ILamivudine, Ithebhulethi Yomlomo

-Delile

• Okuvelele kwe-lamivudine
• Yini i-lamivudine?
• Kungani kusetshenziswa
• Isebenza kanjani
• Imiphumela emibi yeLamivudine
• Imiphumela emibi ejwayelekile
• Imiphumela emibi kakhulu
• ILamivudine ingaxhumana neminye imithi
• Emtricitabine
• I-Trimethoprim / sulfamethoxazole
• Izidakamizwa eziqukethe i-sorbitol
• Ungayithatha kanjani i-lamivudine
• Umthamo wokutheleleka ngegciwane lesandulela ngculaza (i-HIV)
• Ukucatshangelwa okukhethekile komthamo
• Umthamo wokutheleleka ngegciwane le-hepatitis B (HBV)
• Ukucatshangelwa okukhethekile komthamo
• Izexwayiso zeLamivudine
• Isexwayiso se-FDA: ukusetshenziswa kwe-HBV ne-HIV
  
• I-Lactic acidosis nokwandiswa okukhulu kwesibindi ngesexwayiso sesibindi esinamafutha
• Isexwayiso se-Pancreatitis
• Isexwayiso sesifo sesibindi
• Isexwayiso se-Immune reconstitution syndrome (IRS)
• Isexwayiso sokumelana ne-HBV
• Isexwayiso somzimba
• Izexwayiso zabantu abanezimo ezithile zempilo
• Izexwayiso kwamanye amaqembu
• Thatha njengoba kuqondisiwe
• Ukucatshangelwa okubalulekile kokuthatha i-lamivudine
• Jikelele
• Isitoreji
• Ukugcwalisa kabusha
• Ukuqapha komtholampilo
• Ukutholakala
• Ngaphambi kokugunyazwa
• Ingabe zikhona ezinye izindlela?

Isexwayiso se-FDA

Lesi sidakamizwa sinesixwayiso esibhakeleni. Lesi yisexwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.

• Uma une-HBV futhi uphuza i-lamivudine kodwa uyeke ukuyithatha, ukutheleleka kwakho nge-HBV kungaba kubi kakhulu. Umhlinzeki wakho wezokunakekelwa kwempilo uzodinga ukukuqapha ngokucophelela uma lokhu kwenzeka. Futhi, qaphela ukuthi uma i-lamivudine inqunyelwe ukutheleleka nge-HIV, inikezwa ngamandla ahlukile. Ungasebenzisi i-lamivudine enqunyelwe ukwelapha i-HIV. Ngendlela efanayo, uma unegciwane lesandulela ngculaza, ungasebenzisi i-lamivudine enqunyelwe ukwelapha ukutheleleka nge-HBV.

Okuvelele kwe-lamivudine

1. Ithebhulethi yomlomo yeLamivudine iyatholakala njengesidakamizwa esijwayelekile kanye nomuthi onegama lomkhiqizo. Igama lomkhiqizo: Epivir, Epivir-HBV.
2. ILamivudine iza njengethebhulethi yomlomo nesisombululo somlomo.
3. Ithebhulethi yomlomo yeLamivudine isetshenziselwa ukwelapha ukutheleleka nge-HIV kanye nokutheleleka kwe-hepatitis B (HBV).

Yini i-lamivudine?

ILamivudine ngumuthi kadokotela. Kuza njengethebhulethi yomlomo nesisombululo somlomo.

Ithebhulethi yomlomo yeLamivudine iyatholakala njengezidakamizwa ezibizwa ngegama elithi Epivir ne-Epivir-HBV. Iphinde itholakale njengomuthi ojwayelekile. Imithi ejwayelekile ijwayele ukubiza imali encane kunohlobo lwamagama. Kwezinye izimo, kungenzeka zingatholakali ngawo wonke amandla noma amafomu njengomuthi wegama lomkhiqizo.

Uma uthatha i-lamivudine ukwelapha i-HIV, uzoyithatha njengengxenye yokwelashwa okuhlanganisiwe. Lokho kusho ukuthi kuzodingeka ukuthi uyiphuze neminye imithi ukwelapha ukutheleleka kwakho nge-HIV.

Kungani kusetshenziswa

ILamivudine isetshenziselwa ukwelapha izifo ezimbili ezibangelwa amagciwane: i-HIV ne-hepatitis B (HBV).

