Wakambonzwa nezvezita rekuti 'Methylene Blue' here? Pamwe kwete. Mushonga usingawanzoitiki, asi unokosha zvikuru. Chaizvoizvo imvura yebhuruu. Inotaridzika sedhayi yaunoisa pajira, asi inogona kurapa zvirwere zvakakomba. Zvakanaka, saka ngationei kuti nyaya yacho ndeyei nezvemushonga uyu webhuruu usinganzwisisike?
Chii chinonzi Methylene Blue?
Zvichitaurwa zviri nyore, methylene blue mushonga unoshandiswa navanachiremba kurapa chirwere cheropa chisingawanzoitiki chinonzi
methemoglobinemia . Kunyangwe chiri chinhu chakasimba, kana chikashandiswa semushonga, chinonyungudutswa mumvura uye chinopihwa
sejekiseni semvura yebhuruu. Nhoroondo yemushonga uyu inonakidzawo zvikuru. Wakatanga kuwanikwa nenyanzvi yemakemikari yekuGermany muzana remakore rechi19. Pakutanga wakashandiswa sedhayi muindasitiri yemachira. Gare gare, wakashandiswawo sepigment mukuyedza kwerabhoritari. Makore angangoita 125 apfuura, chiremba wekuGermany akatanga kuushandisa semushonga wemarariya. Kubva ipapo, mabhenefiti awo akavandudzika zvakanyanya. Parizvino, unongotenderwa neUS FDA semushonga wemethemoglobinemia. Zvisinei, dzimwe nguva vanachiremba vanoushandisa kune mamwe mamiriro ekurapa zvakare.
Mushonga uyu unoshandiswa kurwere hwerudzii?
Sezvatakambotaura, kushandiswa kukuru kwemushonga uyu kurapa chirwere chinonzi methemoglobinemia.
Saka chii chinonzi methemoglobinemia?
Ichi chirwere chine chekuita neropa redu. Zvichitaurwa zviri nyore, kana chirwere ichi chikaitika, masero matsvuku eropa ari muropa redu haakwanise kutakura okisijeni zvakanaka kuenda kunhengo dzemuviri.
Kana muviri usingawani okisijeni yakakwana, zvikamu zvemuviri zvakaita semiromo, ganda, rurimi, nenzara zvinotanga kuita bhuruu. Izvi zvinonziwo cyanosis . Kana izvi zvikaitika kuvana vadiki, dzimwe nguva zvinonzi 'blue baby syndrome'.
Vamwe vanhu vanogara nhaka chirwere ichi kuburikidza nemajini, kureva kuti, kubva kuvabereki vavo. Asi kune vazhinji, chinokura nekuda kwekushandisa mimwe mishonga, mishonga, kana kunwa mamwe
makemikari . Methemoglobinemia chirwere chakakomba
chinogona kutoisa hupenyu panjodzi . Methylene blue ndeimwe yemishonga yakanakisisa yekurapa izvi.
Mushonga uyu unoshanda sei?
Methylene blue inoshanda nekushandura mamorekuru emethemoglobin, asingakwanise kutakura okisijeni, kuita mamorekuru ehemoglobin anogona kutakura okisijeni. Zvakafanana nekuchaja bhatiri. Mushonga uyu unopihwa semushonga weIV muchipatara kana kiriniki nachiremba kana nesi. Zvinotora maminetsi angangoita mashanu kusvika makumi matatu. Kazhinji, mushonga mumwe chete unoderedza zviratidzo. Zvisinei, kana zviratidzo zvichiripo mushure meawa imwe, chiremba anogona kusarudza kupa mumwe mushonga.
Migumisiro uye kudyidzana nemimwe mishonga
Chiremba wako asati akupe mushonga uyu, achaongorora nhoroondo yako yese yezvekurapa, sezvo mushonga uyu uchigona kuva nengozi kune vanhu vane mamwe matambudziko ehutano.
Zvinhu zvaunofanira kuudza chiremba wako zvechokwadi
| Kushomeka kweG6PD | Ichi chirwere chemajini chinokanganisa masero matsvuku eropa. Kana munhu ane chirwere ichi akapihwa methylene blue, masero matsvuku eropa anogona kuparara nekukurumidza (hemolysis) orwara zvakanyanya. Ichi ndicho chinhu chakakosha. |
| Kubata pamuviri kana kuyamwisa | Iva nechokwadi chekuudza chiremba wako kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uchiyamwisa. |
| Zvimwe zvirwere | Ndapota tizivisei kana muine chirwere cheitsvo kana chechiropa. |
| Kurwara | Tiudzei kana muine allergies nekuda kwemethylene blue kana mimwe mishonga, chikafu, kana madhayi. |
| Chepfu yeCyanide | Kana uchifungidzira kuti une chepfu yecyanide, unofanira kuudza chiremba wako . |
Ndezvipi migumisiro yakaipa?
