Èse ŋkɔ ‘Methylene Blue’ kpɔa? Ðewohĩ menye nenemae o. Enye atike si mebɔ kura o, gake ele vevie ŋutɔ. Le nyateƒe me la, enye tsi si ƒe amadede nye blɔ. Edzena abe amadede si nèdea avɔ ŋu ene, gake ate ŋu ada dɔléle sesẽ aɖewo. Enyo, eyata mina míakpɔ nusi ŋutinyaa ku ɖe atike blɔ wɔnuku sia ŋu ɖaa?
Nuka tututue nye Methylene Blue?
Kpuie ko la, methylene blue nye atike si ɖɔktawo zãna tsɔ daa ʋumenugbagbeviɣidɔ si mebɔ o si woyɔna be
methemoglobinemia . Togbɔ be le nyateƒe me la, nu sesẽe wònye hã la, ne wozãe abe atike ene la, wotsɔe ƒo ɖe tsi me hedoe abe
atike ene abe tsi blɔ ene. Atike sia ƒe ŋutinya hã doa dzidzɔ na ame ŋutɔ. Germanytɔ atikeŋutinunyala aɖee ke ɖe eŋu zi gbãtɔ le ƒe alafa 19 lia me. Wozãnɛ le gɔmedzedzea me abe amadede ene le avɔlɔ̃ƒewo. Emegbe wova zãe hã abe amadede ƒe amadede ene le dodokpɔ siwo wowɔ le nudokpɔƒe me. Anɔ abe ƒe 125 enye sia la, Germanytɔ ɖɔkta aɖe te eŋudɔwɔwɔ abe asrãdɔ dada ene. Tso ɣemaɣi la, eƒe viɖewo nyo ɖe edzi ŋutɔ. Fifia la, United States ƒe FDA koe da asi ɖe edzi be wòanye methemoglobinemia ƒe atike. Gake ɣeaɖewoɣi la, ɖɔktawo zãnɛ na atikewɔwɔ ƒe nɔnɔme bubuwo hã.
Dɔléle ka ƒomevie wozãa atike sia na?
Abe alesi míegblɔe va yi ene la, atike sia zazã koŋ enye be woatsɔ ada dɔléle aɖe si woyɔna be methemoglobinemia.
Eyata nukae nye methemoglobinemia?
Esia nye dɔléle si do ƒome kple míaƒe ʋu. Kpuie ko la, ne dɔléle sia do mo ɖa la, ʋumenugbagbevi dzĩ siwo le míaƒe ʋu me mete ŋu tsɔa ɔksidzin yia ŋutilãa ƒe lãkusiwo me nyuie o.
Ne oxygen mesu ŋutilãa si o , ŋutilãa ƒe akpa aɖewo abe nuyiwo, ŋutigbalẽ, aɖe, kple asibidɛwo ene dzea blɔ. Wogayɔa esia be cyanosis . Ne esia dzɔ ɖe vidzĩ suewo dzi la, woyɔnɛ ɣeaɖewoɣi be ‘blue baby syndrome’.
Ame aɖewo nyia dɔléle sia ƒe dome to domenyiŋusẽfianu dzi, si fia be tso wo dzilawo gbɔ. Gake le ame geɖe gome la, atike aɖewo, atike aɖewo zazã, alo
atike aɖewo zazã tae wòdzɔna ɖo . Methemoglobinemia nye dɔléle sesẽ aɖe
si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã . Methylene blue nye atike nyuitɔwo dometɔ ɖeka na esia.
Aleke atike sia wɔa dɔe?
