Saamai kana baba, unombonetseka here nezvehurefu nekukura kwemwana wako? Dzimwe nguva unonzwa here kuti mwana wako mupfupi kana kuti akareruka kupfuura vamwe vana vezera rimwe chete? Mumamiriro ezvinhu akadaro, paunoenda kunoona chiremba uye anokuudza nezvejekiseni re'Growth Hormone', zvakakosha kuti uzive zvizere nezvazvo. Saka nhasi, ngatitaurei nezvejekiseni iri rekukura, kana kuti mushonga we 'Somatropin'.
Chii chinonzi Growth Hormone iyi?
Zvichitaurwa zviri nyore, hormone yekukura ihormone inokosha pakukura kwemuviri wedu, kunyanya kureba nekukura kwetsandanyama. Homoni iyi inogadzirwa negland repituitary riri muuropi hwedu.
Asi vamwe vana nevakuru havagadzi hormone iyi yakakwana mumiviri yavo. Ndipo patinovapa hormone yekukura yakagadzirwa (Somatropin) sejekiseni, kureva kuti, hormone yekukura inogadzirwa murabhoritari.
Mushonga uyu unonyanya kushandiswa pa:
- Batsirai vana kukura kwenguva refu kana paine matambudziko ekukura.
- Kukura kwemhasuru muvanhu vakuru nevana.
- Rapa zvirwere zvakasiyana-siyana zvinokonzerwa nekushaikwa kwehomoni yekukura.
- Rapai masumbu anokonzerwa nezvimwe zvirwere (semuenzaniso, Prader-Willi syndrome, Turner syndrome).
MuSri Lanka nekune dzimwe nyika, mushonga uyu unogona kuwanikwa pasi pemazita akasiyana-siyana akadai sekuti Genotropin, Humatrope, Norditropin, Omnitrope. Zvisinei, ese aya ane chinhu chimwe chete chinoshanda, Somatropin.
Zvinhu zvaunofanira kuudza chiremba wako usati watanga mushonga uyu
Izvi zvakakosha zvikuru. Iwe kana mwana wako musati matanga kurapwa uku, zvakakosha kuudza chiremba wenyu nhoroondo yenyu yese yezvekurapa. Iva nechokwadi chekumuzivisa nezvechero chezvirwere zvinotevera.
| Dambudziko raunaro iwe kana mwana wako | Sei uchifanira kuzivisa? |
|---|---|
| Kuva nekenza kana kuti kupora kubva kukenza | Nekuti mahormone ekukura anogona kukurudzira kukura kwemamwe masero. |
| Chirwere cheshuga | Izvi zvinogona kukanganisa huwandu hweshuga muropa, saka mushonga wechirwere cheshuga ungada kuchinjwa. |
| Chirwere chePrader-Willi | Vamwe vana vane chirwere ichi vanogona kunetseka kufema uye vanoda kutarisirwa zvakanyanya. |
| Kuvhiyiwa kuchangobva kuitwa kana tsaona huru | Nekuti zvinogona kukanganisa kupora kwemuviri. |
| Kushaya kufema kana kuridza ngonono zvine ruzha | Hapana mukana wekuti mamiriro ezvinhu aya achatowedzera kuipa. |
| Matambudziko ekuona | Kashoma, kuwedzera kwekumanikidzwa muuropi kunogona kukanganisa kuona. |
| Kurwara kwakasiyana-siyana (Allergies) | Kana uine allergies ku somatropin, zvinhu zvayo zvakaita se glycerin, benzyl alcohol, mimwe mishonga, chikafu, kana madhayi. |
| Kuva nepamuviri, kuedza kubata pamuviri, kana kuyamwisa | Muzviitiko zvakadaro, zvakakosha kuzivisa chiremba sezvo kuchengetedzwa kwemushonga uyu kusati kwasimbiswa. |
Mushonga uyu unoshandiswa sei?
Mushonga uyu unopihwa sejekiseni pasi peganda (subcutaneous) kana mutsandanyama (intramuscular). Unowanzopihwa kekutanga nenyanzvi yezvekurapa muchipatara kana kiriniki.
Kana uchifanira kuwana mushonga uyu kumba, uchadzidziswa magadzirirwo awo uye mapirwo awo nemazvo. Yeuka kushandisa mushonga wacho nemazvo, panguva chaiyo, uye sezvakarayirwa .
Zvakakosha zvikuru kurasa tsono nemasirinji akamboshandiswa nemazvo.Usazvirasire mumarara chero chikonzero chipi zvacho. Kune mudziyo wakakosha weizvi (mudziyo we'sharps'). Kana usina, bvunza chiremba wako nezvekuutenga.
Ko kana ndikakanganwa mushonga mumwe chete?
Kana ukarasikirwa nedosi, inwa nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekutora dosi yako inotevera, svetuka dosi yawarasikirwa wotora dosi inotevera panguva yakatarwa. Usambofa wakatora dosi mbiri panguva imwe chete kuti udzorere dosi yawakakanganwa.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana, fonera National Poisons Information Centre paColombo National Hospital.
Zvimwe zvinhu zvinobatana nemushonga uyu (Kudyidzana)
Unofanira kuudza chiremba wako nezvemishonga yese yaunotora, kusanganisira mavhitamini, mishonga yemishonga, uye zvekudya zvinovaka muviri. Mimwe mishonga inogona kushanda pamwe chete nemahormone ekukura. Semuenzaniso:
- Cyclosporine
- Mahormone echikadzi akadai seestrogens kana progestins nemapiritsi ekudzivirira pamuviri
- Mishonga yechirwere cheshuga
- Mimwe mishonga yekurapa pfari
- MaSteroid, akadai seprednisone kana cortisone
Rondedzero iyi haina kukwana, saka zvakachengeteka kuudza chiremba wako nezvese zvaunotora.
Zvinhu zvekufunga nezvazvo panguva yekurapwa
Paunenge uchitora mushonga uyu, zvakakosha kuenda kunoongororwa sezvakarairwa nachiremba wako. Kunyanya kana uri kurapa mwana, zvinhu zvakaita sekukura, kureba, nehuremu zvichaongororwa nguva nenguva. Ungangodawo kuongororwa ropa kuti uone kuti mushonga wacho uri kukanganisa sei muviri wako.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Havasi vese vanoiwana. Asi zvakakosha kuti uizive.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| Zvinhu zvekutaurira chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi, kuoma kufema. |
| Mhedzisiro pahurongwa hwetsinga | Musoro wakanyanya, kuda kurutsa, kurutsa, kuchinja kwemaonero. |
| Kurwadziwa kwemapfupa nemajoini | (Kunyanya kuvana) Kurwadziwa kwehudyu kana mabvi, kukamhina, uye kukotama kwemusana parutivi. |
| Zvimwe zviratidzo zvakakomba | Kuzvimba kwemakumbo, kurwadziwa kwenzeve, weti yakasviba, kuneta kusingawanzoitiki. |
| Zvinhu zvisingawanzove zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Maitiro enzvimbo yekubaiwa jekiseni | Kurwadziwa, kuzvimba kudiki, kutsvuka, kukora kana kutetepa kweganda. |
| Zvimwe zvikanganiso zvidiki | Kurwadziwa kudiki mumapfupa kana tsandanyama, kudonha kwebvudzi. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukasangana nechimwe chinhu chisingawanzoitika, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Somatropin ihormone inokura yakagadzirwa. Mushonga unofanirwa kushandiswa chete kana wakurudzirwa nachiremba.
- Usati watanga kurapwa, udza chiremba nezvezvirwere zvako kana zvemwana wako uye mishonga yauri kutora.
- Tevedzera mirairo yekupa mushonga wekudzivirira uye kurasa tsono dzakashandiswa nemazvo.
- Kana ukasangana nematambudziko akakomba akadai semusoro wakanyanya, kuchinja kwemaonero, kana kurwadziwa kwehudyu/mabvi, tsvaga rubatsiro rwechiremba nekukasika.
- Mushonga uyu ndewako chete. Usambougovana nevamwe.
- Kana muine mibvunzo nezvemushonga uyu, bvunzai chiremba wenyu.
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