Unonzwawo hope dzisingadzoreki masikati here? Kana kuti unonzwa sekunge uchafenda wodonha pasi paunoseka kana kushamisika? Mukurapa, tinodana chirwere ichi kuti Narcolepsy. Saka, mushonga unopiwa kurapa chirwere ichi iSodium Oxybate. Unouya muchimiro chemushonga. Nhasi, tichataura nezvemushonga uyu nemashoko akareruka, mashandisirwo awo, zvinhu zvekungwarira, uye migumisiro.
Chii chaizvo chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, mushonga uyu unonzi sodium oxybate unodzora chirwere chako chekurara nepfungwa.
- Kurara Masikati: Mushonga uyu unoshanda nekuchinja pfungwa dzako uye kuderedza kurara masikati kusingadzoreki. Izvi zvinokubatsira kuti urarame zvakanaka husiku.
- Kushaya simba: Vamwe vanhu vanongoerekana vashaya simba mutsandanyama, sepaya pavanoseka kana kushamisika. Izvi zvinonzi kushata. Mushonga uyu unogona zvakare kuderedza kuitika kwezviitiko zvakadaro.
Uyu mushonga unonyorerwa nachiremba unofanira kunyorerwa nachiremba. Hausi mushonga waunogona kutora wega.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekuudza chiremba wako usati watanga mushonga uyu. Mushonga uyu haukodzeri munhu wese. Unogona kuva nengozi kana paine zvimwe zvirwere.
| Mamiriro ako kana tsika yako | Sei uchifanira kuzivisa chiremba? |
|---|---|
| Kana ukanwa doro | Kutora mushonga uyu nedoro kune njodzi huru. Kunogona kukonzera matambudziko anouraya, akadai sekumira kufema. |
| Kuora mwoyo, pfungwa dzekuzviuraya, kana zvimwe zvirwere zvepfungwa | Mushonga uyu unogona kuwedzera mamwe matambudziko epfungwa, saka zvakakosha kuti chiremba azive nezvazvo. |
| Zvirwere zvekufema (semuenzaniso Sleep Apnea) kana zvirwere zvemapapu | Mushonga uyu unogona kunonoka kufema. Izvi zvine njodzi kune munhu ane matambudziko ekufema kare. |
| Chirwere chechiropa kana cheitsvo | Nekuti nhengo iyi inobatanidzwa mukubvisa mushonga mumuviri, zvingava zvakakosha kushandura chiyero chemushonga. |
| Kana uine chirwere chemwoyo, BP, kana kuti uri kudya chikafu chisina munyu wakawanda | Mushonga uyu une sodium yakawanda (munyu), saka unogona kukanganisa vanhu vane zvirwere izvi. |
| Dambudziko risingawanzoitiki rinonzi succinic semialdehyde dehydrogenase deficiency | Ichi chirwere chisingawanzoitiki chemajini. Vanhu vane chirwere ichi havapiwi mushonga uyu. |
| Kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uri amai vanoyamwisa | Unofanira kukurukura nachiremba wako nezvemigumisiro inogona kuitika pamwana wako asati aberekwa kana mwana anoyamwa. |
Ndinofanira kushandisa mushonga uyu sei?
Mashandisirwo emushonga uyu akasiyana zvishoma, saka tevera mirairo iyi nemazvo.
- Tevedzera mirairo yachiremba wako: Nguva dzose tora mushonga chaiwo sezvawakarairwa nachiremba wako. Verenga mirairo iri papepa remushonga nokungwarira.
- Kuyera nemazvo: Shandisa sirinji yekunwa chaiyo kana kapu yekuyera inouya nemushonga kuti uiyere. Usashandise zvipunu zvemumba kana zvipunu zvemuto. Hazvizokupi chiyero chakarurama.
- Kugadzira mushonga: Unofanira kusanganisa huwandu hwemushonga wakanyorwa nemvura shoma wonwa. Chiremba wako achakutsanangurira maitiro ekuita izvi.
- Tora mudumbu risina chinhu: Mushonga uyu unofanira kutorwa maawa maviri mushure mekudya.
- Nzira yekutora mishonga miviri: Iyi ndiyo inonyanya kukosha. Uchaudzwa kuti utore mishonga miviri husiku.
1. Dose yekutanga: Panguva yekurara,Enda kunorara wonwa uri pamubhedha.
2. Dose yechipiri: Inwa maawa 2.5 kusvika 4 mushure medose yekutanga. Ungangoda kuisa alarm yeizvi.
- Ko kana ndikatadza kutora mushonga? Kana ukatadza kutora mushonga, siya mushonga wacho. Ingotora mushonga unotevera panguva yakatarwa. Usambotora mishonga miviri panguva imwe chete.
Ko kana ukatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawandisa, idambudziko rekukurumidza. Fonera National Poisons Information Centre paColombo National Hospital nekukasika, kana kuenda kuEmergency Department (ETU) yechipatara chiri pedyo.
Zvakakosha: Mushonga uyu ndewako chete. Usambougovana nemumwe munhu. Uyu mushonga unogona kushandiswa zvisirizvo, saka kuupa kana kuutengesa kune mumwe munhu imhosva inorangwa.
Zvinhu zvekungwarira zvakanyanya kana uchitora mushonga
Unofanira kufunga zvakawanda nezvekuchengetedzwa kwako paunenge uchishandisa mushonga uyu.
- Kurara pakarepo: Mushonga uyu unoita kuti unzwe hope huru mushure mekuutora. Ndosaka zvichikurudzirwa kuti utore mushonga wekutanga usati warara. Usaite chimwe chinhu mushure mekutora mushonga.
- Kutyaira nekushandisa michina: Usatyaira, kushandisa michina, kana kuita chero chimwe chinhu chinoda kungwarira kwemaawa matanhatu mushure mekutora mushonga.
- Dzivisa doro zvachose: Dzivisa kunwa doro zvachose paunenge uchitora mushonga uyu. Kutora zvese pamwe chete kunogona kukonzera matambudziko ane njodzi akadai sekumira kufema.
- Maitiro ane chekuita nekurara: Ichi chinhu chakakosha chaunoona nemushonga uyu. Fungidzira, wanwa mushonga wacho worara. Asi usingatombozvizivi, unomuka pamubhedha, wobika, wofonera mumwe munhu, kana kutyaira mota ('kutyaira wakarara'). Asi mangwanani anotevera hauyeuki chero chimwe cheizvi. Izvi zvine njodzi huru. Kana ukaona chimwe chinhu chakadai chichiitika kwauri kana kumhuri yako, taurira chiremba wako nekukasika.
- Kuchinja kwepfungwa: Kana iwe kana mhuri yako mukaona chero shanduko mumaitiro enyu, kusuruvara kutsva kana kuwedzera, kufunga nezvekuzviuraya, kuzvidya mwoyo kwakanyanya, kana kurasikirwa nekurangarira, zivisai chiremba wenyu nekukasika.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Kufanana nemushonga upi zvawo, uyu unogona kuva nemigumisiro yakaipa. Mimwe yacho yakakomba, mimwe yacho inowanzoonekwa.
| Rudzi rwemhedzisiro yakaipa | Zviratidzo |
|---|---|
| Migumisiro yakakomba inoda kurapwa nekukurumidza | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kushungurudzika kweCNS (Central nervous system depression) | Kufema zvishoma nezvishoma kana zvishoma, kufema zvakaoma, dzungu rakawandisa, kurasikirwa nepfungwa. |
| Kuchinja kwepfungwa nemaitiro | Kuzvidya mwoyo, kushaya zororo, kuona zvinhu zvisipo, kufunga zvekuzviuraya, kuwedzera kuora mwoyo. |
| Kumborara usina kufema | Kungoridza ngonono zvine ruzha, kudzipwa/kumira uye kutangazve kufema panguva yekurara, kunzwa hope dzakawandisa masikati. |
| Kufamba-famba pahope | Kufamba-famba wakarara kana kuita zvimwe zvinhu usingatombozvizivi. |
| Migumisiro inowanzo fanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Zvimwe | Kuita weti pamubhedha, dzungu, musoro, kushaya chido chekudya, kuda kurutsa, kurutsa. |
Panogona kuva nematambudziko nemimwe mishonga here?
