Ngamanye amaxesha kuvakala ngathi liphupha ukulala kamnandi ebusuku, akunjalo? Esinye sezizathu eziphambili zoku kukufuneka uvuke rhoqo uyokuchama ebusuku. Le meko icaphukisayo ikwenza uzive udiniwe imini yonke kwaye ungakwazi ukwenza nantoni na ngokufanelekileyo. Le meko ibizwa ngokuba yi-'nocturnal polyuria' ngokwezonyango. Ngamafutshane, umzimba uvelisa umchamo omninzi kunokuba kuyimfuneko ebusuku. Ngoko ke, ugqirha wakho usenokuba ukunike iyeza elibizwa ngokuba yiDesmopressin kule ngxaki. Namhlanje, siza kuthetha ngale yeza, into eliyenzayo, kunye nento ekufuneka uyilumkele xa ulisebenzisa.
Loluphi uhlobo lweyeza iDesmopressin?
Kulungile, masiqale sijonge ukuba eli yeza lenza ntoni na. I-Desmopressin sisiyobisi esenziweyo esisebenza njengehomoni yendalo emizimbeni yethu. Umsebenzi waso ophambili kukuchaphazela izintso zethu nokulawula ubungakanani bomchamo esiwuvelisayo ebusuku.
Cinga ngale ndlela. Ngokwesiqhelo, umzimba womntu ophilileyo unciphisa inani lomchamo oveliswa ebusuku, ukuze sikwazi ukulala ubusuku bonke. Kodwa oko akwenzeki kumntu one-nocturnal polyuria. Kufana nokushiya impompo yamanzi ivuliwe okwethutyana, kwaye izintso ziyaqhubeka nokwenza umchamo. Ngoko ke eli yeza le-desmopressin lisebenza njengokucima loo mchamo wamanzi okwethutyana. Oko kukuthi, libonisa izintso ukuba zinciphise inani lomchamo oveliswa ebusuku. Emva koko uvuka uyokuchama ebusuku kancinci kakhulu, kwaye ufumana ubuthongo obuhle ebusuku.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Oku kubaluleke kakhulu. Ngaphambi kokuba uqalise naliphi na iyeza, ugqirha wakho kufuneka abe nomfanekiso opheleleyo wempilo yakho. Kulapho kuphela apho unokugqiba khona ukuba iyeza likhuselekile na kuwe. Qiniseka ukuba uxelela ugqirha wakho ukuba unezinye zezi meko zidweliswe ngezantsi, ingakumbi ngaphambi kokuba uqale i-desmopressin.
| Iimeko zempilo ekufuneka uzixele | Kutheni oko kubalulekile? |
|---|---|
| Ukuba inqanaba lesodium (ityuwa) egazini liphantsi | I-Desmopressin inokunciphisa amanqanaba e-sodium egazini ngakumbi. Oku kunokuba yingozi, ngoko ugqirha wakho kufuneka aqaphele oku. |
| Ukuba unesifo sezintso | Ngenxa yokuba eli yeza lisebenza ngezintso, iziphumo zalo zinokutshintsha ukuba izintso azisebenzi kakuhle. |
| Ukuba unesifo sentliziyo | Eli yeza linokuchaphazela ukusebenza kwentliziyo kuba litshintsha ubungakanani bolwelo emzimbeni. |
| Unxano olugqithisileyo, imfuneko engapheliyo yokusela amanzi | Le meko isenokuba luphawu lwesifo esithile. Kwakhona, kufuneka uqaphele ubungakanani bamanzi owaselayo ngelixa usela eli yeza. |
| Icystic fibrosis | Ugqirha kufuneka aqonde ukuba ityuwa kunye nolwelo lomzimba luyatshintsha xa kusenzeka le meko. |
| Ukuba ukhulelwe, uzama ukukhulelwa, okanye ungumama oncancisayo | Kwezi meko, kufuneka kuthathwe ingqalelo ekhethekileyo malunga nemiphumo yamayeza, ngoko ke iingcebiso zikagqirha zibalulekile. |
| Ukuba une-allergies kwamanye amayeza, ukutya, okanye izinto ezithile | Usenokuba ne-allergy kwi-desmopressin okanye nakweyiphi na izithako zayo, ngoko ke kubalulekile ukuba usazise kwangethuba. |
Khumbula, kubaluleke kakhulu ukuze ukhuseleke ukuxelela ugqirha wakho ngayo yonke imithi oyithathayo (kuquka iivithamini kunye namayeza emveli).
