Chii chinonzi Quinine: Zvayinoshandiswa, Mishonga, Matambudziko, nezvimwe

Quinine mushonga unotorwa kubva paganda remuti we cinchona uye wanga uchishandiswa kwemazana emakore kurapa malaria. Nhasi, vanachiremba vanonyanya kuunyora mumamiriro ezvinhu akakomba e malariya apo mamwe marapirwo asina kushanda kana kusakodzera. Unogonawo kuziva quinine kubva mumvura ye tonic, kunyange iyo fomu yezvokurapa yakasimba zvikuru uye inoda kutarisa zvakanaka nachiremba wako.

Chii chinonzi Quinine?

Quinine i alkaloid yechisikigo inorwisa malaria parasites muropa rako. Irimwe remishonga yekare ye antimalarial yatinayo, yakatanga kuwanikwa nevanhu veko muSouth America avo vaishandisa cinchona bark kurapa fivha. Mushonga unoshanda nekukanganisa kugona kwe parasite ye malaria kuparadza hemoglobin, zvichinyanya kuita kuti parasite inzwe nzara.

Muchimiro chayo chekurapa, quinine yakanyanya kuwanda pane zvaungawana mumvura ye tonic. Chiremba wako achaiisa chete kana vachitenda kuti mabhenefiti anopfuura njodzi, sezvo inogona kuva nemigumisiro yakakomba inoda kutarisa.

Chii chinonzi Quinine chinoshandiswa?

Vanachiremba vanonyora quinine kunyanya ye malaria yakakomba inokonzerwa nePlasmodium falciparum parasites. Izvi zvinowanzoitika kana iwe wakaenda kunzvimbo dzine malaria inodzivisa mamwe marapirwo, kana kana mishonga yekutanga isina kushanda kwauri. Inoonekwa semushonga wechipiri, zvinoreva kuti chiremba wako achaedza dzimwe sarudzo kutanga.

Dzimwe nguva, kunyange zvishoma, vanachiremba vanogona kunyora quinine ye severe leg cramps isina kupindura kune mamwe marapirwo. Zvisinei, kushandiswa uku kwave kunetsana nekuda kwekunetseka kwekuchengeteka, uye mazhinji masangano ezvokurapa zvino anokurudzira kuramba ichiita cramps.

Quinine inoshanda sei?

Quinine inotarisisa hurongwa hwekugaya chikafu hwe parasite ye malaria mukati memaseru ako matsvuku eropa. Kana ma parasite e malaria akapinda muropa rako, anodya hemoglobin uye anogadzira zvigadzirwa zvemarara zvine chepfu. Quinine inokanganisa maitiro aya nekukanganisa kugona kwe parasite kubvisa chepfu kubva muzvigadzirwa izvi zvemarara, pakupedzisira ichiuraya parasite.

Iri mushonga une simba rakati wandei unoshanda zvakasiyana nemishonga mitsva inorwisa malaria. Kunyange zvazvo ichishanda, inoda kuyerwa nekuchenjerera uye kuongororwa nekuti inogona kukanganisa rhythm yemoyo wako nemamwe masisitimu emuviri. Chiremba wako achada kukutarisa zvakanyanya paunenge uchitora.

Ndingatora sei Quinine?

Tora quinine sezvinorayirwa nachiremba wako, kazhinji maawa masere ega ega nechikafu kana mukaka kuti uderedze kusagadzikana mudumbu. Medza makapisi kana mahwendefa ese nemvura yakazara, uye usavapwanye kana kuatsenga sezvo izvi zvinogona kuwedzera njodzi yemigumisiro.

Chikafu chinobatsira muviri wako kutora mushonga zvakaenzana uye chinoderedza kusvotwa, izvo zvakajairika. Edza kuitora panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana muropa rako. Kana uri kunetseka kuichengeta pasi nekuda kwekusvotwa, zivisa chiremba wako nekukasira.

