Mishonga Mimics Antidiuretic Hormone (ADH) Yokuderedza Njodzi
Mishonga yemishonga inonzi demopressin (dzimwe nguva inonzi DDAVP) imishonga inofanidza humoni inowanzoitika mumutumbi uye inoshandiswa kurapa nocturnal enuresis, kana kupfeka , pamwe nemamwe mamiriro ezvinhu. Kana maitiro ekurapa akakundikana, demopressin ndiyo mishonga inoshanda zvikuru kubatsira vana kuti varege kunyura mubhedha. Chii chinonzi demmopressin, chinoshanda sei, uye chii chingave nemigumisiro?
Zvishandiso
Desmopressin inoshandiswa kakawanda kubata kurapwa kwevana mumakore matanhatu kana kupfuura. Mumamiriro ezvinhu aya, kudziviswa kwemvura inofanira kuenderera mberi nemishonga yekurapa panguva yokurara. Izvi zvinowanzofanira kupfuurira kubva paawa imwe isati yatora kubvisa demopressin kusvika mangwanani anotevera (kana anenge maawa masere mushure mokunge mishonga inotorwa).
Desmopressin inoshandiswawo kubata mamwe mamiriro akawandisa, kusanganisira:
- Central diabetes insipidus (kugadzirwa kwekunatsa urine)
- Hemophilia A
- Uremic kubuda ropa
- Tora 1 von Willebrand chirwere
Chinoshanda sei?
Desmopressin imishonga inofanana nehomoni inowanzoitika mumuviri anonzi antidiuretic hormone . Izvozvi, saka, inokwanisa kuderedza diuresis kana kugadzirwa kwemuti mukati meitsvo iyo inozopedzisira yaendeswa muchikanda.
Mukuwedzera, demopressin inowedzera makemikari muropa rinonzi Factor VIII uye von Willebrand factor, izvo zvakakosha kumira kubuda ropa uye kukudziridza mazamu.
Izvi zvinotsanangura mamwe mabasa ayo kunze kwekurapa kubhekwa.
Ndiani Asingafaniri Kushandisa Desmopressin?
Desmopressin haifaniri kushandiswa kurapa kubhekwa muvana vari vaduku kudarika makore matanhatu. Mukuwedzera, mishonga haifaniri kushandiswa munguva dzehutano dzinogona kukanganisa kushandiswa kwemvura kana kuenzanisa kwe electrolytes (zvakadai mukurambana kana kurutsa).
Mukuwedzera, vanhu vane zvinetso zvepvo, nhoroondo yepasi yakanyanya (inonzi hyponatremia), kana naVelbrbrand chirwere cheIIB havafaniri kushandisa demmopressin.
Kune dzimwe mimwe mamiriro ezvinhu umo demmopressin inofanira kushandiswa chete nokungwarira, kusanganisira coronary artery chirwere, kukanda ropa kwepamusoro (hypertension), fluid kana electrolyte kusawirirana, polydipsia (kudhakwa zvakanyanya), cystic fibrosis, kuvhara (thrombosis) ngozi, uye muvatano vakwegura.
Desmopressin ine mikana yekubatana nemamwe mishonga yakawanda, saka mishonga iyezvino inofanira kuongororwa zvakanyatsogadzirwa nemutano wako wehutano usati watanga kuishandisa.
Nharaunda Dzakabatana
Pane zvishoma zvingave nemigumisiro ine kushandiswa kwemazinopressin. Kunyange zvazvo munhu asingadi kutarisirwa kuva nemigumisiro yakawanda-uye zvingasava nemumwe wavo - zvimwe izvo zvingaitika kazhinji ne desmopressin zvinosanganisira:
- Flushing
- Chills
- Headache
- Chizutu
- Kuvhiringidza kweziso (conjunctivitis)
- Nasal kutsamwa (rhinitis)
- Nosebleeds (epistaxis)
- Kukosora
- Nausea
- Dumbu remarwadzo
Zvingave Zvingaitika Zvikuru
Nekushandiswa kwemishonga chero ipi zvayo, kusanganisira desmopressin, pane ngozi yekukuvara kwakakomba. Izvi zvinowanzoitika kakawanda, asi zvimwe zvinogona kuitika nekushandiswa kwemasmopressin zvinosanganisira:
- Low sodium (hyponatremia)
- Kunwisa doro
- Kugumburwa
- Anaphylaxis (yakaoma inogadzirisa zvinosanganisira kuoma kufema)
- Kuvhara (thrombosis)
Kudzivirirwa Kuchengetedzwa uye Kuongorora
Sezvakataurwa pamusoro apa, vamwe vanhu vanofanira kushandisa demopressin nekuchenjerera kana kwete. Sezvo mishonga inoshanda muitsvo, zvinokosha kuti ugadzirise hutachiona hwehutano hunoenderana nokuyera muumbi muropa rako musati watanga mishonga.
Kana iwe uchinge uchinetseka nematambudziko nemashandisirwo emararamiro, iwe unofanirwa kunge uine hukama hwepedyo nemutungamiri wako wekutanga wehutano.
Kunobva:
"Desmopressin." Epocrates Rx Pro. Version 3.16, 2011. Epocrates, Inc. San Mateo, California.