So wode quinine pills anaa capsules di dwuma? Momma yɛnhwehwɛ mu yiye!

So wo duruyɛfo kyerɛw quinine maa wo maa asramma? Anaasɛ obi wɔ w’abusua mu de saa aduru yi di dwuma? Sɛ wo nnim saa aduru yi na wowɔ ehu anaa ehu kakra a, ma yɛnka ho asɛm nnɛ na yɛmfa ntwa. Eyi yɛ aduru a ɛho hia yiye sɛ wɔde di dwuma yiye a.

Aduru bɛn na saa quinine yi yɛ?

Sɛ yɛbɛka no tiawa a, quinine yɛ aduru a wɔde sa asramma . Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ aduru a ekum asramma. Nanso ade biako wɔ hɔ a ɛsɛ sɛ yɛkae. Saa aduru yi nyɛ papa mma nan a ɛyɛ mmerɛw anaa nan a ɛyɛ mmerɛw. Ɛtɔ mmere bi a wobetumi de ayɛ nyarewa afoforo . Bisa wo duruyɛfo anaa onipa a ɔwɔ nnurutɔnbea hɔ no ho asɛm. Mpɛn pii no, wɔde edin Qualaquin na ɛba saa aduru yi so, nanso ebia wobetumi anya din afoforo nso.

Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na wode aduru yi adi dwuma

Ansa na wubefi ase anom saa quinine aduru yi no, ɛsɛ sɛ wokyerɛkyerɛ saa nneɛma yi mu pefee kyerɛ wo duruyɛfo anaa akwahosan ho kuw a wɔresa wo yare no. Eyinom ho hia paa ma w’ahobammɔ.

• Sɛ wowɔ asikreyare a .
• Sɛ wowɔ tebea bi a wɔfrɛ no glucose-6-phosphate dehydrogenase a enni nipadua mu (G6PD a enni nipadua mu) a . Eyi ne enzyme bi a ɛwɔ mogya no mu wɔ abusuabɔ na ebetumi ama ayɛ den sɛ obegyina nnuru bi ano.
• Sɛ wowɔ ɔhaw ahorow te sɛ komayare anaa koma a ɛbɔ daa a .
• Sɛ wowɔ asaabo mu yare a .
• Sɛ wowɔ mmerɛbo mu yare a .
• Sɛ wowɔ ntini mu mmerɛwyɛ anaa nyarewa a ɛbata ho a.
• Sɛ wowɔ aniwa anaa aso a ɛyɛ den a .
• Sɛ woanya nnuru afoforo, nnuan, kɔla ahorow a wɔayɛ, anaa nneɛma a wɔde siesie nneɛma te sɛ quinine, quinidine, anaa mefloquine ho adwene a ɛyɛ wo yaw anaasɛ wo ho yɛ wo hyew wɔ ɔkwan soronko so pɛn a.
• Sɛ woanyinsɛn anaasɛ worebɔ mmɔden sɛ wubenyinsɛn a .
• Sɛ woyɛ ɛna a ɔma nufu a .

Ɔkwan bɛn so ankasa na mede saa aduru yi di dwuma?

Ɛsɛ sɛ wɔde ano nom saa aduru yi. Fa nsu kuruwa mene tablet/capsule no. Di akwankyerɛ a ɛwɔ nnuru a wɔkyerɛw ma no so no akyi pɛpɛɛpɛ. Mma nntwitwiw anaasɛ nwe nnuru a wɔde yɛ aduru no. Ɛyɛ papa sɛ wode wɔn bɛka aduan ho. Nom w’aduru no bere a ɛfata, wɔ bere koro no ara mu. Nnom pii nsen nea wo duruyɛfo aka akyerɛ wo no, anaasɛ nnom no mpɛn pii. Nnyae aduru no nom esiane sɛ wo ho atɔ wo nti. Fa ayaresa no nyinaa di dwuma. Eyi ho hia na ama wɔakum asramma mmoawa no koraa.