Isebenza kanjani

ILamivudine ingeyezigaba zemithi ebizwa nge-nucleoside reverse transcriptase inhibitors (NRTIs). Isigaba semithi siyiqembu lemithi esebenza ngendlela efanayo. Le mithi ivame ukusetshenziselwa ukwelapha izimo ezifanayo.

ILamivudine ayelaphi ukutheleleka nge-HIV noma i-HBV. Kodwa-ke, kuyasiza ukubambezela ukuqhubeka kwalezi zifo ngokunciphisa amandla amagciwane okuziphindaphinda (azenzele amakhophi awo).

Ukuze uphinde uphinde usabalale emzimbeni wakho, i-HIV ne-HBV kudingeka usebenzise i-enzyme ebizwa nge-reverse transcriptase. Ama-NRTI afana ne-lamivudine avimba le enzyme. Lesi senzo sivimbela i-HIV ne-HBV ekwenzeni amakhophi ngokushesha, kunciphise ukusabalala kwamagciwane.

Lapho i-lamivudine isetshenziswa yodwa ukwelapha i-HIV, ingaholela ekumelaneni nemithi. Kumele isetshenziswe ngokuhlanganiswa neminye imishanguzo okungenani emibili yokulwa negciwane lesandulela ngculaza ukulawula i-HIV.

Imiphumela emibi yeLamivudine

Ithebhulethi yomlomo yeLamivudine ingadala imiphumela emibi noma emibi. Uhlu olulandelayo luqukethe eminye yemiphumela emibi engaba khona ngenkathi uthatha i-lamivudine. Lolu hlu alufaki yonke imiphumela emibi engaba khona.

Ukuthola eminye imininingwane ngemiphumela engemihle ye-lamivudine, noma amathiphu wokuthi ungabhekana kanjani nemiphumela emibi ekhathazayo, khuluma nodokotela wakho noma usokhemisi.

Imiphumela emibi ejwayelekile

Imiphumela emibi ejwayelekile engenzeka nge-lamivudine ifaka:

• ukukhwehlela
• isifo sohudo
• ukukhathala
• ikhanda
• i-malaise (ukungakhululeki okuvamile)
• izimpawu zamakhala, ezifana nekhala eligijimayo
• isicanucanu

Imiphumela emibi kakhulu

Shayela udokotela wakho ngokushesha uma unemiphumela emibi kakhulu. Shayela u-911 uma izimpawu zakho zizizwa zisongela impilo noma uma ucabanga ukuthi unezimo eziphuthumayo zezokwelapha. Imiphumela emibi kanye nezimpawu zayo zingafaka okulandelayo:

• I-Lactic acidosis noma ukukhulisa okukhulu kwesibindi. Izimpawu zingafaka:
  • ubuhlungu besisu
  • isifo sohudo
  • ukuphefumula okungajulile
  • ubuhlungu bemisipha
  • ubuthakathaka
  • ukuzizwa ubanda noma unesiyezi
• I-Pancreatitis. Izimpawu zingafaka:
  • ukuqunjelwa esiswini
  • ubuhlungu
  • isicanucanu
  • ukuhlanza
  • ubumnene lapho uthinta isisu
• Hypersensitivity noma i-anaphylaxis. Izimpawu zingafaka:
  • ukuqubuka okungazelelwe noma okukhulu
  • izinkinga zokuphefumula
  • isifuba
• Isifo sesibindi. Izimpawu zingafaka:
  • umchamo omnyama
  • ukulahlekelwa isifiso sokudla
  • ukukhathala
  • i-jaundice (isikhumba esiphuzi)
  • isicanucanu
  • ubumnene endaweni yesisu
• Ukutheleleka kwefungal, i-pneumonia, noma isifo sofuba. Lokhu kungaba uphawu lokuthi ubhekene ne-immune reconstitution syndrome.

ILamivudine ingaxhumana neminye imithi

Ithebhulethi yomlomo yeLamivudine ingaxhumana neminye imithi eminingana. Ukuxhumana okuhlukile kungadala imiphumela ehlukile. Isibonelo, ezinye zingaphazamisa ukuthi usebenza kanjani umuthi, kanti ezinye zingadala imiphumela emibi eyengeziwe.

Ngezansi kunohlu lwemithi engasebenzisana ne-lamivudine. Lolu hlu aluqukethe yonke imishanguzo engasebenzisana ne-lamivudine.

Ngaphambi kokuthatha i-lamivudine, qiniseka ukuthi utshela udokotela kanye nosokhemisi mayelana nayo yonke imishanguzo kadokotela, i-counter-counter, nezinye izidakamizwa oziphuzayo. Batshele futhi nganoma yimaphi amavithamini, amakhambi, nezithako ozisebenzisayo. Ukwabelana ngalolu lwazi kungakusiza ugweme ukuhlangana okungenzeka.

Uma unemibuzo mayelana nokuhlangana kwezidakamizwa okungakuthinta, buza udokotela wakho noma usokhemisi.

Emtricitabine

Ungathathi i-emtricitabine uma uthatha ne-lamivudine. Ziyizidakamizwa ezifanayo futhi ukuzihlanganisa kungandisa imiphumela emibi eyingozi ye-emtricitabine. Izidakamizwa eziqukethe i-emtricitabine zifaka:

• emtricitabine (Emtriva)
• emtricitabine / tenofovir disoproxil fumarate (iTruvada)
• emtricitabine / tenofovir alafenamide fumarate (Descovy)
• i-efavirenz / emtricitabine / tenofovir disoproxil fumarate (Atripla)
• i-rilpivirine / emtricitabine / tenofovir disoproxil fumarate (Complera)
• i-rilpivirine / emtricitabine / tenofovir alafenamide fumarate (i-Odefsey)
• emtricitabine / tenofovir disoproxil fumarate / elvitegravir / cobicistat (Stribild)
• emtricitabine / tenofovir alafenamide fumarate / elvitegravir / cobicistat (Genvoya)

I-Trimethoprim / sulfamethoxazole

Le anti-antibiotic isetshenziselwa ukwelapha izifo ezahlukahlukene, kufaka phakathi ukutheleleka kwe-urinary tract kanye nohudo lwabahambi. ILamivudine ingaxhumana nale mithi. Khuluma nodokotela wakho uma uthatha le antibiotic. Amanye amagama akhona afaka:

• IBactrim
• I-Septra DS
• ICotrim DS

Izidakamizwa eziqukethe i-sorbitol

Ukuthatha i-sorbitol nge-lamivudine kunganciphisa inani le-lamivudine emzimbeni wakho. Lokhu kungenza ukuthi kungasebenzi kahle. Uma kungenzeka, ukugwema ukusebenzisa i-lamivudine nganoma iziphi izidakamizwa eziqukethe i-sorbitol. Lokhu kufaka phakathi imishanguzo kadokotela nemithi oyithenga. Uma kufanele uthathe i-lamivudine ngemithi equkethe i-sorbitol, udokotela wakho kungenzeka aqaphe inani legciwane egazini ngokusondele kakhulu.

Ungayithatha kanjani i-lamivudine

Isilinganiso se-lamivudine udokotela wakho asinqumayo sizoxhomeka ezicini eziningana. Lokhu kufaka phakathi:

• uhlobo nobukhali besimo osisebenzisa ukwelapha i-lamivudine
• iminyaka yakho
• uhlobo lwe-lamivudine oyithathayo
• ezinye izimo zezokwelapha ongahle ube nazo

Imvamisa, udokotela wakho uzokuqala ngomthamo ophansi futhi awulungise ngokuhamba kwesikhathi ukufinyelela umthamo okulungele wena. Ekugcineni bazonquma isilinganiso esincane kunazo zonke esihlinzeka ngomphumela oyifunayo.

Imininingwane elandelayo ichaza imithamo esetshenziswa kakhulu noma enconywayo. Kodwa-ke, qiniseka ukuthatha isilinganiso udokotela wakho akubekela sona. Udokotela wakho uzonquma isilinganiso esihle kakhulu ukuhlangabezana nezidingo zakho.

Umthamo wokutheleleka ngegciwane lesandulela ngculaza (i-HIV)

Okujwayelekile: ILamivudine

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

Umkhiqizo: I-Epivir

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

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: 300 mg usuku ngalunye. Le mali inganikezwa njenge-150 mg kabili ngosuku, noma i-300 mg kanye ngosuku.

Umthamo wengane (uneminyaka engu-3 izinyanga kuya kwengu-17)

Isikali sincike esisindweni sengane yakho.

