Chinyorwa
Makapsuru nemapiritsi emethylene blue zvichienzaniswa nemadonhwe emushonga wemvura
Makapsuru nemapiritsi emethylene blue zvinopa chikamu chine uwandu hwakayerwa kare. Madonhwe emushonga wemvura anoda kuzivikanwa kweuwandu hwemethylene blue pavhoriyamu uye vhoriyamu yakayerwa kuti uwandu hwacho huzivikanwe. Musiyano iwoyo wemashandisirwo wakajeka. Kuti rudzi rupi runosvitsa methylene blue yakawanda muropa mubvunzo wakasiyana, unoda humbowo pamusoro pemagadzirirwo chaiwo emushonga wacho.
Kapsuru, piritsi, mutsetse wefirimu wemumuromo, kana piritsi rinonyungudutswa mumuromo inzira yekuendesa mushonga, kwete giredhi rehutano hwawo. Chimiro chiri nyore kushandisa hachigoni kuratidza kuti zvinosanganiswa ndezvipi chaizvo, kuti uwandu hwazvo hwakarurama, kuti kune kubatsira mukurapwa, kana kuti chigadzirwa chakakodzera munhu akati. Enzanisa mibvunzo iyoyo zvakasiyana usati wasarudza rudzi.
Chii chinoshanduka kana methylene blue yagadzirwa kuita piritsi?
Kapsuru inochengeta zviri mukati mayo mugoko. Piritsi rinogadzirwa nekutsikirira zvinosanganiswa kuti zvive chikamu chakasimba, dzimwe nguva chine rukoko rwekunze. Zvinhu zvinobatsira kugadzira mushonga ndizvo zvinosanganiswa zvisiri chinhu chinoshanda: zvinogona kuwedzera ukuru, kubatanidza piritsi, kuribatsira kuparara, kana kudzora kusunungurwa kwemushonga. Kuvapo kwazvo hakusi humbowo hwekuti chigadzirwa chine hutano husina kunaka. Zvinofanira kuziviswa kuti zvinhu izvi ndezvipi uye zvinoshandirei.
Mushonga wemvura unotorwa nemuromo unenge watova nezvinhu zvakanyunguduka, saka haudi kuti goko rekapsuru kana mukati mepiritsi zvitange zvaparara. Izvi zvinobvisa danho rimwe pamagadzirirwo emushonga; hazviratidzi kuti unotanga kushanda mukurapwa nokukurumidza kana kuti uwandu hwose hunotorwa mumuviri hwakawanda. Mushonga wacho uchiri kuva neuwandu hwawo pavhoriyamu, zvimwe zvinosanganiswa, kurongedzerwa, nezvinodiwa pakuchengetwa.
Magadzirirwo ekusunungurwa kwemushonga anogonawo kuva akarongwa nemaune. Tsananguro yeEMA pamusoro peLumeblue inotsanangura piritsi remethylene blue rinopiwa netsamba yachiremba, rinoshandiswa kuvandudza kuoneka kwemukati meura pakuitwa colonoscopy. Rukoko rwaro nekusunungurwa zvishoma nezvishoma zvinobatsira kuendesa dhayi kuura hukuru. Uyu mushonga chaiwo wekuongorora une chinangwa chaicho. Kuvapo kwawo hakupi humbowo hwekukodzera kwepiritsi rinotengeswa kune veruzhinji kune zvimwe zvinoshandiswa zvisina hukama, uye maitiro awo ekusunungurwa haafaniri kunzi ndiwo emhando dzose dzinonzi mapiritsi.
Zvaunganyatsoudzwa netsvakurudzo yekutorwa mumuviri
Mutsvakurudzo yechikamu I yaWalter-Sack nevamwe, vanhu 16 vane utano hwakanaka vakazvipira vakapinda muenzaniso umo kupiwa methylene blue mutsinga nekutorwa kwemushonga wakagadzirwa mumvura nemuromo zvakaitwa zvichichinjana, hurongwa hwacho huchisarudzwa nenzira yemukana. Vatsvakurudzi vakashuma avhareji yekutorwa kwemushonga mumuviri kana ichienzaniswa nekupiwa mutsinga ye72.3%, paine kutsauka kwakajairika kwe23.9%. Kuyera uku kunofungidzira kuti uwandu hwakadii hunosvika mukutenderera kweropa remuviri wese kana zvichienzaniswa nekupiwa mutsinga, kuchifunga nezveuwandu hwakapihwa.
