Ungave uchitora mishonga yeallergies, asthma, weti inowanzo shandiswa, kana chills. Kunyange zvazvo mishonga yechirwere chimwe nechimwe yakasiyana, mishonga iyi yakawanda inobva muboka guru remishonga. Ndiyo mhando yemishonga yatichataura nezvayo nhasi. Inonzi anticholinergics. Ungave usina kunzwa nezvezita iri, asi pamwe watove kutora imwe yemhando idzi dzemishonga.
Zvichitaurwa zviri nyore, chii chinonzi mishonga iyi yekurwisa cholinergic?
Kuti tinzwisise izvi, ngatitangei tataura zvishoma nezvehurongwa hwetsinga dzemuviri wedu. Masero etsinga ari mumuviri wedu anotaurirana mameseji, semupositi anotumira tsamba. Tinodana makemikari anotakura mashoko aya kuti neurotransmitters. Imwe yenhume dzakadaro iacetylcholine .
Inoshanda zvakanyanya muchikamu che Autonomic Nervous System yedu. Inonzi Parasympathetic Nervous System. Kunyange zvazvo zita racho richinzwika serakaoma, basa raro riri nyore. Ndiro rinogadzirira miviri yedu kuti "Izorore uye Igaye." Izvi zvinoreva zvinhu zvakaita sekudzikamisa kurova kwemoyo wedu, kuburitsa mate nemajusi ekugaya, uye kudzora mashandiro edu edundira.
Zvino, zvinoitwa nemishonga yeAnticholinergic ndezvekuti inokanganisa basa remutumwa anonzi Acetylcholine. Kureva kuti, inoivhara. Zvadaro mamwe maitiro anokubatsira "kuzorora nekugaya" anodzikira zvishoma. Izvi zvinobatsira zvikuru kwatiri mune mamwe mamiriro ehutano.
Mishonga iyi inoshandiswa kuzvirwere zverudzii?
Kune mishonga inodarika mazana matanhatu ine simba rekurwisa cholinergic. Uku ndiko kushanda kukuru kwemimwe mishonga. Inogonawo kuva mhedzisiro yemimwe. Ngationei kuti ndeapi mashandisirwo makuru emishonga iyi.
| Zita remushonga (muenzaniso) | Makesi anoshandiswa zvakanyanya |
|---|---|
| Atropine | Sekurapa kurova kwemoyo kusingawanzoitiki (bradycardia) uye zvimwe zvirwere zvemuchetura. |
| Benztropine, Trihexyphenidyl | Kudzora zviratidzo zvakaita sekubvunda kunokonzerwa nechirwere cheParkinson. |
| Diphenhydramine | Inowanikwa mumapiritsi akawanda ekurwisa allergy uye mamwe mapiritsi ekurara. |
| Ipratropium, Tiotropium | Inowanikwa mumishonga inofema inoshandiswa pazvirwere zvekufema zvakaita seasthma neCOPD. |
| Oxybutynin, Solifenacin, Tolterodine | Inoshandiswawo sekirimu yekudzora weti kakawanda (Urge Incontinence) uye marwadzo emhasuru dzedundira. Inoshandiswawo sekirimu yekurapa ziya rakawandisa (Hyperhidrosis). |
| Scopolamine | Inopihwa kune kuda kurutsa uye kurutsa kunoitika parwendo (kufamba). |
| Glycopyrrolate, Vecuronium | Inoshandiswa kuderedza mate asati avhiyiwa uye kuomesa tsandanyama panguva yekuvhiyiwa. |
Pamusoro pezvo, mimwe mishonga yekuderedza kushungurudzika, mishonga yepfungwa, uye mimwe mishonga yeallergy (antihistamines) inogonawo kuva nemhedzisiro iyi yekuderedza cholinergic.
Ndezvipi zvakanakira uye migumisiro yemhando iyi yemushonga?
Zvakanakira
Mishonga iyi ine mabasa akawanda. Dzimwe nguva inoponesa hupenyu . Semuenzaniso, kana munhu akanwa chepfu yakaita semushonga unouraya zvipembenene, mushonga unonzi Atropine unopihwa semushonga. Mushonga uyu unobatsirawo kudzorera kurova kwemoyo kana wadzikira zvine njodzi.
Zvakakosha:Kana mumwe munhu akanwa chepfu, kurumidza kuenda nemurwere kuchipatara chiri pedyo neEmergency Treatment Unit (ETU). Zvakakoshawo kufonera National Poisons Information Centre paColombo National Hospital kuti uwane rumwe ruzivo.
