Wakambonzwa zita rekuti 'Methylene Blue' here? Pamwe kwete. Mushonga usingawanzoitiki asi unokosha zvikuru. Muchimiro chawo chemuviri, unotaridzika semvura yebhuruu yakadzika. Kunyange zvazvo ungaratidzika sedhayi rejira rakajairika, une simba rekurapa zvirwere zvakawanda zvakakomba. Ngatinyatsoongorora nyaya iri shure kwemushonga uyu webhuruu wakasiyana.
Chii chinonzi Methylene Blue?
Muchidimbu, Methylene Blue mushonga unoshandiswa navanachiremba kurapa chirwere cheropa chisingawanzoitiki chinonzi methemoglobinemia . Kunyangwe chiri chinhu chakasimba, chinopihwa semvura yebhuruu kuburikidza nejekiseni zvakananga mutsinga yako.
Nhoroondo yemushonga uyu inonakidza. Wakatanga kuwanikwa nenyanzvi yemakemikari yekuGermany muzana remakore rechi19. Pakutanga, waishandiswa sedhayi muindasitiri yemachira uye gare gare sepigment mukuyedza murabhoritari.
Makore angangoita 125 apfuura, chiremba wekuGermany akatanga kuishandisa kurapa malaria. Kubva ipapo, kushandiswa kwayo mukurapa kwachinja zvakanyanya. Parizvino, yakatenderwa neFDA kunyanya kurapa methemoglobinemia. Zvisinei, dzimwe nguva vanachiremba vanogona kuishandisa kune mamwe mamiriro ekurapa.
Mushonga uyu unoshandiswa kuzvirwere zvipi?
Sezvambotaurwa, kushandiswa kukuru kweMethylene Blue kurapa methemoglobinemia.
Saka, chii chinonzi methemoglobinemia?
Ichi chirwere chinokonzerwa neropa. Zvichitaurwa zviri nyore, kana uine chirwere ichi, masero matsvuku eropa haakwanise kutakura okisijeni zvakanaka kuenda kunhengo dzemuviri wako.
Kana muviri usina okisijeni yakakwana, nzvimbo dzakadai semiromo yako, ganda, rurimi, nenzara dzinogona kuita bhuruu. Izvi zvinozivikanwa se cyanosis . Muvacheche, izvi dzimwe nguva zvinonzi 'blue baby syndrome'.
Vamwe vanhu vanogara nhaka chirwere ichi nemajini. Zvisinei, vazhinji vanochiwana nekuda kwekushandisa mimwe mishonga, zvinodhaka zvisiri pamutemo, kana kusangana nezvimwe zvinhu zvine makemikari .
Methemoglobinemia inogona kuva chirwere chinoisa upenyu panjodzi . Methylene Blue ndeimwe yemishonga inoshanda zvikuru pakurapa chirwere ichi.
Mushonga uyu unoshanda sei?
Methylene Blue inopinda muropa rako uye inoshanduka kuita kemikari inoshandura methemoglobin (iyo isingakwanise kutakura okisijeni) kuita hemoglobin inoshanda (iyo inogona). Funga nezvayo se 'kuchaja' simba rekutakura okisijeni muropa rako.
Mushonga uyu unopihwa muchipatara kana kiriniki nachiremba kana nesi semushonga we IV drip. Maitiro acho anowanzo tora maminetsi angangoita mashanu kusvika makumi matatu. Kazhinji, dose imwe chete inokwana kuderedza zviratidzo. Zvisinei, kana zviratidzo zvikaramba zviripo mushure meawa imwe, chiremba wako anogona kusarudza kukupa imwe dose.
Migumisiro uye kusangana kwemishonga ( migumisiro & Kubatana)
Chiremba wako asati akupa mushonga uyu, achaongorora nhoroondo yako yese yehutano, sezvo ingave isina kuchengetedzeka kune vanhu vane mamwe matambudziko ehutano.
| Kushomeka kweG6PD | Ichi chirwere cheropa chinokonzerwa nemajini. Kana munhu ane chirwere ichi akagamuchira Methylene Blue, chinogona kukonzera kuparadzwa kwemasero matsvuku eropa (hemolysis) nekukurumidza, zvichikonzera emergency yakakura yekurapa. Izvi zvakakosha zvikuru. |
| Kubata pamuviri kana kuyamwisa | Kana uine pamuviri, uchironga kuva nepamuviri, kana kuti uchiyamwisa, unofanira kuzivisa chiremba wako. |
| Mamwe mamiriro ezvinhu | Ndapota zivisai chiremba wenyu kana muine nhoroondo yechirwere cheitsvo kana chechiropa. |
| Kurwara | Udza chiremba wako kana uine allergies yeMethylene Blue kana mimwe mishonga, chikafu, kana madhayi. |
| Chepfu yeCyanide | Kana paine fungidziro yekuti kune chepfu yecyanide, unofanira kuzivisa chiremba wako nekukasika. |
Ndezvipi migumisiro yakaipa?
