Mhlawumbi ukhe weva ngemalariya, akunjalo? Mhlawumbi umntu omaziyo ukhe wayinayo. Okanye mhlawumbi uceba ukuya kwindawo ethandwa yimalariya, mhlawumbi indawo yasehlathini. Ngoko ke, elinye lamayeza anokunikwa ukuthintela imalariya nokunyanga ukuba uyayifumana libizwa ngokuba yiMefloquine . Makhe sithethe ngale mayeza ngokweenkcukacha namhlanje. Ukuze sichaneke, kukho izinto ezimbalwa ekufuneka uzazi ukuba usebenzisa eli yeza.
Lisetyenziselwa ntoni eli yeza libizwa ngokuba yiMefloquine?
Ngamafutshane, iMefloquine isetyenziselwa ukuthintela usulelo lwemalariya kunye nokunyanga imalariya ukuba iyenzeka. Ngamanye amaxesha oogqirha banokusebenzisa eli yeza nakwezinye izinto. Ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ikhemisti.
Zeziphi izinto ezibalulekileyo ekufuneka ndizixelele ugqirha ngaphambi kokuba ndithathe eli yeza?
Kulungile, ngoku le yeyona nxalenye ibalulekileyo. Ngaphambi kokuba ugqirha akunike le mefloquine, kukho izinto ezimbalwa ekufuneka uzazi. Kuba kufuneka ulumke ngakumbi xa usebenzisa eli yeza kwezi meko.
Ukuba unayo nayiphi na kwezi meko, ungalibali ukuxelela ugqirha wakho:
- Ngaba wakha wanexhala okanye wahlaselwa luloyiko ngaphambili?
- Ngaba wakha waba nesifo sengqondo esifana nokudideka okanye ukudakumba ? Okanye ngaba wakha wanyangwa, okanye wakha wanayo imbali yezinye izifo zengqondo, ezifana ne -schizophrenia , i-paranoia , okanye i-psychosis ?
- Ngaba unesifo sentliziyo ?
- Ngaba unesifo sesibindi ?
- Ngaba uhlala ungaphumli kwaye ungakwazi ukuhlala kwindawo enye ?
- Ngaba wakha wakha waba nazo naziphi na iimeko ezifana nokuxhuzula okanye isifo sokuwa /ukuxhuzula ?
- Ngaba wakha waba ne-allergy kumayeza afana ne-mefloquine, i-hydroxymefloquine, i-quinidine, i-quinine, okanye naliphi na elinye iyeza, ukutya, iidayi, okanye izithinteli?
- Ukuba ukhulelwe okanye uzama ukukhulelwa, yitsho.
- Ukuba ungumama oncancisayo, kufuneka ukhankanye loo nto.
Kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha ezi zinto ngaphandle kokuzifihla.
Uyisebenzisa njani le mithi ngokuchanekileyo?
Ezi pilisi mazithathwe ngomlomo. Zisele neglasi yamanzi . Landela imiyalelo ekwileyibhile kagqirha. Kungcono ukusela eli yeza kunye nokutya .
- Ukuthintela i-malaria: Kufuneka uqale ukuthatha eli yeza malunga neveki ngaphambi kokuba ungene kwindawo apho i-malaria ixhaphake khona. Kufuneka uqhubeke ulithatha iiveki ezi-4 emva kokuba uphumile kuloo ndawo. Khumbula ukuthatha idosi yakho ngexesha elifanayo veki nganye, ngaloo mini inye. Musa ukuthatha ngaphezu kokuba ugqirha wakho ekuxelele.
- Ukuba unyangwa imalariya: Kwiimeko ezinjalo, ugqirha uza kukunika idosi enye yeyeza.
- Ukuba ukwindawo ethandwa yimalariya ixesha elide: Thetha nogqirha wakho ukuze akunike iingcebiso malunga nendlela yokusebenzisa amayeza akho kwimeko enjalo.
Xa ufumana eli yeza kwikhemesti, uza kunikwa incwadana yemiyalelo ekhethekileyo (iMedGuide) . Lifunde ngononophelo ngalo lonke ixesha ufumana eli yeza kwaye ngalo lonke ixesha ufumana ukuphinda ulizalise. Liqulethe ulwazi oluninzi olubalulekileyo.
Ukuba unika abantwana eli yeza: Thetha nogqirha wabantwana ngale nto. Kwezinye iimeko ezikhethiweyo, eli yeza linokunikwa abantwana abaneminyaka eyi-6 ubudala, kodwa kukho amanyathelo okhuseleko asebenzayo.
I-Overdose: Ukuba ucinga ukuba usele eli yeza kakhulu, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.
Kubalulekile: Eli yeza lelakho kuphela. Musa ukwabelana ngalo nabanye.
Wenza ntoni ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini okanye eyongezelelweyo.
