He aha te Werohanga Desmopressin: Ngā Whakamahinga, te Inenga, Ngā Pānga taha me ētahi atu

Ko te werohanga Desmopressin he momo waihanga o te homoni e hangaia ana e tō tinana hei āwhina i te taurite wai me te whakaheke toto. E mahi ana tēnei rongoā hei āwhina ngawari mō ō tākihi me ō uaua toto ina kore e nui te hanga o tēnei homoni nui e tō tinana.

Ka tohua e ngā tākuta ngā werohanga desmopressin mō ētahi āhuatanga motuhake e hiahia ana tō tinana ki te tautoko anō i te whakahaere wai, i te aukati rānei i te whakaheke toto. E kiia ana he rongoā pono, kua tino rangahaua, ā, kua āwhina i te tini tāngata ki te whakahaere i ō rātou āhuatanga hauora i runga i te haumaru.

He aha te Desmopressin?

Ko te Desmopressin he tārua i hangaia e te tangata o te homoni antidiuretic (ADH), e tukuna ana e te repe pituitary o tō roro. Whakaarohia te ADH hei pūnaha tiaki wai o tō tinana - e kōrero ana ki ō tākihi te nui o te wai hei pupuri me te nui hei tuku hei mimi.

Inā kore e nui te hanga o tēnei homoni e tō tinana, ka uru mai te desmopressin ki te whakakī i tērā wātea. Ka tukuna e te puka werohanga te rongoā ki roto tonu i ō uaua toto, e tere ake ai te mahi me te matapae atu i ngā pire, i ngā rehu ihu rānei.

No te akomanga e kiia nei ko ngā analog vasopressin tēnei rongoā, ko te tikanga e whai ana i ngā mahi o tō homoni tūturu engari he maha ngā wā e whai hua ana, e roa ana te roa.

He aha te Desmopressin e whakamahia ana mō?

Ka rongoā te werohanga Desmopressin i ētahi āhuatanga e hiahia ana tō tinana ki te āwhina i te whakahaere i te taurite wai, i te whakaheke toto rānei. Ko te take nui e tohua ana e ngā tākuta ko te mate huka insipidus, he āhuatanga e kore ai e taea e ō tākihi te kukume tika i te mimi.

Koinei ngā āhuatanga nui e āwhina ana tēnei rongoā, ā, mā te māramatanga ki ēnei ka āwhina koe ki te whai māia anō mō tō rongoā:

• Te mate huka insipidus (momo pokapū) - ina karekau tō roro e hanga ana i te ADH nui
• Te mimi i te moenga i ngā tamariki me ngā pakeke - ka āwhina i te whakaiti i te hanga mimi i te pō
• Ngā mate toto pēnei i te hemophilia A, te mate von Willebrand rānei - ka āwhina i te pai ake o te toto
• Te matewai nui me te mimi i muri i te pokanga roro, te wharanga rānei ki te upoko
• Te whakamātautau tātaritanga mō ētahi āhuatanga homoni

Mā tō tākuta e whakatau ko tēhea āhuatanga e pā ana ki tō āhuatanga, ā, ka whakamārama rātou i te āhua e āwhina ai te desmopressin i ō hiahia hauora.

Me pēhea te mahi a te Desmopressin?

Ka mahi te Desmopressin mā te here ki ngā kaiwhiwhi motuhake i ō tākihi me ngā oko toto, e hoatu ana ki a rātou ngā tohutohu ki te tiaki i te wai me te whakapai ake i te whakaheke toto. E kiia ana he rongoā kaha ngawari e whakaputa ana i ngā hua pono ina whakamahia tika ana.

I ō tākihi, ka kōrero te desmopressin ki ngā ngongo kohikohi kia uru anō te wai ki tō toto, kaua ki te waiho hei mimi. Ko te tikanga ka iti ake te mimi e hanga ana koe, ā, ka nui ake te kukume o te mimi e hanga ana koe.

Mō ngā mate toto, ka akiaki te desmopressin i ō oko toto ki te tuku i ngā mea whakaheke toto hei āwhina i te aukati i te whakaheke toto. Ko te tikanga ka tīmata tēnei mahi i roto i te 30 meneti i muri i te werohanga, ā, ka roa pea te maha o ngā hāora.

Me pēhea taku tango i te Desmopressin?

Ka werohia te desmopressin i raro i te kiri (subcutaneously) rānei, ki roto rānei i te uaua (intramuscularly), te tikanga e tētahi kaiwhakarato hauora, i muri rānei i te whakangungu tika. Me huri te wāhi werohanga i ia wā kia kore ai e riri.

