Le yindlela i-Hydroxychloroquine Shortage Ebenzakalisa ngayo abantu abaneRheumatoid Arthritis

Umxholo

• Iziphumo ezibi zokunqongophala kwehydroxychloroquine
• Kwiiveki endizichithe ndilinde i-hydroxychloroquine ukuba ifumaneke, ndiye ndafumana olona nyango lubi kwiminyaka yam emi-6 yokufunyaniswa ndine-rheumatoid arthritis.
• Indlela amabango obuxoki kamongameli abangele ngayo ingozi
• La mabango obuxoki akhokelela kwizenzo ezikhawulezileyo nezinobungozi.
• Izigulana zeRheumatology zihlala zisoyika
• Ngoku kunakuqala, kufuneka sithembele kwiingcebiso ezifanelekileyo ezivela kuluntu lwezonyango

Ingcebiso kaTrump yokusebenzisa iyeza le-antiviral ukukhusela i-COVID-19 yayingenasisekelo kwaye iyingozi- kwaye ibeka ubomi babantu abaneemeko ezingapheliyo emngciphekweni.

Ekupheleni kukaFebruwari, ukulungiselela ubhubhane ekuqikelelwe ukuba uza kwehla kuluntu lwam ngaphandle nje kweManhattan, ndaye ndaqokelela ukutya, iimfuno zasekhaya, kunye namayeza afunekayo ukondla usapho lwam olukhulu ngexesha lokuvalelwa.

Bendisazi ukukhathalela usapho lwabantu abasixhenxe-ukongeza kumama osele ekhulile ohlala nathi-kungangumceli mngeni ngexesha lesifo.

Ndinesimo sobundlongondlongo nesidodobalisayo samathambo kwaye abantwana bam abahlanu banezifo ezizimeleyo kunye neminye imiba yezonyango. Oku kwenza ukucwangciswa kwesibetho esibalulekileyo kubalulekile.

Ngeli xesha linye, ugqirha wam wamathambo wacebisa ukuba de umyeni wam ayeke ukuya kwisiXeko saseNew York esiya kusebenza, mna nabantwana bam siyayeka ukuthatha amayeza acinezela ngokuchasene nezifo ebesizithatha ukucinezela imisebenzi yezifo.

Ugqirha wethu wayexhalabile ukuba umyeni wam wayeza kutyhileka kwi-COVID-19 xa wayesemsebenzini okanye xa ehamba ngololiwe onabantu abaninzi, nto leyo eyayinokubeka ubomi bam engozini kusapho lwam olwalungenakumelana nomzimba nakumama owayebuthathaka.

Iziphumo ezibi zokunqongophala kwehydroxychloroquine

Ukuyekisa i-biologics yethu kuya kuza neengozi-eyona nto inokuba kukudodobala kokudumba okuxhaphakileyo, okungafakwanga ukudumba okubangelwa zizifo.

Ngelinge lokuzama ukunciphisa eli thuba, ugqirha wam wandinika isiyobisi ekuthiwa yi-antimalarial drug hydroxychloroquine, nesasetyenziselwa ukunyanga i-rheumatoid arthritis, lupus nezinye izifo.

Nangona ihydroxychloroquine ingasebenzi njengonyango lokugula kwam njengoko kunjalo ngebhayoloji, ayibeki mngcipheko we-immunosuppressive ofanayo.

Nangona kunjalo, xa ndizama ukugcwalisa amayeza, ndaye ndaxelelwa ngusokhemesti owayekhathazekile ukuba abakwazanga ukufumana amayeza kubaxhasi babo ngenxa yokunqongophala.

Ndibizile yonke ikhemesti enye kwindawo yethu kwaye kwahlangatyezwana nebali elifanayo ngalo lonke ixesha.

Kwiiveki endizichithe ndilinde i-hydroxychloroquine ukuba ifumaneke, ndiye ndafumana olona nyango lubi kwiminyaka yam emi-6 yokufunyaniswa ndine-rheumatoid arthritis.

