Kana uchifanira kurara zvakanaka husiku, hapana chinonetsa kupfuura kumuka kuti uite weti kwete kamwe chete kana kaviri, asi kakawanda, handiti? Unonzwa kuneta uye hope mangwana acho. Chirwere ichi chinovhiringidza hope dzevanhu vakuru husiku chinonzi (Nocturia). Saka, semhinduro yeizvi, mushonga unokurudzirwa navanachiremba dzimwe nguva ndiDesmopressin. Nhasi, ngatitaurei nezvemushonga uyu nezvinhu zvatinofanira kungwarira patinenge tichiushandisa zviri nyore.
Measure kidney function based on creatinine value
Chii chinonzi Desmopressin?
Zvichitaurwa zviri nyore, Desmopressin ikopi yehormone yakagadzirwa nevanhu inogadzirwa nemiviri yedu. Homoni (vasopressin), inogadzirwa muuropi hwedu, ndiyo inoudza itsvo dzedu kuti "Zvakanaka, zvakwana, deredza huwandu hweweti yaunogadzira." Desmopressin inoita zvimwe chetezvo.
Kana ukatorwa, mushonga uyu unokanganisa itsvo dzedu uye unodzora huwandu hweweti inogadzirwa, kunyanya husiku. Izvi zvinoderedza kuda kuita weti nguva nenguva husiku uye zvinotibatsira kurara zvakanaka husiku. Unonyanya kushandiswa kurapa chirwere che (Nocturia) kuvanhu vakuru.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Desmopressin haisi mushonga unogona kutorwa chero nguva. Chiremba wako asati akupa mushonga uyu, anofanira kuziva nhoroondo yako yese yekurapa. Zvakakosha kuvaudza kana uine chimwe chezvirwere zvinotevera:
| Hutano hwako | Sei uchifanira kuzivisa chiremba? |
|---|---|
| Chirwere chemwoyo kana BP yakakwira | Mushonga uyu unogona kukanganisa huwandu hwemvura mumuviri, izvo zvinogona kukanganisa mashandiro emwoyo uye BP. |
| Chirwere cheitsvo | Nekuti mushonga unoshanda kuburikidza neitsvo, migumisiro yemushonga inogona kuva nengozi kana itsvo dzisiri kushanda zvakanaka. |
| Kuderera kwemazinga e sodium muropa | (Zvakakosha zvikuru) Chimwe chezvikonzero zvikuru zveDesmopressin ndechekuti inogona kuderedza huwandu hwesodium mumuviri. Saka, zvine njodzi zvikuru kuipa munhu ane sodium shoma mumuviri. |
| Kushandisa mishonga ye "loop diuretics" kana "steroid" | Mishonga iyi inokanganisawo kuenzana kwe sodium ne fluid mumuviri, saka zvine njodzi kuitora pamwe chete ne Desmopressin. |
| Kurwara nemimwe mishonga, chikafu, kana madhayi | Izvi zvakakosha kuziva kana une allergy kune desmopressin kana chimwe chezvinhu zviri mairi. |
| Kuva nepamuviri kana kutarisira mwana/kuyamwisa | Muzviitiko izvi, zvakakosha kuzivisa chiremba kuti uve nechokwadi chekuti mushonga wacho wakachengeteka. |
Ndingashandisa sei mushonga uyu chaizvo?
Iri harisi piritsi raunomedza nemvura sepiritsi renguva dzose. Iri ipiritsi re "sublingual", zvichireva kuti rinonyungudika pasi perurimi. Heino mashandisirwo aro:
1. Inwa panguva yakakodzera: Inwa sezvakarairwa nachiremba wako, panguva yakatarwa. Izvi zvinowanzo torwa awa imwe chete usati warara.
2. Usapwanye chisimbiso kusvika nguva yekunwa piritsi yasvika: Pwanya pack yemablister ine piritsi chete kana wagadzirira kuishandisa.
3. Chengeta maoko ako akaoma: Vhura pasuru nemaoko maviri akaomeswa zvakanaka wobvisa piritsi zvishoma nezvishoma.
4. Isa pasi perurimi: Tora piritsi woriisa pasi perurimi zvakananga .
5. Rega ichinyungudika: Mira kusvika yanyungudika zvachose. Wobva waimedza. Usatore piritsi iri nemvura. Rinofanira kunwiwa risina mvura.
6. Usachinje mushonga: Usatore mushonga unopfuura wakatarwa kana kurega kuutora kamwe kamwe usina kurairwa nachiremba wako.
Kana uchifunga kuti watora mushonga uyu wakawandisa, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuETU (Emergency Treatment Unit) yechipatara chiri pedyo.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete kuti udzorere dosi rausina kutora.
Mimwe mishonga inogona kupindirana neDesmopressin
Mimwe mishonga inogona kukonzera matambudziko ane njodzi kana ikatorwa neDesmopressin. Saka, unofanira kuudza chiremba wako nezvemishonga yese yauri kutora, kusanganisira mishonga yakanyorerwa nachiremba, mishonga inotengeswa muchipatara, mishonga yechivanhu, mavhitamini, nezvimwe zvinogadzirwa nemiti.
| Usatore Desmopressin pamwe chete nemushonga uyu! | |
|---|---|
| Loop Diuretics (mishonga inokonzera kuti weti yakawanda ibude) | Mishonga yeSteroid (semuenzaniso, Prednisone, Cortisone) |
| Chenjerera zvikuru paunenge uchitora mushonga uyu. | |
| Mimwe mishonga yekurapa zvirwere zvakaita sekuora mwoyo nekuzvidya mwoyo | Mimwe mishonga yekurapa pfari (semuenzaniso Carbamazepine, Lamotrigine) |
| Mimwe mishonga inodhaka | NSAIDs (semuenzaniso, Ibuprofen, Naproxen) |
Zvinhu zvekungwarira paunenge uchitora mushonga
- Chenjerera kuti unonwa mvura yakawanda sei: Ichi ndicho chinhu chakakosha. Sezvo Desmopressin ichideredza weti, kana ukanwa mvura yakawanda semazuva ese, mvura iyoyo inogona kuungana mumuviri uye huwandu hwesodium muropa hunogona kuderera zvine njodzi. Tinoti izvi (Kudhakwa Nemvura). Saka, tevera mirairo yachiremba wako nezvehuwandu hwemvura yaunofanira kunwa pazuva.Unogona kukurudzirwa kuderedza kunwa kwako mvura, kunyanya awa imwe usati wanwa mushonga uye kwemaawa masere mushure mekutora mushonga.
- Kana uri kurasikirwa nemvura nedzimwe nzira: Kana uine manyoka, kurutsa, kana kuti uri kudikitira zvakanyanya, udza chiremba wako. Izvi zvinodaro nekuti kuenzana kwemvura mumuviri nemunyu zvinogona kuchinja panguva iyi, zvichiita kuti zvive nengozi kutora Desmopressin.
- Kuongororwa nachiremba nguva dzose: Mushure mekutanga mushonga, ongororwa ropa (kunyanya tarisa huwandu hwesodium mumuviri) uye ongororwa nachiremba sezvakarairwa nachiremba wako.
Ndezvipi migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Desmopressin inogona kuva nemigumisiro yakaipa. Mimwe yacho yakakomba, asi mimwe inowanzoonekwa.
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Zviratidzo zve sodium yakaderera | Musoro, hope, dzungu, kuvhiringidzika, kuda kurutsa, kugwinha kwetsandanyama, kushaya zororo, uye pfari . |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Zvimwe zviratidzo zvakakomba | Kutadza kufema zvakanaka, kurwadziwa pachipfuva kana kusimba, kuchinja kweBP, kurova kwemoyo nekukurumidza kana kusina kurongeka, kuwedzera uremu kamwe kamwe, kuzvimba mumakumbo kana muzvitsitsinho, kuneta kwakanyanya. |
| Kazhinji hazvisi zvekurwara zvakanyanya (asi udza chiremba wako kana zvikaramba zviripo) | |
| Muromo wakaoma | Musoro mudiki, kuda kurutsa kushoma. |
Mharidzo Yekuenda Nayo Kumba
- Desmopressin mushonga unoshanda sehomoni uye unopiwa kuvanhu vakuru kurapa mamiriro ekuita weti nguva nenguva husiku (nocturia).
- Njodzi huru uye yakakomba yeizvi ihuwandu hwakaderera hwe sodium muropa. Saka nyatso cherechedza zviratidzo zvakaita semusoro, kuda kurutsa, uye dzungu.
- Tevedzera mirairo yekutora mvura yakapihwa nachiremba wako nokungwarira. Kunwa mvura yakawandisa kunogona kuva nengozi.
- Paunenge uchishandisa mushonga uyu, zvakakosha kuzivisa chiremba wako nezvemimwe mishonga yese yauri kutora.
- Usamedze piritsi. Isa pasi perurimi rwako worinyungudutsa. Usashandise mvura.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
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