Iimpawu zeMithi yeHormone Anti-hormone (ADH) yokuNciphisa izingozi
Imithi yonyango ye-desmopressin (ngamanye amaxesha ibizwa ngokuthi i-DDAVP) yichiza elinganisa i-hormone eyenziwa ngokwemvelo emzimbeni kwaye isetyenziselwa ukuphatha i-enuresis yesantya, okanye i- bedwetting , kunye nezinye iimeko. Ukuba iimpawu zokuziphatha zihluleka, i-desmopressin yisisisi esisebenzayo ukunceda abantwana bayeke ukunqanda umbhede. Yintoni i-desmopressin, isebenza njani, kwaye yintoni echaphazelekayo?
Ukusetyenziswa
I-Desmopressin isetyenziselwa rhoqo ukuphatha i-bedwetting kubantwana abaneminyaka emithandathu okanye ngaphezulu. Kule meko, umda wokukhutshwa kwamanzi kufuneka uhambisane nokulawulwa kwamachiza ngexesha lokulala. Lo mqathango uvame ukunyuka ukusuka kwiyure enye ngaphambi kokuthatha i-desmopressin kude kube ngentsasa elandelayo (okanye malunga neeyure ezisibhozo emva kokuba unyango lwenziwa).
I-Desmopressin isetyenziselwa ukuphatha ezinye iimeko eziqhelekanga, kuquka:
- I-diabetes ephakathi kwe-insipidus (umveliso wokucoca umchamo)
- Hemophilia A
- Ukuphuma kwamanzi
- Uhlobo 1 lwe-Willebrand isifo
Ingaba isebenza kanjani?
I-Desmopressin yilisikizo esichaza i-hormone engokwemvelo emzimbeni obizwa ngokuba yi -hormone ye-antidiuretic . Ngoko ke, uyakwazi ukunciphisa i-diuresis okanye ukuvelisa umchamo kwizintso ezigqithiselwa ekugqibeleni.
Ukongeza, i-desmopressin ikwandisa iikhemikhali egazini elibizwa ngokuthi i-Factor VIII kunye ne-von Willebrand factor, ezibalulekileyo ukuyeka ukuphuma kwegazi nokuvelisa ama-clots.
Oku kuchaza ezinye iindima ezingaphaya kokunyanga.
Ngubani Akufanele Asebenzise I-Desmopressin?
I-Desmopressin ayifanele isetyenziswe ukuphatha i-bedwetting kubantwana abangaphantsi kweminyaka emithandathu ubudala. Ukongezelela, amayeza akufanele asetyenziswe ngexesha lokugula okungasichaphazela ukungena kwamanzi okanye ukulinganisela kwe-electrolytes (njengokwihudo okanye ukuhlanza).
Ukongeza, abantu abaneengxaki zeengtso, imbali ye-sodium ephantsi (ebizwa ngokuba yi-hyponatremia), okanye ngohlobo lwe-von Willibrand yesifo i-IIB ayifanele ukusebenzisa i-desmopressin.
Kukho ezinye iimeko apho i-desmopressin kufuneka isetyenziswe kuphela ngokulumkisa, kuquka ne-coronary disease, i- blood pressure okanye i-electrolyte ukungalingani, i-polydipsia (ukusela ngokweqile), i-cystic fibrosis, i-clotting (thrombosis), kwaye kwizigulane ezigugile.
I-Desmopressin inokukwazi ukusebenzisana nezinye iziyobisi ezininzi, ngoko imichiza ekhoyo ngoku kufuneka ihlaziywe ngenyameko ngumboneleli wakho wezempilo ngaphambi kokuqala ukuyisebenzisa.
Iziphumo eziPhakathi
Kukho iziphumo ezinobungozi ezinokubakho ngokusetyenziswa kwe-desmopressin. Nangona umntu ayenakulindelwa ukuba abe nemiphumo emibi - kwaye kwaye akunakwenzeka ukuba ikhona - enye enokuthi ivele nge-desmopressin iquka:
- Ukuqhuma
- IChills
- Intloko
- Utywala
- Ukucaphuka kweso (conjunctivitis)
- Ukucasula (irhinitis)
- Nosebleeds (epistaxis)
- Isiqhamo
- I sizathu
- Intlungu yesisu
Ingxaki Ebonakalayo
Ngokusetyenziswa kweso nasiphi na iziyobisi, kuquka i-desmopressin, kukho umngcipheko weempembelelo ezibi kakhulu. Ezi zenzeke ngokungaqhelekanga, kodwa ezinye ezenzeka ngokusetyenziswa kwe-desmopressin ziquka:
- I-sodium ephantsi (hyponatremia)
- Ukuxiliswa kwamanzi
- Ukuxhamla
- I-Anaphylaxis (inzima yokuphendula ngokuquka ukuphefumula)
- Ukuvala (thrombosis)
Ukhuseleko kunye nokubeka iliso
Njengoko kuphawuliwe ngasentla, abantu abathile kufuneka basebenzise i-desmopressin ngokuqaphela okanye kungekhona. Njengoko imishanguzo isebenza ezintsheni, kubalulekile ukuseka umsebenzi wezintso eziqhelekileyo ngokulinganisa i-creinine egazini lakho ngaphambi kokuqala imithi.
Ukuba ufumana ubunzima bokusetyenziswa kwe-desmopressin, kufuneka ube nobudlelwane obusondeleyo nomboneleli wakho wonyango lwempilo.
Umthombo:
"Desmopressin." Epocrates Rx Pro. I-3.16, 2011. Epocrates, Inc. I-San Mateo, eCalifornia.