Pamwe wakambonzwa nezvemalaria, handiti? Pamwe mumwe munhu waunoziva akambova nayo. Kana kuti pamwe uri kuronga kuenda kunzvimbo inowanzobatwa nemalaria, pamwe musango. Saka, mumwe wemishonga inogona kupihwa kudzivirira malaria uye kurapa kana ukaiwana unonzi Mefloquine . Ngatitaurei nezvemushonga uyu zvakadzama nhasi. Kutaura chokwadi, pane zvinhu zvishoma zvaunofanira kuziva kana uchishandisa mushonga uyu.
Mushonga uyu unonzi Mefloquine unoshandiswa pai?
Muchidimbu, Mefloquine inoshandiswa kudzivirira kutapukirwa nemarariya uye kurapa malaria kana ikaitika. Dzimwe nguva vanachiremba vanogona kushandisa mushonga uyu kune zvimwe zvinhu zvakare. Saka kana muine mibvunzo, zvakanaka kubvunza chiremba wenyu kana wemishonga.
Ndezvipi zvinhu zvakakosha zvandinofanira kuudza chiremba ndisati ndatora mushonga uyu?
Zvakanaka, ichi ndicho chikamu chakakosha. Chiremba asati akupe mefloquine iyi, pane zvinhu zvishoma zvaunofanira kuziva. Nekuti unofanira kungwarira zvakanyanya paunenge uchishandisa mushonga uyu une zvirwere izvi.
Kana uine chimwe chezvirwere izvi, usakanganwa kuudza chiremba wako:
- Wakambosangana nekuzvidya mwoyo kana kuvhunduka here kare?
- Wakambova nechirwere chepfungwa chakadai sekuvhiringidzika kana kuora mwoyo here? Kana kuti wakamborapwa here, kana kuti wakambova nenhoroondo yezvimwe zvirwere zvepfungwa, zvakaita se schizophrenia , paranoia , kana psychosis ?
- Une chirwere chemwoyo here?
- Une chirwere chechiropa here?
- Unogara usina kugadzikana uye usingakwanise kugara panzvimbo imwe chete here?
- Wakambosangana nematambudziko akadai sepfari kana pfari /kugwinha here ?
- Wakambova nechirwere chekusawirirana nemishonga yakaita semefloquine, hydroxymefloquine, quinidine, quinine, kana chero mimwe mishonga, chikafu, madhayi, kana zvinochengetedza muviri here?
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri, taura izvozvo.
- Kana uri amai vanoyamwisa, unofanirawo kutaura izvozvo.
Zvakakosha zvikuru kuti uchengetedzeke kuudza chiremba zvinhu izvi usingazvivanzi.
Mushonga uyu munoshandiswa sei nemazvo?
Mapiritsi aya anofanira kunwiwa nemuromo. Anwe negirazi remvura . Tevedzera mirairo yakanyorwa papepa remushonga. Zvakanakisisa kutora mushonga uyu pamwe chete nekudya .
- Kudzivirira malaria: Unofanira kutanga kutora mushonga uyu vhiki imwe chete usati wapinda munzvimbo ine malaria yakawanda. Unofanirawo kuramba uchitora mushonga uyu kwemavhiki mana mushure mekunge wabva munzvimbo iyi. Yeuka kutora mushonga wako panguva imwe chete vhiki rega rega, pazuva rimwe chete. Usatore zvinopfuura zvawaudzwa nachiremba wako.
- Kana uri kurapwa malaria: Muzviitiko zvakadaro, chiremba achakupa mushonga mumwe chete.
- Kana uri munzvimbo ine malaria kwenguva yakareba: Taura nachiremba wako kuti akupe mazano ekuti unganwa sei mushonga wako mumamiriro ezvinhu akadaro.
Kana wawana mushonga uyu kubva ku pharmacy, uchapihwa kapepa kemirayiridzo kakakosha (MedGuide) . Verenga nokungwarira pese paunowana mushonga uye pese paunowana mushonga wacho. Une ruzivo rwakawanda rwakakosha.
Kana uchipa vana mushonga uyu: Taura nachiremba wevana nezvenyaya iyi. Mune zvimwe zviitiko, mushonga uyu unogona kupihwa kuvana vane mwedzi mitanhatu, asi pane matanho ekudzivirira anoshanda.
Kunwa mushonga wakawandisa: Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera nzvimbo inodzora chepfu kana nzvimbo yekukurumidzira nekukurumidza.
Zvakakosha: Mushonga uyu ndewako chete. Usaugovane nevamwe.
