Dzimwe nguva tsandanyama dzedu dzinonzwa sedzisina hupenyu, handiti? Maziso edu anorembera, tinonetseka kutaura nekumedza, uye makumbo edu anonzwa asina simba. Nhasi tiri kutaura nezvemushonga unokosha unorapa chirwere chinonzi Myasthenia Gravis, chine zviratidzo zvakaita seizvi. Mushonga iwoyo ndiPyridostigmine.
Chii chinonzi Pyridostigmine?
Muchidimbu, Pyridostigmine mushonga unobatsira tsandanyama dzako kuti dzidzokezve simba rakarasika. Tsinga netsandanyama zvemuviri wedu zvinotaurirana kuburikidza nekemikari. Panyaya ye'Myasthenia Gravis', kutaurirana uku kunokanganiswa. Pyridostigmine inoshanda nekukunda kuvhiringidza ikoko uye kudzoreredza kutaurirana pakati petsinga netsandanyama.
Chiremba wako anogona kukupa mushonga uyu achishandisa mazita emhando dzakadai seMestinon kana Mestinon Timespan. 'Timespan' kana kuti 'extended-release' zvinoreva rudzi rwunopinda mumuviri zvishoma nezvishoma uye runoramba ruchishanda kwenguva yakareba.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Zvakanaka, usati watanga mushonga uyu, zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako. Kana uine chimwe chezvirwere zviri pazasi, iva nechokwadi chekumuudza nezvazvo.
| Mamiriro ehutano/zvimwe zvinhu | Sei uchifanira kuzivisa? |
|---|---|
| Asima | Pyridostigmine inogona kuwedzera kudzvanya nzira dzekufema uye kuwedzera kuoma kwekufema. |
| Chirwere chemwoyo kana kurova kwemoyo kunonoka | Mushonga uyu unogona kuderedza kurova kwemoyo zvakanyanya. |
| Kuoma kana kuvharika kwekuita weti | Mamiriro ezvinhu aya anogona kuipa. |
| Maronda emudumbu kana kuvharika kwemudumbu | Marwadzo emudumbu nezvimwe zvinetso zvemudumbu zvinogona kuwedzera. |
| Chirwere cheitsvo | Sezvo mushonga wacho uchibviswa mumuviri neitsvo, chiyero chingada kugadziriswa. |
| Utachiona hwemudumbu (semuenzaniso peritonitis) | Zviratidzo zvinogona kunge zvisingaonekwe zvakanyanya uye kuongororwa kwechirwere kunogona kuoma. |
| Kuva nepamuviri kana kuedza kubata pamuviri | Chiremba ndiye achaona kana mwana wacho akabatwa nechirwere ichi. |
| Kuyamwisa | Zvakakosha kufunga kana mushonga wacho uri kupfuudzwa kumwana kuburikidza nemukaka wemuzamu. |
| Kurwara nemimwe mishonga, chikafu kana zvimwe zvinhu | Izvi zvakakosha kuti uongorore njodzi yekurwara nemishonga. |
Ndinofanira kushandisa mushonga uyu sei?
Rangarira pfungwa idzi paunenge uchishandisa mushonga uyu:
- Medza piritsi iri rose negirazi remvura.
- Usapwanye, kupwanya, kana kutsenga piritsi, kunyanya kana riri rerudzi rwe 'extended-release' (Timespan), sezvo izvi zvinogona kukonzera kuti mushonga upinde mumuviri nekukurumidza uye wokonzera migumisiro yakaipa.
- Inwa mushonga chaiwo, sezvakarairwa nachiremba wako. Chiremba wako achakuudza kuti kangani pazuva uye kuti unofanira kunwa mushonga wakawanda sei.
- Usamborega kutora mushonga wako kamwe kamwe usina kurairwa nachiremba. Kuita izvi kunogona kukonzera zviratidzo (semuenzaniso, kuoma kumedza, kuoma kufema) kuti zviwedzere kuipa.
- Kana mushonga uyu ukapihwa vana, kutarisirwa kwakakosha kunodiwa uye unofanira kuitwa chete mushure mekurairwa nachiremba.
Zvakakosha: Kana uchifunga kuti watora mushonga unopfuura wawakarayirwa, fonera chiremba wako nekukasika.Fonera National Poisons Information Centre iri kuColombo National Hospital, kana kuti enda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Chii chaunofanira kuita kana ukarasikirwa nedosi remushonga?
Inwa mushonga wawakarasikirwa nawo nekukurumidza paunenge uchiyeuka. Zvisinei, kana yava nguva yekuti utore mushonga unotevera, siya mushonga wawakarasikirwa nawo wotora mushonga unotevera panguva yakatarwa. Usatore mushonga wakapetwa kaviri chero chikonzero chipi zvacho!
Zvimwe zvinhu zvinogona kupindirana nemushonga uyu
Zvakakosha kuudza chiremba wako nezvemishonga yese, mavhitamini, uye zvekudya zvinovaka muviri zvauri kutora, sezvo Pyridostigmine inogona kukanganisa mimwe mishonga.
| Hunhu hwekusangana kwetsaona | Mienzaniso (mhando dzemishonga) |
|---|---|
| Usatore Pyridostigmine pamwe chete nemushonga uyu. | |
| Nekuti zviito zvakafanana, migumisiro inogona kuwedzera. | Mimwe mishonga yekurapa myasthenia gravis (semuenzaniso neostigmine), Quinine. |
| Ndapota zivisai chiremba wenyu nekuti izvi zvinogona kukanganisa mishonga yenyu. | |
| Pyridostigmine inogona kuderedza kana kuwedzera kushanda kwayo kana kukonzera migumisiro yakaipa. | atropine, bethanechol, disopyramide, edrophonium, guanethidine, mecamylamine, nemimwe mishonga inodzora marwadzo emhasuru kana tsinga. |
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvechero chauri kutora.
