Wigeze wumva izina 'Methylene Blue'? Birashoboka ko atari byo. Ni umuti udasanzwe, ariko ufite akamaro kanini. Mu by'ukuri ni amazi y'ubururu. Usa n'irangi ushyira ku mwenda, ariko rishobora kuvura indwara zimwe na zimwe zikomeye. Noneho reka turebe inkuru ivuga kuri uyu muti w'ubururu udasanzwe?
Ubururu bwa Methylene ni iki mu by'ukuri?
Muri make, methylene blue ni umuti abaganga bakoresha mu kuvura indwara idakunze kugaragara mu maraso yitwa
methemoglobinemia . Nubwo mu by'ukuri ari umuti ukomeye, iyo ukoreshejwe nk'umuti, ushongeshwa mu mazi ugaterwa
nk'urushinge nk'amazi y'ubururu. Amateka y'uyu muti nayo arashishikaje cyane. Wavumbuwe bwa mbere n'umuhanga mu bya shimi w'Umudage mu kinyejana cya 19. Wakoreshejwe bwa mbere nk'irangi mu nganda z'imyenda. Nyuma, wakoreshejwe kandi nk'irangi mu igerageza rya laboratwari. Hashize imyaka igera kuri 125, umuganga w'Umudage yatangiye kuwukoresha nk'umuti wa malariya. Kuva icyo gihe, ibyiza byawo byarushijeho kuba byiza cyane. Kuri ubu, wemejwe gusa na FDA yo muri Amerika nk'umuti wa methemoglobinemia. Ariko, hari igihe abaganga bawukoresha no mu zindi ndwara.
Ni ubuhe bwoko bw'indwara uyu muti ukoreshwa?
Nkuko twabivuze mbere, ikoreshwa ry'ingenzi ry'uyu muti ni ukuvura indwara yitwa methemoglobinemia.
None se methemoglobinemia ni iki?
Iyi ni indwara ifitanye isano n'amaraso yacu. Muri make, iyo iyi ndwara ibaye, uturemangingo dutukura mu maraso yacu ntidushobora gutwara umwuka wa ogisijeni neza mu ngingo z'umubiri.
Iyo umubiri utabonye ogisijeni ihagije, ibice by'umubiri nk'iminwa, uruhu, ururimi, n'inzara bitangira guhinduka ubururu. Ibi kandi byitwa cyanosis . Iyo ibi bibayeho ku bana bato, rimwe na rimwe byitwa 'blue baby syndrome'.
Hari abantu bavukana iyi ndwara binyuze mu turemangingo, ni ukuvuga ituruka ku babyeyi babo. Ariko kuri benshi, ikwirakwira bitewe no gukoresha imiti imwe n'imwe, imiti, cyangwa kunywa
imiti imwe n'imwe. Methemoglobinemia ni indwara ikomeye
ishobora no gushyira ubuzima mu kaga . Methylene blue ni imwe mu nzira nziza zo kuvura iyi ndwara.
Uyu muti ukora ute?
Methylene blue ikora mu guhindura molekile za methemoglobini, zidashobora gutwara ogisijeni, mo molekyuli za hemoglobine zishobora gutwara ogisijeni. Ni nko gusharija bateri. Uyu muti utangwa nk'umuti wa IV mu bitaro cyangwa ivuriro na muganga cyangwa umuforomo. Bifata iminota 5 kugeza kuri 30. Ubusanzwe, dose imwe igabanya ibimenyetso. Ariko, niba ibimenyetso bikigaragara nyuma y'isaha imwe, muganga ashobora gufata icyemezo cyo gutanga indi dose.
Mbere yo kuguha uyu muti, muganga wawe azasuzuma amateka yawe yose y’uburwayi, kuko uyu muti ushobora guteza akaga ku bantu bafite indwara zimwe na zimwe.
Ibintu ugomba kubwira muganga wawe nta kabuza
| Kubura G6PD | Iyi ni indwara iterwa n’uturemangingo tw’amaraso dutukura. Iyo umuntu urwaye iyi ndwara ahawe methylene y’ubururu, uturemangingo tw’amaraso dutukura dushobora kwangirika vuba (hemolysis) tukarwara cyane. Iki ni cyo kintu cy’ingenzi cyane. |
| Gutwita cyangwa konsa | Menya neza ko wabibwiye muganga wawe niba utwite, ugerageza gutwita, cyangwa wonsa. |
| Izindi ndwara | Tubwire niba ufite indwara y'impyiko cyangwa umwijima. |
| Allergie | Tubwire niba ufite allergie kuri methylene blue cyangwa indi miti, ibiryo, cyangwa amarangi. |
| Uburozi bwa Cyanide | Niba ukeka ko hari uburozi bwa cyanide, ugomba kubimenyesha muganga wawe . |
Ingaruka mbi ni izihe?