Usambofa wakachinja muyero wako wega, kunyangwe uchinzwa zviri nani. Ma parasite e malaria anogona kukudziridza kuramba kana ukasapedza nzira yese, uye kumira kare kungabvumira hutachiona kudzoka zvakasimba kupfuura kare.

Ndingatora Quinine kwenguva yakareba sei?

Vanhu vazhinji vanotora quinine kwemazuva matatu kusvika ku7, zvichienderana nekukomba kwemalaria avo uye kuti vanopindura sei kurapwa. Chiremba wako achasarudza nguva chaiyo zvichienderana nemamiriro ako chaiwo, kusanganisira rudzi rwemalaria raunaro uye kwaungangodaro wakaitambira.

Zvakakosha kupedzisa mushonga wese kunyangwe ukatanga kunzwa zviri nani mushure memazuva mashoma. Utachiona hwe malaria hunogona kuvanzika mumuviri wako, uye kumisa kurapwa nekukurumidza kunovapa mukana wekuwanda zvakare. Chiremba wako anogonawo kukupa mishonga yekuwedzera yekutora pamwe chete kana mushure me quinine kuti uve nechokwadi chekuti zvese zvirwere zvabviswa.

Ndezvipi Zvakaipa ZveQuinine?

Quinine inogona kukonzera matambudziko akati wandei, kubva pakureruka kusvika pakukomba. Zvinhu zvakajairika zvaungasangana nazvo zvinosanganisira kusvotwa, kurutsa, manyoka, uye kurwadziwa mudumbu. Vanhu vazhinji vanogadzirawo zvinonzi "cinchonism," izvo zvinosanganisira zviratidzo zvakaita sekurira munzeve dzako, kurwadziwa nemusoro, dzungu, uye matambudziko ekunzwa kwenguva pfupi.

Heano matambudziko akajairika aunofanira kuziva nezvawo:

• Kusvotwa uye kurutsa
• Manyoka kana kusagadzikana mudumbu
• Kurwadziwa nemusoro uye dzungu
• Kurira munzeve dzako (tinnitus)
• Kushanduka kwenguva pfupi kwekunzwa
• Kuvhiringika kwekuona
• Kutsva kana kutukwa

Zvizhinji zvezviratidzo izvi zvinogoneka uye zvinowanzoita nani sezvo muviri wako uchigadzirisa kumushonga. Zvisinei, ndeimwezve zviratidzo zvekuti unoda kutariswa pedyo kubva kuchikwata chako chehutano.

Matambudziko akakomba anoda kutariswa kwekurapa nekukurumidza. Izvi zvinosanganisira matambudziko akakomba emoyo, kudonha kukuru kweshuga yeropa, maitiro akakomba ekuita allergic, uye matambudziko eropa. Kunyange zvazvo zvisingawanzoitiki, izvi zvinogona kuva njodzi kuhupenyu.

Bata chiremba wako nekukurumidza kana ukaona:

• Kurova kwemoyo kusingaite kana nekukurumidza
• Dzungu rakanyanya kana kufenda
• Zviratidzo zve shuga yakaderera yeropa (kutukwa, kudedera, kuvhiringika)
• Meno akakomba kana kuoma kufema
• Kubuda ropa kusingaite kana kupwanya
• Kushanduka kwakanyanya kwekuona kana kunzwa

Mhinduro idzi dzakakomba hadziwanzowanikwi asi dzinoda kutarisirwa nachiremba nekukurumidza. Chiremba wako anogona kutarisa rhythm yemoyo wako uye mazinga eshuga yeropa paunenge uchitora quinine, kunyanya kana uine mamwe mamiriro ehutano.

Ndiani Asingafaniri Kutora Quinine?

Quinine haina kuchengeteka kumunhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira. Vanhu vane mamwe mamiriro emoyo, zvirwere zveropa, kana avo vari kutora mishonga yakati wandei vangangoda mamwe marapirwo panzvimbo.

