Iingozi zinokwenzeka ebomini bethu ngamaxesha angalindelekanga. Khawucinge nje, ubuya kwenza ntoni ukuba umntu ngequbuliso utye isinyithi esinzima njenge-arsenic, i-mercury, igolide, okanye i-lead aze abe netyhefu? Le yimeko eyingozi kakhulu. Namhlanje sithetha ngenaliti ekhethekileyo enikwa esibhedlele kuphela kwimeko enzima kangaka. Igama lale naliti yiDimercaprol. Usenokuba ukhe wayibona ngamanye amaxesha ibizwa ngokuba yi-'BAL in Oil'.
Ngamafutshane, yintoni iDimercaprol?
Oku kunzima kancinci, kodwa masikwenze kube lula. Khawuthelekelele ukuba isinyithi esinzima esiyingozi singene emzimbeni wakho. La masuntswana esinyithi abopha kwiithishu ezahlukeneyo kunye namalungu omzimba aze aqale ukuzonakalisa. Iyeza iDimercaprol lisebenza njengemagnethi enamandla .
Xa olu gonyo lungena emzimbeni, lutsala amasuntswana esinyithi ayingozi ngaphakathi kuwo kwaye lubopha ngamandla ngawo. Emva kokubopha ngale ndlela, ezo metals zinobuthi azisenakuwonakalisa umzimba. Emva koko, eli yeza leDimercaprol libamba ezo metals zize ziphume emzimbeni kunye nomchamo. Ngamafutshane, le yinkqubo "ethatha kwaye isuse" ubuthi obungaphakathi emzimbeni. Le nkqubo ibizwa ngokuba yi-chelation kunyango.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Nangona eli liyeza likaxakeka, kubaluleke kakhulu ukuba iqela lezonyango liqaphele ulwazi oluthile malunga nempilo yakho okanye yesigulane, njengoko olu lwazi luya kumisela impumelelo kunye nokhuseleko lonyango.
- Ezinye izifo onazo:
- Isifo sezintso: Ekubeni eli yeza likhutshwa emzimbeni ngezintso, kubalulekile ukuxelela ugqirha wakho ukuba uneengxaki zezintso.
- Isifo sesibindi: Ukuba kukho ingxaki ekusebenzeni kwesibindi, kubalulekile ukwazisa ugqirha.
- Ukunqongophala kwe-G6PD: Oku kukungabikho kwee-enzyme abanye abantu abazalwa nazo, okubangelwa ziiseli ezibomvu zegazi. Ukuba unale meko, ugqirha wakho kufuneka alumke ngakumbi xa ekunike eli yeza.
- Ii-aleji onazo:
- Sixelele ukuba une-aleji kweli yeza le-Dimercaprol okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ngokukodwa, eli yeza liza likwisiseko seoyile. Ezinye iimveliso zinokuba neoyile yamandongomane. Ngoko ke ukuba une -allergy yamandongomane , qiniseka ukuba uxelele ugqirha wakho.
- Ezinye iityhefu: Eli yeza alisetyenziselwa ukunyanga iityhefu zesinyithi ezifana ne-iron, i-cadmium, okanye i-selenium. Ukuba kukho nakuphi na ukurhanelwa kwemeko enjalo, kufuneka kukhankanywe.
- Ukukhulelwa nokuncancisa:Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, kubalulekile ukwazisa ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
Eyona nto ibalulekileyo kukuxelela ugqirha wakho yonke into oyaziyo ngempilo yakho, ungafihli nto. Kungenxa yokhuseleko lwakho.
Isetyenziswa njani le gonyo?
Eli linqaku elibaluleke kakhulu. I-Dimercaprol ayiloyeza onokulithenga kwikhemesti uze ulithathe uye nalo ekhaya.
- Oku kubonelelwa kuphela yingcali yezempilo eqeqeshiweyo esibhedlele okanye kwindawo yeklinikhi .
- Isitofu sinikwa ngokujova kwisihlunu , ngokuqhelekileyo kwisihlunu esinzulu seempundu okanye amathanga.
- Kufuneka unonophelo olukhethekileyo xa kunikwa abantwana abancinci eli yeza. Ngoko ke, oku kufuneka kwenziwe emva kokubonisana nogqirha wabantwana nokulandela iingcebiso zakhe.
Yintoni omawuyenze ukuba umthamo wegonyo unyusiwe?