Ndingayisebenzisa njani kanye kanye le pilisi?
I-Desmopressin ayisiyopilisi oyiginya ngamanzi njengepilisi eqhelekileyo. Luhlobo olunyibilika phantsi kolwimi. Ibizwa ngokuba yi-"sublingual tablet". Ngoko ke, landela la manyathelo xa uyisebenzisa.
1. Yithathe ngexesha elifanelekileyo:Sela amayeza akho ngexesha elifanayo yonke imihla, kanye njengoko ugqirha wakho ekuxelele. Oku kudla ngokunikwa malunga neyure ngaphambi kokuba ulale ebusuku.
2. Musa ukuyisela ngamanzi: Le yeyona nto ibalulekileyo. Musa ukuyisela namanzi le pilisi.
3. Sela ipilisi ngezandla ezomileyo: Qinisekisa ukuba izandla zakho zomile ngokupheleleyo ngaphambi kokuba uthathe ipilisi. Yikhuphe ipilisi kwiphakheji yeepilisi. Ukuba ipilisi yaphukile okanye ityumkile, ungayisebenzisi uze ufumane entsha.
4. Beka phantsi kolwimi: Thatha ithebhulethi uyibeke ngqo phantsi kolwimi.
5. Yivumele inyibilike: Musa ukuyihlafuna, ukuyityumza, okanye ukuyiginya ipilisi. Iya kunyibilika ngokupheleleyo phantsi kolwimi.
6. Ginya emva kokunyibilika: Ginya ipilisi emva kokuba inyibilike ngokupheleleyo.
Uza kufumana incwadana yemiyalelo ekhethekileyo ethi ``MedGuide`` kunye nale yeza. Lifunde ngononophelo ngalo lonke ixesha. Kwakhona, qhubeka nokusebenzisa iyeza de ugqirha wakho akuxelele ukuba uyeke.
Ungenza ntoni ukuba uthatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe ngaphezu kwedosi emiselweyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (i-ETU) lesibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso. Eli yeza lelokusetyenziswa nguwe kuphela. Ungaze wabelane ngalo nabanye.
Amanye amayeza anokusebenza kunye nale mayeza
Amanye amayeza anokubangela iingxaki xa esetyenziswa nge-desmopressin, ngoko ke kubalulekile ukwazisa ugqirha wakho ngawo onke amayeza owasebenzisayo.
| Uhlobo lweyeza | Imizekelo |
|---|---|
| Kuphephe ukusebenzisa i-desmopressin kunye nale yeza. | |
| Ii-loop diuretics - (amayeza asusa amanzi netyuwa emzimbeni) | I-Furosemide |
| Amayeza ohlobo lwe-steroid | I-Prednisolone `(prednisone)`, i-cortisone `(cortisone)` |
| Qiniseka ukuba uxelela ugqirha wakho ukuba usebenzisa eli yeza. | |
| Amanye amayeza okudakumba | I-Amitriptyline, i-fluoxetine |
| Amanye amayeza anikwayo xa uxhuzula | I-Carbamazepine, i-lamotrigine |
| Ii-NSAIDS (amayeza eentlungu nokudumba) | I-Ibuprofen, i-naproxen |
| Ii-opioids zizinto ezidambisa iintlungu ezinamandla. | Umzekelo: iTramadol |
Olu luhlu aluphelelanga, ngoko xelela ugqirha wakho malunga nayo yonke imithi, iivithamini, okanye imifuno oyithathayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
Kubalulekile ukuba unike ingqalelo ethile emzimbeni wakho xa usebenzisa i-desmopressin.
