Kei te matewai tonu koe, tāu tamaiti rānei? Ā, he maha āu mimi? Tērā pea kei te mākū te moenga o tāu tamaiti i te pō. I roto i ēnei āhuatanga, ka tohua pea e tō tākuta he pire e kīia nei ko 'Desmopressin'. Nā te mea he maha ngā wā e whakamahia ana tēnei rongoā, ā, me tino tupato koe i te wā e whakamahia ana, i tēnei rā ka kōrerohia e tātou tēnei pire Desmopressin i roto i ngā kupu māmā noa iho.
He aha te Desmopressin?
Ki te whakarapopoto, he homoni hangai te Desmopressin i hangaia i roto i te taiwhanga, he rite ki te homoni 'Vasopressin' e hangaia ana e te tinana. Ka tukuna e te homoni Vasopressin i roto i te tinana he tohu mai i te roro ki ngā whatukuhu, hei whakahaere i te nui o te wai e tukuna ana mai i te tinana hei mimi. Nō reira, ko te mahi a tēnei pire Desmopressin te mea kotahi.
Ko tāna mahi matua he whakahaere i te nui o te mimi e tukuna ana e ngā whatukuhu. Arā, ka whakaiti i te ngaronga koretake o te wai mai i te tinana, ā, ka āwhina i te pupuri i te taurite wai o te tinana. I Sri Lanka, ka kitea pea tēnei rongoā i raro i te ingoa waitohu DDAVP.
He aha ngā whakamahinga o tēnei rongoā?
Ko te nuinga o te wā ka tohua tēnei rongoā e ngā tākuta mō ētahi āhuatanga.
- Te Mate Huka Waenga o te Mate Huka: He āhuatanga tēnei e iti ake ai te homoni Vasopressin e hangaia ana e te roro. Nō reira, ka nui rawa te mimi me te matewai. He tino āwhina te Desmopressin ki te whakahaere i tēnei āhuatanga.
- Te Makuku i te Moenga / Te Makuku i te Pō: E taunaki ana ngā tākuta i tēnei rongoā mō tēnei raruraru, inā koa mō ngā tamariki neke atu i te 4 tau te pakeke. Ka āwhina ki te whakaiti i te nui o te mimi e puta ana i te pō, ā, ka ārai i te tamaiti kei makuku i te moenga.
- I muri i ngā whara o te upoko, i ngā pokanga rānei: I muri i te whara nui o te upoko, i ētahi pokanga roro rānei, ka ngoikore pea te mahi a te homoni vasopressin mō tētahi wā poto. Ka whakamahia hoki hei whakahaere i te mimi nui i aua wā.
Ngā mea me kōrero e koe ki tō tākuta i mua i te tango i te rongoā
I mua i te tohu i te Desmopressin, he mea tino nui kia whakamōhio koe ki tō tākuta mō tō hītori hauora katoa, inā koa mēnā kei a koe tētahi o ēnei āhuatanga.
- Mena kua pāngia koe e te toto totoka i mua
- Mena kei a koe tētahi āhuatanga pēnei i te Cystic Fibrosis
- Mena he mate ngakau tōu, he toto toto tiketike rānei
- Mena he momo mate tākihi tōu
- Mena kua kitea kētia he iti te taumata o te konutai i roto i tō toto (he mea tino nui tēnei)
- Mena he mate pāwera koe ki te Desmopressin, ki te Vasopressin, ki tētahi atu rongoā, kai, tae rānei
- Mena kei te hapu koe, kei te ngana rānei kia hapu
- Mena kei te whāngai ū te whaea i tana tamaiti
I runga i ēnei mōhiotanga, ka whakatau te tākuta mēnā he pai tēnei rongoā māu, me te horopeta hoki e hoatu.
Me pēhea te whakamahi tika i tēnei rongoā?
He mea tino nui kia mōhio koe ki te whakamahinga tika o tēnei rongoā.
- Me tango tēnei pire me te karāhe wai.
