Iwe kana mwana wako munonzwa nyota nguva dzese here? Uye munogara muchiita weti here? Pamwe mwana wenyu ari kunyorovesa pamubhedha husiku. Muzviitiko zvakadaro, chiremba wenyu anogona kunyora piritsi rinonzi 'Desmopressin'. Sezvo mushonga uyu uchishandiswa kakawanda, uye sezvo muchifanira kungwarira zvikuru pamunoushandisa, nhasi tichataura nezvepiritsi iri reDesmopressin nemashoko akareruka.
Chii chinonzi Desmopressin?
Zvichitaurwa zviri nyore, Desmopressin ihormone yakagadzirwa murabhoritari yakafanana nehormone 'Vasopressin' inogadzirwa nemuviri wedu. Homoni yeVasopressin iri mumuviri wedu inotumira chiratidzo kubva kuuropi kuenda kuitsvo, ichidzora huwandu hwemvura inobuda mumuviri seweti. Saka, piritsi reDesmopressin iri rinoita zvimwe chetezvo.
Basa rayo guru nderekudzora huwandu hweweti inoburitswa neitsvo. Kureva kuti, inoderedza kurasikirwa nemvura mumuviri zvisina kufanira uye inobatsira kuchengetedza mvura yakakwana mumuviri. MuSri Lanka, unogona kuona mushonga uyu uchishandisa zita rekuti DDAVP.
Mashandisirwo emushonga uyu ndeapi?
Vanachiremba vanonyanya kunyora mushonga uyu mumamiriro ezvinhu akasiyana-siyana.
- Central Diabetes Insipidus: Ichi chirwere apo uropi hunoburitsa hormone shoma yeVasopressin. Nekuda kweizvozvo, pane weti yakawandisa uye nyota yakawandisa. Desmopressin inobatsira zvikuru mukudzivirira chirwere ichi.
- Kunyorovesa pamubhedha / Kunyorovesa kwehusiku: Vanachiremba vanokurudzira mushonga uyu wedambudziko iri, kunyanya kuvana vane makore anopfuura mana. Unobatsira kuderedza huwandu hweweti inogadzirwa husiku uye kudzivirira mwana kunyorovesa pamubhedha.
- Mushure mekukuvara kwemusoro kana kuvhiyiwa: Mushure mekukuvara kwakanyanya kwemusoro kana kumwe kuvhiyiwa kweuropi, mashandiro ehomoni ye vasopressin anogona kukanganisika kwenguva pfupi. Inoshandiswawo kudzora weti yakawandisa munguva dzakadaro.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati wanyora Desmopressin, zvakakosha zvikuru kuzivisa chiremba wako nezvenhoroondo yako yese yehutano, kunyanya kana uine chimwe chezvirwere izvi.
- Kana wakambova neropa rakagwamba
- Kana uine chirwere chakadai seCystic Fibrosis
- Kana uine chirwere chemwoyo kana BP yakakwira
- Kana uine chero rudzi rwechirwere cheitsvo
- Kana wakamboonekwa uine sodium shoma muropa (izvi zvakakosha zvikuru)
- Kana uine allergy yeDesmopressin, Vasopressin kana chero imwe mishonga, chikafu, kana dhayi
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri
- Kana amai vachiyamwisa mwana wavo
Zvichibva paruzivo urwu, chiremba achasarudza kana mushonga uyu wakakodzera iwe kana kwete uye kuti unofanira kupiwa mushonga upi.
Ndingashandisa sei mushonga uyu chaizvo?
Zvakakosha kuziva mashandisirwo chaiwo emushonga uyu.
- Piritsi iri rinofanira kunwiwa negirazi remvura.
- Zvakakosha zvikuru kutora mushonga wako sezvakarairwa nachiremba wako. Kana ukautora kamwe chete pazuva, tora panguva imwe chete zuva nezuva (kazhinji usati warara husiku).
- Usambofa wakanwa zvinopfuura zvawaudzwa nachiremba.
- Pakupa mushonga uyu kuvana: Pakupa mushonga uyu kuvana, mirairo yachiremba wevana inofanira kuteverwa nemazvo.
- Kana ukatora mushonga wakawandisa netsaona: Kana uchifunga kuti wakatora mushonga uyu wakawandisa netsaona, kurumidza kubata National Poisons Information Centre paColombo National Hospital. Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mushonga uyu wakanyorerwa iwe chete. Usaupe kune mumwe munhu, kunyangwe vaine zviratidzo zvakafanana nezvako. Zvingave zvine njodzi.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga wako unotevera panguva yakatarwa. Usambofa watora mushonga wakapetwa kaviri.
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
Ichi ndicho chinhu chinonyanya kukosha. Unofanira kungwarira zvakanyanya pane zvimwe zvinhu zvehupenyu hwako paunenge uchitora mushonga uyu.
Kunwa Mvura - Chinhu Chikuru!
Ichi ndicho chinhu chinonyanya kukosha . Desmopressin inokonzera kuchengetwa kwemvura mumuviri, saka unofanira kungwarira zvikuru kuti unonwa mvura yakawanda sei.
Vanachiremba vanowanzo kurudzira kuti, "Dzima nyota nemvura." Bvisa nyota, bvisa nyota, bvisa nyota.Shamba, geza Bvisa, bvisa Bvisa, bvisaZvibvise, bvisa, bvisa, bvisa Bvisa, bvisa Bvisa, bvisaZorora, zorora Bvisa, bvisa Bvisa, bvisaBvisa, bvisa, bvisa, bvisaBvisa, taura kuti "Nyarara, vhara"Kunwa mvura yakawandisa kana shoma kunogona kukuvadza. Nekuti mushonga uyu unoita kuti muviri wako uchengetedze mvura, kana ukanwa mvura yakawandisa, huwandu hwe sodium muropa rako hunogona kudzikira zvakanyanya.
Zvirwere
Kana uchinzwa kurwadziwa mudumbu, kurutsa, kana manyoka, kana ukava nefivha nehutachiona, rega kutora mushonga uyu nekukasika wobvunza chiremba wako. Izvi zvinodaro nekuti mvura yakawanda inogona kurasika mumuviri panguva iyi, uye kuramba uchishandisa mushonga uyu kunogona kukonzera shanduko huru muhuwandu hwesodium mumuviri.
Migumisiro inogona kuitika nekuda kwemushonga uyu
Kufanana nemishonga yese, Desmopressin inogona kuva nemigumisiro yakaipa. Mimwe midiki, asi mimwe inoda kutarisirwa kwakakosha.
| Mhedzisiro Yepadivi | Tsananguro uye zvekuita |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. Tsvaga rubatsiro rwechiremba nekukasika. |
| Zviratidzo zvehuwandu hwakaderera hwe sodium mumuviri | Musoro wakanyanya, hope, dzungu, kuvhiringidzika, kuda kurutsa, kurutsa, kugwinha kwetsandanyama, kushaya zororo, kana pfari. Izvi zvinonetsa. Enda kuETU nekukasika. |
| Kukurumidza kuwedzera uremu kana kuzvimba | Kuzvimba mumakumbo kana muzvitsitsinho, kuwedzera uremu kamwe kamwe. Ichi chiratidzo chekuchengetwa kwemvura mumuviri. |
| Kuoma kufema | Kuoma kufema, kurwadziwa pachipfuva kana kusimba. |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo kunokurumidza kana kusina kurongeka. |
| Zvinhu zvekuudza chiremba wako kana zvikaramba zviripo kana kuti zvichikunetsa | |
| Musoro | Musoro mudiki ungangoitika. |
| Muromo wakaoma | Kunzwa muromo wakaoma. |
| Kusvotwa kudiki | Kusanzwa zvakanaka mudumbu kana kuda kurutsa. |
Unoita sei kuti mushonga usakuvara?
- Iva nechokwadi chekuti unoichengeta kure nevana .
- Chengeta patembiricha yemumba (pakati pe20-25 degrees Celsius). Dzivirira kubva pakupisa kwakanyanya uye kubva kuzuva rakananga.
- Rasa mushonga wapera usina kuushandisa.
Mharidzo Yekuenda Nayo Kumba
- Desmopressin mushonga unodzora huwandu hweweti inoburitswa neitsvo uye unofanirwa kushandiswa chete kana wapihwa mazano nachiremba.
- Chenjererai huwandu hwemvura yamunonwa pamunenge muchinwa mushonga uyu. Musanwe mvura yakawanda kana shoma kupfuura yamakaudzwa nachiremba wenyu.
- Kana ukaona zviratidzo zvakaita semusoro wakanyanya, dzungu, kuvhiringidzika, kana kurutsa, zvinogona kuva chiratidzo chine njodzi chekuti une sodium shoma muropa. Enda kuna chiremba nekukasika.
- Rega kutora mushonga uye bvunza chiremba wako kana ukanzwa kurutsa, kurwadziwa mudumbu, kana fivha.
- Mushonga uyu ndewako chete. Usaugovere kune mumwe munhu chero chikonzero chipi zvacho.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eDesmopressin / DDAVP anoshandiswa pai?
Uyu mushonga unoshanda zvikuru pakuderedza chirwere cheshuga chinonzi 'diabetes insipidus' uye 'kunyorova pamubhedha' muvana! Unoisa hormone yechisikigo (ADH) inogadzirwa neuropi hwedu mumuviri, uye unotora mvura inobuda muweti zvakare.
💬 Ungamisa sei kusaita weti zvakanyanya/kunyorova pamubhedha uchishandisa mushonga uyu wekugadzira (Desmopressin)?
Kazhinji, uropi hunotumira mirairo kuitsvo dzedu kuti 'dzichengetedze mvura mumuviri' kuburikidza nehomoni 'ADH'! Uropi hwevamwe vanhu hahubudisi izvi. Kana mushonga uyu (piritsi/spray) ukapinda mumuviri, unoenda zvakananga kuitsvo (V2 receptors muitsvo) uye unovhara magedhi ese anobvumidza mvura kupinda, sekudzima pombi, zvichimisa kugadzirwa kweweti 100%.
💬 Ndeipi njodzi ine njodzi (Black Box Warning) inogona kuitika kana munhu achitora mapiritsi (Desmopressin) anomisa kugadzirwa kweweti?
Njodzi huru yeizvi ndeye 'Hyponatremia / Water Intoxication'! Sezvo usiri kuita weti, kana ukanwa mvura/mvura yakawanda mushure mekutora piritsi iri, mvura iyoyo yese ichazadza muviri wako uye 100% yemunyu uri muropa rako inonyungudika. Kana munyu ukadonha, murwere anogona kungoerekana abatwa nepfari obva afa! (Saka, usanwa iyi kana uine nyota yemvura).
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga