Mphuno ya Desmopressin
Zamkati
- Musanagwiritse ntchito desmopressin nasal,
- Mphuno ya Desmopressin imatha kuyambitsa zovuta. Itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena sichitha:
- Zotsatira zina zingakhale zovuta. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:
- Zizindikiro za bongo zingaphatikizepo:
Mphuno ya Desmopressin imatha kuyambitsa hyponatremia yoopsa kwambiri (magazi otsika a sodium m'magazi anu). Uzani dokotala wanu ngati mwakhalapo ndi sodium wocheperako m'magazi anu, mumakhala ndi ludzu nthawi yayitali, mumamwa madzi ambiri, kapena ngati muli ndi vuto la mahomoni osavomerezeka (SIADH) momwe thupi limapangira Zambiri mwachilengedwe zomwe zimapangitsa thupi kusunga madzi), kapena matenda a impso. Muuzeni dokotala ngati muli ndi matenda, malungo, kapena m'mimba kapena m'matumbo ndi kusanza kapena kutsegula m'mimba. Uzani dokotala wanu ngati mukukumana ndi izi zotsatirazi mukamalandira chithandizo: mutu, mseru, kusanza, kupumula, kunenepa, kusowa chilakolako, kukwiya, kutopa, kugona, chizungulire, kuphwanya minofu, kugwidwa, kusokonezeka, kutaya chidziwitso, kapena kuyerekezera zinthu m'maganizo .
Uzani dokotala wanu ngati mukumwa loopic diuretic ("mapiritsi amadzi") monga bumetanide, furosemide (Lasix), kapena torsemide; steroid yosakanizidwa monga beclomethasone (Beconase, QNasl, Qvar), budesonide (Pulmicort, Rhinocort, Uceris), fluticasone (Advair, Flonase, Flovent), kapena mometasone (Asmanex, Nasonex); kapena steroid yapakamwa monga dexamethasone, methylprednisolone (Medrol), kapena prednisone (Rayos). Dokotala wanu angakuuzeni kuti musagwiritse ntchito desmopressin nasal ngati mukugwiritsa ntchito kapena kumwa mankhwalawa.
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu adzayitanitsa mayeso kuti muwone kuchuluka kwanu kwa sodium musanachitike komanso mukamalandira chithandizo kuti muwone momwe thupi lanu limayankhira desmopressin nasal.
Lankhulani ndi dokotala wanu za kuopsa kogwiritsa ntchito desmopressin nasal.
Mphuno ya Desmopressin (DDAVP®) amagwiritsidwa ntchito kuthana ndi zizindikilo zamtundu wina wa matenda a shuga insipidus ('madzi ashuga'; momwe thupi limatulutsa mkodzo wochuluka modabwitsa). Otsatirawa (DDAVP®) imagwiritsidwanso ntchito kuthana ndi ludzu lokwanira komanso kutuluka kwa mkodzo wochuluka kwambiri womwe ungachitike mutavulala mutu kapena mutatha opaleshoni ina. Mphuno ya Desmopressin (Noctiva®) amagwiritsidwa ntchito poletsa kukodza pafupipafupi usiku mwa akulu omwe amadzutsa kawiri kawiri usiku kuti akodze. Mphuno ya Desmopressin (Zowoneka bwino®) amagwiritsidwa ntchito kuyimitsa mitundu ina yamagazi mwa anthu omwe ali ndi hemophilia (momwe magazi samatsekera mwachizolowezi) ndi matenda a von Willebrand (matenda otuluka magazi) okhala ndimagazi ena. Mphuno ya Desmopressin ili mgulu la mankhwala otchedwa ma antidiuretic mahomoni. Zimagwira ntchito m'malo mwa vasopressin, mahomoni omwe amapangidwa mthupi kuti athandize kuchuluka kwa madzi ndi mchere.