Sɛ nnurutɔnbea no ma wo saa aduru yi a, ɛde MedGuide krataa titiriw bi nso ba. Ɛsɛ sɛ wokenkan no yiye bere biara a wubenya nnuru foforo a wɔakyerɛw ama wo (refill). Nsɛm a ɛho hia pii wom, enti mmu w’ani ngu so.

Sɛ wode saa aduru yi rema mmofra a, ɛsɛ sɛ wo ne wo mmofra oduruyɛfo kasa fa ho. Ɛtɔ mmere bi a, ebia ɛho behia sɛ wɔhwɛ yiye titiriw na wɔyɛ nsakrae wɔ dodow a wɔde ma no mu.

Nea ɛho hia: Sɛ wususuw sɛ woanom saa aduru yi dodo (dodow a ɛboro so), anaasɛ woanom pii wɔ akwanhyia mu a, frɛ anaa kɔ baabi a wɔhwɛ awuduru so anaa baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara.

Kae: Saa aduru yi yɛ ma wo nkutoo. Mfa nnkyerɛ afoforo, sɛ mpo wɔn nso wɔ yare no ho sɛnkyerɛnne te sɛ wo a.

Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?

Sɛ eyi ba a, fa no bere a woakae ara pɛ. Nanso, sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no sɛnea wɔahyɛ da ayɛ no. Mfa nnuru mmɔho abien anaa nea ɛboro so da. Saa a wobɛyɛ no betumi ama asiane a ɛwɔ hɔ sɛ wubenya nsunsuanso bɔne no ayɛ kɛse.

Nneɛma foforo bɛn na ebetumi ne aduru yi adi nkitaho?

Quinine yɛ aduru a sɛ wɔde di dwuma wɔ nnuru bi ho a, ebetumi de ɔhaw aba. Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho. Saa nkitahodi ahorow yi betumi atew quinine a etu mpɔn no so anaasɛ ɛbɛma nea efi mu ba no ayɛ kɛse.

Mfa quinine nka nnuru a edidi so yi ho da:

• Cisapride na ɔkyerɛwee
• Nnuru a esiw cholinesterase ano te sɛ edrophonium, neostigmine, physostigmine, ne pyridostigmine
• Erythromycin, aduru a wɔfrɛ no troleandomycin
• Flecainide a wɔde yɛ aduru
• Nnuru afoforo a wɔde sa asramma te sɛ mefloquine ne halofantrine
• Pimozide a wɔde yɛ nnuru
• Quinidine a wɔde ma
• Rifampin na ɔkyerɛwee
• Nnuru bi a wɔde sa koma a ɛbɔ a ɛnteɛ
• Nnuru bi a wɔde di dwuma bere a wɔreyɛ oprehyɛn no

Saa nnuru yi nso betumi ne quinine adi nkitaho:

• Acetazolamide a wɔde yɛ aduru
• Antacids (nsu/aduru a wɔde sa yafunu mu yare ne yafunu mu yare) .
• Atorvastatin (aduru a ɛma mogya mu srade so tew) .
• Cimetidine a wɔde di dwuma
• Desipramine a wɔde di dwuma
• Digoxin a wɔde di dwuma
• Heparin a wɔde di dwuma
• Ketoconazole a wɔde ma
• Lovastatin (a ɛno nso yɛ aduru a ɛma mogya mu srade) .
• Simvastatin (a ɛno nso yɛ aduru a ɛma mogya mu srade) .
• Sodium bicarbonate a wɔde yɛ nneɛma
• Nnuru bi a ekum ɔyare mmoawa
• Nnuru bi a wɔde ma wɔ akisikuru ho
• Nsu a ɛma ahoɔden a quinine wom
• Warfarin (aduru a ɛma mogya yɛ mmerɛw) .

