Iyini i-Hydroxychloroquine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Hydroxychloroquine iyimithi kadokotela abayisebenzisela ukwelapha umalaleveva, i-rheumatoid arthritis, kanye ne-lupus. Ungase uyazi kangcono ngegama layo lomkhiqizo, i-Plaquenil, futhi ingeyeqembu lemithi ebizwa ngokuthi ama-antimalarials asebenza ngokunciphisa ukuvuvukala emzimbeni wakho.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka ukusiza abantu ukuba baphathe izimo ezingapheli ze-autoimmune. Ngenkathi yenza izihloko zezindaba ngesikhathi sobhubhane lwe-COVID-19, indima yayo eyinhloko ihlala isiza abantu abane-arthritis ne-lupus ukuba baphile impilo enethezekile.

Iyini i-Hydroxychloroquine?

I-Hydroxychloroquine iyidrugi yokwenziwa ye-antimalarial esebenza njenge-immunosuppressant. Kuyinguqulo eguquliwe ye-chloroquine, eyenzelwe ukuba ibe mnene emzimbeni wakho ngenkathi isahlinzeka ngelashwa eliphumelelayo lezimo ezithile.

Umuthi usebenza ngokuphazamisa ukuxhumana phakathi kwamanye amaseli ohlelweni lwakho lomzimba lokuzivikela. Cabanga ngakho njengokwehlisa ivolumu ekuphenduleni komzimba okusebenzayo okubangela ukuvuvukala nobuhlungu ezimweni ezinjenge-rheumatoid arthritis ne-lupus.

Odokotela bathatha i-hydroxychloroquine njengomuthi olungisa isifo se-antirheumatic, noma i-DMARD ngamafuphi. Lokhu kusho ukuthi akwelaphi nje izimpawu kodwa kunganciphisa ngempela ukuqhubeka kwezifo ze-autoimmune ngokuhamba kwesikhathi.

Isetshenziselwani i-Hydroxychloroquine?

I-Hydroxychloroquine iphatha izimo ezintathu eziyinhloko: ukuvimbela nokwelashwa komalaleveva, i-rheumatoid arthritis, kanye ne-systemic lupus erythematosus. Udokotela wakho uyikhipha ngokuya ngesimo sakho esithile kanye nomlando wezokwelapha.

Ngemalaleveva, le mithi ivimbela ukutheleleka lapho uhamba ezindaweni lapho umalaleveva uvamile khona futhi iphatha izifo ezisebenzayo. Isebenza ngokuphazamisa ikhono le-parasite yomalaleveva lokusinda emangqamuzaneni akho abomvu egazi.

Ngesifo samathambo i-rheumatoid arthritis, i-hydroxychloroquine isiza ukunciphisa ubuhlungu emalungeni, ukuvuvukala, nokuqina kwasekuseni. Abantu abaningi baqaphela ukuthi izimpawu zabo ziyathuthuka kancane kancane ezinyangeni eziningana zokwelashwa, futhi kungasiza ekuvikeleni ukulimala kwamalunga ekubhebhethekeni.

Kubantu abanezifo ze-lupus, lo muthi usiza ukulawula ukuqubuka kwesikhumba, ubuhlungu emalungeni, nokukhathala. Isebenza kahle ikakhulukazi ekuvikeleni ukuqubuka kwe-lupus futhi inganciphisa isidingo semithi enamandla efana nama-steroid.

Ngezinye izikhathi odokotela banikeza i-hydroxychloroquine ezinye izimo ze-autoimmune ezifana ne-Sjögren's syndrome noma izimo ezithile zesikhumba. Lokhu kuthathwa njengokusebenzisa “ngaphandle kwelebula”, okusho ukuthi umuthi awuzange uvunywe ngokuqondile kulezi zimo kodwa ubonise izinzuzo ocwaningweni lwezokwelapha.

Isebenza Kanjani I-Hydroxychloroquine?

I-Hydroxychloroquine ithathwa njengomuthi onamandla aphakathi nendawo osebenza kancane kancane ngokuhamba kwesikhathi. Ngokungafani nezidambisi zokucasuka ezisebenza ngamahora, lo muthi wakha ohlelweni lwakho futhi kungase kuthathe amasonto amaningana noma izinyanga ukubonisa imiphumela yawo ephelele.