Ehe. Mushonga uyu unogona kushanda pamwe chete nemimwe mishonga.
Dzivisa: Dzivisa doro nemamwe mapiritsi ekurara zvachose paunenge uchitora mushonga uyu. Kunwa mishonga iyi pamwe chete kunogona kumisa kufema kwako uye kunogona kutoisa upenyu panjodzi.
Uye zvakare, matambudziko anogona kuitika nemishonga inotevera:
- Mishonga yekurwisa allergies, kukosora, uye dzihwa (Antihistamines)
- Mimwe mishonga yekuderedza kushungurudzika (semuenzaniso Amitriptyline, Fluoxetine, Sertraline)
- Mimwe mishonga yekurapa pfari (semuenzaniso Phenobarbital)
- Mishonga inopedza marwadzo
- Mishonga inopiwa yekuzorodza tsandanyama panguva yekuvhiyiwa
- Mishonga inouraya marwadzo (kunyanya morphine)
- Mishonga yakaita seDivalproex sodium, Valproic acid
Rondedzero iyi haina kukwana. Saka, udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemiti, uye zvimwe zvinovaka muviri zvauri kutora.
Mharidzo Yekuenda Nayo Kumba
- Nguva dzose tora mushonga uyu sezvawakarairwa nachiremba wako, muchiyero chakakodzera, uye panguva chaiyo. Kunyanya tevera mushonga wemhando mbiri husiku.
- Usatore mushonga uyu pamwe chete nedoro kana mamwe mapiritsi ekurara chero chikonzero chipi zvacho. Zvine njodzi huru.
- Ziva maitiro asina kujairika akadai sekufamba wakarara uye kutyaira wakarara. Kana izvi zvikaitika, zivisa chiremba wako nekukasika.
- Kana ukaona shanduko mupfungwa dzako, maitiro ako, kana kuti pfungwa dzekuzviuraya, tsvaga rubatsiro rwechiremba nekukasika.
- Chengeta izvi munzvimbo yakachengeteka isingasvikwi nevamwe. Usambozvigovana nevamwe.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinoshandiswa pakushandisa Sodium Oxybate (Sodium Oxybate / Xyrem)?
Ichi chinhu chinodzorwa (GHB) chisingawanikwe muma pharmacy enguva dzose uye mushonga weCNS unoburitswa pasi pemitemo yakaoma zvikuru! Chinoshandiswa kurapa chirwere chakakomba chinonzi 'Narcolepsy'. Kureva, varwere vanongoerekana varara vasingadzoreki (Cataplexy) pavanenge vachifamba/vachityaira mota, uye varwere vanotambura nehope dzakanyanya masikati (EDS).
💬 Mushonga uyu (Sodium Oxybate) unobatsira sei nechirwere chepfungwa chinonzi narcolepsy?
Nyaya iripo ndeyekuti, hautore mushonga uyu masikati, asi usati warara husiku (womuka zvakare pakati pehusiku)! Izvi zvinoita kuti murwere arara hope dzakadzika (Slow-wave sleep) husiku (GABA-B Receptor Activation). Paunorara zvakanaka husiku, hope dzisingadzoreki (EDS) uye cataplexy zvinongoerekana zvaitika masikati zvinopora zvachose.
💬 Ndezvipi migumisiro ine njodzi zvikuru (Black Box Warning) yemushonga uyu (Xyrem)?
Uyu mushonga uri muchikamu che'Street Drugs / Date Rape Drug - GHB'! Kana ukatora uyu pamwe chete nemapiritsi edoro/ekurara, pane mukana mukuru wekuora mwoyo kwekufema uye kufa/kufirwa! Zvakare, kana ukaramba uchitora uyu, unogona kuwana kuora mwoyo kwakanyanya, kufamba-famba uchirara, uye psychosis (saka, izvi zvinongoburitswa kuburikidza nechirongwa chakanyoreswa zviri pamutemo cheREMS).
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