Cishe uke wezwa nge-malaria, akunjalo? Mhlawumbe othile omaziyo uke waba nayo. Noma mhlawumbe uhlela ukuya endaweni evame ukuba ne-malaria, mhlawumbe endaweni yasehlathini. Ngakho-ke, omunye wemithi enganikezwa ukuvimbela i-malaria nokuyelapha uma uyithola ubizwa ngokuthi i-Mefloquine . Ake sixoxe ngalo muthi kabanzi namuhla. Ukuze sibe neqiniso, kunezinto ezimbalwa okudingeka uzazi uma usebenzisa lo muthi.
Lo muthi obizwa ngokuthi iMefloquine usetshenziselwani?
Kalula nje, i-Mefloquine isetshenziselwa ukuvimbela ukutheleleka nge-malaria nokwelapha i-malaria uma ivela. Ngezinye izikhathi odokotela bangasebenzisa lo muthi nakwezinye izinto. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.
Yiziphi izinto ezibalulekile okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Kulungile, manje lena yingxenye ebaluleke kakhulu. Ngaphambi kokuba udokotela akunike le mefloquine, kunezinto ezimbalwa okudingeka uzazi. Ngoba udinga ukuqaphela kakhulu uma usebenzisa lo muthi kulezi zimo.
Uma unezinye zalezi zimo, ungakhohlwa ukutshela udokotela wakho:
- Wake waba nokukhathazeka noma ukuhlaselwa uvalo ngaphambili?
- Wake waba nesifo sengqondo esifana nokudideka noma ukucindezeleka ? Noma wake welashwa, noma wake waba nomlando wezinye izifo zengqondo, njenge -schizophrenia , i-paranoia , noma i-psychosis ?
- Unesifo senhliziyo ?
- Unesifo sesibindi ?
- Ingabe uhlala ungahlaliseki futhi awukwazi ukuhlala endaweni eyodwa ?
- Uke waba nanoma yiziphi izimo ngaphambilini ezifana nokuquleka noma isifo sokuwa /ukuquleka ?
- Wake waba nokusabela kokungezwani komzimba nemithi efana ne-mefloquine, i-hydroxymefloquine, i-quinidine, i-quinine, noma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo?
- Uma ukhulelwe noma uzama ukukhulelwa, yisho.
- Uma ungumama oncelisayo, kufanele ukhulume ngalokho.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lezi zinto ngaphandle kokuzifihla.
Uyisebenzisa kanjani le mithi ngendlela efanele?
La maphilisi kufanele aphuzwe ngomlomo. Waphuze nengilazi yamanzi . Landela imiyalelo ebhalwe ilebula likadokotela. Kungcono ukuthatha lo muthi kanye nokudla .
- Ukuvimbela umalaleveva: Kufanele uqale ukuthatha lo muthi cishe isonto ngaphambi kokuba ungene endaweni lapho umalaleveva uvame khona. Kufanele futhi uqhubeke nokuwuthatha amasonto ama-4 ngemuva kokuphuma endaweni. Khumbula ukuthatha umthamo wakho ngesikhathi esifanayo njalo ngesonto, ngosuku olufanayo. Ungathathi okungaphezu kwalokho udokotela wakho akutshele kona.
- Uma welashwa umalaleveva: Ezimweni ezinjalo, udokotela uzokunika umthamo owodwa womuthi.
- Uma usesendaweni evame ukuba nomalaleveva isikhathi eside: Khuluma nodokotela wakho ukuze uthole iseluleko sokuthi ungayithatha kanjani imithi yakho esimweni esinjalo.
Uma uthola lo muthi ekhemisi, uzonikezwa incwajana yemiyalelo ekhethekile (i-MedGuide) . Yifunde ngokucophelela njalo uma uthola umuthi futhi njalo uma uthola ukugcwalisa kabusha. Iqukethe ulwazi oluningi olubalulekile.
Uma unikeza izingane lo muthi: Khuluma nodokotela wezingane ngalokhu. Kwezinye izimo ezikhethiwe, lo muthi unganikezwa izingane ezincane njengezinyanga eziyisithupha, kodwa kunezinyathelo zokuphepha ezisebenzayo.
Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha.
Okubalulekile: Lo muthi ungowakho kuphela. Ungawubelani nabanye.
Wenzani uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma owengeziwe.
Yimiphi eminye imithi engasebenzisana nalo muthi? (Ukusebenzisana Kwemithi)
Lokhu futhi kuyinto okufanele uyiqaphele kakhulu. Kunemithi ethile engabangela izinkinga uma ithathwa kanye ne-Mefloquine.
