Mukakhala ndi tulo tabwino usiku, palibe chomwe chimakuvutitsani kuposa kudzuka kukakodza osati kamodzi kapena kawiri kokha, koma kangapo patsiku. Tsiku lotsatira, mumamva kutopa komanso kugona. M'mawu azachipatala, vutoli lomwe limasokoneza tulo usiku mwa akuluakulu limatchedwa `(Nocturia)`. Chifukwa chake, ngati yankho la izi, mankhwala omwe madokotala nthawi zina amalangiza ndi `Desmopressin`. Lero, tiyeni tikambirane za mankhwalawa ndi zinthu zomwe tiyenera kusamala nazo tikamazigwiritsa ntchito mosavuta.
Kodi Desmopressin ndi chiyani?
Mwachidule, Desmopressin ndi chitsanzo cha mahomoni omwe thupi lathu limapanga mwachibadwa. Homoni ya `(vasopressin)`, yomwe imapangidwa muubongo wathu, ndiyo imauza impso zathu kuti "Chabwino, zakwana, chepetsani kuchuluka kwa mkodzo womwe mumapanga." Desmopressin imachitanso chimodzimodzi.
Mankhwalawa akamwedwa, amakhudza impso zathu ndipo amawongolera kuchuluka kwa mkodzo womwe umapangidwa, makamaka usiku. Izi zimachepetsa kufunikira kukodza pafupipafupi usiku ndipo zimatithandiza kugona bwino usiku. Amagwiritsidwa ntchito kwambiri pochiza matenda a `(Nocturia)` mwa akuluakulu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
`Desmopressin` si mankhwala omwe angatengedwe nthawi iliyonse yomwe mukufuna. Dokotala wanu asanakupatseni mankhwala, ayenera kudziwa mbiri yanu yonse yachipatala. Ndikofunikira kwambiri kuwauza ngati muli ndi vuto lililonse mwa izi:
| Matenda anu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a mtima kapena kuthamanga kwa magazi | Mankhwalawa angakhudze ntchito ya mtima ndi kuthamanga kwa magazi chifukwa amakhudza kuchuluka kwa madzi m'thupi. |
| Matenda a impso | Popeza mankhwalawa amagwira ntchito kudzera mu impso, zotsatira zake zingakhale zoopsa ngati impso sizikugwira ntchito bwino. |
| Kuchepa kwa sodium m'magazi | (Chofunika Kwambiri) Chimodzi mwa zotsatirapo zazikulu za Desmopressin ndichakuti imatha kuchepetsa kwambiri kuchuluka kwa sodium m'thupi. Chifukwa chake, ndi koopsa kwambiri kupereka kwa munthu amene ali ndi sodium yochepa kale. |
| Kugwiritsa ntchito mankhwala oletsa kutupa kapena ma steroid | Mankhwalawa amakhudzanso kuchuluka kwa sodium ndi madzi m'thupi, kotero kumwa pamodzi ndi Desmopressin n'koopsa. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Izi ndizofunikira kudziwa ngati muli ndi vuto la desmopressin kapena chilichonse mwa zosakaniza zake. |
| Kukhala ndi pakati kapena kuyembekezera mwana/kuyamwitsa | Pazochitikazi, ndikofunikira kuuza dokotala kuti atsimikizire kuti mankhwalawo ndi otetezeka. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Iyi si piritsi yomwe mumameza ndi madzi ngati piritsi wamba. Iyi ndi piritsi ya "sublingual", kutanthauza kuti imasungunuka pansi pa lilime. Umu ndi momwe mungagwiritsire ntchito:
1. Imwani pa nthawi yake: Imwani monga momwe dokotala wanu wanenera, pa nthawi yomwe mwapatsidwa. Nthawi zambiri imatengedwa pafupifupi ola limodzi musanagone.
2. Musamathyole chisindikizo mpaka nthawi yoti mumwe mapiritsi ifike: Thyolani paketi ya ma blister yokhala ndi mapiritsi mukakonzeka kugwiritsa ntchito.
3. Sungani manja anu ouma: Tsegulani phukusi ndi manja awiri ouma bwino ndikuchotsa pang'onopang'ono piritsi.
4. Ikani pansi pa lilime: Imwani piritsilo ndikuliyika pansi pa lilime .
5. Lolani lisungunuke: Dikirani mpaka lisungunuke kwathunthu. Kenako limezeni. Musamwe piritsi ili ndi madzi. Liyenera kumwedwa popanda madzi.