Unoita sei kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga kaviri kana kuwedzera.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu? (Kudyidzana kweMishonga)
Izvi zvakare chimwe chinhu chinofanira kungwarira zvikuru. Kune mimwe mishonga inogona kukonzera matambudziko kana ikatorwa pamwe chete neMefloquine.
Usatore Mefloquine pamwe chete nemishonga inotevera:
- Mimwe mishonga inoshandiswa kurapa hutachiona hwefungus inosanganisira: fluconazole, itraconazole, ketoconazole, posaconazole, uye voriconazole.
- `cisapride`
- `dronedarone`
- `halofantrine`
- `pimozide`
- `quinidine`
- `quinine`
- `thioridazine`
Mushonga uyu unogona zvakare kupindirana nemishonga inotevera:
- `chloroquine`
- Mimwe mishonga yekuderedza kushungurudzika, kuzvidya mwoyo, kana matambudziko epfungwa.
- Mimwe mishonga yekurova kwemoyo kusina kurongeka.
- Mimwe mishonga inoshandiswa kurapa pfari, semuenzaniso: valproic acid, carbamazepine, phenobarbital, phenytoin.
- Mimwe mishonga inokonzera kurova kwemoyo zvisina kujairika (inorebesa nguva yeQT), semuenzaniso: `dofetilide`, `ziprasidone`.
- Mishonga yePhenothiazine, semuenzaniso: chlorpromazine, mesoridazine, prochlorperazine, thioridazine.
- `propranolol`
- Mushonga weTyphoid
Rondedzero iyi haisanganisiri mishonga yese yaunotora (kusanganisira mishonga yakanyorerwa nachiremba neisina kunyorerwa nachiremba, mishonga yemishonga, uye mavhitamini). Udzawo chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvinodhaka zvisiri pamutemo. Zvimwe zvinhu zvinogona kukanganisa mishonga yako.
Ndezvipi zvinhu zvekungwarira pakushandisa mushonga uyu?
- Kana zviratidzo zvako zvikasatanga kuvandudzika mukati memazuva mashoma, udza chiremba wako kana nyanzvi yehutano.
- Kana uchitora mushonga uyu kwenguva yakareba, enda kuna chiremba wako nguva nenguva kuti uongorore chirwere chako.
- Kana ukaona shanduko mukuona kwako , enda kuna chiremba wemaziso woongororwa maziso ako.
- Kana ukatanga fivha , kungave uri kutora mushonga uyu kana kuti wapedza kuutora, usaedza kuzvirapa wega. Enda kuna chiremba nekukasika.
- Unganzwa hope kana dzungu . Usatyaira motokari, kushandisa michina, kana kuita chero chimwe chinhu chinoda kungwarira kusvika waziva kuti mushonga uyu unokukanganisa sei. Usamuke, ugare, kana kufamba nekukurumidza, kunyanya kana wakwegura. Izvi zvinogona kuderedza njodzi yekunzwa dzungu uye kudonha.
Dziviriro kubva kumumhutu munzvimbo dzinowanzobatwa nemarariya
Kunyangwe ukatora mushonga uyu, unofanira kutora matanho ekuzvidzivirira kubva kumhutu kana uri munzvimbo dzine malaria yakawanda. Izvi zvinosanganisira:
- Gara mumakamuri ane mhepo inotonhorera kana kuti akavharirwa zvakanaka.
- Rara pasi pemambure eumhutu (kana zvichibvira, imwe inorapwa nemushonga wezvipembenene une pyrethrum).
- Pfeka hembe dzine maoko marefu, mabhurauzi, uye mabhurugwa marefu.
- Isa mishonga inodzinga umhutu ine DEET panzvimbo dzakaonekwa paganda.
- Shandisa mushonga wezvipembenene unobhururuka une pyrethrum.
Zvakakosha: Kana uri kutora mushonga uyu parizvino, kana mukati memavhiki matatu ekutora mushonga uyu, haufanirwe kutora `halofantrine` (mumwe mushonga wemalaria). Unogona kukonzera migumisiro yakaipa pamoyo. Taura nachiremba wako nezveizvi.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemishonga yese, Mefloquine inogona kukonzera migumisiro yakaipa kune vamwe vanhu.
