Yu go dɔn yɛri di nem Hydroxychloroquine na nyus di tɛm we COVID pandemik de. Bɔt fɔ tru, na wan rili ol drɔg we dɛn dɔn de yuz frɔm di 1940 dɛm. Fɔs tɛm, dɔktɔ dɛn bin de yuz am fɔ mɛn malaria. Tide, dɛn kin yuz am mɔ fɔ ɔda sik dɛn we pɔsin kin gɛt. Tide, wi go tɔk bɔt wetin dɛn rili de yuz dis mɛrɛsin fɔ, us sayd ɛfɛkt dɛn i kin kam wit, ɛn wetin fɔ tek tɛm we yu de yuz am.
Dis mɛrɛsin rili fit fɔ Covid-19?
Dis na kwɛstyɔn we bɔku pipul dɛn gɛt. Fɔ tɔk am simpul wan, nɔ . Di Wol Ɛlth Ɔganayzeshɔn (WHO) nɔ de rɛkɔmɛnd fɔ yuz haydroksiklɔrokin fɔ mek dɛn nɔ gɛt ɔ trit COVID-19. Dɛn bin kam fɔ disayd fɔ du dis afta dɛn dɔn du bɔku risach.
Jɔs tink, 6 stɔdi we dɛn du pan tawzin pipul dɛn we nɔ gɛt COVID-19, sho se di mɛrɛsin nɔ gɛt ɛni ɛfɛkt fɔ mek dɛn nɔ gɛt COVID, fɔ go na ɔspitul, ɔ fɔ day. Ɛn 30 stɔdi we dɛn du pan pas 10,000 pipul dɛn we gɛt COVID-19, sho se di mɛrɛsin nɔ de ridyus di nid fɔ gɛt ventilator ɔ di risk fɔ day. Na dat mek dɛn nɔ de rɛkɔmɛnd am fɔ COVID-19 naw.
So us kayn sik dɛn de yuz dis mɛrɛsin fɔ?
Dɛn kin yuz haydroksiklɔrokin mɔ tide fɔ ɔtoimyun dizayd. Naw yu go mɔs de wɔnda wetin na dat.
Fɔ tɔk am simpul wan, dis na we wi bɔdi in yon difens sistɛm, we na di imyun sistɛm, kin mistek atak wi yon sɛl ɛn tisu dɛn we gɛt wɛlbɔdi. Dis kin mek di jɔyn dɛn, di mɔsul dɛn, ɛn sɔntɛnde di ɔgan dɛn we de insay di bɔdi swel ɛn pwɛl.
Yu dɔktɔ kin gi yu dis mɛrɛsin if yu gɛt ɛni wan pan dɛn tin ya:
- Rimatɔyd at at sik
- Sistεmik lupus εrytematosus (SLE) .
- Juvenil idiopatik at at sik
- Antifosfolipid sindrom we gɛt di sik
- Praymari Sjogren in sik we dɛn kɔl Sjogren in sindrom
Di masta sabi bukman dɛn stil nɔ shɔ ustɛm dis mɛrɛsin de wok, bɔt dɛn tink se i de chenj di we aw di imyun sɛl dɛn de signal dɛnsɛf. I kin ɔf sɔm pan di tin dɛn we kin mek pɔsin gɛt inflamɛns bak.
Wetin na di sayd ɛfɛkt dɛm we dis mɛrɛsin kin gɛt?
Lɛk ɛni mɛrɛsin, haydroksiklɔrokin kin mek pɔsin gɛt bad bad tin dɛn. Pan ɔl we nɔto ɔlman kin gɛt dɛn, sɔm sayd ɛfɛkt dɛn nɔ kin at ɛn dɛn kin go as tɛm de go.
| Kɔmɔn sayd ɛfɛkt dɛn | |
|---|---|
| Vɔmit | Fɔ vɔmit |
| Rɔnbɛlɛ | Bɛlɛ de pen |
| Sɔgzhɛshɔn: Fɔ mek yu nɔ gɛt dɛn bad bad tin ya, i go fayn fɔ tek dis mɛrɛsin wit yu it . | |
Apat frɔm dat, dɛn ɔda sayn ya kin apin bak:
- I de it ɔ rash na di skin
- Di skin we de dak ɔ we gɛt spat
- Di chenj we di ia de chenj (e.g., di chenj we di kɔlɔ de chenj) .
- Di mɔsul dɛn we wik
- Di we aw pɔsin de fil kin chenj
- I de ring na yu yes
Siriɔs sayd ɛfɛkt dɛn we yu fɔ no bɔt
Dɛn tin ya siriɔs smɔl, so i rili impɔtant fɔ no bɔt dis.
Di tin dɛn we kin apin to di at
Hydroxychloroquine kin mek denja chenj na di hat ritm. Dis kin bi mɔ if yu tek am wit sɔm ɔda mɛrɛsin dɛn lɛk azithromycin . Dis kin mek chenj na di ilɛktrik aktiviti na di at. spεshal wan, i kin mek di at rεt we nɔrmal fast (ventricular tachycardia) ɔ di denja chenj na di at ritm (prolonged QT interval).
