Mayeso a Tensilon

Kuyesa kwa Tensilon ndi njira yothandizira kuzindikira myasthenia gravis.

Mankhwala otchedwa Tensilon (otchedwanso edrophonium) kapena mankhwala a dummy (placebo osagwira ntchito) amaperekedwa panthawiyi. Wothandizira zaumoyo amakupatsani mankhwala kudzera m'mitsempha yanu imodzi (kudzera m'mitsempha, kudzera mu IV). Muthanso kupatsidwa mankhwala otchedwa atropine musanalandire Tensilon kuti musadziwe kuti mukumwa mankhwalawo.

Mudzafunsidwa kuti muziyenda minofu mobwerezabwereza, monga kuwoloka ndikudula miyendo yanu kapena kudzuka pampando. Wothandizirayo awone ngati Tensilon ikuthandizani kuti mukhale ndi mphamvu. Ngati muli ndi kufooka kwa diso kapena nkhope yaminyewa, zotsatira za Tensilon pa izi ziyang'aniranso.

Chiyesocho chikhoza kubwerezedwa ndipo mutha kukhala ndi mayeso ena a Tensilon kuti muthandize kusiyanitsa myasthenia gravis ndi zina.

Palibe kukonzekera kwapadera komwe kumafunikira. Tsatirani malangizo a omwe amakupatsani momwe mungakonzekerere.

Mukumva kulasa kwakuthwa pamene singano ya IV imayikidwa. Mankhwalawa amatha kupangitsa kuti m'mimba muzimva kupweteka kapena kumverera pang'ono pakukula kwa mtima, makamaka ngati atropine siyinaperekedwe koyamba.

Mayeso amathandiza:

• Dziwani za myasthenia gravis
• Fotokozani kusiyana pakati pa myasthenia gravis ndi zina zofananira zaubongo ndi zamanjenje
• Onetsetsani chithandizo ndi mankhwala amlomo a anticholinesterase

Mayesowo amathanso kuchitidwa ngati matenda a Lambert-Eaton. Ichi ndi vuto lomwe kulumikizana molakwika pakati pa mitsempha ndi minofu kumabweretsa kufooka kwa minofu.

Mwa anthu ambiri omwe ali ndi myasthenia gravis, kufooka kwa minofu kumayamba bwino atangolandira Tensilon. Kusintha kumatenga mphindi zochepa. Kwa mitundu ina ya myasthenia, Tensilon imatha kukulitsa kufooka.

Matendawa akakulirakulira moti amafunikira chithandizo (vuto la myasthenic), pamakhala kusintha kwakanthawi kwamphamvu ya minofu.

Pakakhala mankhwala osokoneza bongo a anticholinesterase (vuto la cholinergic), Tensilon imamupangitsa munthu kufooka.

Mankhwala omwe amagwiritsidwa ntchito poyesa atha kuyambitsa zovuta zina, kuphatikizapo kukomoka kapena kulephera kupuma. Ichi ndichifukwa chake kuyesaku kumachitika ndi omwe amakupatsani chithandizo chamankhwala.

Myasthenia gravis - kuyesa kwamatsenga

• Kutopa kwa minofu

Chernecky CC, Berger BJ. Mayeso a Tensilon - matenda. Mu: Chernecky CC, Berger BJ, olemba., Eds. Kuyesa Kwantchito ndi Njira Zakuzindikira. Lachisanu ndi chimodzi. St Louis, MO: Elsevier Saunders; 2013: 1057-1058.

Sanders DB, Guptill JT. Kusokonezeka kwa kufalikira kwa neuromuscular. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 109.