Ingabe wena noma ingane yakho nizizwa nomile ngaso sonke isikhathi? Futhi ingabe uyachama njalo? Mhlawumbe ingane yakho imanzisa umbhede ebusuku. Ezimweni ezinjalo, udokotela wakho angase akunike iphilisi elibizwa ngokuthi 'i-Desmopressin'. Njengoba lo muthi usetshenziswa kaningi, futhi njengoba kudingeka uqaphele kakhulu lapho uwusebenzisa, namuhla sizokhuluma ngaleli philisi le-Desmopressin ngamagama alula.
Kuyini i-Desmopressin?
Kalula nje, i-Desmopressin iyi-hormone yokwenziwa eyenziwe elebhu efana ne-hormone ethi 'Vasopressin' ekhiqizwa umzimba wethu ngokwemvelo. I-hormone ethi Vasopressin emzimbeni wethu ithumela isignali ebuchosheni iye ezinso, ilawula inani lamanzi akhishwa emzimbeni njengomchamo. Ngakho-ke, leli philisi le-Desmopressin lenza into efanayo.
Umsebenzi wayo oyinhloko ukulawula inani lomchamo okhishwa yizinso. Okusho ukuthi, kunciphisa ukulahleka kwamanzi okungadingekile emzimbeni futhi kusiza ekugcineni ibhalansi yamanzi emzimbeni. ESri Lanka, ungase uwubone lo muthi ngaphansi kwegama lomkhiqizo i-DDAVP.
Yiziphi izindlela zokusebenzisa lo muthi?
Odokotela banikeza lo muthi ikakhulukazi ezimweni eziningana.
- I-Central Diabetes Insipidus: Lesi yisimo lapho ubuchopho bukhiqiza khona i-hormone encane i-Vasopressin. Ngenxa yalokho, kukhona ukuchama ngokweqile kanye nokoma ngokweqile. I-Desmopressin iyasiza kakhulu ekulawuleni lesi simo.
- Ukuchama Embhedeni/I-Enuresis Yasebusuku: Odokotela batusa lo muthi wale nkinga, ikakhulukazi ezinganeni ezingaphezu kweminyaka engu-4 ubudala. Uyasiza ekunciphiseni inani lomchamo okhiqizwa ebusuku futhi uvimbele ingane ekuchameni umbhede.
- Ngemva kokulimala ekhanda noma ukuhlinzwa: Ngemva kokulimala ekhanda okukhulu noma ukuhlinzwa kobuchopho, umsebenzi we-hormone vasopressin ungase uphazamiseke okwesikhashana. Iphinde isetshenziswe ukulawula ukuchama ngokweqile ngezikhathi ezinjalo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha umuthi
Ngaphambi kokunikeza i-Desmopressin, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele, ikakhulukazi uma unezinye zalezi zimo.
- Uma uke waba ne-blood clot ngaphambili
- Uma unesifo esifana ne-Cystic Fibrosis
- Uma unesifo senhliziyo noma umfutho wegazi ophakeme
- Uma unesifo sezinso
- Uma uke watholakala ukuthi unamazinga aphansi e-sodium egazini (lokhu kubaluleke kakhulu)
- Uma une-allergy ku-Desmopressin, i-Vasopressin noma yimuphi omunye umuthi, ukudla, noma idayi
- Uma ukhulelwe noma uzama ukukhulelwa
- Uma umama encelisa ingane yakhe
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha kanye nomthamo ozonikezwa.
Ngiyisebenzisa kanjani ngempela le mithi?
Kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uwusebenzisa kanjani.
- Leli philisi kufanele liphuzwe nengilazi yamanzi.
- Kubaluleke kakhulu ukuphuza umuthi wakho njengoba nje udokotela wakho ekuyalele. Uma uwuthatha kanye ngosuku, uwuthathe ngesikhathi esifanayo nsuku zonke (ngokuvamile ngaphambi kokulala ebusuku).
- Ungalokothi uphuze okungaphezu kwalokho udokotela akutshele kona.
- Uma unikeza izingane lo muthi: Uma unikeza izingane lo muthi, imiyalelo kadokotela wezingane kufanele ilandelwe kahle.
- Uma ngephutha uthatha umuthi omningi kakhulu: Uma ucabanga ukuthi ngephutha uphuze umuthi omningi kakhulu, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital. Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho. Kungaba yingozi.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Izinto okufanele uziqaphele kakhulu lapho uthatha imithi
Lena yingxenye ebaluleke kakhulu. Kudingeka uqaphele kakhulu ngezinye izici zendlela yakho yokuphila lapho uthatha lo muthi.
Ukungenisa Uketshezi - Ukunakwa Okukhulu!
Lokhu kuyinto ebaluleke kakhulu . I-Desmopressin ibangela ukugcinwa kwamanzi emzimbeni, ngakho-ke kudingeka uqaphele kakhulu ukuthi uphuza amanzi angakanani.
Odokotela bavame ukweluleka, "Cima ukoma ngamanzi." Kususe, susa, susaGeza, geza Susa, susa Susa, susaKhululeka, thatha Susa, susa Susa, susa Susa, susa, susaPhumula, phumula Susa, susa Susa, susaSusa, susa, susa, susaSusa, "Thula, vala"Ukuphuza amanzi amaningi noma amancane kakhulu kungaba yingozi. Ngenxa yokuthi lo muthi ubangela ukuthi umzimba wakho ugcine amanzi, uma uphuza amanzi amaningi, amazinga akho e-sodium egazini angaba phansi kakhulu.
