Uma uthatha i-Plaquenil ukuphatha isimo sokuvuvukala noma i-malaria, kufanele uqaphele imiphumela emibi engase yenzeke emehlweni akho nasembonweni. I-Plaquenil (i-hydroxychloroquine) iseklasini lezidakamizwa ezibizwa ngokuthi izidakamizwa eziguqula isifo-anti-rheumatic, ezisetshenziselwa ukunciphisa ukuvuvukala, ubuhlungu kanye nokulimala okuhlangene. Nakuba namuhla isetshenziselwa ukuphatha izimo ezizimele, njenge- arthritis ye-rheumatoid ne- lupus , kwasekuqaleni isetshenziselwa njengesidakamizwa se-anti-malaria.
Nakuba kungavamile, i-Plaquenil inemiphumela emibi engathinta amehlo akho.
Plaquenil kanye Amehlo Akho
Kwezinye abantu, i-Plaquenil ingabangela isimo esibizwa ngokuthi i-hydroxychloroquine retinopathy, evame ukubhekwa njengezinkunzi-i-maculopathy ye-eye. (Isimo ngezinye izikhathi sifana nesilongo, noma izinkunzi zezinkunzi-iso, ku-retina ezungeze i-macula.) I-Hydroxychloroquine retinopathy iyingqayizivele kakhulu futhi ivame ukubonakala ezimweni lapho umthamo uphezulu noma isiguli sesithatha iminyaka eminingana. Ama-bulls-eye maculopathy akuvamile, kodwa uma kwenzeka, kungabangela ukubhubhisa ngokubukeka.
Okokuqala, umbono ophakathi awuthintekile, kodwa ungabona isici sokuphazanyiswa umbono ongase uphazamise ukufunda. Njengoba lesi sifo sithuthuka, siqala ukuphazamisa umbono ophakathi futhi siphile impilo. Izinguquko zivame ukuhlala unomphela, kodwa kwezinye izimo, umbono uphuthukisiwe. Abaningi bama-rheumatologists batusa iziguli ukuba zihlole ukuhlolwa kwamehlo ngaphambi kokuba ziqale i-Plaquenil futhi zihlolwe kabusha esikhathini esizayo kuye ngokuthi ingozi yabo yokuthuthukisa isimo.
Izici zengozi zibandakanya ukukhula okudala futhi zibe nesifo se-retinal esandulele.
Muva nje, ochwepheshe baye bamemezela imihlahlandlela emisha ye-Plaquenil screenings ngenxa yezinkinga ezihlotshaniswayo zokubuyisa ngenkathi ethatha i-Plaquenil. Futhi, ubuchwepheshe bokuthola izinguquko ze-retinal sekuthuthukile kusukela iziqondiso zokuqala zisethiwe.
Lezi ziqondiso ezintsha zincoma odokotela bezandla ukuba bahlole ukuhlola iso, okufaka okulandelayo:
- Ukuhlolwa kwe-retinal retinal
- Isithombe sokubuyisa (kumadokhumenti okuqala kuphela)
- Ukuhlolwa komkhakha wokubukwa kwekhompyutha ophakathi
- I-SD-OCT (i-spectral domain optical coherence tomography)
Izwi elivela
Ucwaningo luye lwabonisa ukuthi ingozi yakho yokuthuthukisa i-retinopathy iphakeme uma usuthatha i-Plaquenil isikhathi eside. Eqinisweni, isifo sobuthakathaka be-retinal sikhuphuka kakhulu kubantu abayithathile phakathi kweminyaka emihlanu kuya kwengu-7. Ngenxa yalokho, ukuhlola okuyisisekelo kumele kwenzeke ngonyaka wokuqala wokuthatha lesi sidakamizwa bese kuthi njalo ngonyaka emakethe emihlanu. Ngomuntu siqu, ngincoma ukuhlolwa okugcwele njalo ezinyangeni ezingu-18-24 phakathi neminyaka emihlanu yokuqala futhi emva kweminyaka emihlanu.
Umthombo:
UShechtman, u-Diana L noPaul M Karpeck. Izinketho ezintsha ze-Plaquenil. Ukubuyekezwa kwe-Optometry, 15 APR 2011, Vol. 148, No. 4, amakhasi 105-106.