Yini i-Mefloquine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Mefloquine iyikhambi elibhalwe ngudokotela elilwa nomalaleveva elisiza ukuvimbela nokwelapha umalaleveva, isifo esibangelwa omiyane esingathi sína. Le mithi isebenza ngokuhlasela izinambuzane zomlaleveva egazini lakho, okwenza ibe yigugu ikakhulukazi kubahambi abavakashela ezindaweni lapho umalaleveva uvamile khona. Ukuqonda ukuthi i-mefloquine isebenza kanjani nokuthi yini ongayilindela kungakusiza ukuthi uyisebenzise ngokuphepha nangempumelelo.

Yini i-Mefloquine?

I-Mefloquine yisidakamizwa esilwa nomalaleveva esingaphansi kwezigaba zemithi ebizwa ngokuthi ama-quinoline derivatives. Yenzelwe ngqo ukulwa nezilwanyana zomlaleveva eziye zakha ukumelana neminye imithi ejwayelekile elwa nomalaleveva efana ne-chloroquine.

Le mithi isetshenziswe amashumi eminyaka ukuvikela abahambi nokwelapha iziguli ezinomalaleveva emhlabeni wonke. Isebenza kahle ikakhulukazi ngokumelene ne-Plasmodium falciparum, uhlobo oluyingozi kakhulu lwesilwanyana somalaleveva olungabangela izinkinga ezinzima, ezisongela impilo uma lungelashwa.

I-Mefloquine itholakala kuphela ngemvume kadokotela wakho. Udokotela wakho uzoqoka ukuthi le mithi ilungele yini wena ngokusekelwe endaweni oya kuyo, umlando wakho wezokwelapha, kanye nezici eziyingozi zomuntu ngamunye.

Yini i-Mefloquine Esetshenziselwa Yona?

I-Mefloquine inezinjongo ezimbili eziyinhloko: ukuvimbela umalaleveva ngaphambi kokugula nokwelapha izifo eziqhubekayo zomlaleveva. Ngokuvamile, odokotela bayayibhala njengesinyathelo sokuvimbela kubantu abahamba baye ezindaweni ezinomalaleveva.

Ukuvimbela umalaleveva, ngokuvamile uzoqala ukuthatha i-mefloquine ngaphambi kokungena endaweni enomalaleveva. Lokhu kunika imithi isikhathi sokwakha amazinga okuvikela egazini lakho, okudala isihlangu ngokumelene nezilwanyana ngaphambi kokuba omiyane babe nethuba lokukuthelela.

Abahlinzeki bezempilo nabo basebenzisa i-mefloquine ukwelapha amacala aqinisekisiwe e-malaria, ikakhulukazi lapho izinambuzane zimelana neminye imithi elwa ne-malaria. Ezimweni zokwelapha, umuthi usebenza ukususa izinambuzane ezikhona ohlelweni lwakho futhi uvimbele ukutheleleka ekuthuthukeleni ezigabeni ezingathi sína.

Isebenza Kanjani I-Mefloquine?

I-Mefloquine ithathwa njengomuthi olwa ne-malaria olunamandla amancane ophazamisa ikhono lezinambuzane ze-malaria lokusinda nokuzala emangqamuzaneni akho abomvu egazi. Iphazamisa inqubo yokugaya yokugaya izinambuzane, empeleni iyizela indlala yezakhi ezidingayo ukuze zichume.

Umuthi ugxila emangqamuzaneni akho abomvu egazi, lapho izinambuzane ze-malaria zivame ukucasha futhi zizale. Uma selapho, i-mefloquine ivimbela izinambuzane ukuthi zingahlukanisi i-hemoglobin, iphrotheni ezidingayo ukuze zisinde futhi zikhule.

Le ndlela eqondiwe yenza i-mefloquine isebenze kahle ezinhlotsheni ze-malaria ezimelana nemithi ezifunde ukusinda eminye imithi elwa ne-malaria. Umuthi uhlala usebenza ohlelweni lwakho amasonto amaningana, unikeza ukuvikelwa okuqhubekayo ngisho nangemva kokuyeka ukuwuthatha.

Kufanele Ngiyithathe Kanjani I-Mefloquine?

Thatha i-mefloquine ngendlela enembile njengoba umhlinzeki wakho wezempilo ekunqumela, ngokuvamile kanye ngesonto ngosuku olufanayo njalo ngesonto. Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele, futhi ngaso sonke isikhathi uyithathe nokudla ukunciphisa isisu esibuhlungu futhi uthuthukise ukumuncwa.

