Haeba u nka Plaquenil ho phekola boemo ba ho ruruha kapa malaria, u lokela ho hlokomela litla-morao tse ka 'nang tsa etsahala mahlo le pono ea hau. Plaquenil (hydroxychloroquine) e ka sehlopheng sa lithethefatsi tse bitsoang likokoana-hloko tse loantšang likokoana-hloko, tse sebelisoang ho fokotsa ho ruruha, bohloko le tšenyo e kopanetsoeng. Le kajeno e sebelisetsoa ho sebetsana le maemo a ikemetseng, a kang lefu la ramatiki le lupus , e neng e sebelisoa qalong e le lithethefatsi tse khahlanong le malaria.
Le hoja li tloaelehile, Plaquenil e na le litla-morao tse ka amang mahlo a hau.
Plaquenil le Mahlo a Hao
Batho ba bang, Plaquenil e ka baka boemo bo bitsoang hydroxychloroquine retinopathy, hangata e bitsoa lipoho-li-maculopathy. (Maemo ka linako tse ling a tšoana le selikalikoana, kapa li-bulls-lesela la mahlo, ho retina e lika-likelitseng macula.) Retinopathy ea Hydroxychloroquine e sa tloaelehang haholo 'me hangata e bonoa ha litekanyetso li phahame kapa mokuli o li nka ka lilemo tse' maloa. Li-lion-eye maculopathy ha li tloaelehe, empa ha li etsahala, li ka ba tse bohloko haholo.
Qalong, pono e bohareng ha e amehe, empa o ka lemoha leseli la pherekano e ka 'nang ea kena-kenana le ho bala. Ha lefu lena le ntse le tsoela pele, le qala ho ama pono e bohareng 'me le fetoha bophelo. Hangata liphetoho li teng ka ho sa feleng, empa maemong a mang, pono e ntlafetse. Boholo ba li-rheumatologists ba khothaletsa bakuli hore ba be le tlhahlobo ea liso ea motheo pele ba qala ho beha le ho hlahlojoa hape nakong e tlang ho latela kotsi ea ho ntlafatsa boemo bona.
Lisosa tsa kotsi li kenyeletsa lilemo tse tsofetseng le ho ba le lefu la retinal le pele ho moo.
Morao tjena, litsebi li phatlalalitse tataiso e ncha ea Plaquenil screenings ka lebaka la mathata a li-retinal a amanang le ha a ntse a nka Plaquenil. Hape, theknoloji ea ho lemoha liphetoho tsa retina e ntlafalitsoe ho tloha ha tataiso ea pele e behiloe.
Tataiso e ncha e khothalletsa lingaka tsa mahlo hore li etse tlhahlobo e tebileng ea mahlo, ho kenyelletsa tse latelang
- Ho hlahlojoa lipotso tsa retinase
- Litšoantšo tsa retinal (bakeng sa litokomane tsa motheo feela)
- Tlhahlobo ea masimo a maiketsetso a mahareng
- SD-OCT (marang-rang a marang-rang a lumellanang le taba)
Lentsoe le Tsoang ho
Lipatlisiso li bontšitse hore kotsi ea ho ba le tšoaetso ea lefu lena ke ea bohlokoa ha u ntse u nka Plaquenil. Ha e le hantle, ts'oaetso ea retinal toxicity e phahama haholo ho batho ba e nkileng pakeng tsa lilemo tse 5 ho isa ho tse supileng. Ka lebaka leo, tlhahlobo ea lintlha tsa motheo e lokela ho etsahala nakong ea selemo sa pele sa ho noa moriana ebe o etsa selemo le selemo ka lilemo tse hlano. Ka boeena, ke khothaletsa tekanyo e feletseng ea likhoeli tse 18-24 lilemong tse hlano tse qalang le selemo ka mor'a lilemo tse hlano.
Mohloli:
Shechtman, Diana L le Paul M Karpeck. Mekhoa e mecha ea Plaquenil. Tlhahlobo ea Optometry, 15 APR 2011, Khaolo ea 148, No. 4, leqepheng la 105-106.