Quinine

Zamkati

• Musanatenge quinine,
• Mankhwalawa amatha kuyambitsa shuga wotsika magazi. Muyenera kudziwa zizindikiro za shuga wotsika magazi komanso zoyenera kuchita ngati mukukula.
• Quinine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo:

Quinine sayenera kugwiritsidwa ntchito pochizira kapena kupewa kukokana kwamiyendo usiku. Quinine sanawonetsedwe kuti ndiwothandiza pantchitoyi, ndipo atha kubweretsa mavuto owopsa kapena owopsa pamoyo, kuphatikiza mavuto akuchuluka kwa magazi, kuwonongeka kwa impso, kugunda kwamtima mosasinthasintha, komanso kusakumana ndi zovuta zina.

Dokotala wanu kapena wamankhwala adzakupatsani pepala lazidziwitso za wopanga (Medication Guide) mukayamba mankhwala ndi quinine ndipo nthawi iliyonse mukamadzaza mankhwala anu. Werengani nkhaniyi mosamala ndikufunsani dokotala kapena wamankhwala ngati muli ndi mafunso. Muthanso kuyendera tsamba la Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti mupeze Chithandizo cha Mankhwala.

Quinine amagwiritsidwa ntchito paokha kapena ndi mankhwala ena kuchiza malungo (matenda oopsa kapena owopsa omwe amafalitsidwa ndi udzudzu m'malo ena adziko lapansi). Quinine sayenera kugwiritsidwa ntchito popewera malungo. Quinine ali mgulu la mankhwala otchedwa antimalarials. Zimagwira ntchito popha zamoyo zomwe zimayambitsa malungo.

Quinine amabwera ngati kapisozi woti amwe pakamwa. Nthawi zambiri amatengedwa ndi chakudya katatu patsiku (maola 8 aliwonse) kwa masiku 3 mpaka 7. Tengani quinine mozungulira nthawi yofananira tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani quinine ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Kumeza makapisozi lonse; osatsegula, kutafuna, kapena kuwaphwanya. Quinine ali ndi kulawa kowawa.

Muyenera kuyamba kumva bwino m'masiku oyamba 1-2 amachiritso anu. Itanani dokotala wanu ngati matenda anu sakusintha kapena akukulirakulira. Komanso itanani dokotala wanu ngati muli ndi malungo mutangomaliza kumwa mankhwala. Ichi chikhoza kukhala chizindikiro choti mukukumana ndi vuto lachiwiri la malungo.

Tengani quinine mpaka mutsirize mankhwala, ngakhale mutakhala bwino. Mukasiya kumwa quinine posachedwa kapena ngati mwadumpha mlingo, matenda anu sangachiritsidwe kwathunthu ndipo zamoyozo zimatha kulimbana ndi malungo.

Quinine nthawi zina amagwiritsidwanso ntchito pochizira babesiosis (matenda oopsa kapena owopsa omwe amafalikira kuchokera kuzinyama kupita kwa anthu ndi nkhupakupa). Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito mankhwalawa ngati muli ndi vuto lanu.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge quinine,

