Uyawasebenzisa amaphilisi noma ama-capsule e-quinine? Ake sithole ngokuqinisekile!

Ingabe udokotela wakho unikeze i-quinine yokwelapha umalaleveva? Noma ukhona emndenini wakho osebenzisa lo muthi? Uma ungaqiniseki ngalo muthi futhi unokwesaba noma uvalo oluncane, ake sixoxe ngawo namuhla bese siwuqeda. Lo muthi ubaluleke kakhulu uma usetshenziswa kahle.

Uhlobo luni lomuthi lolu lwe-quinine?

Kalula nje, i-quinine umuthi osetshenziselwa ukwelapha umalaleveva . Uma sikhuluma iqiniso, iyisidakamizwa sokulwa nomalaleveva. Kodwa kukhona into eyodwa okufanele uyikhumbule. Lo muthi awulungele ukuqaqamba kwemilenze noma ukungazweli emilenzeni. Ngezinye izikhathi ungasetshenziswa kwezinye izifo . Buza udokotela wakho noma umuntu osekhemisi ngawo. Lo muthi uvame ukuba ngaphansi kwegama lomkhiqizo i-Qualaquin, kodwa ungatholakala nangamanye amagama.

Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi

Ngaphambi kokuba uqale ukuthatha lo muthi we-quinine, kufanele uchaze lezi zinto ngokucacile kudokotela wakho noma eqenjini lezempilo elikwelaphayo. Lezi zibaluleke kakhulu ekuphepheni kwakho.

• Uma unesifo sikashukela .
• Uma unesifo esibizwa ngokuthi ukuntuleka kwe-glucose-6-phosphate dehydrogenase (ukuntuleka kwe-G6PD) . Lokhu kuhlobene ne-enzyme egazini futhi kungenza kube nzima ukubekezelela eminye imithi.
• Uma unezinkinga ezifana nesifo senhliziyo noma ukushaya kwenhliziyo okungajwayelekile .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma ubuthakathaka bemisipha noma izifo ezihlobene nayo.
• Uma unenkinga yokubona noma yokuzwa .
• Uma wake waba nokusabela kokungezwani komzimba noma ukusabela okungavamile kweminye imithi, ukudla, imibala yokwenziwa, noma izithasiselo, njenge-quinine, i-quinidine, noma i-mefloquine.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Ngiyisebenzisa kanjani ngempela le mithi?

Lo muthi kufanele uphuzwe ngomlomo. Gwinya ithebhulethi/ikhaphu ngengilazi yamanzi. Landela imiyalelo ebhalwe ilebula kadokotela ngqo. Ungawachobozi noma uwahlafune amaphilisi. Kungcono ukuwaphuza nokudla. Thatha umuthi wakho ngesikhathi esifanele, ngezikhathi ezifanayo. Ungaphuzi okungaphezu kwalokho okutshelwe udokotela wakho, noma uwuphuze kaningi. Ungayeki ukuthatha umuthi ngoba nje uzizwa ungcono. Thatha yonke inkambo yokwelashwa. Lokhu kubalulekile ukuze ubulale ngokuphelele igciwane le-malaria.

Uma ikhemisi likunikeza lo muthi, liza nencwajana ekhethekile ye-MedGuide . Kufanele uwufunde ngokucophelela njalo uma uthola umuthi omusha (ukugcwalisa kabusha). Uqukethe ulwazi oluningi olubalulekile, ngakho ungawushayi indiva.

Uma unikeza izingane lo muthi, kufanele ukhulume nodokotela wezingane ngakho. Ngezinye izikhathi ukunakekelwa okukhethekile kanye nokulungiswa komthamo kungadingeka.

Okubalulekile: Uma ucabanga ukuthi uthathe lo muthi omningi kakhulu (ukudlula umthamo), noma uphuze kakhulu ngephutha, shayela noma uye esikhungweni sokulawula ubuthi noma ekamelweni eliphuthumayo eliseduze ngokushesha.

