Desmopressin sanka

Qanacsan

• Kahor isticmaalka desmopressin sanka,
• Desmopressin sanku wuxuu sababi karaa waxyeelo. Wac dhakhtarkaaga haddii astaamaha soo socda midkood uu daran yahay ama uusan tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo daran. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad dhaafka ah waxaa ka mid noqon kara:

Desmopressin sanku wuxuu sababi karaa halis daran oo suurto gal ah nolosha halis galinta hyponatremia (heerka sodium ee dhiiggaaga ku yar). U sheeg dhakhtarkaaga haddii aad leedahay ama aad waligaa dhiig sodium ahi ku yar yahay dhiiggaaga, aad u harraad badan tahay waqtigaaga, aad cabto cabitaanno badan, ama haddii aad leedahay cillad hormoon aan fiicnayn oo ah antidiuretic (SIADH; xaalad jirku soo saaro) aad u badan oo ah walax dabiici ah oo jirka u keenta inuu biyo haysto), ama kalyo xanuun. Sidoo kale u sheeg dhakhtarkaaga haddii aad qabto infekshan, qandho, ama calool ama xanuun caloosha ah oo leh matag ama shuban. U sheeg dhakhtarkaaga haddii aad la kulanto mid ka mid ah waxyaabaha soo socda inta lagu jiro daweyntaada: madax xanuun, lallabbo, matag, degganaansho la'aan, miisaanka oo kordha, cunto xumo, xanaaq, daal, lulmo, wareer, muruq xanuun, suuxdin, jahwareer, miyir beelid, ama dhalanteed. .

U sheeg dhakhtarkaaga haddii aad qaadanayso loop loop ("kaniiniyada biyaha") sida bumetanide, furosemide (Lasix), ama torsemide; steroid la neefsaday sida beclomethasone (Beconase, QNasl, Qvar), budesonide (Pulmicort, Rhinocort, Uceris), fluticasone (Advair, Flonase, Flovent), ama mometasone (Asmanex, Nasonex); ama steroid afka laga qaato sida dexamethasone, methylprednisolone (Medrol), ama prednisone (Rayos). Dhakhtarkaagu wuxuu kuu sheegi doonaa inaad isticmaasho desmopressin sanka haddii aad isticmaaleyso ama aad qaadanaysid mid ka mid ah daawooyinkaas.

Dhammaan ballamaha la dhig dhakhtarkaaga iyo shaybaarka. Dhakhtarkaagu wuxuu amri doonaa baaritaano si loo kormeero heerarka soodhiyamkaaga kahor iyo inta lagaa daaweynayo si loo hubiyo jawaabta jirkaaga ee desmopressin sanka.

Kala hadal dhakhtarkaaga khatarta (yaasha) isticmaalka desmopressin sanka.

Desmopressin sanka (DDAVP^®) waxaa loo isticmaalaa in lagu xakameeyo astaamaha nooc ka mid ah kaadi sonkorowga insipidus (‘diabetes diabetes’; xaalad jirku ku soo baxo kaadi aan caadi ahayn oo aan caadi ahayn). Desmopressinnasal (DDAVP^®) sidoo kale waxaa loo isticmaalaa in lagu xakameeyo harraad xad dhaaf ah iyo marinka qadar aan caadi aheyn oo kaadi ah oo dhici kara kadib dhaawac madaxa ah ama noocyo qalliin kadib. Desmopressin sanka (Noctiva^®) waxaa loo isticmaalaa in lagu xakameeyo kaadida badan ee habeenkii ee dadka waaweyn ee toosiya ugu yaraan 2 jeer habeenkii si ay u kaadiyaan. Desmopressin sanka (Stimate^®) waxaa loo isticmaalaa in lagu joojiyo noocyada dhiigbaxa ee dadka qaba hemophilia (xaalad dhiiggu uusan si caadi ah u xinjiroobin) iyo cudurka von Willebrand (xanuun dhiigbax) oo leh heerar dhiig oo gaar ah. Desmopressin nasal waxay ku jirtaa nooc daawo ah oo loo yaqaanno hormoonnada antidiuretic. Waxay ku shaqeysaa iyadoo la beddelayo vasopressin, hormoon sida caadiga ah lagu soo saaro jirka si looga caawiyo isu dheellitirka xaddiga biyaha iyo milixda.