Umuthi usebenza ngokungena emangqamuzweni athile ohlelweni lwakho lokuzivikela futhi ushintshe indlela asebenza ngayo. Inciphisa ukukhiqizwa kwamakhemikhali okuvuvukala abangela ubuhlungu, ukuvuvukala, nokulimala kwezicubu ezifweni ze-autoimmune.

Ngemalaleveva, i-hydroxychloroquine iphazamisa ikhono le-parasite lokugaya i-hemoglobin emangqamuzweni akho abomvu egazi. Lokhu empeleni kulambisa i-parasite futhi kuvimbela ukuzala kwayo nokubangela ukugula.

Umuthi futhi unomthelela omncane ekuzweleni kwesikhumba sakho elangeni futhi ungasiza ekunciphiseni izinhlobo ezithile zokuqubuka kwesikhumba. Yingakho ngezinye izikhathi kunikezwa izimo zesikhumba ezihlobene ne-lupus noma ezinye izifo ze-autoimmune.

Kufanele Ngiyithathe Kanjani I-Hydroxychloroquine?

Thatha i-hydroxychloroquine ngendlela eqondile udokotela wakho ayinikezayo, ngokuvamile kanye noma kabili ngosuku ngokudla noma ubisi. Ukuyithatha ngokudla kusiza ukunciphisa isisu esicasulayo, okungenye yemiphumela emibi evame kakhulu.

Gwinya amaphilisi wonke ngengilazi yamanzi egcwele. Ungawachobozi, uwahlafune, noma uwaphule amaphilisi, ngoba lokhu kungathinta indlela umuthi omuncwa ngayo futhi kungandisa imiphumela engemihle.

Uma uwuthatha ukuvimbela umalaleveva, qala umuthi ngesonto elilodwa kuya kwamabili ngaphambi kokuhamba uye endaweni enomalaleveva. Qhubeka ukuwuthatha masonto onke ngenkathi ukhona lapho kanye namasonto amane ngemuva kokuthi ubuyele ekhaya.

Ngokuqeda amalunga noma i-lupus, cishe uzowuthatha nsuku zonke. Kuyasiza ukuwuthatha ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho futhi kukusize ukhumbule imithamo yakho.

Gwema ukuthatha i-hydroxychloroquine ngama-antacid aqukethe i-aluminium, i-magnesium, noma i-calcium, ngoba lokhu kungaphazamisa ukumuncwa. Uma udinga i-antacid, yithathe okungenani amahora amane ngaphambi noma ngemuva komthamo wakho we-hydroxychloroquine.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Hydroxychloroquine?

Ubude bokwelashwa buxhomeke ngokuphelele esimweni sakho nokuthi usabela kahle kangakanani emuthini. Ukuvimbela umalaleveva, uzoyithatha isikhathi sohambo lwakho kanye namasonto amane ngemuva kokubuya ekhaya.

Ngokuqeda amalunga kanye ne-lupus, i-hydroxychloroquine ngokuvamile iyindlela yokwelapha yesikhathi eside. Abantu abaningi bayayithatha iminyaka eminingi ukusiza ukulawula izimpawu zabo nokuvimbela ukuqhubeka kwesifo.

Udokotela wakho uzoqapha ukusabela kwakho emuthini futhi angashintsha uhlelo lwakho lokwelapha ngokuhamba kwesikhathi. Abanye abantu baqaphela ukuthuthuka emasontweni ambalwa, kanti abanye bangase badinge izinyanga ezintathu kuya kweziyisithupha ukuze bathole izinzuzo eziphelele.

Ungayeki ukuthatha i-hydroxychloroquine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ezimweni ze-autoimmune, ukuyeka kungazelelwe kungaholela ekuqhumeni kwezimpawu ezingase zibe zimbi kakhulu kunangaphambi kokuthi uqale ukwelashwa.

Udokotela wakho uzohlela ukuhlolwa okuvamile ukuze aqaphe inqubekela phambili yakho futhi abheke noma yimiphi imiphumela engemihle. Lokhu kuvakasha kubalulekile ekuqinisekiseni ukuthi umuthi uqhubeka uphephile futhi usebenza kahle kuwe.

