Dzimwe nguva tsandanyama dzemuviri wedu hadzishande zvakanaka, handiti? Pane dzimwe nguva pazvinova zvakaoma kufamba, kufambisa makumbo edu, dzimwe nguva kutotaura, uye kumedza. Chiitiko ichi chinonyanya kuzivikanwa kune avo vanorarama nezvirwere zvakaita se'Myasthenia Gravis'. Saka, nhasi tiri kutaura nezvejekiseni rakakosha rinobatsira kudzorera simba retsandanyama muzviitiko zvakadaro. Ndiyo Pyridostigmine.
Mushonga werudzii unonzi Pyridostigmine?
Muchidimbu, Pyridostigmine mushonga unobatsira kusimbisa tsandanyama dzako. Unonyanya kushandiswa kurapa chirwere chinonzi `Myasthenia Gravis`, chinokanganisa tsinga netsandanyama. Muchirwere ichi, masoja emuviri anotadza kushanda zvakanaka, izvo zvinokanganisa kutapurirana kwemashoko kubva mutsinga kuenda kutsandanyama. Izvi zvinoita kuti tsandanyama dzishaye simba uye dzineta nyore nyore.
Pamusoro pezvo, jekiseni iri rePyridostigmine rinoshandiswa kuderedza migumisiro yemimwe mishonga inozorodza tsandanyama panguva yekuvhiyiwa kana kumwe kurapwa.
Mushonga uyu unoshanda sei mumuviri?
Kuti tinzwisise izvi, ngatitorei muenzaniso mudiki. Fungidzira kuti tsinga inotumira mameseji, uye tsandanyama inogamuchira mameseji iwayo. Mashoko anotsinhana pakati pavo kuburikidza nechinhu chinotumwa nemakemikari chinonzi `Acetylcholine`.
Muzvirwere zvakaita se'Myasthenia Gravis', mashandiro emutumwa uyu anoderera. Zvinoitwa nejekiseni rePyridostigmine kumisa kuparadzwa kwemutumwa uyu anonzi acetylcholine mumuviri. Ipapo mashoko anogamuchirwa netsandanyama anosimbiswa, uye tsandanyama dzinowana simba radzinoda kuti dzishande zvakanaka.
Ndezvipi zvinhu zvandinofanira kuudza chiremba ndisati ndatora mushonga uyu?
Usati wapiwa jekiseni rePyridostigmine, chiremba wako achakubvunza mibvunzo mishoma. Zvakakosha kuti utaure chokwadi chose nezveutano hwako panguva ino, usingavanzi chero chinhu . Izvi zvinodaro nekuti mushonga uyu unogona kusangana nezvimwe zvirwere zvaungave nazvo. Saka, kana uine chimwe chezvinotevera, iva nechokwadi chekuudza chiremba wako nezvazvo.
| Ruzivo kana mamiriro ako ehutano | Sei kuziviswa kuchikosha? |
|---|---|
| Chirwere cheasthma | Mushonga uyu unogona kukonzera kupfupika kwenzira dzekufema, izvo zvinogona kuwedzera asthma. |
| Kuoma kwekuita weti | Kushanda kwetsinga kunogona kukanganiswa, izvo zvinogona kuwedzera dambudziko riripo. |
| Chirwere chemwoyo kana kurova kwemoyo kusingawanzoitiki/kunonoka | Izvi zvinogona kukanganisa vanhu vane chirwere chemwoyo, sezvo zvingawedzera kunonoka kurova kwemoyo. |
| Chirwere cheitsvo | Nekuti itsvo dzinobvisa mishonga mumuviri, chiyero chemushonga chingada kugadziriswa kana kushanda kweitsvo kusina kunaka. |
| Maronda kana kuvharika mudumbu kana muura | Nekuti mushonga uyu unowedzera kuburitswa kwemuto wemudumbu, mamiriro emaronda anogona kuipa. |
| Kurwara | Iva nechokwadi chekuudza chiremba wako kana uine allergy kune pyridostigmine, bromides, benzyl alcohol, kana chero mimwe mishonga, chikafu, kana madhayi. |
| Kana uine pamuviri kana kuti uri kuedza kubata pamuviri | Zvingangoitika pamwana ari mudumbu zvinofanira kukurukurwa nachiremba. |
| Kana mwana achiyamwiswa | Unofanira kutaura nachiremba wako nezve mukana wekuti mushonga uyu upfuure kumwana wako kuburikidza nemukaka wemuzamu. |
Mushonga uyu unoshandiswa sei?
