Kuyini Ukujova kwe-Iron Dextran: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

Ukujova kwe-Iron dextran yimithi eletha insimbi ngqo emsingeni wakho ngejovo noma i-IV drip. Udokotela wakho angase ancome lokhu kwelashwa uma une-anemia yokuntuleka kwensimbi okukhulu futhi ungakwazi ukumunca amaphilisi ensimbi kahle, noma uma udinga amazinga ensimbi abuyiselwe ngokushesha empilweni yakho nenhlalakahle yakho.

Yini i-Iron Dextran?

I-Iron dextran iyifomu eliwuketshezi lensimbi elixutshwe noshukela obizwa nge-dextran osiza umzimba wakho ukwamukela insimbi ngokuphepha. Cabanga ngayo njengesithasiselo sensimbi esigxilile esidlula ngqo ohlelweni lwakho lokugaya ukudla. Leli fomu elijovwayo lithola insimbi ngqo emsingeni wakho, lapho lingaqala khona ngokushesha ukusiza umzimba wakho ukwenza amaseli abomvu egazi anempilo.

Umuthi uza njengoketshezi olunsundu olumnyama olutholwa abahlinzeki bezempilo njengejovo emsipheni wakho noma ngomugqa we-IV emthanjeni wakho. Isetshenziswe ngokuphepha amashumi eminyaka ukwelapha abantu abayidinga ngempela insimbi kodwa abakwazi ukuthola okwanele ekudleni noma ekuthathweni ngomlomo kuphela.

Isetshenziselwani i-Iron Dextran?

I-Iron dextran iphatha i-anemia yokuntuleka kwensimbi lapho izithasiselo zensimbi ngomlomo zingasebenzi noma zingakulungele. Udokotela wakho ukunikeza lokhu lapho izitolo zensimbi zomzimba wakho ziphansi kakhulu kangangokuthi udinga ukugcwaliswa ngokushesha ukuze uzizwe ungcono futhi usebenze ngokujwayelekile.

Ungase udinge i-iron dextran uma ungaqhubeki namaphilisi ensimbi ngoba aphazamisa isisu sakho kakhulu. Abanye abantu bahlangabezana nesicanucanu esinamandla, ukuqunjelwa, noma ubuhlungu besisu obukhulu obusuka ensimbini yomlomo kangangokuthi abakwazi ukuqhubeka nokuthatha amaphilisi. Kulezi zimo, ukujova kuba enye indlela enobungane ohlelweni lwakho lokugaya ukudla.

Abantu abanezimo ezithile zezokwelapha bavame ukuzuza emijovweni ye-iron dextran. Uma unesifo sezinso esingamahlalakhona, isifo samathumbu esivuvukalayo, noma uhlinzwe i-gastric bypass, umzimba wakho ungase uhlangabezane nobunzima bokumunca i-iron ekudleni noma ekunikezelweni. Umjovo uqinisekisa ukuthi uthola i-iron oyidingayo kungakhathaliseki izinkinga zokumunca.

Udokotela wakho angase futhi akhethe i-iron dextran uma ulahlekelwa igazi ngokushesha kunokuba izithasiselo zomlomo zingathatha indawo yezitolo zakho ze-iron. Lokhu kwenzeka ngezinye izikhathi ngezikhathi ezinzima zokuya esikhathini, ukuphuma kwegazi kwangaphakathi okungamahlalakhona, noma ngesikhathi sokukhulelwa lapho izidingo zakho ze-iron zikhuphuka kakhulu.

Isebenza Kanjani I-Iron Dextran?

I-Iron dextran isebenza ngokuletha i-iron ngqo emjondolo wakho wegazi, lapho igcinwa khona esibindini sakho, emathunjini, nasemnkantsheni wamathambo. Lokhu kuthathwa njengokwelashwa okuqinile ngokulinganisela ngoba kwandisa ngokushesha amazinga akho e-iron ngaphandle kokuncika ohlelweni lwakho lokugaya ukudla ukuthi luyimunce.

Uma isemjondolo wakho wegazi, ingxenye ye-dextran yomuthi iyancipha kancane kancane, ikhiphe i-iron ukuze umzimba wakho uyisebenzise. Umnkantshe wamathambo akho usebenzisa le iron ukudala amaseli abomvu egazi anempilo angathwala umoya-mpilo emzimbeni wakho wonke. Le nqubo ngokuvamile ithatha amasonto amaningana ukukhombisa imiphumela ephelele, nakuba abanye abantu beqala ukuzwa amandla ngaphakathi kwezinsuku.