Ziyini Imiphumela Eceleni ye-Hydroxychloroquine?

Abantu abaningi bayayibekezelela kahle i-hydroxychloroquine, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, ikakhulu uma imithi isetshenziswa ngendlela efanele futhi iqashwe njalo.

Ake siqale ngemiphumela emibi evame kakhulu ongase uyithole, evame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi.

Imiphumela emibi evamile ihlanganisa:

• Ukuphazamiseka kwesisu, isicanucanu, noma ubuhlungu obuncane besisu
• Ukuphuma isifo sohudo noma izitulo ezixekile
• Ukucindezeleka kwekhanda
• Isiyezi noma ukukhathala
• Ukuqubuka kwesikhumba noma ukuluma
• Ukulahlekelwa isifiso sokudla

Lezi zimpawu zivame ukuncipha emasontweni ambalwa njengoba umzimba wakho ujwayela imithi. Ukuthatha i-hydroxychloroquine nokudla kungasiza ekunciphiseni imiphumela emibi ehlobene nesisu kakhulu.

Manje, ake sixoxe ngeminye imiphumela emibi engavamile kodwa engathi sína edinga ukunakekelwa kwezokwelapha. Ngenkathi lokhu kwenzeka ngamaphesenti amancane abantu, kubalulekile ukuyazi.

Imiphumela emibi engavamile kodwa engathi sína ihlanganisa:

• Ushintsho embonweni, okuhlanganisa umbono ongacacile noma ubunzima bokubona
• Izinkinga zokuzwa noma ukukhala ezindlebeni
• Ubuthakathaka bemisipha noma izinkinga zokuxhumana
• Ushintsho lwemizwa, okuhlanganisa ukucindezeleka noma ukukhathazeka
• Ukulimala okungavamile noma ukuphuma igazi
• Ukuphendula kwesikhumba okukhulu

Izinkinga zombono zifanelwe ukunakwa okukhethekile ngoba zingahlala unomphela uma zingatholwanga kusenesikhathi. Udokotela wakho uzoncoma ukuhlolwa kwamehlo njalo ukuze kuqashwe izinguquko ze-retinal, ezingenzeka ngokusetshenziswa kwesikhathi eside.

Kukhona neminye imiphumela emibi engavamile kodwa engathi sína edinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu akuvamile, kodwa ukukwazi kungakusiza ukuthi ufune usizo ngokushesha uma kudingeka.

Imiphumela emibi engavamile kodwa engathi sína ihlanganisa:

• Izinkinga ezinzima zesigqi senhliziyo
• Ukuphendula okukhulu komzimba okunezinkinga zokuphefumula
• Ukushaywa yisithuthwane noma ukuquleka
• Umonakalo omkhulu wemisipha (rhabdomyolysis)
• Izifo zegazi ezithinta amaseli amhlophe egazi noma ama-platelet
• Izinkinga ezinkulu zesibindi

Uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi, xhumana nodokotela wakho ngokushesha noma funa ukwelashwa okuphuthumayo. Khumbula, lezi zinkinga azivamile, kodwa ukubona kusenesikhathi nokwelashwa kubalulekile ekuphepheni kwakho.

Ubani Ongafanele Athathe I-Hydroxychloroquine?

Abantu abathile kufanele bagweme i-hydroxychloroquine noma bayisebenzise ngaphansi kokuqondiswa kwezokwelapha okucophelelayo. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-hydroxychloroquine uma unokungezwani nayo, i-chloroquine, noma yiziphi izithako zayo. Ukuphendula komzimba okwedlule emithini yokulwa nomalaleveva kuyisizathu esicacile sokugwema lo muthi.

Abantu abanezimo ezithile zamehlo, ikakhulukazi izinguquko ze-retinal noma zokubona, ngokuvamile kufanele bagweme i-hydroxychloroquine. Umuthi ungenza izinkinga zamehlo ezikhona zibe zimbi futhi wenze izinguquko zokubona zihlale unomphela.

