Chii chinonzi Primaquine: Zvayinoshandiswa, Mishonga, Zvayakashata uye Zvimwe

Primaquine mushonga unorwisa marariya unobatsira kurapa nekudzivirira marudzi akati wandei ekuvhiwa nemarariya. Mushonga uyu unopiwa nachiremba unoshanda nekunangana nemaparasite emarariya ari muchiropa chako neropa, zvichiita kuti uve unobatsira zvakanyanya kurwisa marudzi akati wandei ayo mamwe mishonga inorwisa marariya angasashande.

Chiremba wako angakupa primaquine kana wambobatwa nemarariya kana uchida kudzivirirwa usati waenda kunzvimbo dzakajairika marariya. Yave ichishandiswa zvakachengeteka kwemakumi emakore uye inoita basa rakakosha mukurapa nekudzivirira marariya pasi rose.

Chii chinonzi Primaquine chinoshandiswa?

Primaquine inorapa nekudzivirira marariya anokonzerwa nemaparasite ePlasmodium vivax uye Plasmodium ovale. Aya marudzi maviri chaiwo emarariya anogona kuvanzika muchiropa chako uye kukonzera zviratidzo mavhiki kana mwedzi mushure mekutanga kutapukirwa kwako.

Mushonga uyu unoshandiswawo kudzivirira marariya paunenge uchifamba uchienda kunzvimbo dzine njodzi huru. Chiremba wako angakurudzira sechikamu chechirongwa chekurapa chakasanganiswa, kunyanya kana wambova nemarariya kare kana mamwe mishonga inorwisa marariya isingakukodzere.

Mune zvimwe zviitiko, primaquine inobatsira kurapa chirwere chemapapu chinonzi Pneumocystis pneumonia (PCP) muvanhu vane immune system isina simba. Kushandiswa uku hakuzivikanwi asi kunogona kukosha kune varwere vakati wandei vasingakwanise kutora mamwe mishonga.

Primaquine inoshanda sei?

Primaquine inoonekwa semushonga unorwisa marariya une simba zvine mwero unoshanda nekukanganisa kugona kweparasite yemarariya kurarama nekubereka. Inobatsira zvikuru pakuuraya parasites anoramba akarara muchiropa chako mushure mekutanga kutapukirwa.

Mushonga uyu unogadzira shanduko mukati meparasite inokuvadza maseru ayo, pakupedzisira zvichitungamira kurufu rwe parasite. Maitiro aya anoitika zvishoma nezvishoma kwemazuva akati wandei, ndosaka uchifanira kutora mushonga wakazara kunyangwe ukatanga kunzwa zviri nani.

Chinhu chinoita kuti primaquine ive yakakosha ndiko kukwanisa kwayo kusvika kumaparasite ayo mamwe maantimalarial drugs asingakwanisi kubvisa zvachose. Izvi zvinoita kuti ive chishandiso chakakosha chekudzivirira malaria relapses, kunyanya neP. vivax uye P. ovale infections.

Ndingatora sei Primaquine?

Tora primaquine sezvinorayirwa nachiremba wako, kazhinji kamwe pazuva uchiita kudya kana mukaka. Kuitora nekudya kunobatsira kuderedza kusagadzikana mudumbu uye kunovandudza kuti muviri wako unotora sei mushonga.

Medza mahwendefa ese nemvura yakazara, uye edza kuatora panguva imwe chete zuva rega rega. Izvi zvinobatsira kuchengetedza mazinga akagadzikana emushonga mumuviri wako uye zvinoita kuti zvive nyore kuyeuka zvikamu zvako.

Usati watanga primaquine, unozoda bvunzo yeropa kuti uone mamiriro anonzi G6PD deficiency. Mamiriro ezvinhu aya anokanganisa mashandiro emaseru ako matsvuku eropa nemimwe mishonga, uye primaquine inogona kukonzera matambudziko akakomba kana uine kushomeka uku.

Kana uri kutora primaquine yekudzivirira malaria, tanga kuitora mazuva 1-2 usati wapinda munzvimbo ye malaria. Ramba uchiitora zuva rega rega paunenge uriko uye kwemazuva manomwe mushure mekubva munzvimbo iyi.

Ndingatora Primaquine Kwenguva Yakareba Sei?

