Created at:1/13/2025
ICabotegravir iyimithi kadokotela eyenzelwe ukusiza ekuvikeleni ukutheleleka nge-HIV kubantu abasengozini enkulu yokuthola leli gciwane. Le mithi yomlomo ingeyeqembu lezidakamizwa ezibizwa ngokuthi ama-integrase inhibitors, asebenza ngokuvimba i-HIV ukuthi ingaphindaphindi emzimbeni wakho uma uvezwe yiyo.
Cabanga nge-cabotegravir njengendlela yokuzivikela oyithatha nsuku zonke ukunciphisa amathuba akho okuthola i-HIV. Iyingxenye yalokho odokotela abakubiza ngokuthi i-pre-exposure prophylaxis, noma i-PrEP, okusho ukuthatha imithi ngaphambi kokuthi ubhekane nengozi ukuvimbela ukutheleleka.
ICabotegravir ivunyelwe ngokuqondile ukuvimbela i-HIV kubantu abadala nasebancane abalinganisa okungenani amakhilogremu angama-35 (cishe amaphawundi angama-77). Udokotela wakho uzokunika lo muthi uma usengozini enkulu yokuthola i-HIV ngokuxhumana ngokocansi noma ukusebenzisa izidakamizwa ngomjovo.
Lo muthi ulusizo ikakhulukazi kubantu abanabalingani abane-HIV-negative, abenza ucansi ngaphandle kwamakhondomu, abanabalingani abaningi bezocansi, noma abahlanganyela imishini yokujova. Iphinde isetshenziswe njengokwelashwa okuholayo ngaphambi kokuqala ukuthatha imijovo ye-cabotegravir esebenza isikhathi eside.
Lokhu akuyona indlela yokwelapha abantu asebenayo i-HIV. Uma une-HIV-positive, udokotela wakho uzoncoma imithi ehlukene eyenzelwe ngokuqondile ukwelapha ukutheleleka kunokukuvimbela.
ICabotegravir isebenza ngokuvimba i-enzyme ebizwa ngokuthi i-integrase edingwa yi-HIV ukuze iphindaphindeke ngaphakathi kwamaseli akho. Uma i-HIV ingena emzimbeni wakho, izama ukufaka izinto zayo zofuzo emangqamuzaneni akho anempilo ukuze zenze amakhophi awo.
Lo muthi empeleni ubeka isithiyo kuleso sinyathelo esibalulekile. Noma ngabe i-HIV ikwazi ukungena emangqamuzaneni akho, i-cabotegravir iyayivimbela ukuthi ingahlanganisi ikhodi yayo yofuzo, okuyeka igciwane ukuthi lingaphindaphindi futhi limise ukutheleleka.
Umuthi uthathwa njengonamandla ngokulinganiselwe futhi usebenza kahle kakhulu uma uthathwa njalo. Ucwaningo lubonisa ukuthi lunganciphisa ingozi yakho yokuthola i-HIV ngaphezu kuka-90% uma usetshenziswa njengoba uqondiswe, okwenza kube ngomunye wamathuluzi okuvimbela asebenza kahle kakhulu atholakalayo.
Thatha i-cabotegravir njengoba nje udokotela wakho ekunqumele yona, ngokuvamile kanye ngosuku ngaphandle kokudla noma ngaphandle kokudla. Ungayithatha ngamanzi, ijusi, noma ubisi - noma yini ozizwa ukhululekile ngayo.
Isikhathi sibaluleke kakhulu kunalokho okudlayo ngayo. Zama ukuthatha umthamo wakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo egazini lakho. Abantu abaningi bakuthola kuwusizo ukusetha i-alamu yansuku zonke noma ukuyixhuma kwenye imikhuba yansuku zonke efana nokuxubha amazinyo abo.
Akudingeki ukhathazeke ngokuqina kokudla okuthile, kodwa ukuyithatha nokudla kungasiza ekunciphiseni noma yikuphi ukuphazamiseka kwesisu uma uhlangabezana nalowo mphumela ohlangothini. Uma unenkinga yokugwinya amaphilisi, ungaxoxa ngezindlela ezingezinye nomhlinzeki wakho wezempilo.
Ngokuvamile uzothatha i-cabotegravir yomlomo cishe inyanga eyodwa njengesikhathi sokuhola ngaphambi kokushintshela ekujoveni kwe-cabotegravir okusebenza isikhathi eside. Lesi sigaba somlomo sisiza udokotela wakho ukuthi aqiniseke ukuthi uyawamukela kahle umuthi ngaphambi kokuzibophezela ekujoveni okuhlala isikhathi eside.
Abanye abantu bangahlala efomini lomlomo isikhathi eside uma bengakulungele ukujova noma uma udokotela wabo efuna ukuqapha ukuthi basabela kanjani emuthini. Umhlinzeki wakho wezempilo uzosebenza nawe ukunquma uhlu lwesikhathi olungcono kakhulu olusekelwe esimweni sakho ngasinye.
