Ukuba uthatha i-Plaquenil ukuphatha imeko yokuvuvukala okanye i-malaria, kufuneka uqaphele iziphumo ezichaphazelekayo ezinokuthi zenzeke emehlweni akho nombono. I-Plaquenil (i-hydroxychloroquine) eklasini yamachiza ebizwa ngokuthi izifo-eziguqula izidakamizwa ezichasene ne-rheumatic, ezisetyenziselwa ukunciphisa ukuvuvukala, intlungu kunye nomonakalo odibeneyo. Nangona namhlanje isetyenziselwa ukuphatha izimo ezizimeleyo, ezifana ne- rheumatoid arthritis kunye ne- lupus , kwasekuqaleni isetyenziswe njengesilwanyana sokulwa ne-malaria.
Nangona aqhelekanga, i-Plaquenil ineempembelelo ezichaphazela amehlo akho.
Plaquenil kunye Namehlo Akho
Kwamanye abantu, i-Plaquenil inokubangela imeko ebizwa ngokuba yi-hydroxychloroquine retinopathy, ngokubhekiselele kuthiwa yinkomo-i-eye maculopathy. (Iimeko ngezinye iinkalo zifana nesigxina, okanye i-bulls-i-ring ring, kwi-retina ejikeleze i-macula.) I-Hydroxychloroquine retinopathy inqabile kakhulu kwaye ibonakala rhoqo kwiimeko apho umlinganiselo ophezulu okanye isigulane sithatha iminyaka emininzi. I-Bulls-eye maculopathy ayiqhelekanga, kodwa xa ithe yenzeke, inokuba yinto ebonakalayo.
Ekuqaleni, umbono ongundoqo awuchaphazelekayo, kodwa unokwazi ukubona ingcamango yokuphazamiseka kombono onokuphazamisa ukufunda. Njengoko eso sifo siqhubeka, siqala ukuphazamisa umbono ophakathi kwaye siphile ubomi. Iinguqu zihlala zisisigxina, kodwa kwezinye iimeko, umbono uphucule. Uninzi lwama-rheumatologists lincoma izigulane zibe zifundo zokujonga amehlo ngaphambi kokuba ziqale i-Plaquenil kwaye zihlolwe kwakhona kwixesha elizayo kuxhomekeke kwingozi yokuphuhlisa imeko.
Izinto ezinobungozi zibandakanya ubudala obudala kunye nesifo se-retinal esasikhona.
Kungekudala, iingcali ziye zashicilela izikhokelo ezintsha ze-Plaquenil screenings ngenxa yeengxaki zengqondo zokuhlaziya xa zithatha i-Plaquenil. Kwakhona, iteknoloji yokufumana ukutshintsha kwe-retinal iye yaphucula ekubeni izikhokelo zokuqala zenziwe.
Izikhokelo ezintsha zincoma ukuba oogqirha bamazi benze uvavanyo olujonge amehlo, kuquka oku kulandelayo:
- Ukuhlaziywa kwe-retinal examination
- Imifanekiso yokubuyisela (iifom zokuqala kuphela)
- Uvavanyo lwentsimi ebonakalayo yekhompyutheni
- I-SD-OCT (idilesi ye-spectral ehambelanayo kunye ne-tomography)
ILizwi
Uphando luye lwabonisa ukuba umngcipheko wokuphuhlisa i-retinopathy uphezulu nangona uthabatha i-Plaquenil. Enyanisweni, iziganeko zesifo sobutyhefu se-retinal zikhuphuka ngokukhawuleza kubantu abazithathileyo phakathi kweminyaka emi-5 no-7. Ngenxa yoko, uvavanyo lokuqala lufanele lwenzeke kunyaka wokuqala wokuthabatha iziyobisi kwaye emva konyaka kumanqaku eminyaka emihlanu. Ngokomntu, ndincoma uvavanyo olupheleleyo rhoqo kwiinyanga ezili-18 ukuya kwezi-18 ukuya kwiminyaka emihlanu yokuqala emva koko emva kweminyaka emihlanu.
Umthombo:
Shechtman, u-Diana L noPaul M Karpeck. Izikhokelo ezintsha ze-Plaquenil. Ukuhlaziywa kwe-Optometry, ngomhla we-15 ku-Apreli 2011, iVol 148, No. 4, iphepha 105-106.