Mphuno ya Desmopressin imabwera ngati madzi omwe amalowetsedwa m'mphuno kudzera mumachubu (chubu chochepa cha pulasitiki chomwe chimayikidwa m'mphuno kuti mupereke mankhwala), komanso ngati mphuno. Nthawi zambiri amagwiritsidwa ntchito kamodzi kapena katatu patsiku. Pamene desmopressin nasal (Stimate®) amagwiritsidwa ntchito pochiza matenda a hemophilia ndi matenda a von Willebrand, 1 kapena 2 spray (s) amapatsidwa tsiku lililonse. Ngati Wokhazikika® amagwiritsidwa ntchito asanachite opareshoni, nthawi zambiri amapatsidwa kutatsala maola awiri kuti achite opaleshoni. Mitsempha ya desmopressin (Noctiva®) amagwiritsidwa ntchito pochiza pafupipafupi usiku, kupopera kamodzi kumaperekedwa kumanzere kapena kumanzere kumphindi 30 asanagone. Gwiritsani ntchito mphuno ya desmopressin mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito m'mphuno desmopressin ndendende monga mwalamulira. Osamagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe adanenera dokotala.
Desmopressin nasal spray (Noctiva) imapezeka m'mphamvu ziwiri zosiyana. Izi sizingasinthane wina ndi mnzake. Nthawi iliyonse mukadzazidwa ndi mankhwala anu, onetsetsani kuti mwalandira mankhwala oyenera. Ngati mukuganiza kuti mwalandira mphamvu yolakwika, lankhulani ndi dokotala wanu komanso wamankhwala nthawi yomweyo.
Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa desmopressin nasal ndikusintha mlingo wanu kutengera momwe mulili. Tsatirani malangizowa mosamala.
Ngati mukugwiritsa ntchito utsi wa m'mphuno, muyenera kuyang'ana zambiri za wopanga kuti mudziwe kuchuluka kwa mankhwala omwe muli botolo lanu. Onetsetsani kuchuluka kwa mankhwala opopera omwe mumagwiritsa ntchito, osaphatikizira zopopera zoyambira. Tayani botolo mutagwiritsa ntchito mankhwala opatsidwayo, ngakhale atakhala ndi mankhwala ena, chifukwa opopera owonjezera sangakhale ndi mankhwala okwanira. Osayesa kusamutsa mankhwala otsalawo kupita ku botolo lina.
Musanagwiritse ntchito mphuno ya desmopressin kwa nthawi yoyamba, werengani malangizo olembedwa omwe amabwera ndi mankhwalawa. Onetsetsani kuti mukumvetsetsa momwe mungapangire botolo musanagwiritse ntchito koyamba komanso momwe mungagwiritsire ntchito phula kapena timbewu tating'onoting'ono. Funsani dokotala wanu kapena wamankhwala ngati muli ndi mafunso okhudza momwe mungagwiritsire ntchito mankhwalawa.
Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanagwiritse ntchito desmopressin nasal,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la desmopressin, mankhwala ena aliwonse, kapena zosakaniza zilizonse za desmopressin nasal spray. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo mankhwala omwe atchulidwa mgulu la CHENJEZO LACHENJEZO ndi izi: aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn); carbamazepine (Equetro, Tegretol, Teril); mankhwala enaake; mankhwala ena ogwiritsidwa ntchito mphuno; lamotrigine (Lamictal); mankhwala osokoneza bongo (opiate) opweteka; serotonin reuptake inhibitors (SSRIs) monga citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil), ndi sertraline (Zoloft); thiazide diuretics ('mapiritsi amadzi') monga hydrochlorothiazide (Microzide, mankhwala ambiri ophatikizana), indapamide, ndi metolazone (Zaroxolyn); kapena tricyclic antidepressants ('mood elevators') monga amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kapena trimipramine (Surmontil). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- Uzani dokotala wanu ngati mwakhala mukulephera mtima, kuthamanga kwa magazi, kapena matenda a mtima. Dokotala wanu angakuuzeni kuti musagwiritse ntchito desmopressin nasal.
