintlungu ezinxulumene ne-HIV zihlala zixelwa kwaye ziye zinganyangwa. Ukuvuleleka malunga nolu phawu kunika ababoneleli ngezempilo ukuba bafumane unobangela othe ngqo kunye nokulungelelanisa isicwangciso sonyango seentlungu ezisebenza kunye nonyango lwe-HIV.

Ukufumana unyango olufanelekileyo kwiintlungu ezinxulumene ne-HIV

Ukunyanga iintlungu ezingapheliyo ezinxulumene ne-HIV kufuna ulungelelwaniso olubuthathaka phakathi kokuthomalalisa iintlungu kunye nokuthintela iingxaki. Amayeza amaninzi e-HIV anokuphazamisa amayeza eentlungu kunye nokunye. Kwakhona, iintlungu ezinxulumene ne-HIV kunokuba nzima ukuzinyanga kunezinye iintlobo zentlungu engapheliyo.

Ababoneleli ngezempilo kufuneka baqwalasele ezi zinto zilandelayo xa becebisa unyango lweentlungu ezinxulumene ne-HIV:

• amayeza athathwayo, kubandakanya iziyobisi ezingathengiswayo, iivithamini, izongezo, kunye neemveliso zamayeza
• Imbali yonyango lwe-HIV
• Imbali yeemeko zonyango ukongeza kwi-HIV

Amanye amayeza anokunyusa uvakalelo lwentlungu kubantu abane-HIV. Ngenxa yoku, umboneleli wezempilo unokuqala ukucebisa ngokuyeka amayeza athile okanye ukunciphisa idosi ukubona ukuba kuyanceda na ukusombulula iintlungu.

Nangona kunjalo, umntu one-HIV akaze ayeke ukuthatha nawaphi na amayeza kagqirha ngaphandle kokubonisana kuqala nomboneleli wakhe wezempilo.

Ukuba ukuyeka okanye ukunciphisa amayeza athile akusebenzi okanye akunakwenzeka, enye yezi zonyango zilandelayo zinokucetyiswa:

Intlungu ezingezizo i-opioid ziyabuyisa

Ukuthomalalisa iintlungu kunganyanga iintlungu. Okukhethwa kukho kubandakanya i-acetaminophen (iTylenol) kunye ne-nonsteroidal anti-inflammatory drug (NSAIDs) njenge-aspirin (Bufferin) okanye ibuprofen (Advil).

Abantu abafuna ukuzama ezi ndlela kufuneka bathethe nomboneleli wezempilo kuqala. Ukusetyenziswa gwenxa kwala mayeza kunokubangela ukonakalisa isisu, isibindi, okanye izintso.

I-anesthetics yezihloko

Izihloko ze-anesthetics, ezinje ngamachaphaza kunye neekhrim, zinokubonelela ngoncedo kubantu abaneempawu zentlungu ethambile ukuya kwezimodareyitha. Kodwa ii-anesthetics ezingumxholo zinokunxibelelana kakubi namanye amayeza, ke umboneleli wezempilo kufuneka aboniswane ngaphambi kokuwasebenzisa.

Iipioids

Iiopioids zinokunceda okwethutyana ukunciphisa iimpawu zokumodareyitha ukuya kwiintlungu ezinxulumene ne-HIV. Kubantu abaninzi, kuphela ikhosi emfutshane ye-opioids ekufuneka isetyenziselwe ukunyanga ukuqaqamba kwentlungu. Iiopioids azikhuthazwa ukuba iintlungu ezingapheliyo.

Uninzi lwababoneleli bezempilo bayashenxa kwiiopioid ngenxa yamandla abo aphezulu okulutha kunye nokusetyenziswa gwenxa. Nangona kunjalo, kukho ezinye izigulana ezifumana isiqabu esaneleyo kwiiopioid kwaye azivelisi iziyobisi.

Ekugqibeleni, kuxhomekeke kwisigulana kunye nomboneleli wezempilo ukuba bafumane unyango olukhuselekileyo nolusebenzayo lokunceda kwintlungu yabo.

Ezi ntlobo zamayeza zibandakanya:

• oxycodone (Oxaydo, Roxicodone)
• imethadone (iMethadose, iDolophine)
• Imofini
• iTramadol (Ultram)
• hydrocodone

Unyango nge-opioids lunokuba yingxaki kwabanye abantu. Ukuthatha la mayeza njengoko kumiselwe kubalulekile ukuthintela imiba enje ngokusetyenziswa gwenxa kwe-opioid kunye neziyobisi.

Intsholongwane kaGawulayo

I-HIV neuropathy ngumonakalo kwimithambo yoluvo ebangelwa lusulelo lwe-HIV. Kubangela uhlobo oluthile lweentlungu ezinxulumene ne-HIV.

I-peripheral neuropathy yenye yeengxaki ezixhaphakileyo ze-neurologic zosulelo lwe-HIV. Inxulunyaniswe nolunye unyango lwakudala lwe-HIV. Iimpawu zale meko zibandakanya:

• Ukuba ndindisholo emaphethelweni
• iimvakalelo ezingaqhelekanga okanye ezingachazekiyo ezandleni nasezinyaweni
• Imvakalelo ebuhlungu ngaphandle kwesizathu esinokuchongwa
• ubuthathaka bemisipha
• ukugcuma emaphethelweni

Ukuchonga le meko, umboneleli wezempilo uya kubuza ukuba zeziphi iimpawu ezenzekayo, xa beqala, kwaye yintoni ebenza ngcono okanye babe mandundu. Iimpendulo ziya kunceda ekubumbeni isicwangciso sonyango esekwe kwisizathu sentlungu.

Thetha nomboneleli wezempilo

Kubalulekile ukuba umntu ophila nentsholongwane kaGawulayo ova iintlungu athethe nomboneleli wezempilo ngayo. Zininzi izinto ezibangela iintlungu ezinxulumene ne-HIV. Kunokuba nzima ukunyanga, kodwa ukukhulula kuhlala kunokwenzeka. Umboneleli wezempilo unokunceda ekuchongeni izinto ezibangela iintlungu, elinyathelo lokuqala lokufumana unyango olululo.