Umuthi unamandla kunezithasiselo ze-iron zomlomo ngoba uletha i-iron egxilile ngqo lapho umzimba wakho uyidinga kakhulu. Nokho, akuyona enobudlova njengokumpontshelwa kwegazi, okwenza kube yindlela yokwelapha ephakathi nendawo yokuntuleka kwe-iron okulinganiselwe kuya kokukhulu.

Kufanele Ngiyithathe Kanjani I-Iron Dextran?

I-Iron dextran ngaso sonke isikhathi inikezwa ochwepheshe bezempilo endaweni yezokwelapha, hhayi ekhaya. Uzoyithola njengomjovo emsipheni wakho (ngokuvamile izinqe zakho) noma ngomugqa we-IV emthanjeni engalweni yakho. Indlela incike ekutheni udinga i-iron engakanani kanye nokukhetha kukadokotela wakho.

Ngaphambi kokuba ujovwe, akudingeki ukuba ugweme ukudla noma iziphuzo, kodwa yazisa ithimba lakho lezempilo ngemithi oyithathayo. Abanye abantu bazizwa bekhululekile ngokudla ukudla okulula ngaphambi kokujova ukuze bavimbele ukuzizwa benesiyezi, nakuba lokhu kungadingeki. Udokotela wakho cishe uzokunika umthamo wokuhlola omncane kuqala ukuze aqiniseke ukuthi awunayo i-allergy.

Inqubo yokujova yangempela ithatha imizuzu embalwa nje uma kujovwa emsipheni, noma amahora ambalwa uma ukuthola nge-IV. Kuzodingeka uhlale esikhungweni sezokwelapha okungenani imizuzu engama-30 ngemva kokuthola umjovo ukuze abasebenzi bakwazi ukukuqapha nganoma yiziphi izimo eziphuthumayo. Lesi sikhathi sokulinda siyisinyathelo esijwayelekile sokuphepha esisiza ukuqinisekisa ukuthi uzizwa kahle ngaphambi kokuba uhambe.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Iron Dextran?

Abantu abaningi bathola i-iron dextran njengokwelashwa okukodwa noma uchungechunge lwemijovo eziqhubeka amasonto amaningana, kunokuyithatha ngokuqhubekayo njengomuthi wansuku zonke. Udokotela wakho unquma uhlelo oluqondile olusekelwe ekutheni ukuntuleka kwakho kwensimbi kubi kangakanani nokuthi umzimba wakho usabela kanjani ekwelashweni.

Ungase udinge umjovo owodwa nje uma ukuntuleka kwakho kwensimbi kulula kuya kokulingene. Nokho, abantu abanegazi elincane elibucayi bavame ukudinga imijovo eminingi esabalaliswa phakathi kwamasonto ama-2-4 ukuze babuyisele ngokugcwele amazinga abo ensimbi. Udokotela wakho uzoqapha izivivinyo zakho zegazi ukuze abone ukuthi ukwelashwa kusebenza kahle kangakanani nokuthi uthole nini insimbi eyanele.

Ngemva kokuba amazinga akho ensimbi ebuyele kokujwayelekile, ngokuvamile ngeke udinge eminye imijovo ye-iron dextran ngaphandle kwalapho ukuntuleka kwakho kubuya. Abantu abaningi bangakwazi ukugcina amazinga abo ensimbi ngoshintsho lokudla noma izithasiselo zomlomo. Udokotela wakho uzohlela izivivinyo zegazi zokulandela ukuze aqiniseke ukuthi insimbi yakho ihlala emazingeni anempilo isikhathi eside.

Yiziphi Imiphumela Eceleni Ye-Iron Dextran?

I-iron dextran ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma inikezwa ochwepheshe bezempilo abanolwazi. Imiphumela emibi ejwayelekile ngokuvamile ithambile futhi yesikhashana, kuyilapho ukusabela okukhulu kungavamile kodwa kudinga ukunakekelwa kwezempilo ngokushesha.

Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa ubuhlungu noma ubuhlungu endaweni yokujova, ikakhulukazi uma uthole umjovo wemisipha. Nansi imiphumela ejwayelekile abantu abaningi abayiqaphelayo:

• Ubuhlungu, ukuvuvukala, noma ukulimala lapho inaliti yangena khona
• Isicanucanu esithambile noma isisu esibuhlungu
• Ikhanda elibuhlungu noma isiyezi
• Ukunambitheka kwensimbi emlonyeni wakho
• Ubumnyama besikhashana endaweni yokujova
• Imisipha ebuhlungu noma ubuhlungu emalungeni

Le miphumela emibi ejwayelekile ivame ukunyamalala ezinsukwini ezimbalwa futhi ayidingi ukwelashwa okukhethekile ngaphandle kokuphumula kanye nezidambisi zokucasuka uma kudingeka.

Imiphumela emibi engathi sína kodwa engavamile idinga ukunakekelwa kwezempilo ngokushesha futhi ihlanganisa ukusabela okukhulu komzimba. Nakuba lezi zimo zingavamile, ithimba lakho lezempilo lizibhekisisa ngokucophelela:

• Ukuphefumula kanzima noma ukukhwehlela
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okusheshayo
• Isiyezi esikhulu noma ukuquleka
• Ukuqubuka okubanzi noma imihuzuko
• Ukuvuvukala kobuso, izindebe, noma umphimbo
• Ubuhlungu obukhulu besisu noma ukuhlanza

Ngokungavamile, abanye abantu bathuthukisa ukusabela okubambezelekile ezinsukwini noma emasontweni ngemva komjovo, okuhlanganisa ubuhlungu obuqhubekayo emalungeni noma izinguquko zesikhumba endaweni yokujova. Uma uqaphela noma yiziphi izimpawu ezingavamile ngemva kokuhamba, xhumana nodokotela wakho ngokushesha.

Ubani Ongafanele Athole I-Iron Dextran?

I-iron dextran ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuncoma lokhu kwelashwa. Abantu abanezimo ezithile zezempilo noma izimo kufanele bagweme i-iron dextran noma bayithole kuphela ngaphansi kokuqapha okukhethekile.

Akufanele uthole i-iron dextran uma usuvele unensimbi eningi emzimbeni wakho, isimo esibizwa ngokuthi i-iron overload noma i-hemochromatosis. Ukuthatha insimbi eyengeziwe uma usuvele unenani elikhulu kungalimaza izitho zakho, ikakhulu isibindi nenhliziyo yakho. Udokotela wakho uzohlola amazinga akho ensimbi ngemivivinyo yegazi ngaphambi kokwelashwa.

Abantu abanezifo ezingapheli kakhulu noma isifuba somoya bangase babhekane nezingozi eziphakeme ngemijovo ye-iron dextran. Uma uke waba nokusabela okukhulu komzimba emithini esikhathini esidlule, udokotela wakho angase akhethe ukwelashwa okuhlukile noma athathe izinyathelo ezengeziwe uma i-iron dextran idingeka ngempela empilweni yakho.

Ezinye izimo zezokwelapha zidinga ukucatshangelwa okukhethekile ngaphambi kokusebenzisa i-iron dextran. Lezi zimo azikuvimbeli ngokuzenzakalelayo ukuthola ukwelashwa, kodwa zidinga ukuqapha ngokucophelela:

• Izifo ezisebenzayo noma umkhuhlane
• Isifo sesibindi noma i-cirrhosis
• Isifo senhliziyo noma ukuhlaselwa yinhliziyo kwakamuva
• I-rheumatoid arthritis noma ezinye izimo ezivuvukalayo
• Isifo sezinso esidinga i-dialysis
• Umlando wezifo zegazi

Uma ukhulelwe noma uncelisa, udokotela wakho uzokala izinzuzo ngokumelene nezingozi ezingaba khona. Ngenkathi i-iron dextran ingasetshenziswa ngesikhathi sokukhulelwa lapho insimbi yomlomo ingasebenzi, ngokuvamile igcinelwa izimo lapho izinzuzo zicacile ukwedlula noma yikuphi ukukhathazeka.

Amagama Omkhiqizo we-Iron Dextran

I-Iron dextran itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile isebenza ngempumelelo njengezinketho ezinophawu. Amagama omkhiqizo ajwayelekile afaka i-INFeD ne-Dexferrum, kokubili okuqukethe isithako esifanayo esisebenzayo emazingeni afanayo.

Ikhambi lakho noma isibhedlela kungase kube nezinhlobo ezahlukene, kodwa lokhu akuthinti izinga noma ukusebenza kokwelashwa kwakho. Yonke imikhiqizo ye-iron dextran kumele ihlangabezane nezindinganiso ezifanayo zokuphepha namandla, kungakhathaliseki ukuthi umenzi. Umhlinzeki wakho wezempilo uzokhetha uhlobo olutholakala kalula futhi olufanele izidingo zakho ezithile.

Ezinye izindlela ze-Iron Dextran

Kukhona ezinye izindlela ze-iron dextran uma lokhu kwelashwa kungakulungele. Udokotela wakho angase ancome imikhiqizo ehlukene ye-iron ejovwayo esebenza ngendlela efanayo kodwa inamaphrofayili ahlukene obungozi noma amaphethini emiphumela emibi.

I-Iron sucrose ne-ferric gluconate yizinketho ezintsha ze-iron ejovwayo ezinye iziguli ezizithola zingcono kune-iron dextran. Lezi zindlela ngokuvamile zibangela ukusabela okuncane komzimba futhi zingase ziphephe kubantu abanezimo ezithile zezokwelapha. Kodwa-ke, zivame ukudinga imithamo eminingi emincane esikhundleni sokujova okukhulu okukodwa noma okubili.

Kubantu abakwazi ukuthatha imithi yomlomo, izithasiselo ze-iron eziphezulu zihlala ziyindlela yokuqala yokwelapha ukuntuleka kwe-iron. Ngenkathi zisebenza kancane kunezijovo, ngokuvamile ziphephe kakhulu futhi zikulungele ukusetshenziswa kwesikhathi eside. Udokotela wakho angase azame izinhlobo ezahlukene ze-iron yomlomo noma asikisela ukuthi uzithathe nokudla okuthile ukuze kuthuthukiswe ukumuncwa.

Ezimweni ezinzima lapho ukujova kwe-iron kungasebenzi ngokushesha okwanele, ukumpontshelwa kwegazi kungabuyisela ngokushesha amazinga e-iron kanye nokubala kwamaseli abomvu egazi. Kodwa-ke, ukumpontshelwa kwegazi kuletha izingozi zawo futhi ngokuvamile zigcinelwe izimo eziphuthumayo noma uma ezinye izindlela zokwelapha zehlulekile.

Ingabe i-Iron Dextran Ingcono Kunezithasiselo ze-Iron Zomlomo?

I-Iron dextran akudingeki ukuthi ibe ngcono kunezithasiselo ze-iron yomlomo, kodwa isebenza ngezinjongo ezihlukene kuye ngesimo sakho esithile. Ukukhetha phakathi kwe-iron ejovwayo neyomlomo kuncike ezintweni ezifana nokuthi ukuntuleka kwakho kunzima kangakanani, ukuthi uyakwazi yini ukumunca imithi yomlomo, nokuthi udinga imiphumela ngokushesha kangakanani.

I-iron dextran isebenza ngokushesha kunezithasiselo zomlomo ngoba idlula ngqo isimiso sakho sokugaya ukudla. Ngenkathi i-iron yomlomo ingathatha izinyanga eziningi ukubuyisela amazinga akho e-iron, imijovo ivame ukubonisa imiphumela emasontweni ambalwa. Lokhu kwenza i-iron dextran ibe yindlela engcono uma udinga ukuthuthuka okusheshayo ezitolo zakho ze-iron.

Noma kunjalo, izithasiselo ze-iron yomlomo ngokuvamile ziphephe kakhulu futhi kulula ukuzisebenzisa kubantu abaningi. Abadingi ukuvakashelwa ngudokotela, banengozi ephansi yokungezwani komzimba okukhulu, futhi abizi ngaphezu kokwelashwa okujovwayo. Uma ukwazi ukubekezelela i-iron yomlomo futhi ungasidingi ngokushesha ukuthuthuka okusheshayo, amaphilisi noma izithasiselo eziwuketshezi ngokuvamile ziyindlela yokuqala yokwelashwa ekhethwayo.

Udkt wakho ngokuvamile uzozama i-iron yomlomo kuqala ngaphandle kokuthi unezizathu ezithile zokuthi kungani amaphilisi engeke akusebenzele. I-Iron dextran iba yindlela engcono uma izithasiselo zomlomo zibangela imiphumela emibi kakhulu, umzimba wakho awukwazi ukuzimunca kahle, noma udinga imiphumela esheshayo empilweni yakho nenhlalakahle yakho.

Imibuzo Evame Ukubuzwa Mayelana ne-Iron Dextran

Q1. Ingabe i-Iron Dextran iphephile kubantu abanezifo zenhliziyo?

I-Iron dextran ingasetshenziswa kubantu abanezifo zenhliziyo, kodwa idinga ukuqapha okucophelelayo nokucatshangelwa yithimba lakho lezempilo. Udkt wakho uzohlola isimo sakho senhliziyo esithile nempilo yonke ngaphambi kokunquma ukuthi i-iron dextran ilungele wena yini.

Abantu abanezifo zenhliziyo bangazuza ngempela ku-iron dextran uma benokuntuleka kwe-iron anemia, ngoba amazinga aphansi e-iron angakwenza kube kubi izinkinga zenhliziyo ngokwenza inhliziyo yakho isebenze kanzima ukuphumpa igazi elingenawo umoya-mpilo. Noma kunjalo, inqubo yokujova ingase ithinte okwesikhashana umfutho wegazi lakho nesilinganiso senhliziyo, ngakho ithimba lakho lezokwelapha lizokuqapha eduze ngesikhathi nangemva kokwelashwa.

Q2. Kufanele ngenzeni uma ngithola i-Iron Dextran eningi ngengozi?

Njengoba i-iron dextran ihlale inikezwa ochwepheshe bezempilo ezindaweni ezinakekelwa ngudokotela, ukweqisa ngengozi akuvamile kakhulu. Kodwa-ke, uma usola ukuthi uthole i-iron dextran eningi kakhulu noma uhlangabezana nezimpawu ezinzima ngemva kokwelashwa, funa ukwelashwa ngokushesha.

Izimpawu zokuthi kungenzeka ukuthi uthole i-iron eningi kakhulu zihlanganisa isicanucanu esibi, ukuhlanza, ubuhlungu besisu, isiyezi, noma ubunzima bokuphefumula. Ungazami ukwelapha lezi zimpawu ekhaya - kunalokho, xhumana nodokotela wakho ngokushesha noma uye egumbini eliphuthumayo eliseduze. Ochwepheshe bezempilo bangahlinzeka ngemithi yokusiza umzimba wakho ukuthi uqhubeke ne-iron eningi ngokuphepha.

Q3. Kufanele Ngenzeni Uma Ngedlula Umthamo We-Iron Dextran Ohleliwe?

Uma udlula umjovo we-iron dextran ohleliwe, xhumana nehhovisi likadokotela wakho ngokushesha ngangokunokwenzeka ukuze uhlele kabusha. Ungashayi uvalo - ukudlula umthamo owodwa ngeke kubambezele ukwelashwa kwakho, kodwa kubalulekile ukuthi ubuyele emgqeni ngeshejuli yakho ebekiwe.

Ithimba lakho lezempilo lizinquma isikhathi esingcono kakhulu somthamo wakho wokwenza ngokuya ngokuthi udlule nini i-aphoyintimenti yokuqala nokuthi umzimba wakho ubelusabela kanjani ekwelashweni. Bangase balungise imithamo yakho esele noma belule ishejuli yakho yokwelashwa kancane ukuze baqinisekise ukuthi uthola inani eliphelele le-iron elidingwa umzimba wakho.

Q4. Ngingayeka Nini Ukuthatha I-Iron Dextran?

Uzoyeka ukuthola i-iron dextran lapho udokotela wakho enquma ukuthi amazinga akho e-iron abuyele ebangeni elijwayelekile ngokuhlolwa kwegazi. Abantu abaningi baqeda ukwelashwa kwabo nge-iron dextran phakathi namasonto ambalwa kuya ezinyangeni ezimbalwa, kuye ngokuthi ukushoda kwabo kwakuqine kangakanani ekuqaleni.

Udktela wakho uzoqoka ukuhlolwa kwegazi okulandelayo ukuze ahlolisise amazinga akho ensimbi futhi anqume ukuthi uthole nini ukwelashwa okwanele. Uma izitolo zakho zensimbi sezibuyisiwe, ngokuvamile ngeke udinge eminye imijovo ngaphandle uma ukushoda kwakho kubuya. Ngaleyo ndlela, udktela wakho angase ancome izithasiselo zensimbi ngomlomo noma izinguquko ekudleni ukuze kugcinwe amazinga ensimbi enempilo isikhathi eside.

Q5. Ngingakwazi yini Ukuzivivinya Ngemva Kokuthola I-Iron Dextran?

Imisebenzi elula ngokuvamile ilungile ngemva kokuthola i-iron dextran, kodwa kufanele ugweme ukuzivivinya okunzima okungenani amahora angama-24 ngemva komjovo wakho. Umzimba wakho udinga isikhathi sokucubungula insimbi futhi ululame enqanabeni lomjovo ngokwawo.

Uma uthole umjovo emsipheni wakho, leyo ndawo ingase ibe buhlungu izinsuku ezimbalwa, okwenza umsebenzi onzima womzimba ungakhululeki. Lalela umzimba wakho futhi ubuyele kancane kancane emsebenzini wakho ovamile wokuzivivinya njengoba uzizwa ungcono. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngesikhathi somsebenzi, yeka ukuzivivinya bese uthintana nomhlinzeki wakho wokunakekelwa kwezempilo ukuze uthole isiqondiso.