Koj puas tau hnov txog lub npe 'Methylene Blue'? Tej zaum tsis yog. Nws yog ib qho tshuaj uas tsis tshua muaj, tab sis tseem ceeb heev. Nws yog ib qho kua xiav. Nws zoo li ib qho xim uas koj muab tso rau ntawm daim ntaub, tab sis nws tuaj yeem kho qee yam kab mob loj. Zoo, yog li cia peb saib seb zaj dab neeg txog cov tshuaj xiav txawv txawv no yog dab tsi?
Methylene Blue yog dab tsi tiag?
Hais yooj yim xwb, methylene xiav yog ib yam tshuaj uas cov kws kho mob siv los kho ib yam kab mob ntshav tsawg tsawg hu ua
methemoglobinemia . Txawm hais tias nws yog ib yam khoom khov, thaum siv ua tshuaj, nws yaj rau hauv dej thiab muab
ua ib qho kua xiav. Keeb kwm ntawm cov tshuaj no kuj yog qhov nthuav heev. Nws tau pom thawj zaug los ntawm tus kws tshuaj German hauv xyoo pua 19th. Thaum xub thawj nws tau siv ua xim zas hauv kev lag luam textile. Tom qab ntawd, nws kuj tau siv ua xim hauv kev sim hauv chav kuaj. Kwv yees li 125 xyoo dhau los, tus kws kho mob German tau pib siv nws ua kev kho mob rau malaria. Txij thaum ntawd los, nws cov txiaj ntsig tau zoo dua ntau heev. Tam sim no, nws tsuas yog pom zoo los ntawm US FDA ua kev kho mob rau methemoglobinemia. Txawm li cas los xij, cov kws kho mob qee zaum siv nws rau lwm yam mob thiab.
Cov tshuaj no siv rau hom mob dab tsi?
Raws li peb tau hais ua ntej lawm, kev siv cov tshuaj no tseem ceeb yog los kho tus kab mob hu ua methemoglobinemia.
Yog li ntawd, methemoglobinemia yog dab tsi?
Qhov no yog ib yam kab mob uas muaj feem cuam tshuam nrog peb cov ntshav. Hais yooj yim xwb, thaum muaj tus kab mob no, cov qe ntshav liab hauv peb cov ntshav yuav tsis muaj peev xwm nqa oxygen mus rau hauv lub cev cov nqaij.
Thaum lub cev tsis tau txais oxygen txaus, tej qhov ntawm lub cev xws li daim di ncauj, daim tawv nqaij, tus nplaig, thiab cov rau tes yuav pib xiav. Qhov no kuj hu ua cyanosis . Thaum qhov no tshwm sim rau cov menyuam mos, qee zaum nws hu ua 'blue baby syndrome'.
Muaj ib txhia neeg tau txais tus kab mob no los ntawm cov noob caj noob ces, uas yog, los ntawm lawv niam lawv txiv. Tab sis rau ntau tus, nws tshwm sim los ntawm kev siv qee yam tshuaj, tshuaj yeeb, lossis kev noj qee
yam tshuaj lom neeg . Methemoglobinemia yog ib qho mob hnyav
uas tuaj yeem ua rau tuag taus . Methylene xiav yog ib qho kev kho mob zoo tshaj plaws rau qhov no.
Cov tshuaj no ua haujlwm li cas?
Methylene xiav ua haujlwm los ntawm kev hloov pauv cov tshuaj methemoglobin molecules, uas tsis tuaj yeem nqa oxygen, mus rau hauv cov hemoglobin molecules uas tuaj yeem nqa oxygen. Nws zoo li them lub roj teeb. Cov tshuaj no yog muab ua IV hauv tsev kho mob lossis chaw kho mob los ntawm tus kws kho mob lossis tus nais maum. Nws siv sijhawm li 5 txog 30 feeb. Feem ntau, ib koob tshuaj yuav txo cov tsos mob. Txawm li cas los xij, yog tias cov tsos mob tseem muaj tom qab ib teev, tus kws kho mob yuav txiav txim siab muab lwm koob tshuaj.
Ua ntej koj muab cov tshuaj no rau koj, koj tus kws kho mob yuav tshuaj xyuas koj cov keeb kwm kev mob nkeeg tag nrho, vim tias cov tshuaj no tuaj yeem ua rau muaj kev phom sij rau cov neeg uas muaj qee yam mob.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob
| G6PD tsis txaus | Qhov no yog ib yam kab mob uas cuam tshuam rau cov qe ntshav liab. Yog tias ib tug neeg uas muaj tus kab mob no tau txais methylene xiav, cov qe ntshav liab tuaj yeem tawg sai (hemolysis) thiab mob hnyav heev. Qhov no yog qhov tseem ceeb tshaj plaws. |
| Cev xeeb tub los yog pub niam mis | Nco ntsoov qhia rau koj tus kws kho mob yog tias koj cev xeeb tub, tab tom sim xeeb tub, lossis pub niam mis. |
| Lwm yam mob nkeeg | Thov qhia rau peb yog tias koj muaj kab mob raum lossis siab. |
| Kev ua xua | Qhia rau peb yog tias koj muaj kev tsis haum rau methylene xiav lossis lwm yam tshuaj, khoom noj, lossis cov xim. |
| Kev lom cyanide | Yog koj xav tias koj raug tshuaj lom cyanide, koj yuav tsum qhia rau koj tus kws kho mob . |
Cov kev mob tshwm sim yog dab tsi?