Methylene blue wɔa dɔ to atikewo tɔtrɔ methemoglobin molecule siwo mete ŋu tsɔa oxygen o la wozua hemoglobin molecule siwo te ŋu tsɔa oxygen o. Ele abe batri ƒe agba ene. Ðɔkta alo dɔnɔdzikpɔla naa atike sia abe IV ene le kɔdzi alo atikewɔƒe. Exɔa abe miniti 5 va ɖo 30 ene. Zi geɖe la, atike ɖeka zazã aɖe dɔlélea ƒe dzesiwo dzi akpɔtɔ. Gake ne dzesiawo gadze le gaƒoƒo ɖeka megbe la, ɖɔkta ate ŋu atso nya me be yeagado atike bubu.
Hafi wòana atike sia wò la, wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya bliboa ŋu, elabena atike sia ate ŋu anye afɔku na amesiwo ŋu dɔléle aɖewo le.
Nusiwo wòle be nàgblɔ na wò ɖɔkta godoo
| G6PD ƒe anyimanɔmanɔ | Esia nye domenyiŋusẽfianu ƒe dɔléle si gblẽa nu le ʋumenugbagbevi dzĩwo ŋu. Ne wona methylene blue ame si ŋu dɔléle sia le la, ʋumenugbagbevi dzĩawo ate ŋu agbã kabakaba (hemolysis) eye wòadze dɔ vevie. Esiae nye nu vevitɔ kekeake. |
| Fufɔfɔ alo no nana | Kpɔ egbɔ be yegblɔe na wò ɖɔkta ne èfɔ fu, nèle agbagba dzem be yeafɔ fu, alo nèle no nam. |
| Atikewɔwɔ ƒe nɔnɔme bubuwo | Taflatse na míanya ne ayiku alo aklãdɔ le ŋuwò. |
| Nusiwo ŋu nulɔdɔ le | Gblɔe na mí ne methylene blue alo atike, nuɖuɖu, alo amadede bubuwo ƒe nulɔdɔ aɖe le ŋuwò. |
| Cyanide ƒe aɖi | Ne èsusu be aɖi le cyanide me la, ele be nàgblɔe na wò ɖɔkta . |
Nukawoe nye eƒe nugbegblẽ le ame ŋu?
Abe atikewo katã ene la, esia hã ate ŋu agblẽ nu le ame ŋu.
- Nu suesuesue siwo dona tso eme (naneke si ŋu nàtsi dzi ɖo o):
- Aɖuɖɔ kple aɖuɖɔ si ƒe amadede nye blɔ (esia sɔ, atike la ƒe amadede gbɔe wòtso) .
- Aɖuɖɔtoe kple ʋuʋudedi
- Tɔtrɔ sue aɖe le ŋutigbalẽ ƒe amadede ŋu
- Vevesese le asi si me wodo IV le la me
- Nu gbegblẽ sesẽ siwo wòle be woagblɔ na ɖɔkta enumake:
- Akɔtave
- Taɖuame
- Taɖuame (taɖuame) .
- Tɔtɔ
- Fifia ƒe dzidziɖedzi
- Dɔgbo ƒe vevesese
Atikewo ƒe kadodo ɖekae
Esia hã nye akpa vevi aɖe ŋutɔ. Atike aɖewo ate ŋu agblẽ nu le ame ŋu ŋutɔ ne wozã wo kple methylene blue.
Vevietɔ la, blanuiléle alo dzimaɖitsitsi ƒe atike aɖewo (e.g., SSRIs) ateŋu ahe nɔnɔme si ate ŋu awu ame si woyɔna be ‘Serotonin Syndrome’ vɛ ne wozãe kpe ɖe methylene blue ŋu.
Esia fia be atike si nye serotonin si le míaƒe ahɔhɔ̃ me dzina ɖe edzi akpa, si wɔnɛ be dzesi sesẽwo abe ʋuʋudedi, dzoxɔxɔ sesẽ, tagbɔdɔléle, kple ku gɔ̃ hã ene. Eyata
ele vevie be nàgblɔ atike, vitamin, kple kpeɖeŋutɔ siwo katã nèzãna na wò ɖɔkta. Viɖe bubuwo kple nusiwo wotu ɖe numekuku dzi
Togbɔ be methemoglobinemia koe FDA da asi ɖe edzi hã la, ɖɔktawo zãnɛ na nɔnɔme bubuwo le nɔnɔme tɔxɛwo me. Woyɔa esia be ‘off-label’ zazã.