Izifo
Uma uzwa ubuhlungu besisu, ukuhlanza, noma uhudo, noma uma uba nomkhuhlane kanye nokutheleleka, yeka ukuthatha lo muthi ngokushesha bese uthintana nodokotela wakho. Lokhu kungenxa yokuthi amanzi amaningi angalahleka emzimbeni phakathi nalesi sikhathi, futhi ukuqhubeka nokusebenzisa umuthi kungabangela izinguquko ezinkulu emazingeni e-sodium.
Imiphumela emibi engase ivele ngenxa yalo muthi
Njenganoma yimuphi umuthi, i-Desmopressin ingaba nemiphumela emibi. Eminye mincane, kodwa eminye idinga ukunakwa okukhethekile.
| Umphumela Ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. Funa iseluleko sikadokotela ngokushesha. |
| Izimpawu zamazinga aphansi e-sodium emzimbeni | Ikhanda elibuhlungu kakhulu, ukozela, isiyezi, ukudideka, isicanucanu, ukuhlanza, ukudikiza kwemisipha, ukungaphumuli, noma ukuxhuzula. Lesi yisimo esiphuthumayo. Yiya ku-ETU ngokushesha. |
| Ukwanda kwesisindo noma ukuvuvukala okungazelelwe | Ukuvuvukala emilenzeni noma emaqakaleni, ukukhuluphala ngokuzumayo. Lokhu kuyisibonakaliso sokugcina amanzi emzimbeni. |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ubuhlungu besifuba noma ukuqina. |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Izinto okufanele uzitshele udokotela wakho uma ziqhubeka noma zikhathaza | |
| Ikhanda elibuhlungu | Kungase kube nekhanda elincane. |
| Umlomo owomile | Ukuzwa umlomo owomile. |
| Isicanucanu esincane | Ukungaphatheki kahle kwesisu noma isicanucanu. |
Ugcina kanjani imithi iphephile?
- Qiniseka ukuthi uyigcina kude nezingane .
- Gcina ekamelweni lokushisa (phakathi kwama-degrees Celsius angu-20-25). Vikela ekushiseni okukhulu naselangeni eliqondile.
- Lahla imithi ephelelwe yisikhathi ngaphandle kokuyisebenzisa.
Umlayezo Wokuya Nawe Ekhaya
- I-Desmopressin umuthi olawula inani lomchamo okhiqizwa yizinso futhi kufanele usetshenziswe kuphela ngokweseluleko sikadokotela.
- Qaphela kakhulu inani lamanzi ophuzayo ngenkathi uthatha lo muthi. Ungaphuzi amanzi amaningi noma amancane kunalokho udokotela wakho akutshele khona.
- Uma uzwa izimpawu ezifana nekhanda elibuhlungu kakhulu, isiyezi, ukudideka, noma ukuhlanza, kungaba uphawu oluyingozi lwamazinga aphansi e-sodium egazini. Bheka udokotela ngokushesha.
- Yeka ukuthatha umuthi bese uthintana nodokotela wakho uma uzwa ukuhlanza, ukucasuka kwesisu, noma umkhuhlane.
- Lo muthi ungowakho kuphela. Ungawubelani nabanye abantu nganoma yisiphi isizathu.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Asetshenziselwani amaphilisi e-Desmopressin / DDAVP?
Lona umuthi osebenza kahle kakhulu ekuvimbeleni 'isifo sikashukela insipidus' kanye 'nokuchama embhedeni' ezinganeni! Ufaka i-hormone yemvelo (i-ADH) ekhiqizwa ubuchopho bethu emzimbeni, bese uphinda umunce amanzi akhishwa njengomchamo.
💬 Ungakuvimbela kanjani ukungakwazi ukuzibamba/ukuchama embhedeni ngale hormone yokwenziwa (i-Desmopressin)?
Ngokuvamile, ubuchopho buthumela imiyalelo ezinso zethu yokuthi 'zigcine amanzi emzimbeni' nge-hormone ethi 'ADH'! Ubuchopho babanye abantu abukhiqizi lokhu. Uma lo muthi (iphilisi/isifutho) ungena emzimbeni, uya ngqo ezinso (ama-V2 receptors ezinso) bese uvala wonke amasango avumela amanzi ukuba angene, njengokuvala umpompi, umise ukukhiqizwa komchamo ngo-100%.
💬 Iyini ingozi eyingozi (Isexwayiso Sebhokisi Elimnyama) engenzeka uma uthatha iphilisi (i-Desmopressin) elivimba ukukhiqizwa komchamo?
Ingozi enkulu yalokhu 'yi-Hyponatremia / Ukudakwa Kwamanzi'! Njengoba ungachami, uma uphuza amanzi amaningi/uketshezi ngemuva kokuthatha leli philisi, wonke lawo manzi azogcwalisa umzimba wakho futhi u-100% wosawoti egazini lakho uzoncibilika. Uma usawoti uwela, isiguli singaba nokuquleka ngokuzumayo bese singena e-coma bese sifa! (Ngakho-ke, ungaphuzi lokhu uma womele amanzi kakhulu).
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