Ukuvimbela i-malaria, ngokuvamile uzoqala ukuthatha i-mefloquine amasonto angu-1-2 ngaphambi kokuhamba endaweni ye-malaria. Lesi sikhathi sivumela umuthi ukuthi ufinyelele emazingeni okuvikela egazini lakho ngaphambi kokuthi uveze omiyane abanegciwane.

Khetha ukudla okukhulu lapho uthatha i-mefloquine, njengoba ukudla kuthuthukisa kakhulu ukuthi umzimba wakho umunca kahle kangakanani umuthi. Gwema ukuyithatha esiswini esingenalutho, njengoba lokhu kungakhuphula ingozi yesicanucanu futhi kunciphise ukusebenza kahle komuthi.

Uma uthatha i-mefloquine ukwelapha kunokuvimbela, udokotela wakho uzokunikeza imiyalelo ethile engase ihluke esimisweni esijwayelekile sokuvimbela. Imithamo yokwelapha ivame ukuba phezulu futhi ithathwe kaningi kunezilinganiso zokuvimbela.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Mefloquine?

Ukuvimbela umalaleveva, ngokuvamile uzoqhubeka nokuthatha i-mefloquine amasonto angu-4 ngemva kokushiya indawo enomalaleveva. Lesi sikhathi esandisiwe siqinisekisa ukuthi noma yimaphi amapharasayithi ongase uwathole ngezinsuku zakho zokugcina zokuhamba aqediwe ngaphambi kokuba akwazi ukubangela ukugula.

Isheduli ephelele yokuvimbela ivamise ukubukeka kanje: qala amasonto angu-1-2 ngaphambi kohambo, qhubeka masonto onke ngesikhathi sokuhlala kwakho konke, futhi uyithathe amasonto angu-4 engeziwe ngemva kokubuya ekhaya. Lo mgomo wesikhathi unikeza ukuvikelwa okuphelele ngesikhathi sakho sokuziveza.

Uma uthatha i-mefloquine ukwelapha umalaleveva oqhubekayo, ubude bazoba bufushane kakhulu, ngokuvamile izinsuku ezimbalwa nje. Umhlinzeki wakho wezempilo uzonquma ubude obuqondile ngokuya ngesimo sakho esithile nokuthi usabela kanjani ekwelashweni.

Ungayeki ukuthatha i-mefloquine ngaphambi kwesikhathi, ngisho noma uzizwa ulungile. Amapharasayithi omalaleveva angacasha ohlelweni lwakho amasonto amaningi ngaphandle kokubangela izimpawu, futhi ukuyeka imithi ngokushesha kungawavumela ukuba ande futhi abangele ukugula kamuva.

Yiziphi Imiphumela Eceleni Ye-Mefloquine?

I-Mefloquine ingabangela imiphumela engemihle ehlukahlukene kusukela kokulula kuya kokukhulu, nakuba abantu abaningi beyibekezelela kahle uma ithathwa njengoba kunqunyiwe. Ukuqonda okulindelekile kungakusiza ukuthi uphathe noma yimiphi imiphumela futhi wazi ukuthi ungaxhumana nini nomhlinzeki wakho wezempilo.

Imiphumela ejwayelekile engemihle abantu abaningi abayitholayo ihlanganisa:

• Isicanucanu nokuphazamiseka kwesisu
• Isiyezi noma ukukhathala
• Ikhanda
• Ubunzima bokulala noma amaphupho acacile
• Ukukhathala noma ubuthakathaka
• Ukulahlekelwa isifiso sokudla

Lezi zinto ezenzeka nsuku zonke ngokuvamile ziyathuthuka njengoba umzimba wakho ujwayela umuthi. Ukuthatha i-mefloquine nokudla kunganciphisa kakhulu isicanucanu nezinkinga zesisu.

Imiphumela emibi kakhulu idinga ukunakekelwa kwezempilo ngokushesha futhi ihlanganisa:

• Ushintsho olukhulu lwemizwa noma ukucindezeleka
• Ukukhathazeka noma ukuhlaselwa wukwesaba
• Ukudideka noma ubunzima bokugxila
• Ukucabanga okungamanga noma imicabango engavamile
• Isiyezi esikhulu noma ukulahlekelwa ibhalansi
• Ukushaya kwenhliziyo okungajwayelekile
• Ukushaywa yisithuthwane

Le miphumela yezinzwa neyengqondo ayivamile kodwa ingaba yingozi. Uma uhlangabezana nanoma yiziphi lezi zimpawu, xhumana nomhlinzeki wakho wezempilo ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo.

Abanye abantu bangase babe nemiphumela engavamile kodwa ebucayi, okuhlanganisa izinkinga zesibindi, ukusabela okukhulu kwesikhumba, noma izifo zegazi. Qaphela izimpawu ezinjengokuphuzi kwesikhumba noma amehlo, ukuqubuka okukhulu, ukulimala okungavamile, noma umkhuhlane oqhubekayo, futhi funa usizo lwezokwelapha ngokushesha uma lokhu kwenzeka.

Ubani Ongafanele Athatha i-Mefloquine?

I-Mefloquine ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zikwenza kungafaneleki noma kube yingozi. Umhlinzeki wakho wezempilo uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukunika lo muthi.

Akufanele uthathe i-mefloquine uma une:

• Umlando wokushaywa yisithuthwane noma isifo sokuwa
• Izimo ezinzima zempilo yengqondo njengokucindezeleka, izifo zokukhathazeka, noma i-psychosis
• Izinkinga zesigqi senhliziyo noma ukuvinjelwa kwenhliziyo
• Isifo sesibindi esibi kakhulu
• Ukungezwani okwaziwayo ne-mefloquine noma imithi efanayo

Lezi zimo zikhuphula ingozi yakho yemiphumela emibi futhi zingase zidinge eminye imithi elwa nomalaleveva.

Ukuqapha okukhethekile kuyadingeka kumaqembu athile, okuhlanganisa:

• Abesifazane abakhulelwe, ikakhulukazi enyangeni yokuqala
• Omama abancelisayo
• Izingane ezingaphansi kwamaphawundi ayi-11 (5 kg)
• Abantu abanezinkinga zesibindi noma izinso ezilula
• Labo abathatha imithi ethinta ukushaya kwenhliziyo

Udokotela wakho uzoqaphela izinzuzo ngokumelene nezingozi zalezi zimo futhi angase ancome amasu okuvimbela umalaleveva uma i-mefloquine ingakulungele.

Amagama Omkhiqizo we-Mefloquine

I-Mefloquine itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Lariam iyona eyaziwa kakhulu. Amanye amagama omkhiqizo afaka i-Mephaquin, i-Mefliam, kanye nezindlela ezihlukahlukene zama-generic ngokuya ngendawo yakho nekhemisi.

Wonke lawa magama omkhiqizo aqukethe isithako esifanayo esisebenzayo futhi asebenza ngendlela efanayo. Ukukhetha phakathi komkhiqizo wegama lomkhiqizo kanye nezinguqulo ze-generic kuvame ukwehla ezindlekweni, ukutholakala, kanye nomshuwalense wakho.

Uma uhamba phesheya, ungahlangana namagama omkhiqizo ahlukene e-mefloquine. Njalo hlola nomhlinzeki wezempilo noma usokhemisi ukuze uqinisekise ukuthi uthola imithi efanele kanye nomthamo.

Ezinye Izindlela ze-Mefloquine

Eminye imithi eminingi yokulwa nomalaleveva ingasebenza njengezinye izindlela ze-mefloquine, ngasinye sinazo izinzuzo zaso kanye nezinto okufanele zicatshangelwe. Umhlinzeki wakho wezempilo uzokusiza ukhethe inketho engcono kakhulu ngokuya ngendawo oya kuyo, umlando wakho wezokwelapha, kanye nezintandokazi zakho.

Ezinye izindlela ezivamile zifaka:

• I-Atovaquone-proguanil (Malarone) - ithathwa nsuku zonke ngemiphumela emincane ye-neurological
• I-Doxycycline - i-antibiotic evimbela umalaleveva, ithathwa nsuku zonke
• I-Chloroquine - isebenza ezindaweni ezingenayo ukumelana nemithi, ithathwa masonto onke
• I-Primaquine - isetshenziswa ezimweni ezithile, ikakhulukazi ezinhlotsheni ezithile zomlaleveva

Ngamunye umuthi onye unohlelo oluhlukile lokuthatha imithi, uhlu lwemiphumela emibi, nokusebenza kahle uma kuqhathaniswa nezinhlobo ezahlukene zomkhuhlane wamalaleveva. Abanye abantu bakhetha imithi yansuku zonke efana ne-Malarone ngoba kulula ukuyikhumbula futhi bayeke ukuyithatha uma usubuyele ekhaya.