- Abe atike ene: Abe atikewo abe nitrite ene, siwo wozãna le dɔwɔƒe aɖewo ƒe aɖi ƒe atike ene. Ne èsusu be nane le abe esia ene la, yi kɔdzi ƒe Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) enumake. Ne ehiã la, woaƒo ka na Dukɔa ƒe Aɖi Ŋuti Nyatakaka Dɔwɔƒe si le Colombo Dukɔa ƒe Kɔdzi abia aɖaŋuɖoɖo.
- Dzidziƒoame: Da dzidziƒoame na dɔnɔ aɖewo siwo le dɔ lém vevie le dɔnɔdzikpɔƒe si wokpɔa dɔnɔwo gbɔ vevie (ICU).
- Kansa kpɔkpɔ: Le kansa ƒe amekoko me la, wozãnɛ abe amadede ene tsɔ ɖea kansa lãmenugbagbeviwo kple ʋuka siwo me ʋu sina tona fiana le blɔ me.
- Ŋkuɖoɖonudzi ƒe nyonyo: Wole numekuku wɔm be woakpɔe ɖa be esia ate ŋu aɖe vi na dɔlélewo abe Alzheimer dɔléle ene siwo dzɔna ne ame tsi.
- Abe dɔlékuiwutike ene la:Numekuku aɖewo ɖee fia be ne wotsɔ methylene blue kple light ƒo ƒu la, ate ŋu awu dɔlékuiwo abe coronavirus ene.
Vevietɔ: Amesiawo dometɔ geɖe gakpɔtɔ le numekuku ƒe afɔɖeɖea me. Eyata mègate wo kpɔ le esi nèkpɔ wo le internet dzi ta ko o. Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi ɣesiaɣi.
Gbedasi si Wotsɔ Yi Aƒeme
- Methylene Blue nye atike tɔxɛ aɖe si wonana tsɔ daa ʋumenugbagbeviɣidɔ si mebɔ o gake wòsẽa ŋu si woyɔna be methemoglobinemia.
- Mègazã atike sia ɖeɖeko gbeɖe o . Wodonɛ ɖe ʋuka me ɣesiaɣi le kɔdzi le ɖɔkta alo dɔnɔdzikpɔla ƒe dzikpɔkpɔ te.
- Ne domenyiŋusẽfianu ƒe dɔléle aɖe si woyɔna be G6PD ƒe anyimanɔmanɔ le ŋuwò la, ele be nàgblɔe na wò ɖɔkta godoo. Ele vevie ŋutɔ na agbe ƒe dedienɔnɔ.
- Na wò ɖɔkta nanya nu tso atike bubu siwo katã nèzãna (vevietɔ esiwo wozãna na tagbɔdɔlélewo) ŋu be nàxe mɔ ɖe serotonin ƒe dɔléle si me afɔku le nu.
- Esɔ be wò aɖuɖɔ natrɔ zu blɔ-amagbe le atikeawo nono vɔ megbe. Mègatsi dzi ɖe eŋu o. Gake ne èkpɔ dzesiwo abe akɔtave alo tɔtɔ ene la, yi ɖɔkta gbɔ enumake.
- Viɖe bubu siwo le atike sia ŋu gakpɔtɔ le numekuku ƒe afɔɖeɖea me, eyata wɔ ɖe wò ɖɔkta ƒe aɖaŋuɖoɖo dzi ɣesiaɣi.
Methylene Blue, Methemoglobinemia, cyanosis, G6PD ƒe anyimanɔmanɔ, Serotonin Dɔléle, Atikewo ƒe nugbegblẽ le ame ŋu
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