Uma unezinkinga ezinzima zesigqi senhliziyo, ikakhulukazi isimo esibizwa ngokuthi i-QT prolongation, i-hydroxychloroquine ingase ingaphephile kuwe. Umuthi ungathinta uhlelo lukagesi lwenhliziyo yakho futhi wenze izifo zesigqi ezikhona zibe zimbi.

Ezinye izimo zidinga ukuqapha okwengeziwe nokuqapha okuseduze. Udokotela wakho uzohlola izinzuzo ngokumelene nezingozi uma unezinye zalezi zimo.

Izimo ezidinga ukuqapha okukhethekile zihlanganisa:

• Isifo sezinso noma ukuncipha komsebenzi wezinso
• Isifo sesibindi noma izinkinga zomsebenzi wesibindi
• Izifo zegazi njenge-anemia noma ukubala kwamangqamuzana amhlophe egazi aphansi
• Ukuntula kwe-Glucose-6-phosphate dehydrogenase (G6PD).
• I-Psoriasis noma i-porphyria
• Izinkinga zokuzwa noma izifo zendlebe

Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa okukhethekile. Ngenkathi i-hydroxychloroquine ngokuvamile ithathwa njengephephile kuneziningi zeminye imithi yezifo ezizimele ngesikhathi sokukhulelwa, udokotela wakho uzohlola ngokucophelela ukuthi izinzuzo zidlula yini noma yiziphi izingozi ezingaba khona.

Amagama Omkhiqizo we-Hydroxychloroquine

I-Plaquenil igama lomkhiqizo elaziwa kakhulu le-hydroxychloroquine e-United States. Lo mkhiqizo ubelokhu utholakala amashumi eminyaka futhi yiyona enguqulo odokotela abaningi neziguli abayijwayele.

Izinguqulo ezivamile ze-hydroxychloroquine nazo ziyatholakala futhi ziqukethe isithako esifanayo esisebenzayo njenge-Plaquenil. Lezi zinguqulo ezivamile zivame ukuba zishibhile futhi zisebenza ngempumelelo njengomuthi wegama lomkhiqizo.

Ikhemisi lakho lingashintsha inguqulo ejwayelekile ngaphandle kokuthi udokotela wakho abhale ngokuqondile ukuthi "igama lomkhiqizo kuphela" emiyalelweni yakho. Zombili izinguqulo ezivamile nezegama lomkhiqizo kufanele zihlangabezane nezindinganiso ezifanayo zokuphepha nokusebenza kahle ezibekwe yi-FDA.

Uma ushintsha phakathi kwabakhiqizi abahlukene be-hydroxychloroquine, yazisa udokotela wakho. Ngenkathi imithi kufanele isebenze ngendlela efanayo, abanye abantu bazwela ekuhlukeni kwezithako ezingasebenzi noma izinqubo zokukhiqiza.

Ezinye izindlela ze-Hydroxychloroquine

Imithi eminingana ehlukile ingelapha izimo ezifanayo ne-hydroxychloroquine, yize ukukhetha okungcono kuncike esimweni sakho esithile nomlando wezokwelapha. Udokotela wakho uzokusiza ukuthi uthole inketho efaneleka kakhulu uma i-hydroxychloroquine ingakulungele.

Nge-rheumatoid arthritis, ezinye izidakamizwa ze-DMARDs ezifana ne-methotrexate, i-sulfasalazine, noma i-leflunomide zingaba ezinye izindlela ezifanele. Imithi ye-Biologic efana ne-adalimumab noma i-etanercept nayo iyizinketho zabantu abanezifo ezinzima kakhulu.

Iziguli ze-Lupus zingazuza kwezinye izidakamizwa ezingama-antimalarial ezifana ne-chloroquine, nakuba le mithi inemiphumela eminingi kuno-hydroxychloroquine. Imithi ecindezela amasosha omzimba efana ne-methotrexate noma i-mycophenolate mofetil nayo isetshenziselwa ukwelapha i-lupus.

Ukuvimbela umalaleveva, ezinye izindlela zihlanganisa i-doxycycline, mefloquine, noma i-atovaquone-proguanil. Ukukhetha okungcono kuncike lapho ohamba khona kanye nezici zakho eziyingozi.

