Sonke siyazi ukuthi igazi lithwala umoya-mpilo emizimbeni yethu yonke. Kodwa ake ucabange, kuthiwani uma ngesizathu esithile leli gazi belingakwazi ukuthwala umoya-mpilo? Umzimba wakho ubungazizwa sengathi uyacina, akunjalo? Namuhla sikhuluma ngomuthi okhethekile osetshenziswa esimweni esibucayi kangaka, esisongela ukuphila. Igama lawo yiMethylene Blue.
Iyini iMethylene Blue? Yenzani?
Kalula nje, i-Methylene Blue iyisidakamizwa esisetshenziselwa ukwelapha isimo esibizwa ngokuthi i-methemoglobinemia .
"Manje iyini i-methemoglobinemia?" ungase uzibuze. Kwenzekani kulokhu ukuthi iphrotheni ephethe umoya-mpilo egazini lethu, ebizwa ngokuthi i-hemoglobin, iyashintsha futhi ayikwazi ukubopha kahle nomoya-mpilo. Khona-ke ukunikezwa komoya-mpilo ezicutshini nasezithweni zomzimba kuyaphazamiseka ngokuphelele. Lokhu kungabangelwa ukungenisa amakhemikhali ahlukahlukene, imithi ethile, noma izimbangela zofuzo. Lesi yisimo esiyingozi kakhulu. Yilapho kunikezwa khona umjovo we-methylene blue ukusiza umoya-mpilo ubuyele egazini.
Into ebaluleke kakhulu ukuthi lokhu akufani nomuthi ojwayelekile. Kusetshenziswa esibhedlela kuphela, ngaphansi kokuqashwa okuqinile kodokotela.
Lomuthi ngezinye izikhathi ungasetshenziswa kwezinye izinjongo zezokwelapha. Uma unemibuzo ngalokhu, kungcono ukubuza udokotela wakho.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba unikezwe lo muthi wokugomela, ithimba lezokwelapha lizokubuza imibuzo embalwa. Kubalulekile ukuze uphephe ukubanika ulwazi olunembile. Qiniseka ukuthi ubatshela uma unezinye zezimo ezilandelayo:
- Ukungezwani komzimba ne-methylene blue noma eminye imithi: Uma uke waba nokungezwani komzimba nemithi efana ne-methylene blue, i-phenothiazines, i-thiazide diuretics, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Ukuntuleka kwe-G6PD: Uma unesifo sofuzo esibizwa ngokuthi ukuntuleka kwe-glucose-6-phosphate dehydrogenase (G6PD) . Lokhu ukuntuleka kwe-enzyme okuhlobene namaseli egazi. Ukunikeza i-methylene blue kubantu abanalesi simo kungaba yingozi.
- Ubuthi be-Cyanide: Uma ungumuntu olashelwa ubuthi be-cyanide.
- Isifo Sezinso: Uma unesifo sezinso.
- Ukukhulelwa noma ukuzama ukukhulelwa: Uma ukhulelwe noma unethemba lokukhulelwa, kufanele nakanjani utshele udokotela wakho.
- Uma uncelisa:Futhi yazisa udokotela uma ungumama oncelisayo.
Ungayisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. Ungumjovo emthanjeni . Unikezwa kuphela uchwepheshe wezempilo, njengodokotela noma umhlengikazi oqeqeshiwe, esibhedlela noma emtholampilo.
Ingabe lokhu nikunikeza izingane?
Yebo, lo muthi unganikezwa izingane uma kudingeka. Kodwa-ke, udinga ukunakekelwa okukhethekile. Ungakhuluma nodokotela wezingane ngalokhu ukuze uthole imininingwane.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Lokhu kunikezwa esibhedlela, ngakho-ke amathuba okuba lokhu kwenzeke mancane. Kodwa-ke, uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, kufanele wazise ithimba lezokwelapha lesibhedlela ngokushesha. Ngokuvamile, uma kwenzeka ubuthi, kufanele ushayele i-National Poisons Information Centre e-Colombo National Hospital noma uye e-Emergency Treatment Unit (ETU) yesibhedlela.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
Lena yingxenye ebaluleke kakhulu. I-Methylene blue iyisidakamizwa esingasebenzisana kabi neminye imithi. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe abanye odokotela, ethengwe ekhemisi, imithi yendabuko, amavithamini, izithasiselo - konke).