Uyu hausi mushonga waunogona kunwa kumba. Pyridostigmine ijekiseni rinopihwa nachiremba kana nesi akadzidziswa muchipatara kana kiriniki. Rinopihwa sejekiseni mutsandanyama kana mutsinga.
Kungwarira kukuru kunofanira kutorwa pakupa mushonga uyu kuvana. Saka, kana mwana wako achida kurapwa uku, kurukura nezvazvo zvizere nachiremba wevana uye tevera mirairo yake.
Zvakakosha: Kana uchifungidzira kuti washandisa mushonga uyu zvakanyanya, unofanira kukurumidza kubata National Poisons Information Centre paColombo National Hospital, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu? (Kudyidzana kweMishonga)
Mimwe mishonga yauri kutora inogona kukanganisa mashandiro anoita Pyridostigmine, saka zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
Yambiro: Kana uri kutora mishonga inotevera, zvakakosha kuti usatore mushonga wePyridostigmine zvachose kana kutsvaga mazano kubva kuna chiremba wako.
* Mimwe mishonga inopihwa ye `Myasthenia Gravis` (semuenzaniso `neostigmine`)
* Quinine (`quinine`)
Pamusoro pezvo, Pyridostigmine inogona kushanda pamwe chete nemimwe mishonga yakawanda, yakadai se `atropine`, `bethanechol`, `disopyramide`, `edrophonium`. Saka, ipa chiremba wako runyoro rwakakwana rwemishonga yese, mavhitamini, mishonga yemishonga, uye zvimwe zvinovaka muviri zvauri kutora. Zvakare, zivisa chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Pyridostigmine inogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yeiyi inoda kutarisirwa nekukurumidza, asi mimwe kazhinji haisi yakakomba.
| Migumisiro yePyridostigmine | |
|---|---|
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
| Kurwara nepfungwa (mapundu eganda, kuvaviwa, kuzvimba kwechiso, miromo, kana rurimi) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuoma kufema | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuchinja kwemaonero | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kugwinha kwetsandanyama kwakanyanya, kurwadziwa kwetsandanyama | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kurova kwemoyo kunonoka kana kuti kusina kurongeka | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kurwadziwa kwakanyanya mudumbu, kurutsa | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kunzwa kuneta kana kushaya simba zvakanyanya | Tsvaga rubatsiro rwechiremba nekukasika. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Kuzvimba mudumbu (kunyanya pakutanga kwekurapwa) | Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. |
| Kugadzirwa kwemate zvakanyanya | Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. |
| Kuwedzera kwedikita | Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. |
| Kunzwa kuda kurutsa (kunzwa kurwara) | Udza chiremba wako kana zvichiramba zvichiitika kana kuti zvichikunetsa. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chakasiyana, ndapota bvunza chiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Pyridostigmine ijekiseni rinopihwa muchipatara, pasi pekutarisirwa nachiremba. Rinonyanya kushandiswa kusimbisa tsandanyama mumamiriro ezvinhu akadai se'Myasthenia Gravis'.
- Usati wagamuchira mushonga uyu, iva nechokwadi chekuudza chiremba wako nezvezvirwere zvese zvaunazvo (zvakaita seasthma, chirwere chemwoyo) nemimwe mishonga yese yauri kutora.
- Tsvaga rubatsiro rwechiremba nekukasika kana uchinetseka kufema, uchirwadziwa zvakanyanya netsandanyama, uchichinja kurova kwemoyo, kana kuti uine allergy yakanyanya.
- Uyu hausi mushonga wekutora kumba wouchengeta. Unongopihwa kuchipatara kana kukiriniki chete.
- Kana muine mibvunzo kana zvinokunetsai nezvemushonga uyu, ndapota kurukurai nachiremba wenyu.
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