Malaaria ennetusravimitest lapsevanema vaatenurgast /// About Malaria preventive medicines from parent's point of view

Malaaria ennetusravimitest About Malaria prevention
Ghana Expat facebooki kommuunis oli küsimus, kas Jaanuaris väikelapsega siia koliv pere peaks võtma Malaaria ennetusravimeid.

Mina vastasin, et kindlasti mitte. Tundub kummaline?

Nimelt tuleb see pere tuleb kaheks aastaks ning Malaaria ennetusravimid – ükskõik millist kaubamärki kandvad, on väga kanged ja omavad ohtralt kõrvalmõjusid. Näiteks Malarooni (mis on üks vähimate kõrvalnähtudega ennetusravim üldse) kõrvalmõjude hulka kuuluvad: palavik, nahaärritused, kõhu- selja- ja peavalud, oksendamine, topelt nägemine, nägemise halvenemine, hirmud, jõu kaotus, kõhu lahtisus, unetus, köha jne. Tõsiselt ma valisin siia listi praegu mingi 13 nähtu 70st.

Nüüd kujutage, ette et ma söödaks seda ravimit väikelapsele? Küsimuse tõstatanud pere laps on 2 aastane, minu poeg peaaegu 10 kuune. Kui mu pojal esineksid sellised kõrvalnähud siis ma ei pruugigi ju aru saada kui ta mingi hetk tegelikult haigeks jääb!

Isegi eisivaktsiine nagu näiteks kollapalaviku vastu, mis on Ghanasse tulles kohustuslik ei saanud ma talle Eestis teha, sest poiss oli siia tuleku ajaks liiga noor – reisivaktsiine ei tehta enne 9 kuu vanuseks saamist. Vaktsiinide vastane ma muidugi ei ole ning nendega sai alustatud nüüd.

Mis aga Malaaria ennetusravimitesse puutub siis, need ei hoiagi Malaariat 100% ära ning juhused, et enetusravimi võtja ikkagi haigeks jääb pole siin üldsegi harvad. Ainult, et sellisel juhul haiglas tehtav Malaaria test viirust ei näita ning selle ajaga kui doktorid püüavad välja selgitada, mis sul viga on, võib juba tõsiseks jamaks minna. Kui aga haigusele varakult jaole saada on Malaaria üldiselt lihtsalt ravitav – Ghana apteegist ostetava 3 päevase ravikuuri hind jääb 5 euro piiresse. Seega, milleks süüa aastaid tülikaid kõrvalnähte tekitavaid ravimeid lihtsalt igaks juhuks samas kui kardetav haigus allub reegline üpris lihtsalt ravile. Jah reeglina, sest erandeid ju ikka leidub. Malaariatki on juba mitut sorti aga õnneks see kõige karmim meie piirkonnas ei levi.

Hoopis teine asi on kui tullakse lühikeseks perioodiks. Sest kes, ikka tahaks oma ühe kuu pikkusest puhkusest troopikas nädala hoopis palavikuga haigevoodis veeta? Kuigi noh samas, mina ei tahaks ka lühikest aega eeltoodud kõrvalmõjude käes vaevelda, eriti kui samal ajal on plaan troopikat avastada 

Kusjuures, mina olen Ghanas elanud peaaegu 5 aastat juba ja pole veel Malaariaase jäänud. Samas kui minu abikaasa kannab selle haiguse käes 2-3 korda aaas. Ehk on teaduse valdkonnas mind ootamas põnev karjäär katsealusena?

There was question raised in Ghana Expat Facebook community: if the family that moves to Ghana with a kid in January should use Malaria preventive medicines.

I replied that definitely not. Sound weird?

Well, the family is going to stay here for 2 years and any brands of Malaria preventive medicines are very strong with loads of side effects. For instance Malarone is a preventive medicine that is considered to be least harmful. Yet amongst its side effects you can find: Fever, skin irritations, stomach- and back pains, headaches, vomiting, double vision, blurred vision, fears, loss of strength, diarrhea, sleeplessness, coughing and etc . Seriously I just piked here 13 out of 70!!!!

So now imagine if to feed this medicine to the kid? The child the family has is 2 years old. My son is almost 10months old. If my son would get those side effects I would not even know when he becomes actually sick.

I could not even do the necessary travel vaccinations to my son before we came here as he was only 1.5 months old then and I was advised not to use travel vaccines before he turns 9 months. So I have started with them just now.

But when it comes to Malaria prevention then the medicines are not keeping you 100% safe. You can still catch the disease even while you are on medications but it will be much more difficult to diagnose it then as the test would not show the result anymore. So while doctors are struggling to figure out what is wrong with you, your condition gets worse.

But if you catch Malaria early – its not too much difficult to cure. When my husband has it I usually buy a 3 days cure from local pharmacy and the price will be less than 5 Euros. So would you really like to eat for years a medicine with such side effects for just in case while you know there is a treatment available? Sure every rule has its exceptions. And there are different types of Malaria but luckily in Ghana the most dangerous one is not that common.

Completely different thing is when one would come just for vacation. Cos who would like to spend one week out of his 1 month holiday in bed with high fever? But in the other hand – I would be quite annoyed to suffer all those above mentioned side effect also during my holiday especially when my intentions are to discover the tropics!

Btw: I have been in Ghana for 5 years by now and have not caught any Malaria yet. So I guess there is nice career waiting for me in Science career track as a test subject. My husband in the other hand is having Malaria 2-3 times every year.

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