6. Musasinthe mlingo: Musamwe mankhwala ochulukirapo kuposa mlingo womwe mwapatsidwa kapena siyani kumwa mwadzidzidzi popanda upangiri wa dokotala.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku ETU (Emergency Treatment Unit) ya chipatala chapafupi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Mankhwala ena omwe angagwirizane ndi Desmopressin
Mankhwala ena angayambitse zotsatirapo zoopsa akamwedwa ndi Desmopressin. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala achikhalidwe, mavitamini, ndi mankhwala azitsamba.
| Musamwe Desmopressin pamodzi ndi mankhwalawa! | |
|---|---|
| Mankhwala oletsa kukodza (Loop Diuretics) (mankhwala omwe amapangitsa kuti mkodzo wambiri utuluke m'thupi) | Mankhwala a steroid (monga Prednisone, Cortisone) |
| Samalani kwambiri mukamamwa mankhwalawa. | |
| Mankhwala ena a matenda monga kuvutika maganizo ndi nkhawa | Mankhwala ena a khunyu (monga Carbamazepine, Lamotrigine) |
| Mankhwala ena oletsa mankhwala osokoneza bongo | NSAIDs (mwachitsanzo, Ibuprofen, Naproxen) |
Zinthu zofunika kusamala nazo mukamamwa mankhwala
- Samalani ndi kuchuluka kwa madzi omwe mumamwa: Ichi ndiye chinthu chofunikira kwambiri. Popeza `Desmopressin` imachepetsa kukodza, ngati mumamwa madzi ambiri monga mwachizolowezi, madziwo amatha kusonkhana m'thupi ndipo kuchuluka kwa sodium m'magazi kumatha kutsika kwambiri. Timatcha izi `(Kumwa Madzi)`. Chifukwa chake, tsatirani malangizo a dokotala wanu okhudza kuchuluka kwa madzi omwe muyenera kumwa patsiku ndendende.Mungalangizidwe kuchepetsa kumwa madzi, makamaka ola limodzi musanamwe komanso kwa maola 8 mutamwa mankhwalawo.
- Ngati mukutaya madzi m'njira zina: Ngati mukutsegula m'mimba, kusanza, kapena mukutuluka thukuta kwambiri, uzani dokotala wanu. Izi zili choncho chifukwa madzi ndi mchere m'thupi zimatha kusintha panthawiyi, zomwe zimapangitsa kuti kumwa Desmopressin kukhale koopsa.
- Kupimidwa nthawi zonse ndi dokotala: Mukayamba kumwa mankhwala, yesani magazi (makamaka onani kuchuluka kwa sodium m'thupi) ndi kupimidwa ndi dokotala monga momwe dokotala wanu wanenera.
Kodi zotsatira zake ndi ziti?
Monga mankhwala ena aliwonse, Desmopressin ikhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, pomwe zina zimakhala zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Zizindikiro za sodium yochepa | Mutu, kugona, chizungulire, kusokonezeka, nseru, kusanza, kugwedezeka kwa minofu, kusakhazikika, ndi khunyu . |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Zizindikiro zina zazikulu | Kuvuta kupuma, kupweteka pachifuwa kapena kulimba, kusintha kwa kuthamanga kwa magazi, kugunda kwa mtima mofulumira kapena kosasinthasintha, kunenepa mwadzidzidzi, kutupa m'miyendo kapena m'mapazi, kutopa kwambiri. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Pakamwa pouma | Mutu pang'ono, nseru pang'ono. |
Uthenga Wopita Nawo Kunyumba
- Desmopressin ndi mankhwala apadera omwe amagwira ntchito ngati mahomoni ndipo amaperekedwa kwa akuluakulu kuti athetse vuto la kukodza pafupipafupi usiku (nocturia).
- Choopsa chachikulu komanso chachikulu kwambiri cha izi ndi kuchepa kwa sodium m'magazi. Choncho dziwani bwino zizindikiro monga mutu, nseru, ndi chizungulire.
- Tsatirani malangizo a dokotala wanu mosamala okhudza kumwa madzi. Kumwa madzi ambiri kungakhale koopsa.
- Mukamagwiritsa ntchito mankhwalawa, ndikofunikira kudziwitsa dokotala wanu za mankhwala ena onse omwe mukumwa.
- Musameze piritsi. Ikani pansi pa lilime lanu ndipo lisungunuleni. Musagwiritse ntchito madzi.
- Mankhwalawa ndi a inu nokha. Musagawane ndi ena.
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