He aha te Dipivefrin: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

Ko te Dipivefrin he rongoā kanohi e āwhina ana ki te whakaheke i te pēhanga i roto i ō kanohi, e whakamahia ana hei rongoā i te glaucoma me te pēhanga kanohi tiketike. E mahi ana tēnei rongoā kanohi i runga i te whakaheke i te nui o te wai e whakaputaina ana e ō kanohi, me te āwhina hoki i te wai o nāianei kia ngāwari ake te rere.

Mēnā kua tāutuhia koe he glaucoma, he pēhanga kanohi tiketike rānei, tērā pea ka tūtohu tō tākuta i te dipivefrin hei wāhanga o tō mahere rongoā. Mā te māramatanga ki te mahi o tēnei rongoā me te aha e tūmanakohia ana ka āwhina koe kia māia ake mō tō haerenga tiaki kanohi.

He aha te Dipivefrin?

Ko te Dipivefrin he rongoā kanohi e hāngai ana ki tētahi rōpū rongoā e kīia ana ko te sympathomimetics. He prodrug tūturu, ko te tikanga ka huri tō tinana i tēnei ki te epinephrine (adrenaline) i te wā e uru ana ki tō kanohi.

He tino mōhio tēnei huringa - ka taea e te dipivefrin te uru ki te mata o tō kanohi i te ngāwari ake i te epinephrine noa. Kia uru ana ki roto, ka huri ngā enzyme tūturu o tō kanohi ki te āhua kaha e mahi ana i te mahi whakaheke i te pēhanga kanohi.

Ka tae mai te rongoā hei otinga mārama, kāore he tae e whakamahia tika ana ki ō kanohi. Kua whakamahia marie mō ngā tau tekau hei āwhina i te tangata ki te whakahaere i tō rātou pēhanga kanohi me te tiaki i tō rātou tirohanga.

He aha te Dipivefrin e whakamahia ana mō?

Ko te dipivefrin te mea nui e tohua ana hei rongoā i ngā āhuatanga kanohi e rua e pā ana ki te pēhanga tiketike i roto i ō kanohi. Ka taea e ngā āhuatanga e rua te whara i tō uaua whatu mēnā kāore i rongoatia.

Ko te āhuatanga nui e rongoatia ana e te dipivefrin ko te glaucoma koki-wātea, te momo glaucoma tino noa. I roto i tēnei āhuatanga, ka pūremu te wai i roto i tō kanohi nā te mea kāore e taea te rere tika mā te pūnaha rerenga tūturu o te kanohi. Ka waihanga tēnei i te pēhanga ka whara haere i te uaua whatu, ka puta pea te ngaronga tirohanga mēnā kāore i whakahaerehia.

Ka whakamahia hoki te Dipivefrin mō te pēhanga kanohi tiketike, arā, te pēhanga kanohi tiketike me te kore he kino ki te uaua whatu e kitea ana i te glaucoma. Whakaarohia he tohu whakatūpato – kua piki ake te pēhanga o tō kanohi, engari kāore anō tō tirohanga i pā. Mā te rongoā wawe ka ārai i te haere whakamua ki te glaucoma.

I ētahi wā, ka tohutohu pea tō tākuta i te dipivefrin me ētahi atu rongoā kanohi kia pai ake ai te whakahaere i te pēhanga. He mea noa tēnei huarahi whakakotahi, ā, he maha ngā wā ka whai hua ake i te whakamahi i te rongoā kotahi.

Me pēhea te mahi a te Dipivefrin?

E mahi ana te Dipivefrin mā te tukanga e rua ngā wāhanga e whakaheke ana i te pēhanga i roto i ō kanohi. E kiia ana he rongoā kaha ngawari e taea ai te whakaheke nui i te pēhanga ina whakamahia tika.

Tuatahi, ka whakaheke te rongoā i te nui o te wai (e kiia ana ko te wai aqueous) e whakaputaina ana e ō kanohi. Ka hanga noa ō kanohi i tēnei wai mārama tonu, engari i te glaucoma, he nui rawa te whakaputanga, kāore rānei e pai te rere. Mā te whakaheke i te whakaputanga, ka āwhina te dipivefrin ki tētahi taha o tēnei taurite.

