Chii chinonzi Nitric Oxide Inhalation: Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Nitric oxide inhalation imishonga yemagasi yakakosha inobatsira vacheche kufema zviri nani kana mapapu avo achinetseka kuwana okisijeni yakakwana. Kurapa uku kunoshanda nekuzorodza tsinga dzemuviri mumapapu, zvichibvumira okisijeni kuyerera nyore nyore mumuviri. Inowanzo shandiswa muzvikamu zvekuchengetwa kwakanyanya muzvipatara pasi pekutariswa kwechiremba, uko zvikwata zveutano zvinogona kutarisa kufambira mberi kwemwana wako zvakanyatsonaka.

Chii chinonzi Nitric Oxide Inhalation?

Nitric oxide inhalation igasi risina ruvara, risina hwema iro vanachiremba vanopa zvakananga mumapapu emwana wako kuburikidza netube rekufema kana mask. Funga nezvazvo semubatsiri munyoro anovhura tsinga diki dzeropa mumapapu, zvichiita kuti okisijeni isvike kune zvese zvikamu zvemuviri wemwana wako. Izvi hazvisi chimwe chinhu chaunogona kuwana pa pharmacy - igasi remishonga rinoda midziyo yakakosha uye nyanzvi dzehutano dzakadzidziswa kuti dzishandise zvakachengeteka.

Gasi racho pacharo imolekuru inowanikwa zvakasikwa iyo muviri wako unogadzira zvishoma. Kana ichishandiswa semushonga, inotariswa zvakanyatsonaka uye yakavhenganiswa nemhepo inofemwa nemwana wako. Kurapa uku ndekwechinguvana uye kunowanzo shandiswa kwenguva pfupi apo mapapu emwana wako anopora uye kusimba.

Chii chinonzi Nitric Oxide Inhalation chinoshandiswa?

Nitric oxide inhalation inonyanya kushandiswa kurapa vacheche vane persistent pulmonary hypertension, mamiriro akakomba apo ropa rinoyerera mumitsipa yemumapapu rinoramba rakanyanya. Izvi zvinoitika kana kutenderera kweropa kwemwana kusina kunyatso shanduka kubva pakuvimba nekupa okisijeni kwamai kuti vafeme vega mushure mekuberekwa.

Kana vacheche vaine chirwere ichi, mapapu avo haakwanise kuendesa okisijeni yakakwana kumuviri wavo, izvo zvinogona kuisa upenyu panjodzi. Kurapa kunobatsira nekuzorodza madziro emhasuru emidziyo yeropa mumapapu, kuderedza kumanikidzwa uye kuvandudza kuyerera kweropa. Izvi zvinobvumira okisijeni kuti ifambire zvakanyanya kubva mumapapu kuenda kune imwe nzvimbo yemuviri.

Mune dzimwe nguva, vanachiremba vanogona kushandisa nitric oxide kune mamwe matambudziko ekufema muvacheche vachangoberekwa, kunyangwe izvi zvisingawanzoitiki. Chikwata chako chekurapa chichaongorora zvakanyatsonaka kana kurapwa uku kwakakodzera mamiriro chaiwo emwana wako.

Nitric Oxide Inhalation Inoshanda Sei?

Nitric oxide inoshanda nekunangana nemaseru chaiwo mumadziro emidziyo yeropa yemapapu emwana wako. Kana gasi rasvika kumaseru aya, rinotanga mhinduro yechisikigo yekuzorodza iyo inowedzera midziyo yeropa. Izvi zvakafanana nekuti hose yemumunda yakasimba inovhurika sei kana iwe ukasunungura kumanikidzwa - ropa rinogona kuyerera zvakasununguka, richitakura okisijeni inokosha mumuviri wemwana wako.

Kurapa kunoonekwa semushonga wepakati nepakati unoshanda nekukurumidza, kazhinji uchiratidza mhedzisiro mukati memaminitsi kusvika kumaawa. Haisi mushonga, asi kurapa kunotsigira kunopa mapapu emwana wako nguva yekupora nekukura zvakanaka. Gasi rinoita chete pamapapu zvakananga, izvo zvinoreva kuti rine zvishoma zvinokanganisa kune dzimwe nzvimbo dzemuviri zvichienzaniswa nemishonga inopiwa kuburikidza neIV kana jekiseni.

Chinoita kuti kurapwa uku kuve kwakakosha ndechokuti kunoshanda chaizvo kwainodiwa zvakanyanya - munyama yemapapu pachayo. Kana nitric oxide yaita basa rayo mumapapu, inokurumidza kuparadzwa uye kubviswa mumuviri, izvo zvinobatsira kuderedza mhedzisiro.

Nitric Oxide Inhalation Inofanira Kupiwa Sei?