Udokotela wakho uzocabangela izinto ezifana nezinye izimo zakho zezokwelapha, imithi oyithathayo, nokuthi usabele kahle kangakanani ekwelashweni kwangaphambilini lapho encoma ezinye izindlela.

Ingabe i-Hydroxychloroquine Ingcono Kune-Methotrexate?

Akukho ngisho i-hydroxychloroquine noma i-methotrexate engcono ngokujwayelekile - ziyimithi ehlukene enezinzuzo nobubi obuhlukile. Ukukhetha okungcono kuwe kuncike esimweni sakho esithile, ubunzima bezimpawu, nokusabela komuntu ngamunye ekwelashweni.

I-Hydroxychloroquine ngokuvamile ithathwa njengemnene enezimpawu ezimbalwa ezingathi sína, okuyenza ibe yindlela enhle yokwelapha yokuqala ye-rheumatoid arthritis kanye ne-lupus emnene kuya kokulingene. Ikhanga ikakhulukazi ngoba ayicindezeli amasosha akho omzimba njenge-methotrexate.

I-Methotrexate ngokuvamile isebenza kahle kakhulu nge-rheumatoid arthritis eqinile futhi ivame ukuthathwa njengezinga legolide le-DMARD. Kodwa-ke, idinga ukuqapha okuvame kakhulu futhi inemiphumela eminingi engaba khona, okuhlanganisa izinkinga zesibindi kanye nokwanda kwengozi yokutheleleka.

Odokotela abaningi baqala nge-hydroxychloroquine ezigulini ezisanda kutholakala, ikakhulukazi lezo ezinezimpawu ezithambile. Uma i-hydroxychloroquine inganikezi ukukhululeka okwanele ngemva kwezinyanga ezimbalwa, bangase bashintshele noma bangeze i-methotrexate.

Abanye abantu bathatha zombili le mithi ndawonye, njengoba zingasebenza ngokubambisana ukunikeza ukulawulwa okungcono kwezimpawu kunanoma iyiphi imithi yodwa. Udokotela wakho uzosiza ekunqumeni indlela engcono kakhulu esekelwe esimweni sakho somuntu ngamunye.

Imibuzo Evame Ukubuzwa Mayelana ne-Hydroxychloroquine

Ingabe i-Hydroxychloroquine iphephile ezigulini zenhliziyo?

I-Hydroxychloroquine idinga ukuhlolwa ngokucophelela kubantu abanezifo zenhliziyo, ikakhulukazi labo abanezinkinga zokushaya kwenhliziyo. Umuthi ungase uthinte uhlelo lukagesi lwenhliziyo yakho futhi ukhulise izimo ezithile zenhliziyo.

Uma unesifo senhliziyo, udokotela wakho cishe uzo-oda i-electrocardiogram (EKG) ngaphambi kokuqala i-hydroxychloroquine futhi angase aqaphe ukushaya kwenhliziyo yakho ngezikhathi ezithile ngesikhathi sokwelashwa. Lokhu kusiza ukuqinisekisa ukuthi umuthi uphephile esimweni sakho senhliziyo esithile.

Abantu abane-QT prolongation, uhlobo oluthile lokuphazamiseka kokushaya kwenhliziyo, ngokuvamile kufanele bagweme i-hydroxychloroquine. Kodwa-ke, labo abanezinhlobo ezithile zesifo senhliziyo bangase bakwazi ukuyithatha ngokuphepha ngokuqapha okufanele.

Kufanele ngenzeni uma ngiphuzile i-Hydroxychloroquine eningi ngengozi?

Uma ngengozi uphuza i-hydroxychloroquine eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuphuza okuningi kungabangela imiphumela emibi, okuhlanganisa izinkinga zokushaya kwenhliziyo, ukuquleka, nokwehla okukhulu kwengcindezi yegazi.

Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini - ukweqisa kwe-hydroxychloroquine kungaba yingozi futhi kungase kudingeke ukwelashwa ngokushesha. Uma uhlangabezana nezimpawu ezinjengokugajezwa, ubunzima bokuphefumula, noma izinguquko ekushayeni kwenhliziyo, funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha.