Ekubeni oku kunikwa esibhedlele, amathuba okusebenzisa amayeza amaninzi kakhulu aphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, yazisa abasebenzi bezonyango ngoko nangoko. ESri Lanka, kukho indawo apho ungaqhagamshelana khona ngoko nangoko ukuze ufumane iingcebiso zeengcali malunga notywala obunjalo kunye namayeza. Oko kukuthi, iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke eColombo . Kubaluleke kakhulu ukwazisa iYunithi yoNyango oluNgxamisekileyo (i-ETU) yesibhedlele.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Xa usebenzisa isitofu sokugonya seDimercaprol, kukho izinto ezimbalwa ongafanele uzithathe kunye naso. Ukuzithatha kunye kunokubangela iziphumo ezibi.
| Izinto ezingafanele zithathwe | Kutheni kubalulekile? |
|---|---|
| Iityuwa zesinyithi okanye izongezo | Iipilisi zesinyithi okanye ezinye izongezo ezinesinyithi zinokwenza ikhemikhali enobuthi xa zisetyenziswa kunye nale yeza. Ke ngoko, isinyithi kufuneka siphetshwe ngexesha lonyango. |
| Iikhompawundi zegolide | Eli yeza akufuneki lisetyenziswe kunye namayeza anegolide (umz. i-auranofin, i-aurothioglucose) asetyenziselwa iimeko ezithile zonyango (umz. i-rheumatoid arthritis). |
| I-Cadmium kunye neSelenium | Inaliti ye-Dimercaprol ayisetyenziswa njengonyango lwezi tyhefu zimbini zesinyithi. Inokubangela umonakalo kwizintso. |
Ukongeza kolu luhlu, xelela ugqirha wakho malunga neminye imithi, iimveliso zezityalo, kunye neevithamini ozisebenzisayo.
Yintoni onokuyilindela ngexesha nasemva kokusela amayeza
Ngelixa ufumana eli yeza, iqela lakho lezonyango liza kujonga imeko yakho ngononophelo . Liza kujonga rhoqo izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nezinye iimpawu ezibalulekileyo.
Ngamanye amaxesha, unokucelwa ukuba ulandele ukutya okukhethekileyo okwethutyana emva kokuthatha eli yeza. Umzekelo, unokucelwa ukuba utye ukutya okunceda ukutshintsha i-pH yomzimba wakho (ukwenza umchamo ube yi-alkaline). Ugqirha wakho uza kukucebisa ngazo zonke ezi zinto. Landela loo miyalelo ngononophelo.
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, inaliti yeDimercaprol inokubangela iziphumo ebezingalindelekanga. Ezinye zincinci, ngelixa ezinye zifuna ingqalelo ekhawulezileyo.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kwiqela lezonyango ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela okukhulu, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukuqina okanye intlungu esifubeni, emqaleni, okanye ezingalweni | Ukuziva ngequbuliso uxinezelekile okanye ucinezelekile. |
| Igazi elonyukayo | Ukunyuka ngequbuliso koxinzelelo lwegazi. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga. |
| Ifiva | Umkhuhlane, ingakumbi ebantwaneni. |
| Ukuxhuzula | Imeko efana nokulingana. |
| Intlungu kwindawo yokutofa | Intlungu ebuhlungu okanye ukudumba kwindawo efakwe kuyo inaliti. |
| Iziphumo ebezingalindelekanga ezincinci ekufuneka zixelwe kugqirha ukuba ziyaqhubeka okanye ziyakhathaza | |
| Imvakalelo yokutsha | Ukuvutha kwemilebe, umlomo, kunye nomqala. |
| Intloko ebuhlungu, isicaphucaphu, ukuhlanza | Iziphumo ebezingalindelekanga eziqhelekileyo. |
| Ukwanda kwamathe kunye neenyembezi, impumlo egobhozayo | Ezi zihlala zizinto zexeshana. |
| Intlungu yesisu | Ukuziva ungonwabanga esiswini. |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, nceda wazise ugqirha wakho okanye abasebenzi bonyango ngazo.
Umyalezo Wokuya Ekhaya
- I-Dimercaprol (i-BAL kwi-oyile) yinaliti ekhethekileyo enikwa esibhedlele kuphela kwityhefu yesinyithi esinzima efana ne-arsenic, i-mercury, i-lead, kunye negolide.
- Ngaphambi kokuba ufumane olu gonyo, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo, ii-allergies (ingakumbi i-peanut allergy), kunye namanye amayeza owasebenzisayo.
- Eli asiloyeza elingathengwa kwikhemesti lize lisetyenziswe ekhaya, kodwa linikwa nge-intramuscularly yingcali yezonyango eqeqeshiweyo.
- Kuphephe ukuthatha iipilisi zesinyithi okanye izongezo ngokupheleleyo ngexesha lonyango.
- Qaphela iziphumo ebezingalindelekanga ezinokubakho (umz., ii-allergies, iintlungu zesifuba, uxinzelelo lwegazi oluphezulu) xa usebenzisa amayeza. Ukuba ubona nantoni na engaqhelekanga , yazisa abasebenzi bezonyango ngoko nangoko .
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