Okubalulekile ukugcina ukuvikeleka okuqhubekayo, ngakho-ke uzodinga ukuqhubeka nokuthatha ifomu lomlomo kuze kube yilapho uthola umjovo wakho wokuqala. Akufanele kube nazikhala esimisweni sakho semithi ukuze kuqinisekiswe ukuvikelwa kwe-HIV okuqhubekayo.
Abantu abaningi bayakwazi ukumelana kahle ne-cabotegravir, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, futhi imiphumela eminingi emibi emincane iyathuthuka njengoba umzimba wakho ujwayela umuthi.
Nansi imiphumela emibi evame kakhulu ongase uyithole:
Lezi zimpawu zivame ukuba mnene futhi zithambekele ekuthuthukeni emasontweni ambalwa okuqala okwelashwa. Uma ziqhubeka noma ziba yinkinga, khuluma nomhlinzeki wakho wezempilo ngezindlela zokuzilawula.
Imiphumela emibi engavamile kodwa engathi sína ingabandakanya izinkinga zesibindi, ukusabela okukhulu komzimba, noma izinguquko ezinkulu zemizwa. Ngenkathi lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke ukuze uthole usizo ngokushesha uma kudingeka.
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nokuphuzi kwesikhumba sakho noma amehlo akho, ubuhlungu obukhulu besisu, ukuphuma kwegazi okungavamile, ubunzima bokuphefumula, noma imicabango yokuzilimaza. Lezi zimpawu zidinga ukunakekelwa kwezokwelapha okusheshayo.
I-Cabotegravir ayilungile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Akufanele uthathe lo muthi uma unokungezwani komzimba ne-cabotegravir noma yiziphi izithako zawo.
Abantu asebenenalwazi nge-HIV akufanele basebenzise i-cabotegravir ukuvimbela, njengoba ingaqinile ngokwanele njengomuthi owodwa wokwelapha ukutheleleka okukhona. Isimo sakho se-HIV kumele siqinisekiswe ukuthi asikho ngaphambi kokuqala lo muthi.
Nansi ezinye izimo lapho i-cabotegravir ingase ingafaneleki khona:
Udktela wakho uzobheka nokuthi uyakwazi yini ukuthatha imithi njalo, ngoba ukuyisebenzisa ngokungajwayelekile kungaholela ekumelaneni nemithi nokuncipha kokusebenza. Bazofuna ukuqinisekisa ukuthi uzibophezele ekuthathweni kwemithi nsuku zonke ngaphambi kokukuchazela i-cabotegravir.
Igama lomkhiqizo le-cabotegravir yomlomo yi-Vocabria. Leli yigama ozolibona ebhodleleni lakho likamuthi kanye namalebula ekhemisi uma uthatha imithi yakho.
I-Vocabria ikhiqizwa yi-ViiV Healthcare futhi iyona nto efanayo esebenzayo etholakala ngomjovo obizwa nge-Apretude. Zombili ziqukethe i-cabotegravir, kodwa zakhiwe ngendlela ehlukile yomlomo uma kuqhathaniswa nomjovo.
Uma ukhuluma nomhlinzeki wakho wezempilo noma usokhemisi, ungabhekisa emuthini wakho njenge-cabotegravir noma i-Vocabria - bazokuzwisisa ukuthi ukhuluma ngomuthi ofanayo.
Uma i-cabotegravir ingakulungele, zikhona ezinye izindlela ezisebenzayo zokuvimbela i-HIV ezitholakalayo. Enye indlela esetshenziswa kakhulu yipilisi lansuku zonke elibizwa nge-Truvada, eliqukethe imithi emibili: i-emtricitabine ne-tenofovir.
I-Descovy enye indlela ye-PrEP yansuku zonke equkethe i-emtricitabine kanye nohlobo olusha lwe-tenofovir. Lolu hlobo lungaba lula ezinso zakho nasemathanjeni uma luqhathaniswa ne-Truvada, okwenza kube yindlela enhle yabanye abantu.
Ngaphandle kwamaphilisi ansuku zonke, ungase ucabange ngomjovo we-cabotegravir (Apretude) onikezwa njalo ezinyangeni ezimbili, noma i-PrEP eqhutshwa yizenzakalo lapho uthatha imithi kuphela ngezikhathi zokuchayeka okungenzeka ku-HIV. Udktela wakho angakusiza ukhethe inketho engcono kakhulu ngokusekelwe endleleni yakho yokuphila nezidingo zezokwelapha.
Kokubili i-cabotegravir ne-Truvada zisebenza kahle kakhulu ekuvikeleni i-HIV, kodwa zisebenza ngendlela ehlukile futhi zingase zilingane nabantu abahlukene kangcono. I-Cabotegravir inikeza inzuzo yokushintshela emijovweni njalo ezinyangeni ezimbili, okutholakala abanye abantu kulula kunamaphilisi ansuku zonke.
