Zinthu zomwe muyenera kudziwa zokhudza Hydroxychloroquine

Mwina munamvapo dzina lakuti Hydroxychloroquine m'nkhani panthawi ya mliri wa COVID. Koma kwenikweni ndi mankhwala akale kwambiri omwe akhala akugwiritsidwa ntchito kuyambira m'ma 1940. Kale, madokotala ankagwiritsa ntchito mankhwalawa pochiza malungo. Masiku ano, amagwiritsidwa ntchito kwambiri pa matenda ena. Masiku ano, tikambirana za zomwe mankhwalawa amagwiritsidwa ntchito, zotsatira zake zoyipa, komanso zomwe muyenera kusamala nazo mukamagwiritsa ntchito.

Kodi mankhwalawa ndi oyeneradi kuchiza Covid-19?

Funso limene anthu ambiri ali nalo ndi ili. Mwachidule, ayi . Bungwe la World Health Organization (WHO) silikulimbikitsa hydroxychloroquine popewa kapena kuchiza COVID-19. Iwo adapanga chisankho ichi atafufuza kwambiri.

Tangoganizirani, kafukufuku 6 wa anthu zikwizikwi omwe alibe COVID-19 adapeza kuti mankhwalawa sanawathandize kupeŵa kutenga COVID, kupita kuchipatala, kapena kufa. Ndipo kafukufuku 30 wa odwala oposa 10,000 a COVID-19 adapeza kuti mankhwalawa sanachepetse kufunikira kwa makina opumira mpweya kapena chiopsezo cha imfa. Ndicho chifukwa chake pakadali pano sakulangizidwa pa COVID-19.

Ndiye mankhwala awa amagwiritsidwa ntchito pa matenda amtundu wanji?

Hydroxychloroquine imagwiritsidwa ntchito kwambiri masiku ano pa matenda a autoimmune. Tsopano mwina mukudabwa kuti ndi chiyani.

Mwachidule, apa ndi pamene chitetezo cha mthupi lathu, chitetezo cha mthupi, chimaukira molakwika maselo ndi minofu yathu yathanzi. Izi zimayambitsa kutupa ndi kuwonongeka kwa mafupa, minofu, ndipo nthawi zina ziwalo zamkati.

Dokotala wanu akhoza kukupatsani mankhwala awa ngati muli ndi vuto lililonse mwa izi:

• Matenda a nyamakazi
• Systemic lupus erythematosus (SLE)
• Matenda a nyamakazi a achinyamata
• Matenda a Antiphospholipid
• Matenda a Sjogren's Primary

Akatswiri sakudziwabe momwe mankhwalawa amagwirira ntchito, koma akuganiza kuti amasintha momwe maselo a chitetezo chamthupi amalumikizirana. Angathenso kuletsa zina mwa njira zomwe zimayambitsa kutupa.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, hydroxychloroquine ingayambitse zotsatirapo zoyipa. Ngakhale kuti si aliyense amene amalandira, zotsatirapo zina zimakhala zochepa ndipo zimatha pakapita nthawi.

Komanso, zizindikiro zina zotsatirazi zingachitikenso:

• Kuyabwa kapena ziphuphu pakhungu
• Kuwoneka kwamdima kapena mawanga pakhungu
• Kusintha kwa tsitsi (monga kusintha kwa mtundu)
• Kufooka kwa minofu
• Kusintha kwa maganizo
• Kulira m'makutu

Zotsatirapo zoyipa zomwe muyenera kuzidziwa

Izi ndi zovuta pang'ono, kotero ndikofunikira kwambiri kudziwa izi.

Zotsatira pa mtima

Hydroxychloroquine ingayambitse kusintha koopsa kwa kayimbidwe ka mtima. Izi ndi zoona makamaka ngati mukumwa limodzi ndi mankhwala ena, monga azithromycin . Izi zingayambitse kusintha kwa mphamvu zamagetsi mumtima. Makamaka, ingayambitse kugunda kwa mtima mofulumira kwambiri (ventricular tachycardia) kapena kusintha koopsa kwa kayimbidwe ka mtima (nthawi yayitali ya QT).

Kuwonongeka kwa maso

Iyi ndi mfundo yofunika kwambiri. Ngakhale kuti ndi yosowa, hydroxychloroquine imatha kuwononga retina ya diso.

Musaiwale kuti mankhwalawa angawononge maso anu. Nthawi zina, mungatayike maso anu kwamuyaya.

Chiwopsezochi chimawonjezeka mwa anthu monga:

• Kwa iwo omwe ali ndi zaka zoposa 60
• Kwa iwo omwe akumwa mankhwala ambiri kwa zaka zoposa 5
• Kwa iwo omwe ali ndi matenda aakulu a impso kapena chiwindi
• Kwa iwo omwe ali kale ndi matenda a maso kapena retina

Choncho, ngati mugwiritsa ntchito mankhwalawa kwa nthawi yayitali, ndikofunikira kuti maso anu aziyang'aniridwa nthawi zonse ndi dokotala wa maso.Dokotala wanu adzakuuzani kuti muyezedwe maso anu kamodzi pachaka kapena kamodzi pa zaka zisanu zilizonse.

Zotsatira zina zazikulu

• Matenda a magazi: Kuchepa kwa magazi kungachitike kawirikawiri, makamaka kwa anthu omwe ali ndi matenda a magazi monga kusowa kwa G6PD kapena porphyria.
• Mavuto a impso
• Kuwonongeka kwa chiwindi kapena kusagwira bwino ntchito

Kuyanjana kwa Mankhwala

Hydroxychloroquine ingagwirizane ndi mankhwala ena. Ingasinthe momwe imagwirira ntchito bwino kapena kuonjezera chiopsezo cha zotsatirapo zake. Chifukwa chake ndikofunikira kuuza dokotala wanu za mankhwala aliwonse, mavitamini, kapena zowonjezera zomwe mukumwa.

Ngati mukumwa tamoxifen chifukwa cha khansa ya m'mawere, lankhulani ndi dokotala wanu za izi. Sizingakhale bwino kumwa mankhwala awiriwa pamodzi kwa miyezi yoposa 6.

Ndani angamwe mankhwalawa? Ndani sangamwe?

Hydroxychloroquine ndi yotetezeka kwa akuluakulu ndi ana ambiri. Dokotala wanu adzakupatsani mlingo woyenera kutengera kulemera kwa thupi lanu.

Ngakhale kafukufuku wasonyeza kuti mankhwalawa ndi otetezeka kumwa panthawi ya mimba kapena kuyamwitsa,Onetsetsani kuti mwalankhula ndi dokotala wanu za mankhwala aliwonse omwe mukumwa.

Ngati muli ndi psoriasis , matenda a pakhungu, samalani ndi zimenezo chifukwa mankhwalawa angakulitse zizindikiro zanu.

Ndani sayenera kumwa mankhwalawa?

Ngati muli ndi vuto la ziwengo ku mankhwala ena okhala ndi mankhwala a 4-aminoquinoline, monga chloroquine, simuyenera kumwa hydroxychloroquine.

Ngati mukuona zizindikiro za vuto la ziwengo, pitani ku dipatimenti yapafupi ya zadzidzidzi (ETU) nthawi yomweyo. Zizindikiro zimenezi ndi monga:

• Kutupa pakhosi, pakamwa, kapena nkhope
• Kutupa pakhungu kapena kutupa
• Kuyabwa kwakukulu