• Isilinganiso esivamile: 4 mg / kg, kabili ngosuku, noma 8 mg / kg kanye ngosuku.
  • Ezinganeni ezinesisindo esingu-14 kg (31 lbs) kuye ku- <20 kg (44 lbs): 150 mg kanye ngosuku, noma ama-75 mg kabili ngosuku.
  • Ezinganeni ezinesisindo esingu- ≥20 (44 lbs) kuye ku- ≤25 kg (55 lbs): 225 mg kanye ngosuku, noma ama-75 mg ekuseni no-150 mg kusihlwa.
  • Ezinganeni ezinesisindo esingu- ≥25 kg (55 lbs): 300 mg kanye ngosuku, noma i-150 mg kabili ngosuku.

Isilinganiso sengane (iminyaka yobudala engu-0-2 izinyanga)

Isilinganiso sezingane ezingaphansi kwezinyanga ezintathu asikasungulwa.

Ukucatshangelwa okukhethekile komthamo

• Ezinganeni nakwabanye abangakwazi ukugwinya amaphilisi: Izingane nabanye abangakwazi ukugwinya amaphilisi bangathatha isixazululo somlomo esikhundleni. Umthamo usekelwe kusisindo somzimba. Udokotela wengane yakho uzonquma isilinganiso. Ifomu lethebulethi liyathandwa ezinganeni ezinesisindo okungenani esingamakhilogremu angu-14 futhi ezingagwinya amaphilisi.
• Kubantu abanesifo sezinso: Izinso zakho kungenzeka zingacubunguli i-lamivudine egazini lakho ngokushesha okwanele. Udokotela wakho angakunika isilinganiso esincane ukuze izinga lesidakamizwa lingakhuphuki kakhulu emzimbeni wakho.

Umthamo wokutheleleka ngegciwane le-hepatitis B (HBV)

Umkhiqizo: I-Epivir-HBV

• Ifomu: ithebhulethi yomlomo
• Amandla: 100 mg

Isilinganiso sabadala (abaneminyaka engu-18 nangaphezulu)

• Isilinganiso esivamile: 100 mg kanye ngosuku.

Isilinganiso sengane (iminyaka eyi-2-17 iminyaka)

Isikali sincike esisindweni sengane yakho. Ezinganeni ezidinga ngaphansi kuka-100 mg ngosuku, kufanele zithathe isisombululo somlomo salesi sidakamizwa.

• Isilinganiso esivamile: 3 mg / kg kanye ngosuku.
• Umthamo omkhulu: 100 mg nsuku zonke.

Isilinganiso sengane (iminyaka yobudala engu-0-1)

Isilinganiso sezingane ezingaphansi kweminyaka engu-2 asikasungulwa.

Ukucatshangelwa okukhethekile komthamo

• Ezinganeni nakwabanye abangakwazi ukugwinya amaphilisi: Izingane nabanye abangakwazi ukugwinya amaphilisi bangathatha isixazululo somlomo esikhundleni. Umthamo usekelwe kusisindo somzimba. Udokotela wengane yakho uzonquma isilinganiso.
• Kubantu abanesifo sezinso: Izinso zakho kungenzeka zingacubunguli i-lamivudine egazini lakho ngokushesha okwanele. Udokotela wakho angakunika isilinganiso esincane ukuze izinga lesidakamizwa lingakhuphuki kakhulu emzimbeni wakho.

Izexwayiso zeLamivudine

Lesi sidakamizwa siza nezixwayiso eziningana.

Isexwayiso se-FDA: ukusetshenziswa kwe-HBV ne-HIV

• Lesi sidakamizwa sinesixwayiso sebhokisi elimnyama. Isexwayiso sebhokisi elimnyama yisixwayiso esibi kakhulu esivela ku-Food and Drug Administration (FDA). Isexwayiso sebhokisi elimnyama sazisa odokotela neziguli ngemiphumela yezidakamizwa engaba yingozi.
• Uma une-HBV futhi uphuza i-lamivudine kodwa uyeke ukuyithatha, ukutheleleka kwakho nge-HBV kungaba kubi kakhulu. Umhlinzeki wakho wezokunakekelwa kwempilo uzodinga ukukuqapha ngokucophelela uma lokhu kwenzeka. Futhi, qaphela ukuthi i-lamivudine enqunyelwe ukutheleleka nge-HIV ingamandla ahlukile. Ungasebenzisi i-lamivudine enqunyelwe ukwelapha i-HIV. Ngendlela efanayo, uma unegciwane lesandulela ngculaza, ungasebenzisi i-lamivudine enqunyelwe ukwelapha ukutheleleka nge-HBV.