Tuarua, ka āwhina te dipivefrin ki te whakapai ake i te rere o te wai e noho ana i ō kanohi. E mahi ana i runga i te pūnaha rerenga o te kanohi kia pai ake te rere o te wai, e whakaheke ana i te pēhanga.

Ko te tikanga ka tīmata te mahi a te rongoā i roto i te haora kotahi i muri i te tono, me te pānga nui i te 4-6 haora i muri i te whakamahi. Ko te nuinga o te tangata ka kite i te pānga whakaheke pēhanga e mau ana mō te 12 haora, koinei te take e tohutohutia ana kia rua ngā wā i te rā.

Me pēhea taku tango i te Dipivefrin?

He mea nui te tango tika i te dipivefrin kia whiwhi ai i ngā hua pai rawa atu me te whakaiti i ngā pānga taha. Ka tae mai te rongoā hei topata kanohi ka tono tika koe ki tō kanohi, ki ō kanohi rānei e pā ana.

Me tīmata mā te horoi i ō ringaringa ki te hopi me te wai. Whakaangahia tō upoko ki muri, ka tōia mārire i tō kamo o raro ki te hanga i tētahi pūkau iti. Puritia te pito o te pūwhiwhi ki te taha o tō kanohi me te kore e pā atu, ka tōia tētahi topata ki roto i te pūkau i hangaia e koe.

Whai muri i te tono i te topata, kati mārire tō kanohi, ka pēhi mārire ki te kokonga o roto o tō kanohi e tata ana ki tō ihu mō te meneti kotahi pea. Ko tēnei tikanga, e kīia ana ko te aukati nasolacrimal, e āwhina ana ki te ārai i te rongoā kia kaua e rere ki roto i ō awa roimata, ā, ka puta pea he pānga kino.

Mēnā e hiahia ana koe ki te whakamahi i ētahi atu rongoā kanohi, tatari mō te 5-10 meneti i waenga i ngā topata rerekē. Mā tēnei e whai wā ai ia rongoā ki te uru tika, me te kore e horoi i te rongoā o mua.

Kāore koe e hiahia ki te tango dipivefrin me te kai, te miraka rānei, nā te mea ka tono tika ki ō kanohi. Heoi anō, ngana ki te whakamahi i te wā kotahi i ia rā kia mau tonu ai te whakahaere pēhanga.

Kia Pēhea te Roa e Tango Ai au i te Dipivefrin?

Ko te dipivefrin te nuinga he rongoā wā-roa e hiahia ana koe ki te whakamahi tonu kia mau tonu ai te whakahaere pēhanga kanohi. Ko te glaucoma me te pēhanga kanohi nui he āhuatanga mau tonu e hiahia ana ki te whakahaere tonu, kaua ki te rongoā wā-poto.

Ko te nuinga o te tangata e hiahia ana ki te whakamahi i te dipivefrin mō ake tonu atu, nā te mea ko te whakamutu i te rongoā te tikanga ka hoki te pēhanga kanohi ki ngā taumata tiketike i roto i ngā rā, i ngā wiki rānei. Ka aroturuki tō tākuta i tō pēhanga kanohi i ngā wā katoa kia mōhio ai kei te mahi pai tonu te rongoā.

I ngā marama tuatahi o tō rongoā, ka nui ake pea ō tirotirohanga kia mōhio ai kei te pai te mahi o te rongoā, ā, kāore e puta ana he pānga kino. Kia tū tō pēhanga, ka iti ake te auau o ngā haerenga, he maha ngā wā i ngā marama 3-6.

Tera pea etahi tangata e hiahia ana ki te huri ki etahi rongoa rereke, ki te taapiri ranei i etahi atu rongoa mena ka iti ake te whai hua o te dipivefrin i te wa. He mea noa tenei, ehara i te mea kua kore te rongoa i te whai hua - ko te tikanga me whakatika to mahere maimoatanga.

He aha nga paanga taha o te Dipivefrin?