Kureba kwekurapa kwe primaquine kunoenderana nekuti nei uri kuitora uye mamiriro ako chaiwo. Pakurapa malaria, iwe unowanzoitora kwemazuva gumi nemana, kunyangwe vamwe vanhu vachigona kuida kwemazuva makumi maviri nerimwe.

Kana uri kushandisa primaquine kudzivirira malaria paunenge uchifamba, ucharamba uchiitora kwemazuva manomwe mushure mekubva munzvimbo ye malaria. Izvi zvinovimbisa chero maparasite aunogona kunge wakafumurwa nawo anobviswa vasati vakonzera zviratidzo.

Usambomira kutora primaquine kare, kunyangwe ukanzwa zvakanaka zvachose. Malaria parasites inogona kunetsa uye inogona kunge ichiripo mumuviri wako kunyangwe usina zviratidzo. Kupedzisa kosi yakazara kunobatsira kudzivirira hutachiona kubva pakudzoka.

Chiremba wako achatarisa kufambira mberi kwako uye anogona kuchinja nguva yekurapa zvichienderana nekupindura kwako uye chero matambudziko aunoona.

Ndezvipi Zvakaipa zvePrimaquine?

Vanhu vazhinji vanotsungirira primaquine zvakanaka, asi semishonga yese, inogona kukonzera matambudziko. Mashoko akanaka ndewekuti matambudziko akakomba haawanzoitika kana mushonga uchishandiswa nemazvo.

Matambudziko akajairika aunogona kusangana nawo anosanganisira kusagadzikana mudumbu, kusvotwa, kana kurwadziwa mudumbu kudiki. Izvi zvinowanzoita nani sezvo muviri wako uchigadzirisa kumushonga uye kazhinji haunetsi kana iwe ukatora primaquine nekudya.

Heano matambudziko akajairika ekuziva nezvawo:

• Kusvotwa nekutsvuka
• Kurwadziwa mudumbu kana kurwadziwa
• Kurasikirwa nechido
• Kutemwa nemusoro
• Dizziness
• Kushaya simba kana kuneta

Zviratidzo izvi zvinowanzoita zvinyoro uye zvinogoneka. Kutora mushonga wako nekudya uye kugara uine mvura yakawanda kunogona kubatsira kuderedza mhedzisiro iyi.

Matambudziko asingawanzoitiki asi akakomba anoda kutariswa kwekurapa nekukurumidza. Bata chiremba wako nekukurumidza kana iwe ukaona weti yakasviba, kuita yero kweganda rako kana maziso, kuneta kwakanyanya, kana kushaya simba kusinganzwisisike.

Heano matambudziko akakomba anoda kutarisirwa kwekurapa nekukurumidza:

• Zviratidzo zvehemolytic anemia (kuputsika kwemasero matsvuku eropa)
• Weti yakasviba kana yeruvara rweiti
• Kuneta kwakanyanya kana kushaya simba
• Kuita yero kweganda kana maziso (jaundice)
• Kurwadziwa mudumbu kwakanyanya
• Kufema kwakaoma
• Kurova kwemoyo kusingaite

Mhedzisiro iyi yakakomba inowanzoitika muvanhu vane G6PD kushomeka, ndosaka bvunzo yeropa isati yatanga kurapwa yakakosha.

Ndiani Asingafaniri Kutora Primaquine?

Primaquine haina kuchengeteka kune vese, uye vanhu vakati wandei vanofanira kudzivisa mushonga uyu zvachose. Boka rakakosha nderevanhu vane G6PD kushomeka, mamiriro emagene anokanganisa basa remasero matsvuku eropa.

Kana uine G6PD kushaikwa, primaquine inogona kukonzera kuti masero ako matsvuku eropa aparadzike nekukurumidza, zvichikonzera mamiriro akakomba anonzi hemolytic anemia. Ichi ndicho chikonzero chiremba wako achakuongorora mamiriro aya asati akupa primaquine.

Haufaniri kutora primaquine kana uine chero mamiriro aya:

• G6PD kushaikwa
• Severe anemia
• Severe heart disease
• Severe liver disease
• Kuziva allergy ku primaquine kana mishonga yakafanana

Mukuwedzera, kungwarira kwakakosha kunodiwa kune mamwe mapoka evanhu vanogona kunge vari panjodzi huru yematambudziko.

