Quinine

Zvemukati

• Usati watora quinine,
• Iyi mishonga inogona kukonzera shuga shoma yeropa. Iwe unofanirwa kuziva zviratidzo zveshuga yakaderera muropa uye zvaunofanira kuita kana iwe ukawedzera izvi zviratidzo.
• Quinine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:
• Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

Quinine haifanire kushandiswa kurapa kana kudzivirira kurwadza kwemakumbo usiku. Quinine haina kuratidzwa seinoshanda pachinangwa ichi, uye inogona kukonzera zvakakomba kana kutyisidzira hupenyu mhedzisiro, kusanganisira matambudziko akanyanya ekubuda ropa, kukuvara kweitsvo, kurova kwemoyo zvisina kujairika, uye kukonzeresa kurwisa.

Chiremba wako kana wemishonga anokupa iro gadziriro yeruzivo yemurwere (Mishonga Inotungamira) paunotanga kurapwa nequinine uye pese paunozadza mushonga wako. Verenga iwo ruzivo nokungwarira uye bvunza chiremba wako kana wemishonga kana iwe uine chero mibvunzo. Iwe unogona zvakare kushanyira Chikafu neDrug Administration (FDA) webhusaiti (http://www.fda.gov/Drugs/DrugSafety/ucm085729.htm) kuti utore Gwaro reMishonga.

Quinine inoshandiswa yoga kana nemimwe mishonga kurapa malaria (chirwere chakakomba kana chinotyisa chinopararira nemosquitos mune mamwe matunhu epasi). Quinine haifanire kushandiswa kudzivirira malaria. Quinine ari mukirasi yemishonga inonzi antimalarials. Inoshanda nekuuraya zvipuka zvinokonzera malaria.

Quinine inouya sekapuleti kutora nemuromo. Kazhinji inotorwa nechikafu katatu pazuva (maawa masere ese) kwemazuva matatu kusvika manomwe. Tora quinine panguva dzakatenderedza nguva dzakafanana mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora quinine chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Medza macapsules akazara; usavhure, kutsenga, kana kuapwanya. Quinine ine kuravira kunorwadza.

Iwe unofanirwa kutanga kunzwa zvirinani panguva yekutanga 1-2 mazuva ekurapwa kwako. Fonera chiremba wako kana zviratidzo zvako zvisingaite kana zvikatowedzera. Danaidzawo chiremba wako kana uine fivhiri uchangopedza kurapwa kwako. Ichi chingave chiratidzo chekuti urikusangana nechikamu chechipiri chemarariya.

Tora quinine kusvikira wapedza mushonga, kunyangwe kana uchinzwa zvirinani. Kana iwe ukarega kutora quinine nekukurumidza kana kana iwe ukasvetuka madosi, hutachiona hwako hunogona kusarapwa zvakakwana uye zvipenyu zvinogona kupokana nemishonga inorwisa malaria.

Quinine zvakare dzimwe nguva inoshandiswa kurapa babesiosis (chirwere chakakomba kana chinotyisa icho chinopfuudzwa kubva kumhuka kuenda kuvanhu nezvikwekwe). Taura nachiremba wako nezve njodzi dzekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora quinine,