- He mea tino nui kia tangohia tō rongoā kia rite ki tā te tākuta i tohutohu ai. Ki te tangohia kotahi i te rā, me tango i te wā kotahi i ia rā (i mua i te moe i te pō).
- Kaua e inu i te nui atu i tā te tākuta i tohutohu ai.
- Mēnā ka hoatu tēnei rongoā ki ngā tamariki: Me mātua whai i ngā tohutohu a te tākuta tamariki ina hoatu tēnei rongoā ki ngā tamariki.
- Ki te nui rawa te horomia e koe: Ki te whakaaro koe kua nui rawa te horomia e koe o tēnei rongoā, whakapā atu tonu ki te National Poisons Information Centre i te Colombo National Hospital. Mēnā rānei, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
Kua tohua tēnei rongoā māu anake. Kaua e hoatu ki tētahi atu, ahakoa he rite tonu ō rātou tohu ki ōu. Tērā pea he mea morearea.
Me aha koe mēnā ka ngaro i a koe tētahi horopeta rongoā?
Ki te wareware koe ki te tango i tētahi horopeta, me tango tonu i te wā e mahara ana koe. Engari ki te tata te wā mō tō horopeta e whai ake nei, pekehia te horopeta i ngaro, ka tango i tō horopeta e whai ake nei i te wā kua whakaritea. Kaua rawa e tango takirua i te horopeta.
Ngā mea hei tino tūpato i te wā e tango ana i te rongoā
Koinei te wāhanga tino nui. Me tino tupato koe ki ētahi āhuatanga o tō āhua noho ina tango ana koe i tēnei rongoā.
Te Inu Wai - Te Aro Tuatahi!
Koinei te mea tino nui . Ka pupuri te desmopressin i te wai i roto i te tinana, nō reira me tino tupato koe ki te nui o te wai e inuhia ana e koe.
Ko te tikanga, ka tohutohu ngā tākuta, "Whakamatea te matewai ki te wai." Whakakorea, tangohia Whakakorea, tangohiaHoroi, horoi Maka atu, tiki Maka atu, tikiKia ata, tangohia, tangohia, tangohia, tangohiaWhakakorea atu, tangohia Whakakorea atu, tangohiaOkioki, okioki Whakakorea, tangohia Whakakorea, tangohiaWhakakorea atu, tangohia Whakakorea atu, tangohia Whakakorea atu, tangohiaWhakakorea atu, tikina "Kati te waha, katiKa kino pea te inu nui rawa, te inu iti rawa rānei i te wai. Nā te mea ka pupuri wai tō tinana i tēnei rongoā, ki te nui rawa te wai e inuhia ana e koe, ka tino iti rawa ngā taumata konutai o tō toto.
Ngā mate
Ki te pāngia koe e te mamae o te puku, te ruaki, te mate korere rānei, ki te pāngia rānei koe e te kirika me te mate pāwera, kati tonu te tango i tēnei rongoā ka toro atu ki tō tākuta. Nā te mea ka ngaro pea te nui o te wai i te tinana i tēnei wā, ā, ki te whakamahia tonutia te rongoā ka pāngia pea koe e ngā huringa nui o ngā taumata konutai.
Ngā pānga taha ka puta mai i tēnei rongoā
Pērā i ngā rongoā katoa, ka pāngia pea koe e ngā pānga taha o te Desmopressin. Ko ētahi he iti noa iho, engari ko ētahi me aro nui.
