Ngaba wakha weva ngegama elithi 'iMethylene Blue'? Mhlawumbi akunjalo. Liyeza elingaqhelekanga, kodwa libaluleke kakhulu. Liyilwelo eluhlaza okwesibhakabhaka. Lifana nedayi oyibeka elaphini, kodwa linokunyanga izifo ezinzulu. Kulungile, masibone ukuba ibali lithini ngale mayeza aluhlaza okwesibhakabhaka angaqhelekanga?
Yintoni kanye kanye iMethylene Blue?
Ngamafutshane, i-methylene blue liyeza elisetyenziswa ngoogqirha ukunyanga isifo esingaqhelekanga segazi esibizwa ngokuba
yi-methemoglobinemia . Nangona ngokwenene liyi-solid, xa lisetyenziswa njengeyeza, liyanyibilika emanzini lize lifakwe
njengenaliti njengolwelo oluhlaza okwesibhakabhaka. Imbali yale chiza nayo inomdla kakhulu. Laqala ukufunyanwa yingcali yemichiza yaseJamani kwinkulungwane ye-19. Ekuqaleni lasetyenziswa njengedayi kwishishini lempahla. Kamva, lasetyenziswa njenge-pigment kwiimvavanyo zelebhu. Malunga neminyaka eyi-125 eyadlulayo, ugqirha waseJamani waqala ukuyisebenzisa njengonyango lwemalariya. Ukususela ngoko, iingenelo zayo ziphucuke kakhulu. Okwangoku, ivunyiwe yi-US FDA kuphela njengonyango lwe-methemoglobinemia. Nangona kunjalo, oogqirha ngamanye amaxesha bayisebenzisela nezinye iimeko zonyango.
Loluphi uhlobo lwesifo olusetyenziselwa eli yeza?
Njengoko besitshilo ngaphambili, ukusetyenziswa okuphambili kwale mithi kukunyanga isifo esibizwa ngokuba yi-methemoglobinemia.
Ngoko ke yintoni i-methemoglobinemia?
Esi sisifo esinxulumene negazi lethu. Ngamafutshane, xa esi sifo sisenzeka, iiseli ezibomvu zegazi egazini lethu azikwazi ukuthwala ioksijini ngokufanelekileyo ukuya kwizicubu zomzimba.
Xa umzimba ungafumani ioksijini eyaneleyo, iindawo zomzimba ezifana nemilebe, ulusu, ulwimi, kunye neenzipho ziqala ukujika zibe luhlaza okwesibhakabhaka. Oku kukwabizwa ngokuba yi-cyanosis . Xa oku kusenzeka kwiintsana ezincinci, ngamanye amaxesha kubizwa ngokuba yi-'blue baby syndrome'.
Abanye abantu basifumana esi sifo ngemfuza, oko kukuthi, kubazali babo. Kodwa kwabaninzi, sivela ngenxa yokusebenzisa amayeza athile, amayeza, okanye ukusela
iikhemikhali ezithile. I-Methemoglobinemia yimeko embi kakhulu
enokuba yingozi nakubomi . I-Methylene blue yenye yezona ndlela zilungileyo zokunyanga oku.
Lisebenza njani eli yeza?
I-Methylene blue isebenza ngokuguqula iimolekyuli ze-methemoglobin, ezingenakuthwala ioksijini, zibe ziimolekyuli ze-hemoglobin ezinokuthwala ioksijini. Kufana nokutshaja ibhetri. Eli yeza linikwa njenge-IV esibhedlele okanye eklinikhi ngugqirha okanye umongikazi. Kuthatha malunga nemizuzu emi-5 ukuya kwengama-30. Ngokwesiqhelo, idosi enye iya kunciphisa iimpawu. Nangona kunjalo, ukuba iimpawu zisekhona emva kweyure, ugqirha unokugqiba ekubeni anike enye idosi.
Ngaphambi kokuba akunike eli yeza, ugqirha wakho uza kujonga imbali yakho epheleleyo yezonyango, njengoko eli yeza linokuba yingozi kubantu abaneengxaki ezithile zempilo.
Izinto ekufuneka uzixelele ugqirha wakho ngokuqinisekileyo
| Ukunqongophala kwe-G6PD | Esi sisifo semfuza esichaphazela iiseli ezibomvu zegazi. Ukuba umntu onesi sifo unikwa i-methylene blue, iiseli ezibomvu zegazi zinokuqhekeka ngokukhawuleza (i-hemolysis) zize zigule kakhulu. Le yeyona nto ibalulekileyo. |
| Ukukhulelwa okanye ukuncancisa | Qiniseka ukuba uxelela ugqirha wakho ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa. |
| Ezinye iimeko zonyango | Nceda usazise ukuba unesifo sezintso okanye sesibindi. |
| Ii-aleji | Sixelele ukuba unayo nayiphi na i-allergies kwi-methylene blue okanye eminye imithi, ukutya, okanye iidayi. |
| Ityhefu ye-cyanide | Ukuba ukrokrela ukuba ityhefu yi-cyanide, kufuneka uxelele ugqirha wakho . |
Zithini iziphumo ebezingalindelekanga?
