Ebia woate edin Hydroxychloroquine wɔ atesɛm mu wɔ COVID ɔyaredɔm no mu. Nanso nokwarem no ɛyɛ aduru a akyɛ yiye a wɔde adi dwuma fi 1940 mfe no mu. Mfiase no, na nnuruyɛfo de saa asramma yare. Ɛnnɛ, wɔtaa de yɛ aduruyɛ mu tebea afoforo. Ɛnnɛ, yɛbɛka nea wɔde saa aduru yi di dwuma ankasa, nsunsuanso bɔne a ebetumi de aba, ne nea ɛsɛ sɛ yɛhwɛ yiye wɔ ho bere a yɛde redi dwuma no ho asɛm.
So saa aduru yi fata Covid-19 ampa?
Eyi yɛ asɛmmisa a nnipa pii wɔ. Sɛ yɛbɛka no tiawa a, dabi . Wiase Akwahosan Ahyehyɛde (WHO) nkamfo hydroxychloroquine nkyerɛ sɛ wɔmfa nsiw COVID-19 ano anaa wɔsa. Wɔyɛɛ saa gyinaesi yi bere a wɔyɛɛ nhwehwɛmu kɛse akyi.
Susuw ho hwɛ, nhwehwɛmu 6 a wɔyɛe wɔ nnipa mpempem pii a wonni COVID-19 ho no daa no adi sɛ aduru no antumi asiw wɔn kwan sɛ wobenya COVID, wɔbɛkɔ ayaresabea, anaa wɔawuwu. Na nhwehwɛmu 30 a wɔyɛe wɔ COVID-19 ayarefo bɛboro 10,000 ho no daa no adi sɛ aduru no antew mframa a wɔde ma anaasɛ owu ho asiane so. Ɛno nti na mprempren wɔmfa nkamfo mma COVID-19.
Enti nyarewa bɛn na wɔde saa aduru yi di dwuma?
Wɔtaa de hydroxychloroquine di dwuma nnɛ ma nipadua no mu tumi a ɛko tia nyarewa. Seesei ebia woresusuw nea ɛno yɛ ho.
Sɛ yɛbɛka no tiawa a, eyi ne bere a yɛn nipadua no ankasa ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa, di mfomso tow hyɛ yɛn ankasa nkwammoaa ne ntini a ɛte apɔw so no. Eyi ma nkwaa, ntini, ne ɛtɔ mmere bi a emu akwaa ahorow hohoro na ɛsɛe.
Wo duruyɛfo betumi akyerɛw saa aduru yi ama wo sɛ wowɔ tebea horow a edidi so yi mu biara a:
- Ntini mu yare a ɛma ntini mu yare
- Lupus a ɛma mogya tu a ɛwɔ nipadua no mu (SLE) .
- Mmofra ntini mu yare a ɛyɛ idiopathic
- Antiphospholipid yare a ɛma obi nya ɔyare no
- Sjogren yare titiriw
Abenfo da so ara nnim sɛnea aduru yi yɛ adwuma ankasa, nanso wosusuw sɛ ɛsakra ɔkwan a nkwammoaa a ɛko tia nyarewa no fa so kyerɛ wɔn ho wɔn ho. Ebia ebetumi adum nneɛma bi a ɛde ɔfe ba nso.
Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?
Te sɛ aduru biara no, hydroxychloroquine betumi de ɔhaw ahorow aba. Ɛwom sɛ ɛnyɛ obiara na onya bi de, nanso nsunsuanso bɔne bi nyɛ den na bere kɔ so no ɛkɔ.
| Nneɛma bɔne a ɛtaa ba | |
|---|---|
| Abofono | Ɔfe a wɔfe |
| Ayamtuo | Yafunu mu yaw |
| Nyansahyɛ: Nea ɛbɛyɛ na wɔatew saa nsunsuanso bɔne yi so no, ebia ɛbɛyɛ nea mfaso wɔ so sɛ wobɛnom saa aduru yi ne aduan bi . | |
Nea ɛka ho no, sɛnkyerɛnne afoforo a edidi so yi nso betumi aba:
- Honam ani a ɛyɛ yaw anaasɛ ɛyɛ akisikuru
- Wora a ɛyɛ tuntum anaasɛ ɛyɛ nsensanee
- Nwi a ɛsakra (sɛ nhwɛso no, kɔla a ɛsakra) .
- Ntini mu mmerɛwyɛ
- Adwene mu nneɛma sesa
- Aso a ɛbɔ wɔ aso mu
Nsunsuanso bɔne a anibere wom a ɛsɛ sɛ wohwɛ yiye
Eyinom yɛ aniberesɛm kakra, enti ɛho hia yiye sɛ wuhu eyi.
Nkɛntɛnso a enya wɔ koma no so
Hydroxychloroquine betumi ama nsakrae a asiane wom aba koma no mu. Eyi te saa titiriw sɛ wode ka nnuru afoforo bi te sɛ azithromycin ho a. Eyi betumi ama nsakrae aba koma no anyinam ahoɔden dwumadi mu. Ne titiriw no, ebetumi ama koma no abɔ ntɛmntɛm wɔ ɔkwan a ɛnteɛ so (ventricular tachycardia) anaasɛ nsakrae a asiane wom aba koma no mu (QT ntamgyinafo a ɛkyɛ).