Ngawaphi amanye amayeza anokusebenza kunye nale mithi? (Ukusebenzisana kwamayeza)
Oku kukwayinto ekufuneka uyilumkele kakhulu. Kukho amayeza athile anokubangela iingxaki xa esetyenziswa kunye neMefloquine.
Musa ukuthatha iMefloquine kunye namayeza alandelayo:
- Amanye amayeza asetyenziswa ukunyanga izifo zefungus aquka: i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, kunye ne-voriconazole.
- `cisapride`
- `i-dronedarone`
- `ihalofantrine`
- `pimozide`
- `i-quinidine`
- `i-quinine`
- `thioridazine`
Eli yeza linokunxibelelana namayeza alandelayo:
- `i-chloroquine`
- Amanye amayeza okudakumba, ixhala, okanye ukuphazamiseka kwengqondo.
- Amanye amayeza okunceda ukubetha kwentliziyo ngendlela engacwangciswanga.
- Amanye amayeza asetyenziswa ukunyanga isifo sokuwa, umzekelo: i-valproic acid, i-carbamazepine, i-phenobarbital, i-phenytoin.
- Amanye amayeza abangela ukurhawuzelelwa kwentliziyo ngendlela engaqhelekanga (andisa ixesha le-QT), umzekelo: `dofetilide`, `ziprasidone`.
- Iiphenothiazines, umzekelo: i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine.
- `ipropranolol`
- Ugonyo lweTyphoid
Olu luhlu alubandakanyi zonke iindlela osebenzisana ngazo. Xelela ugqirha wakho ngazo zonke iindlela ozithathileyo (kuquka amayeza kagqirha nalawo angabhalwanga ngugqirha, iimveliso zezityalo, kunye neevithamini). Xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye izinto zinokuchaphazela amayeza akho.
Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?
- Ukuba iimpawu zakho aziqali ukuba ngcono kwiintsuku ezimbalwa, xelela ugqirha wakho okanye ingcali yezempilo.
- Ukuba usela eli yeza ixesha elide, bona ugqirha wakho rhoqo ukuze akuhlole rhoqo.
- Ukuba ubona naluphi na utshintsho ekuboneni kwakho , bonana nogqirha wamehlo uze uhlole amehlo akho.
- Ukuba uqalisa ukuba nomkhuhlane , nokuba usela eli yeza okanye ugqibile ukulisela, musa ukuzama ukulinyanga ngokwakho. Yiya kugqirha ngoko nangoko.
- Ungaziva ulele okanye unesizungu . Musa ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukuphaphama ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuvuka, ukuhlala phantsi, okanye ukuhamba ngokukhawuleza, ingakumbi ukuba sele ukhulile. Oku kunokunciphisa umngcipheko wokuba nesizungu kunye nokuwa.
Ukukhuselwa kwiingcongconi kwiindawo ezithandwa yimalariya
Nokuba usela eli yeza, kufuneka uthathe amanyathelo okuzikhusela kwiingcongconi xa ukwiindawo apho i-malaria ixhaphake khona. Oku kuquka:
- Hlala kumagumbi ane-air conditioner okanye ahlaziyiweyo kakuhle.
- Lala phantsi kwenethi yeengcongconi (ukuba kunokwenzeka, yinyange ngesibulali-zinambuzane esine-pyrethrum).
- Nxiba iihempe ezinemikhono emide, iiblawuzi, kunye neebhulukhwe ezinde.
- Faka izinto zokugxotha iingcongconi ezine-DEET kwiindawo ezibonakala elukhumbeni.
- Sebenzisa isitshizi sezinambuzane esibhabhayo esine-pyrethrum.
Kubaluleke kakhulu: Ukuba okwangoku usebenzisa eli yeza, okanye kwiiveki ezi-3 emva kokulisebenzisa, akufanele usebenzise i-'halofantrine' (elinye iyeza lemalariya). Linokubangela iziphumo eziyingozi zentliziyo. Thetha nogqirha wakho ngale nto.
Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?
Njengazo zonke iziyobisi, iMefloquine inokubangela iziphumo ebezingalindelekanga kwabanye abantu.