Kana ukasangana nemhedzisiro iyi, udza chiremba wako kana nyanzvi yehutano nekukurumidza sezvinobvira:
- Kunetseka, kutya (kuzvidya mwoyo)
- Kuona kusina kujeka, kana kuchinja kwekuona
- Kuvhiringidzika
- Kuora mwoyo
- Dzungu
- Zvishongo zvekufenda
- Fivha kana kutonhora
- Kufungidzira zvinhu zvisipo, kurasikirwa nekuona chokwadi
- Musoro, kuvhiringidzika, kana kumwe kuchinja kwepfungwa
- Matambudziko ekunzwa
- Marwadzo emajoini kana tsandanyama
- Kurasikirwa nematambudziko ekuenzanisa kana kubatana
- Paranoid, kunzwa kwekusavimbana
- Kutsvuka, matumbu, kusvuuka kana kusunungura ganda, kusanganisira mukati memuromo
- Kusagadzikana
- Kurira munzeve
- Kubatwa nepfari
- Mapundu paganda, kuvaviwa (panogona kuva nekukuvadzwa kwakanyanya pasina mapundu)
- Dambudziko rekurara
- Maitiro asina kujairika
- Kuchinja kusingawanzoitiki mukurova kwemoyo kana mamwe matambudziko emwoyo
- Kunzwa kushaya simba kana kuneta zvisinganzwisisike
- Kurutsa
Migumisiro isingawanzodi kurapwa, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo kana kuti ichikunetsa:
- Kurara
- Kudonha kwebvudzi
- Kushaya hope
- Kurasikirwa nechido chekudya
- Manyoka asina kunyanya kuoma
- Kusvotwa
- Kurwadziwa kwemudumbu kana kushungurudzika
Rondedzero iyi haina zvese zvinogona kukonzera migumisiro yakaipa. Bata chiremba wako kuti akupe mazano ekurapa nezvemigumisiro yakaipa.
Mushonga uyu ndingauchengetere kupi?
Chengeta kure nevana.
Chengeta patembiricha yemukamuri (pakati pe15 ne30 degrees Celsius, pakati pe59 ne86 degrees Fahrenheit). Rasa mushonga chero upi zvawo wapfuura zuva rawo rekupera.
Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)
Mefloquine mushonga unokosha pakudzivirira nekurapa malaria. Zvisinei, pane zvimwe zvinhu zvekungwarira paunenge uchiushandisa. Kunyanya kana uine zvimwe zvirwere kana kuti uri kutora mimwe mishonga, udza chiremba wako nezvezvose.
Usamboshandisa mushonga uyu usina kurairwa nachiremba kana kuupa vamwe. Kana uine mimwe mibvunzo nezvemushonga uyu, bvunza chiremba wako, wemishonga, kana mumwe nyanzvi yehutano.
Hutano hwako ndihwo hunokosha!
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eMefloquine (Mefloquine / Lariam) mushonga wechirwere chipi?
Uyu mushonga une simba guru unoshandiswa kurapa 'Malaria (chirwere chinotakurwa neumhutu)', chiri kupararira nekuuraya pasi rese, uye kudzivirira malaria (Prophylaxis) 100%, kunyanya kana uchienda kunyika/nzvimbo ine malaria yakawanda (semuenzaniso Africa)! Unonyanya kushandiswa kuuraya tupukanana twakanyanya twemalaria tusingaurayiwe nemimwe mishonga yemalaria yakajairika (Chloroquine).
💬 Mushonga uyu (Mefloquine) unouraya sei chipembenene chemalaria chapinda mumuviri?
Chipembenene chemalaria (Plasmodium falciparum), chakapinda muropa nekuda kweumhutu, chinopwanya masero edu matsvuku eropa uye chinodya mapuroteni ari mukati mawo! Asi hachigone kugaya iron iri muropa/heme redu, iyo ine chepfu kwavari. Kana mushonga uyu (Mefloquine) ukatorwa, unochinja acidity/pH iri mukati meparasite, zvichiita kuti 'iron ine chepfu' iungane mudumbu mavo. Chepfu iyoyo inowedzera uye parasite inoputika kubva mukati yofa!
💬 Ndezvipi migumisiro yakaipa zvikuru (Black Box Warning) yepiritsi iri remalaria (Mefloquine / Lariam)?
Njodzi huru uye ine njodzi inobva pane izvi ndeye 'kukuvara kwakanyanya kuuropi nepfungwa (Neuropsychiatric toxicity).' Pavanonwa izvi, vamwe vanhu vanotanga schizophrenia/kupenga kusingatsungiririki (kuona zvinhu zvisingaonekwe/kunzwiwa), kuzvidya mwoyo kwakanyanya, kuora mwoyo (Depression) uye kufunga kuzviuraya zvinoparadza zvinogona kuitika! Zvine mukana mukuru wekukonzera kurova kwemoyo zvisina kurongeka uye kukuvara kwemapapu/chiropa (Arrhythmias/Hepatitis).
Mefloquine , Lariam, malaria, mishonga yemalaria, migumisiro yemishonga, kudzivirira malaria, kurapwa kwemalaria
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