Ukukhetha okungcono kuncike ezintweni ezifana nendawo oya kuyo, ubude bokuhlala kwakho, umlando wakho wezokwelapha, nokubekezelela imiphumela emibi ehlukene. Umhlinzeki wakho wezempilo uzocabangela zonke lezi zinto lapho encoma umuthi ofanele kakhulu wokulwa nomkhuhlane wamalaleveva esimweni sakho.

Ingabe i-Mefloquine ingcono kune-Doxycycline?

Kokubili i-mefloquine ne-doxycycline ziyimithi esebenzayo yokulwa nomkhuhlane wamalaleveva, kodwa zisebenza ngendlela ehlukile futhi zinezinzuzo ezihlukile ngokuya ngesimo sakho. Akukho noyedwa ongcono ngokuqondile - ukukhetha kuncike ezidingweni zakho kanye nezimo zakho.

I-Mefloquine inikeza lula lokuthatha imithi kanye ngesonto, okutholakala abahambi abaningi kulula ukuyikhumbula ngesikhathi sohambo olude. Iphinde isebenze kahle uma kuqhathaniswa nezinhlobo zomkhuhlane wamalaleveva ezingamelana nemithi futhi ayikhuphuli ukuzwela elangeni njengoba i-doxycycline ingenza.

I-Doxycycline, ethathwa nsuku zonke, ingase ibangele imiphumela emibi embalwa yezinzwa futhi ivame ukukhethwa ngabantu abanomlando wezifo zemizwa noma labo abakhathazekile ngemiphumela yengqondo ye-mefloquine. Futhi ngokuvamile ayibizi kakhulu futhi itholakala kabanzi.

Kodwa-ke, i-doxycycline ingabangela ukuphazamiseka kwesisu, ukwanda kokuzwela elangeni, futhi ingaphazamisa ukusebenza kahle kokulawulwa kokuzalwa. Iphinde idinga ukunamathela kwansuku zonke, okutholakala abanye abantu kuyinselele ngesikhathi sokuhamba.

Umhlinzeki wakho wezempilo uzocabangela umlando wakho wezokwelapha, indawo oya kuyo, ubude bohambo, nezintandokazi zakho lapho ukhetha phakathi kwale mithi. Zombili zisebenza kahle kakhulu uma zithathwa ngendlela efanele, ngakho-ke isinqumo sivame ukwehla ekutheni yiliphi iphrofayili yomphumela kanye nohlelo lokuthatha imithi olusebenza kangcono ngendlela yakho yokuphila.

Imibuzo Evame Ukubuzwa Nge-Mefloquine

Ingabe i-Mefloquine iphephile ezimweni zenhliziyo?

I-Mefloquine ingathinta isigqi senhliziyo, ikakhulukazi kubantu abanezinkinga zenhliziyo ezikhona. Uma unezinkinga zenhliziyo, okuhlanganisa ukushaya kwenhliziyo okungajwayelekile, ukuvaleka kwenhliziyo, noma umlando wesifo senhliziyo, tshela umhlinzeki wakho wezempilo ngaphambi kokuthatha i-mefloquine.

Udokotela wakho angase ancome i-electrocardiogram (EKG) ngaphambi kokuqala i-mefloquine ukuze ahlolisise umsebenzi kagesi wenhliziyo yakho. Bangase futhi baphakamise imithi ehlukile yokulwa nomalaleveva engathinti isigqi senhliziyo uma unezinkinga ezinkulu zenhliziyo.

Noma ngabe awunazo izinkinga zenhliziyo ezaziwayo, qaphela izimpawu ezinjengobuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, noma ukuphefumula kanzima ngenkathi uthatha i-mefloquine. Lokhu kungase kubonise izinguquko zesigqi senhliziyo ezidinga ukunakekelwa kwezempilo ngokushesha.

Kufanele Ngenzeni Uma Ngithatha I-Mefloquine Eningi Ngengozi?

Uma ngengozi uthatha i-mefloquine eningi kunaleyo ebekiwe, xhumana nomhlinzeki wakho wezempilo noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha i-mefloquine eningi kungabangela imiphumela emibi engathi sína, okuhlanganisa izimpawu ezinzima ze-neurological nezinkinga zenhliziyo.