- auzeni adotolo ngati mudakhalapo ndi kwamikodzo kapena cystic fibrosis (matenda obadwa nawo omwe amayambitsa mavuto kupuma, kugaya chakudya, ndi kubereka). Komanso muuzeni dokotala ngati mwangoyamba kumene kuchitidwa opaleshoni kumutu kapena kumaso, ndipo ngati muli ndi mphuno yolumikizidwa kapena yotuluka, zotupa kapena zotupa mkatikati mwa mphuno, kapena atrophic rhinitis (momwe mphako wa mphuno umachepa komanso mkatikati mwa mphuno mumadzaza ndi zotupa). Itanani dokotala wanu ngati mutakhala ndi mphuno yodzaza kapena yotuluka nthawi iliyonse mukamalandira chithandizo.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito desmopressin, itanani dokotala wanu.
Dokotala wanu angakuuzeni kuti muchepetse kuchuluka kwa madzimadzi omwe mumamwa, makamaka madzulo, mukamamwa mankhwala a desmopressin. Tsatirani malangizo a dokotala mosamala kuti mupewe zovuta zina.
Ngati mukugwiritsa ntchito desmopressin nasal (DDAVP®) kapena (Wowona®) ndikuphonya mlingo, gwiritsani ntchito mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.
Ngati mukugwiritsa ntchito desmopressin nasal (Noctiva®) ndikuphonya mlingo, dumpha mlingo womwe umasowa ndikumwa mlingo wotsatira nthawi yanu yokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.
Mphuno ya Desmopressin imatha kuyambitsa zovuta. Itanani dokotala wanu ngati chimodzi mwazizindikiro izi ndi zoopsa kapena sichitha:
- kupweteka m'mimba
- kutentha pa chifuwa
- kufooka
- kuvuta kugona kapena kugona
- kumva kutentha
- m'mphuno
- Mphuno, kusapeza bwino, kapena kuchulukana
- kuyabwa kapena maso owoneka bwino
- kupweteka kwa msana
- zilonda zapakhosi, chifuwa, kuzizira, kapena zizindikilo zina za matenda
- kuchapa
Zotsatira zina zingakhale zovuta. Ngati mukumane ndi izi kapena izi zomwe zalembedwa M'CHENJEZO CHOFUNIKA, itanani dokotala wanu nthawi yomweyo:
- kusanza
- kupweteka pachifuwa
- kuthamanga kapena kugunda kwamtima
- zidzolo
- ming'oma
- kuyabwa
- kuvuta kupuma kapena kumeza
Mphuno ya Desmopressin imatha kuyambitsa zovuta zina. Uzani dokotala wanu ngati mukukumana ndi zovuta zina mukamamwa mankhwalawa.
Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).
Sungani zipsera zam'mphuno mu chidebe chomwe chidalowa, chatsekedwa mwamphamvu, komanso kuti ana asafikire.
Sungani Zolimba® Mphuno ya mphuno yowongoka kutentha kutentha kosapitirira 25 ° C; taya utsi wa m'mphuno pakatha miyezi 6 mutatsegula.
Sungani DDAVP® Mphuno ya mphuno imaimirira pa 20 mpaka 25 ° C. Sungani DDAVP® chubu chachitsulo pa 2 mpaka 8 ° C; mabotolo otsekedwa amakhala osasunthika kwa masabata atatu 20 mpaka 25 ° C.
Asanatsegule Noctiva® m'mphuno, sungani moongoka pa 2 mpaka 8 ° C. Mutatsegula Noctiva®, sungani utsi wa m'mphuno wowongoka pa 20 mpaka 25 ° C; Ikani patatha masiku 60.
Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.
Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org
Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.
Zizindikiro za bongo zingaphatikizepo:
- chisokonezo
- Kusinza
- mutu
- kuvuta kukodza
- kunenepa mwadzidzidzi
- kugwidwa
Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.
Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.
- Kuganiza®¶
- Zamgululi® Mphuno
- Minirin® Mphuno¶
- Noctiva® Mphuno
- Zolimba® Mphuno
¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.
Idasinthidwa Komaliza - 05/24/2017