Ukunxiba, ukupheka, ukunyuka ndisihla ngezinyuko, ukucoca nokunyamekela abantwana bam nomama kwaba yimisebenzi engenakoyiswa.

Ifiva, intloko ebuhlungu, ukungalali, kunye neentlungu ezingapheliyo zinditya. Amalungu am aba buthathaka kakhulu kwaye adumbile, kwaye andinakukwazi ukuhambisa iminwe okanye iinzwane njengoko zazidumba kwaye zivaleleke endaweni.

Ukuphuma nje ebhedini ntsasa nganye uye kwigumbi lokuhlambela lokuhlambela - oko kunceda ukuphucula ukuqina, uphawu lwe-RA kwaye rhoqo xa iintlungu zimbi kakhulu-kuthathe ixesha eliphindwe kathathu ngokwesiqhelo.

Ukungonwabi okungathethekiyo kungandishiya ndiphefumla.

Indlela amabango obuxoki kamongameli abangele ngayo ingozi

Kungekudala emva kokuqonda kwam ukuba amayeza ayaphelelwa, kwavela iingxelo zoogqirha kwamanye amazwe bezama i-hydroxychloroquine kunye ne-azithromycin ngeziphumo ezingacacanga.

Uluntu lwezonyango luvumile ukuba iimvavanyo zeklinikhi ziyimfuneko ukungqina ukusebenza kwezi meds, kodwa uMongameli uDonald Trump wazenzela izigqibo ezingenasihlahla.

KuTwitter, watyhola ihydroxychloroquine “njengomnye wabona bantu batshintsha umdlalo kwimbali yezonyango.”

UTrump ubanga ukuba abaguli be-lupus, abahlala bephathwa nge-hydroxychloroquine, kubonakala ngathi abanakufumana i-COVID-19, kwaye "kukho amarhe phaya phandle" kwaye "kukho isifundo" sokuqinisekisa "ithiyori" yakhe.

La mabango obuxoki akhokelela kwizenzo ezikhawulezileyo nezinobungozi.

Oogqirha bababekela ngaphezulu ihydroxychloroquine ngokwabo kunye nezigulana ezazifuna ukuyithatha ngokuchanekileyo - okanye abafuna nje ichiza kwikhabhathi yabo yamayeza nje ukuba banokuphuhlisa i-COVID-19.

Indoda eArizona isweleke emva kokungenisa i-chloroquine phosphate- eyenzelwe ukucoca ii-aquariums- kwiinzame zokuzikhusela kwinoveli coronavirus.

Endaweni yokusikhusela, kwacaca ukuba ingcebiso yenkokeli yelizwe lethu ephezulu endaweni yoko ibangela ingozi kunye neenkolelo eziyimpazamo eziyingozi.

Izigulana zeRheumatology zihlala zisoyika

Ingcebiso kaTrump yayingeyonto ingenabungozi kwaye iyingozi, kodwa yayibeka ubomi babantu abaneemeko ezingapheliyo emngciphekweni.

Kwinqaku kwi-Annals of Internal Medicine, i-COVID-19 Global Rheumatology Alliance, umanyano lwee-rheumatologists, ilumkise ngokungxamela kwizigqibo malunga neziyobisi. Baye balumkisa ngelithi ukunqongophala kunokuba yingozi kubantu abaphila nesifo samathambo kunye ne-lupus.

Ukushokoxeka kwe-Hydroxychloroquine (HCQ) kunokubeka ezi zigulana emngciphekweni wokutsha kakhulu kwaye zisongela nobomi; ezinye zingafuna ukulaliswa esibhedlele xa izibhedlele sele zikhona, ”kubhala i-Alliance. "Kude kube kuveliswe ubungqina obunokuthenjwa kwaye kwenziwe ubonelelo olwaneleyo, ukusetyenziswa kwe-HCQ kwizigulana ezine-COVID-19 kufuneka kugxininiswe, njengokusebenzisa kwizifundo zophando."

