Nakhu Ukushoda Kwe-Hydroxychloroquine Kulimaza Abantu Abane-Rheumatoid Arthritis

-Delile

• Imiphumela emibi yokushoda kwe-hydroxychloroquine
• Emasontweni ngichithe ngilinde ukuthi i-hydroxychloroquine itholakale, ngahlangabezana nokuqubuka okubi kakhulu eminyakeni yami eyisithupha yokutholakala nginesifo samathambo.
• Izicelo zamanga zikamengameli zidale kanjani ingozi
• Lezi zimangalo zamanga zaholela ezenzweni ezisheshayo eziyingozi.
• Iziguli zeRheumatology zihlala ngokwesaba
• Manje kunanini ngaphambili, sidinga ukuthembela ezelulekweni ezinengqondo ezivela emphakathini wezokwelapha

Iseluleko sikaTrump sokusebenzisa umuthi olwa namagciwane ukuvimbela i-COVID-19 sasingenasisekelo futhi siyingozi - futhi sibeka izimpilo zabantu abanezimo ezingapheli engcupheni.

Ngasekupheleni kukaFebhuwari, ngilungiselela ubhadane okwakulindeleke ukuthi lwehlele emphakathini wami ngaphandle kwaseManhattan, ngaqongelela ukudla, izidingo zasendlini, nemithi ebalulekile yokwondla umndeni wami omkhulu ngesikhathi sokuhlukaniswa.

Ngangazi ukuthi ukunakekela umndeni wabantu abayisikhombisa - ngaphezu kukamama osekhulile ohlala nathi - kungaba yinselele ngesikhathi sokuqubuka kwalesi sifo.

Nginefomu elibi nelikhubazayo le-rheumatoid arthritis futhi izingane zami ezinhlanu zinezifo ezahlukahlukene ezizimele zomzimba ezinezinkinga ezithile zezokwelapha. Lokhu kwenza ukuhlela ubhubhane oluzayo kubaluleke kakhulu.

Ngalesi sikhathi esifanayo, udokotela wami wamathambo waphakamisa ukuthi kuze kube yilapho umyeni wami eyeka ukuya eNew York City eyosebenza, mina nezingane zami siyeke ukuthatha imishanguzo ecindezela izivikeli mzimba ebesiyithatha ukucindezela umsebenzi wezifo.

Udokotela wethu wayekhathazekile ngokuthi umyeni wami wayezochayeka ku-COVID-19 ngenkathi esemsebenzini noma ngenkathi egibela isitimela esiminyene, okwakungabeka ingozi ebulalayo emndenini wami ongakwazi ukuzivikela emzimbeni nakumama ontekenteke ngokwezokwelapha.

Imiphumela emibi yokushoda kwe-hydroxychloroquine

Ukuyekisa i-biologics yethu kuzoza nezingozi - okungahle kube wukuqothuka okunamandla okuvuvukala okugcwele, okunganqandeki okubangelwa izifo.

Ezama ukunciphisa leli thuba, udokotela wami wanginikeza umuthi olwa nomalaleveva i-hydroxychloroquine, esetshenziselwe ukwelapha i-rheumatoid arthritis, lupus nezinye izifo.

Yize i-hydroxychloroquine ingasebenzi njengokwelashwa kokugula kwami ​​njenge-biologics, ayinayo ingozi efanayo yokuzivikela.

Kodwa-ke, lapho ngizama ukugcwalisa incwadi kadokotela, ngaziswa usokhemisi owayekhungathekile ukuthi abakwazanga ukuvikela umuthi kubahlinzeki babo ngenxa yokushoda.

ngikuthintile ngocingo konke Ikhemisi elilodwa endaweni yethu futhi lahlangatshezwa ngendaba efanayo isikhathi ngasinye.

Emasontweni ngichithe ngilinde ukuthi i-hydroxychloroquine itholakale, ngahlangabezana nokuqubuka okubi kakhulu eminyakeni yami eyisithupha yokutholakala nginesifo samathambo.