• udza chiremba wako uye wemishonga kana uri weergoria kune quinine, quinidine, mefloquine (Lariam), chero mimwe mishonga, kana chero chinhu chinosanganiswa mumakineti equinine. Kumbira chiremba wako kana wemishonga kuti uwane mazita ezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero yeanotevera: acetazolamide (Diamox); aminophylline; anticoagulants ('blood thinner') senge warfarin (Coumadin) uye heparin; mishonga inodzvinyirira ('mood elevators') senge desipramine; mamwe maantifungal akadai fluconazole (Diflucan), ketoconazole (Nizoral), uye itraconazole (Sporanox); cholesterol-kudzikisa mishonga yakadai seatorvastatin (Lipitor), lovastatin (Mevacor), simvastatin (Zocor); cisapride (Propulsid); dextromethorphan (mushonga mune zvakawanda zvigadzirwa zvekukosora); fluoroquinolone maantibiotiki senge ciprofloxacin (Cipro), gatifloxacin (Tequin) (isingawanikwe muUS), levofloxacin (Levaquin), lomefloxacin (Maxaquin), moxifloxacin (Avelox), norfloxacin (Noroxin), ofloxacin ) (haisipo muUS); macrolide antibiotics akadai seerythromycin (EES, E-Mycin, Erythrocin) uye troleandomycin (isingawanikwe muU.S.); mishonga yechirwere cheshuga senge repaglinide (Prandin); mishonga yehigh blood pressure; mishonga yekurova kwemoyo zvisina kujairika senge amiodarone (Cordarone, Pacerone), digoxin (Lanoxin), disopyramide (Norpace), dofetilide (Tikosyn), flecainide (Tambocor), procainamide (Procanbid, Pronestyl), quinidine, uye sotalol (Betapace); mimwe mishonga yekubatwa senge carbamazepine (Tegretol), phenobarbital (Luminal, Solfoton), uye phenytoin (Dilantin); mishonga yezvironda zvakadai secimetidine (Tagamet); mefloquine (Lariam); metoprolol (Lopressor, Toprol XL); paclitaxel (Abraxane, Mutero); pimozide (Orap); rifampin (Rifadin, Rimactane); mamwe anosarudza serotonin reuptake inhibitors (SSRIs) senge fluoxetine (Prozac, Sarafem), fluvoxamine (Luvox), uye paroxetine (Paxil); sodium bicarbonate; tetracycline; uye theophylline. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro. Mimwe mishonga yakawanda inogona zvakare kubatana nequinine, saka ive shuwa kuudza chiremba wako nezve yese mishonga yauri kutora, kunyangwe iyo isinga oneke pane ino runyorwa.
• usatora maantacid ane magnesium kana aluminium (Alternagel, Amphogel, Alu-cap, Alu-tab, Basaljel, Gaviscon, Maalox, Milk yeMagnesia, kana Mylanta) panguva imwe chete yaunotora quinine Taura nachiremba wako kana wemishonga. nezve nguva yakareba sei yaunofanira kumirira pakati pekutora iyi mhando yeacacacid uye kutora quinine.
• udza chiremba wako kana iwe kana mumwe munhu mumhuri yako ane kana akambove nenguva yakareba yeQT (chinetso chisingawanzo mwoyo chinogona kukonzeresa kana kurova kwemoyo zvisina kujairika), isina kujairika electrocardiogram (ECG; muyedzo unoyera chiitiko chemagetsi chemwoyo) , uye kana iwe wakambove kana kushomeka kweG-6-PD (chirwere chakagarwa nhaka yeropa), kana kana uine kana wakambove ne myasthenia gravis (MG; mamiriro anokonzera kushomeka kwemamwe mhasuru), kana optic neuritis (kuzvimba iyo optic nerve iyo inogona kukonzera kamwe kamwe shanduko muchiono). Uyezve udza chiremba wako kana iwe wakambove nekuita kwakakomba, kunyanya dambudziko rekubuda ropa kana matambudziko neropa rako mushure mekutora quinine munguva yakapfuura. Chiremba wako angangokuudza kuti usatore quinine.
• udza chiremba wako kana iwe wakambove kana wakamboita zvishoma nezvishoma kana zvisina kujairika kurova kwemoyo; mashoma potasiamu muropa rako; kana moyo, itsvo, kana chirwere chechiropa.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora quinine, danaidza chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora quinine.
• udza chiremba wako kana ukashandisa zvigadzirwa zvefodya. Kusvuta fodya kunogona kudzora kushanda kwemushonga uyu.

Kunze kwekunge chiremba wako akakuudza neimwe nzira, ramba uchidya zvakajairika.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Nekudaro, kana anga ave anopfuura maawa mana kubva panguva yawaifanira kutora dosi rakarasika, ruka iro rakarasika dosi uye enderera yako yenguva dzose dosing purogiramu. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Iyi mishonga inogona kukonzera shuga shoma yeropa. Iwe unofanirwa kuziva zviratidzo zveshuga yakaderera muropa uye zvaunofanira kuita kana iwe ukawedzera izvi zviratidzo.

Quinine inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kusagadzikana
• kunetseka kunzwa kana kurira munzeve
• kuvhiringidzika
• huta

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheanotevera zviratidzo, dana chiremba wako nekukurumidza:

• mapundu
• mikoko
• kuvava
• kufashaira
• hoarseness
• kunetseka kufema kana kumedza
• kuzvimba kwechiso, huro, miromo, maziso, maoko, tsoka, makumbo kana makumbo ezasi
• kupindwa nechando
• mhoni
• kurwadziwa nemudumbu
• kurutsa
• manyoka
• kusvibiswa kana kushanduka pakuona kwemavara
• kutadza kunzwa kana kuona
• kupera simba
• kupwanya kuri nyore
• shava, shava, kana tsvuku paganda
• kubuda ropa zvisina kujairika
• ropa mumurini
• kusviba kana kunonoka zvigaro
• mhino dzemhino
• maronda anobuda ropa
• huro inorwadza
• nekukurumidza kana zvisina kujairika kurova kwemoyo
• kurwadziwa pachipfuva
• kushaya simba
• vangadikitira
• dzungu

Quinine inogona kukonzera mamwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Usaisa mufiriji kana kuisa chando mushonga.

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako.Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira:

• kusvibiswa kana kushanduka pakuona kwemavara
• zviratidzo zveshuga muropa
• shanduko mukurova kwemoyo
• musoro
• kusvotwa
• kurutsa
• kurwadziwa nemudumbu
• manyoka
• kurira munzeve kana kunetseka kunzwa
• pfari
• kunonoka kana kuoma kufema

Chengetedza zvese zvakagadzwa nachiremba wako.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako nevashandi veirabhoritari kuti uri kutora quinine.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Qualaquin^®