Gcina ibhodlela lomuthi unawo lapho ufuna usizo lwezempilo, njengoba lolu lwazi luzosiza abahlinzeki bezempilo ukuthi bakwelaphe ngendlela efanele. Ungalokothi uzame ukubangela ukuhlanza ngaphandle uma uqondiswe ngokuqondile uchwepheshe wezempilo.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Hydroxychloroquine?

Uma uphuthelwa umthamo we-hydroxychloroquine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe futhi uqhubeke nohlelo lwakho lokulinganisa olujwayelekile.

Ungaphindi uphindaphinde imithamo ukuze ulungise lowo ophuthelwe, ngoba lokhu kungakhuphula ingozi yakho yemiphumela emibi. Uma uthatha i-hydroxychloroquine ukuze uvimbele umalaleveva futhi uphuthelwe umthamo, xhumana nodokotela wakho ukuze uthole isiqondiso sokuthi uqhubeke kanjani.

Ezimweni ze-autoimmune, ukuphuthelwa umthamo ngezikhathi ezithile akunakwenzeka ukuthi kubangele izinkinga ngokushesha, kodwa zama ukugcina ukuthatha imithi ngokuqhubekayo ukuze uthole imiphumela engcono kakhulu. Cabangela ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule imithamo yakho.

Ngingayeka nini ukuthatha i-Hydroxychloroquine?

Ungalokothi uyeke ukuthatha i-hydroxychloroquine ngaphandle kokuxoxa ngayo nodokotela wakho kuqala. Ezimweni ze-autoimmune ezifana ne-rheumatoid arthritis ne-lupus, ukuyeka imithi kungaholela ekuqhumeni kwezimpawu ezingase zibe zimbi kakhulu kunangaphambi kokwelashwa.

Udokotela wakho uzokusiza ukuthi unqume ukuthi kufanelekile nini ukuyeka noma ukunciphisa umthamo wakho ngokusekelwe ezimpawini zakho, umsebenzi wesifo, nempilo yonke. Abanye abantu bangase badinge ukuthatha i-hydroxychloroquine iminyaka eminingi ukuze bagcine ukulawulwa okuhle kwezimpawu.

Uma uhlangabezana nemiphumela emibi, khuluma nodokotela wakho mayelana nokulungisa umthamo wakho noma ukushintshela kwenye imithi kunokuyeka ngokuphazima kweso. Kunezindlela eziningi zokulawula imiphumela emibi ngenkathi uqhubeka nokwelashwa.

Ukuvimbela umalaleveva, kufanele uqhubeke nokuthatha imithi isikhathi esinqunyiwe, okuhlanganisa amasonto amane ngemva kokushiya indawo enomalaleveva. Ukuyeka ngaphambi kwesikhathi kungakushiya ubuthakathaka ekuthelelekeni.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Hydroxychloroquine?

Ukuphuza utshwala ngokulinganisela kuvamile ukwamukeleka ngenkathi uthatha i-hydroxychloroquine, kodwa kuhle ukuxoxa ngalokhu nodokotela wakho. Kokubili utshwala ne-hydroxychloroquine kungathinta isibindi sakho, ngakho ukuzihlanganisa kungakhuphula ingozi yezinkinga zesibindi.

Uma unesifo sesibindi noma usebenzisa eminye imithi ethinta isibindi sakho, udokotela wakho angase ancome ukugwema utshwala ngokuphelele. Abantu abanomdlavuza wamalunga noma i-lupus abaphinde basebenzise i-methotrexate kufanele baqaphele kakhulu ngokuphuza utshwala.

Utshwala bungase futhi buqhubekise eminye imiphumela emibi ye-hydroxychloroquine, njengokugajuka noma ukuphathwa yisisu. Naka ukuthi uzizwa kanjani uma uhlanganisa utshwala nemithi yakho futhi ulungise ngokufanele.

Njalo thembeka kudokotela wakho mayelana nokuphuza kwakho utshwala ukuze bakwazi ukukunikeza isiqondiso esingcono kakhulu sesimo sakho esithile. Lolu lwazi lubasiza ukuthi baqaphe impilo yakho futhi balungise uhlelo lwakho lokwelapha uma kudingeka.