Ese ukoresha ibinini bya quinine cyangwa capsules? Reka tubimenye neza!

Ese muganga wawe yagundikiye umuti wa quinine uvura malariya? Cyangwa hari uwo mu muryango wawe ukoresha uyu muti? Niba utazi neza uyu muti kandi ufite ubwoba cyangwa impungenge, reka tubiganireho uyu munsi tuwuhagarike. Uyu ni umuti w'ingenzi cyane iyo ukoreshejwe neza.

Ni ubuhe bwoko bw'umuti iyi quinine?

Mu magambo make, quinine ni umuti ukoreshwa mu kuvura malariya . Mu by'ukuri, ni umuti urwanya malariya. Ariko hari ikintu kimwe ugomba kwibuka. Uyu muti ntabwo ari mwiza ku kubabara amaguru cyangwa kugira ibisebe mu maguru. Hari igihe ushobora gukoreshwa ku zindi ndwara . Baza muganga wawe cyangwa umuntu wo muri farumasi ibyawo. Uyu muti ubusanzwe uza ku izina rya Qualaquin, ariko ushobora no kuboneka ku yandi mazina.

Ibintu ugomba kubwira muganga wawe mbere yo gukoresha uyu muti

Mbere yo gutangira gufata uyu muti wa quinine, ugomba gusobanurira neza ibi bintu muganga wawe cyangwa itsinda ry’abaganga bakuvura. Ibi ni ingenzi cyane ku mutekano wawe.

• Niba urwaye diyabete .
• Niba ufite ikibazo cyitwa kubura glucose-6-phosphate dehydrogenase (kubura G6PD) . Ibi bifitanye isano na enzyme iri mu maraso kandi bishobora gutuma bigorana kwihanganira imiti imwe n'imwe.
• Niba ufite ibibazo nk'indwara z'umutima cyangwa umutima utera nabi .
• Niba ufite indwara y'impyiko .
• Niba ufite indwara y'umwijima .
• Niba ufite intege nke z'imitsi cyangwa indwara zifitanye isano nayo.
• Niba ufite ubumuga bwo kutabona cyangwa kumva .
• Niba warigeze kugira ubwivumbure cyangwa ingaruka zidasanzwe ku yindi miti, ibiryo, amabara y'ubukorano, cyangwa imiti irinda ubushyuhe, nka quinine, quinidine, cyangwa mefloquine.
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Ni gute neza neza nkoresha uyu muti?

Uyu muti ugomba gufatwa unyobwa. Mirira ikinini/agapfukamunwa n'ikirahure cy'amazi. Kurikiza amabwiriza ari ku rupapuro rwa muganga neza. Ntugasye cyangwa ngo uhekenye ibinini. Ni byiza kubinywa hamwe n'ibiryo. Fata umuti wawe mu gihe gikwiye, mu gihe kimwe. Ntugafate ibirenze ibyo muganga yagutegetse, cyangwa ngo uwufate kenshi. Ntugahagarike gufata umuti kuko wumva umeze neza. Fata imiti yose. Ibi ni ingenzi kugira ngo wice burundu agakoko ka malariya.

Iyo farumasi iguhaye uyu muti, uza no hamwe n'agapapuro ka MedGuide . Ugomba kuyisoma witonze igihe cyose ubonye imiti mishya (wongera kuyishyiramo). Irimo amakuru menshi y'ingenzi, bityo ntuyirengagize.

Niba uha abana uyu muti, ugomba kubibwira muganga w’abana. Hari igihe bishobora kuba ngombwa ko ubuvuzi bwihariye n’uburyo bwo kugabanya ingano y’umuti.

Icy'ingenzi: Niba utekereza ko wafashe uyu muti urenze urugero (warenze urugero), cyangwa wanyoye cyane ku bushake, hamagara cyangwa ujye mu kigo gishinzwe kurwanya uburozi cyangwa mu cyumba cy’ubutabazi cya hafi ako kanya.