Udza chiremba wako kana uine chero mamiriro aya usati watanga primaquine:

• Kuzvitakura kana kuyamwisa
• Kidney disease
• Matambudziko emoyo rhythm
• Nhoroondo yezvirwere zveropa
• Autoimmune conditions
• Kutora mamwe mishonga inokanganisa masero eropa

Chiremba wako achanyatso kuyera mabhenefiti nenjodzi asati asarudza kana primaquine yakakunakira iwe mumamiriro ezvinhu aya.

Mazita ePrimaquine Brand

Primaquine inowanikwa pasi pemazita akati wandei emhando, kunyangwe vhezheni ye generic inowanzo kupihwa. MuUnited States, unogona kuiona ichitengeswa sePrimaquine Phosphate mahwendefa.

Nyika dzakasiyana dzinogona kuva nemazita akasiyana emhando yemushonga mumwe chete. Nguva dzose tarisa nemupharmacist wako kuti uve nechokwadi chekuti uri kuwana mushonga wakarurama, kunyanya paunenge uchifamba kana kuzadza zvirongwa munzvimbo dzakasiyana.

Kunyangwe iwe ukagamuchira zita remhando kana generic primaquine, chinhu chinoshanda uye kushanda zvinoramba zvakafanana. Generic versions dzinowanzo kuwanika uye dzinoshanda zvakaenzana.

Zvimwe zvingasarudzwa zvePrimaquine

Mishonga yakati wandei inowanikwa yekudzivirira nekurapa malaria, kunyangwe sarudzo yakanakisa inoenderana nemamiriro ako chaiwo uye mhando ye malaria yaunobata nayo.

Kuti udzivise marariya, chiremba wako angangafunga nezve chloroquine, doxycycline, kana mefloquine, zvichienderana nekwauri kuenda uye nhoroondo yako yekurapa. Imwe neimwe ine zvainobatsira uye mhedzisiro dzakasiyana.

Pakurapa marariya, dzimwe nzira dzinosanganisira chloroquine, quinine, kana artemisinin-based combination therapies. Zvisinei, izvi hazvisi zvese zvinoshanda nenzira imwechete se primaquine, kunyanya kudzivirira kudzoka kweP. vivax uye P. ovale malaria.

Chiremba wako achasarudza nzira yakanakisisa zvichienderana nerudzi rwemarariya, nhoroondo yako yekurapa, mamwe mishonga yaunotora, uye chero allergy dzemishonga dzaunadzo.

Ko Primaquine Zviri Nani Pane Chloroquine?

Primaquine ne chloroquine zvinoshanda zvakasiyana uye zvinowanzo shandiswa pamwechete panzvimbo pekuva dzimwe nzira kune mumwe nemumwe. Imwe neimwe ine simba rakasiyana rinoita kuti ive yakakosha mumamiriro akasiyana.

Chloroquine yakanaka pakurapa chikamu cheropa chemarariya uye inoshanda nekukurumidza kuderedza zviratidzo. Zvisinei, haigoni kubvisa parasites dzinovanda muchiropa chako, ndiko uko primaquine inoshanda zvakanyanya.

Kudzivirira kudzoka kwemarariya, primaquine yakanyanya nekuti inogona kuuraya matanho echiropa akavanda ayo chloroquine isingakwanise kusvika. Izvi zvinoita kuti primaquine ive yakakosha pakurapa kwakakwana kweP. vivax uye P. ovale malaria.

Muzvirongwa zvakawanda zvekutarisira, vanachiremba vanoshandisa mishonga yese pamwechete kuti vawane mabhenefiti eimwe neimwe. Chloroquine inobata hutachiona hwekare apo primaquine inodzivirira kudzoka kwemangwana.

Mibvunzo Inowanzo Bvunzwa Nezve Primaquine

Q1. Primaquine Yakachengeteka Here Kune Vanhu vane Chirwere Chemoyo?

Primaquine inoda kufunga zvakanyanya kana uine chirwere chemoyo, kunyanya kana uine matambudziko erhythm kana kukundikana kwemoyo kwakanyanya. Mishonga inogona dzimwe nguva kukanganisa rhythm yemoyo, saka chiremba wako achada kuongorora mamiriro ako chaiwo emoyo.

Kana uine chirwere chemoyo chinyoro, chiremba wako angaramba achikupa primaquine asi achakutarisa zvakanyanya. Vanogona kukurudzira kuongororwa nguva dzose kana kuongororwa kwemoyo paunenge uchitora mushonga.

Usambotanga primaquine usina kuudza chiremba wako nezvematambudziko emoyo, kusanganisira kurwisa kwemoyo kwakamboitika, kurova kwemoyo kusingaite, kana kukundikana kwemoyo. Vanoda ruzivo urwu kuti vaite sarudzo yekurapa yakachengeteka kwauri.

Q2. Ndingaita Sei Kana Ndikatora Primaquine Yakawandisa Netsaona?

Kana netsaona ukatora primaquine yakawanda kupfuura yakarairwa, taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira. Kutora zvakawanda kunogona kuwedzera njodzi yako yemigumisiro yakakomba, kunyanya iyo inokanganisa maseru ako eropa.

Usaedze kuzviita kurutsa kunze kwekunge wakarairwa zvakananga nachiremba. Pane kudaro, fonera hofisi yachiremba wako kana masevhisi ekukurumidzira kana uri kusangana nezviratidzo zvakaita senausea yakakomba, dzungu, kana kuoma kufema.

Chengeta rekodhi rekuti wakatora mushonga wakawanda sei uye paakautora. Ruzivo urwu ruchabatsira vanopa hutano kuti vaone nzira yakanakisa yekutora uye kana uchida kutariswa kwekurapa nekukasira.

Q3. Ndingaita Sei Kana Ndikakanganwa Dose yePrimaquine?

Kana ukakanganwa dose ye primaquine, itore paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Muchiitiko ichocho, rega dose yakakanganwa uye uenderere mberi nechirongwa chako chetsika.

Usambotora zvikamu zviviri panguva imwe chete kuti ugadzirise dose yakakanganwa. Izvi zvinogona kuwedzera njodzi yako yemigumisiro pasina kupa zvimwe zvinobatsira.

Kana uchikanganwa zvikamu kazhinji, edza kumisa alarm yezuva nezuva kana kutora mushonga wako panguva imwe chete nebasa rimwe rezuva nezuva senge kukwesha mazino ako. Nguva inoenderana inobatsira kuchengetedza mazinga anoshanda emushonga mumuviri wako.

Q4. Ndingamira Rini Kutora Primaquine?

Regai kumwa primaquine chete kana chiremba wako akuudza, kunyangwe ukanzwa zvakanaka zvachose. Kumira kutanga kunogona kubvumira tupukanana twemarariya kuti tirarame uye kukonzera kuti hutachiona hwako hudzoke.

Pakurapa marariya, iwe unowanzo fanira kupedzisa mazuva gumi nemana ekumwa mishonga. Kuti udzivise marariya paunenge uchifamba, rambai muchimwa mushonga uyu kwemazuva manomwe mushure mekubva kunzvimbo ine marariya.

Kana uri kusangana nemigumisiro inokunetsa, taura nachiremba wako usati wamira mushonga. Vanogona kukubatsira kuziva kana mabhenefiti akakura kupfuura njodzi kana kana imwe nzira yekurapa ingave iri nani kwauri.

Q5. Ndingamwa Doro Ndiri Kumwa Primaquine Here?

Zvakanaka kudzivisa doro paunenge uchimwa primaquine kana kurigumira kumari shoma. Doro rinogona kuwedzera mimwe migumisiro yemishonga, kunyanya kusvotwa uye dzungu.

Doro ne primaquine zvinogona kukanganisa chiropa chako, saka kuzvibatanidza zvinogona kuisa kumwe kushushikana pachivako ichi chakakosha. Kana uine matambudziko echiropa, kudzivisa doro zvachose paunenge uchimwa primaquine kwakakosha zvakanyanya.

Kana ukasarudza kunwa doro, ita izvozvo zvine mwero uye teerera kuti unonzwa sei. Rega kunwa uye taura nachiremba wako kana ukaona kusvotwa kwakawedzera, dzungu, kana zvimwe zviratidzo zvinokunetsa.