Created at:1/13/2025
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Ko te Abacavir me te lamivudine he rongoā HIV whakakotahi e āwhina ana ki te whakahaere i te huaketo i tō tinana. Kei roto i tēnei rongoā whakahau e rua ngā rongoā antiretroviral kaha e mahi ngātahi ana ki te whakaiti i te kaha o te HIV ki te whakaputa uri me te horapa puta noa i tō pūnaha.
Ka mōhio pea koe ki tēnei rongoā i ōna ingoa waitohu pēnei i te Epzicom, Kivexa rānei. He wāhanga tēnei o te mahere maimoatanga ka āwhina i a koe ki te noho i te oranga hauora, roa ake me te HIV ina tangohia tonu ana i runga i te whakahau a tō tākuta.
Ko te Abacavir me te lamivudine he papa whakakotahi i te inenga kua whakaritea, kei roto e rua ngā rongoā HIV rerekē i roto i te papa kotahi. No te kāwai rongoā e kīia nei ko ngā aukati transcriptase huri whakamuri nucleoside ngā whakauru e rua, e mahi ana mā te aukati i te HIV mai i te tārua i a ia anō i roto i ō pūtau.
Nā tēnei whakakotahitanga ka māmā ake te tango i tō maimoatanga HIV nā te mea e rua ngā rongoā ka whiwhi koe i roto i te inenga kotahi. Ka tae mai te rongoā hei papa ka horomia katoatia e koe, ā, i hangaia hei wāhanga o te mahere maimoatanga HIV katoa me ētahi atu rongoā antiretroviral.
Ka whakahau tō tākuta i tēnei rongoā hei wāhanga o te mea e kīia nei ko te rongoā antiretroviral tino kaha, ko HAART rānei. E whakamahi ana tēnei huarahi i ngā rongoā HIV maha ngātahi ki te hanga i tētahi parenga kaha ki te huaketo i tō tinana.
Ka whakamahia tēnei rongoā ki te rongoā i te mate HIV-1 i roto i ngā pakeke me ngā tamariki e 25 kirokaramu te taumaha (tata ki te 55 pauna). E mahi ana hei wāhanga o te rongoā whakakotahi hei āwhina i te whakaiti i te nui o te HIV i roto i ō toto ki ngā taumata e kore e kitea.
Ko te whāinga matua he āwhina i tō pūnaha ārai mate kia ora ake, kia kaha tonu i te wā e ārai ana i te HIV mai i te anga whakamua ki te AIDS. Ina whakamahia tika ana me ētahi atu rongoā HIV, ka āwhina tēnei whakakotahitanga i a koe ki te pupuri i te oranga e tika ana, me te ārai i te tuku i te huaketo ki ētahi atu.
Ka tūtohu pea tō kaiwhakarato hauora i tēnei huinga rongoā mēnā kei te tīmata koe i te rongoā HIV mō te wā tuatahi, mēnā rānei me huri koe i tētahi atu rongoā. He mea nui kia mōhio koe e rongoā ana tēnei rongoā i te HIV engari kāore e whakaora katoa.
E mahi ana tēnei huinga rongoā mā te raru i te kaha o te HIV ki te whakaputa anō i roto i ō pūtau. E arai ana te abacavir me te lamivudine i tētahi enzyme e kīia ana ko te reverse transcriptase, e hiahiatia ana e te HIV hei tārua i ōna rauemi ira me te waihanga i ngā matūriki huaketo hou.
Whakaarohia me te mea e kuhu ana koe i tētahi kī i roto i ngā taputapu o te mīhini tārua a te HIV. Ka ngana te huaketo ki te whakaputa, ka ārai ēnei rongoā i a ia mai i te whakaoti i te tukanga i te angitu. Ka āwhina tēnei ki te whakaiti i te kawenga huaketo i roto i ō toto i te roanga o te wā.