Zvinhu zvekurangarira kana uchitora mushonga
- Ona chiremba wako panguva yakatarwa kuti utarise mamiriro ako ezvinhu. Kana zviratidzo zvako zvikaramba zvichiwedzera kana kuti zvikanyanya kuipa, udza chiremba wako.
- Zvakakosha kutakura chitupa chekurapa chinoratidza kuti une Myasthenia Gravis nemishonga yauri kutora pamwe chete nechiyero chayo. Izvi zvinogona kubatsira zvikuru panguva yenjodzi.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, Pyridostigmine inogona kukonzera mimwe migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Ngationei kuti izvi chii.
| Mhedzisiro yedivi | Zvekuita |
|---|---|
| Kana chimwe cheizvi chikaitika, taurira chiremba wako nekukasika. | |
| Kurwara nepfungwa (mapundu eganda, kuvaviwa, kuzvimba kwechiso/miromo/rurimi) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuoma kufema | |
| Kuchinja kwemaonero | |
| Kurwadziwa kwakanyanya kwemhasuru, kurwadziwa kwemusoro, kana kukamhina | |
| Kurova kwemoyo kunonoka kana kuti kusina kurongeka | |
| Kurwadziwa kwakanyanya mudumbu, kurutsa | |
| Kuneta kana kushaya simba kusingawanzoitiki | |
| Izvi hazviwanzo kuva nengozi, asi kana zvikaramba zviripo, udza chiremba wako. | |
| Manyoka (kunyanya pakutanga kwekurapwa) | Kana dambudziko racho rikaramba riripo, zivisa chiremba. |
| Kupisa mate zvakanyanya | |
| Kuwedzera kwedikita, kuda kurutsa | |
Unofanira kuchengeta sei mushonga wako?
- Chengeta panzvimbo yakachengeteka pasingasvikirwi nevana.
- Chengeta patembiricha yemumba (pakati pe15-30 Celsius). Dzivirira kubva pakupisa kwakanyanya kana kutonhora.
- Dzivirira kubva kuhunyoro uye zuva rakananga. Chengeta bhodhoro remushonga rakavharwa zvakasimba.
- Rasa mushonga wapera usina kuushandisa.
Mharidzo Yekuenda Nayo Kumba
- Pyridostigmine mushonga unoshandiswa kurapa chirwere chekushaya simba kwetsandanyama Myasthenia Gravis.
- Usati watanga mushonga uyu, udza chiremba wako nezvezvimwe zvirwere zvese zvaunazvo (kunyanya asthma, chirwere chemwoyo, chirwere cheitsvo).
- Medza piritsi rese, usingarityore kana kuripwanya. Rinwe panguva yakatarwa.
- Usarega kutora mushonga kamwe kamwe usina kurairwa nachiremba.
- Kana ukasangana nematambudziko akakomba, akadai sekuoma kwekufema, kurwadziwa kwakanyanya kwetsandanyama, kana kurova kwemoyo kunonoka, taura nachiremba wako nekukasika.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora. Izvi zvakakosha zvikuru kuti uchengetedzeke.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Pyridostigmine / Mestinon?
Iri ipiritsi rinokosha zvikuru uye guru rinopihwa chirwere chakakomba chetsinga dzemutsinga chinonzi 'Myasthenia Gravis'! Kana zviratidzo zvinobva muuropi hwedu zvikarega kusvika mutsandanyama, tsandanyama dzedu dzinooma (hatigoni kuvhura maziso edu, kutaura, kana kufamba). Chinoitwa nepiritsi iri kudzoreredza simba retsandanyama idzodzo dziri kurasika uye kudzosa murwere pakugara zvakanaka.
💬 Mushonga uyu (Pyridostigmine / Mestinon) unokurudzira sei tsandanyama?
Shoko rinoenda kumhasuru rinotumirwa kubva muuropi hwedu kuburikidza netsinga nekemikari inonzi 'Acetylcholine'. Asi muvarwere vane Myasthenia, idzi dzinokurumidza kuparadzwa (neCholinesterase enzyme). Mushure mekutora mushonga uyu, enzyme inoparadza inovharwa (Cholinesterase inhibitor), uye acetylcholine yakawanda inobvumirwa kuungana pedyo netsinga. Zvadaro tsandanyama dzinogona kushanda/kukotama zvakanaka/zvakasimba zvakare.
💬 Ndezvipi zvinokanganisa zvinogona kuitika kana munhu achitora mushonga uyu?
Izvi hazvingogadzirisi tsandanyama chete, asiwo zvinowedzera kushanda kwenhengo dzemukati dzakadai sematumbu/dundira! Saka, kunwa izvi kunogona kukonzera migumisiro inonetsa yakaita se'manyoka akanyanya, kurwadziwa mudumbu, kubuda mate/kubvaruka mumuromo/mumaziso, uye kuita weti kakawanda'. (Uyewo, kana dose ikawedzerwa, tsandanyama dzinogona kudonha/kusashanda!)
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