Efavirenz (inowanikwa nemuromo)
Mhando dzinowanikwa
Sustiva
Nezve mushonga uyu
Efavirenz inoshandiswa pamwe chete nemamwe mishonga mukurapa chirwere che human immunodeficiency virus (HIV). HIV ndiro hutachiona hunoita chirwere che acquired immune deficiency syndrome (AIDS). Mushonga uyu hauna kurapa chirwere che HIV kana AIDS. Inoshanda nekuderedza huwandu hweHIV muropa uye inobatsira masimba emuviri. Izvi zvinogona kubatsira kudzivisa zvimwe zvirwere zvinowanzoitika nekuda kweAIDS kana chirwere cheHIV. Haizokudziviriri pakutapurira vamwe vanhu HIV. Mushonga uyu unowanikwa chete kana uine chinyorwa chekubvumidzwa nachiremba. Chigadzirwa ichi chinowanikwa mumhando dzinotevera dzemishonga:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, ngozi dzokutora mushonga iyeye dzinofanira kuyeranidzwa nezvakanaka zvichaita. Iyi sarudzo iwe nesachiremba wako muchaita. Kune mushonga uyu, zvinotevera zvinofanira kufungwa: Udza chiremba wako kana wakambonzwa chero chirwere chisina kujairika kana allergic reaction kumushonga uyu kana mimwe mishonga. Udzawo nyanzvi yako yehutano kana uine mamwe marudzi eallergies, akadai sekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisingadi kuraira, verenga zvinyorwa zvepakeji kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye efavirenz muvana vane makore pasi pe3 mwedzi kana vane uremu huri pasi pe 3.5 kilograms (kg). Kwakachengeteka uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo echirwere chevakwegura aizoita kuti kushandiswa kwe efavirenz muvakuru kuve kwakaoma. Zvisinei, varwere vakwegura vane mukana wakakura wekuva nematambudziko ekukwegura eitsvo, chiropa, kana moyo, izvo zvinoda kungwarira uye kugadziriswa kwehuwandu hwevarwere vanowana efavirenz. Hapana ongororo dzakakwana muvakadzi dzekuona ngozi yemwana pakuita mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nengozi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyange zvazvo mimwe mishonga isingafaniri kushandiswa pamwe chete, mune dzimwe nguva mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyange kana kuwirirana kungavepo. Munyaya idzi, chiremba wako angada kuchinja huwandu, kana mamwe matanho angave achidiwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwazvo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusimudzirwi. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kusimudzirwa, asi kunogona kudiwa mune dzimwe nguva. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa sei imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera kuwedzera kengozi yemigumisiro yakati, asi kushandisa mishonga yese kunogona kuva kurapwa kwakanakira iwe. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja huwandu kana kuti ungashandisa sei imwe kana ese mishonga. Mimwe mishonga haifaniri kushandiswa panguva yekudya kana pedyo nekurima kana kudya marudzi akati akati ezvokudya sezvo kuwirirana kungavepo. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kurukurai nehutano hwako hwehutano kushandiswa kwemushonga wako nezvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chaizvoizvo sezvakarayirwa nachiremba wako. Usatore kazhinji, uye usatore kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Usachinje chiyero kana kurega kushandisa mushonga uyu usati wabvunza nachiremba wako. Kana chigadzirwa chako chemushonga uyu chichipera, taura nachiremba wako kana mushonga wako usati wasvika. Usazvibvumire kupera kwemushonga uyu. Mushonga uyu unouya nepepa remashoko erumwe rwechirwere uye mirairo yevagari venyika. Verenga utevedze mirairo yacho zvakanyatsonaka. Bvunza chiremba wako kana uine mibvunzo ipi neipi. Verenga zvakare nguva dzose paunenge uchizadza mushonga wako kuti pave neruzivo rutsva. Unofanira kutaura nachiremba wako kana uine mibvunzo ipi neipi. Ramba uchitora efavirenz kwenguva yakazara yekurapa, kunyangwe kana ukatanga kunzwa zvakanaka. Zvakakoshawo kuti urambe uchitora mishonga yese yehutachiona hweHIV yakatungamirwa nachiremba wako kuti utore. Efavirenz haizoshandi kana ikatorwa yekutanga. Inofanira kutorwa nemimwe mishonga yeHIV. Mushonga uyu unoshanda zvakanaka kana paine huwandu hwakatarwa muropa. Kuti uchengetedze mazinga eropa akatarwa, usapotsa chero dose. Uyewo, zvakanaka kutora ma dose panguva dzakafanana zuva rese. Semuenzaniso, kana iwe kana mwana wako muri kutora dose imwe chete pazuva, edza kuitora panguva imwe chete zuva rega rega. Kana uchida rubatsiro pakuronga nguva dzakanakisa dzekutora mushonga wako, bvunza nachiremba wako. Tora mushonga uyu mudumbu risina chinhu panguva yekurara. Dya kapusule kana tafura yose nemvura. Usaputsa, kupwanya, kana kucheka tafura. Kana iwe kana mwana wako musina kukwanisa kumira kapusule yose: Udza chiremba wako kana ukatora rifampin (Rifadin®, Rifamate®, Rifater®) kana voriconazole (Vfend®). Chiyero chako chingada kuchinjwa. Chiyero chemushonga uyu chichava chakasiyana kune varwere vakasiyana. Tevedza mirairo yechiremba wako kana mirairo iri parinenge. Ruzivo runotevera runosanganisira chete ma dose epakati emushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kuti uite izvozvo. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga inotsamira pane dambudziko remuviri rauri kushandisa mushonga. Kana wapotsa dose yemushonga uyu, itore nekukurumidza sezvinobvira. Zvisinei, kana iri nguva yekutora dose yako inotevera, siya dose yakapotswa uye dzokera kune yako yakajairwa dosing schedule. Usatore ma dose maviri kamwechete. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kuti urege kuomarara. Chengetedza kure nevana. Usachengetse mushonga wakapfuura zuva kana mushonga usingachadiwi. Bvunza nyanzvi yako yehutano maitiro aunoita kuti urase chero mushonga usingashandisi.