Ibuka: Uyu muti ni uwawe gusa. Ntuwusangize abandi, kabone n'iyo baba bafite ibimenyetso nk'ibyawe.

Wakora iki niba wabuze dose y'umuti?

Ibi nibibaho, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose yabuze hanyuma ufate dose ikurikira uko byateganyijwe. Ntukigere ufata dose ebyiri cyangwa dose y'inyongera. Kubikora bishobora kongera ibyago byo kugira ingaruka mbi.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti?

Quinine ni umuti ushobora guteza ibibazo iyo ukoreshejwe hamwe n'imiti imwe n'imwe. Kubwibyo, ugomba kwitonda cyane kuri ibi. Iyi mikorere ishobora kugabanya imikorere ya Quinine cyangwa ikongera ingaruka mbi.

Ntukigere ukoresha quinine hamwe n'imiti ikurikira:

• Cisapride
• Imiti ibuza kolinesterase nka edrophonium, neostigmine, physostigmine, na pyridostigmine
• Erythromycin, troleandomycin
• Flecainide
• Indi miti ya malariya nka mefloquine na halofantrine
• Pimozide
• Quinidine
• Rifampine
• Imiti imwe n'imwe ivura indwara y'umutima idakora neza
• Imiti imwe ikoreshwa mu gihe cyo kubaga

Iyi miti ishobora kandi kugira ingaruka kuri quinine:

• Acetazolamide
• Antacids (ibinini/amazi avura kubyimba mu gifu na gastritis)
• Atorvastatin (umuti ugabanya cholesterol)
• Cimetidine
• Desipramine
• Digoxin
• Heparin
• Ketoconazole
• Lovastatin (na yo ni umuti wa cholesterol)
• Simvastatin (na yo ni umuti wa cholesterol)
• Sodiyumu bikarubonate
• Amwe mu ma antibiyotike
• Imiti imwe itangwa ku ndwara z'ibicurane
• Amazi ya tonic arimo quinine
• Warfarin (umuti ugabanya amaraso)

Uru rutonde ntirugaragaza imiti yose ishoboka. Kubwibyo, bwira muganga wawe imiti yose ufata (harimo vitamine, imiti y'ibimera, imiti idasaba muganga, n'inyongeramusaruro) . Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha ibiyobyabwenge bitemewe n'amategeko. Ibi bintu bishobora kugira ingaruka ku miti yawe.

Ibindi bintu ugomba kwitondera mugihe ufata uyu muti

Ugomba kandi kwitondera ibi bintu mu gihe ukoresha quinine.

• Shaka muganga wawe kugira ngo agusuzumishe buri gihe. Bwira muganga wawe niba ibimenyetso byawe bitaragenda neza cyangwa niba bisa n'aho birimo kwiyongera. Niba umuriro wawe ugarutse umaze kurangiza gukoresha uyu muti, hita ubonana na muganga wawe.
• Hari abantu bashobora kugira isukari nke mu maraso mugihe bafata uyu muti. Ibi nibibaho, ushobora kumva uzunguze, ufite umutwe urembye, ufite ibyuya, uhangayitse, uhinda umushyitsi, cyangwa ufite intege nke. Ibi nibibaho, nywa umutobe w'imbuto cyangwa urye ikintu giryoshye (nk'isukari cyangwa isukari) hanyuma uhamagare muganga wawe vuba. Niba urwaye diyabete, suzuma isukari mu maraso yawe buri gihe.
• Ntugafate imiti igabanya aside irimo aluminiyumu cyangwa manyeziyumu mu masaha 2 uhereye igihe ufashe uyu muti, kuko ishobora kugabanya uburyo quinine yinjizwamo.
• Niba ugiye kubagwa, kuvurwa, cyangwa gukora isuzuma ry'amenyo, bwira muganga mbere y'igihe ko ugiye gufata quinine.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, quinine ishobora gutera ingaruka zimwe na zimwe. Ariko, si buri wese uzibona. Zimwe ni mbi cyane, izindi zikaba zoroheje.