Kimwe n'indi miti yose, iyi ishobora kugira ingaruka mbi.
- Ingaruka mbi nto (nta cyo guhangayikishwa na cyo):
- Inkari n'amase y'ubururu n'icyatsi kibisi (ibi ni ibisanzwe, biterwa n'ibara ry'umuti)
- Isesemi no kuruka
- Impinduka nto mu ibara ry'uruhu
- Ububabare mu kuboko aho bamuhaye inshinge ya IV
- Ingaruka mbi zikomeye zigomba kumenyeshwa muganga ako kanya:
- Kubabara mu gatuza
- Kuzungera
- Kuribwa umutwe (umutwe)
- Urujijo
- Ibyuya byiyongera
- Kubabara mu nda
Ikoreshwa ry'ibiyobyabwenge
Iki nacyo ni ingenzi cyane. Imiti imwe ishobora kugira ingaruka mbi cyane iyo ifashwe na methylene blue.
By’umwihariko, imiti imwe n’imwe ivura kwiheba cyangwa guhangayika (urugero, SSRIs) ishobora gutera indwara ishobora kwica yitwa 'Serotonin Syndrome' iyo ifashwe hamwe na methylene blue.
Ibi bivuze ko serotonin mu bwonko bwacu yiyongera cyane, bigatera ibimenyetso bikomeye nko guhinda umushyitsi, umuriro mwinshi, gutakaza ubwenge, ndetse no gupfa. Kubwibyo,
ni ngombwa kubwira muganga wawe imiti yose, vitamine, n'inyongera ufata. Izindi nyungu n'ibintu bishingiye ku bushakashatsi
Nubwo byemewe na FDA gusa kuri methemoglobinemia, abaganga bayikoresha ku zindi ndwara mu bihe byihariye. Ibi byitwa 'gukoresha mu buryo butazwi'.
- Nk'umuti: Nk'umuti wo kuvura uburozi buterwa n'imiti nka nitrite, ikoreshwa mu nganda zimwe na zimwe. Niba ukeka ikintu nk'iki, jya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ry'ibitaro vuba. Nibiba ngombwa, bazahamagara Ikigo cy'Igihugu gishinzwe amakuru ku burozi mu bitaro by'igihugu bya Colombo kugira ngo baguhe inama.
- Gutungurwa: Kuvura gutungurwa ku barwayi bamwe na bamwe barembye cyane bari mu cyumba cy’indembe (ICU).
- Gupima kanseri: Mu gihe cyo kubaga kanseri, ikoreshwa nk'irangi ryo kwerekana uturemangingo twa kanseri n'uturemangingo tw'imitsi mu ibara ry'ubururu.
- Kunoza kwibuka: Ubushakashatsi burimo gukorwa kugira ngo harebwe niba ibi bishobora kuba ingirakamaro ku ndwara nka Alzheimer zibaho uko umuntu agenda akura.
- Nk'umuti wica udukoko:Ubushakashatsi bumwe bwagaragaje ko guhuza methylene y'ubururu n'urumuri bishobora kwica mikorobe nka coronavirus.
Icy'ingenzi: Ibyinshi muri ibi biracyari mu cyiciro cy'ubushakashatsi. Ntukabigerageze gusa kuko ubibona kuri interineti. Buri gihe kurikiza amabwiriza ya muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Methylene Blue ni umuti wihariye utangwa mu kuvura indwara y’amaraso idasanzwe ariko ikomeye yitwa methemoglobinemia.
- Uyu muti ntugomba gukoreshwa wonyine . Buri gihe utangwa mu mitsi mu bitaro uyobowe na muganga cyangwa umuforomo.
- Niba ufite indwara y’uturemangingo yitwa G6PD deficiency , ugomba kubibwira muganga wawe. Ni ingenzi cyane ku buzima bwawe.
- Menyesha muganga wawe indi miti yose ufata (cyane cyane iyo mu ndwara zo mu mutwe) kugira ngo wirinde indwara ya serotonin iteye ubwoba.
- Ni ibisanzwe ko inkari zawe zihinduka ubururu n'icyatsi nyuma yo gufata umuti. Ntugahangayike. Ariko niba ugize ibimenyetso nko kubabara mu gatuza cyangwa urujijo, hita ubonana na muganga.
- Izindi nyungu z'uyu muti ziracyari mu cyiciro cy'ubushakashatsi, bityo kurikiza inama za muganga wawe buri gihe.
Methylene Blue, Methemoglobinemia, cyanosis, kubura G6PD, Serotonin Syndrome, Ingaruka mbi ku miti
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