Ungalindi ukubona ukuthi uzizwa kahle yini - izimpawu zokweqisa ze-mefloquine zingase zingaveli ngokushesha kodwa zingaba zimbi uma zenzeka. Izimpawu ezivamile zokweqisa zihlanganisa isicanucanu esibi, ukuhlanza, isiyezi, ukudideka, kanye nezinguquko zesigqi senhliziyo.

Uma othile engazi lutho, enobunzima bokuphefumula, noma ekhombisa izimpawu zobuthi obukhulu ngemuva kokuthatha i-mefloquine eningi, shayela izinsiza eziphuthumayo ngokushesha. Letha ibhodlela lemithi nawe ukuze usize ochwepheshe bezokwelapha baqonde kahle ukuthi yini ethathwe.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Mefloquine?

Uma uphuthelwa umthamo we-mefloquine wamasonto onke, yithathe ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile - ungalokothi uthathe imithamo emibili eduze.

Imithamo elahlekile inganciphisa ukusebenza kahle kwe-mefloquine ekuvikeleni umalaleveva, ngakho zama ukugcina isimiso sakho samasonto onke njalo ngangokunokwenzeka. Cabangela ukusetha isikhumbuzi sefoni noma ukuthatha umthamo wakho ngosuku olufanayo njalo ngesonto ukukusiza ukuthi ukhumbule.

Uma ulahlekelwa imithamo eminingi noma ukhohlwa njalo ukuthatha i-mefloquine, khuluma nomhlinzeki wakho wezempilo mayelana namaqhinga okuthuthukisa ukunamathela noma ukuthi ngabe umuthi ohlukile wokulwa nomalaleveva ungasebenza kangcono ngendlela yakho yokuphila.

Ngingayeka nini Ukuthatha i-Mefloquine?

Ukuvimbela umalaleveva, qhubeka nokuthatha i-mefloquine amasonto angu-4 ngemva kokushiya indawo enomalaleveva, ngisho noma uzizwa uphilile ngokuphelele. Lesi sikhathi esandisiwe siqinisekisa ukuthi noma yiziphi izilwanyana ezingase uziqoqe ngesikhathi sezinsuku zakho zokugcina zohambo ziqediwe.

Ungayeki ukuthatha i-mefloquine ngaphambi kwesikhathi ngenxa yokuthi ubuyile ekhaya noma uzizwa ulungile. Izilwanyana ezinomalaleveva zingahlala zithule ohlelweni lwakho amasonto ngaphandle kokubangela izimpawu, futhi ukuyeka umuthi ngokushesha kungavumela ukuthi zande futhi zibangele ukugula kamuva.

Uma uthatha i-mefloquine ukuze welaphe umalaleveva osebenzayo, umhlinzeki wakho wezempilo uzokutshela ngqo ukuthi uyeka nini ngokusekelwe ekuphenduleni kwakho ekwelashweni kanye nemiphumela yokuhlolwa okulandelayo. Njalo qedela inkambo ephelele njengoba kunqunywe, ngisho noma uzizwa ungcono ngaphambi kokuqeda yonke imithi.

Ngingakwazi yini Ukuphuza Utshwala Ngenkathi Ngithatha i-Mefloquine?

Kungcono ukukhawulela ukusetshenziswa kotshwala ngenkathi uthatha i-mefloquine, njengoba kokubili kungathinta uhlelo lwakho lwezinzwa oluphakathi futhi kungase kwandise ingozi yemiphumela emibi efana nesiyezi, ukudideka, kanye nezinguquko zemizwa.

Utshwala bungase futhi lwenze kube kubi eminye yemiphumela emibi ejwayelekile ye-mefloquine, okuhlanganisa isicanucanu, ikhanda elibuhlungu, kanye nokuphazamiseka kokulala. Uma ukhetha ukuphuza, yenza kanjalo ngokulinganisela futhi unake indlela ozizwa ngayo.

Uma uba nezimpawu ezingajwayelekile ngemva kokuphuza utshwala ngenkathi usebenzisa i-mefloquine, njengokugajelwa okukhulu, ukudideka, noma izinguquko zemizwa, gwema utshwala ngokuphelele futhi uxoxe ngalokhu nomhlinzeki wakho wezempilo. Bangase batusa ukugwema utshwala ngokuphelele ngenkathi usebenzisa lo muthi.