I-Methylene blue akufanele inikezwe umuntu othatha imithi elandelayo:
| Uhlobo lwesidakamizwa | Izibonelo |
|---|---|
| Eminye imithi yokucindezeleka noma ukukhathazeka | I-Bupropion, i-Clomipramine, i-Doxepin, i-Duloxetine, i-Fluoxetine, i-Mirtazapine, ne-Trazodone |
| Izidakamizwa eqenjini le-MAOI (i-monoamine oxidase inhibitors) | Izidakamizwa ezifana neMarplan, iNardil, iParnate, iRasagiline, iSelegiline |
| Eminye imithi kanye nezithasiselo | I-Milnacipran, i-Tryptophan, i-St. John's wort (isengezo semifino) |
Lolu hlu aluphelele, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo. Futhi, mtshele uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-methylene blue ingabangela imiphumela emibi. Eminye yale miphumela imbi kakhulu, eminye ayimbi kangako. Ithimba lakho lezokwelapha lizokuqapha eduze ngenkathi unikezwa umuthi. Kodwa kuhle ukuqaphela lezi zimpawu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
| Ubuhlungu besifuba | Ubuhlungu obuzwakala sengathi inhliziyo iyacindezelwa, sengathi iyaminyana. |
| Ukudideka | Kunzima ukucabanga ukuthi ungubani, ungubani, noma ukuthi ungubani. |
| Isiyezi | Umuzwa wokulahlekelwa ukulawula umzimba wakho, njengokungathi umhlaba uyakujikeleza. |
| Ikhanda elibuhlungu kakhulu | Ikhanda elibuhlungu elingazelelwe, elingabekezeleleki. |
| Ukujuluka okukhulu | Ukujuluka ngokweqile ngaphandle kwesizathu esithile. |
| Ubuhlungu besisu | Ubuhlungu besisu obukhulu, obuqhubekayo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Umchamo oluhlaza okwesibhakabhaka/oluhlaza kanye nendle | Lokhu kulindelekile. Lokhu kwenzeka ngenxa yombala womuthi. Akuyona into yokukhathazeka ngayo. |
| Isikhumba esiluhlaza okwesibhakabhaka | Ngezinye izikhathi isikhumba singaba luhlaza okwesibhakabhaka. |
| Isicanucanu nokuhlanza | Ukucanuzela noma ukuhlanza kungase kwenzeke ngesikhathi noma ngemva kokunikezwa umuthi. |
Umlayezo Wokuya Nawe Ekhaya
- I-Methylene Blue iwumuthi osindisa impilo onikezwa ukwelapha isimo esibi esibizwa ngokuthi i-methemoglobinemia , okuyilapho igazi lingakwazi ukuthwala umoya-mpilo.
- Lokhu kunikezwa kuphela njengomjovo emthanjeni esibhedlela, ngaphansi kokuqashwa ngudokotela. Akuyona imithi okufanele uyithathe uye nayo ekhaya.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo, ikakhulukazi imithi yokucindezeleka, kanye nanoma yiziphi izimo zezokwelapha onazo, njengokuntuleka kwe-G6PD .
- Kujwayelekile ukuthi umuthi ubangele umchamo oluhlaza okwesibhakabhaka/oluhlaza kanye nendle. Kodwa-ke, uma uzwa izimpawu ezifana nobuhlungu besifuba, ukudideka, noma ikhanda elibuhlungu, yazisa ithimba lakho lezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalomuthi noma isimo sakho, sicela ungangabazi ukubuza udokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho