Chii chinonzi Urea (Nzira yeIntravenous): Zvayinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Urea inopiwa kuburikidza neIV mushonga wakakosha unobatsira kuderedza kumanikidzwa kunotyisa muuropi hwako kana huchizvimba. Iyi mhinduro yakajeka, isina utachiona inoshanda nekubvisa mvura yakawandisa kubva munyama yeuropi, zvakanyanya sekuti munyu unobvisa mvura kubva kumuriwo paunenge uchivheneka.

Nepo iwe ungaziva urea sechinhu chinowanikwa mumvura yeweti, vhezheni yemishonga inocheneswa zvakanyatsonaka uye yakanyanya kushandiswa kuchipatara. Vanachiremba vanowanzo chengetera kurapwa uku kune mamiriro akakomba apo kuzvimba kweuropi kunotyisidzira kuchengeteka kwako, zvichiita kuti ive chishandiso chine simba mumishonga yekukurumidzira.

Chii chinonzi Urea (Nzira yeIntravenous)?

Intravenous urea imhinduro yakanyanya yeurea yakanyungudutswa mumvura inopiwa zvakananga muropa rako kuburikidza nemutsipa. Inoiswa se osmotic diuretic, zvinoreva kuti inoshanda nekuchinja chiyero chemvura mumuviri wako kuderedza kuzvimba.

Mishonga iyi ine kemikari imwechete iyo muviri wako unogadzira zvakasikwa uye unobvisa kuburikidza neweti, asi mune yakanyanya kukwirisa. Kana ichishandiswa nevanachiremba vakadzidziswa, inova kurapwa kwakanangana nekuderedza kuvakwa kwemvura munzvimbo dzakakosha sehuropi hwako.

Mhinduro yacho inowanzo kuuya se30% concentration, zvinoreva kuti chikamu chimwe muzvitatu chemvura ndeye urea yakachena. Iyi yakanyanya kukwirisa ndiyo inoita kuti ibudirire pakubvisa mvura kubva munyama yakazvimba, asi zvinorevawo kuti inofanira kushandiswa nekuchenjerera pasi pekutariswa kwechiremba.

Chii chinonzi Urea (Nzira yeIntravenous) chinoshandiswa?

Vanachiremba vanonyanya kushandisa IV urea kurapa kuwedzera kumanikidzwa mukati memusoro wako, mamiriro anotyisa anonzi intracranial hypertension. Izvi zvinoitika kana nyama yeuropi ichizvimba kubva mukukuvara, hutachiona, kana mamwe matambudziko akakomba emishonga, zvichigadzira kumanikidzwa kunogona kukuvadza mabasa akakosha europi.

Unogona kupihwa mushonga uyu kana wakambove nekukuvara kwakanyanya kumusoro, matambudziko mushure mekuvhiyiwa kwehuropi, kana mamiriro akaita semeningitis anokonzera kuzvimba kwehuropi. Dzimwe nguva inoshandiswawo panguva yekuvhiyiwa kwemaziso kumwe chete kuderedza kumanikidzwa mukati memaziso apo mamwe marapirwo asina kushanda zvakanaka.

Kazhinji, zvikwata zvekurapa zvinogona kushandisa IV urea kurapa zviitiko zvakakomba zvekuchengetwa kwemvura kana itsvo dzako dzisingashande zvakanaka. Zvisinei, kushandiswa uku kwave kuchishoma kubvira mishonga mitsva, yakachengeteka ye diuretic ikozvino iripo kune matambudziko mazhinji emvura ane chekuita neitsvo.

Urea (Nzira yeIntravenous) Inoshanda Sei?

IV urea inoshanda nekugadzira izvo vanachiremba vanodaidza kuti

Musati vapihwa mushonga uyu, vashandi vezvipatara vanogona kuisa chubhu diki rinonzi katheta mutsinga yako, kazhinji muruoko rwako. Vachadurura mhinduro ye urea zvishoma nezvishoma kwemaminitsi makumi matatu kusvika kumaawa akati wandei, zvichienderana nemamiriro ako chaiwo uye kuti muviri wako unopindura sei.

Panguva yekudururwa kwemushonga, vashandi vezvipatara vachatarisa zviratidzo zvako zvakakosha zvakanyanya, kusanganisira ropa rako, kumhanya kwemoyo, uye mazinga emvura. Vanogona zvakare kutarisa ropa rako nguva dzose kuti vaone kuti mushonga uri kushanda zvakachengeteka uye zvinobudirira pasina kukonzera shanduko dzinokuvadza kumakemikari emuviri wako.

Haufanire kunetseka nezvekugadzirisa mushonga uyu nekudya sezvo uchienda zvakananga muropa rako. Zvisinei, vashandi vezvipatara vanogona kugadzirisa kudya kwako uye kunwa mvura usati wapiwa mushonga uye mushure mekuti wapiwa mushonga kuti vatsigire kushanda kwemushonga.