Ay damej
Dis na pɔynt we rili impɔtant. Pan ɔl we i nɔ kin bɔku, haydroksiklɔrokin kin pwɛl di retina na di yay.
Nɔ fɔgɛt se dis mɛrɛsin kin pwɛl yu yay. Sɔntɛnde, yu kin ivin lɔs yu yay fɔ ɔltɛm.
Dis risk kin bɔku pan pipul dɛm lɛk:
- Fɔ di wan dɛn we dɔn pas 60 ia
- Fɔ di wan dɛn we de tek ay dos fɔ di mɛrɛsin fɔ pas 5 ia
- Fɔ di wan dɛn we gɛt siriɔs kidni ɔ liva sik
- Fɔ di wan dɛn we dɔn ɔlrɛdi gɛt ay ɔ retina sik
So, if yu de yuz dis mɛrɛsin fɔ lɔng tɛm, i impɔtant fɔ mek dɔktɔ we de mɛn yu yay chɛk yu yay ɔltɛm.Yu dɔktɔ go tɛl yu fɔ chɛk yu yay wan tɛm insay di ia ɔ at le wan tɛm ɛvri 5 ia.
Ɔda siriɔs tin dɛn we kin apin
- Blɔd sistɛm disɔda: Anemia nɔ kin apin so ɔltɛm, mɔ pan pipul dɛn we gɛt blɔd disɔda lɛk G6PD dɛfisiɛns ɔ pɔfyuria.
- Prɔblɛm dɛn na di kidni
- Liva de pwɛl ɔ i nɔ de wok fayn
Di Intarakshɔn wit Drug
Hydroxychloroquine kin intarakt wit sɔm mɛrɛsin dɛn. E kin chenj aw dɛn kin woke fayn ɔr kin mek dɛn gɛt sayd ɛfɛkt. So i impɔtant fɔ tɛl yu dɔktɔ bɔt ɛni mɛrɛsin, vaytamɛn, ɔ sɔpɔtmɛnt we yu de tek.
| Tayp fɔ mɛrɛsin | Tin dɛn we wi fɔ tink bɔt |
|---|---|
| Mɛrɛsin dɛn we dɛn nɔ fɔ ɛva tek togɛda | Sisaprid, Dronedarɔn, Pimozayd, Tioridazin |
| Mɛrɛsin dɛn we kin mek pɔsin gɛt sayd ɛfɛkt | Digoxin, insulin ɔ ɔda dayabitis mɛrɛsin, Mefloquine, epilepsy mɛrɛsin, Methotrexate, Cyclosporine |
| Mɛrɛsin dɛn we kin mek ɔda bad bad tin dɛn apin | Praziquantel, Antasid, Kaolin, Simɛtidin, Ampisilin |
If yu de tek tamoxifen fɔ brɔst kansa, tɔk to yu dɔktɔ bɔt dat bak. I nɔ go fayn fɔ tek dɛn tu mɛrɛsin ya togɛda fɔ pas 6 mɔnt.
Udat kin tek dis mɛrɛsin? Udat nɔ ebul?
Hydroxychloroquine nɔ bad fɔ bɔku big pipul ɛn pikin dɛn. Yu dɔktɔ go disayd di rayt doz bay yu bɔdi wet.
Pan ɔl we risach dɔn sho se dis mɛrɛsin nɔ bad fɔ tek we uman gɛt bɛlɛ ɔ we i de gi pikin in bɛlɛ, .Mek shɔ se yu tɔk to yu dɔktɔ bɔt ɛni mɛrɛsin we yu de tek.
If yu gɛt psoriasis , we na wan sik na yu skin, tek tɛm wit dat bikɔs dis mɛrɛsin kin mek yu sik dɛn wɔs.
Udat nɔ fɔ tek dis mɛrɛsin?
If yu gɛt alɛji fɔ ɔda mɛrɛsin dɛn we gɛt 4-aminoquinoline kɔmpawnd, lɛk kloroquine, yu nɔ fɔ tek hydroxychloroquine.
If yu gɛt sayn dɛn fɔ alɛji, go to di ɔspitul imejensi dipatmɛnt (ETU) we de nia yu wantɛm wantɛm. Dɛn kayn sayn ya na:
- Di trot, mɔt, ɔ fes we de swel
- Skin rash ɔ blistering
- I de it bad bad wan
Mɛsej we dɛn kin kɛr go na os
- Hydroxychloroquine na wan mɛrɛsin we dɛn kin yuz mɔ fɔ trit ɔtoimyun sik dɛn lɛk rεumatoid atraytis ɛn lupus. I nɔ fayn fɔ COVID-19.
- Dis mɛrɛsin kin mek bad bad tin apin to di at ɛn mɔ di yay.
- If yu de tek dis mɛrɛsin fɔ lɔng tɛm, i impɔtant fɔ mek yu de chɛk yu yay ɔltɛm lɛk aw yu dɔktɔ advays yu.
- Tɛl yu dɔktɔ bɔt ɔl di ɔda mɛrɛsin dɛn we yu de tek.
- Nɔ ɛva bigin ɔ stɔp fɔ tek dis mɛrɛsin if yu nɔ gɛt dɔktɔ advays.
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