I-Truvada isitholakala isikhathi eside futhi inemininingwane eminingi yangempela esekela ukusebenza kwayo. Futhi ngokuvamile ayibizi kakhulu futhi itholakala kabanzi kune-cabotegravir.
Ukukhetha okuthi "kungcono" kuncike ezimweni zakho, okuhlanganisa umlando wakho wezokwelapha, izintandokazi zokuphila, umshwalense, nokuthi ukubekezelela kanjani imithi ngayinye. Abanye abantu bakhetha inketho entsha ye-cabotegravir, kanti abanye bazizwa bekhululekile ngomlando oqinisekisiwe we-Truvada.
I-Cabotegravir ngokuvamile iphephe kakhulu ezinso zakho uma iqhathaniswa neminye imithi yokuvimbela i-HIV efana ne-Truvada. Kodwa-ke, uma unezinkinga zezinso ezikhona, udokotela wakho uzodinga ukuqapha ukusebenza kwezinso zakho ngokucophelela.
Abantu abanezifo ezinzima zezinso bangase badinge ukulungiswa kwemithamo noma bangase bangabi ngabantu abafanelekayo be-cabotegravir. Umhlinzeki wakho wezempilo uzokwenza ukuhlolwa kwegazi ukuze ahlole ukusebenza kwezinso zakho ngaphambi kokuqala umuthi futhi ngezikhathi ezithile ngenkathi uwuthatha.
Uma ngengozi uphuza i-cabotegravir eningi kunaleyo ebekiwe, xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ngokushesha. Ukuphuza imithi eningi kungakhuphula ingozi yakho yemiphumela emibi, ikakhulukazi isicanucanu, isiyezi, kanye nekhanda.
Ungazami ukulungisa umthamo owengeziwe ngokususa umthamo wakho olandelayo ohleliwe. Kunalokho, qhubeka nohlelo lwakho lokulinganisa njengoba kuqondiswe udokotela wakho noma usokhemisi.
Gcina umkhondo wokuthi ukweqisa kwenzeke nini nokuthi ungakanani umuthi owengeziwe owuphuzile, njengoba lolu lwazi luzosiza abahlinzeki bezempilo ukuthi banqume inkambo engcono kakhulu yesenzo.
Uma uphuthelwa umthamo we-cabotegravir, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.
Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma uphuthelwa imithamo eminingi, xhumana nomhlinzeki wakho wezempilo ukuze uthole isiqondiso sokuthi ungabuyela kanjani emgwaqeni ngokuphepha.
Ukuphuthelwa imithamo kunganciphisa ukusebenza kahle komuthi ekuvikeleni i-HIV, ngakho zama ukusungula imikhuba ekusiza ukuthi ukhumbule ukuthatha umthamo wakho wansuku zonke ngokuqhubekayo.
Kufanele uyeke kuphela ukuthatha i-cabotegravir ngemva kokuxoxa ngayo nomhlinzeki wakho wezempilo. Uma uyithatha njengendlela yokungena ku-cabotegravir ejovwayo, uzoyeka ifomu lomlomo uma usuthola umjovo wakho wokuqala.
Uma unquma ukuthi awusadingi ukuvikelwa yi-HIV, udokotela wakho uzokusiza ukuthi unqume isikhathi esiphephe kakhulu sokuyeka umuthi. Lokhu kungase kuncike engozini yakho yamuva yokuchayeka ku-HIV nezinye izici.
Ungayeki ukuthatha i-cabotegravir ngokuzumayo ngaphandle kwesiqondiso sezokwelapha, ikakhulukazi uma usanda kuchayeka ku-HIV. Udokotela wakho angasiza ukuqinisekisa ukuthi ugcina ukuvikeleka ngesikhathi sanoma yisiphi isikhathi sokushintsha.
Ukusetshenziswa kotshwala ngokulinganisela ngokuvamile kubhekwa njengokuphephile ngenkathi kuthathwa i-cabotegravir. Umuthi awunazo izindlela zokuxhumana eziqondile notshwala ezingenza ukuphuza kube yingozi.
Nokho, ukusetshenziswa kotshwala ngokweqile kungathinta ukusebenza kwesibindi sakho futhi kungakhuphula ingozi yakho yemiphumela emibi. Kungase futhi kuphazamise ukwahlulela kwakho futhi kukwenze ukuthi uthambekele ekuqhubeni izenzo eziyingozi ezingakuchaya ku-HIV.
Uma unezinkathazo mayelana nokusetshenziswa kotshwala noma impilo yesibindi, xoxa ngalokhu nomhlinzeki wakho wezempilo. Bangakunikeza isiqondiso esiqondene nawe esisekelwe empilweni yakho yonke kanye nohlelo lwemithi.