Ngati mukugwiritsa ntchito Plaquenil kuti muchepetse chifuwa kapena malungo, muyenera kudziwa zotsatirapo zomwe zingakuchitikire maso ndi masomphenya. Plaquenil (hydroxychloroquine) ali m'gulu la mankhwala otchedwa matenda-kusintha anti-rheumatic mankhwala, omwe amagwiritsidwa ntchito kuchepetsa kutupa, ululu ndi kuwonongeka kwa mgwirizano. Ngakhale masiku ano amagwiritsidwa ntchito pochiza matenda, monga nyamakazi ya nyamakazi ndi lupus , poyamba idagwiritsidwa ntchito ngati mankhwala odana ndi malungo.
Ngakhale kuti si zachilendo, Plaquenil ili ndi zotsatira zina zomwe zingakhudze maso anu.
Makhalidwe ndi Maso Anu
Kwa anthu ena, Plaquenil angayambitse matenda otchedwa hydroxychloroquine retinopathy, omwe amatchedwa ng'ombe zamphongo. (Nthaŵi zina matendawa amafanana ndi chingwe, kapena chingwe cha diso, pa retina yozungulira macula.) Kuthamanga kwa hydroxychloroquine ndi kosavuta kwambiri ndipo nthawi zambiri kumawoneka ngati mlingo uli wapamwamba kapena wodwalayo wakhala akutenga kwa zaka zingapo. Ng'ombe za maso ndizosazolowereka, koma zikachitika, zikhoza kukhala zoopsa kwambiri.
Poyambirira, masomphenya a pakati sakhudzidwa, koma mukhoza kuzindikira chingwe chomwe chimasokoneza masomphenya omwe angasokoneze kuwerenga. Pamene matendawa akuyamba, amayamba kuwonetsa masomphenya akuluakulu ndikukhala moyo. Kusinthako kumakhala kosalekeza, koma nthawi zina masomphenya apindula. Ambiri a rheumatologists amalimbikitsa odwala kukhala ndi kafukufuku wamaso oyambirira asanayambe kuyika Malowa ndi kubwerezedwanso m'tsogolomu malingana ndi chiopsezo chokhala ndi vutoli.
Zinthu zoopsa zimaphatikizapo msinkhu komanso kukhala ndi matenda a retinal omwe alipo kale.
Posachedwapa, akatswiri adalengeza zatsopano zowonongeka kwa Plaquenil chifukwa cha mavuto omwe amabwera nawo pamtengowo pamene akutenga Plaquenil. Ndiponso, luso lakuzindikira kusintha kwa retina lapambana kuyambira pomwe malangizo oyambirira adayikidwa.
Malangizo atsopano amalangiza madotolo a maso kuti azifufuza bwinobwino maso, kuphatikizapo zotsatirazi:
- Kuwerengedwa kwa retin
- Kujambula zithunzi zojambula m'mbuyo (kwa malemba oyambirira okha)
- Chiyeso choyang'ana pakompyuta chamkati
- SD-OCT (spectral domain optical coherence tomography)
Mawu Ochokera
Kafukufuku wasonyeza kuti chiopsezo chanu chokhala ndi matenda opatsirana pogonana ndi apamwamba pamene mutenga Plaquenil. Ndipotu, chizoloŵezi cha poizoni cha retinal chimakwera kwambiri mwa anthu amene adatenga pakati pa zaka zisanu ndi zisanu ndi ziwiri. Chotsatira chake, kuyesedwa koyambirira kuyenera kuchitika m'chaka choyamba cha kumwa mankhwalawa ndi chaka chilichonse pazaka zisanu. Ndimwini, ndikupangitsanso kufufuza kwa miyezi yonse 18-24 m'zaka zisanu zoyambirira ndikukhala chaka chimodzi patatha zaka zisanu.
Chitsime:
Shechtman, Diana L ndi Paul M Karpeck. Malangizo atsopano a Plaquenil. Ndemanga ya Optometry, 15 APR 2011, Vol 148, No. 4, masamba 105-106.