| Pānga taha | Whakaahuatanga me ngā mea hei mahi |
|---|---|
| Ngā pānga taha me whakamōhio tonu atu ki tō tākuta | |
| Ngā uruparenga mate pāwera | He kiri mākūkū, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero rānei. Rapua tonutia he tohutohu hauora. |
| Ngā tohu o te iti o te konutai i roto i te tinana | Te ānini nui, te hiamoe, te whanoke, te pōhēhē, te whakapairuaki, te ruaki, te wiri o ngā uaua, te kore okiokinga, te hopuhopu rānei. He āhuatanga ohorere tēnei. Haere tonu ki te ETU. |
| Te pikinga taumaha ohorere, te pupuhi rānei | Te pupuhi o ngā waewae, o ngā pona rānei, te pikinga ohorere o te taumaha. He tohu tēnei kei te pupuri wai i roto i te tinana. |
| Te uaua ki te manawa | Te uaua ki te manawa, te mamae o te uma, te kikī rānei. |
| Ngā huringa o te tere o te ngakau | Te tere o te manawa, te koretake rānei o te manawa. |
| Ngā mea hei kōrero ki tō tākuta mēnā ka mau tonu, ka whakararuraru rānei | |
| Ānini | Tērā pea ka pā mai he mamae iti o te upoko. |
| Waha maroke | Te ahua o te mangai maroke. |
| Whakapairuaki ngawari | Te mamae o te puku, te whakapairuaki rānei. |
Me pēhea te pupuri i te rongoā kia haumaru?
- Kia mahara kia puritia kia kore e taea e ngā tamariki te toro atu .
- Penapenahia ki te pāmahana rūma (i waenga i te 20-25 nekehanga Celsius). Āraia mai i te wera nui me te rā tika.
- Maka atu te rongoā kua pau te wā, kaua e whakamahia.
Karere Tangohia ki te Kāinga
- He rongoā te desmopressin e whakahaere ana i te nui o te mimi e whakaputaina ana e ngā whatukuhu, ā, me whakamahi anake i runga i te tohutohu a te taote.
- Kia tino tupato ki te nui o te wai e inuhia ana e koe i a koe e tango ana i tēnei rongoā. Kaua e nui ake, e iti iho rānei te wai e inuhia ana e tō tākuta.
- Ki te pāngia koe e ngā tohu pēnei i te ānini nui, te whanoke, te pōhēhē, te ruaki rānei, he tohu kino pea tēnei o te iti o te konutai i roto i te toto. Tirohia te tākuta tonu.
- Kati te tango i te rongoā, ka toro atu ki tō tākuta mēnā ka ruaki koe, ka mamae te puku, ka kirika rānei.
- Māu anake tēnei rongoā. Kaua e tohaina ki tētahi atu mō tetahi take.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha ngā mahi a ngā papa Desmopressin / DDAVP?
He rongoā tino whai hua tēnei hei aukati i te 'diabetes insipidus' nui rawa atu me te 'mīmi i te moenga' i roto i ngā tamariki! Ka werohangahia he homoni taiao (ADH) i hangaia e te roro ki roto i te tinana, ā, ka mimiti anō i te wai e tukuna ana hei mimi.
💬 Me pēhea te whakamutu i te kore mimi/te mākū i te moenga mā te whakamahi i tēnei homoni hangai (Desmopressin)?
I te nuinga o te wā, ka tukuna e te roro ngā whakahau ki ō tātou whatukuhu kia 'pupuri i te wai i roto i te tinana' mā te homoni 'ADH'! Kāore ngā roro o ētahi tāngata e whakaputa i tēnei. Ina uru tēnei rongoā (pire/rehu) ki te tinana, ka haere tika atu ki ngā whatukuhu (ngā kaiwhakawhiwhi V2 i roto i ngā whatukuhu) ā, ka kati i ngā kuaha katoa e tuku ana i te wai ki roto, pērā i te whakaweto i te puna wai, ka mutu te whakaputa mimi 100%.
💬 He aha te tūponotanga kino (Whakatūpato Pouaka Pango) ka pā mai i te wā e tango ana i te pire (Desmopressin) e aukati ana i te hanga mimi?
Ko te mōrearea nui rawa atu o tēnei ko te 'Hyponatremia / Water Intoxication'! Nā te mea kāore koe e mimi ana, ki te inu koe i te nui o te wai/wai i muri i te tango i tēnei pire, ka kī katoa taua wai i tō tinana, ā, ka rewa katoa te tote i roto i tō toto. Ki te heke te tote, ka pāngia te tūroro e ngā mate urutā, ka moe pōuri, ka mate! (Nō reira, kaua e inu i tēnei mēnā he nui tō matewai ki te wai).
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