- Bona ugqirha wakho rhoqo: Emva kokuqalisa amayeza, qiniseka ukuba uya kumadinga kagqirha wakho. Ngale ndlela, unokujonga ukuba amayeza akuchaphazela njani.
- Qaphela amanqanaba esodium egazini lakho: Eyona nto iphambili enokwenzeka ngeli yeza kukuba amanqanaba esodium (ityuwa) egazini lakho anokwehla. Oku kubizwa ngokuba yi-hyponatremia. Lo mngcipheko uphezulu kakhulu ukuba usela amanzi amaninzi, uthatha amanye amayeza okunciphisa isodium, okanye uneemeko ezifana nokuhlanza okanye urhudo.
- Landela imiyalelo yokuba usele amanzi angakanani: Ugqirha wakho uza kukunika iingcebiso malunga nokuba usele amanzi angakanani ngosuku ngelixa usebenzisa eli yeza. Ungacelwa ukuba ungaseli amanzi amaninzi, ingakumbi ebusuku emva kokuba usebenzise eli yeza. Landela loo miyalelo ngokuchanekileyo.
Ngaba kukho naziphi na iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, i-desmopressin inokubangela iziphumo ebezingalindelekanga kwabanye abantu, kodwa ayinguye wonke umntu ozifumanayo.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
|---|---|
| Iimpawu ze-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala, ubunzima bokuphefumla. |
| Iimpawu zamanqanaba aphantsi e-sodium | Intloko ebuhlungu ngequbuliso, ukudideka, ukulahlekelwa yinkumbulo, ukudinwa, ukudideka, ukuhlanza. |
| Iimpawu zokugcina ulwelo emzimbeni | Ukudumba kwamaqatha, izandla, okanye iinyawo, ubunzima bokuphefumla. |
| Iziphumo ebezingalindelekanga ezihlala zingeyongozi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukujikelezisa | Tshintsha iindawo zokuhlala rhoqo. Xa usukuma uhleli, musa ukuma yonke ngaxeshanye. |
| Umlomo owomileyo | Ukuhlafuna itshungama engenaswekile okanye ukusela amanzi emva kokubonisana nogqirha wakho kunokunceda. |
| Intloko ebuhlungu | Phumla. Ungacela ugqirha ukuba akunike iyeza lokunciphisa iintlungu. |
Ungayigcina njani amayeza ngokukhuselekileyo?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwama-20-25 degrees Celsius). Gcina kude nobushushu obugqithisileyo kunye nokufuma.
- Kungcono ukugcina iyeza kwiphakheji yalo yokuqala elalinikwe kuyo.
- Musa ukusebenzisa amayeza aphelelwe lixesha. Buza ugqirha wakho ukuba wenze ntoni ngamayeza aseleyo okanye aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- I-Desmopressin liyeza elilawula ukuchama kakhulu ebusuku. Lipilisi enyibilika phantsi kolwimi, ingaginywa ngamanzi.
- Ngaphambi kokuba uqale eli yeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amayeza owasebenzisayo.
- Ngethuba usebenzisa iyeza, inqanaba lesodium egazini lisenokuncipha. Ukuba ufumana iimpawu ezifana nentloko ebuhlungu, ukudideka, okanye ubuthathaka, yazisa ugqirha wakho ngoko nangoko.
- Sela idosi emiselweyo kanye njengoko ugqirha wakho ekuxelele, ngexesha elimiselweyo. Ungaze wandise idosi okanye wabelane ngeyeza nabanye.
- Ukuba unemibuzo malunga nale yeza, buza ugqirha wakho.
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