Ukugqoka, ukupheka, ukwehla ngenyuka izitebhisi, ukuhlanza nokunakekela izingane nomama wami kwaba imisebenzi engenakunqotshwa.

Imfiva, ikhanda elibuhlungu, ukulala, nezinhlungu ezingapheli kungidla. Amalunga ami aqala ukuthamba kakhulu futhi avuvukale, futhi angikwazanga ukunyakazisa iminwe noma izinzwane zami njengoba zavuvukala zavalelwa endaweni yazo.

Ukumane uvuke embhedeni njalo ekuseni ungene endlini yangasese ukuze ugeze - okusiza ukuqinisa ukuqina, uphawu lwe-RA futhi kaningi lapho ubuhlungu bukhulu kakhulu - kuthathe kathathu inani lesikhathi esivamile.

Ukungakhululeki okumangazayo kungangishiya ngiphefumula kanzima.

Izicelo zamanga zikamengameli zidale kanjani ingozi

Ngokushesha nje ngemuva kokubona ukuthi imithi iyashoda, kwavela imibiko yezindaba yodokotela bakwamanye amazwe behlola i-hydroxychloroquine kanye ne-azithromycin enemiphumela engacacile.

Umphakathi wezokwelapha uvumile ukuthi izivivinyo zokwelashwa ziyadingeka ukufakazela ukusebenza kwalezi zindlela zokwelapha, kepha uMongameli uDonald Trump wazithathela iziphetho ezingenasisekelo.

KuTwitter, ubalule ihydroxychloroquine njengomunye "wabashintshi abakhulu bomdlalo emlandweni wezokwelapha."

UTrump wathi iziguli ze-lupus, ezivame ukwelashwa nge-hydroxychloroquine, zibonakala zincane amathuba okuthola i-COVID-19, nokuthi "kukhona amahemuhemu laphaya" futhi "kukhona okufundwayo" ukuze kuqinisekiswe "inkolelo" yakhe.

Lezi zimangalo zamanga zaholela ezenzweni ezisheshayo eziyingozi.

Odokotela bazibhalisele ngokweqile i-hydroxychloroquine yabo kanye neziguli ebezifuna ukuyithatha njenge-prophylactically - noma abafuna nje umuthi kwikhabethe labo lemithi uma nje bezokwakha i-COVID-19.

Owesilisa wase-Arizona ushone ngemuva kokuminza i-chloroquine phosphate - ehloselwe ukuhlanza ama-aquariums - ngomzamo wokuzivikela kwi-coronavirus yenoveli.

Esikhundleni sokusivikela, bekusobala ukuthi izeluleko zomholi wezwe lethu eliphakeme kunalokho zibangela ukulimala nezinkolelo eziyiphutha eziyingozi.

Iziguli zeRheumatology zihlala ngokwesaba

Akukona nje kuphela ukuthi iseluleko sikaTrump sasingenasisekelo futhi siyingozi, kodwa sasibeka impilo yabantu abanezimo ezingalapheki engcupheni.

Kundatshana ku-Annals of Internal Medicine, i-COVID-19 Global Rheumatology Alliance, inhlanganisela yodokotela bamathambo, ixwayise ngokujaha ukufika eziphethweni ngalo muthi. Baxwayise ngokuthi ukushoda kungaba yingozi kubantu abaphila nesifo samathambo kanye ne-lupus.

“Ukushoda kweHydroxychloroquine (HCQ) kungabeka lezi ziguli engcupheni yokuqhuma okukhulu futhi okusongela nokuphila; ezinye zingadinga ukulaliswa esibhedlela lapho izibhedlela sezivele zisebenza, ”kubhala i-Alliance. "Kuze kutholakale ubufakazi obunokwethenjelwa futhi kufakwe amaketanga anele, ukusetshenziswa okunengqondo kwe-HCQ ezigulini ezine-COVID-19 kumele kugcizelelwe, njengokusebenzisa ezifundweni zophenyo."

Ngo-Ephreli, i-U.S. Food and Drug Administration (i-FDA) ngokumelene nokusebenzisa i-hydroxychloroquine ye-COVID-19 ngaphandle kwesibhedlela noma isilingo somtholampilo, icaphuna imibiko yezinkinga ezinkulu zesigqi senhliziyo kubantu abane-COVID-19 abaphathwe nalo muthi.

NgoMashi 28, 2020 i-FDA yanikeza i-Emergency Use Authorization (EUA) ye-hydroxychloroquine ne-chloroquine ekwelapheni i-COVID-19, kodwa bahoxisa lesi sigunyazo ngoJuni 15, 2020. Ngokuya ngokubuyekezwa kocwaningo lwakamuva, i-FDA yanquma ukuthi le mithi akunakwenzeka ukuthi ibe ukwelashwa okusebenzayo kwe-COVID-19 nokuthi ubungozi bokuyisebenzisela le njongo bungadlula noma yiziphi izinzuzo.

I-Centers for Disease Control and Prevention (CDC) ukuthi “azikho izidakamizwa noma ezinye izindlela zokwelapha ezigunyazwe yi-U.S. Food and Drug Administration (FDA) ukuvimbela noma ukwelapha i-COVID-19.”

Okuhlobene: Izifundo zeHydroxychloroquine Ehoxisiwe, Ukushoda Kobufakazi Bokuqala

Abaningi abathembele ku-hydroxychloroquine banethemba lokuthi lesi siqondiso esivela emphakathini wezokwelapha sizosho ukufinyelela okulula emithini yabo esindisa impilo.

Kepha lawo mathemba ashabalala ngokushesha lapho uTrump ephikelela ekhulumela umuthi wokuvikela i-COVID-19, waze wathi wayewuthatha yena nsuku zonke.

Futhi-ke, ukushoda kuyaqhubeka.

Ngokocwaningo olwenziwe yiLupus Research Alliance, ngaphezu kwengxenye yesithathu yabantu abane-lupus babe nezinkinga ngokugcwalisa imishanguzo yabo ye-hydroxychloroquine phakathi kwesifo i-COVID-19.

Iziguli ze-Rheumatology ezinjengami zihlala ngokwesaba ukusilela okuqhubekayo, ikakhulukazi njengoba ezinye izindawo zibona ukwanda noma ukuvuseleleka kwamacala e-COVID-19 futhi sibheke egagasini lesibili elibonakala lingenakugwemeka.

Manje kunanini ngaphambili, sidinga ukuthembela ezelulekweni ezinengqondo ezivela emphakathini wezokwelapha

Ngibonga kakhulu futhi ngiyabonga ukuthi umphakathi wezokwelapha usebenza ngokungakhathali ukuthola ukwelashwa kwalabo abasungule i-COVID-19, kanye nabaphenyi abazama ngokuqinile imithi yokugoma ezovimba ukunqanda ukusabalala kwalesi sifo esibulalayo.

Ukuhlala endaweni ene-hotspot enamacala amaningi emphakathini wami, ngikwazi kahle ukuthi iSARS-CoV-2, igciwane elibanga i-COVID-19, lilimaza kangakanani.

Kumele sithembele kubuchwepheshe bomphakathi wezokwelapha lapho sifuna imithombo ethembekile yokwelashwa nethemba.

Yize uTrump ethi unazo zonke izimpendulo, ukuthatha noma iziphi izeluleko zezokwelapha kuye kuyingozi empilweni nasenhlalakahleni yakho.

Isibalo sokuthi ukukhonjiswa kukaTrump ngokungazibophezeli esithathile kumalungu entekenteke kakhulu emiphakathini wethu asinazaba.

Labo abalimele noma abalahlekelwe yimpilo yabo, kanye neziguli ezingenayo imishanguzo yabo, bungubufakazi.

U-Elaine MacKenzie ungummeli wokukhubazeka nokugula okungamahlalakhona onolwazi olungaphezu kweminyaka engama-30. Uhlala ngaphandle kweNew York City nezingane zakhe, umyeni wakhe, nezinja zabo ezine.