Umbhali: Janice Evans
Umhla Wokudalwa: 4 Eyekhala 2021
Hlaziya Umhla: 15 Eyenkanga 2024
Anonim
Vasopressors: Inodilators, Inopressors, Pure Vasopressors, Methylene Blue, Midodrine
Ividiyo: Vasopressors: Inodilators, Inopressors, Pure Vasopressors, Methylene Blue, Midodrine

Umxholo

I-Midodrine inokubangela uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu olwenzeka xa ulele phantsi emqolo). Eli yeza kufuneka lisetyenziswe kuphela ngabantu abanengxaki yoxinzelelo lwegazi olunqongopheleyo ekwenzeni ukuba benze imisebenzi yemihla ngemihla nabangenakuphathwa ngempumelelo ngezinye iindlela zonyango. Tshela ugqirha wakho ukuba unayo okanye wakha waba noxinzelelo lwegazi oluphezulu. Xelela ugqirha wakho kunye nosokhemesti ukuba uthatha i-dihydroergotamine (DHE, Migranal). Xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza owathathayo, kubandakanya i-ephedrine, phenylephrine, phenylpropanolamine kunye ne-pseudoephedrine. Uninzi lweemveliso ezingabhaliswanga ziqulathe la mayeza (umz.iipilisi zokutya kunye namayeza okukhohlela kunye nokubanda), ke jonga iilebhile ngononophelo. Ukuba unazo naziphi na kwezi mpawu zilandelayo, yeka ukuthatha i-midodrine kwaye ubize ugqirha ngoko nangoko: ukwazisa ukubetha kwentliziyo yakho, ukubetha ezindlebeni zakho, entloko, okanye umbono ophazamisayo. Emva kokuqala konyango, ugqirha wakho unokukuxelela ukuba uqhubeke nokuthatha i-midodrine kuphela ukuba uphucule kakhulu kwiimpawu zakho. Thetha nogqirha wakho malunga nendlela oziva ngayo ngelixa uthatha eli yeza.


Gcina lonke ixesha lokudibana nogqirha wakho. Kuya kufuneka uxinzelelo lwegazi lwakho luhlolwe kukuma kunye nokulala kwindawo ethe tyaba ngaphambi kokuqala unyango kwaye rhoqo ngelixa uthatha i-midodrine.

Thetha nogqirha wakho malunga nemingcipheko yokuthatha i-midodrine.

I-Midodrine isetyenziselwa ukunyanga i-orthostatic hypotension (ukuwa ngesiquphe koxinzelelo lwegazi olwenzeka xa umntu ethathe indawo yokuma). I-Midodrine ikudidi lwamayeza abizwa ngokuba yi-alpha-adrenergic agonists. Isebenza ngokubangela ukuba imithambo yegazi iqiniswe, eyonyusa uxinzelelo lwegazi.

I-Midodrine iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kathathu ngemini ngexesha lasemini (njengentsasa, emini emaqanda, nasemva kwemini [phambi kwentsimbi yesithandathu ngokuhlwa)) ngeedosi ezahlulwe ubuncinane iiyure ezi-3. Thatha idosi yokugqibela yemihla ngemihla ye-midodrine ngaphambi kwesidlo sangokuhlwa kunye neeyure ezi-4 ubuncinci ngaphambi kokulala. Thatha i-midodrine kumaxesha afanayo yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-midodrine ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.


Thatha i-midodrine ngexesha lasemini xa ufuna ukuma nkqo. Kunqande ukuthatha idosi xa uza kulala phantsi nangaliphi na ixesha elide. Thetha nogqirha wakho malunga nokuba ungazibeka njani xa ulele phantsi. Ugqirha wakho unokukuxelela ukuba uphakamise intloko yebhedi yakho xa uphumla okanye ulele.

Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-midodrine,

  • xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa i-midodrine, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-midodrine. Buza usokhemesti wakho uluhlu lwezithako.
  • xelela ugqirha wakho kunye nosokhemesti ukuba loluphi olunye amayeza amiselweyo kunye nalawo angabhalwanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ngokukhankanya amayeza adweliswe kwicandelo LESILUMKISO ESIBALULEKILEYO kunye nayo nayiphi na kwezi zilandelayo: i-alpha blockers enjenge-doxazosin (Cardura), iprazosin (iMinipress), kunye ne-terazosin; ii-beta blockers ezinje nge-acebutolol (Sectral), atenolol (Tenormin, in Tenoretic), betaxolol, bisoprolol (Zebeta, in Ziac), carvedilol (Coreg), labetalol (Trandate), metoprolol (Lopressor, Toprol XL), nadolol (Corgard, in Corzide), pindolol, propranolol (Inderal, InnoPran XL), i-sotalol (iBetapace, iBetapace AF, iSorine), kunye ne-timolol; idigoxin (Lanoxin); ifludrocortisone; kunye namayeza esigulo sengqondo. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • xelela ugqirha wakho ukuba unobunzima bokuchama, i-pheochromocytoma (ithumba kwincindi encinci kufutshane nezintso), hyperthyroidism (imeko eyenzeka xa idlala lengqula livelisa kakhulu idlala lengqula) okanye isifo sentliziyo okanye sezintso. Ugqirha wakho unokukuxelela ukuba ungathathi i-midodrine.
  • xelela ugqirha wakho ukuba ukhe unesifo seswekile, unengxaki yokubona, okanye isifo sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-midodrine, biza ugqirha wakho.
  • ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-midodrine.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.


Thatha idosi ephosiweyo kwakamsinya nje emva kokuba uyikhumbule, ukuba nje ubuncinci iiyure ezingama-4 ngaphambi kwexesha lakho lokulala. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Midodrine inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • Ukuba ndindisholo nokubetha
  • ukurhawuzelela entlonzeni
  • amaqhuma erhanisi
  • Ukugodola
  • ukuchama rhoqo
  • Imfuneko engxamisekileyo yokuchama
  • ubunzima bokuchama
  • irhashalala
  • isisu esibuhlungu

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu okanye ezo zidweliswe kwicandelo LESILUMKISO ELIBALULEKILEYO, yeka ukuthatha i-midodrine kwaye ubize ugqirha ngokukhawuleza okanye ufumane unyango olungxamisekileyo:

  • ukubetha kwentliziyo kancinci
  • isiyezi
  • isiqaqa

I-Midodrine inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. Yigcine kubushushu begumbi kwaye kude nokukhanya, ubushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Iimpawu libanda kungaquka oku kulandelayo:

  • Ukuqonda ukubetha kwentliziyo yakho
  • ukubetha ezindlebeni zakho
  • intloko ebuhlungu
  • ukungaboni kakuhle
  • amaqhuma erhamba
  • imvakalelo ebandayo
  • ubunzima bokuchama

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-midodrine.

Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

  • Orvaten®
  • Iproamatine®

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-02/15/2021

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