Niba ugize imwe muri izi ngaruka mbi, bwira muganga wawe cyangwa umuganga wawe vuba bishoboka:

• Ubushobozi bwo kugira ubwivumbure: Kurya ibisebe ku ruhu, kuribwa cyangwa kubyimba, kubyimba mu maso, iminwa cyangwa ururimi, kugorwa no guhumeka.
• Impinduka mu kureba - nko kubura isura, impinduka mu kureba amabara.
• Kugorwa no guhumeka .
• Kunanirwa .
• Umutima utera vuba cyangwa utari mu buryo busanzwe, ububabare mu gituza .
• Kubura amatwi cyangwa gucurama mu matwi (nk'imivugire y'ijwi).
• Gutukura, uduheri, gukurura cyangwa gukurura uruhu (harimo no hafi y'umunwa).
• Gufatwa n'indwara yo mu mutwe .
• Kuva amaraso cyangwa gukomereka bidasanzwe - nko kuva amaraso mu mazuru, kuva amaraso mu ishinya, cyangwa kuva amaraso munsi y'uruhu.
• Uduheri tudasanzwe tw'umutuku cyangwa umuhengeri ku ruhu.
• Kumva ufite intege nke zidasanzwe .

Izi ngaruka mbi akenshi ntizisaba ubuvuzi. Ariko, niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:

• Gusukura mu maso.
• Impiswi.
• Umutwe.
• Kubabara mu nda, isesemi, kuruka.
• Kubira ibyuya.

Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Vugana na muganga wawe kugira ngo akugire inama ku ngaruka mbi. Niba ugize ingaruka mbi, ushobora kuzimenyesha muganga wawe cyangwa inzego z'ubuzima zo mu gace utuyemo.

Ni gute wabika uyu muti mu buryo butekanye?

Ibi nabyo ni ingenzi cyane.

• Bishyire kure y'abana. Ibintu nk'ibinini n'udupira bishobora kugaragara nk'ibikinisho ku bana bato.
• Bika ahantu hari ubushyuhe bw'icyumba, hagati ya dogere selisiyusi 25 na 30 (dogere selisiyusi 77 na 86). Bika mu gikoresho gifunze neza. Kirinde ubushuhe n'ubushyuhe bukabije.
• Tara imiti yarengeje igihe utayikoresheje. Baza farumasi yawe amabwiriza y'uburyo bwo kujugunya neza imiti yarengeje igihe.

Hanyuma, hari ibintu bike byo kwibuka

Noneho twavuze byinshi kuri quinine, si byo se? Muri make, dore ibintu bike ugomba kuzirikana:

• Quinine ni ingenzi mu kuvura malariya , ntabwo ari ukuvura gusa ububabare bw'amaguru cyangwa ububabare bw'amaguru.
• Mbere yo gufata uyu muti , ugomba kubwira muganga wawe izindi ndwara zose ufite (cyane cyane umutima, impyiko, indwara y'umwijima, kubura G6PD), indi miti ufata, hamwe n'ibindi byose ushobora kugira ubwivumbure.
• Fata urugero rwatanzwe, ku gihe cyagenwe, mu minsi yagenwe, nk'uko muganga yabigutegetse. Nubwo waba wumva umeze neza, ntugahagarare kugeza igihe muganga azakubwiye.
• Ingaruka mbiGira maso. Nubona ikintu gikomeye, bwira muganga wawe ako kanya. Umenye kandi ibimenyetso by'isukari nke mu maraso.
• Quinine ishobora kugira ingaruka ku yindi miti ufata, bityo vugana na muganga wawe kuri ibyo kandi umuhe urutonde rwuzuye.
• Bika umuti ahantu hizewe kure y'aho abana batagera .

Ndizera ko aya makuru azagufasha. Niba ufite ikibazo icyo ari cyo cyose, ntutindiganye kubaza muganga wawe cyangwa umuntu wo muri farumasi. Komeza ugire ubuzima bwiza!

Quinine , malariya, imiti, ingaruka mbi, ibisobanuro birambuye ku miti