Saa nsɛm a wɔahyehyɛ yi nka nkitahodi ahorow a ebetumi aba nyinaa ho. Enti, ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo (a vitamin, nhabannuru, nnuru a wɔmfa nkyerɛw, ne aduan a wɔde ka aduan ho ka ho) . Afei nso, sɛ wonom sigaret, wonom nsa, anaa wode nnubɔne a mmara mma ho kwan di dwuma a, ka kyerɛ wo duruyɛfo. Saa nneɛma yi betumi ne w’aduru no adi nkitaho.

Nneɛma afoforo a ɛsɛ sɛ wohwɛ yiye wɔ ho bere a worenom aduru yi

Ɛsɛ sɛ wode w’adwene si saa nneɛma yi nso so bere a wode quinine redi dwuma no.

• Kɔ wo duruyɛfo nkyɛn kɔhwɛ wo daa. Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye anaasɛ ɛte sɛ nea ɛreyɛ kɛse a, ka kyerɛ wo duruyɛfo. Sɛ wo atiridii san ba bere a wode aduru yi adi dwuma awie no a, kɔ wo duruyɛfo nkyɛn ntɛm ara.
• Ebia nnipa binom benya mogya mu asikre a ɛba fam bere a wɔrenom aduru yi no. Sɛ eyi ba a, ebia wobɛte nka sɛ wo ho ayɛ wo yaw, wo tirim yɛ hare, wo ho fifiri, wo ho yeraw wo, wo ho wosow, anaa woyɛ mmerɛw. Sɛ eyi ba a, nom nnuaba mu nsu bi anaa di biribi a ɛyɛ dɛ (te sɛ asikre anaa glucose) na frɛ wo duruyɛfo ntɛm ara. Sɛ wowɔ asikreyare a, hwɛ asikre a ɛwɔ wo mogya mu daa.
• Mfa nnuru a ekum acid a aluminium anaa magnesium wom wɔ nnɔnhwerew 2 akyi bere a woanom saa aduru yi, efisɛ eyinom betumi atew quinine a wɔtwe no so.
• Sɛ wɔreyɛ wo oprehyɛn, aduruyɛ, anaa wo sẽ ho adwuma biara a, di kan ka kyerɛ oduruyɛfo no sɛ worenom quinine.

Dɛn ne aduru yi mu nsunsuanso bɔne a ebetumi afi mu aba?

Te sɛ nnuru nyinaa no, quinine betumi de ɔhaw ahorow bi aba. Nanso, ɛnyɛ obiara na onya bi. Ebinom yɛ aniberesɛm, na ebinom nso yɛ odwo.

Sɛ wunya saa nsunsuanso bɔne yi bi a, ka kyerɛ wo duruyɛfo anaa akwahosan ho ɔbenfo ntɛm ara sɛnea wubetumi:

• Nneɛma a ɛma obi ho yɛ no hyew: Honam ani akisikuru, ɛyaw anaa akisikuru, anim, anofafa anaa tɛkrɛma a ɛho ahonhon, ɛyɛ den sɛ wobɛhome.
• Nsakyeraeɛ wɔ anisoadehunu mu - te sɛ blurring, nsakraeɛ wɔ kɔla anisoadehunu mu.
• Ɔhome a ɛyɛ den .
• Nnipa a wɔtotɔ piti .
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnyɛ daa, koko mu yaw .
• Aso a ɛyɛ mmerɛw anaasɛ aso a ɛyɛ dede (te sɛ aso a ɛyɛ den).
• Kɔkɔɔ, akisikuru, honam ani a ɛyɛ mmerɛw anaa ɛho tew (a ano a atwa ho ahyia ka ho).
• A fit (akisikuru) .
• Mogya a etu anaase akuru a eye soronko - te se hwene mu mogya, anom a mogya tu, anaase mogya a ewo honam ani.
• Nsonsonoe kɔkɔɔ anaa kɔkɔɔ a ɛyɛ soronko wɔ honam ani.
• Sɛ́ wobɛte nka sɛ wayɛ mmerɛw wɔ ɔkwan soronko so .