Izvi zvinotsigira kuti mushonga iwoyo wakagadzirwa mumvura uye wakaedzwa mumamiriro iwayo wakatorwa mumuviri zvakakura. Hazvipi chikamu chimwe chete chinoshanda pamabhodhoro ose ane mudziyo wekudonhedza. Tsvakurudzo iyi hainawo kuenzanisa zvakananga makapsuru, mapiritsi, mitsetse yefirimu yemumuromo, nemapiritsi anonyungudutswa mumuromo zviri kutengeswa mazuva ano.
Kuenzanisa tsvakurudzo dzisina hukama kunogona kurasisa kana uwandu hwakapihwa, vanhu vakapinda, mamiriro ezvokudya, nguva dzekutora sampuli, kana nzira yekuongorora zvakasiyana. Chikamu chakakwirira chakashumwa mune rimwe gwaro hachina kukwana kuisa zvigadzirwa zviviri zvinotengeswa muhurongwa hwekuti ndechipi chiri nani.
Nhungamiro yeICH M13A yekuenzana kwekuwanikwa kwemushonga mumuviri inotsanangura kuti nei kuenzanisa zvigadzirwa kuchiongorora zviyero zvekusangana kwemuviri nemushonga, zvakaita seuwandu hwepamusoro muropa nenzvimbo iri pasi pegirafu reuwandu zvichienderana nenguva. Uwandu hwepamusoro hunotsanangura mwero mukuru wakayerwa; nzvimbo iri pasi pegirafu inopfupisa kusangana kwemushonga nemuviri nekufamba kwenguva. Magadzirirwo emushonga anogona kuchinja nguva yekusangana uku pasina kuchinja uwandu hwose nechiyero chakaenzana.
Kana mutengesi achiti chigadzirwa chake chinotorwa mumuviri zviri nani, kumbira zvose zvakasanganiswa muchigadzirwa chakaedzwa, nzira yachakapihwa nayo, chigadzirwa chakaenzaniswa nacho, vanhu vakapinda mutsvakurudzo, uye mugumisiro wakayerwa. Vhidhiyo yekunyunguduka inoratidza zvinhu zvichipararira. Haiyeri kutorwa kwemushonga mumuviri wemunhu.
Kuenzanisa marudzi: mazita, zvinosanganiswa, humbowo, mabatirwo
Tafura iyi inobatsira pakutenga, haisi kuisa zvigadzirwa muhurongwa hwekushanda kwazvo mukurapwa. Zviri mairi zvinotsanangura zvinofanira kuongororwa; zvigadzirwa chaiwo zvinosiyana.
| Rudzi | Kunyorwa kweuwandu hwemushonga kunofanira kuongororwa | Zvinhu zvinobatsira kugadzira mushonga zvinofanira kuzivikanwa | Magwaro anofanira kukumbirwa | Musiyano pamabatirwo |
|---|---|---|---|---|
| Kapsuru | Mamirigiramu pakapsuru uye nhamba yemakapsuru pachikamu chakatarwa kutorwa | Chinhu chakagadzira goko, zviri mukati, zvimwe zvinhu zvinoshanda zvakawedzerwa | Muyedzo weuwandu pachikamu chakapedzwa, kufanana kweuwandu hwezviri mukati, ruzivo rwekusunungurwa, kuzivikanwa kweboka rakagadzirwa pamwe chete | Chikamu chine uwandu hwakatarwa chiri nyore kutakura; zvinodiwa pakumedza nemirayiridzo yekuvhura zvinokosha |
| Piritsi | Mamirigiramu papiritsi; kusunungurwa pakarepo, kwakanonotswa, kana kwenguva refu; kupatsanurwa kupi zvako kwakasimbiswa nekuyedzwa | Zvinobatanidza, zvinowedzera ukuru, zvinobatsira kuparara, zvinotsvedzeresa pakugadzirwa, rukoko rwekunze | Muyedzo weuwandu, kufanana kweuwandu, kuparara kana kunyunguduka sezvinodiwa; humbowo hwekupatsanura kana zvichinzi zvinobvumirwa | Hapana kuyera mvura; kupwanya kana kupatsanura kunogona kuchinja kuendeswa kwemushonga |