Khumbula: Lo muthi ungowakho kuphela. Ungawabelani nabanye, noma ngabe banezimpawu ezifanayo nezakho.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Uma lokhu kwenzeka, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo njengoba kuhleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma umthamo owengeziwe. Ukwenza kanjalo kungandisa ingozi yakho yemiphumela emibi.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

I-Quinine iyisidakamizwa esingabangela izinkinga uma sisetshenziswa nemithi ethile. Ngakho-ke, kudingeka uqaphele kakhulu ngalokhu. Lokhu kusebenzisana kunganciphisa ukusebenza kwe-quinine noma kwandise imiphumela emibi.

Ungalokothi usebenzise i-quinine kanye nemithi elandelayo:

• I-Cisapride
• Ama-inhibitor e-Cholinesterase afana ne-edrophonium, i-neostigmine, i-physostigmine, kanye ne-pyridostigmine
• I-Erythromycin, i-troleandomycin
• I-Flecainide
• Eminye imithi kamalaleveva efana ne-mefloquine kanye ne-halofantrine
• I-Pimozide
• I-Quinidine
• I-Rifampin
• Eminye imithi yokwelapha ukushaya kwenhliziyo okungajwayelekile
• Eminye imithi esetshenziswa ngesikhathi sokuhlinzwa

Le mithi ingase ihlangane ne-quinine:

• I-Acetazolamide
• Ama-antacid (uketshezi/amaphilisi okuvuvukala kwesisu kanye ne-gastritis)
• I-Atorvastatin (umuthi owehlisa i-cholesterol)
• I-Cimetidine
• I-Desipramine
• I-Digoxin
• I-Heparin
• I-Ketoconazole
• I-Lovastatin (futhi umuthi we-cholesterol)
• I-Simvastatin (futhi umuthi we-cholesterol)
• I-sodium bicarbonate
• Amanye ama-antibiotic
• Eminye imithi enikezwayo yokwelapha ukuquleka
• Amanzi e-tonic aqukethe i-quinine
• I-Warfarin (isidakamizwa esinciphisa igazi)

Lolu hlu alufaki konke ukuxhumana okungenzeka. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, imithi yamakhambi, imithi engekho kadokotela, kanye nezithasiselo zokudla) . Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa izidakamizwa ezingekho emthethweni. Lezi zinto zingase zihlangane nemithi yakho.

Ezinye izinto okufanele uziqaphele lapho uthatha lo muthi

Kufanele futhi uqaphele lezi zinto uma usebenzisa i-quinine.

• Bona udokotela wakho ukuze akuhlole njalo. Tshela udokotela wakho uma izimpawu zakho zingathuthuki noma uma zibonakala ziba zimbi kakhulu. Uma umkhuhlane wakho ubuya ngemva kokuqeda ukusebenzisa lo muthi, bona udokotela wakho ngokushesha.
• Abanye abantu bangase babe noshukela ophansi egazini ngenkathi bethatha lo muthi. Uma lokhu kwenzeka, ungase uzizwe unesiyezi, unesizungu, ujuluka, ukhathazekile, uqhaqhazela, noma ubuthakathaka. Uma lokhu kwenzeka, phuza ijusi yezithelo noma udle okuthile okumnandi (njengoshukela noma i-glucose) bese ushayela udokotela wakho ngokushesha. Uma unesifo sikashukela, hlola ushukela wakho wegazi njalo.
• Ungathathi ama-antacid aqukethe i-aluminium noma i-magnesium zingakapheli amahora amabili kusukela uphuze lo muthi, njengoba lokhu kunganciphisa ukumuncwa kwe-quinine.
• Uma uhlinzwa, uhlinzwa, noma wenza umsebenzi wamazinyo, tshela udokotela kusengaphambili ukuthi uthatha i-quinine.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, i-quinine ingabangela eminye imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye imnene.