Desmopressin sanka wuxuu u yimaadaa dareere lagu shubo sanka tuubada wiyisha (tuubo caag ah oo khafiif ah oo la galiyo sanka si loogu maamulo daawo), iyo buufinta sanka. Waxaa badanaa la isticmaalaa hal ilaa saddex jeer maalintii. Marka desmopressin sanka (Stimate^®) waxaa loo isticmaalaa in lagu daaweeyo hemophilia iyo cudurka von Willebrand, 1 ilaa 2 buufin (yada) ayaa la siiyaa maalin kasta. Haddii Qarsoon yahay^® waxaa la isticmaalaa qalliinka ka hor, badanaa waxaa la siiyaa 2 saacadood ka hor howsha. Marka desmopressin sanka (Noctiva^®) waxaa loo isticmaalaa in lagu daaweeyo kaadida badan ee habeenkii, hal buufin waxaa badanaa laga bixiyaa sanka bidix ama midig 30 daqiiqo ka hor intaadan seexan. Isticmaal sanka desmopressin waqti isku mid ah (waqtiyo) maalin kasta. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. U isticmaal desmopressin sanka si sax ah sida lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.

Buufinta sanka ee loo yaqaan "Desmopressin spray" (Noctiva) ayaa lagu heli karaa laba xoog oo kala duwan. Wax soo saarkaan lama beddeli karo midba midka kale. Mar kasta oo aad buuxiso dawadaada, hubi inaad heshay sheyga saxda ah. Haddii aad u maleyneyso inaad heshay awood qaldan, la hadal dhakhtarkaaga iyo farmashiistaha isla markiiba.

Dhakhtarkaagu wuxuu kugu bilaabi karaa qadar hoose oo ah desmopressin sanka wuxuuna kugu hagaajin karaa qiyaastaada iyadoo kuxiran xaaladaada. Raac tilmaamahan si taxaddar leh.

Haddii aad isticmaali doontid buufinta sanka, waa inaad hubisaa macluumaadka soo-saaraha si aad u ogaato inta buufis ee ay ku jirto dhaladaadu. La soco tirada buufinta aad isticmaasho, oo aan ku jirin buufinta daawada. Tuur dhalada ka dib markaad isticmaasho tirada buufinta ee la sheegay, xitaa haddii ay weli ku jirto xoogaa daawo ah, maxaa yeelay buufisyo dheeri ah kuma jiraan qaddar daawo oo buuxa. Ha isku dayin inaad daawada kuu hartay u wareejiso dhalo kale.

Kahor intaadan isticmaalin sanboorka desmopressin markii ugu horreysay, akhri tilmaamaha qoran ee la socda daawada. Hubso inaad fahantay sida loo diyaariyo dhalada ka hor isticmaalka ugu horreeya iyo sida loo isticmaalo buufinta ama tuubbada rhinal. Weydii dhakhtarkaaga ama farmashiistaha haddii aad wax su'aalo ah ka qabtid sida loo isticmaalo daawadan.

Daawadan ayaa mararka qaarkood loo qoraa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor isticmaalka desmopressin sanka,

• u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay desmopressin, dawooyin kale, ama wax ka mid ah waxyaabaha ku jira buufinta sanka ee desmopressin. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• 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 dawooyinka ku taxan qaybta DIGNIIN MUHIIM AH iyo mid ka mid ah kuwan soo socda: asbiriin iyo dawooyinka kale ee ka hortagga bararka jirka (NSAIDs) sida ibuprofen (Advil, Motrin) iyo naproxen (Aleve, Naprosyn); carbamazepine (Equetro, Tegretol, Teril); chlorpromazine; daawooyinka kale ee loo isticmaalo sanka; lamotrigine (Lamictal); daawooyinka narkotikada (opiate) ee xanuunka; xulashada serotonin reuptake inhibitors (SSRIs) sida citalopram (Celexa), escitalopram (Lexapro), fluoxetine (Prozac, Sarafem), fluvoxamine, paroxetine (Paxil), iyo sertraline (Zoloft); thiazide diuretics ('kaniiniyada biyaha') sida hydrochlorothiazide (Microzide, alaabooyin badan oo isku dhafan), indapamide, iyo metolazone (Zaroxolyn); ama tricyclic antidepressants ('mood elevators') sida amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), ama trimipramine (Surmontil). Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• u sheeg dhakhtarkaaga haddii aad qabtid ama aad qabtid wadne istaag, dhiig kar ama wadno xanuun. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan isticmaalin sanka desmopressin.
• u sheeg dhakhtarkaaga haddii aad qabto ama aad waligaa yeelatay kaadi haynta ama cystic fibrosis (cudur ku dhashay oo sababa dhibaatooyin xagga neefsashada ah, dheefshiidka, iyo taranka). Sidoo kale u sheeg dhakhtarkaaga haddii aad dhawaan qalliin ku sameysay madaxa ama wajiga, iyo haddii aad sanka kaa buuxdo ama duuf ka muuqato, nabar ama barar ku dhaca gudaha sanka, ama atrophic rhinitis (xaalad ah in dahaarka sanku yaraado iyo gudaha sanku wuxuu noqdaa mid ka buuxa qolof qallalan). Wac dhakhtarkaaga haddii aad isku aragto sanka oo xirmay ama duuf ka socdo waqti kasta oo daaweyntaada ah.
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleysid daawada loo yaqaan 'desmopressin', wac dhakhtarkaaga.

Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad xaddiddo inta dheecaanka ah ee aad cabayso, gaar ahaan fiidkii, inta lagu guda jiro daaweyntaada desmopressin. Raac tilmaamaha dhakhtarkaaga si taxaddar leh si looga hortago waxyeelo daran.

Haddii aad isticmaaleysid dawada loo yaqaan 'desmopressin nasal' (DDAVP)^®) ama (Xaqiiq^®) oo aad seegto qiyaas, isticmaal qiyaasta la seegay isla marka aad xasuusatoba. Si kastaba ha noqotee, haddii ay ku dhowdahay waqtiga qiyaasta xigta, ka bood qiyaasta la seegay oo sii wad jadwalka daawadaada caadiga ah. Ha u isticmaalin qaadasho laba jibbaar ah si aad u dhammaystirto mid kaa dhaafay

Haddii aad isticmaaleyso desmopressin nasal (Noctiva^®) oo aad seegto qiyaasta, ka bood qiyaasta aad seegtay oo qaado qiyaasta xigta waqtigaaga caadiga ah. Ha u isticmaalin qaadasho laba jibbaar ah si aad u dhammaystirto mid kaa dhaafay

Desmopressin sanku wuxuu sababi karaa waxyeelo. Wac dhakhtarkaaga haddii astaamaha soo socda midkood uu daran yahay ama uusan tagin:

• calool xanuun
• laabjeex
• daciifnimo
• dhibaato xagga hurdada ama hurdada ah
• dareen diirran
• sanka sanka laga xiirayo
• sanka oo xanuun, raaxo la'aan, ama ciriiriga
• indho cuncun ama iftiin xasaasi ah
• dhabar xanuun
• dhuun xanuun, qufac, dhaxan, ama calaamadaha kale ee infekshinka
• dhaqid

Dhibaatooyinka qaarkood waxay noqon karaan kuwo daran. Haddii aad isku aragto mid ka mid ah astaamaha soo socda ama kuwa ku taxan qaybta DIGNIIN MUHIIM AH, isla markiiba wac dhakhtarkaaga:

• matagid
• xabad xanuun
• dhakhso ama garaac wadnaha garaacis
• finan
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata

Desmopressin sanku wuxuu sababi karaa waxyeelo kale. U sheeg dhakhtarkaaga haddii aad la kulanto wax dhibaato ah oo aan caadi ahayn intaad isticmaaleysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Ku buufi sanka lagu buufiyo weelkii uu soo galay, si adag u xir, oo ka fog caruurta.

Keydso Stimate^® buufiska sanka oo toosan heerkulka qolka oo aan ka badnayn 25 ° C; iska daadi daawada sanka lagu buufiyo 6 bilood ka dib furitaanka.

Kaydi DDAVP^® buufi sanka oo toosan 20 ilaa 25 ° C. Kaydi DDAVP^® tuubada wiyisha ee 2 ilaa 8 ° C; dhalooyinka xiran waa xasiloon yihiin 3 usbuuc 20 ilaa 25 ° C.

Kahor furitaanka Noctiva^® buufinta sanka, si toos ah ugu keydi 2 ilaa 8 ° C. Kadib furitaanka Noctiva^®, ku kaydi buufin sanka toosan 20 ilaa 25 ° C; iska tuur 60 maalmood kadib.

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:

• jahwareer
• lulmid
• madax xanuun
• kaadida oo ku adkaata
• miisaanka oo kordha
• qalal

Ha u ogolaan qof kale inuu isticmaalo daawadaada. 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.

• Isku dheelitir^®¶
• DDAVP^® Sanka
• Minirin^® Sanka^¶
• Noctiva^® Sanka
• Qumman^® Sanka

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