| Madonhwe emushonga wemvura | Mamirigiramu pamiririta, hwaro hwakatsanangurwa hweuwandu pavhoriyamu, vhoriyamu yakayerwa yechikamu chinotorwa | Chinonyungudutsira, zvinodzivirira kuora, zvinopa munakiro, zvimwe zvinhu zvinoshanda | Uwandu pavhoriyamu mumushonga wakapedzwa, kuyedzwa kwetsvina netupukanana kunodiwa, ruzivo rwekurongedzerwa nekugadzikana | Zvinoda kuyera; kuduruka nekusvibisa zvinhu pazvinobatwa zvinhu zvekufunga nezvazvo pakushandisa |
| Mutsetse wefirimu wemumuromo | Mamirigiramu pamutsetse wakazara uye nhamba yemitsetse pachikamu chinotorwa | Zvinogadzira firimu, zvinoriita kuti ripfave, zvinotapira, zvinopa munakiro | Kufanana kweuwandu pachikamu, kugadzikana, kuparara; mashoko kubva pakuyedzwa muvanhu pane chero chinotaurwa nezvekutorwa mumuviri | Chikamu chidiki; mirayiridzo yekurongedzerwa neunyoro inokosha; usafungidzira kuti kucheka kunochengetedza kururama kweuwandu |
| Piritsi rinonyungudutswa mumuromo | Mamirigiramu papiritsi, ukuru hwechikamu chinotorwa, nzira yakatarwa yekurishandisa | Hwaro hune shuga kana husina shuga, zvinobatanidza, zvinopa munakiro, zvimwe zvinhu zvinoshanda | Kufanana kweuwandu pachikamu, maitiro ekusunungurwa, humbowo kubva kuvanhu hunoenderana nenzira yekushandisa | Rinonyunguduka mumuromo; nguva yarinogara richibata mukati memuromo nemaitiro ekumedza zvinosiyana nekapsuru isina kuvhurwa |
Unogona kudhawunirodha pepa rekuenzanisa nekuongorora mutengesi kuti unyore humbowo hwezvigadzirwa zviviri zvauri kufunga kutenga.
Verenga chikamu chinoyerwa usati waenzanisa nhamba
“Mamirigiramu pachikamu chinotorwa” zvinogona kureva makapsuru kana mitsetse yakawanda. “Mamirigiramu pabhodhoro” zvinoreva zviri mumudziyo wose. Hapana pane izvi chinongoreva chikamu chimwe chete. Pamushonga wemvura, uwandu huri muchikamu chakayerwa hunobva pakuwanza uwandu pavhoriyamu nevhoriyamu yacho; nhamba yemadonhwe inoda hukama nevhoriyamu hwakasimbiswa nekuyedzwa pamudziyo wekudonhedza wakapiwa.
Zita remuenzaniso rinoti “12 mg pachikamu chinotorwa; chikamu chinotorwa makapsuru 3” rinoreva 4 mg pakapsuru, kana zviri mukati zvichienderana nezvakanyorwa. Harirevi 12 mg mukapsuru imwe neimwe. Uku kuverenga zvinorehwa nezita, kwete kukurudzira uwandu hunofanira kutorwa.
Bvunza kuti mamirigiramu akanyorwa akavakirwa pachinhu chipi kana mazita kana zvitupa zvichitaura marudzi akasiyana ekemikari kana nzira dzakasiyana dzekuyera uwandu. Kuenzanisa mitengo yemabhodhoro usati wajekesa chikamu chinoyerwa nekuzivikanwa kwekemikari kunogona kupa muenzaniso wemutengo usina zvaunoreva.
Zvikamu zvakayerwa kare zvinotsamirawo pakufanana mukugadzirwa. Muyedzo wezvinhu zvakasanganidzwa kubva kuzvikamu zvakawanda unogona kutsanangura avhareji uchisiya musiyano pakati pezvikamu usina kupindurwa. Mubvunzo ndewekuti chikamu chimwe nechimwe chakapedzwa chinogara chichienderana nezvakatarwa here, kwete kungoti chinhu chisati chagadzirwa chakapasa muyedzo wekusachena.
Mitsetse nemapiritsi anonyungudutswa mumuromo: kunyunguduka hakusi mugumisiro wekutorwa mumuviri
“Nemumuromo,” “pasi perurimi,” uye “pakati pedama nemazino” hadzisi tsananguro dzinogona kungotsiviwa neimwe. Kushandiswa pasi perurimi kunoreva kuisa ipapo; kushandiswa padama kunoreva kuisa chigadzirwa chichibata mukati medama. Chigadzirwa chinonyunguduka mumate chinogona kuzomedzwa. Kunyangarika kwacho mumuromo hakuratidzi uwandu hwakapfuura neparukoko rwemukati memuromo.
Nhungamiro yeFDA pamusoro pemapiritsi anoparara mumuromo inoona kuparara sechimiro cherudzi rwemushonga. Haisi chitupa chekuti mushonga unowanikwa mumuviri zviri nani. Pamitsetse kana mapiritsi anonyungudutswa mumuromo emethylene blue, kumbira humbowo kubva kuvanhu hwekufamba kwemushonga mumuviri, pachishandiswa magadzirirwo chaiwo uye nzira yakatarwa yekushandisa. Zvinyorwa zvakawanikwa pakuenzanisa uku hazvina kuratidza kuti mitsetse kana mapiritsi anonyungudutswa mumuromo zvinotengeswa zvinoshanda zviri nani pane makapsuru kana mushonga wemvura.
Ongorora zvose zvinosanganiswa pane kuona mashoko ekuti “hazvina shuga” kana “zvinonyunguduka nokukurumidza” setsananguro yakazara yemagadzirirwo. Maswiti akapfava emethylene blue ane mibvunzo yawo pamusoro pezvinosanganiswa nekuyedzwa.
Sarudza kukodzera kune humbowo, wozotarisa nyore yekushandisa
Usazvigadzirira zvikamu zvidiki nekuvhura makapsuru kana kucheka mitsetse. Pamapiritsi, zano reFDA rekupatsanura mapiritsi rinotsanangura kuti chigadzirwa chisina mirayiridzo yekupatsanura yakaongororwa hachirevi kuti chakaratidza uwandu hwakaenzana hwemushonga kana maitiro akaenzana muhafu dzacho. Magadzirirwo anoshandura kusunungurwa kwemushonga anoda kungwarirwa zvikuru.
Kuchinja rudzi hakubvisiwo maitiro emethylene blue mumuviri. Kuenderana nemimwe mishonga kuchiri kukosha; shandisa nhungamiro yekudyidzana kwemethylene blue nemimwe mishonga paunenge uchigadzirira mibvunzo yekubvunza chiremba kana nyanzvi yemishonga. Chigadzirwa cheEMA chekuongorora chinotorwa nemuromo chinewo mamiriro anoita kuti chisafanira kushandiswa, anosanganisira kushomeka kweG6PD nepamuviri, zvichiratidza kuti “nemuromo” hazvirevi kukodzera pasina miganhu.
Pakusarudza zvekutenga, tanga wajekesa chinangwa chekushandisa, mamiriro echigadzirwa maererano nemutemo, kunyorwa kwakajeka pamazita, uye humbowo hwechigadzirwa chakapedzwa hunobatana neboka rachakagadzirwa mariri. Wobva waenzanisa kumedza, kuyera, kutakurika, zvinosanganiswa, nekurongedzerwa nezvinodiwa chaizvo. Rondedzero yemutengi yekuenzanisa inopa hwaro hwakakura hwekuongorora hutano hwechigadzirwa. Kapsuru inogona kugadzirisa dambudziko remabatirwo; mushonga wemvura unogona kuzadzisa zvinodiwa pakuyera. Hapana pamhedziso idzi chinoratidza kuenzana kwekutorwa mumuviri kana kubatsira mukurapwa.