Ngo-Epreli, i-US Food and Drug Administration (i-FDA) ngokuchasene nokusebenzisa i-hydroxychloroquine ye-COVID-19 ngaphandle kwesibhedlele okanye ulingo lwezonyango, icaphula iingxelo zeengxaki zesingqisho sentliziyo kubantu abane-COVID-19 baphathwa ngamayeza.

Ngomhla wamashumi amabini anesibhozo ku-Matshi 2020 i-FDA yanika isigunyaziso sokusetyenziswa ngokungxamisekileyo (i-EUA) sehydroxychloroquine kunye ne-chloroquine kunyango lwe-COVID-19, kodwa basirhoxisa esi sigunyaziso ngoJuni 15, 2020. Ngokusekwe kuphononongo lophando lwamva nje, i-FDA izimisele ukuba la machiza ayinakuba lunyango olusebenzayo lwe-COVID-19 kwaye ukuba umngcipheko wokuzisebenzisa ukulungiselela le njongo unokugqwesa naziphi na izibonelelo.

Amaziko oLawulo lweNtsholongwane kunye noThintelo (CDC) ukuba "akukho ziyobisi okanye ezinye iindlela zonyango ezivunyiweyo ngoku yiU.S.Food and Drug Administration (FDA) ukuthintela okanye ukunyanga i-COVID-19."

Idibeneyo: Izifundo zeHydroxychloroquine iRhoxisiwe, ukungabikho kobungqina bokuqala

Uninzi oluthembele kwihydroxychloroquine luyathemba ukuba olu lwalathiso luvela kubezonyango luya kuthetha ukufikelela ngokulula kumayeza abo okusindisa ubomi.

Kodwa loo mathemba aphela ngokukhawuleza xa uTrump eqhubeka nokuthetha amayeza othintelo lwe-COVID-19, ukuya kuthi ga ngoku wayethatha yonke imihla.

Kwaye ke, ukunqongophala kuyaqhubeka.

Ngokophando olwenziwe yiLupus Research Alliance, ngaphezulu kwesithathu sabantu abane-lupus banemicimbi yokugcwalisa amayeza abo e-hydroxychloroquine phakathi kwesibetho se-COVID-19.

Izigulana zeRheumatology ezinjengam zihlala zisoyika ukusilela okuqhubekayo, ngakumbi njengoko ezinye iindawo zibona ukwanda okanye ukuvuseleleka kwamatyala e-COVID-19 kwaye sisiya kumjelo wesibini obonakala ungenakuphepheka.

Ngoku kunakuqala, kufuneka sithembele kwiingcebiso ezifanelekileyo ezivela kuluntu lwezonyango

Ndinombulelo ongazenzisiyo kwaye ndinombulelo kuba indawo yezonyango isebenza ngokungakhathali ukufumana unyango kwabo baphuhlise i-COVID-19, kunye nabaphandi abazama ngamandla izitofu eziya kuthi ngethemba zinqande ukusasazeka kwesi sifo sibulalayo.

Ukuhlala kwi-hotspot enamatyala amaninzi kwindawo endihlala kuyo, ndiyazi kakuhle indlela ebuhlungu ngayo iSARS-CoV-2, intsholongwane ebangela i-COVID-19.

Kufuneka sithembele kubuchule boluntu lwezonyango xa sifuna imithombo ethembekileyo yonyango kunye nethemba.

Nangona uTrump esithi unazo zonke iimpendulo, ukuthatha naliphi na ingcebiso yezonyango kuye kuyingozi kwimpilo nakwintlalo-ntle yakho.

Umrhumo wokubekwa ngokungakhathali kukaTrump uthathe awona malungu abuthathaka kuluntu lwethu awunakuthethelelwa.

Abo baye benzakala okanye baphulukana nobomi babo, kunye nezigulana ezingenakho ukufikelela kumayeza abo, bubungqina.

U-Elaine MacKenzie ukhubazekile kwaye ungummeli onesifo esinganyangekiyo onamava angaphezu kweminyaka engama-30. Uhlala ngaphandle kwesiXeko saseNew York nabantwana bakhe, umyeni, kunye nezinja zabo ezine.