I-Lactic acidosis nokwandiswa okukhulu kwesibindi ngesexwayiso sesibindi esinamafutha

Lezi zimo zenzekile kubantu abathatha i-lamivudine, iningi labo livela kwabesifazane. Uma unezimpawu zale mibandela, shayela udokotela wakho ngokushesha.Lezi zimpawu zingabandakanya ubuhlungu besisu, isifo sohudo, ukuphefumula okungajulile, ubuhlungu bemisipha, ubuthakathaka, nokuzwa amakhaza noma isiyezi.

Isexwayiso se-Pancreatitis

I-Pancreatitis, noma ukuvuvukala kwamanyikwe, kwenzeke kakhulu kakhulu kubantu abathatha i-lamivudine. Izimpawu ze-pancreatitis zifaka ukuqunjelwa esiswini, ubuhlungu, isicanucanu, ukuhlanza, nesisa lapho uthinta isisu. Abantu abake baba ne-pancreatitis esikhathini esidlule bangaba sengozini enkulu.

Isexwayiso sesifo sesibindi

Ungahlakulela isifo sesibindi ngenkathi uthatha lo muthi. Uma usuvele une-hepatitis B noma i-hepatitis C, i-hepatitis yakho ingaba yimbi kakhulu. Izimpawu zesifo sesibindi zingabandakanya umchamo omnyama, ukulahlekelwa isifiso sokudla, ukukhathala, i-jaundice (isikhumba esiphuzi), isicanucanu, nobumnene endaweni yesisu.

Isexwayiso se-Immune reconstitution syndrome (IRS)

Nge-IRS, amasosha akho omzimba abuyisanayo abangela ukutheleleka obukade unakho esikhathini esedlule ukubuya. Izibonelo zezifo ezedlule ezingabuya zifaka izifo zokukhunta, inyumoniya, noma isifo sofuba. Udokotela wakho kungadingeka ukuthi alaphe ukutheleleka okudala uma lokhu kwenzeka.

Isexwayiso sokumelana ne-HBV

Okunye ukutheleleka nge-HBV kungamelana nokwelashwa kwe-lamivudine. Uma lokhu kwenzeka, umuthi awusakwazi ukukhipha igciwane emzimbeni wakho. Udokotela wakho uzoqapha amazinga akho e-HBV esebenzisa ukuhlolwa kwegazi, futhi angancoma ukwelashwa okuhlukile uma amazinga akho e-HBV ahlala ephezulu.

Isexwayiso somzimba

Uma uhlangabezana nokushaywa yisifuba, isifuba, noma izinkinga zokuphefumula ngemuva kokuthatha lo muthi, ungahle ungalutholi. Misa ukuyithatha ngokushesha bese uya egumbini lezimo eziphuthumayo noma ushayele ku-911.

Uma uke waba nokungezwani komzimba ne-lamivudine esikhathini esedlule, ungaphinde uyithathe. Ukuyithatha futhi kungaba yingozi (kungadala ukufa).

Izexwayiso zabantu abanezimo ezithile zempilo

Kubantu abane-hepatitis C: Uma unegciwane le-HIV kanye ne-hepatitis C virus (HCV) futhi uthatha i-interferon ne-ribavirin yokutheleleka nge-HCV, ungathola ukulimala kwesibindi. Udokotela wakho kufanele akuqaphele ukulimala kwesibindi uma uhlanganisa i-lamivudine nale mithi.

Kubantu abane-pancreatitis: Abantu abake baba ne-pancreatitis esikhathini esedlule bangaba sengozini enkulu yokuphinda baqale lesi simo lapho bethatha lesi sidakamizwa. Izimpawu ze-pancreatitis zingabandakanya ukuqunjelwa kwesisu, ubuhlungu, isicanucanu, ukuhlanza nobumnene lapho uthinta isisu.

Kubantu abanomsebenzi wezinso owehlisiwe: Uma unesifo sezinso noma ukunciphisa ukusebenza kwezinso, izinso zakho kungenzeka zingacubunguli i-lamivudine emzimbeni wakho ngokushesha okwanele. Udokotela wakho anganciphisa umthamo wakho ukuze umuthi ungakhi emzimbeni wakho.