E whakaarohia ana he kaha ngawari te rongoā i te wā e honoa ana ki ētahi atu rongoā HIV. Ahakoa he whai hua, he pai rawa te mahi hei wāhanga o te rongoā e toru rongoā, kaua ki te whakamahi anake, koinei te take ka tohutohu tō tākuta i ētahi atu rongoā HIV hei taha.
Me tango e koe tēnei rongoā i te rite tonu ki tā tō tākuta i tohutohu ai, te tikanga kotahi i te rā me te kai, kāore rānei. Ka taea te tango i te papa me te wai, te miraka, te wai rānei, ā, kāore koe e māharahara ki te wā e tango ai me ngā kai i te mea kāore te kai e pā nui ki te āhua e ngongo ai tō tinana i te rongoā.
Whakamātauria ki te tango i tō horopeta i te wā kotahi i ia rā hei āwhina i te pupuri i ngā taumata rite o te rongoā i roto i tō pūnaha. Ka taea e koe te whakatū i tētahi pūoho i ia rā, te whakamahi rānei i tētahi kaiwhakarite pire hei āwhina i a koe ki te mahara, i te mea ka taea e te ngaro i ngā horopeta te tuku i te HIV kia ātete ki te rongoā.
Horomia te papa katoa, kaua ki te kuru, te ngaungau, te whati rānei. Mēnā he uaua ki a koe te horomi i ngā pire, kōrero ki tō kaiwhakawhāiti rongoā mō ngā tikanga ka āwhina pea, engari kaua e huri i te āhua o te papa me te kore tohutohu.
I mua i te tīmatanga o tēnei rongoā, ka whakamātau tō tākuta i a koe mō tētahi tohu ira e kīia ana ko HLA-B*5701. He mea nui tēnei whakamātau nā te mea ko ngā tāngata e whai ana i tēnei rerekētanga ira he nui ake te tūponotanga o ngā tauhohenga pānga kino ki te abacavir.
Me tango e koe tēnei rongoā mō te toenga o tō oranga hei wāhanga o tō rongoā HIV e haere tonu ana. He herenga wā-roa te rongoā HIV e hiahia ana ki te rongoā ia rā kia noho pēhi te huaketo me te hauora o tō pūnaha ārai mate.
Ko te nuinga o ngā tāngata ka tīmata ki te kite i ngā whakapainga i roto i ō rātou uta huaketo i roto i te 2-8 wiki i muri i te tīmatanga o te rongoā, me ngā whakahekenga nui e puta ana i roto i te 3-6 marama. Ka aroturuki tō tākuta i tō ahunga whakamua mā ngā whakamātau toto auau kia mōhio ai kei te pai te mahi o te rongoā.
Kaua rawa e mutu te tango i tēnei rongoā me te kore e kōrero tuatahi ki tō kaiwhakarato hauora, ahakoa e pai ana koe. Ko te whakamutu i te rongoā HIV ka pā ki te huaketo te whakanui tere me te whanake pea i te ātete ki ngā rongoā, ka uaua ake te rongoā ā muri ake nei.
Ko te nuinga o ngā tāngata e pai ana ki tēnei rongoā, engari pērā i ngā rongoā katoa, ka pānga kino pea. Ko ngā pānga kino noa he ngawari noa iho, ā, he maha ngā wā ka pai ake i te wā e urutau ana tō tinana ki te rongoā i ngā wiki tuatahi.
Koinei ngā pānga kino noa ka pā ki a koe:
Ko ēnei pānga kino o ia rā ka iti ake te raruraru i te wā e waia ana tō tinana ki te rongoā. Ki te mau tonu, ki te whakararu rānei i āu mahi o ia rā, ka taea e tō kaiwhakarato hauora te whakaaro i ngā huarahi hei whakahaere i a rātou.