Haufaniri kutora quinine kana uine:

• Nhoroondo yezvinhu zvakakomba zvinokonzerwa ne quinine kana quinidine
• Mamwe matambudziko erhythm yemoyo
• Mamiriro anonzi glucose-6-phosphate dehydrogenase (G6PD) kushomeka
• Myasthenia gravis (chirwere chekusimba kwemhasuru)
• Chirwere chakakomba cheitsvo kana chiropa

Chiremba wako achavawo akangwarira nezvekukuraira quinine kana uine pamuviri, uchiyamwisa, kana uine chirwere cheshuga. Kunyange zvazvo ichigona kushandiswa panguva yekuzvitakura kana mabhenefiti achipfuura njodzi, inoda kunyatsotariswa.

Ita shuwa kuti unoudza chiremba wako nezve mishonga yese yaunotora, kusanganisira zvinodhaka zvinotengeswa pasina mushonga uye zvinowedzera. Quinine inogona kushamwaridzana nemishonga yakawanda, kusanganisira zvinoderedza ropa, mishonga yemoyo, uye mamwe maantibayoti.

Mazita eQuinine Brand

Quinine inowanikwa pasi pemazita akati wandei emhando, neQualaquin ndiyo yakajairika fomu yekurapa muUnited States. Mamwe mazita emhando anosanganisira Quinamm, kunyange kuwanikwa kunogona kusiyana nenyika nedunhu.

Generic quinine inowanikwawo uye inoshanda zvakanyanya semhando dzemhando. Murapi wako anogona kukubatsira kunzwisisa kuti ndeipi fomu yaunogamuchira uye ita shuwa kuti uri kuitora nemazvo. Nguva dzose tarisa kuti uri kuwana simba rekupedzisira, kwete fomu isina simba inowanikwa mumvura ye tonic.

Zvimwe Zvinhu Zviri Kutsiva Quinine

Pane dzimwe nzira dzakawanda dzekurapa marariya panze pe quinine, uye chiremba wako anowanzoedza idzi kutanga. Artemisinin-based combination therapies (ACTs) ndiyo ikozvino inosarudzwa yekutanga kurapa marariya mhando dzakawanda nekuti dzinowanzoita zvakanyanya uye dzine mhedzisiro shoma.

Dzese dzimwe nzira dzinosanganisira:

• Artemether-lumefantrine (Coartem)
• Atovaquone-proguanil (Malarone)
• Doxycycline
• Mefloquine
• Chloroquine (kune nzvimbo dzisina kuramba)

Chiremba wako achasarudza nzira yakanakisa zvichienderana nekwaakabata marariya, rudzi rweparasite rwaunaro, uye zvinhu zvako zvehutano. Mune dzimwe nguva, unogona kugamuchira musanganiswa wemishonga kuti uve nechokwadi chekurapa kunonyanya kushanda.

Ko Quinine iri nani pane Chloroquine?

Quinine ne chloroquine zvinoshanda zvakasiyana uye zvinoshandiswa mumamiriro akasiyana, saka hazvisi nyaya yekuti imwe iri nani pane imwe. Chloroquine yaishandiswa kurapa marariya, asi mazhinji eparasites emarariya akagadzira kuramba kwayo, kunyanya mune dzimwe nzvimbo dzepasi rose.

Quinine inowanzo chengeterwa nyaya dzakakomba dzemarariya kana nzvimbo dzakakundikana dzimwe nzira dzekurapa nekuda kwekuramba. Inoonekwa seyakanyanya simba asi zvakare ine mhedzisiro yakakura uye inoda kuongororwa pedyo. Chloroquine, kana ichishanda, inowanzo shivirirwa zviri nani nemhedzisiro shoma.

Chiremba wako achasarudza zvichienderana nezvinhu zvakati wandei zvinosanganisira kwaungangobata marariya, maitiro ekuramba emuno, uye hutano hwako hwese. Mune zvakawanda zviitiko, hapana imwe yemishonga iyi ichave yekutanga sarudzo, sezvo itsva yekubatanidza therapies inowanzoita zvakanyanya.

Mibvunzo Inowanzo Bvunzwa Nezve Quinine

Ko Quinine Yakachengeteka Here Kune Zvirwere Zvemoyo?

Quinine inogona kukanganisa rhythm yemoyo wako, saka vanhu vane matambudziko emoyo vanoda kungwarira zvakanyanya. Chiremba wako achanyatsoongorora hutano hwemoyo wako asati akurudzira quinine uye anogona kuraira electrocardiogram (EKG) kuti aongorore mabasa emagetsi emoyo wako.

Kana uine dambudziko remoyo, chiremba wako angasarudza imwe nzira yekurapa kana kukutarisa zvakanyanya paunenge uchitora quinine. Usambofa wakatora quinine kana uine matambudziko emoyo, nekuti inogona kuwedzera mamiriro aya uye zvinogona kukonzera matambudziko anotyisa upenyu.

Ndoita Sei Kana Ndashandisa Quinine Yakawandisa Netsaona?

Kana wakatora quinine yakawanda kupfuura yakarairwa, taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira, kunyangwe ukanzwa zvakanaka. Kuwandisa kweQuinine kunogona kukonzera zviratidzo zvakakomba zvinosanganisira matambudziko akakomba erhythm yemoyo, shuga yeropa yakaderera zvakanyanya, uye kubatwa.

Usaedze kuzviita kurutsa kana kutora mishonga yekuwedzera kunze kwekunge wairairwa zvakananga nenyanzvi dzezvekurapa. Kana uri kusangana nezviratidzo zvakakomba sekufema zvakaoma, kurwadziwa muchipfuva, kana kurasikirwa nekuziva, fonera masevhisi ekukurumidzira nekukasira.

Ndoita Sei Kana Ndakanganwa Dose yeQuinine?

Kana ukakanganwa dose, itore paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Muchiitiko ichocho, siya dose yakakanganwa uye uenderere mberi nechirongwa chako chesevhisi. Usambofa wakawedzera madose kuti ugadzirise imwe yakakanganwa.

Kukanganwa madose kunogona kubvumira parasitic malaria kuti iwedzere uye zvinogona kukonzera kusadzivirirwa kumushonga. Kana wakanganwa madose akawanda kana uine dambudziko rekuyeuka kutora mushonga wako, taura nachiremba wako kuti uwane gwara rekuti uenderere mberi sei zvakachengeteka.

Ndingamira Rini Kutora Quinine?

Regai kumira kutora quinine chete kana chiremba wako akuudza, kazhinji mushure mekupedza mushonga wese wakanyorwa. Kunyangwe ukaita zvakanaka mushure memazuva mashoma, zvakakosha kupedza mishonga yese kuti uve nechokwadi chekuti tupukanana twese twemalaria tabviswa mumuviri mako.

Chiremba wako angada kuita bvunzo dzeropa dzekutevera kuti asimbise kuti tupukanana twemalaria haasisipo asati azivisa kuti kurapwa kwako kwapera. Kumira kare kunogona kukonzera kukundikana kwekurapa uye pamwe kunobvumira tupukanana tunodzivisa kuti hukure.

Ndinganwa Mvura yeTonic panzvimbo pekutora Quinine yakanyorwa?

Kwete, mvura ye tonic ine quinine shoma iyo isingasviki kukwanisa kurapa malaria. Huwandu huri mumvura ye tonic hunenge ka1000 kushoma pane zvinodiwa kurapwa kwekurapa. Kushandisa mvura ye tonic panzvimbo ye quinine yakanyorwa hakuite uye pamwe kunotyisa.

Kana uine dambudziko rekushivirira quinine yakanyorwa, taura nachiremba wako nezve dzimwe nzira kana nzira dzekugadzirisa mhedzisiro. Usambofa wakatsiva zvigadzirwa zvisingatengwe nemishonga yakanyorwa kana uchirapa mamiriro akakomba se malaria.