Kufanana nemishonga yese, Methylene Blue inogona kukonzera migumisiro yakaipa.
- Migumisiro midiki (kazhinji haisi chikonzero chekuvhunduka):
- Kuchinja ruvara rweweti netsvina neruvara rwebhuruu-girini (izvi zvakajairika nekuda kweruvara rwedhayi).
- Kusvotwa nekurutsa .
- Kuchinja ruvara rweganda zvishoma.
- Kurwadziwa panzvimbo yekubaiwa jekiseni.
- Migumisiro yakakomba inoda kurapwa nekukurumidza:
- Kurwadziwa kwechipfuva.
- Dzungu.
- Musoro.
- Kuvhiringidzika.
- Kudikitira kwakanyanya.
- Kurwadziwa kwemudumbu.
Kudyidzana Kwemishonga
Ichi chikamu chakakosha. Kutora mimwe mishonga pamwe chete neMethylene Blue kunogona kuva nemigumisiro ine njodzi.
Zvikuru sei, mimwe mishonga inoshandiswa pakurapa kuora mwoyo kana kuzvidya mwoyo (senge SSRIs) inogona kukonzera chirwere chinotyisidzira hupenyu chinonzi 'Serotonin Syndrome' kana ikasanganiswa neMethylene Blue.
Izvi zvinoitika kana huwandu hweserotonin muuropi hwako hwakwira zvakanyanya, zvichikonzera zviratidzo zvakaita sekubvunda, fivha yakanyanya, uye kurasikirwa nepfungwa, izvo zvinogona kuuraya. Nekuda kweizvi, unofanirwa kupa chiremba wako runyorwa rwakazara rwemishonga yese, mavhitamini, uye zvekudya zvauri kutora parizvino.
Zvimwe zvinoshandiswa uye tsvakurudzo
Kunyange hazvo FDA yakangobvumidza methemoglobinemia chete, dzimwe nguva vanachiremba vanoishandisa senzira yekuti 'isiri yekurapa' mumamiriro ezvinhu chaiwo ekurapa.
- Mushonga wekurapa: Unoshandiswa semushonga wekurapa chepfu yemakemikari inobva muzvinhu zvakaita se nitrites. Kana uchifungidzira kuti chepfu yemakemikari, enda kubazi rezvekukurumidzira riri pedyo nekukasika.
- Kuvhunduka: Kunoshandiswa kurapa nyaya dzakakomba dzekuvhunduka mumakamuri evarwere vanorwara zvakanyanya (ICU).
- Kuzivikanwa kwegomarara:Inoshandiswa sedhayi panguva yekuvhiyiwa kwegomarara kuratidza masero egomarara uye ma lymph nodes.
- Tsvagiridzo yepfungwa: Tsvagiridzo iri kuenderera mberi kuti ione kana zvingabatsira zvirwere zvakaita seAlzheimer's.
- Mushonga wekuuraya utachiona: Dzimwe ongororo dzinoratidza kuti Methylene Blue, kana ikashandiswa nechiedza, inogona kubatsira kuparadza mamwe majekiseni nemavhairasi.
Zvakakosha: Mazhinji emashandisirwo aya achiri muchikamu chekutsvagisa. Usaedze kushandisa chinhu ichi zvichibva paruzivo rwunowanikwa online. Gara uchitevera nhungamiro yachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Methylene Blue mushonga wekurapa chirwere cheropa chisingawanzoitiki asi chakakomba, chinonzi methemoglobinemia.
- Usamboshandisa mushonga uyu wega. Unofanira kugara uchipinzwa netsinga pasi pekutarisirwa nachiremba kana nesi muchipatara.
- Kana uine dambudziko reG6PD , zvakakosha kuti uzivise chiremba wako, sezvo izvi zvichikosha kuti uchengetedzeke.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora (kunyanya mishonga inorwisa kuora mwoyo) kuti udzivise njodzi yeSerotonin Syndrome.
- Weti yebhuruu-girini imhedzisiro yakajairika yemushonga; usavhunduke. Zvisinei, tsvaga rubatsiro rwechiremba nekukasika kana uchinzwa kurwadziwa muchipfuva kana kuvhiringidzika.
- Zvimwe zvingashandiswa pamushonga uyu zvichiri kuyedzwa. Nguva dzose vimba zvakanyanya nemazano echiremba wako.
Methylene Blue, Methemoglobinemia, Cyanosis, kushomeka kweG6PD, Serotonin Syndrome, Migumisiro yemishonga
