I-Quinine

-Delile

• Ngaphambi kokuthatha i-quinine,
• Le mithi ingadala ushukela wegazi ophansi. Kufanele wazi izimpawu zoshukela ophansi wegazi nokuthi yini okufanele uyenze uma uthuthukisa lezi zimpawu.
• I-quinine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Quinine akufanele isetshenziselwe ukwelapha noma ukuvimbela amajaqamba emilenze yasebusuku. I-Quinine ayikhonjiswanga ukuthi iyasebenza ngenxa yale njongo, futhi ingadala imiphumela emibi noma esongela impilo, kufaka phakathi izinkinga zokopha kakhulu, ukulimala kwezinso, ukushaya kwenhliziyo okungajwayelekile, kanye nokuphazamiseka okunzima komzimba.

Udokotela wakho noma usokhemisi uzokunikeza ishidi lemininingwane yesiguli lomkhiqizi (Umhlahlandlela Wezokwelapha) lapho uqala ukwelashwa nge-quinine futhi isikhathi ngasinye lapho ugcwalisa umuthi wakho. Funda imininingwane ngokucophelela bese ubuza udokotela noma usokhemisi wakho uma unemibuzo. Ungavakashela futhi iwebhusayithi ye-Food and Drug Administration (FDA) (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) ukuthola uMhlahlandlela Wezokwelapha.

I-Quinine isetshenziswa yodwa noma ngeminye imithi yokwelapha umalaleveva (isifo esibi noma esisongela impilo esisakazwa omiyane ezingxenyeni ezithile zomhlaba). I-quinine akufanele isetshenziselwe ukuvikela umalaleveva. I-Quinine isekilasini lemithi ebizwa ngama-antimalarials. Isebenza ngokubulala izinto ezibanga umalaleveva.

IQuinine iza njengephilisi elizothathwa ngomlomo. Imvamisa ithathwa ngokudla kathathu ngosuku (njalo ngamahora ayisishiyagalombili) izinsuku ezi-3 kuye kwezi-7. Thatha i-quinine cishe ngezikhathi ezifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-quinine njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Gwinya wonke amaphilisi; ungazivuli, uzihlafune noma uzichoboze. IQuinine inambitheka ebabayo.

Kufanele uqale ukuzizwa ungcono phakathi nezinsuku zokuqala ezingu-1-2 zokwelashwa kwakho. Shayela udokotela wakho uma izimpawu zakho zingathuthuki noma uma ziba zimbi kakhulu. Shayela nodokotela wakho uma unemfiva ngemuva nje kokuqeda ukwelashwa kwakho. Lokhu kungaba yisibonakaliso sokuthi uhlangabezana nesiqephu sesibili sikamalaleveva.

Thatha i-quinine uze uqede incwadi kadokotela, noma ngabe uzizwa ungcono. Uma uyeka ukuthatha i-quinine maduzane noma uma weqa imithamo, ukutheleleka kwakho kungenzeka kungalashwa ngokuphelele futhi izinto eziphilayo zingamelana nama-antimalarials.

