Mayeso a buluu a Methylene

Mayeso a methylene buluu ndi mayeso kuti mudziwe mtundu kapena mankhwala a methemoglobinemia, matenda amwazi.

Wothandizira zaumoyo amakulunga zomangira zolimba kapena khafu wamagazi kuzungulira mkono wanu wakumtunda. Kupanikizika kumayambitsa mitsempha pansi pamalowa kudzaza magazi.

Dzanja limatsukidwa ndi wakupha majeremusi (antiseptic). Singano imayikidwa mumtsempha wanu, nthawi zambiri pafupi ndi mkati mwa chigongono kapena kumbuyo kwa dzanja. Chubu chochepa thupi, chotchedwa catheter, chimayikidwa mumtsempha. (Izi zitha kutchedwa IV, zomwe zikutanthauza kuti kulowa mkati). P chubu ikakhala pomwepo, singano ndi zokopa zimachotsedwa.

Ufa wobiriwira wakuda wotchedwa methylene buluu umadutsa mu chubu kulowa mumitsempha yanu. Woperekayo amayang'ana momwe ufa umasinthira chinthu m'magazi otchedwa methemoglobin kukhala hemoglobin wabwinobwino.

Palibe kukonzekera kwapadera komwe kuyenera kuyesedwa.

Pamene singano imayikidwa kuti ikoke magazi, anthu ena amamva kupweteka pang'ono. Ena amangomva kubaya kapena kuluma. Pambuyo pake, pakhoza kukhala kupunduka kapena kuvulala pang'ono. Izi posachedwa zichoka.

Pali mitundu yambiri ya mapuloteni onyamula mpweya m'magazi. Mmodzi wa iwo ndi methemoglobin. Mulingo wabwinobwino wa methemoglobin m'magazi nthawi zambiri amakhala 1%. Ngati mulingo wake ndi wapamwamba, mutha kudwala chifukwa puloteniyo siyikhala ndi mpweya. Izi zitha kupangitsa magazi anu kuwoneka abulauni m'malo mofiira.

Methemoglobinemia ili ndi zifukwa zingapo, zomwe zambiri zimakhala majini (vuto lamajini anu). Kuyesaku kumagwiritsidwa ntchito posiyanitsa pakati pa methemoglobinemia yoyambitsidwa ndi kusowa kwa protein yotchedwa cytochrome b5 reductase ndi mitundu ina yomwe imaperekedwa kudzera m'mabanja (obadwa nawo). Dokotala wanu adzagwiritsa ntchito zotsatira za mayesowa kuti akuthandizeni kudziwa chithandizo chanu.

Kawirikawiri, methylene buluu imachepetsa msinkhu wa methemoglobin m'magazi.

Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pa ma labotore osiyanasiyana. Ma lab ena amagwiritsa ntchito miyeso yosiyanasiyana kapena amayesa mitundu yosiyanasiyana. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Mutha kukhala ndi mtundu wosowa wa methemoglobinemia ngati mayesowa samachepetsa kwambiri magazi a methemoglobin.

Pali chiopsezo chochepa chotenga magazi anu. Mitsempha ndi mitsempha imasiyana mosiyanasiyana kuchokera pa munthu wina kupita kwina komanso kuchokera mbali imodzi ya thupi kupita mbali inayo. Kuyika IV kumatha kukhala kovuta kwambiri kwa inu kapena mwana wanu kuposa anthu ena.

Zowopsa zina zomwe zimayesedwa ndimayeso amtunduwu ndizochepa, koma zingaphatikizepo:

• Kutaya magazi kwambiri
• Kukomoka kapena kumva mopepuka
• Ma punctures angapo kuti mupeze mitsempha
• Hematoma (magazi akuchulukirachulukira pakhungu ndikupangitsa kuvulaza)
• Kutenga (chiopsezo chochepa nthawi iliyonse khungu likasweka, koma mwayi wotenga kachilombo umakula nthawi yomwe IV imakhalabe mumtsinje)

Methemoglobinemia - mayeso a methylene buluu

Benz EJ, Ebert BL. Mitundu ya Hemoglobin yokhudzana ndi kuchepa kwa magazi m'thupi, kusintha kwa kuyanjana kwa okosijeni, ndi methemoglobinemias. Mu: Hoffman R, Benz EJ, Silberstein LE, et al, olemba. Hematology: Mfundo Zoyambira ndi Zochita. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 43.

Chernecky CC, Berger BJ. Methemoglobin - magazi. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 781-782.