Njengazo zonke iziyobisi, le inokuba nemiphumo emibi.
- Iziphumo ebezingalindelekanga ezincinci (akukho nto ixhalabisayo ngayo):
- Umchamo oluhlaza okwesibhakabhaka kunye nendle (oku kuqhelekile, okubangelwa ngumbala weyeza)
- Isicaphucaphu nokuhlanza
- Utshintsho oluncinci kumbala wolusu
- Intlungu esandleni apho kwanikwa khona i-IV
- Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko:
- Iintlungu zesifuba
- Isiyezi
- Intloko ebuhlungu (intloko ebuhlungu)
- Ukudideka
- Ukubila okwandileyo
- Isisu esibuhlungu
Ukusebenzisana kweziyobisi
Oku kukwayinxalenye ebaluleke kakhulu. Amanye amayeza anokuba nemiphumo eyingozi kakhulu xa esetyenziswa ne-methylene blue.
Ngokukodwa, amayeza athile okudakumba okanye ukuxhalaba (umz., ii-SSRI) anokubangela imeko enokuba yingozi ebizwa ngokuba yi -'Serotonin Syndrome' ukuba isetyenziswa kunye ne-methylene blue.
Oku kuthetha ukuba i-serotonin yekhemikhali ebuchotsheni bethu iyanda kakhulu, nto leyo ebangela iimpawu ezinzima ezifana nokungcangcazela, umkhuhlane ophezulu, ukulahlekelwa zingqondo, kwanokufa. Ke ngoko,
kubalulekile ukuxelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye nezongezo ozisebenzisayo. Ezinye izibonelelo kunye neempawu ezisekelwe kuphando
Nangona ivunyiwe yi-FDA kuphela kwi-methemoglobinemia, oogqirha bayisebenzisela ezinye iimeko kwiimeko ezikhethekileyo. Oku kubizwa ngokuba kukusetyenziswa 'okungekho kwileyibhile'.
- Njengeyeza: Njengeyeza lokunyanga ubuthi obubangelwa ziikhemikhali ezifana ne-nitrite, ezisetyenziswa kwezinye iifektri. Ukuba ukrokrela into efana nale, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko. Ukuba kuyimfuneko, baya kufowunela iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze bafumane iingcebiso.
- Ukothuka: Nyanga ukothuka kwabanye abaguli abagula kakhulu abakwiyunithi yokhathalelo olunzulu (ICU).
- Ukufunyanwa komhlaza: Ngexesha lotyando lomhlaza, isetyenziswa njengedayi ukubonisa iiseli zomhlaza kunye nee-lymph nodes ngombala oluhlaza okwesibhakabhaka.
- Ukuphucula inkumbulo: Uphando luyaqhubeka ukuze kubonwe ukuba oku kunokuba luncedo na kwizifo ezifana ne-Alzheimer's ezenzeka ngokuhamba kweminyaka.
- Njengesibulali-ntsholongwane:Olunye uphando lubonise ukuba ukudibanisa i-methylene blue kunye nokukhanya kunokubulala iintsholongwane ezifana ne-coronavirus.
Kubalulekile: Uninzi lwazo lusasekwinqanaba lophando. Ngoko ke musa ukuzizama kuba nje uzibona kwi-intanethi. Hlala ulandela imiyalelo kagqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Methylene Blue liyeza elikhethekileyo elinikwa ukunyanga isifo segazi esingaqhelekanga kodwa esinzulu esibizwa ngokuba yi-methemoglobinemia.
- Eli yeza akufuneki lisetyenziswe lodwa . Lihlala linikwa ngemithambo esibhedlele phantsi kweliso likagqirha okanye umongikazi.
- Ukuba unesifo semfuza esibizwa ngokuba yi -G6PD deficiency , ngokuqinisekileyo kufuneka uxelele ugqirha wakho. Sibaluleke kakhulu kukhuseleko lobomi.
- Yazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (ingakumbi ezo zezifo zengqondo) ukuthintela i-serotonin syndrome eyingozi.
- Kuqhelekile ukuba umchamo wakho ujike ube luhlaza okwesibhakabhaka emva kokusela amayeza. Musa ukukhathazeka ngaloo nto. Kodwa ukuba ufumana iimpawu ezifana nentlungu yesifuba okanye ukudideka, bona ugqirha ngokukhawuleza.
- Ezinye izibonelelo zale mithi zisesekwinqanaba lophando, ngoko ke soloko ulandela icebiso likagqirha wakho.
I-Methylene Blue, i-Methemoglobinemia, i-cyanosis, ukungabikho kwe-G6PD, i-Serotonin Syndrome, iziphumo ebezingalindelekanga zonyango
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