Mpɛn pii no, saa nsunsuanso bɔne yi nhia sɛ wɔkɔ ayaresabea. Nanso, sɛ wɔkɔ so anaasɛ wɔhaw wo a, ka kyerɛ wo duruyɛfo sɛ:

• Anim a ɛyɛ hyew.
• Ayamtuo.
• Tipaeɛ.
• Yafunu a ɛyɛ yaw, akisikuru, ɔfe.
• Fifiri a ɛrefifi.

Saa nsɛm a wɔahyehyɛ yi nka nsunsuanso bɔne a ebetumi aba nyinaa ho. Wo ne wo duruyɛfo nkasa na ɔmma wo aduruyɛ mu afotu wɔ nneɛma bɔne a efi mu ba ho. Sɛ wunya ɔhaw biara a, wubetumi abɔ wo duruyɛfo anaa mpɔtam hɔ akwahosan ho mpanyimfo amanneɛ.

Wobɛyɛ dɛn akora saa aduru yi so yiye?

Eyi nso ho hia paa.

• Fa sie baabi a mmofra ntumi nkɔ. Nneɛma te sɛ nnuru a wɔde kum ɔyare mmoawa ne nnuru a wɔde hyɛ nipadua mu betumi ayɛ te sɛ agode ama mmofra nkumaa.
• Fa sie wɔ dan mu hyew, digrii Celsius 25 kosi 30 (digrii Fahrenheit 77 kosi 86). Fa sie ade a wɔato mu denneennen mu. Bɔ ho ban fi nsu ne ɔhyew a ɛboro so ho.
• Tow nnuru a ne bere atwam a womfa nni dwuma. Bisa wo nnurutɔnbea no akwankyerɛ a ɛfa sɛnea wobɛtow nnuru a ne bere atwam agu yiye ho.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Okay, enti yɛaka quinine ho asɛm pii, ɛnte saa? Sɛ yɛbɛbɔ no mua a, nneɛma kakraa bi a ɛsɛ sɛ yɛma ɛtra yɛn adwenem ni:

• Quinine yɛ ade titiriw a wɔde sa asramma , ɛnyɛ nan a ɛyɛ mmerɛw anaa nan a ɛyɛ mmerɛw nkutoo.
• Ansa na wobɛnom saa aduru yi , akyinnye biara nni ho sɛ ɛsɛ sɛ woka aduruyɛ mu tebea foforo biara a wowɔ (titiriw koma, asaabo, mmerɛbo mu yare, G6PD a enni hɔ), nnuru afoforo a worenom, ne akisikuru biara a ebia wowɔ ho asɛm kyerɛ wo duruyɛfo.
• Fa dodow a wɔakyerɛw ama no, wɔ bere a wɔahyɛ no mu, nna dodow a wɔakyerɛw ama no, sɛnea oduruyɛfo no akyerɛ no. Sɛ wo ho tɔ wo mpo a, nnyae kosi sɛ oduruyɛfo no bɛka akyerɛ wo.
• Nneɛma bɔne a efi mu baMa w’ani nna hɔ. Sɛ wuhu biribi a anibere wom a, ka kyerɛ wo duruyɛfo ntɛm ara. Hwɛ sɛnea asikre a ɛwɔ wo mogya mu no so tew ho sɛnkyerɛnne nso.
• Quinine betumi ne nnuru afoforo a worenom no adi nkitaho , enti wo ne wo duruyɛfo nkasa mfa saa asɛm no ho na ma no nsɛm a wɔahyehyɛ no nyinaa.
• Fa aduru no sie baabi a ahobammɔ wɔ a mmofra ntumi nkɔ hɔ .

Mewɔ anidaso sɛ saa nsɛm yi bɛboa wo. Sɛ wowɔ nsɛmmisa bi a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo anaa onipa a ɔwɔ nnurutɔnbea hɔ no. Kɔ so nya apɔwmuden!

` Quinine, asramma, aduru, nsunsuanso bɔne, aduru ho nsɛm