Izexwayiso kwamanye amaqembu

Kwabesifazane abakhulelwe: Azikho izifundo ezanele futhi ezilawulwa kahle ze-lamivudine kwabesifazane abakhulelwe. ILamivudine kufanele isetshenziswe ngesikhathi sokukhulelwa kuphela uma inzuzo engaba khona idlula ubungozi obungaba khona ekukhulelweni.

Shayela udokotela wakho uma ukhulelwa ngenkathi usebenzisa lo muthi.

Kwabesifazane abancelisayo:

• Kwabesifazane abane-HIV: Lokhu kuncoma ukuthi abesifazane baseMelika abane-HIV bangancelisi ibele ukuze bagweme ukudlulisa i-HIV ngobisi lwebele.
• Kwabesifazane abane-HBV: ILamivudine idlula obisini lwebele. Kodwa-ke, azikho izifundo ezanele ezibonisa imiphumela engaba nayo enganeni enceliswa, noma ekukhiqizeni ubisi lukamama.

Uma uncelisa ingane yakho ibele, khuluma nodokotela wakho. Xoxa ngezinzuzo zokuncelisa, kanye nezingozi zokubeka ingane yakho ku-lamivudine ngokuhambisana nezingozi zokungatholi ukwelashwa ngesimo sakho.

Okwabadala: Uma uneminyaka engama-65 noma ngaphezulu, umzimba wakho ungacubungula lesi sidakamizwa kancane kancane. Udokotela wakho angakuqala ngomthamo owehlisiwe ukuze okuningi kwalesi sidakamizwa kungakhi emzimbeni wakho. Isidakamizwa esiningi kakhulu emzimbeni wakho singaba nobuthi.

Thatha njengoba kuqondisiwe

ILamivudine isetshenziselwa ukwelashwa isikhathi eside. Kungaba nemiphumela emibi kakhulu yezempilo uma ungawuthathi lo muthi ngendlela udokotela wakho akutshela ngayo.

Uma uyeka ukuthatha lo muthi noma ungawuthathi nhlobo: Ukutheleleka kwakho kungaba kubi kakhulu. Ungaba nokutheleleka okunzima kakhulu kanye nezinkinga ezihlobene ne-HIV- noma i-HBV.

Uma uphuthelwa imithamo noma ungaphuzi umuthi ngesikhathi: Ukuthatha lo muthi ngasikhathi sinye nsuku zonke kwandisa amandla akho okugcina igciwane lilawulwa. Uma ungakwenzi, uzibeka engcupheni yokutheleleka okubi kakhulu.

Okufanele ukwenze uma uphuthelwa umthamo: Uma ukhohlwa ukuthatha umthamo wakho, wuthathe ngokushesha lapho ukhumbula. Uma kungamahora ambalwa kuphela kuze kufike umthamo wakho olandelayo, linda uthathe umthamo wakho ojwayelekile ngesikhathi esijwayelekile.

Thatha ithebhulethi eyodwa ngasikhathi. Ungalokothi uzame ukubamba ngokuthatha amaphilisi amabili ngasikhathi sinye. Lokhu kungaholela emiphumeleni emibi eyingozi.

Ungasho kanjani ukuthi umuthi uyasebenza: Ukubona ukuthi umuthi wakho usebenza kahle kangakanani, udokotela wakho uzohlola okulandelayo:

• Izimpawu
• Umthwalo wegciwane. Bazobala inani lamagciwane ukukala inani lamakhophi egciwane le-HIV noma le-HBV emzimbeni wakho.
• Inani lamaseli e-CD4 (e-HIV kuphela). Isibalo se-CD4 isivivinyo esikala inani lamaseli e-CD4 emzimbeni wakho. Amaseli e-CD4 ngamangqamuzana amhlophe egazi alwa nokutheleleka. Isibalo se-CD4 esandisiwe siyisibonakaliso sokuthi umuthi wakho we-HIV uyasebenza.

Ukucatshangelwa okubalulekile kokuthatha i-lamivudine

Gcina lokhu kubheka engqondweni uma udokotela wakho ekunika i-lamivudine.