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa.
- Migumisiro midiki (hapana chekunetseka nezvayo):
- Weti netsvina yebhuruu-girini (izvi zvakajairika, zvinokonzerwa neruvara rwemushonga)
- Kusvotwa nekurutsa
- Kuchinja kudiki kweruvara rweganda
- Kurwadziwa muruoko apo pakapihwa IV
- Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika:
- Kurwadziwa kwechipfuva
- Dzungu
- Musoro (musoro)
- Kuvhiringidzika
- Kuwedzera kwedikita
- Marwadzo emudumbu
Kudyidzana kwemishonga
Ichi chikamu chakakoshawo zvikuru. Mimwe mishonga inogona kuva nemigumisiro ine njodzi zvikuru kana ikatorwa nemethylene blue.
Kunyanya, mimwe mishonga yekuderedza kushushikana kana kuzvidya mwoyo (semuenzaniso, SSRIs) inogona kukonzera chirwere chinogona kuuraya chinonzi 'Serotonin Syndrome' kana ikatorwa pamwe chete nemethylene blue.
Izvi zvinoreva kuti kemikari inonzi serotonin iri muuropi hwedu inowedzera zvakanyanya, zvichikonzera zviratidzo zvakakomba zvakaita sekubvunda, fivha yakanyanya, kurasikirwa nepfungwa, uye kunyange kufa. Saka,
zvakakosha kuudza chiremba wako nezvemishonga yese, mavhitamini, nezvimwe zvinowedzera zvauri kutora. Zvimwe zvakanakira uye zvinhu zvakavakirwa pakutsvaga
Kunyangwe ichingobvumidzwa neFDA chete kuti ishandiswe pakurapa methemoglobinemia, vanachiremba vanoishandisa kune mamwe mamiriro ezvinhu mune zvimwe zviitiko zvakakosha. Izvi zvinonzi kushandiswa kwe 'off-label'.
- Semushonga: Semushonga wekudzivirira chepfu nemakemikari akadai se nitrite, anoshandiswa mune mamwe mafekitori. Kana ukafungidzira chimwe chinhu chakadai, enda kuEmergency Treatment Unit (ETU) yechipatara nekukasika. Kana zvichidikanwa, vachafonera National Poison Information Centre kuColombo National Hospital kuti vakupe mazano.
- Kuvhunduka: Kurapa kuvhunduka mune vamwe varwere vanorwara zvakanyanya vari muchikamu chevarwere vanorwara zvakanyanya (ICU).
- Kuonekwa kwegomarara: Panguva yekuvhiyiwa kwegomarara, rinoshandiswa sedhayi kuratidza masero egomarara nema lymph nodes neruvara rwebhuruu.
- Kuvandudza ndangariro: Kutsvagurudza kuri kuitwa kuti kuonekwe kana izvi zvichigona kubatsira pazvirwere zvakaita seAlzheimer's zvinosangana nekukwegura.
- Semushonga wekuuraya utachiona:Imwe tsvakiridzo yakaratidza kuti kusanganisa methylene bhuruu nechiedza kunogona kuuraya utachiona hwakaita se coronavirus.
Zvakakosha: Zvizhinji zveizvi zvichiri muchikamu chekutsvaga. Saka usangozviedza nekuti wazviona paindaneti. Gara uchitevera mirairo yachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Methylene Blue mushonga unopiwa kurapa chirwere cheropa chisingawanzoitiki asi chakakomba chinonzi methemoglobinemia.
- Mushonga uyu haufanirwe kushandiswa wega . Unogara uchipihwa netsinga muchipatara uchitarisirwa nachiremba kana nesi.
- Kana uine chirwere chemajini chinonzi G6PD deficiency , unofanira kuudza chiremba wako. Zvakakosha zvikuru kuti hupenyu hwako huve hwakachengeteka.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora (kunyanya iya yezvirwere zvepfungwa) kudzivirira serotonin syndrome ine njodzi.
- Zvakajairika kuti weti yako iite bhuruu-girini mushure mekunwa mushonga. Usazvidya moyo nazvo. Asi kana ukaona zviratidzo zvakaita sekurwadziwa muchipfuva kana kuvhiringidzika, enda kuna chiremba nekukasika.
- Zvimwe zvakanakira zvemushonga uyu zvichiri kutsvagurudzwa, saka gara uchitevera zano rachiremba wako.
Methylene Blue, Methemoglobinemia, cyanosis, kushomeka kweG6PD, Serotonin Syndrome, Migumisiro yemishonga
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