Ungayithathi i-Mefloquine kanye nemithi elandelayo:
- Eminye imithi esetshenziswa ukwelapha izifo zesikhunta ihlanganisa: i-fluconazole, i-itraconazole, i-ketoconazole, i-posaconazole, kanye ne-voriconazole.
- `cisapride`
- `i-dronedarone`
- `i-halofantrine`
- `pimozide`
- `i-quinidine`
- `i-quinine`
- `thioridazine`
Lo muthi ungase uhlangane nemithi elandelayo:
- `i-chloroquine`
- Eminye imithi yokucindezeleka, ukukhathazeka, noma ukuphazamiseka kwengqondo.
- Eminye imithi yokwelapha ukushaya kwenhliziyo okungajwayelekile.
- Eminye imithi esetshenziswa ukwelapha ukuxhuzula, isibonelo: i-valproic acid, i-carbamazepine, i-phenobarbital, i-phenytoin.
- Eminye imithi ebanga ukushaya kwenhliziyo okungajwayelekile (elula isikhathi se-QT), isibonelo: `dofetilide`, `ziprasidone`.
- Ama-phenothiazine, isibonelo: i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine.
- `i-propranolol`
- Umuthi wokugomela i-typhoid
Lolu hlu alufaki konke ukusebenzisana. Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi kadokotela kanye nemithi engabhalwanga ngudokotela, imikhiqizo yamakhambi, namavithamini). Tshela nodokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Ezinye izinto zingathintana nemithi yakho.
Yiziphi izinto okufanele uziqaphele uma usebenzisa lo muthi?
- Uma izimpawu zakho zingaqali ukuthuthuka phakathi nezinsuku ezimbalwa, tshela udokotela wakho noma uchwepheshe wezempilo.
- Uma uthatha lo muthi isikhathi eside, bona udokotela wakho njalo ukuze akuhlole njalo.
- Uma ubona noma yiziphi izinguquko ekuboneni kwakho , bonana nodokotela wamehlo bese uhlola amehlo akho.
- Uma uba nomkhuhlane , kungaba ngenkathi uthatha lo muthi noma ngemva kokuqeda ukuwuthatha, ungazami ukuzelapha wena. Bonana nodokotela ngokushesha.
- Ungase uzizwe ulele noma unesizungu . Ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Ungasukumi, uhlale, noma uhambe ngokushesha, ikakhulukazi uma usukhulile. Lokhu kunganciphisa ingozi yokuba nesizungu nokuwa.
Ukuvikelwa komiyane ezindaweni ezithandwa kakhulu yi-malaria
Ngisho noma uthatha lo muthi, kufanele usathathe izinyathelo zokuzivikela komiyane uma usezindaweni lapho i-malaria ivame khona. Lokhu kufaka phakathi:
- Hlala emakamelweni anomoya opholile noma ahlolwa kahle.
- Lala ngaphansi kwenethi yomiyane (uma kungenzeka, phatha ngesibulala-zinambuzane esiqukethe i-pyrethrum).
- Gqoka amahembe anemikhono emide, amabhulawuzi, namabhulukwe amade.
- Faka izinto zokuxosha omiyane eziqukethe i-DEET ezindaweni zesikhumba eziveziwe.
- Sebenzisa isifutho sezinambuzane ezindizayo esiqukethe i-pyrethrum.
Kubaluleke kakhulu: Uma okwamanje uthatha lo muthi, noma zingakapheli amasonto amathathu uthatha lo muthi, akufanele uthathe i-'halofantrine' (omunye umuthi we-malaria). Kungabangela imiphumela emibi yenhliziyo eyingozi. Khuluma nodokotela wakho ngalokhu.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njengayo yonke imithi, i-Mefloquine ingabangela imiphumela emibi kwabanye abantu.