Jikelele

• Ungathatha i-lamivudine ngokudla noma ngaphandle kokudla.
• Ungasika noma uqede ithebhulethi ye-lamivudine.
• Uma unenkinga yokusebenzisa ifomu lethebhulethi lomuthi, buza udokotela wakho mayelana nefomu lesisombululo.

Isitoreji

• Gcina amaphilisi e-lamivudine ekamelweni lokushisa eliphakathi kuka-68 ° F no-77 ° F (20 ° C no-25 ° C).
• Amaphilisi ngezikhathi ezithile angaba sezingeni lokushisa eliphakathi kuka-59 ° F no-86 ° F (15 ° C no-30 ° C).
• Gcina amabhodlela wamaphilisi evalwe ngci ukuwagcina ehlanzekile futhi enamandla.
• Ungawugcini lo muthi ezindaweni ezinomswakama noma ezinomswakama, njengezindlu zangasese.

Ukugcwalisa kabusha

Imibhalo kadokotela yalomuthi iyagcwaliseka. Akudingeki ukuthi unikezwe umuthi omusha kadokotela ukuze ugcwaliswe futhi lo muthi. Udokotela wakho uzobhala inani lama-refill eligunyazwe kudokotela wakho.

Ukuqapha komtholampilo

Ukuqapha komtholampilo ngenkathi uthatha lo muthi kungabandakanya:

• ama-aphoyintimenti nodokotela wakho
• ukuhlolwa kwegazi ngezikhathi ezithile kokusebenza kwesibindi nokubalwa kwe-CD4
• okunye ukuhlolwa

Ukutholakala

• Shayela phambili: Akuwona wonke amakhemisi agcina lo muthi. Lapho ugcwalisa incwadi kadokotela, qiniseka ukuthi ushayela phambili ukuze uqiniseke ukuthi bayayiphatha.
• Amanani amancane: Uma udinga amaphilisi ambalwa kuphela, kufanele ushayele ikhemisi lakho ubuze ukuthi ngabe lihambisa kuphela inani elincane lamaphilisi. Amanye amakhemisi awakwazi ukukhipha ingxenye yebhodlela kuphela.
• Amakhemisi akhethekile: Lesi sidakamizwa sivame ukutholakala kumakhemisi akhethekile ngohlelo lwakho lomshuwalense. La makhemisi asebenza njengama-pharmacy e-mail futhi athumele umuthi kuwe.
• Amakhemisi e-HIV: Emadolobheni amakhulu, kuzovame ukuba namakhemisi e-HIV lapho ungagcwaliselwa khona imiyalo yakho. Buza udokotela wakho uma kukhona ikhemisi le-HIV endaweni yangakini.

Ngaphambi kokugunyazwa

Izinkampani eziningi zomshuwalense zidinga ukugunyazwa kwangaphambili kwalomuthi. Lokhu kusho ukuthi udokotela wakho uzodinga ukuthola imvume enkampanini yakho yomshuwalense ngaphambi kokuba inkampani yakho yomshuwalense ikhokhele incwadi kadokotela.

Ingabe zikhona ezinye izindlela?

Kunezidakamizwa nezinhlanganisela eziningi ezingaphatha ukutheleleka nge-HIV ne-HBV. Amanye angahle akulungele wena kunamanye. Khuluma nodokotela wakho ngezinye izindlela ezingenzeka.

Ukuzikhulula: I-Healthline yenze yonke imizamo yokuqinisekisa ukuthi lonke ulwazi luyiqiniso, luphelele futhi lusesikhathini. Kodwa-ke, le ndatshana akufanele isetshenziswe njengokungena esikhundleni solwazi nobungoti bochwepheshe bezokunakekelwa kwezempilo onelayisense. Kufanele uhlale uthintana nodokotela wakho noma omunye uchwepheshe wezokunakekelwa kwempilo ngaphambi kokuthatha noma imuphi umuthi. Imininingwane yezidakamizwa equkethwe lapha ingashintsha futhi ayihloselwe ukumboza konke ukusetshenziswa okungaba khona, izinkomba, izixwayiso, izexwayiso, ukuxhumana kwezidakamizwa, ukungezwani komzimba, noma imiphumela emibi. Ukungabikho kwezixwayiso noma olunye ulwazi lomuthi othile awukhombisi ukuthi inhlanganisela yezidakamizwa noma yezidakamizwa iphephile, iyasebenza, noma ilungele zonke iziguli noma konke ukusetshenziswa okuthile.