Uma uhlangabezana nanoma yimiphi yale miphumela emibi, tshela udokotela wakho noma uchwepheshe wezempilo ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa noma ukuqubuka, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula.
• Ushintsho embonweni - njengokufiphala, izinguquko embonweni wombala.
• Ubunzima bokuphefumula .
• Ukuquleka .
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ubuhlungu besifuba .
• Ukulahlekelwa ukuzwa noma ukukhala ezindlebeni (njenge-tinnitus).
• Ukubomvu, ukuqubuka, ukuxebuka noma ukuxebuka kwesikhumba (kufaka phakathi nomlomo).
• Ukuquleka (ukuquleka) .
• Ukopha noma ukuphuka okungavamile - njengokuphuma kwegazi ekhaleni, ukuphuma kwegazi ezinsinini, noma amabala egazi ngaphansi kwesikhumba.
• Amabala angavamile abomvu noma ansomi esikhumbeni.
• Ukuzizwa ubuthakathaka obungavamile .

Le miphumela emibi ngokuvamile ayidingi ukunakekelwa kwezokwelapha. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Ukuhlanza ubuso.
• Uhudo.
• Ikhanda elibuhlungu.
• Ukuphazamiseka kwesisu, isicanucanu, ukuhlanza.
• Ukujuluka.

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Khuluma nodokotela wakho ukuze uthole iseluleko sezokwelapha mayelana nemiphumela emibi. Uma uhlangabezana nanoma yimiphi imiphumela emibi, ungayibika kudokotela wakho noma kuziphathimandla zezempilo zasendaweni.

Uwugcina kanjani lo muthi uphephile?

Lokhu kubaluleke kakhulu futhi.

• Yigcine kude nezingane. Izinto ezifana namaphilisi nama-capsule zingabukeka njengamathoyizi ezinganeni ezincane.
• Gcina ekamelweni lokushisa, phakathi kwama-degree Celsius angu-25 no-30 (ama-degree Fahrenheit angu-77 no-86). Gcina esitsheni esivalwe kahle. Vikela emswakama nasekushiseni okukhulu.
• Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa. Cela ikhemisi lakho ukuthi likunike imiyalelo yokuthi ungayilahla kanjani imithi ephelelwe yisikhathi.

Okokugcina, izinto ezimbalwa okufanele uzikhumbule

Kulungile, ngakho-ke sesikhulume kakhulu nge-quinine, akunjalo? Ngamafuphi, nazi izinto ezimbalwa okufanele uzikhumbule:

• I-quinine iyindlela eyinhloko yokwelapha umalaleveva , hhayi nje kuphela ngenxa yokuqaqamba kwemilenze noma ukuqaqamba kwemilenze.
• Ngaphambi kokuthatha lo muthi , kufanele utshele udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi inhliziyo, izinso, isifo sesibindi, ukuntuleka kwe-G6PD), eminye imithi oyithathayo, kanye nanoma yikuphi ukungezwani komzimba okungenzeka ukuthi unakho.
• Thatha umthamo onqunyiwe, ngesikhathi esinqunyiwe, ngenani elinqunyiwe lezinsuku, njengoba kunqunywe udokotela. Ngisho noma uzizwa ungcono, ungayeki kuze kube yilapho udokotela ekuyala ukuba wenze kanjalo.
• Okuqhamuka uma udla imishanguzoQaphela. Uma ubona noma yini engathi sína, tshela udokotela wakho ngokushesha. Qaphela nezimpawu zoshukela wegazi ophansi.
• I-quinine ingasebenzisana neminye imithi oyithathayo, ngakho khuluma nodokotela wakho ngalokho bese umnikeza uhlu oluphelele.
• Gcina umuthi endaweni ephephile kude nezingane .

Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma unemibuzo, ungangabazi ukubuza udokotela wakho noma umuntu osekhemisi. Hlala uphilile!

I- Quinine, umalaleveva, imithi, imiphumela emibi, imininingwane yemithi