Kāore koe e hiahia ki te tango i tēnei rongoā me te kai, engari he mea nui kia whai i ngā tohutohu motuhake a tō tākuta mō te inu wai. Ka tono pea tō tākuta ki a koe kia whakawhāiti i te nui o te inu i mua i te werohanga, i muri hoki.

Kei te whakawhirinaki te wā o tō werohanga ki te āhuatanga e rongoatia ana e koe. Mō te mimi i te moenga, ka hoatu i te pō. Mō ngā mate toto, ka hoatu pea i mua i te pokanga, i ngā mahi niho rānei.

Horoi tonu i ō ringaringa i mua i te whakahaere i te rongoā, me te whakarite kia mā te wāhi werohanga. Mēnā kei te werohia koe e koe anō, ka whakaako tō rōpū hauora i te tikanga tika.

Kia Pēhea te Roa e Tango Ana ahau i te Desmopressin?

He rerekē te roa o te rongoā ki te desmopressin i runga i tō āhuatanga motuhake me te pai o tō urupare ki te rongoā. E hiahia ana ētahi tāngata i te rongoā mō ētahi rā noa iho, engari me rongoā ētahi mō te wā roa.

Mō ngā āhuatanga rangitahi pērā i te mate huka insipidus i muri i te pokanga, ka hiahia pea koe ki te desmopressin mō ētahi wiki noa iho kia ora anō tō tinana. Mō ngā āhuatanga mau tonu pērā i te mate huka insipidus pokapū, ka haere tonu pea te rongoā me te aroturuki i ngā wā katoa.

Ka tirotirohia e tō tākuta tō ahunga whakamua i ngā wā katoa mā ngā whakamātautau toto me te aroturuki i ngā tohu. Ka whakatikatikahia e rātou tō mahere rongoā i te mea e tika ana, ā, ka whakamōhio atu ki a koe i te wā e pai ana ki te whakaiti, ki te whakamutu rānei i te rongoā.

Kaua rawa e mutu te tango i te desmopressin ohorere me te kore e kōrero ki tō tākuta i te tuatahi, nā te mea ka hoki tere mai ō tohu.

He Aha ngā Pānga Taha o te Desmopressin?

He pai te whakawhitiwhiti a te nuinga o ngā tāngata i ngā werohanga desmopressin, engari pērā i ētahi atu rongoā, ka pānga taha. Ko ngā mea tino noa he ngawari, ā, ka taea te whakahaere mā te aroturuki tika.

Koinei ngā pānga taha ka pā ki a koe, ka tīmata mai i ngā mea tino noa e kore e hiahia ana ki te āwhina hauora tonu:

• He mamae paku i te pane, i te whanoke rānei
• Te whakapairuaki, te kore rānei o te hāneanea o te puku
• Te whero, te mamae paku rānei i te wāhi werohanga
• Ngā huringa iti i te pēhanga toto
• Te whero paku o te kanohi

He iti noa iho nga paanga kino e hiahia ana kia aro nui, engari me waea tonu atu ki te taote. Kei roto i enei ko nga tohu o te pupuri wai pēnei i te pikinga ohorere o te taumaha, te pupuhi i ou ringa, waewae ranei, te mamae nui ranei o te mahunga.

Ko te paanga kino nui rawa atu hei matakitaki ko te waipiro, ka puta i te wa e pupuri ana to tinana i te nui rawa o te wai. Ka taea e tenei te heke iho te taumata o te konutai, me waea tonu atu ki te taote.

Whakapā atu ki tō tākuta i te wā tonu mena ka pā ki a koe te mamae nui o te mahunga, te rangirua, te ngoikore o te uaua, te hopu ranei, na te mea ka tohu pea enei i ngā raruraru nui.

Ko wai e kore e tango Desmopressin?

Ko ētahi tāngata me karo te desmopressin, me whakamahi rānei me te tino tūpato, nā te piki ake o te tūponotanga o ngā raruraru nui. Ka āta arotake tō tākuta i tō hītori hauora i mua i te whakahau i tēnei rongoā.

Kaua koe e tango desmopressin mena he mate tākihi koe mai i te ngawari ki te kaha, nā te mea kare pea e taea e ō tākihi te whakahaere tika i ngā huringa o te taurite wai. Ko te ngoikore o te ngākau he āwangawanga nui, nā te mea ka taea e te rongoā te whakapōrearea i te pupuri wai.