Heoi anō, he tūponotanga kino ētahi e hiahia ana kia āta tirohia e te tākuta, ahakoa he iti noa iho:
Ko te pānga kino o te hypersensitivity ki te abacavir te mea tino mōrearea. Ka puta pea te kirika, te pūwha, te ngenge nui, te mamae puku, me ngā tohumate rite ki te rewharewha. Mēnā ka pā tēnei ki a koe, ina koa i roto i ngā wiki e ono tuatahi o te rongoā, whakapā atu ki tō tākuta tonu, kaua rawa e tango anō i te rongoā.
Kāore koe e tika kia tango i tēnei rongoā mēnā he pāwera tōu ki te abacavir, lamivudine, ētahi atu rānei o ngā kai o te papa. Hei tāpiritanga, mēnā he pai te hua o tō whakamātautau mō te tohu ira HLA-B*5701, ka whiriwhiria e tō tākuta tētahi atu rongoā HIV hei karo i te tūponotanga o ngā pānga kino o te mate pāwera.
Ko ngā tāngata e pā ana ki te mate ate ngawari ki te kino rānei, tērā pea ka hiahia ki ētahi atu horopeta, ki ētahi atu rongoā rānei. Ka tirohia e tō kaiwhakarato hauora tō mahi ate i mua i te tīmatanga o te rongoā, ā, ka aroturukihia i ngā wā katoa i a koe e tango ana i te rongoā.
Mēnā he raruraru tāu ki te pūkahukahu, tērā pea ka hiahia tō tākuta ki te whakatika i tō horopeta, ki te whakaaro rānei ki ētahi atu rongoā. E rua ngā wāhanga o tēnei rongoā ka tukatukahia mā tō pūkahukahu, nō reira ka pā te mahi o te rongoā i tō tinana ki te kore e pai te mahi o te pūkahukahu.
Ka taea e ngā wāhine hapū te tango i tēnei rongoā, engari he mea nui te aroturuki tata. Mēnā kei te whakamahere koe kia hapū, ka kitea rānei kua hapū koe i a koe e tango ana i tēnei rongoā, kōrerohia ngā tūponotanga me ngā painga ki tō kaiwhakarato hauora tonu.
Ko ngā ingoa waitohu rongonui mō tēnei rongoā whakakotahi ko Epzicom i Amerika, me Kivexa i ētahi atu whenua. E rua ngā rongoā kei roto i ngā rahinga ōrite o ngā whakauru kaha: 600 mg o te abacavir me te 300 mg o te lamivudine mō ia papa.
Ka wātea pea ngā putanga generic i ētahi wāhi, kei roto hoki ngā whakauru kaha ōrite engari he rerekē pea ngā whakauru kore kaha, te āhua rānei. Ka taea e tō kaiwhakawhāiti rongoā te āwhina i a koe ki te tautuhi mēnā kei te whiwhi koe i te ingoa waitohu, i te putanga generic rānei.
Me kōrero tonu ki tō tākuta i mua i te huri i waenga i ngā ingoa waitohu me ngā putanga generic, nā te mea e hiahia ana rātou ki te whakarite kia rite tonu tō rongoā.
He maha atu ngā whakakotahitanga rongoā HIV ka taea te whakamahi hei kōwhiringa kē mēnā kāore tēnei whakakotahitanga e tika ana mōu. Ka whakaaro pea tō tākuta ki te emtricitabine me te tenofovir (Truvada), emtricitabine me te tenofovir alafenamide (Descovy), ētahi atu whakakotahitanga rānei o te nucleoside reverse transcriptase inhibitor.
Mō te hunga kāore e taea te tango abacavir nā te HLA-B*5701 pai, ko ngā kōwhiringa kē ko ngā whakakotahitanga e hāngai ana ki te tenofovir. He rite tonu te mahi mā te aukati i te whakaputa uri o te HIV engari he rerekē ngā tikanga me ngā momo pānga taha.