• uzani dokotala wanu komanso wamankhwala kuti ngati muli ndi vuto la quinine, quinidine, mefloquine (Lariam), mankhwala ena aliwonse, kapena chilichonse chosakaniza makapisozi a quinine. Funsani dokotala wanu kapena wamankhwala mndandanda wa zosakaniza.
• auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: acetazolamide (Diamox); aminophylline; anticoagulants ('magazi ochepetsa magazi') monga warfarin (Coumadin) ndi heparin; mankhwala opatsirana pogonana ('mood elevator') monga desipramine; ma antifungal ena monga fluconazole (Diflucan), ketoconazole (Nizoral), ndi itraconazole (Sporanox); mankhwala ochepetsa mafuta m'thupi monga atorvastatin (Lipitor), lovastatin (Mevacor), simvastatin (Zocor); cisapride (Propulsid); dextromethorphan (mankhwala azinthu zambiri za chifuwa); maantibayotiki a fluoroquinolone monga ciprofloxacin (Cipro), gatifloxacin (Tequin) (sakupezeka ku US), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (ofloxacin) ) (sikupezeka ku US); mankhwala a macrolide monga erythromycin (EES, E-Mycin, Erythrocin) ndi troleandomycin (omwe sapezeka ku U.S.); mankhwala a shuga monga repaglinide (Prandin); mankhwala othamanga magazi; mankhwala osagunda pamtima monga amiodarone (Cordarone, Pacerone), digoxin (Lanoxin), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide (Procanbid, Pronestyl), quinidine, ndi sotalol (Betapace); mankhwala ena ogwidwa monga carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), ndi phenytoin (Dilantin); mankhwala azilonda monga cimetidine (Tagamet); mefloquine (Lariam); metoprolol (Lopressor, Toprol XL); paclitaxel (Abraxane, Taxol); pimozide (Orap); rifampin (Rifadin, Rimactane); mitundu ina ya serotonin reuptake inhibitors (SSRIs) monga fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), ndi paroxetine (Paxil); sodium bicarbonate; kutcheranline; ndi theophylline. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake. Mankhwala ena ambiri amathanso kulumikizana ndi quinine, chifukwa chake onetsetsani kuti muwauze adotolo za mankhwala omwe mukumwa, ngakhale omwe sapezeka pamndandandawu.
• musatenge maantibayotiki omwe ali ndi magnesium kapena aluminium (Alternagel, Amphogel, Alu-cap, Alu-tab, Basaljel, Gaviscon, Maalox, Mkaka wa Magnesia, kapena Mylanta) nthawi yomweyo mukatenga quinine. za kutalika kwa nthawi yomwe muyenera kudikirira pakati pa kumwa mankhwalawa ndi kumwa quinine.
• auzeni adotolo ngati inu kapena wina aliyense m'banja mwanu mwakhalapo ndi nthawi yayitali ya QT (vuto losowa mtima lomwe lingayambitse kukomoka kapena kugunda kwamtima), matenda osagwirizana ndi magetsi (ECG; mayeso omwe amayesa magetsi pamtima) , ndipo ngati mwakhalapo ndi vuto la G-6-PD (matenda obwera nawo mwazi), kapena ngati mwakhala ndi myasthenia gravis (MG; zomwe zimayambitsa kufooka kwa minofu), kapena optic neuritis (kutupa kwa mitsempha yamagetsi yomwe imatha kusintha mwadzidzidzi masomphenya). Muuzeni dokotala ngati mwakhalapo ndi vuto lalikulu, makamaka vuto lakukha magazi kapena mavuto amwazi wanu mutamwa quinine m'mbuyomu. Dokotala wanu angakuuzeni kuti musamwe quinine.
• auzeni adotolo ngati mwakhala mukugunda pang'onopang'ono kapena mosasinthasintha; potaziyamu wochepa m'magazi anu; kapena matenda a mtima, impso, kapena chiwindi.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga quinine, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa quinine.
• uzani dokotala ngati mumagwiritsa ntchito fodya. Kusuta ndudu kumatha kuchepetsa mphamvu ya mankhwalawa.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati patha maola 4 kuchokera nthawi yomwe mumayenera kumwa mankhwalawa, tulukani mlingo womwe mwaphonyawo ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Mankhwalawa amatha kuyambitsa shuga wotsika magazi. Muyenera kudziwa zizindikiro za shuga wotsika magazi komanso zoyenera kuchita ngati mukukula.

Quinine angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusakhazikika
• kuvuta kumva kapena kulira m'makutu
• chisokonezo
• manjenje

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• zidzolo
• ming'oma
• kuyabwa
• kuchapa
• ukali
• kuvuta kupuma kapena kumeza
• kutupa kwa nkhope, mmero, milomo, maso, manja, mapazi, akakolo kapena miyendo yakumunsi
• malungo
• matuza
• kupweteka m'mimba
• kusanza
• kutsegula m'mimba
• kufufuma kapena kusintha kwamaso
• kulephera kumva kapena kuwona
• kukomoka
• kuvulaza kosavuta
• zofiirira, zofiirira, kapena zofiira pakhungu
• magazi osazolowereka
• magazi mkodzo
• chimbudzi chakuda kapena chochedwa
• mwazi wa m'mphuno
• nkhama zotuluka magazi
• chikhure
• kuthamanga kapena kusakhazikika kwamtima
• kupweteka pachifuwa
• kufooka
• thukuta
• chizungulire

Quinine angayambitse mavuto ena. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

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). Osazizira kapena kuunditsa mankhwalawo.

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.

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

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:

• kufufuma kapena kusintha kwamaso
• zizindikiro za shuga wotsika magazi
• kusintha kwa kugunda kwa mtima
• mutu
• nseru
• kusanza
• kupweteka m'mimba
• kutsegula m'mimba
• kulira m'makutu kapena kumva kumva
• kugwidwa
• kupuma pang'onopang'ono kapena kovuta

Sungani maimidwe onse ndi dokotala wanu.

Musanayezetsedwe kwa labotale, uzani adotolo ndi omwe akuwayesa kuti mukumwa quinine.

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.

• Qualaquin^®