Pērā i ngā rongoā katoa, ka taea e te dipivefrin te pānga taha, ahakoa he maha ngā tāngata e pai ana ki te tango. Ma te mohio ki te aha e tumanakohia ana ka awhina koe ki te wehewehe i waenga i nga paanga whakatikatika noa me nga tohu e hiahia ana ki te rongoa.

Ko nga paanga taha tino noa ka pa ki a koe e pa ana ki ou kanohi, he ngawari tonu. I te nuinga o te wā ka pai ake enei pānga i te wā e whakatika ana ō kanohi ki te rongoā i ngā wiki tuatahi o te whakamahi.

Ko nga paanga taha noa e pa ana ki te kanohi ko:

• Te wera, te ngau ranei i te wa tuatahi ka whakamahi koe i nga topata
• Te tirohanga rangitahi mo etahi meneti i muri i te whakamahinga
• Te piki ake o te tairongo ki te marama
• Te ahua nei kei roto tetahi mea i roto i to kanohi
• Te whero ngawari o te kanohi, te riri ranei
• Te wai o nga kanohi

He wa poto noa enei tohu, ka iti haere i te wa e waia ana o kanohi ki te rongoa. Mena ka mau tonu, ka kino ake ranei i muri i etahi wiki, whakamohio atu ki to taakuta.

Ko nga paanga taha kaore i te noa engari he nui ake te awangawanga ka puta na te mea ka huri te dipivefrin ki te epinephrine i roto i to tinana. Ahakoa te nuinga o te rongoa e noho ana i roto i to kanohi, ka uru etahi mea iti ki roto i to toto ka pa ki etahi atu waahanga o to tinana.

Ko nga paanga taha o te punaha e tika ana kia rongoa ko:

• Te tere, te ngau ranei o te ngakau
• Te mamae o te uma, te piri ranei
• Te poto o te manawa
• Te mamae nui o te mahunga
• Te wiri, te ruru ranei
• Te awangawanga, te okiokinga ranei
• Te whakapairuaki, te ruaki ranei

Ko nga paanga taha onge engari he nui te kino e hiahia ana kia rongoa tonu. Kei roto i enei ko nga tauhohenga mate pāwera nui me nga tohu penei i te pupuhi o te kanohi, te uaua ki te manawa, te pupuhi whanui ranei.

Whakapā atu ki tō tākuta i te wā tonu ki te pā mai ētahi tohumate e mōrearea ana, ki te kaha rānei ngā pānga taha noa, ki te kore rānei e pai ake i te wā.

Ko wai kāore e tika kia tango Dipivefrin?

Kāore te Dipivefrin i te tika mō te katoa, ā, ko ētahi āhuatanga hauora, āhuatanga rānei ka kore e haumaru, ka iti rānei te whai hua. Ka arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kāore koe e whakamahi i te dipivefrin mēnā he momo glaucoma tō, ina koa te glaucoma katinga-koki, te glaucoma koki-poto rānei. I roto i ēnei āhuatanga, ka taea e te dipivefrin te whakapōrearea i te raru mā te katinga atu i te koki e rere ana te wai.

Me whai whakaaro motuhake ngā tāngata e pā ana ki ētahi āhuatanga ngākau i mua i te whakamahi i te dipivefrin. Ka pā te rongoā ki tō reiti ngākau me te manawataki, nō reira kāore pea i te tika mēnā he raru ngākau tō.

Ngā āhuatanga ka aukati i te whakamahi i te dipivefrin:

• Te mate ngākau nui, te whakaeke ngākau tata rānei
• Te pēhanga toto tiketike kāore i te whakahaerehia
• Ngā manawataki ngākau kōaro nui
• Hyperthyroidism (te thyroid kaha rawa)
• Te mate pāwera mō te dipivefrin, te epinephrine rānei
• Ētahi momo glaucoma (katinga-koki)

He mea nui te tūpato mō ngā tāngata e mate huka ana, nā te mea ka pā te dipivefrin ki ngā taumata huka toto. Mēnā he mate huka tō, ka mātakitaki tō tākuta i a koe i te wā e tīmata ana koe i tēnei rongoā.