Uma uhlangabezana nanoma yimiphi yale miphumela emibi, tshela udokotela wakho noma uchwepheshe wezempilo ngokushesha okukhulu:
- Ukukhathazeka, ukwesaba (ukukhathazeka)
- Umbono ofiphele, noma ushintsho embonweni
- Ukudideka
- Isimo sengqondo sokucindezeleka
- Isiyezi
- Iziphonso zokuquleka
- Umkhuhlane noma ukubanda
- Ukuphupha, ukulahlekelwa ukuxhumana neqiniso
- Ubuhlungu bekhanda, ukudideka, noma ezinye izinguquko zengqondo
- Izinkinga zokuzwa
- Ubuhlungu bamalunga noma bemisipha
- Ukulahlekelwa yizinkinga zokulinganisela noma zokuxhumanisa
- Ukwesaba, imizwa yokungathembi
- Ukubomvu, ukuqubuka, ukuxebuka noma ukukhululeka kwesikhumba, kuhlanganise nangaphakathi emlonyeni
- Ukungahlaliseki
- Ukukhala ezindlebeni
- Ukuquleka
- Ukuqubuka kwesikhumba, ukulunywa (kungase kube nokulunywa okukhulu ngaphandle kokuqubuka)
- Inkinga yokulala
- Ukuziphatha okungajwayelekile
- Izinguquko ezingavamile ekushayeni kwenhliziyo noma ezinye izinkinga zenhliziyo
- Ukuzizwa ubuthakathaka noma ukhathele ngendlela engavamile
- Ukuhlanza
Imiphumela emibi evame ukungadingi ukwelashwa, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:
- Ukozela
- Ukulahlekelwa izinwele
- Ukungalali
- Ukulahlekelwa yisifiso sokudla
- Uhudo oluncane
- Isicanucanu
- Ubuhlungu besisu noma ukucasuka
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Xhumana nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi.
Ngingawugcina kuphi lo muthi?
Yigcine kude nezingane.
Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30, phakathi kwama-degree Fahrenheit angu-59 no-86). Lahla noma yimuphi umuthi ophelelwe yisikhathi.
Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)
I-Mefloquine iwumuthi obalulekile wokuvimbela nokwelapha umalaleveva. Kodwa-ke, kunezinto okufanele uziqaphele uma usebenzisa yona. Ikakhulukazi uma unezinye izifo noma uthatha eminye imithi, tshela udokotela wakho ngazo zonke.
Ungalokothi usebenzise lo muthi ngaphandle kweseluleko sikadokotela noma uwunike abanye. Uma uneminye imibuzo mayelana nalo muthi, buza udokotela wakho, usokhemisi, noma omunye uchwepheshe wezempilo.
Impilo yakho iyona ebalulekile!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Mefloquine (Mefloquine / Lariam) ayimithi yasiphi isifo?
Lona umuthi onamandla kakhulu osetshenziselwa ukwelapha 'iMalaria (isifo esithwalwa omiyane)', esisakazeka emhlabeni wonke, kanye nokuvimbela umalaleveva (Ukuvimbela) ngo-100%, ikakhulukazi uma uhambela izwe/isifunda lapho umalaleveva uvame khona (isib. i-Afrika)! Usetshenziswa kakhulu ukubulala amagciwane anamandla kamalaleveva angabulawa eminye imithi kamalaleveva evamile (i-Chloroquine).
💬 Lo muthi (i-Mefloquine) uwubulala kanjani umphikisi we-malaria ongene emzimbeni?
I-parasite ye-malaria (i-Plasmodium falciparum), engene egazini ngenxa yomiyane, iphula amangqamuzana ethu abomvu egazi futhi idle amaprotheni angaphakathi kwawo! Kodwa abakwazi ukugaya i-iron egazini/e-heme yethu, okuyinto enobuthi kubo. Uma lo muthi (i-Mefloquine) uthathwa, ushintsha i-acidity/pH ngaphakathi kwe-parasite, okwenza ukuthi 'i-iron enobuthi' iqoqeke esiswini sabo. Ubuthi buyanda futhi i-parasite iqhuma ngaphakathi bese iyafa!
💬 Yimiphi imiphumela emibi eyingozi kakhulu (Isexwayiso Sebhokisi Elimnyama) saleli philisi likamalaleveva (iMefloquine / iLariam)?
Ingozi enkulu neyingozi kakhulu evela kulokhu 'umonakalo omkhulu ebuchosheni nasengqondweni (ubuthi be-Neuropsychiatric).' Lapho bephuza lokhu, abanye abantu baba nesifo sengqondo/ukuhlanya okungabekezeleleki (ukubona izinto ezingabonakali/ezingezwakali), ukukhathazeka okukhulu, ukucindezeleka (Ukucindezeleka) kanye nemicabango yokuzibulala ebhubhisayo ingenzeka! Futhi kunethuba elikhulu lokubangela ukushaya kwenhliziyo okungajwayelekile kanye nomonakalo wamaphaphu/wesibindi (i-Arrhythmias/Hepatitis).
I- Mefloquine, i-Lariam, umalaleveva, imithi kamalaleveva, imiphumela emibi yemithi, ukuvimbela umalaleveva, ukwelashwa komalaleveva
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