I-Quinine kwesinye isikhathi iyasetshenziswa ukwelapha i-babesiosis (ukugula okubucayi noma okusongela impilo okudluliselwa ezilwaneni kuya kubantu ngemikhaza). Khuluma nodokotela wakho ngezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-quinine,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-quinine, i-quinidine, i-mefloquine (i-Lariam), noma imuphi omunye umuthi, noma iziphi izithako ezikuma-capsules e-quinine. Buza udokotela wakho noma usokhemisi uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma ikuphi kokulandelayo: i-acetazolamide (Diamox); aminophylline; ama-anticoagulants (’ama-thinner egazi’) afana ne-warfarin (Coumadin) ne-heparin; ama-antidepressants (’mood elevators’) njenge-desipramine; ezinye izinto zokuvikela ezifana ne-fluconazole (i-Diflucan), i-ketoconazole (i-Nizoral), ne-itraconazole (i-Sporanox); imithi yokwehlisa i-cholesterol efana ne-atorvastatin (Lipitor), lovastatin (Mevacor), simvastatin (Zocor); i-cisapride (i-Propulsid); i-dextromethorphan (umuthi emikhiqizweni eminingi yokukhwehlela); ama-antibiotic e-fluoroquinolone afana ne-ciprofloxacin (Cipro), gatifloxacin (Tequin) (ayitholakali e-US), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin (ofloxacin) ) (ayitholakali e-US); ama-antibiotic e-macrolide njenge-erythromycin (E.E.S., E-Mycin, Erythrocin) ne-troleandomycin (ayitholakali e-U.S.); imithi yesifo sikashukela efana ne-repaglinide (Prandin); imithi yomfutho wegazi ophakeme; imishanguzo yokushaya kwenhliziyo okungajwayelekile njenge-amiodarone (Cordarone, Pacerone), digoxin (Lanoxin), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide (Procanbid, Pronestyl), quinidine, ne-sotalol (Betapace); imithi ethile yokuquleka efana ne-carbamazepine (Tegretol), i-phenobarbital (i-Luminal, i-Solfoton), ne-phenytoin (i-Dilantin); imithi yezilonda ezifana ne-cimetidine (Tagamet); i-mefloquine (iLariam); i-metoprolol (iLopressor, iTrolrol XL); i-paclitaxel (i-Abraxane, i-Taxol); ipimozide (i-Orap); i-rifampin (i-Rifadin, i-Rimactane); ezinye ze-serotonin reuptake inhibitors (SSRIs) ezikhethiwe ezifana ne-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine (i-Luvox), ne-paroxetine (i-Paxil); i-sodium bicarbonate; tetracycline; futhi theophylline. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi. Eminye imishanguzo eminingi ingaxhumana ne-quinine, ngakho-ke qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi oyiphuzayo, ngisho naleyo engabonakali kulolu hlu.
• ungathathi ama-antacid aqukethe i-magnesium noma i-aluminium (Alternagel, Amphogel, Alu-cap, Alu-tab, Basaljel, Gaviscon, Maalox, Milk of Magnesia, noma Mylanta) ngasikhathi sinye njengoba uthatha i-quinine. Khuluma nodokotela wakho noma usokhemisi ukuthi kufanele ulinde isikhathi esingakanani phakathi kokuthatha lolu hlobo lwe-antacid nokuthatha i-quinine.
• Tshela udokotela wakho uma wena noma omunye emndenini wakho unekhefu lesikhathi eside le-QT (inkinga yenhliziyo engajwayelekile engadala ukuquleka noma ukushaya kwenhliziyo okungajwayelekile), i-electrocardiogram engajwayelekile (i-ECG; isivivinyo esilinganisa umsebenzi kagesi wenhliziyo , futhi uma uke waba nokushoda kwe-G-6-PD (isifo esifa njengefa), noma uma uke waba ne-myasthenia gravis (MG; isimo esidala ubuthakathaka bemisipha ethile), noma i-optic neuritis (ukuvuvukala imizwa ye-optic engadala ushintsho olungazelelwe embonweni). Phinda utshele udokotela wakho uma ngabe uke waphendula ngokungathi sína, ikakhulukazi inkinga yokopha noma izinkinga ngegazi lakho ngemuva kokuphuza i-quinine esikhathini esedlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-quinine.
• utshele udokotela wakho uma ngabe uke waba nokushaya kwenhliziyo okuhamba kancane noma okungajwayelekile; amazinga aphansi e-potassium egazini lakho; noma isifo senhliziyo, sezinso, noma sesibindi.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-quinine, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-quinine.
• utshele udokotela wakho uma usebenzisa imikhiqizo kagwayi. Ukubhema ugwayi kunganciphisa ukusebenza kwalo muthi.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekungaphezu kwamahora ama-4 kusukela ngesikhathi obekufanele uthathe umthamo ongabanjwanga, weqa umthamo ongabanjwanga bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Le mithi ingadala ushukela wegazi ophansi. Kufanele wazi izimpawu zoshukela ophansi wegazi nokuthi yini okufanele uyenze uma uthuthukisa lezi zimpawu.

I-quinine ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• isicanucanu
• ukungahlaliseki
• ubunzima bokuzwa noma ukukhala ezindlebeni
• ukudideka
• uvalo

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:

• ukuqubuka
• isifuba
• ukulunywa
• ukuqhuma
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ukuvuvukala kobuso, umphimbo, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• imfiva
• amabhamuza
• ubuhlungu besisu
• ukuhlanza
• isifo sohudo
• ukufiphala noma izinguquko kumbono wombala
• ukungakwazi ukuzwa noma ukubona
• ukuquleka
• ukulinyazwa okulula
• amabala ansomi, ansundu, noma abomvu esikhunjeni
• ukopha okungavamile
• igazi emchameni
• indle emnyama noma yokulibala
• ukuphuma kwamakhala
• izinsini ezophayo
• Umphimbo obuhlungu
• ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• ubuhlungu besifuba
• ubuthakathaka
• ukujuluka
• isiyezi

I-quinine ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Ungafaki esiqandisini noma umise umuthi.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho.Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ukufiphala noma izinguquko kumbono wombala
• izimpawu zikashukela wegazi ophansi
• izinguquko ekushayeni kwenhliziyo
• ikhanda
• isicanucanu
• ukuhlanza
• ubuhlungu besisu
• isifo sohudo
• ukukhala ezindlebeni noma ukuzwa kanzima
• isithuthwane
• ukuphefumula okuhamba kancane noma okunzima

Gcina wonke ama-aphoyintimenti nodokotela wakho.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi uthatha i-quinine.

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• I-Qualaquin^®