Me kōrero ngā wāhine hapū me te whāngai i ngā pēpi mō ngā tūponotanga me ngā painga ki tō rātou kaiwhakarato hauora. Ahakoa ka taea te whakamahi i te dipivefrin i te wā e hapū ana, me whakamahi anake i te wā e nui ake ana ngā painga i ngā tūponotanga.

Ngā Ingoa Waitohu Dipivefrin

Kei te wātea te Dipivefrin i raro i ētahi ingoa waitohu, ahakoa kāore te hanganga ingoa waitohu taketake i te wātea whānuitia i roto i te maha o ngā whenua. Ko te ingoa waitohu tino rongonui ko Propine, i whakahaua nuitia mō ngā tau maha.

I tēnei rā, ko te dipivefrin te nuinga e wātea ana hei rongoā whānui, arā, ka hokona i raro i tōna ingoa matū, kaua i raro i tētahi ingoa waitohu motuhake. He rite tonu te whai hua o ngā putanga whānui ki ngā rongoā waitohu, ā, he iti ake te utu.

Ināianei ka tohua e tō tākuta te dipivefrin, ka taea e te whare rongoā te whakarato i raro i ngā ingoa o ngā kaihanga whānui rerekē. He rite tonu te whakauru kaha me te whai hua ahakoa ko wai te kamupene e hanga ana.

Mēnā kei te whakamahi koe i tētahi putanga waitohu, ā, me huri ki te whānui, kaua e māharahara - ka mahi rite tonu te rongoā. Heoi anō, me whakamōhio tonu ki tō tākuta mō ngā huringa i roto i tō pūtake rongoā.

Ngā Kōwhiringa Dipivefrin

He maha atu anō ngā rongoā ka taea te rongoā i te glaucoma me te pēhanga kanohi, ki te kore e pai te dipivefrin mōu, ki te mutu rānei te mahi whai hua. He maha ngā kōwhiringa a tō tākuta hei āwhina i te whakahaere i tō pēhanga kanohi.

Ko ngā kōwhiringa e tohua ana i te nuinga o te wā, nō ngā momo rongoā rerekē e mahi ana mā ngā momo tikanga rerekē. He pai ōna ake painga me ngā pānga taha pea o ia momo, e āhei ai tō tākuta ki te kimi i te mea pai rawa atu mō tō āhuatanga motuhake.

Ngā kōwhiringa noa ko:

• Ngā tātānga prostaglandin (pēnei i te latanoprost, travoprost) - he rongoā rārangi tuatahi i te nuinga o te wā
• Ngā aukati beta (pēnei i te timolol, betaxolol) - whakaiti i te hanga wai
• Ngā alpha-agonists (pēnei i te brimonidine) - whakaiti i te hanga wai me te whakanui i te rerenga
• Ngā aukati anhydrase waro (pēnei i te dorzolamide) - whakaiti i te hanga wai
• Ngā rongoā whakakotahi e whakauru ana i ngā momo rongoā maha

Ka whakaaro tō tākuta ki ngā mea pēnei i tō hauora whānui, ētahi atu rongoā e tango ana koe, me te pai o tō whakawātea i ngā pānga taha i te whiriwhiri i ngā kōwhiringa. I ētahi wā ka pai ake te mahi a te whakakotahitanga o ngā rongoā i tētahi rongoā anake.

Mena kāore i nui ngā rongoā tōtō kanohi, ka tūtohutia ētahi atu rongoā pērā i ngā tukanga rāihana, i te pokanga rānei. He tino whai hua ēnei kōwhiringa mō te hunga kāore e pai ana ki ngā rongoā, e uaua ana rānei ki te whakamahi i ngā tōtō kanohi i ngā wā katoa.

He Pai Ake Anei te Dipivefrin i te Timolol?

He rongoā whai hua te Dipivefrin me te timolol mō te whakaheke i te pēhanga o te kanohi, engari he rerekē te mahi, ā, he rerekē ngā painga me ngā ngoikoretanga. Kāore tētahi e tino pai ake ana - ko te kōwhiringa pai rawa atu ka whakawhirinaki ki ō āhuatanga takitahi.

