Hydroxychloroquine

Zamkati

• Musanayambe kumwa hydroxychloroquine,
• Hydroxychloroquine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Hydroxychloroquine yawerengedwa pochiza ndi kupewa matenda a coronavirus 2019 (COVID-19).

A FDA adavomereza Chilolezo Chogwiritsa Ntchito Mwadzidzidzi (EUA) pa Marichi 28, 2020 kuti alole kugawa kwa hydroxychloroquine kuchiza akulu ndi achinyamata omwe amalemera pafupifupi 110 kg (50 kg) ndi omwe ali kuchipatala ndi COVID-19, koma omwe sangathe kutenga nawo gawo pakafukufuku wamankhwala. Komabe, a FDA adaletsa izi pa Juni 15, 2020 chifukwa kafukufuku wamankhwala adawonetsa kuti hydroxychloroquine sichingakhale yothandiza kuchiza COVID-19 mwa odwalawa ndi zovuta zina, monga kugunda kwamtima kosadziwika, adanenedwa.

A FDA ndi National Institutes of Health (NIH) amati hydroxychloroquine iyenera kumwedwa YOKHALA ndi COVID-19 motsogozedwa ndi dokotala mu kafukufuku wamankhwala. Musagule mankhwalawa pa intaneti popanda mankhwala. Ngati mukumva kugunda kwa mtima, chizungulire, kapena kukomoka mukamamwa hydroxychloroquine, itanani 911 kuti mukalandire chithandizo chamankhwala mwadzidzidzi. Ngati muli ndi zovuta zina, onetsetsani kuti mwauza dokotala.

Hydroxychloroquine amagwiritsidwa ntchito popewa ndi kuchiza matenda a malungo. Amagwiritsidwanso ntchito pochiza discoid lupus erythematosus (DLE; matenda otupa khungu) kapena systemic lupus erythematosus (SLE; matenda otupa thupi) ndi nyamakazi ya nyamakazi kwa odwala omwe zizindikiro zawo sizinasinthe ndi mankhwala ena. Hydroxychloroquine ili m'gulu la mankhwala otchedwa antimalarials. Zimagwira ntchito popha zamoyo zomwe zimayambitsa malungo. Hydroxychloroquine itha kugwira ntchito yothana ndi nyamakazi komanso systemic lupus erythematosus pochepetsa chitetezo chamthupi.

Hydroxychloroquine imabwera ngati piritsi kuti itenge pakamwa. Ngati ndinu wamkulu ndipo mumamwa hydroxychloroquine popewa malungo, mlingo umodzi umatengedwa kamodzi pa sabata tsiku lomwelo la sabata. Muyamba kumwa mankhwala milungu iwiri kapena iwiri musanapite kudera lomwe malungo amapezeka ndipo kenako pitirizani nthawi yanu kuderalo komanso kwa milungu inayi mutabwerako. Ngati ndinu wamkulu ndipo mumamwa mankhwala a hydroxychloroquine kuti muchiritse malungo, mlingo woyamba umangotengedwa nthawi yomweyo, ndikutsatiridwa ndi wina pambuyo pa maola 6 mpaka 8 kenako ndikuwonjezeranso tsiku lililonse masiku awiri otsatira. Pofuna kupewa kapena kuchiza malungo kwa makanda ndi ana, kuchuluka kwa hydroxychloroquine kumadalira kulemera kwa mwanayo. Dokotala wanu adzawerengera ndalamayi ndikukuuzani kuchuluka kwa hydroxychloroquine komwe mwana wanu ayenera kulandira.

Ngati mukumwa hydroxychloroquine kuchiza lupus erythematosus (DLE kapena SLE), imamwa kamodzi kapena kawiri patsiku. Ngati mukumwa hydroxychloroquine kuchiza nyamakazi, imamwa kamodzi kapena kawiri patsiku.

Kumeza mapiritsi lonse; osagawana, kutafuna, kapena kuwaphwanya.

Mapiritsi a Hydroxychloroquine amatha kumwa ndi kapu ya mkaka kapena chakudya kuti muchepetse mseru.

Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani hydroxychloroquine monga momwe adauzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Ngati mukumwa hydroxychloroquine pazizindikiro za nyamakazi, zizindikilo zanu ziyenera kusintha mkati mwa miyezi isanu ndi umodzi. Ngati matenda anu a nyamakazi samakula, kapena ngati akuwonjezeka, siyani kumwa mankhwalawo ndikuyimbira dokotala. Mukadzatsimikiza kuti mankhwalawa akukuthandizani, musaleke kumwa hydroxychloroquine osalankhula ndi dokotala. Zizindikiro za nyamakazi zidzabwerera mukasiya kumwa hydroxychloroquine.

Hydroxychloroquine imagwiritsidwa ntchito nthawi zina kuchiza porphyria cutanea tarda. Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanayambe kumwa hydroxychloroquine,

• uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la hydroxychloroquine, chloroquine, primaquine, quinine, kapena mankhwala ena aliwonse.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osalembedwa, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchula acetaminophen (Tylenol, ena); azithromycin (Zithromax); cimetidine (Tagamet); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin), insulini ndi mankhwala akumwa a shuga; mankhwala a khunyu monga carbamazepine (Carbatrol, Epitol, Equetro, Tegretol, Teril), phenytoin (Dilantin, Phenytek), kapena valproic acid (Depakene); mankhwala ena osagunda pamtima monga amiodarone (Pacerone); methotrexate (Trexall, Xatmep); moxifloxacin (Avelox); praziquantel (Biltricide); ndi tamoxifen (Nolvadex). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi hydroxychloroquine, chifukwa chake onetsetsani kuti muwauze adotolo zamankhwala onse omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• ngati mukumwa maantacid, tengani maola 4 musanafike kapena maola 4 kuchokera pamene hydroxychloroquine. Ngati mukumwa ampicillin, imwani maola 2 musanadye kapena maola awiri hydroxychloroquine itadutsa.
• Uzani dokotala wanu ngati mwakhalapo ndi matenda a chiwindi, matenda amtima, nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kugunda kwamtima, kukomoka, kapena kufa mwadzidzidzi), kugunda kwamtima kosafunikira, kutsika kwa magnesium kapena potaziyamu mkati magazi anu, psoriasis, porphyria kapena matenda ena amwazi, kusowa kwa G-6-PD (matenda obadwa nawo amwazi), dermatitis (zotupa pakhungu), khunyu, mavuto amaso, matenda ashuga, mavuto a impso, kapena ngati mumamwa mowa wambiri.
• uzani dokotala ngati mwawonapo masomphenya mukamamwa hydroxychloroquine, chloroquine (Aralen), kapena primaquine.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga hydroxychloroquine, itanani dokotala wanu.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Hydroxychloroquine imatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• mutu
• chizungulire
• kusowa chilakolako
• nseru
• kutsegula m'mimba
• kupweteka m'mimba
• kusanza
• zidzolo

Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kuvuta kuwerenga kapena kuwona (mawu, zilembo, kapena magawo azinthu zomwe zikusowa)
• kutengeka ndi kuwala
• kusawona bwino
• kusintha kwa masomphenya
• powona kuwala kunyezimira
• kuvuta kumva
• kulira m'makutu
• kufooka kwa minofu
• kutuluka mwachilendo kapena kuphwanya
• kutsuka kapena kutayika kwa tsitsi
• kusintha kwa malingaliro kapena kusintha kwamaganizidwe
• kugunda kwamtima kosasintha
• Kusinza
• kusokonezeka
• kuchepa kuzindikira kapena kutaya chidziwitso
• kuganiza zodzipweteka kapena kudzipha

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo:

• mutu
• Kusinza
• zosokoneza zowoneka
• kusokonezeka
• kugunda kwamtima kosasintha

Ana amatha kukhala omvera makamaka chifukwa cha mankhwala osokoneza bongo, chifukwa chake sungani mankhwalawo patali ndi ana. Ana sayenera kumwa mankhwala a hydroxychloroquine kwa nthawi yayitali.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amatha kuyitanitsa mayeso ena a labu ndi ma electrocardiograms (EKG, mayeso owunika kugunda kwa mtima wanu ndi kapangidwe kake) kuti muwone kuyankha kwanu ku hydroxychloroquine.

Ngati mukumwa hydroxychloroquine kwa nthawi yayitali, dokotala wanu amalangiza mayeso am'maso pafupipafupi. Ndikofunikira kuti muzisunga nthawi zonse. Hydroxychloroquine imatha kubweretsa zovuta zowoneka bwino. Mukasintha masomphenya, siyani kumwa hydroxychloroquine ndipo itanani dokotala wanu mwachangu.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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