Zoo li txhua yam tshuaj, qhov no tuaj yeem muaj cov kev mob tshwm sim.
- Cov kev mob tshwm sim me me (tsis muaj dab tsi yuav tsum txhawj txog):
- Cov zis thiab quav xiav-ntsuab (qhov no yog ib txwm muaj, vim yog xim ntawm cov tshuaj)
- Xeev siab thiab ntuav
- Kev hloov me ntsis ntawm cov xim tawv nqaij
- Mob tes qhov chaw uas tau muab IV
- Cov kev mob tshwm sim loj uas yuav tsum tau qhia rau tus kws kho mob tam sim ntawd:
- Mob hauv siab
- kiv taub hau
- Mob taub hau (mob taub hau)
- Kev tsis meej pem
- Ua hws ntau ntxiv
- Mob plab
Kev sib cuam tshuam tshuaj
Qhov no kuj yog ib feem tseem ceeb heev. Qee cov tshuaj muaj peev xwm muaj cov teebmeem txaus ntshai heev thaum noj nrog methylene xiav.
Tshwj xeeb, qee cov tshuaj rau kev nyuaj siab lossis kev ntxhov siab (piv txwv li, SSRIs) tuaj yeem ua rau muaj mob hnyav hu ua 'Serotonin Syndrome' yog tias noj ua ke nrog methylene xiav.
Qhov no txhais tau hais tias cov tshuaj serotonin hauv peb lub hlwb nce ntau dhau, ua rau muaj cov tsos mob hnyav xws li tshee hnyo, kub taub hau heev, tsis nco qab, thiab txawm tias tuag. Yog li ntawd,
nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam tshuaj, cov vitamins, thiab cov tshuaj ntxiv uas koj noj. Lwm cov txiaj ntsig thiab cov yam ntxwv raws li kev tshawb fawb
Txawm hais tias FDA tsuas pom zoo rau methemoglobinemia xwb, cov kws kho mob siv nws rau lwm yam mob hauv cov xwm txheej tshwj xeeb. Qhov no hu ua kev siv 'tsis suav nrog daim ntawv lo'.
- Ua ib qho tshuaj tua kab mob: Ua ib qho tshuaj tua kab mob rau kev lom los ntawm cov tshuaj xws li nitrite, uas siv rau hauv qee lub Hoobkas. Yog tias koj xav tias muaj ib yam dab tsi zoo li no, mus rau chav kho mob ceev ceev (ETU) ntawm tsev kho mob tam sim ntawd. Yog tias tsim nyog, lawv yuav hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
- Kev Poob Siab: Kho kev poob siab rau qee tus neeg mob uas mob hnyav heev hauv chav kho mob hnyav (ICU).
- Kev kuaj mob qog noj ntshav: Thaum lub sijhawm phais mob qog noj ntshav, nws yog siv los ua xim zas kom pom cov hlwb qog noj ntshav thiab cov qog ntshav hauv xiav.
- Txhim kho kev nco: Kev tshawb fawb tab tom ua mus saib seb qhov no puas tuaj yeem pab tau rau cov kab mob xws li Alzheimer's uas tshwm sim nrog hnub nyoog.
- Ua ib qho tshuaj tua kab mob:Qee qhov kev tshawb fawb tau qhia tias kev sib xyaw ua ke ntawm methylene xiav thiab lub teeb tuaj yeem tua cov kab mob zoo li tus kab mob coronavirus.
Tseem Ceeb: Ntau yam ntawm cov no tseem nyob rau theem tshawb nrhiav. Yog li ntawd, tsis txhob tsuas yog sim lawv vim koj pom lawv hauv internet. Ib txwm ua raws li koj tus kws kho mob cov lus qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Methylene Blue yog ib yam tshuaj tshwj xeeb uas tau muab los kho ib qho teeb meem ntshav tsawg tab sis loj heev hu ua methemoglobinemia.
- Cov tshuaj no yuav tsum tsis txhob siv nws ib leeg xwb . Nws yeej ib txwm muab rau hauv cov hlab ntsha hauv tsev kho mob uas muaj kev saib xyuas ntawm tus kws kho mob lossis tus nais maum.
- Yog koj muaj tus kab mob caj ces hu ua G6PD deficiency , koj yuav tsum qhia rau koj tus kws kho mob paub. Nws yog ib qho tseem ceeb heev rau kev nyab xeeb ntawm lub neej.
- Qhia rau koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshwj xeeb tshaj yog cov rau kev mob hlwb) kom tiv thaiv tau tus kab mob serotonin syndrome txaus ntshai.
- Nws yog ib qho ib txwm rau koj cov zis yuav hloov xiav-ntsuab tom qab noj tshuaj. Tsis txhob txhawj txog nws. Tab sis yog tias koj muaj cov tsos mob xws li mob hauv siab lossis tsis meej pem, mus ntsib kws kho mob tam sim ntawd.
- Lwm cov txiaj ntsig ntawm cov tshuaj no tseem nyob rau theem tshawb fawb, yog li ntawd ib txwm ua raws li koj tus kws kho mob cov lus qhia.
Methylene Blue, Methemoglobinemia, cyanosis, G6PD deficiency, Serotonin Syndrome, Cov kev mob tshwm sim ntawm tshuaj
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Ntxiv koj cov lus