Kana uri kutora Plaquenil kuti uite chirwere chinoputika kana malaria, iwe unofanirwa kuziva nezvemigumisiro inogona kuitika kumeso ako nekuonekwa. Plaquenil (hydroxychloroquine) iri mukirasi yemishonga inonzi chirwere-chinorwisa anti-rheumatic drugs, iyo inoshandiswa kuderedza kupisa, kurwadziwa uye kuwirirana pamwe. Kunyange nhasi iyo inoshandiswa kurapa mamiriro ekudzivirira, zvakadai se rheumatoid arthritis uye lupus , yakatanga kushandiswa semishonga inorwisa malaria.
Kunyange zvazvo vasina kujairika, Plaquenil ine migumisiro yechirwere inogona kuchinja maziso ako.
Plaquenil uye Maziso Ako
Mune vamwe vanhu, Plaquenil inogona kukonzera chirwere chinonzi hydroxychloroquine retinopathy, chinowanzotumidzwa sehando-eye maculopathy. (Mamiriro acho ezvinhu dzimwe nguva akafanana nechinangwa, kana nzombe-ziso yeziso, pane retina yakapoteredza macula.) Hydroxychloroquine retinopathy inowanzoshamisika uye inowanzowanikwa mumamiriro ezvinhu apo muyero uri pamusoro kana murwere ari kutora kwemakore akawanda. Nyama-eye maculopathy isingawanzoitiki, asi kana ichiitika, inogona kuora mwoyo.
Pakutanga, zviratidzo zvepakati hazvivhiringidzi, asi unogona kuona chinyorwa chekuvhiringidzika maonero angakanganisa kuverenga. Sezvo chirwere chacho chichifambira mberi, chinotanga kuchinja maonero epakati uye inova hupenyu hunochinja. Kuchinja kunowanzogara kwenguva refu, asi mune dzimwe nguva, maonero akavandudzwa. Rheumatologists dzakawanda dzinokurudzira varwere kuti vave nehutano hwekuona maziso asati atanga Plaquenil uye kuongororwazve mune ramangwana zvichienderana nenjodzi yekuvandudza mamiriro acho ezvinhu.
Zvinokonzera njodzi zvinosanganisira kukwegura uye kuva ne-pre-existing retinal disease.
Munguva pfupi yapfuura, nyanzvi dzakazivisa mitsva itsva yePauquenil screenings nekuda kwezvinetso zvinowanzobatwa munguva yekutora paunotora Plaquenil. Uyewo, teknolojia yekutora retinal changes yakagadziriswa kubvira pakatanga mazano.
Nhungamiro mitsva inokurudzira vanachiremba vemaziso kuti vaite maziso ekuongorora maziso, kusanganisira zvinotevera:
- Dilated retinal kuongorora
- Retinal photography (nokuda kwezvinyorwa zvekutanga)
- Central komutoriona maziso ekuongorora test
- SD-OCT (spectral domain optical coherence tomography)
Shoko Rinobva
Kutsvakurudza kwakaratidza kuti njodzi yako yekuvandudza kufungidzirwa kwepamusoro yakakwirira apo iwe uri kutora Plaquenil. Kutaura zvazviri, chiitiko chetestinal toxicity chinowedzera zvakanyanya kune vanhu vakazvitora pakati pemakore mashanu nemanomwe. Somugumisiro, kuongorora kwekutanga kunofanira kuitika mukati megore rokutanga rokutora mishonga uye gore negore pamakore mashanu emakore. Ini pachedu, ndinokurudzira kuongororwa kwakazara kwemwedzi 18-24 mumakore mashanu ekutanga uye gore negore mushure memakore mashanu.
Kunobva:
Shechtman, Diana L naPaul M Karpeck. New Plaquenil Guidelines. Kudzokorora kweOptometry, 15 APR 2011, Vol 148, Nha. 4, mapeji 105-106.