Aniwa a ɛsɛe
Eyi yɛ asɛm a ɛho hia paa. Ɛwom sɛ ɛntaa nsi de, nanso hydroxychloroquine betumi asɛe aniwa no retina.
Mma wo werɛ mmfi sɛ saa aduru yi betumi asɛe w’ani. Wɔ tebea horow bi mu no, ebia w’ani betumi asɛe koraa.
Asiane yi kɔ soro wɔ nnipa te sɛ:
- Wɔn a wɔadi boro mfe 60 no fam
- Wɔn a wɔnom aduru no dodow a ɛkɔ soro bɛboro mfe 5 no fam no
- Wɔn a wɔwɔ asaabo anaa mmerɛbo mu yare a emu yɛ den no fam
- Wɔn a wɔwɔ aniwa anaa retina nyarewa dedaw no fam
Enti, sɛ wode saa aduru yi di dwuma bere tenten a, ɛho hia sɛ wobɛma aniwa ho oduruyɛfo ahwɛ w’ani daa.Wo duruyɛfoɔ bɛka akyerɛ wo sɛ kɔhwɛ w’ani pɛnkoro afe biara anaa anyɛ yie koraa no pɛnkoro wɔ mfeɛ 5 biara mu.
Nsunsuanso afoforo a anibere wom
- Mogya nhyehyɛe mu haw: Ebia mogya a ɛtɔ kɔ nipadua mu no ntaa mma, titiriw wɔ nnipa a wɔwɔ mogya mu yare te sɛ G6PD a enni nipadua mu anaasɛ porphyria mu.
- Asaabo mu haw ahorow
- Mmerɛbo a ɛsɛe anaasɛ ɛnyɛ adwuma yiye
Nnuru a Wɔde Di Dwuma Nkitahodi
Ebia hydroxychloroquine ne nnuru bi bedi nkitaho. Ebetumi asakra sɛnea wɔyɛ adwuma yiye anaasɛ ebetumi ama asiane a ɛwɔ hɔ sɛ ebefi mu aba no ayɛ kɛse. Enti ɛho hia sɛ woka nnuru, vitamin, anaa nnuru a wɔde ka ho a worenom ho asɛm kyerɛ wo duruyɛfo.
| Aduru ko a wɔde yɛ | Nneɛma a ɛsɛ sɛ wususuw ho |
|---|---|
| Nnuru a ɛnsɛ sɛ wɔnom bom da | Cisapride, Dronedarone, Pimozide, Thioridazine a wɔde yɛ nnuru a wɔde sa yare |
| Nnuru a ebetumi de ɔhaw ahorow aba | Digoxin, insulin anaa asikreyare nnuru afoforo, Mefloquine, akisikuru nnuru, Methotrexate, Cyclosporine |
| Nnuru a ebetumi de ɔhaw afoforo aba | Praziquantel, Nnuru a ɛko tia asikre, Kaolin, Cimetidine, Ampicillin |
Sɛ worenom tamoxifen ama nufu mu kokoram a, wo ne wo duruyɛfo nkasa mfa ɛno nso ho. Ebia ɛremfata sɛ wobɛnom nnuru abien yi abom bɛboro asram 6.
Hena na obetumi anom saa aduru yi? Hena na ɔrentumi?
Hydroxychloroquine yɛ nea asiane biara nni ho mma mpanyimfo ne mmofra dodow no ara. Wo duruyɛfo begyina wo nipadua mu duru so akyerɛ dodow a ɛfata.
Ɛwom sɛ nhwehwɛmu ada no adi sɛ asiane biara nni ho sɛ wɔbɛnom aduru yi bere a wɔyem anaa wɔrema nufu de, nanso .Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa nnuru biara a wobɛnom ho.
Sɛ wowɔ psoriasis , honam ani yare a, hwɛ yiye wɔ saa asɛm no ho efisɛ saa aduru yi betumi ama wo sɛnkyerɛnne no asɛe kɛse.
Hena na ɛnsɛ sɛ ɔnom saa aduru yi?
Sɛ wo ho nyɛ wo hyew wɔ nnuru afoforo a 4-aminoquinoline nnuru wom te sɛ chloroquine ho a, ɛnsɛ sɛ wonom hydroxychloroquine.
Sɛ wuhu sɛ wo ho yɛ wo hyew a, kɔ ayaresabea dwumadibea a ɛhwɛ ntɛmpɛ so (ETU) a ɛbɛn wo ntɛm ara. Nsɛnkyerɛnne a ɛtete saa no bi ne:
- Menewa, ano, anaa anim a ɛho ahonhon
- Honam ani akisikuru anaasɛ akisikuru
- Ɛyaw a emu yɛ den
Nkrasɛm a Wɔde Kɔ Fie
- Hydroxychloroquine yɛ aduru a wɔde sa nyarewa a nipadua no tumi ko tia nyarewa te sɛ ntini mu yare ne lupus titiriw. Wɔnkamfo nkyerɛ sɛ wɔmfa mma COVID-19.
- Saa aduru yi betumi de ɔhaw ahorow a emu yɛ den aba koma no so ne titiriw no aniwa no.
- Sɛ worenom saa aduru yi bere tenten a, ɛho hia sɛ woyɛ w’ani mu nhwehwɛmu daa sɛnea wo duruyɛfo de afotu ma wo no.
- Ka nnuru afoforo a worenom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Mfi ase anaasɛ nnyae aduru yi nom da a wunni aduruyɛ mu afotu.
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