He aha te Methylene Blue (Ara I roto i te Uaua): Ngā Whakamahinga, te Inenga, ngā Pānga Taha me Ētahi Atu

Ko te methylene blue he waikano kikorangi waihanga e whakamahia ana e ngā tākuta hei rongoā i roto i te uaua hei rongoā i ētahi āhuatanga hauora. Ka tukuna mā roto i te IV, ka mahi tēnei otinga kikorangi kanapa hei rongoā kaha me te taputapu tātaritanga i roto i ngā hōhipera me ngā rūma ohorere.

Ka miharo pea koe ki te ako ko tēnei rongoā, e huri ana i tō mimi ki te kākāriki-kikorangi, kua whakaora i te ora mō te rau tau. Ko te nuinga o te wā ka whakamahia e ngā kaiwhakarato hauora ki te rongoā i te methemoglobinemia, he āhuatanga mōrearea e kore ai e taea e tō toto te kawe hāora tika.

He aha te Methylene Blue?

Ko te methylene blue he rongoā nō te kāwai rongoā e kiia nei ko ngā kaihoko whakaheke. He pūhui waihanga e puta ana hei paura tioata kikorangi pouri, ka huri hei otinga kikorangi kanapa ka uru ki te wai mō te werohanga.

Ka mahi tēnei rongoā i te taumata pūtau hei āwhina i te whakahoki mai i te kaha o tō tinana ki te whakamahi hāora whai hua. I te tuatahi i whakawhanakehia hei waikano kakano i ngā tau 1800, i kitea e ngā tākuta ōna āhuatanga rongoā i te tūponotanga i te wā i kite ai rātou ka taea e ia te rongoā i ētahi take paitini.

Ko te āhua i roto i te uaua i hangaia mō te whakamahi i te hōhipera, i reira ka taea e ngā tāngata ngaio hauora te aroturuki i a koe i te wā o te rongoā. Ehara tēnei i te mea ka tango koe i te kāinga, nā te mea me āta inenga me te tirotiro hauora.

He aha te Methylene Blue e whakamahia ana mō?

Ka rongoā te Methylene blue i te methemoglobinemia, he āhuatanga e kore ai e taea e ō pūtau toto whero te kawe hāora tika ki ō kiko. Ka puta tēnei i te wā e huri ana te rino i roto i tō hemoglobin, e kore ai e whai hua tō toto ki te tuku hāora e tautoko ana i te ora puta noa i tō tinana.

Me titiro ki ngā take nui ka tohua pea e ngā tākuta tēnei rongoā. E hiahia ana ia āhuatanga ki te arotake me te aroturuki e tō rōpū hauora.

• Ko te methemoglobinemia i puta mai i etahi rongoa pēnei i te paturopi, i ngā rongoa mamae rānei
• Ko te paitini mai i te nitrites, i te nitrates rānei e kitea ana i ētahi kai, i te wai rānei
• Ko te methemoglobinemia tuku iho, he āhua ira onge
• Ko te pānga matū mai i ngā matū ahumahi, i ngā hua o te whare rānei
• Ko te methemoglobinemia i puta mai i te rongoa, mai i ngā rongoa rongoa ā-rohe pēnei i te benzocaine

I ētahi wā onge, ka whakamahi hoki ngā tākuta i te methylene blue hei taputapu tātaritanga i ngā wā o ētahi mahi pokanga. Ka whakamārama tō rōpū hauora i te take e tūtohu ana rātou i tēnei rongoā mō tō āhuatanga motuhake.

Me pēhea te mahi a te Methylene Blue?

Ka mahi te methylene blue mā te āwhina i ō pūtau toto whero ki te huri i te hemoglobin kua huri kē ki tōna āhua noa, e kawe ana i te hāora. Whakaarohia he āwhina e whakahoki ana i ō pūtau toto ki te mahi i tā rātou mahi matua, te tuku hāora puta noa i tō tinana.

Ki te whai koe i te methemoglobinemia, ka piri te rino i roto i tō hemoglobin ki tētahi āhua rereke. Ka mahi te methylene blue pēnei i te piriti, e whakarato ana i ngā irahiko e āwhina ana ki te huri i tēnei hemoglobin rereke ki te hemoglobin noa.

E whakaarohia ana tēnei rongoā he kaha ngawari, ā, ka tere te mahi. Ka tīmata te nuinga o te tangata ki te pai ake i roto i te 30 meneti ki te hāora i muri i te whiwhinga i te werohanga, ahakoa ka roa pea te whakaora katoa i ētahi hāora.

Ko te tae kikorangi ka kitea e koe i roto i tō mimi he mea noa, ā, e whakaatu ana kei te mahi te rongoā i tō pūnaha. He wā poto tēnei huringa tae, ā, ka memeha i te wā e tukatuka ana tō tinana i te rongoā.

Me pēhea taku tango i te Methylene Blue?

E kore koe e tango i te methylene blue i a koe anō - ka hoatu tonu e ngā tāngata ngaio hauora i roto i te hōhipera, i te taiao haumanu rānei. Ka tae mai te rongoā hei werohanga e haere tika ana ki roto i tō uaua mā te raina IV.

Ka whakarite tō rōpū hauora i te rongoā mā te waimeha i roto i tētahi otinga kano. Ko te tikanga ka tukuna mā te pōturi i roto i ngā meneti maha i te wā e aroturuki ana i tō reiti ngākau, te pēhanga toto, me ngā taumata hāora i ngā wā katoa.

I mua i te whiwhinga i te werohanga, kāore koe e hiahia ki te nohopuku, ki te karo rānei i ētahi kai motuhake. Heoi anō, me kōrero koe ki tō rōpū hauora mō ngā rongoā katoa e tango ana koe, tae atu ki ngā rongoā kaore e hiahiatia he whakahaunga me ngā taapiri.

Ka paku mātao pea te wāhi werohanga i te wā e uru ana te rongoā ki tō toto. He mea noa tēnei, ā, ka tirohia e tō kaiwhakarato hauora kia mōhio ai kei te pai te mahi a te IV i te wā o te maimoatanga.

Kia Pēhea te Roa e Tango Ana ahau i te Methylene Blue?

Ko te tikanga ka tukuna te methylene blue hei horopeta kotahi, ētahi horopeta rānei i roto i te wā poto, te tikanga i roto i ngā hāora 24. Kāore i rite ki ngā rongoā ka tango pea koe i ia rā mō ngā āhuatanga mau tonu, i hangaia tēnei maimoatanga hei whakatika i tētahi āhuatanga rongoā koi.

Ka whakatau tō tākuta mēnā e hiahia ana koe i ētahi atu horopeta i runga i ō taumata hāora toto me te pai o tō urupare ki te maimoatanga. Kotahi, e rua rānei ngā horopeta e hiahiatia ana e te nuinga o te tangata hei whakahoki i te kaha kawe hāora noa.

I muri i te whiwhinga i te rongoā, ka haere tonu tō rōpū hauora ki te aroturuki i a koe mō ētahi hāora kia mōhio ai kei te pai te mahi o te maimoatanga. Ka tirohia e rātou ō taumata hāora toto me te mātakitaki mō ngā tohu e hiahiatia ana ētahi atu maimoatanga.

Ka taea e ngā pānga o te methylene blue te roa mō ētahi hāora, ā, ka whakakorehia e tō tinana te rongoā i roto i te rā, e rua rānei e whai ake nei. Ka noho kākāriki-ā-kikorangi pea tō mimi mō te 24 hāora i muri i te maimoatanga.

He Aha ngā Pānga Taha o te Methylene Blue?

Pērā i ngā rongoā katoa, ka taea e te methylene blue te pānga taha, ahakoa te nuinga o te tangata e pai ana ki te tango i te wā e tika ana te tukunga. Ko te pānga tino kitea ko te tae kākāriki-ā-kikorangi o tō mimi, he mea kore kino, he mea rangitahi.

Koinei ngā pānga taha noa ka pā ki a koe. Ko te tikanga ka ngaro noa iho ēnei i te wā e puta ana te rongoā i tō tinana.

• Te huringa tae o te mimi ki te kākāriki-kikorangi (e tika ana tēnei, ā, kāore he kino)
• Te whakapairuaki, te pōpō rānei o te puku
• Te whanoke, te māmā rānei o te mahunga
• Te ānini
• He pānga wera iti i te wāhi weronga
• He huringa tae kikorangi rangitahi o te kiri i te wāhi weronga

He iti noa iho ngā pānga taha nui, engari me rapu tonu i te āwhina hauora. Ka mātakitaki tata tō rōpū hauora i a koe mō ēnei tūponotanga.

• Te uaua ki te hā, te poto rānei o te manawa
• Te mamae o te uma, te tere rānei o te ngākau
• Te whakapairuaki nui, te ruaki rānei
• Te rangirua, te huringa rānei o te hinengaro
• Te whanoke nui, te ngaro rānei o te mahara
• Ngā pānga pāwera pērā i te pūwhero, te pōhū rānei

I ngā wā onge, ka taea e te methylene blue te pā ki tētahi āhuatanga e kīia nei ko te serotonin syndrome i roto i ngā tāngata e tango ana i ētahi rongoā anti-depressant. Ka arotake tō rōpū hauora i āu rongoā i mua i te maimoatanga hei whakaiti i tēnei tūponotanga.

Ko wai e kore e tango i te Methylene Blue?

Kāore te methylene blue i te haumaru mō te katoa, ā, ka arotake tō rōpū hauora i tō hītori hauora i mua i te whakatau mēnā e tika ana mōu. Ko ngā tāngata e pā ana ki ētahi āhuatanga, e tango ana rānei i ētahi rongoā motuhake, tērā pea ka hiahia ki ētahi atu maimoatanga.

Ko ngā āhuatanga e whai ake nei tērā pea ka kore te methylene blue e haumaru mōu. Ka whakaaro tō tākuta i ēnei āhuatanga i te wā e whakamahere ana i tō maimoatanga.

• Te ngoikoretanga o te G6PD (he āhuatanga ira e pā ana ki ngā pūtau toto whero)
• Te mate tākihi nui
• Te mate ate nui
• Te pāwera mō te methylene blue, ngā momo matū rānei e pērā ana
• Te hapū, te whāngai ū rānei (ki te kore te painga e nui ake i ngā tūponotanga)
• Ngā āhuatanga ngākau nui

Ka taea e ētahi rongoā te pāhekoheko mōrearea ki te kikorangi methylene, ina koa ko ērā e pā ana ki ngā taumata serotonin. Me mōhio tō rōpū hauora ki ngā rongoā katoa e whakamahia ana e koe.

• Ngā aukati MAO (ētahi rongoā whakaora i te pouri)
• SSRIs me SNRIs (ngā rongoā whakaora i te pouri)
• Ētahi rongoā mamae pēnei i te tramadol
• Ētahi rongoā migraine
• Ētahi paturopi me ngā rongoā anti-fungal

Ka whakataurite tō rōpū hauora i ngā tūponotanga me ngā painga, ina koa kei a koe ētahi o ēnei āhuatanga, kei te whakamahi rānei koe i ēnei rongoā. I ētahi wā ka nui ake ngā painga whakaora-ora i ngā tūponotanga pea.

Ngā Ingoa Waitohu Kikorangi Methylene

Kei te wātea te kikorangi methylene i raro i ētahi ingoa waitohu, ahakoa he maha ngā wā ka kiia ko "kikorangi methylene injection" i roto i ngā hōhipera. Ko te ingoa waitohu tino noa i te United States ko Provayblue, he mea hanga motuhake mō te rongoā i te methemoglobinemia.

Ko ētahi atu ingoa waitohu ka rongo pea koe ko te hauhā Methylthioninium, e whakamahia ana i ētahi whenua i waho o te United States. Ka whakamahi tō rōpū hauora i te hanganga e wātea ana, e tika ana mō tō āhuatanga.

Ahakoa te ingoa waitohu, kei roto i ngā werohanga kikorangi methylene-ā-rongoā ngā whakauru kaha kotahi, ā, he rite tonu te mahi. Ko te mea nui kia whiwhi koe i te hanganga tika-ā-rongoā, kaua ko ngā tae-ā-ahumahi.

Ngā Kōwhiringa Kikorangi Methylene

Ahakoa ko te kikorangi methylene te rongoā tino whai hua mō te methemoglobinemia, he ētahi huarahi kē ka whakaarohia e tō tākuta i ētahi āhuatanga. E whakawhirinaki ana ēnei kōwhiringa ki te kaha o tō āhuatanga me ō āhuatanga hauora takitahi.

Mō ngā take ngawari o te methemoglobinemia, i ētahi wā ka nui noa iho te manaaki tautoko. Kei roto i tēnei ko te whakarato i te hāora atu me te aroturuki i tō āhuatanga i te wā e ora ana tō tinana.

I ngā tūāpānga e kore ai e taea te whakamahi i te puru methylene, ka whakamātau pea ngā tākuta i te waikawa ascorbic (huaora C) i ngā horopeta nui, ahakoa he puhoi ake te mahi. Ko te whakawhitinga toto, e whakakapia ai tō toto ki te toto mai i te kaiwhakawhiwhi, he otinga whakamutunga mō ngā tūāpānga kino.

Ka āwhina pea te rongoā hāora hyperbaric, e hā ana koe i te hāora parakore i roto i te ruma pēhi, i ētahi tūāpānga. Heoi, ko te puru methylene tonu te rongoā paerewa koura ina taea te whakamahi i te haumaru.

He Pai Ake Te Puru Methylene I Ētahi Atu Rongoā?

E kiia ana ko te puru methylene te rongoā tino whai hua me te tere ki te mahi mō te methemoglobinemia. He tere ake, he pono ake te mahi i ngā rongoā kē pēnei i te huaora C, i te manaaki tautoko anake rānei.

Ki te whakataurite ki ētahi atu rongoā, ka tīmata te mahi a te puru methylene i roto i te 30 meneti, ā, ka tino pai ake ō taumata hāora. Ka roa pea ngā rongoā kē pēnei i te huaora C horopeta nui ki te whakaatu i te whakapainga nui, ā, ka roa pea te roa o te rā.

Ko ngā painga nui o te puru methylene ko tōna tere, tōna whai huatanga, me te mea e pai ana te nuinga o ngā tāngata ki a ia. Heoi, ehara i te mea

Ko te hunga e tino ngoikore ana te ngakau, e raru ana ranei te manawataki o te ngakau, tera pea ka hiahia ki te aroturuki motuhake i te wa e rongoa ana. I etahi wa ka pa te rongoa ki te tere o te ngakau me te toto, no reira ka tino mataki to roopu hauora i enei mea.

I nga wa ohorere e raru ana te methemoglobinemia i te oranga, he maha nga wa ka nui ake nga painga o te methylene blue i nga tupono o te ngakau. Ka whakatau to roopu rongoa i tenei whakatau i runga i to ahuatanga takitahi.

Me aha ahau ki te whiwhi ohorere au i te nui rawa o te Methylene Blue?

Mena kei roto koe i te hōhipera, ka whakahaere to roopu hauora i nga awangawanga horopeta - kaore koe e hiahia ki te awangawanga mo tenei. Ka ata tatau, ka aroturuki nga tohunga rongoa i nga horopeta methylene blue hei aukati i te nui rawa o te horopeta.

Ko nga tohu o te nui rawa o te methylene blue ko te whakapairuaki nui, te mamae o te uma, te uaua ki te manawa, te whanoke nui ranei. Mena ka pa ki a koe etahi o enei tohu, ka whakawhiwhia e to roopu rongoa he manaaki tautoko me te aroturuki.

Ko te rongoa mo te nui rawa o te methylene blue ko te manaaki tautoko, tae atu ki nga wai IV, te hāora, me te aroturuki tata i o tohu nui. Ka haere haere te rongoa i to punaha i te wa.

Me aha ahau ki te ngaro au i te horopeta o te Methylene Blue?

I te mea ka tukuna te methylene blue i roto i te hōhipera e nga tohunga hauora, kaore koe e hiahia ki te awangawanga mo te ngaro i nga horopeta. Ka whakatau to roopu rongoa i te wa me te maha o nga horopeta e hiahia ana koe.

Mena e hiahiatia ana etahi atu horopeta, ka whakarite to roopu hauora i a raatau i runga i o taumata hāora toto me te pehea e urupare ana koe ki te rongoa. Ka aroturukihia koe e ratou i nga wa katoa hei whakatau mena e tika ana etahi atu rongoa.

Ko te wa o nga horopeta methylene blue i runga i to ahuatanga rongoa, ehara i te mahinga auau penei i nga rongoa o ia ra. Ka whakatau to roopu hauora i nga whakatau katoa mo te wa me te nui o te rongoa e hiahia ana koe.

Ahea ka mutu taku tango i te Methylene Blue?

E kore koe e whakatau anahea ka mutu te methylene blue - ka whakatauhia tēnei whakatau e tō rōpū hauora i runga i ō taumata hāora toto me te whakaora whānui. Tokorua, tokotoru rānei ngā horopeta e hiahiatia ana e te nuinga o te tangata.

Ka whakamutua e tō tākuta te rongoā i te wā ka hoki ngā taumata hāora toto ki te noa, ka noho pūmau. Ko te tikanga, ka pā tēnei i roto i ngā hāora ruarua ki te rā kotahi i muri i te tīmatanga o te rongoā.

I muri i te mutunga o te rongoā, ka haere tonu tō rōpū hauora ki te aroturuki i a koe kia mōhio kei te kore te methemoglobinemia e hoki mai. Ka whakatika hoki rātou i ngā take i raro, pērā i te whakamutu i ngā rongoā i āhei ai te āhua.

Ka Raru te Methylene Blue i Ētahi Atu Whakamātautau Hauora?

Āe, ka raru te methylene blue i ētahi whakamātautau hauora, inā rā ngā mea e ine ana i ngā taumata hāora i roto i tō toto. Ka whakaarohia tēnei e tō rōpū hauora i te wā e whakamārama ana i ngā hua o te whakamātautau.

Ka pā te rongoā ki ngā pānui oximetry o te ngākau, e ine ana i ngā taumata hāora mā tō maihao. Ka whakamahia e tō rōpū hauora ētahi atu tikanga hei aroturuki i ō taumata hāora i te wā e noho ana te rongoā i roto i tō pūnaha.

Ka whakaatu pea ngā whakamātautau toto i te tae kikorangi mō te wā poto i muri i te rongoā. Kāore tēnei e pā ki te nuinga o ngā hua o te whakamātautau, engari ka mōhio tō rōpū hauora i te wā i whiwhi koe i te methylene blue i te wā e whakamārama ana i ētahi kitenga rerekē.