Ka whakaaro tō tākuta ki ngā āhuatanga pēnei i tō mahi tākihi, te hauora o te wheua, ētahi atu āhuatanga hauora, me ngā pānga rongoā pea i te wā e kōwhiri ana i te kōwhiringa kē pai rawa atu mō tō āhuatanga motuhake.
He tino whai hua ngā whakakotahitanga e rua hei rongoā HIV, engari kāore tētahi i te
He pai ake pea te abacavir me te lamivudine mēnā he raruraru tāu ki te pūkahukahu, ki te mātotoru rānei o te wheua, nā te mea ka pā te tenofovir ki ēnei wāhi i ētahi wā. Heoi anō, ka whiriwhiria pea ngā huinga tenofovir mēnā he pai tō whakamātautau mō te HLA-B*5701, he raruraru ate rānei ōu.
Ka whakaarohia e tō tākuta tō hītori hauora katoa, ngā hua taiwhanga, me ō hiahia whaiaro i te wā e whakatau ana ko tēhea huinga te mea pai mōu. He rekoata whai hua ō ngā kōwhiringa e rua i roto i ngā rangahau haumanu me te whakamahi i te ao tūturu.
Ka taea te whakamahi i tēnei rongoā mō te hunga e pā ana ki te hepatitis B, engari me mātakitaki mārire. He mahi a te Lamivudine ki te huaketo hepatitis B, nō reira mēnā he HIV me te hepatitis B ōu, ka mutu te tango i tēnei rongoā ka kaha te pōrearea o tō hepatitis B.
Ka mātakitaki mārire tō tākuta i te mahi o tō ate, ā, ka tohutohu pea i ētahi atu rongoā hepatitis B mēnā e tika ana. Kaua rawa e mutu te tango i tēnei rongoā me te kore e tirotirohia e te tākuta mēnā he mate tahi tōu ki te hepatitis B.
Mēnā ka nui rawa tō tango i tō horopeta kua tohua, whakapā atu ki tō kaiwhakarato hauora, ki te pokapū whakahaere paitini rānei tonu. Ahakoa he mea noa ngā tohumate nui o te horopeta nui ki tēnei rongoā, ka nui ake te tūponotanga o ngā pānga taha mēnā ka nui rawa tō tango.
Kaua e ngana ki te utu i te horopeta atu mā te karo i tō horopeta e whai ake nei. Engari, haere tonu ki tō hōtaka horopeta auau mēnā kāore anō tō tākuta i tohutohu kē.
Mēnā ka ngaro tō horopeta, tangohia i te wā e mahara ana koe, mēnā kāore anō te wā mō tō horopeta e whai ake nei. I taua wā, karohia te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā tika.
Kaua rawa e tango e rua nga horopeta i te wa kotahi hei utu mo te horopeta i ngaro. Ki te wareware tonu koe ki nga horopeta, korero ki to kaiwhakarato hauora mo nga rautaki hei awhina i a koe ki te mahara, penei i te whakatakoto whakaoho waea, te whakamahi ranei i nga kaiwhakarite pire.
Kaua rawa koe e whakamutu i te tango i tenei rongoa me te kore e korero tuatahi ki to kaiwhakarato hauora. He oranga tonu te rongoa HIV, a, ko te whakamutu i te rongoa ka tere te whakanui i te huaketo, ka puta pea te aukati.
Ka huri pea to taakuta i to tikanga rongoa ki te pa ana koe ki nga paanga taha, ki te waatea ranei nga rongoa hou, engari me mahi tonu tenei whakatau me te tirotiro hauora.
Ko te inu waipiro i te wa e tango ana i tenei rongoa, engari ko te inu nui ka nui ake te tupono o nga raruraru ate, ka raru pea te whai huatanga o to rongoa HIV.
Ki te mate ate koe, he hitori ranei mo nga raruraru waipiro, korero ki to kaiwhakarato hauora mo te whakamahi waipiro. Ka taea e ratou te whakarato aratohu whaiaro i runga i to ahuatanga hauora.