Cirbadda Epinephrine

Qanacsan

• Kahor intaadan isticmaalin cirbadeynta epinephrine,
• Cirbadda Epinephrine waxay sababi kartaa waxyeelo.Markaad hesho daaweyn caafimaad oo deg-deg ah ka dib markii aad isku durto epinephrine, u sheeg dhakhtarkaaga haddii aad la kulantid mid ka mid ah waxyeelooyinkan:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Cirbadda Epinephrine waxaa loo isticmaalaa iyada oo ay weheliso daaweyn caafimaad oo deg deg ah si loogu daaweeyo cadaanyo nafta halis gelisa oo xasaasiyadda cayayaanka ama qaniinyada cayayaanka, cuntooyinka, daawooyinka, cinjirka, iyo sababaha kale. Epinephrine waxay ku jirtaa nooc daawooyin ah oo loo yaqaan 'alfa- iyo beta-adrenergic agonists' (sympathomimetic agents). Waxay ku shaqeysaa iyadoo nasinaysa muruqyada marinnada hawadda iyo adkeynta xididdada dhiigga.

Cirbadda Epinephrine waxay u timaadaa sidii qalab duritaan otomaatik ah oo horay loo buuxiyey oo ay ku jirto xalka (dareeraha) iyo fijaannada si aad si subag ah ugu durato (maqaarka hoostiisa) ama intramuscularly (muruqa). Waxaa badanaa lagu duraa sida loogu baahan yahay calaamadaha ugu horreeya ee xasaasiyadda daran. U isticmaal cirbadeynta epinephrine sida saxda ee lagu faray; ha isku durin inta badan ama ha ku durin wax ka yar ama ka yar intii uu dhakhtarkaagu kuu qoray.

Weydiiso dhakhtarkaaga ama farmashiistaha inuu ku tuso adiga iyo mid ka mid ah daryeelayaashaada kuwaas oo isku duri kara daawada sida loo isticmaalo qalabka duritaanka otomaatiga ee horay loo soo buuxiyay. Qalabka tababbarka ayaa loo heli karaa si loogu tababbarto sida loo isticmaalo aaladda irbadda otomaatiga ah inta lagu jiro xaalad degdeg ah. Qalabka tababarku kuma jiro daawo mana laha cirbad. Kahor intaadan isticmaalin cirbadeynta epinephrine markii ugu horreysay, akhri macluumaadka bukaanka ee la socda. Macluumaadkan waxaa ku jira tilmaamo ku saabsan sida loo isticmaalo qalabka duritaanka otomaatiga ee horay loo soo buuxiyay. Hubso inaad weydiiso farmashiistahaaga ama dhakhtarkaaga haddii adiga ama daryeelayaashaada aad qabtid wax su'aalo ah oo ku saabsan sida loo isku duro dawadan.

Waa inaad isku durtaa cirbadda epinephrine sida ugu dhakhsaha badan ee aad uga shakiso inaad dareento fal-celin xasaasiyad daran. Calaamadaha fal-celinta xasaasiyadda daran waxaa ka mid ah xiridda marinnada hawada, xiiq, hindhiso, xiiq, cuncun, cuncun, barar, casaan maqaar, garaaca wadnaha oo dhaqso ah, garaaca wadnaha oo yaraada, walaac, jahwareer, calool xanuun, luminta kontoroolka kaadida ama saxarada, suuxdin, ama miyir beelid. Kala hadal dhakhtarkaaga astaamahan oo hubi inaad fahamsan tahay sida loo sheego marka aad leedahay xasaasiyad daran oo ay tahay inaad isku durto epinephrine.

Hayso qalabkaaga duritaanka otomaatigga ah ama la heli karo wakhti kasta si aad awood ugu yeelatid inaad isku durto epinephrine si dhakhso leh markii falcelinta xasaasiyadda ay bilaabato. La soco taariikhda uu dhacayo ee lagu shaabadeeyey aaladda oo beddel qalabka markii taariikhdan ay dhaafto. U fiirso xalka aaladda aaladda waqti ka waqti. Haddii xalka midabkiisu isbeddelo ama ay ku jiraan qaybo, wac dhakhtarkaaga si aad u hesho qalab duritaan oo cusub.

Cirbadda Epinephrine waxay ka caawisaa daaweynta xasaasiyadda daran laakiin ma qaadaneyso meeshii lagu daaweyn lahaa. Hel daaweyn caafimaad oo deg-deg ah isla markiiba ka dib markii aad isku durto epinephrine. Si deggan u naso inta aad sugeyso daweynta degdega ah.

Inta badan aaladaha duritaanka otomaatigga ah waxay ka kooban yihiin xal ku filan hal qiyaas oo ah epinephrine. Haddii calaamadahaagu sii socdaan ama soo noqdaan duritaanka koowaad ka dib, dhakhtarkaagu wuxuu kuu sheegi karaa inaad u isticmaasho qadar labaad oo ah cirbadeynta epinephrine oo leh aalad irbad cusub. Hubso inaad taqaanid sida loo duro duritaanka labaad iyo sida loo sheego haddii aad isku durto qadar labaad. Kaliya bixiye daryeel caafimaad waa inuu ku siiyaa wax ka badan 2 cirbad hal dhacdo xasaasiyad.

Epinephrine waa in lagu duraa kaliya bartamaha dhinaca bowdada, waxaana lagu mudayaa dharka haddii loo baahdo xaalad degdeg ah. Haddii aad isku dureyso epinephrine ilmo yar oo dhaqaaqi kara inta lagu guda jiro cirbadda, lugta si adag u qabo oo xaddid dhaqdhaqaaqa ilmaha kahor iyo inta la duray. Ha ku durin epinephrine badhida ama qayb kale oo jirkaaga ka mid ah sida faraha, gacmaha, ama cagaha ama xididka. Ha dhigin suulkaaga, farahaaga, ama gacanta ha u dhiibin aagga irbadda ee qalabka duritaanka otomaatigga ah. Haddii epinephrine si kadis ah loogu duray aagaggan, u hel daaweyn caafimaad oo degdeg ah.

