Quinine: ndi chiyani, ndi chiyani komanso zotsatirapo zake

Zamkati

• Momwe mungagwiritsire ntchito
• Yemwe sayenera kugwiritsa ntchito
• Zotsatira zoyipa

Quinine ndiye mankhwala oyamba kugwiritsidwa ntchito pochiza malungo, omwe pambuyo pake adasinthidwa ndi chloroquine, chifukwa cha kuwopsa kwake komanso kusagwira bwino ntchito. Komabe, pambuyo pake, ndi kukana kwa P. falciparum ku chloroquine, quinine imagwiritsidwanso ntchito, yokha kapena kuphatikiza mankhwala ena.

Ngakhale mankhwalawa sakugulitsidwa ku Brazil, amagwiritsidwabe ntchito m'maiko ena pochiza malungo omwe amayamba chifukwa cha tizilombo ta Plasmodium yolimbana ndi chloroquine ndi Babesiosis, matenda omwe amabwera ndi tiziromboti Makulidwe a Babesia.

Momwe mungagwiritsire ntchito

Pachithandizo cha akuluakulu a malungo, mlingo woyenera ndi 600 mg (mapiritsi awiri) maola 8 aliwonse kwa masiku 3 kapena 7. Kwa ana, mlingo woyenera ndi 10 mg / kg maola 8 aliwonse kwa masiku 3 mpaka 7.

Pochiza Babesiosis, nthawi zambiri kuphatikiza mankhwala ena, monga clindamycin. Mlingo woyenera ndi 600 mg wa quinine, katatu patsiku, masiku asanu ndi awiri. Kwa ana, makonzedwe a tsiku ndi tsiku a 10 mg / kg a quinine ogwirizana ndi clindamycin amalimbikitsidwa maola 8 aliwonse.

Yemwe sayenera kugwiritsa ntchito

Quinine imatsutsana ndi anthu omwe ali ndi chifuwa chachikulu cha mankhwalawa kapena china chilichonse chomwe chilipo ndipo sayenera kugwiritsidwa ntchito ndi amayi apakati kapena oyamwa popanda malangizo a dokotala.

Kuphatikiza apo, sayenera kugwiritsidwanso ntchito ndi anthu omwe ali ndi vuto la glucose -6-phosphate dehydrogenase, ndi optic neuritis kapena mbiri ya dambo.

Zotsatira zoyipa

Zina mwazotsatira zoyipa zomwe zimatha kuyambitsidwa ndi quinine ndimasinthidwe omvera, nseru ndi kusanza.

Ngati zosokoneza zowoneka, zotupa pakhungu, kumva kwakumva kapena tinnitus zimachitika, wina ayenera kusiya kumwa mankhwala nthawi yomweyo.