Ungabuphatha Kanjani Ubuhlungu Be-HIV

-Delile

• Ukuthola usizo lobuhlungu obungapheli
• Ubudlelwano phakathi kwe-HIV nobuhlungu obungapheli
• Ukuthola ukwelashwa okufanele kwezinhlungu ezihlobene ne-HIV
• Ubuhlungu obungeyona i-opioid buyadambisa
• I-topical anesthetics
• Ama-opioid
• I-HIV neuropathy
• Khuluma nomhlinzeki wezokunakekelwa kwempilo

Ukuthola usizo lobuhlungu obungapheli

Abantu abaphila ne-HIV bavame ukuzwa ubuhlungu obungapheli, noma besikhathi eside. Kodwa-ke, izimbangela eziqondile zalobu buhlungu ziyahlukahluka. Ukunquma imbangela yezinhlungu ezihlobene ne-HIV kungasiza ekunciphiseni izinketho zokwelashwa, ngakho-ke kubalulekile ukukhuluma ngalesi sibonakaliso nomhlinzeki wezokunakekelwa kwempilo.

Ubudlelwano phakathi kwe-HIV nobuhlungu obungapheli

Abantu abaphila ne-HIV bangathola ubuhlungu obungapheli ngenxa yokutheleleka noma imishanguzo eyelaphayo. Ezinye izinto ezingadala ubuhlungu zifaka:

• ukuvuvukala nokulimala kwemizwa okubangelwa ukutheleleka
• kwehlisa amasosha omzimba emiphumeleni ye-HIV kumasosha omzimba
• imiphumela emibi yemithi ye-HIV

Ubuhlungu obubangelwa i-HIV buye kwelapheka. Kodwa-ke, ubuhlungu obuhlobene ne-HIV buvame ukungabikwa futhi bungalashwa. Ukungafihli lutho ngalolu phawu kwenza abahlinzeki bezempilo bathole imbangela eqondile futhi baxhumanise uhlelo lokwelashwa lobuhlungu olusebenza nokwelashwa kwe-HIV.

Ukuthola ukwelashwa okufanele kwezinhlungu ezihlobene ne-HIV

Ukwelapha ubuhlungu obungapheli obuhlobene ne-HIV kudinga ukulinganisela okubucayi phakathi kokuqeda izinhlungu nokuvimbela izinkinga. Imithi eminingi ye-HIV ingaphazamisa imithi yezinhlungu futhi okuphambene nalokho. Futhi, ubuhlungu obuhlobene ne-HIV bungaba nzima ukwelapha kunezinye izinhlobo zobuhlungu obungapheli.

Abahlinzeki bezempilo kumele bacabangele lezi zinto ezilandelayo lapho bencoma ukwelashwa kobuhlungu obuhlobene ne-HIV:

• imithi ethathwa, kufaka phakathi izidakamizwa ezingekho emthethweni, amavithamini, izithasiselo nemikhiqizo yamakhambi
• Umlando wokwelashwa kwe-HIV
• umlando wezimo zezokwelapha ngaphezu kwe-HIV

Eminye imithi ingakhulisa ukuzwela kobuhlungu kubantu abane-HIV. Ngenxa yalokhu, umhlinzeki wezokunakekelwa kwempilo angaqala ancome ukumisa imithi ethile noma anciphise umthamo ukuze abone ukuthi lokho kuyasiza yini ukuxazulula izinhlungu.

Kodwa-ke, umuntu one-HIV akaze ayeke ukuthatha noma imiphi imishanguzo kadokotela ngaphandle kokuqala axhumane nomhlinzeki wakhe wezokunakekelwa kwempilo.

Uma ukumisa noma ukunciphisa imithi ethile kungasebenzi noma kungenzeki, kunganconywa omunye wemithi yezinhlungu elandelayo:

Ubuhlungu obungeyona i-opioid buyadambisa

Ukudambisa izinhlungu okuncane kungaphatha ubuhlungu obumnene. Izinketho zifaka i-acetaminophen (Tylenol) kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-aspirin (i-Bufferin) noma i-ibuprofen (i-Advil).

Abantu abafuna ukuzama lezi zinketho kufanele bakhulume nomhlinzeki wezokunakekelwa kwempilo kuqala. Ukusetshenziswa ngokweqile kwale mithi kungadala ukulimala esiswini, esibindini noma ezinso.

I-topical anesthetics

Ama-anesthetics esihloko, njengama-patches nama-cream, anganikeza ukukhululeka kubantu abanezimpawu zobuhlungu eziphakathi nendawo kuya kokulingene. Kepha ama-anesthetics asezindabeni angaxhumana kabi neminye imithi, ngakho-ke kufanele kuboniswane nomhlinzeki wezokunakekelwa kwempilo ngaphambi kokuyisebenzisa.

Ama-opioid

Ama-opioid angasiza okwesikhashana ekunciphiseni izimpawu zobuhlungu obulinganiselayo nobunzima obuhlobene ne-HIV. Kubantu abaningi, inkambo emfushane kuphela yama-opioid okufanele isetshenziselwe ukwelapha ukuwohloka okukhulu kobuhlungu. Ama-opioid awanconyelwa ubuhlungu obungapheli.

Abahlinzeki abaningi bezokunakekelwa kwempilo basuka kuma-opioid ngenxa yamandla abo aphezulu okulutha nokusetshenziswa kabi. Kodwa-ke, kukhona ezinye iziguli ezithola ukukhululeka okwanele kuma-opioid futhi azenzi umlutha.

Ekugcineni, kusezandleni zesiguli kanye nomhlinzeki wezempilo ukuthola umuthi ophephile futhi osebenzayo ozosiza ngobuhlungu bawo.

Lezi zinhlobo zemithi zifaka:

• i-oxycodone (i-Oxaydo, i-Roxicodone)
• i-methadone (i-Methadose, i-Dolophine)
• morphine
• i-tramadol (Ultram)
• i-hydrocodone

Ukwelashwa ngama-opioid kungaba yinkinga kwabanye abantu. Ukuthatha le mithi njengoba kunqunyiwe kubalulekile ukugwema izingqinamba ezinjengokusetshenziswa kabi kwe-opioid nokulutha.

I-HIV neuropathy

I-HIV neuropathy ingumonakalo wezinzwa zomzimba ezibangelwa ukutheleleka nge-HIV. Kubanga uhlobo oluthile lobuhlungu obuhlobene ne-HIV.

I-peripheral neuropathy ingenye yezinkinga ezivame kakhulu ze-neurologic zokutheleleka nge-HIV. Kuhlotshaniswe nezinye izindlela zokwelapha ezindala ze-HIV. Izimpawu zalesi simo zifaka:

• ukuba ndikindiki emaphethelweni
• imizwa engajwayelekile noma engachazeki ezandleni nasezinyaweni
• ukuzwa okubuhlungu ngaphandle kwesizathu esingabonakala
• ubuthakathaka bemisipha
• ukuncinza emikhawulweni

Ukuthola lesi simo, umhlinzeki wezokunakekelwa kwempilo uzobuza ukuthi yiziphi izimpawu ezenzekayo, ukuthi ziqale nini, nokuthi yini ezenza zibe ngcono noma zibe zimbi kakhulu. Izimpendulo zizosiza ekwakheni uhlelo lokwelashwa olususelwa embangela yobuhlungu.

Khuluma nomhlinzeki wezokunakekelwa kwempilo

Kubalulekile kumuntu ophila negciwane lesandulela ngculaza obhekene nobuhlungu ukukhuluma nomhlinzeki wakhe wezempilo ngakho. Ziningi izimbangela zobuhlungu obuhlobene ne-HIV. Kungaba nzima ukuselapha, kepha ukukhulula kuyenzeka kaningi. Umhlinzeki wezokunakekelwa kwempilo angasiza ekuboneni izinto ezibangela ubuhlungu, okuyisinyathelo sokuqala sokuthola ukwelashwa okufanele.