Ko ngā tāngata he iti te taumata konutai (hyponatremia) kaua e whakamahi desmopressin, nā te mea ka taea e ia te whakapōrearea i tēnei āhuatanga kino. Waihoki, mena he toto tiketike kāore i te whakahaerehia e koe, kare pea te rongoā e haumaru mōu.

Ko ētahi momo o te mate huka insipidus, ina koa te momo nephrogenic, e kore e aro ki te desmopressin, ka kino pea. Ka whakamatautau tō tākuta i ngā whakamātautau motuhake hei whakatau i te momo kei a koe.

Me whai whakaaro motuhake te hapū me te whāngai u, ahakoa ka whakamahia te desmopressin i ngā wā i raro i te tirotiro hauora.

Ngā Ingoa Waitohu Desmopressin

Kei te wātea te werohanga Desmopressin i raro i ētahi ingoa waitohu, ko DDAVP te mea e tino mōhiotia ana. Ko ētahi atu ingoa waitohu ko Stimate me ngā putanga whānui e mahi ana i te pai.

He rite tonu te whakauru kaha ahakoa te ingoa waitohu, engari he rerekē pea nga kaihanga i etahi kai kore kaha. Ka taea e tō kai rongoā te āwhina i a koe ki te mārama ki ngā rerekētanga i waenga i ngā waitohu.

He pai pea ētahi mahere inihua ki ētahi waitohu i ētahi atu, nō reira he pai ki te kōrero i ngā kōwhiringa ki tō kaiwhakarato hauora me te kai rongoā kia kitea te kōwhiringa tino utu.

Ngā Kōwhiringa kē mō te Desmopressin

He maha ngā kōwhiringa kē mō te werohanga desmopressin, i runga i tō āhuatanga me ō hiahia. Ko te pūwero ihu o te desmopressin (DDAVP pūwero ihu) ka whakamahia pinepine mō ngā āhuatanga rite ana, ā, he pai ake pea mō te whakamahi wā roa.

Ko ngā papa desmopressin waha tētahi atu kōwhiringa, ahakoa he iti ake te matapae i roto i tō rātou mimiti, ā, me nui ake pea ngā horopeta. Mō ētahi tāngata, he pai tonu ēnei kōwhiringa kē pērā i ngā werohanga.

Mō ngā mate toto, ko ētahi atu rongoā pērā i te waikawa aminocaproic, te waikawa tranexamic rānei ka whakamahia pea hei utu mō te desmopressin, me te taha rānei. Mā tō tākuta e āwhina ki te whakatau i te huarahi pai mō tō āhuatanga.

I ngā take o te mate huka insipidus, ko te whakatika i te take o raro (pērā i te rongoā i te puku pituitary) ka whakaiti, ka whakakore rānei i te hiahia mō te rongoā whakakapi hormone.

He Pai Anei te Desmopressin i te Vasopressin?

Ko te tikanga, he pai ake te desmopressin i te vasopressin tūturu mō te nuinga o ngā āhuatanga rongoā, nā te mea he nui ake te kōwhiri, ā, he iti ake ngā pānga taha. Ahakoa e mahi ana ngā rongoā e rua i ngā kaiwhakawhiwhi rite ana, i hangaia te desmopressin kia nui ake te motuhake i roto i ōna mahi.

Ko te vasopressin tūturu e pā ana ki te taurite wai me te pēhanga toto i te nui ake, ka puta pea ngā pānga ngākau kore. Ko te desmopressin e arotahi ana ki ngā whatukuhu me ngā mea toto toto me te iti ake o te pānga ki te pēhanga toto.

Ko te roa ake o te mahi he painga ano o te desmopressin - e 6-12 haora te roa, he rerekē ki te pānga poto o te vasopressin. Ko te tikanga he iti ake ngā horopeta, ā, he pai ake te whakahaere i ngā tohumate i te roanga o te rā.

Heoi, i ngā wā ohorere pērā i te nui o te toto, i te ohorere rānei, ka whiriwhiria e ngā tākuta te vasopressin mō ōna pānga kaha me te wātea tonu ki te pēhanga toto.

Ngā Pātai Auau mō te Desmopressin

He Haumaru te Desmopressin mō te Mate Ngākau?

Me tino whakaaroaro te desmopressin mēnā he mate ngākau tō, otirā te ngoikore o te ngākau, te mate rānei o ngā uaua o te ngākau. Ka taea e te rongoā te pupuri wai, ā, ka kino ake pea ngā tohumate o te ngoikore o te ngākau.