Ko te Timolol, he aukati beta, he maha ngā wā ka whakaarohia he rongoā tuatahi nā te mea he tino whai hua ki te whakaheke i te pēhanga o te kanohi, ā, he pai te manawanui. Ka mahi mā te whakaiti i te nui o te wai e whakaputaina ana e ō kanohi, ā, he maha ngā tāngata ka taea te whakamahi me te kore he pānga taha nui.

Ka pai pea te Dipivefrin i ētahi āhuatanga, ina koa kei a koe ngā āhuatanga manawa pērā i te huangō, i te COPD rānei. Kāore i rite ki te timolol, ka taea te whakapōrearea i ngā raruraru manawa, he pai ake te dipivefrin mō te hunga e pā ana ki ngā āhuatanga o te pūkahukahu.

Heoi, he maha ngā wā ka whakamahia te timolol nā te mea he iti ake ngā pānga taha e pā ana ki te kanohi pērā i te wera, i te ngau rānei. Kei te wātea hoki i roto i ngā hanganga maha, tae atu ki ngā kōwhiringa kotahi-i-te-rā e kitea ana e ētahi tāngata he pai ake.

Ka whakaarohia e tō tākuta tō hītori rongoā katoa, ētahi atu rongoā, me ngā hiahia whaiaro i te wā e kōwhiri ana i waenga i ēnei kōwhiringa. I ētahi wā ka tohua pea e rātou ngātahi mō te whakahaere pēhanga pai ake.

Ngā Pātai Auau Mō te Dipivefrin

He Haumaru Anei te Dipivefrin mō te Mate Ngākau?

Me tino whakaaro te Dipivefrin mēnā he mate ngākau tō, nā te mea ka pā ki tō pūnaha ngākau. Ahakoa ka whakamahia te rongoā ki ō kanohi, ka uru ngā rahinga iti ki tō toto, ā, ka pā pea ki tō tere ngākau me te pēhanga toto.

Ka taea e ngā tāngata e ngāwari ana, e pūmau ana ngā āhuatanga o te ngākau te whakamahi i te dipivefrin i raro i te tirotiro hauora. Ka whakataurite tō tākuta i ngā painga o te whakahaere i tō pēhanga kanohi ki ngā tūponotanga ki tō ngākau.

Mēnā he mate ngākau nui tō, he pānga ngākau i tērā wā, he toto tiketike kāore i te whakahaerehia, ka kōwhiria e tō tākuta tētahi rongoā kē. He maha atu anō ngā rongoā glaucoma whai hua kāore e mau ana i ngā tūponotanga cardiovascular.

Me Pēhea Taku Mahi Mēnā Ka Whakamahia E Au Te Nui Rawa O Te Dipivefrin?

Mēnā ka whakamahia e koe te nui rawa o te dipivefrin i te mea kāore i whakaritea, kaua e mataku, engari me whakaaro nui. Ko te whakamahi i te nui rawa ka piki ake te tūponotanga o ngā pānga taha, ina koa ko ēra e pā ana ki tō ngākau me te pēhanga toto.

Horoi marie i tō kanohi ki te wai mā, kia tangohia te rongoā nui rawa, kātahi ka aroturuki i a koe mō ngā tohumate pēnei i te tere o te ngākau, te mamae o te uma, te mamae nui o te upoko, te āwangawanga rānei, te wiri rānei. E whakaatu ana ēnei tohumate kei te pā te rongoā ki tō tinana katoa, ehara i ō kanohi anake.

Whakapā atu ki tō tākuta, ki te kaimātai rongoā rānei mō te ārahitanga, ina koa kei te pā koe i ngā tohumate e pā ana. Ka taea e rātou te tohutohu i a koe mō te aha hei mātakitaki me te mō te hiahia koe i te āwhina hauora tonu.

Mō te aukati i te wā anō, me tātari tonu kei te whakamahi koe i te maha tika o ngā topata me te karo i te tītaha rawa i te pounamu, ka taea e te mea nei te puta mai i ngā topata maha i te wā kotahi.

Me Pēhea Taku Mahi Mēnā Ka Ngaro i Au Tētahi Inenga o te Dipivefrin?

