Mmene Mankhwala Osavuta Amagwiritsira Ntchito Amatha Kuthetsa Thandizo Lanu la HIV
Kuwotcha kwadzidzidzi kumakhala kofala pakati pa anthu omwe ali ndi kachilombo ka HIV monga momwe amachitira anthu ambiri. Ngakhale kuti pali mankhwala ambiri omwe amathandiza kupweteka kwa mtima, ena amadziwika kuti amagwiritsa ntchito mankhwala opatsirana pogonana , nthawi zambiri amachepetsa ubwino wawo (kupezeka m'magazi).
Zotsatirazi zingachitike ngati mankhwalawa atengedwa nthawi yomweyo.
Izi ndi chifukwa chakuti magawo amodzimodzi amagawidwa kudzera mu thupi. Mpikisano umenewu nthawi zina ukhoza kuchepetsa chiwerengero cha mankhwala a HIV m'magazi, kutanthauza kuti pali mankhwala ochepa omwe angathe kupezetsa kachilombo ka HIV.
Nthawi zina, zosiyana zimatha kuchititsa kuwonjezereka kwa matendawa komanso kuwonjezeka kwa poizoni ndi zotsatira zake.
Kumvetsa Kupsinjika Kwambiri
Kupweteka kwa chifuwa-chizindikiro cha matenda omwe amadziwika kuti matenda a reflux a gastroesophageal (GERD) - amachititsa kuti mimba ya m'mimba imatsitsimudwe. Kuposa kupweteka kwa mtima, zizindikiro za GERD zingaphatikizepo:
- Chikhure
- Kubwereza
- Chiwonongeko chokamwa pakamwa
- Kumverera kwa mtanda pa mmero
- Chifuwa chosatha, chosapindulitsa
- Kuwopsya kapena laryngitis
Ngati munthu ali ndi vuto la kupweteka kwa mtima chifukwa cha GERD, mitundu ina ya mankhwala akhoza kulamulidwa, kuphatikizapo proton pump inhibitors ndi H2 blockers zomwe zimachepetsa m'mimba acid, ndi mankhwala osokoneza bongo omwe amathandiza kuchepetsa asidi.
Proton Pump Inhibitor Kuyanjana
Proton pump inhibitors (PPIs) ndizofunikira kwambiri pa chithandizo cha kupweteka kwa mtima ndi kuphatikizapo otchuka monga:
- Aciphex (rabeprazole)
- Nexium (esomeprazole)
- Prevacid (lansoprazole)
- Protonix (pantoprazole)
- Prilosec (omeprazole)
Mitundu yonse ya proton pump inhibitors imadziwika kuti ichepetse magulu a Reyataz (atazanavir), Edurant (rilpivirine), ndi Crixivan (indinavir).
Mosiyana ndi zimenezi, akhoza kuonjezera mayendedwe a Isentress (raltegravir).
Kuwonjezera apo, Prilosec akhoza kuchepetsa miyeso ya Viracept (nelfinavir), Intelence (etravirine), ndi Invirase (saquinavir).
Kuphatikizidwa kwa H2 Blocker
Zolemba za Histamine 2 (H2) sizothandiza ngati PPIs koma zimapereka chithandizo chokwanira kwa anthu ena. Zosankha zodabwitsa ndizo:
- Axid (nizatidine)
- Pepcid (famotidine)
- Tagamet (cimetidine)
- Zantac (ranitidine)
Onse omwe amadziwika ndi H2 amadziwika kuti ndi otsika kwambiri a Reyataz (atazanavir) ndi Edurant (rilpivirine). Omwe amawotchera H2 akhoza kuonjezera mayendedwe a Isentress (raltegravir).
Tagamet, panthawiyi, ikhoza kuchepetsa ma Virumune (nevirapine) komanso mwina Prezista (darunavir) poonjezera mayendedwe a Lexiva (fosamprenavir).
Mofananamo, Zantac ikhoza kuchepetsa Prezista (fosamprenavir) ndi Kaletra (lopinavir / ritonavir).
Kuyanjana Kwachilendo
Nthaŵi zina ma antiacid amagwiritsidwa ntchito ndi ma PPI kuti apereke mpumulo wowonjezereka. Mankhwalawa amatha kutengedwa mu fomu yamadzi kapena yosakaniza. Zikhoza kukhala zokhudzana ndi calcium kapena magnesium ndipo zikuphatikizapo:
- Maalox
- Mylanta
- Tums
- Rolaids
Mankhwala onse amatha kuchepetsa miyeso ya Edurant (rilpivirine). Zingatheke kuchepetsa zigawo za Reyataz (atazanavir), Lexiva (fosamprenavir), ndi Aptivus (tipranavir).
Ma mapiritsi a calcium ngati Tums angathenso kumanga tizilombo toyambitsa matenda komanso kusokoneza momwe amagwirira ntchito.
Kupewa Kuyanjana kwa Mankhwala Osokoneza Bongo
Nthaŵi zambiri, kugwirizana pakati pa kupweteka kwa mtima ndi mankhwala a kachilombo ka HIV kungapewe posiyanitsa mlingo ndi maola anayi. Nthawi zina, mlingowo ukhoza kukhala wosiyana ndi maola sikisi kapena kuposerapo pogwiritsa ntchito mankhwala ena omwe mungakhale nawo.
Ngati mukugwiritsa ntchito mankhwala ochotsa mtima, ngati mwalembapo, perekani dokotala wanu wa HIV kudziwa kuti mwalandira malangizo omveka bwino pogwiritsa ntchito mankhwala omwe mumagwiritsa ntchito.
> Zotsatira:
> Lewis, J ;; Stott, K .; Monnery, D. et al. "Kugwiritsira ntchito mankhwala osokoneza bongo ndi mankhwala awo pazolowera zamankhwala." Int J STD AIDS. 2016; 27 (2): 105-9. DOI: 10.1177 / 0956462415574632.
> Thompson, T .; Lee, M .; Clarke, T. et al. "Kukula kwa zizindikiro za m'mimba zizindikiro pakati pa odwala kachilombo ka HIV ndi anthu olamulira." Ann Gastroenterol . 2012; 25 (3): 243-8.