Kufema gasi reNitric oxide kunogara kuchishandiswa nevashandi vehutano vakadzidziswa muchipatara, kazhinji muchikamu chekuchengetwa kwakanyanya kwevana (NICU). Hamuzofaniri kunetseka nezvekupa mushonga uyu imi pachamuri - chikwata chekurapa chinobata zvese. Gasi rinopihwa kuburikidza nemaitiro ekufema emwana wenyu aripo, ingave iri ventilator, chubhu yekufema, kana maski yakakosha.

Kurapa kunoda michina yakakosha inodzora zvakanyatsonaka kuti mwana wenyu anogamuchira nitric oxide yakawanda sei. Vashandi vehutano vanoramba vachiongorora mazinga kuti vave nechokwadi chekuti mwana wenyu anowana huwandu chaihwo. Gasi rinosanganiswa neokisijeni yenguva dzose nemhepo inofemwa nemwana wenyu, ichigadzira musanganiswa wakanyatsoenzaniswa.

Mwana wenyu achatariswa zvakanyanya panguva yekurapa, aine kuongororwa kakawanda kwemazinga eokisijeni, kudzvinyirirwa kweropa, uye mamiriro ese. Chikwata chekurapa chichachinja chiyero zvichienderana nekuti mwana wenyu anopindura sei, vachigara vachivavarira huwandu hushoma hunoshanda kuderedza chero njodzi.

Nitric Oxide Inhalation Inofanira Kushandiswa Kwenguva Yakareba Sei?

Kureba kwekurapa kwe nitric oxide kunosiyana zvakanyanya zvichienderana nemamiriro emwana wenyu uye nekukurumidza kwavanovandudza. Vana vakawanda vanogamuchira kurapwa kwenguva kubva kumaawa mashoma kusvika kumazuva akati wandei, kunyangwe vamwe vachigona kuida kwevhiki kana kupfuura. Chikwata chenyu chekurapa chichagara chichiongorora kana mwana wenyu achiri kuda kurapwa kana kana vakasimba zvakakwana kufema zvakanaka vasina izvozvo.

Kumisa kurapwa kunoda kuronga zvakanyatsonaka uye kuderedzwa zvishoma nezvishoma panzvimbo yekumisa kamwe kamwe. Izvi zvinodaro nekuti muviri wemwana wenyu unoda nguva yekujairana nekufema pasina rubatsiro rwekuwedzera. Vashandi vehutano vachaderedza zvishoma nezvishoma huwandu hwe nitric oxide nekufamba kwenguva vachiongorora zvakanyanya mhinduro yemwana wenyu.

Chinangwa

Chinangwa nguva dzose ndechokushandisa kurapwa kwenguva pfupi sezvinodiwa kubatsira mapapu emwana wako kupora uye kushanda zvakanaka. Chikwata chako chekurapa chichakurukura newe nezve nguva inotarisirwa, kunyangwe vachizochinja chirongwa zvichienderana nekufambira mberi kwemwana wako.

Ndezvipi Zvakaipa zveNitric Oxide Inhalation?

Nepo nitric oxide inhalation ichiwanzotambirwa zvakanaka, kune zvimwe zvinokuvadza zvinotarirwa zvakanyanya nevanoita zvehutano. Zvinhu zvakajairika zvinokuvadza zvinowanzoita zvinyoro uye zvinogoneka nekutariswa kwakakodzera kwekurapa.

Heano mativi akajairika ayo zvikwata zvekurapa zvinotarisa panguva yekurapa:

• Kudonha kwenguva pfupi muropa, izvo zvinowanzoita zvinyoro uye zviri nyore kubata
• Kuchinja kudiki mumazinga eokisijeni ayo anoda kugadzirisa muyero
• Kutsamwa kudiki kwemhepo, kunyangwe izvi zvisingawanzoitiki nekutariswa kwakakodzera
• Kuchinja kwenguva pfupi mukemistri yeropa iyo vanachiremba vanotevera kuburikidza nekuongororwa kweropa nguva dzose

Izvi zvinokonzeresa zvinowanzoitika kwenguva pfupi uye zvinogadzirisa kana kurapwa kwagadziriswa kana kupedzwa. Chikwata chako chekurapa chakadzidziswa kuziva nekugadzirisa izvi zvinoshanduka nekukurumidza.

Zvimwe zvinokuvadza zvakakomba hazviwanzoitiki asi zvinogona kusanganisira matambudziko ekufema kana kurapwa kwakamiswa nekukurumidza, kana muzviitiko zvisingawanzoitiki, kuumbwa kwechinhu chinonzi methemoglobin muropa. Vanoita zvehutano vanogara vachiongorora izvi kuti vave nechokwadi chekuchengeteka kwemwana wako. Kuenderera mberi kuongorora muNICU kunobatsira kubata chero shanduko dzinonetsa kare, zvichibvumira kupindira nekukurumidza kana zvichidikanwa.

Ndiani Asingafaniri Kugamuchira Nitric Oxide Inhalation?

Nitric oxide inhalation haina kukodzera vana vese, uye kune mamiriro chaiwo apo vanachiremba vachadzivisa kurapwa uku. Sarudzo nguva dzose inoenderana nemamiriro ehutano hwemwana wako uye chikonzero chematambudziko avo ekufema.

Vacheche vasingafaniri kupiwa nitric oxide inhalation vanosanganisira avo vane matambudziko emoyo apo kurapwa kungawedzera mamiriro avo. Kana mwana wako aine dambudziko remoyo rekuzvarwa naro uko kuyerera kweropa kunoenderana nekumanikidzwa kwakatarwa, nitric oxide inogona kukanganisa kutenderera kwavo. Uyezve, vacheche vane matambudziko akakomba ekuropa vangave vasiri vakwikwidzi vakanaka nekuti kurapwa kunogona kukanganisa kuumbwa kweropa.

Chikwata chako chekurapa chichanyatsoongorora mamiriro emwana wako vasati vachikurudzira nitric oxide. Vachafunga nezvezvinhu zvakaita sezera remwana wako, uremu, mamwe mamiriro ekurapa, uye rudzi rwechinetso chekufema chavanosangana nacho. Kana nitric oxide isina kukodzera mwana wako, kune dzimwe nzira dzekurapa dziripo.

Mazita eBrand eNitric Oxide Inhalation

Zita guru rebrand re nitric oxide inhalation muUnited States ndeye INOmax, iyo inogadzirwa neMallinckrodt Pharmaceuticals. Iyi ndiyo fomu inonyanya kushandiswa muzvipatara munyika yose. Zvimwe zvivakwa zvekurapa zvinogonawo kushandisa generic versions ye nitric oxide gasi, kunyangwe michina uye masisitimu ekuendesa anoramba akanyanya kunyanya zvisinei nebrand.

Unogona kunzwa vanopa hutano vachitaura nezvekurapa zviri nyore se

Imwe nzira ndeyekurapa kunonzi ECMO (extracorporeal membrane oxygenation), iyo inotora basa remoyo nemapapu emwana wako kwenguva pfupi. Izvi zvinowanzo chengeterwa nyaya dzakanyanya apo mamwe marapirwo asina kubudirira. Imwe sarudzo ndeyekufema kwepamusoro-frequency, iyo inoshandisa kufema nekukurumidza, kudiki kuti ibatsire kuendesa okisijeni zvakanyanya.

Vamwe vacheche vanogona kubatsirwa nemishonga inonzi vasodilators inopiwa kuburikidza neIV, kunyangwe izvi zvichikanganisa muviri wese pane kungo mapapu chete. Chikwata chako chekurapa chinogona zvakare kushandisa nzira dzakakosha dzekumisikidza, kunyorovesa zvinyoro, kana mamwe matanho ekutsigira kutarisirwa zvichienderana nezvido zvemucheche wako.

Ko Nitric Oxide Inhalation Zviri Nani Kupfuura Mamwe Marapirwo?

Nitric oxide inhalation inopa zvakanakira zvakasiyana pamusoro pemamwe marapirwo ematambudziko ekufema kwevacheche nekuti inoshanda zvakananga mumapapu uko dambudziko rinoitika. Kusiyana nemishonga inopiwa kuburikidza neIV iyo inokanganisa muviri wese, nitric oxide inotarisa midzi yeropa chaiyo mumapapu inoda rubatsiro, zvichideredza mhedzisiro pane dzimwe nhengo.

Kana ichienzaniswa nemarapirwo anopinda zvakanyanya seECMO, nitric oxide haina kuoma uye inotakura njodzi shoma. Haireve kuvhiyiwa kana maitiro makuru, uye vacheche vanogona kuramba vaine zvavo zvakajairika zvekudya uye kutarisirwa. Kurapa kunowanzoitawo nekukurumidza, kazhinji kuchiratidza mhedzisiro mukati meawa pane mazuva.

Zvisinei, nitric oxide haisi nguva dzose sarudzo yakanakisisa yemwana wese. Mamwe mamiriro anopindura zviri nani kune mamwe marapirwo, uye

Hongu, kufema nitric oxide kunogona kushandiswa zvakachengeteka muvana vasati vazvarwa kana zvichidikanwa nemishonga, kunyangwe matanho ekuwedzera achitorwa. Vana vasati vazvarwa vanonyanya kunzwisisa uye vanogona kupindura zvakasiyana kumishonga, saka vanopa hutano vanovatarisa zvakanyanya panguva ye nitric oxide therapy. Dosing inogona kuchinjwa zvichienderana nehukuru hwemwana uye nhanho yekukura.

Iyo safety profile muvana vasati vazvarwa inowanzoita yakanaka, asi timu yezvokurapa ichayerera mabhenefiti achipesana nenjodzi dzese zvakanyanya. Vachafunga nezvezvinhu zvakaita sekuti mwana akazvarwa sei, uremu hwavo hwazvino, uye chero zvimwe zvehutano zvavanotarisana nazvo.

Ndoita sei kana mwana wangu achiita seari kuipa panguva ye nitric oxide kurapwa?

Kana ukaona chero shanduko mumamiriro emwana wako panguva ye nitric oxide kurapwa, pakarepo zivisa timu yehutano yemwana wako. Vashandi veNICU vakadzidziswa kuziva kana vana vasingapinduri zvakanaka kumishonga uye vanogona kugadzirisa nekukurumidza kurapwa kana kuchinjira kune dzimwe nzira. Usamirira kana kuyedza kuongorora mamiriro acho iwe pachako - nyanzvi idzi dziripo kuti dzibatsire.

Dzimwe nguva vana vanogona kuita sevachikura vasati vaita nani, kana vangada mamwe marapirwo padivi pe nitric oxide. Chikwata chako chekurapa chakagadzirira mamiriro aya uye chine zvirongwa zvekuchengetedza zvakagadzirira. Vachakuchengeta uchiziva nezve chero shanduko uye vachatsanangura matanho avanotora kuti vabatsire mwana wako.

Chii chinoitika kana nitric oxide kurapwa kukamira kamwe kamwe?

Kumisa nitric oxide kurapwa kamwe kamwe kunogona kukonzera rebound effect uko matambudziko ekufema emwana wako anodzoka nekukurumidza uye anogona kutowedzera kwenguva pfupi. Ichi ndicho chikonzero nei vanopa hutano vachigara vachideredza kurapwa zvishoma nezvishoma, zvishoma nezvishoma vachideredza huwandu hwe nitric oxide nekufamba kwenguva vachinyatso tarisa kupindura kwemwana wako.

Kana kurapwa kuchifanira kumiswa kamwe kamwe nekuda kwemamiriro ezvinhu ekukurumidzira, chikwata chako chekurapa chakagadzirira kupa rubatsiro rwekukurumidza uye dzimwe nzira dzekurapa. Vane mitemo yekugadzirisa mamiriro aya zvakachengeteka, kunyangwe kuramba kwakarongwa, zvishoma nezvishoma kunofarirwa nguva dzose pazvinogoneka.

Mwana wangu angadzoka kumba riini mushure mekurapwa ne nitric oxide?

Mwana wako anogona kuenda kumba kana vasisadi nitric oxide uye vanogona kuchengetedza mazinga akanaka eokisijeni vachifema mhepo yemumba vega. Izvi zvinowanzoitika kana mamiriro avo ari pasi akavandudzika zvakakwana kuti mapapu avo agone kushanda nemazvo pasina rubatsiro. Nguva inosiyana zvakanyanya zvichienderana nemamiriro chaiwo emwana wako uye nekukurumidza kwavanopora.

Vasati vaburitswa, chikwata chako chekurapa chichaita shuwa kuti mwana wako akagadzikana, achidya zvakanaka, uye achichengetedza mazinga eokisijeni ane hutano nguva dzose. Vachaitawo shuwa kuti unonzwa wakasununguka nekuchengetwa kwemwana wako uye unoziva zviratidzo zvekutarisa kumba. Vamwe vacheche vanogona kuda kugadzwa kwekuongorora kuti vaongorore basa remapapu avo sezvavanoramba vachikura uye vachivandudza.

Pane here chero mhedzisiro yenguva refu yekufema nitric oxide?

Vacheche vazhinji vanogamuchira nitric oxide inhalation havawanzove nemhedzisiro yenguva refu kubva mukurapa pachayo. Gasi rinobviswa nekukurumidza mumuviri kana kurapwa kwakamira, uye zvidzidzo zvakaratidza kuti vana vazhinji vanokura zvakajairika mushure mekuwana iyi therapy sevachangoberekwa. Zvisinei, vamwe vacheche vanogona kuva nezvinhu zvinoenderera mberi zveutano zvine chokuita nemamiriro avo ekutanga panzvimbo yekurapa nitric oxide.

Chikwata chehutano chemwana wako chichakurukura chero zvingaitika kwenguva refu zvakanyanya kumamiriro avo. Vanogona kukurudzira kutarisirwa kwekuongorora nenyanzvi kuti vaongorore kukura kwemapapu uye hutano hwese sezvo mwana wako achikura. Kutarisa kwevana nguva dzose kuchabatsira kuona kuti mwana wako anoramba achibudirira mushure mekuomerwa kwavo kwekutanga kwekurapa.