Kune rumwe rutivi, mushonga uyu unobatsirawo kuvandudza hupenyu hwedu. Fungidzira, zvakanaka sei kune munhu aimbodzivisa kuenda parwendo nekuti aitya kurutsa, kukwanisa kunwa piritsi diki uye kuenda parwendo irworwo pasina matambudziko? Saizvozvowo, mushonga uyu unobatsira munhu aimbotya kuenda kuchimbuzi nguva nenguva, kurarama hupenyu hwakajairika.
Migumisiro Yezvimwe Zvinetso
Kufanana nemushonga upi zvawo, mishonga iyi yekudzivirira chirwere checholinergic inogona kukonzera migumisiro yakaipa. Zvisinei, havasi vese vanoiwana, uye inogona kusiyana zvichienderana nedoro, zera remunhu, uye zvimwe zvirwere. Vanhu vakuru ndivo vanowanzosangana nemhedzisiro iyi yakaipa.
Heino zano diki rekurangarira migumisiro iyi:
- "Kupisa setsuro" - Kupisa muviri zvakanyanya.
- "Bofu sechiremwaremwa" - Maziso anokura, zvichiita kuti munhu asaone zvakanaka.
- "Yakaoma sepfupa" - kudzikira kwekugadzirwa kwemate nemisodzi.
- "Tsvuku se beet" - Kutsvuka kweganda.
- "Kupenga semunhu anopenga" - kuvhiringidzika, matambudziko ekurangarira.
| Migumisiro yakajairika | Tsananguro iri nyore |
|---|---|
| Muromo Wakaoma | Kusagadzikana kunokonzerwa nekudzikira kwekugadzirwa kwemate. |
| Kuona Kwakakanganisika | Kuomerwa nekuona pedyo nekuda kwekukura kwemudzidzi. |
| Kusakwanisa kuita weti (Weti Retention) | Kuoma kubvisa weti zvachose nekuda kwekureruka kwetsandanyama dzedundira. |
| Kuzvimba | Kuderedza kushanda kwekugaya chikafu. |
| Kuvhiringidzika/Dementia | Zvinogona kuitika kunyanya kuvanhu vakuru. |
| Kurova kwemoyo nekukurumidza (Tachycardia) | Kunzwa kwekurova kwemoyo kwakanyanya. |
Ndinofanira kuona chiremba rini?
Kana uri kushandisa mushonga wakadai, iva nechokwadi chekutaura nachiremba wako mumamiriro ezvinhu anotevera:
- Kana mushonga wauri kutora usingakupe zororo raunoda.
- Kana zvichikuomera kushandisa mushonga wacho sezvawakarairwa nachiremba.
- Kana migumisiro yemushonga ichikanganisa mabasa ako ezuva nezuva (semuenzaniso, kana uchinetseka kudya nekuda kwemuromo wakaoma, kana kana uchinetseka kutyaira kana kuverenga bhuku nekuda kwekusaona zvakanaka).
Chinonyanya kukosha ndechekuti usamborega kutora chero mushonga kana kuchinja mushonga usati watanga wabvunza chiremba wako. Kuita izvi kunogona kuita kuti mamiriro ako ezvinhu awedzere kuipa.
Kana muine mibvunzo nezvemishonga iyi, musatya kubvunza chiremba wemhuri yenyu. Iye anogona kutsanangura kuti ndeipi mishonga yakakunakirai, mabhenefiti ayo, uye migumisiro yayo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeAnticholinergics imhando yemishonga inoshandiswa kurapa zvirwere zvakasiyana-siyana, zvinosanganisira allergies, asthma, chirwere cheParkinson, uye matambudziko eweti.
- Izvi zvinoshanda nekudzivisa kushanda kwemutumwa wemakemikari anonzi acetylcholine mutsinga dzemuviri.
- Migumisiro yakadai semuromo wakaoma, kuona zvisizvo, kuvimbiwa, uye kuvhiringidzika zvinogona kuitika. Njodzi iyi yakanyanya kuwanda kune vakwegura.
- Usamborega kutora chero mushonga kana kuchinja mwero wemushonga usina kupiwa mazano nachiremba.
- Kana muine zvinokunetsai nezvemushonga wenyu kana migumisiro yawo, munhu akakodzera kutaura naye ndichiremba wenyu.
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