Ka dib markaad isku durto qadar ah cirbadeynta epinephrine, xalka qaar ayaa ku sii jiri doona aaladda la isku duro. Tani waa wax caadi ah oo macnaheedu maaha inaadan helin qaddarka buuxa. Ha isticmaalin dareeraha dheeriga ah; u tuur dareeraha hadhay iyo qalabka si habboon. Qalabkii aad isticmaashay u kaxee qolka gargaarka degdega ah ama weydii dhakhtarkaaga, farmashiistahaaga, ama daryeel caafimaad bixiyaha sida loogu tuuro aaladaha la isku duray ee la isticmaalay si badbaado leh.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor intaadan isticmaalin cirbadeynta epinephrine,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay epinephrine, dawooyin kale oo kasta, sulfites, ama mid ka mid ah maaddooyinka kale ee ku jira cirbadda epinephrine. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad isticmaasho cirbadeynta epinephrine xitaa haddii aad xasaasiyad ku leedahay mid ka mid ah maaddooyinka maxaa yeelay waa daawo nafta lagu badbaadinayo. Aaladda epinephrine-ka ee duritaanka otomaatigga ah kuma jirto cinjirka 'latex' waana ammaan in la isticmaalo haddii aad xasaasiyad ku leedahay cinjirka 'latex'.
• u sheeg dhakhtarkaaga iyo farmashiistaha waxa kale ee dhakhtar qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: qaar ka mid ah daawada murugada sida amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), maprotiline, mirtazapine (Remeron), nortriptyline (Pamelor) (Vivactil), iyo trimipramine (Surmontil); antihistamines sida chlorpheniramine (Chlor-Trimeton) iyo diphenhydramine (Benadryl); beta blockers sida propranolol (Hemangeol, Inderal LA, Innopran XL); digoxin (Lanoxicaps, Lanoxin); durayaasha ('kaniiniyada biyaha'); dawooyinka ergot sida dihydroergotamine (DHH 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (Ergomar, Cafergot, Migergot), iyo methylergonovine (Methergine); levothyroxine (Levo-T, Levoxyl, Tironsint, kuwa kale); daawooyinka garaaca wadnaha aan caadiga ahayn sida quinidine (Nuedexta); iyo pentolamine (Oraverse, Regitine). Sidoo kale u sheeg dhakhtarkaaga haddii aad qaadanaysid monoamine oxidase inhibitor sida isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), iyo tranylcypromine (Parnate) ama aad joojisay qaadashadii labadii toddobaad ee la soo dhaafay. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu si taxaddar leh kaaga ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa xanuun feedho, garaaca wadnaha oo aan joogto ahayn, dhiig kar, ama wadno xanuun; neefta; sonkorowga; hyperthyroidism (qanjirka 'thyroid'); pheochromocytoma (burooyinka qanjirka 'adrenal gland buro'); niyad jab ama cudur kale oo maskaxeed; ama cudurka Parkinson.

• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Takhtarkaaga kala hadal haddii iyo goorta ay tahay inaad isticmaasho cirbadeynta epinephrine haddii aad uur leedahay.

Cirbadda Epinephrine waxay sababi kartaa waxyeelo.Markaad hesho daaweyn caafimaad oo deg-deg ah ka dib markii aad isku durto epinephrine, u sheeg dhakhtarkaaga haddii aad la kulantid mid ka mid ah waxyeelooyinkan:

• guduudashada maqaarka, barar, diirimaad, ama damqasho goobta duritaanka
• neefsashada oo adkaata
• garaaca, dhakhso, ama wadno garaac aan caadi ahayn
• lallabbo
• matagid
• dhidid
• dawakhaad
• gariir, walaac, ama degganaansho la'aan
• daciifnimo
• maqaarka cirro leh
• madax xanuun
• gariir aan la koontarooli karin qayb ka mid ah jirkaaga

Daawadan ku hay balaastikada caaga qaadaysa ee ay soo gashay, si adag u xir, oo ka fog caruurta. Ku hay heerkulka qolka oo ka fog iftiinka, kuleylka badan iyo qoyaanka (ha ku jirin musqusha). Ha qaboojinin cirbadda epinephrine ama ha ku dhaafin gaarigaaga, gaar ahaan xilliga kulul ama qabow. Haddii qalabka duritaanka otomaatiga ee horay loo buuxiyay la tuuray, hubi inaad jabtay ama daadatay. Iska tuur wixii daawo ah ee waxyeelo soo gaadhay ama haddii kale aan loo isticmaali karin hubina inaad haysato beddelkiisa.

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• daciifnimo lama filaan ah ama kabuubis dhinaca jirka ah
• hadalka oo ku adkaada
• garaaca wadnaha oo gaabis ah ama dhakhso ah
• neefta oo ku qabata
• neefsasho degdeg ah
• jahwareer
• daal ama daciifnimo
• hargab, maqaar cirro leh
• kaadida oo yaraatay

Dhammaan ballamaha la dhig dhakhtarkaaga.

Ha u ogolaan qof kale inuu qaato daawadaada. Haddii aad isticmaasho qalab duritaan otomaatig ah oo horay loo soo buuxiyay, hubi inaad hesho beddel isla markiiba. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

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• EpiPen^® Baabuur otomaatig ah
• EpiPen^® Jr. Aaladda Baaburka
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• Mataan^®¶

^¶ Shaygaan sumadda leh kuma sii jiro suuqa. Beddelka guud ayaa la heli karaa.