Ndingatora Urea (Nzira yeIntravenous) Kwenguva Yakareba Sei?

IV urea inowanzo shandiswa kwenguva pfupi, kazhinji dose imwe chete kana madose mashoma mumazuva akati wandei. Kureba chaiko kunoenderana zvachose nemamiriro ako ezvokurapa uye kuti uropi hwako hunopindura sei kurapwa.

Vazhinji varwere vanogamuchira mushonga uyu chete panguva dzekukurumidzira kwekurapa apo kuzvimba kwehuropi kunotyisidzira. Kana kumanikidzwa kunotyisa kwaderedzwa uye mamiriro ako ari pasi akagadzikana, vanachiremba vanowanzo chinja kune dzimwe nzira dzekurapa kana kubvumira muviri wako kuti upore zvakasikwa.

Chikwata chako chekurapa chichaenderera mberi nekuongorora kana uchiri kuda mushonga nekutarisa kumanikidzwa kwehuropi hwako, zviratidzo zve neurological, uye kufambira mberi kwako kwekupora. Vachamisa kurapwa nekukasira sezvazvinogona, sezvo kushandiswa kwenguva refu kunogona kutungamira kumatambudziko.

Ndezvipi Zvakaipa ZveUrea (Nzira yeIntravenous)?

Sezvinongoita mishonga ine simba, urea yeIV inogona kukonzera matambudziko, kunyange zvakadaro timu yezvokurapa inokutarisa zvakanyanya kuti ibate uye ibate izvi nekukurumidza. Kunzwisisa zvingaitika kunogona kukubatsira kuti unzwe wakagadzirira uye usina kunetseka pamusoro pekurapa.

Matambudziko anowanzoitika aunogona kusangana nawo anosanganisira kurwadziwa nemusoro, kusvotwa, uye dzungu sezvo muviri wako uchichinjana nemvura. Vamwe varwere vanoonawo kuwedzera kwemvura sezvo mushonga uchishanda kubvisa mvura yakawandisa kubva muhurongwa hwavo.

Matambudziko akakomba asi asingawanzoitiki anogona kusanganisira:

• Kunyanya kupera mvura kana mvura yakawanda ikabviswa
• Kusagadzikana kweElectrolyte kunokanganisa rhythm yemoyo
• Matambudziko eitsvo kubva kumhinduro yakanyanya
• Nyaya dzekuvhara ropa
• Kurwadziwa kwemusoro kwakanyanya kubva mukuchinja kwemutsindo nekukurumidza

Zvisingawanzoitiki asi zvinogona kuva zvakakomba zvinosanganisira maitiro ekuita allergic, kudonha kwakanyanya kweropa, kana kukuvadzwa kwetishu yehuropi kana mutsindo ukadonha nekukurumidza. Vashandi vezvokurapa vakadzidziswa kuziva zviratidzo izvi nekukasira uye kutora matanho ekugadzirisa.

Mashoko akanaka ndewekuti nekuti uchave uri muchipatara, timu yako yekutarisira hutano inogona kukurumidza kugadzirisa chero matambudziko anomuka. Vachachinja chirongwa chako chekurapa sezvinodiwa kuti vakuchengete wakasununguka uye wakachengeteka sezvinobvira.

Ndiani Asingafaniri Kutora Urea (Nzira yeIntravenous)?

Mamiriro akati wandei ezvokurapa anoita kuti IV urea isachengeteke kana kusakodzera, saka vanachiremba vanonyatsoongorora murwere mumwe nemumwe vasati varumbidza kurapwa uku. Timu yako yezvokurapa ichaongorora nhoroondo yako yese yehutano kuti ive nechokwadi chekuti ndiyo sarudzo yakakunakira.

Haufaniri kugamuchira IV urea kana uine chirwere cheitsvo chakakomba, sezvo itsvo dzako dzingasagona kugadzirisa mhinduro yakanyanya zvakachengeteka. Vanhu vane kukundikana kwemoyo kwakanyanya vanotarisanawo nenjodzi dzakawedzera nekuti mushonga unogona kutambudza hurongwa hwemoyo hwakatove hwakashatiswa.

Zvimwe zvinokonzera zvinowanzoita kuti IV urea isabude zvinosanganisira:

• Kushaya mvura kwakanyanya kana kusagadzikana kwema electrolyte
• Kubuda ropa kunoshingaira muuropi
• Chirwere chechiropa chakanyanya
• Kuziva kusawirirana ne urea kana mamwe makomisheni ane hukama
• Mhando dzinoverengeka dzezvirwere zvehuropi

Vakadzi vane pamuviri havafaniri kugamuchira IV urea kunze kwekunge mabhenefiti achipfuura njodzi, sezvo mhedzisiro yayo pavacheche vari kukura isinganzwisiswe zvizere. Saizvozvowo, varwere vakuru vangada madosi akagadziridzwa nekuda kwekuchinja kwakabatana nezera mukushanda kwematsvo.

Vanachiremba vako vachayerera zvinhu izvi vachipesana nekuoma kwehutano hwako kuti vaite sarudzo yekurapa yakachengeteka yezvinhu zvako zvakakosha.

Urea (Nzira yeIntravenous) Mazita eBrand

IV urea inowanzo kuwanika semushonga we generic pasina mazita chaiwo ebrand muzvipatara zvakawanda. Mhinduro inowanzo gadzirwa nemakambani emishonga se "Urea for Injection" kana "Urea Injection USP."

Zvimwe zvivakwa zvekurapa zvinogona kushandisa gadziriro kubva kune vagadziri vakasiyana, asi chinhu chinoshanda uye kuwanda kwacho zvinoramba zvakafanana. Chikwata chako chehutano chichashandisa chero gadziriro iripo uye yakakodzera zvinodiwa zvako zvekurapa.

Sezvo mushonga uyu uchishandiswa chete munzvimbo dzechipatara, hauzofaniri kunetseka nezvekukunda pakati pemhando dzakasiyana kana mafomu. Vashandi vezvokurapa vachabata zvese zvinhu zvekusarudzwa kwemishonga uye kugadzirira.

Urea (Nzira yeIntravenous) Zvimwe Zvinhu

Mishonga yakati wandei inogona kuderedza kumanikidzwa kwehuropi nekuzvimba, kunyangwe vanachiremba vachisarudza pakati pavo zvichienderana nehutano hwako chaihwo uye nhoroondo yezvokurapa. Zvimwe zvinhu izvi zvinoshanda kuburikidza nemaitiro akasiyana asi zvinowana zvinangwa zvakafanana.

Mannitol ndiyo imwe nzira yakajairika ye IV urea uye inoshanda zvakafanana nekutora mvura kubva munyama yehuropi. Vanachiremba vazhinji vanosarudza mannitol nekuti ine mhedzisiro shoma uye inowanzoonekwa seyakachengeteka kune varwere vazhinji.

Zvimwe zvingasarudzwa zvekutarisira zvinosanganisira:

• Mhinduro dzemunyu dzine hypertonic dzinoderedza kuzvimba kwehuropi
• Furosemide nemamwe ma diuretic anobatsira kubvisa mvura yakawandisa
• Corticosteroids inoderedza kuzvimba nekuzvimba
• Maitiro ekuvhiya ekusunungura kumanikidzwa zvakananga

Chikwata chako chekurapa chichasarudza kurapwa kwakakodzera zvichienderana nekuti chii chiri kukonzera kumanikidzwa kwehuropi hwako, hutano hwako hwese, uye nekukurumidza kwaunoda rubatsiro. Dzimwe nguva vanogona kushandisa musanganiswa wekurapa kuti vawane mhedzisiro yakanaka.

Ko Urea (Nzira yeIntravenous) Zviri Nani Pane Mannitol?

Ose ari maviri IV urea uye mannitol anoshanda mukuderedza kumanikidzwa kwehuropi, asi vazhinji vanachiremba nhasi vanosarudza mannitol nekuda kwekuvimbika kwayo kwakanaka uye mhedzisiro inofungidzirwa. Sarudzo pakati pavo inowanzoenderana nemamiriro ezvinhu chaiwo ekurapa uye zvaunofarira zvechipatara.

Mannitol inowanzoita mashoma mativi uye haina kukonzera kupera mvura yakanyanya kana matambudziko e-electrolyte. Izvo zvakare hazvipinde munyama yehuropi zviri nyore seurea, iyo vamwe vanachiremba vanoona yakachengeteka kune mamwe marudzi ekukuvara kwehuropi.

Zvisinei, IV urea inogona kusarudzwa mune dzimwe nguva apo mannitol haina kushanda zvakanaka kana kana varwere vane mamiriro ezvinhu chaiwo ekurapa anoita kuti mannitol isakodzere. Zvimwe zvidzidzo zvinoratidza kuti urea inogona kushanda zvakanyanya kune mamwe marudzi ekuzvimba kwehuropi, kunyangwe izvi zvichiramba zviri nyaya yekutsvagisa kwekurapa kuri kuenderera mberi.

Vanachiremba vako vachasarudza mushonga wavanoona uchashanda zvakanaka mumamiriro ako chaiwo, vachifunga nezvezvinhu zvakaita sehutsano hwako hwese, chikonzero chekumanikidzwa kwehuropi hwako, uye ruzivo rwavo rwekurapa nekubata zvese.

Mibvunzo Inowanzo Bvunzwa Nezve Urea (Nzira yeIntravenous)

Ko Urea (Nzira yeIntravenous) Yakachengeteka Kune Vanhu vane Chirwere cheShuga?

IV urea inogona kushandiswa muvanhu vane chirwere cheshuga, asi zvinoda kunyatso tarisa mazinga eshuga yeropa uye kuyerera kwemvura mumuviri. Mushonga wacho pachake hauna zvakananga mhedzisiro pashuga yeropa, asi kushushikana kwekurwara kwakanyanya kuchida IV urea kunogona kuita kuti manejimendi echirwere cheshuga ave nematambudziko.

Chikwata chako chekurapa chichashanda pamwe chete nenyanzvi dzechirwere cheshuga kana zvichidiwa kuti uve nechokwadi chekuti shuga yako yeropa inoramba yakagadzikana panguva yekurapa. Vanogona kuda kugadzirisa mishonga yako yechirwere cheshuga kwenguva pfupi paunenge uchigamuchira IV urea, kunyanya kana usingakwanise kudya zvakajairika paunenge uri muchipatara.

Ndingaita Sei Kana Ndichiwana Mhedzisiro Yakakomba kubva kuUrea (Nzira yeIntravenous)?

Sezvo IV urea ichingopiwa muzvipatara, vashandi vezvipatara vachakutarisa nguva dzose kuti vatarise chero mhedzisiro inokunetsa. Kana iwe ukaona zviratidzo zvakakomba zvakaita sekufema zvakaoma, kurwadziwa muchipfuva, kana shanduko dzisingatarisirwi mukuziva, zivisa chikwata chako chekurapa nekukasira.

Vashandi vechipatara vakadzidziswa kuti vakurumidze kuziva nekurapa matambudziko akakomba kubva kuIV urea. Vanogona kuderedza kana kumisa infusion, kukupa mamwe mishonga yekurwisa mhedzisiro, kana kupa imwe rutsigiro rwekutarisira sezvinodiwa kuti uchengetedzwe.

Ndingaita Sei Kana Ndikakanganwa Dose yeUrea (Nzira yeIntravenous)?

Mubvunzo uyu haushande kuIV urea sezvo usingakwanise kuizvigadzirisa iwe pachako uye nyanzvi dzekurapa dzinoita zvese zvekugadzirisa. Kana nekuda kwechimwe chikonzero dose yakarongwa ikanonoka, chikwata chako chehutano chichasarudza nzira yakanakisa yekuita zvichienderana nemamiriro ako azvino.

Vanachiremba vako vanoramba vachitarisa kumanikidzwa kwehuropi hwako uye mamiriro ako ese kuti vasarudze kuti ndeipi nguva uye kana mamwe madosi achidiwa. Vanogona kugadzirisa nguva, dose, kana kutochinjira kune dzimwe nzira dzekurapa zvichienderana nekuti uri kupindura sei kurapa.

Ndingamira Rini Kutora Urea (Nzira yeIntravenous)?

Chikwata chako chekurapa chichasarudza kuti chirege rini kupa urea yeIV zvichienderana nekuyerwa kwekumanikidzwa kwehuropi hwako, zviratidzo zvepfungwa, uye kufambira mberi kwako kwekupora. Vanhu vazhinji vanogamuchira mushonga uyu kwemazuva mashoma chete, sezvo wakagadzirirwa kushandiswa kwenguva pfupi yekukurumidzira.

Sarudzo yekumisa kurapwa inoenderana nekuti mamiriro ako akagadzikana here uye kumanikidzwa kwehuropi hwako kwadzokera kumazinga akachengeteka. Vanachiremba vako vachaderedza zvishoma nezvishoma kana kumisa mushonga vachiramba vachikutarisa zvakanyanya kuti vatarise chero zviratidzo zvekuti kurapwa kunoda kutangazve.

Ndingagona here Kutyaira Mushure meKugamuchira Urea (Nzira yeIntravenous)?

Haufanire kutyaira kwenguva yakareba mushure mekuwana IV urea, sezvo mushonga uyu uchishandiswa chete kune mamiriro ezvinhu akakomba ekurapa anoda kupinda muchipatara. Mamiriro ezvinhu ari pasi ayo aida kurapwa, pamwe chete nemhedzisiro yemushonga pahuropi hwako uye chiyero chemvura, zvinoita kuti kutyaira kusachengeteka.

Chikwata chako chekurapa chichapa gwara rakajeka pamusoro pekuti zvakachengeteka rini kutangazve mabasa akajairika sekutyaira zvichienderana nekufambira mberi kwako kwekupora uye mamiriro ako ese epfungwa. Sarudzo iyi inowanzo sanganisira zvinhu zvakawanda kupfuura mushonga wacho pachako, kusanganisira mamiriro ako ari pasi uye chero kurapwa kuri kuitika.