Mēnā ka ngaro i a koe tētahi inenga o te dipivefrin, whakamahia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō inenga e whai ake nei. I taua wā, waiho te inenga i ngaro, ka haere tonu ki tō hōtaka auau.

Kaua rawa e whakamahi i ngā inenga e rua i te wā kotahi ki te

Mena he maha ngā wā e wareware ana koe ki ngā horopeta, whakaarohia te whakatakoto whakamaharatanga waea, te whakamahi rānei i tētahi pūmahara rongoā. He mea nui te whakamahi tonu mō te pupuri i te mana tika o te pēhanga o te kanohi me te tiaki i tō tirohanga.

Whakapā atu ki tō tākuta mēnā kua ngaro i a koe te maha o ngā horopeta, mēnā rānei kei te uaua koe ki te mahara ki te whakamahi i tō rongoā i ngā wā katoa. Ka taea pea e rātou te kōrero i ngā rautaki, i ngā rongoā kē rānei e pai ake ana ki tō tikanga.

Āhea Āhei Ai Au te Kati te Tango Dipivefrin?

Kaua rawa koe e kati te tango dipivefrin me te kore e kōrero tuatahi ki tō tākuta, ahakoa kei te pai koe, e whakaaro ana rānei koe kua pai ake ō kanohi. Ko te glaucoma me te pēhanga toto o te kanohi he āhuatanga mau tonu e hiahia ana ki te rongoā tonu hei aukati i te ngaronga o te tirohanga.

Ka hoki pea tō pēhanga o te kanohi ki ngā taumata tiketike i roto i ngā rā, i ngā wiki rānei i muri i te whakamutu i te rongoā, ka tūpono tō tirohanga. Ka taea tēnei ahakoa kāore koe e kite i ngā tohu, nā te mea kāore te pēhanga o te kanohi tiketike e pā ana ki te mamae, ki ngā huringa tirohanga rānei e kitea ana kia puta ra ano te kino.

Ka whakatau tō tākuta mō te wā, mēnā rānei he haumaru te kati i te dipivefrin i runga i ō pānui pēhanga o te kanohi, te hauora o te kanohi katoa, me te urupare ki te rongoā. I ētahi wā ka huri pea rātou i a koe ki tētahi rongoā kē atu i te whakamutu i te rongoā katoa.

Mēnā kei te pā koe i ngā pānga taha e raruraru ana, kei te uaua rānei koe ki te whakamahi i te rongoā, kōrerohia ēnei āwangawanga ki tō tākuta. Ka taea e rātou te whakatika i tō mahere rongoā ki te whakatika i ēnei take i te wā e tiaki tonu ana i tō tirohanga.

Ka Taea e Au te Whakakakahu i ngā Karu Whakapā i te Wā e Whakamahi Ana i te Dipivefrin?

Ka taea e koe te whakakakahu i ngā karu whakapā i te wā e whakamahi ana i te dipivefrin, engari me whai koe i ngā aratohu motuhake hei karo i ngā raruraru. Ka taea e te rongoā te pā ki ētahi momo karu whakapā, ā, ka pā pea te raruraru mēnā kāore i te whakamahia tika.

Tangohia ō arotahi i mua i te whakamahi i te dipivefrin, katahi ka tatari kia 15 meneti i mua i te whakahoki ano. Ma tenei ka uru tika te rongoa, ka whakaiti i te tupono ka pakaru nga arotahi, ka riri ranei nga kanohi na te rongoa kei roto i nga pata kanohi.

E kitea ana e etahi tangata ka maroke, ka riri ranei o ratou kanohi i te dipivefrin, ka iti ake te pai o te mau arotahi. Mena ka pa ana tenei ki a koe, korero ki to taakuta mo te whakamahi i nga roimata horihori karekau he rongoa, mo te whakatika ranei i to waarangi arotahi.

Me whai tonu i nga tohutohu motuhake a to kaiwhakarato tiaki kanohi mo te whakamahi arotahi me o rongoa glaucoma, na te mea ka hiahia pea nga ahuatanga takitahi ki nga huarahi rereke.