Quinine: nws yog dab tsi, nws yog dab tsi rau thiab cov kev mob tshwm sim
Zoo Siab
Quinine yog thawj qhov tshuaj yeeb tshuaj uas siv los kho tus mob npaws, tom qab tau hloov chloroquine, vim nws cov tshuaj lom thiab ua kom tau txiaj ntsig tsawg. Txawm li cas los xij, tom qab ntawv, nrog kev tawm tsam ntawm tus P. falciparum rau chloroquine, quinine tau siv dua, ib leeg lossis hauv kev sib xyaw nrog lwm cov tshuaj.
Txawm hais tias cov tshuaj no tsis tau muag hauv tebchaws Brazil tam sim no, nws tseem siv tau qee lub tebchaws los kho tus mob npaws los ntawm kab mob ntawm Plasmodium tiv thaiv chloroquine thiab Babesiosis, kev kis los ntawm tus cab Babesia microti.
Yuav siv li cas
Txog kev kho mob malaria, qhov koob tshuaj uas pom zoo yog 600 mg (2 ntsiav tshuaj) txhua 8 teev nyob rau 3 txog 7 hnub. Hauv cov menyuam yaus, qhov koob tshuaj pom zoo yog 10 mg / kg txhua 8 teev rau 3 txog 7 hnub.
Txog kev kho mob ntawm Babesiosis, nws yog ib txwm muaj ua ke los ua lwm yam tshuaj, xws li clindamycin. Cov koob tshuaj pom zoo yog 600 mg ntawm quinine, 3 zaug hauv ib hnub, rau 7 hnub. Hauv cov menyuam yaus, kev noj tshuaj txhua hnub ntawm 10 mg / kg ntawm quinine cuam tshuam nrog clindamycin raug pom zoo txhua 8 teev.
Leej twg yuav tsum tsis txhob siv
Quinine yog contraindicated rau cov neeg muaj kev fab tshuaj rau cov tshuaj no lossis rau ib qho twg hauv cov qauv no thiab yuav tsum tsis txhob siv los ntawm cov poj niam cev xeeb tub lossis lactating yam tsis muaj tus kws kho mob.
Tsis tas li, nws kuj yuav tsum tsis txhob siv los ntawm cov neeg muaj ntshav qabzib-6-phosphate dehydrogenase tsis txaus, nrog optic neuritis lossis keeb kwm ntawm swamp kub.
Muaj kev phiv ntau
Qee qhov kev cuam tshuam tshwm sim feem ntau uas tuaj yeem tshwm sim los ntawm quinine yog rov qab hnov lus, xeev siab thiab ntuav.
Yog tias pom kev tsis sib haum xeeb, pob tawv nqaij, hnov pob ntseg lossis tinnitus tshwm sim, ib qho yuav tsum tsis txhob noj tshuaj tam sim ntawd.
Peb Qhia
Yuav ua li cas txhaj tshuaj intramuscular (hauv 9 kauj ruam)