Ukuba ufumana naziphi na kwezi ziphumo ebezingalindelekanga, xelela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza:
- Ixhala, uloyiko (uxhalaba)
- Umbono ofipheleyo, okanye utshintsho embonweni
- Ukudideka
- Umoya odandathekileyo
- Isiyezi
- Iziphiwo zokutyhafa
- Umkhuhlane okanye ukubanda
- Ukungaboni, ukulahleka konxibelelwano nenyaniso
- Intloko ebuhlungu, ukudideka, okanye olunye utshintsho lwengqondo
- Iingxaki zokuva
- Iintlungu zamalungu okanye zemisipha
- Ukulahlekelwa yingxaki yokulinganisela okanye yokulungelelanisa
- I-paranoid, iimvakalelo zokungathembi
- Ubomvu, ukudumba, ukuxobuka okanye ukukhululeka kolusu, kuquka nangaphakathi emlonyeni
- Ukungazinzi
- Ukukhala ezindlebeni
- Ukuxhuzula
- Ukurhawuzelela kwesikhumba, ukurhawuzelela (kunokubakho ukurhawuzelela okukhulu ngaphandle kokurhawuzelela)
- Ingxaki yokulala
- Ukuziphatha okungaqhelekanga
- Utshintsho olungaqhelekanga kwisantya sentliziyo okanye ezinye iingxaki zentliziyo
- Ukuziva ubuthathaka okanye udiniwe ngokungaqhelekanga
- Ukuhlanza
Iziphumo ebezingalindelekanga ezihlala zingadingi nyango, kodwa kufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka okanye ziyakhathaza:
- Ukozela
- Ukulahleka kweenwele
- Ukungalali
- Ukulahlekelwa ngumdla wokutya
- Urhudo oluncinci
- Isicaphucaphu
- Intlungu yesisu okanye ukuphazamiseka
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Nxibelelana nogqirha wakho ukuze ufumane ingcebiso yezonyango malunga neziphumo ebezingalindelekanga.
Ndingaligcina phi eli yeza?
Yigcine kude nabantwana.
Gcina kubushushu begumbi (phakathi kwe-15 kunye ne-30 degrees Celsius, phakathi kwe-59 kunye ne-86 degrees Fahrenheit). Lahla naliphi na iyeza eliphelelwe lixesha.
Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)
I-Mefloquine liyeza elibalulekileyo lokuthintela nokunyanga i-malaria. Nangona kunjalo, kukho izinto ekufuneka uzilumkele xa uyisebenzisa. Ingakumbi ukuba unezinye izifo okanye usela amanye amayeza, xelela ugqirha wakho ngazo zonke.
Ungaze usebenzise eli yeza ngaphandle kwengcebiso kagqirha okanye ulinike abanye. Ukuba unemibuzo engaphezulu malunga neli yeza, buza ugqirha wakho, ikhemisti, okanye omnye umntu osebenza ngezempilo.
Impilo yakho yeyona nto ibalulekileyo!
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi zeMefloquine (Mefloquine / Lariam) ziyindlela yokwelapha isifo esinjani?
Eli liyeza elinamandla kakhulu elisetyenziselwa ukunyanga 'iMalaria (isifo esithwalwa yiingcongconi)', esisasazeka emhlabeni wonke, kunye nokuthintela imalariya (Prophylaxis) nge-100%, ingakumbi xa usiya kwilizwe/ummandla apho imalariya ixhaphake khona (umz. eAfrika)! Isetyenziswa kakhulu ukubulala iiparasite zemalariya ezinzima ezingabulawanga ngamanye amayeza emalariya aqhelekileyo (iChloroquine).
💬 Eli yeza (iMefloquine) liyibulala njani intsholongwane yemalariya engene emzimbeni?
I-parasite yemalariya (Plasmodium falciparum), engene egazini ngenxa yengcongconi, iqhekeza iiseli zethu ezibomvu zegazi kwaye itye iiproteni ezingaphakathi kuzo! Kodwa azikwazi ukugaya i-iron egazini/kwi-heme yethu, nto leyo eyingozi kubo. Xa eli yeza (iMefloquine) lithathwa, litshintsha i-acidity/pH ngaphakathi kwi-parasite, nto leyo ebangela ukuba loo 'iron inetyhefu' iqokelele esiswini sabo. Loo tyhefu iyanda kwaye i-parasite iqhuma ngaphakathi ize ife!
💬 Zeziphi iziphumo ebezingalindelekanga eziyingozi kakhulu (iBlack Box Warning) zale pilisi yemalariya (iMefloquine / iLariam)?
Eyona ngozi inkulu neyingozi kakhulu koku 'kukonakala okukhulu kwengqondo nengqondo (ubuthi be-Neuropsychiatric).' Xa besela oku, abanye abantu bahlakulela isifo sengqondo/ubuhlanya obunganyamezelekiyo (ukubona izinto ezingabonwayo/ezingaviwayo), ixhala elinzima, ukudakumba (ukudakumba) kunye neengcinga zokuzibulala ezitshabalalisayo zinokwenzeka! Ikwanethuba elikhulu lokubangela ukubetha kwentliziyo okungaqhelekanga kunye nomonakalo wemiphunga/isibindi (i-Arrhythmias/Hepatitis).
I- Mefloquine, iLariam, imalariya, amayeza emalariya, iziphumo ebezingalindelekanga zamayeza, uthintelo lwemalariya, unyango lwemalariya
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho