Chiremba wako akakunyorera jekiseni re folic acid here? Pamwe une pamuviri, kana kuti pamwe wakanyorerwa rimwe dambudziko rehutano. Kunzwa zita iri kungangomutsa mibvunzo yakawanda. Zvakajairika kuti zvinhu zvakaita sekuti "Iyi inoshandisirwei?", "Chii chichaitika kwairi?", "Yakachengeteka here?" zviuye mupfungwa. Saka nhasi, ngatitaurei nezvejekiseni iri, kukosha kwayo, uye zvinhu zvekungwarira paunenge uchiishandisa, nenzira iri nyore uye ine hushamwari.
Kutanga, ngationei, chii chinonzi folic acid?
Zvichitaurwa zviri nyore, folic acid ivhitamini B inokosha mumuviri wedu. Kutaura chokwadi, ivhitamini B9 yakagadzirwa. Funga nezvemuviri wedu seimba. Tinoda marudzi akasiyana ezvidhinha kuti tivake imba iyi, handiti? Saizvozvowo, mavhitamini aya anodiwa kuti tivake uye tichengetedze zvinhu zvinonyanya kukosha mumuviri wedu.
Folic acid inoita mabasa akakosha mumuviri wedu:
- Kugadzira masero matsvuku eropa: Folic acid inokosha pakugadzira masero matsvuku eropa, anotakura okisijeni mumuviri wedu wese. Kana aya apera, tinova nechirwere chinonzi anemia.
- Hutano hwehuropi: Izvi zvinobatsirawo kuchengetedza mashandiro akanaka ehuropi.
- Munguva yekuzvitakura: Folic acid inokosha kuna amai nemwana asati aberekwa. Inonyanya kukosha pakukura kwehuropi hwemwana nemusana. Kushaikwa kwefolic acid kunoderedza zvikuru njodzi yekukuvara kwakakomba mutsinga dzemuviri.
Tinowanzoiwana iri muchimiro chemapiritsi. Asi mune dzimwe nguva, kana muviri usingakwanise kuipinza zvakanaka kuburikidza nechikafu, kana kana uchida kuwedzera folic acid mumuviri wako nekukurumidza, vanachiremba vanokurudzira kuti uibaiwe jekiseni.
Zvinhu zvaunofanira kuudza chiremba wako usati wabayiwa majekiseni
Kunyangwe ichi chiri vhitamini, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako, kunyanya zvinotevera:
| Mamiriro ako ezvinhu | Sei izvozvo zvichikosha? |
|---|---|
| Chirwere cheitsvo | Sezvo mushonga wacho uchibviswa mumuviri kuburikidza neitsvo, chiyero chingada kugadziriswa. |
| Kushaya simba remuviri kana kushayikwa kwevhitamini B12 | Izvi zvakakosha zvikuru. Folic acid inogona kudzikamisa zviratidzo zvekushaikwa kwevhitamini B12. Asi kukuvara kwetsinga kunoramba kuripo. Saka, ruzivo urwu rwakakosha kuti chiremba aongorore chirwere nemazvo. |
| Kurwara | Udza chiremba wako kana uine allergies kune folic acid, mamwe mavitamini eB, zvimwe zviri mumushonga wekudzivirira (semuenzaniso benzyl alcohol), kana mimwe mishonga kana chikafu. |
| Kubata pamuviri kana kuedza kubata pamuviri | Kunyange zvazvo izvi zvichiwanzokurudzirwa panguva yekuzvitakura, zvakakosha kuti chiremba wako azive nezvechirwere chako. |
| Kuyamwisa | Zvakakosha kutaura nachiremba wako nezvekushandisa mishonga panguva yekuyamwisa. |
Mushonga uyu unoshandiswa sei?
Njodzi yefolic acid inowanzopihwa muchipatara kana kukiriniki. Inopihwa nachiremba kana nesi. Kune nzira dzakasiyana dzekuwana nhodzi iyi:
- Mutsinga (IV) - `(Mutsinga)`
- Mutsinga dzemudumbu (IM)
- Pasi peganda - `(Subcutaneous kana SC)`
Dzimwe nguva, chiremba wako anogona kukuudza mashandisirwo ekushandisa mushonga uyu kumba. Kana zvakadaro, tevera mirairo yacho nemazvo . Zvakakosha kutora mushonga wacho panguva chaiyo.
Zvakakosha: Usamborasa tsono nemasirinji akamboshandiswa mumarara. Zvinogona kuva nengozi kune vamwe. Pane chinhu chakakosha chekupinza nacho. Kana usina, bvunza chiremba wako nezvazvo.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa?
Kana uchifunga kuti wakatora mushonga uyu wakawandisa netsaona, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Ko kana ndikasawana nguva yekurapwa?
Tora mushonga nekukurumidza paunenge uchiyeuka. Asi kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wausina kutora wotora mushonga unotevera panguva yakatarwa. Usambofa watora mishonga miviri panguva imwe chete.
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Mimwe mishonga yaunotora inogona kukanganisa mashandiro anoita folic acid, uye folic acid inogona kukanganisa mishonga iyoyo. Mimwe mienzaniso ndeiyi:
- Chloramphenicol (mushonga unorwisa mabhakitiriya)
- `Cholestyramine` (mushonga unoderedza cholesterol)
- Mimwe mishonga yekurapa pfari
- `Methotrexate` (mushonga unoshandiswa pakurapa kenza nezvimwe zvirwere)
- Nitrofurantoin (mushonga unorwisa mabhakitiriya)
- Pyrimethamine (mushonga unoshandiswa kurapa zvirwere zvakaita semarariya)
Rondedzero iyi haina kukwana. Saka, iva nechokwadi chekuudza chiremba wako nezve mimwe mishonga, mavhitamini, mishonga yemiti, kana zvimwe zvekudya zvauri kutora. Zvakare, udza chiremba wako kana uchisvuta kana kunwa doro.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, majekiseni efolic acid anogona kukonzera migumisiro yakaipa kune vamwe vanhu. Zvisinei, izvi hazviwanzoitika. Ngatitarisei kuti migumisiro yakaipa iyi chii.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo |
|---|---|
| Kana ukaona zviratidzo izvi, taurira chiremba wako nekukasika. | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuoma kufema | Kuoma kufema, kushaya mweya, nezvimwewo. |
| Zviratidzo zvepfungwa | Kurwadziwa, kusanzwa kana kurasikirwa nemanzwiro mumakumbo nemaoko. |
| Izvi hazviwanzo kuva zvakakomba, asi kana zvikaramba zviripo, udza chiremba wako. | |
| Kusagadzikana kwakajairika | Kunzwa sekuti hapana chandinorarama uye kuneta. |
| Kushaya hope | Kudzikira kwechido chekudya. |
| Kusvotwa | Kunzwa kuda kurutsa. |
Kana ukaona zvimwe zviratidzo zvisingawanzoitiki zvisiri pane urongwa uhwu, taura nachiremba wako nezvazvo zvakare.
Mharidzo Yekuenda Nayo Kumba
- Folic acid (vhitamini B9) inokosha mumuviri wedu, kunyanya pakugadzirwa kwemasero matsvuku eropa, mashandiro europi, uye kukura kwemwana panguva yekuzvitakura.
- Iva nechokwadi chekuudza chiremba wako nezvemimwe mishonga yauri kutora uye chero zvimwe zvirwere zvaunazvo (kunyanya chirwere cheitsvo, kushomeka kwevhitamini B12).
- Kana uchifunga kuti watora mushonga wakawandisa, enda kuEmergency Department (ETU) nekukasika.
- Kana ukaona zviratidzo zvekusawirirana nemuviri (mapundu eganda, kuvaviwa, kuzvimba kwechiso/huro, kunetseka kufema), tsvaga rubatsiro rwechiremba nekukasika.
- Kunyangwe ichi chiri vhitamini, chishandise chete kana warayirwa nachiremba, muchiyero chawakanyorerwa. Taura pachena nachiremba wako nezvezvinokunetsa.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi/makapisi eDofetilide (Dofetilide / Tikosyn) mushonga une simba zvikuru unoshandiswa pakurapa chirwere chipi?
Uyu hausi mushonga wemazuva ose! Uyu ndiwo mushonga une simba uye wekupedzisira (Class III Antiarrhythmic) unoshandiswa navanachiremba kuti vadzose moyo ku'Normal Sinus Rhythm' apo makamuri epamusoro emurwere anongoerekana arova nekukurumidza zvisina kujairika (Atrial Fibrillation / Atrial Flutter), chirwere chine njodzi zvikuru umo makamuri epamusoro emwoyo anorova nekukurumidza zvisingajairika!
💬 Kana moyo uchirova zvekupenga, mushonga uyu (Dofetilide) ungagadzirisa sei kurova kwemoyo?
Mwoyo unorova kuburikidza nemasaini emagetsi (Action Potentials). Kana uchirova zvakanyanya, masero emagetsi anochaja nekukurumidza! Chinoitwa nepiritsi iri (Potassium channel blocker) painopinda mumoyo ndechekuwedzera nekunonotsa nguva inotora kuti masero emagetsi emoyo achaja uye adzokezve (Repolarization phase / QT interval)! Ipapo moyo haugone kurova nguva inotevera nekukurumidza uye kurova kwemoyo kunodzoka kamwe kamwe kune zvakajairika (zvishoma nezvishoma).
💬 Sei zvichinzi 'Unofanira kugara muchipatara kwemazuva matatu (Black Box Warning)' paunotanga kutora mushonga uyu (Tikosyn)?
Ndiyo njodzi huru uye rufu! Izvi zvakafanana nekugadzira rhythm yemwoyo, uye kana wangonwa mapiritsi maviri, 'rhythm itsva yemoyo inouraya (Torsades de pointes / Proarrhythmia)' inogona kuitika uye murwere anogona kufa kamwe kamwe/kuenda kukoma! Saka, kwemazuva matatu ekutanga, vanachiremba vanoisa murwere paECG uye vanoongorora itsvo vasati vagadzirisa mushonga.
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