Me mahi tahi tō tākuta ngākau me te tākuta e whakahau ana i te rongoā ki te whakatau mēnā ka nui ake ngā painga i ngā tūponotanga. Ka tūtohu pea rātou kia tīmata ki ngā horopeta iti ake, ā, kia mātakitaki pinepine ake i a koe.

Mēnā he ngākau mate ngawari tō e pai ana te whakahaere, ka haumaru tonu pea te desmopressin me te mātakitaki tika. Mā te tirotiro auau e āwhina kia mau tonu tō āhua ngākau.

Me Pēhea Taku Mahi Mēnā Ka Whakamahia E Au Te Nui Rawa o Te Desmopressin?

Mēnā ka tango koe i te nui rawa o te desmopressin, whakapā atu ki tō tākuta, ki ngā ratonga ohorere rānei tonu, otirā mēnā ka puta ngā tohumate pērā i te mamae nui o te upoko, te rangirua, te whakapairuaki rānei. Ka taea e te horopeta nui te pupuri wai me te iti o te konutai.

Ka tūtohu pea tō tākuta kia whakawhāitihia tō inu wai me te mātakitaki i ō tohumate. I ngā wā tino nui, ka hiahia pea koe ki te hōhipera kia pai ai te whakahaere i te taurite wai o tō tinana.

Kaua e ngana ki te whakakore i te horopeta nui mā te iti o te wai i a koe anō - me mātakitaki tēnei e te tākuta kia haumaru ai.

Me Pēhea Taku Mahi Mēnā Ka Ngaro Au i Tētahi Horopeta o Te Desmopressin?

Mēnā ka wareware koe ki te horopeta o te desmopressin, tangohia i te wā e mahara ana koe, ki te kore e tata ana te wā mō tō horopeta e whai ake nei. Ki te pērā, waiho te horopeta i warewarehia, ka haere tonu ki tō hōtaka auau.

Kaua rawa e tango e rua ngā horopeta i te wā kotahi hei utu mō te horopeta i warewarehia, nā te mea ka piki ake tō tūponotanga ki ngā pānga taha. Mēnā kāore koe i te mōhio ki te wā, whakapā atu ki tō kaiwhakarato hauora mō te ārahitanga.

Mō ngā āhuatanga pēnei i te mimi i te moenga, ko te horopeta i te pō i warewarehia ka piki ake ngā tohumate i taua pō, engari kāore tēnei i te mōrearea - me tīmata anō tō hōtaka auau i te rā e whai ake nei.

Āhea ka taea e au te whakamutu i te tango i te Desmopressin?

Me whakamutu anake koe i te tango i te desmopressin i raro i te tirotiro a tō tākuta, nā te mea ko te whakamutu ohorere ka hoki wawe mai ō tohumate. Ka whakaiti haere tō tākuta i tō horopeta, ka tirotiro rānei i a koe i te wā o te whakawhiti.

Mō ngā āhuatanga rangitahi, ka whakatau tō tākuta i te wā kua ora pai tō tinana ki te mahi me te kore rongoā. E hangai ana tēnei whakatau ki ō tohumate, ngā whakamātautau toto, me te tūnga hauora whānui.

Ko ētahi tāngata e whai āhuatanga roa pea e hiahia ana ki te desmopressin mō te wā roa, i te wā e taea ai e ētahi te whakamutu i muri i te rongoā i tō rātou āhuatanga taketake, i te whakaoti rānei i te tūpono.

Ka taea e au te haereere me ngā werohanga Desmopressin?

Āe, ka taea e koe te haereere me ngā werohanga desmopressin, engari me whakamahere i mua, me te whai i ngā aratohu motuhake mō te kawe rongoā. Puritia te rongoā i roto i ōna pōkai taketake me ngā tapanga whakahaunga e kitea ana.

Mō te haereere rererangi, whakakīhia ō werohanga ki tō pēke kawe i te wāhi i te pōkai i tirotirohia hei aukati i te kino o te pāmahana. Kawea mai he reta mai i tō tākuta e whakamārama ana i te take e hiahia ana koe ki te rongoā me ngā taonga werohanga.

Whakaarohia te kawe mai i te rongoā atu mō ngā whakaroa haereere, me te rangahau i ngā whare hauora i tō ūnga mō te āwhina i tō rongoā i te wā e ngaro ana i te kāinga.