I-Desmopressin Nasal

-Delile

• Ngaphambi kokusebenzisa i-desmopressin nasal,
• I-Desmopressin nasal ingadala imiphumela emibi. Shayela udokotela wakho uma kukhona kulezi zimpawu ezilandelayo ezinzima noma zingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka:

I-Desmopressin nasal ingadala i-hyponatremia engathi sína futhi esongela impilo (izinga eliphansi le-sodium egazini lakho). Tshela udokotela wakho uma uke waba nezinga eliphansi le-sodium egazini lakho, womile isikhathi esiningi, uphuze uketshezi oluningi, noma uma une-syndrome ye-hormone elwa namagciwane engafanele (SIADH; isimo lapho umzimba ukhiqiza khona kakhulu into ethile yemvelo ebangela ukuthi umzimba ugcine amanzi), noma isifo sezinso. Phinda utshele udokotela wakho uma une-infection, umkhuhlane, noma isisu noma ukugula kwamathumbu ngokuhlanza noma uhudo. Tshela udokotela wakho uma uhlangabezana nalokhu okulandelayo ngesikhathi sokwelashwa kwakho: ikhanda elibuhlungu, isicanucanu, ukuhlanza, ukungahlaliseki, ukuzuza kwesisindo, ukulahlekelwa isifiso sokudla, ukucasuka, ukukhathala, ukozela, isiyezi, ukuqunjelwa yimisipha, ukuxhuzula, ukudideka, ukulahlekelwa ukwazi, noma ukubona izinto ezingekho .

Tshela udokotela wakho uma uthatha i-loop diuretic ("amaphilisi amanzi") njenge-bumetanide, i-furosemide (i-Lasix), noma i-torsemide; i-steroid ehogelwayo efana ne-beclomethasone (Beconase, QNasl, Qvar), budesonide (Pulmicort, Rhinocort, Uceris), i-fluticasone (i-Advair, i-Flonase, i-Flovent), noma i-mometasone (i-Asmanex, i-Nasonex); noma i-steroid yomlomo efana ne-dexamethasone, i-methylprednisolone (i-Medrol), noma i-prednisone (i-Rayos). Udokotela wakho uzokutshela ukuthi ungasebenzisi i-desmopressin nasal uma usebenzisa noma uthatha owodwa wale mithi.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Udokotela wakho uzo-oda izivivinyo zokuqapha amazinga akho e-sodium ngaphambi nangesikhathi sokwelashwa kwakho ukuze ahlole impendulo yomzimba wakho ku-desmopressin nasal.

Khuluma nodokotela wakho ngengozi (s) yokusebenzisa i-desmopressin nasal.

I-Desmopressin nasal (DDAVP^®) isetshenziselwa ukulawula izimpawu zohlobo oluthile lwesifo sikashukela insipidus ('water diabetes'; isimo lapho umzimba ukhiqiza khona umchamo omkhulu ngokungajwayelekile). I-Desmopressinnasal (DDAVP^®) isetshenziselwa ukulawula ukoma ngokweqile nokudlula kwenani elikhulu kakhulu lomchamo okungenzeka ngemuva kokulimala ekhanda noma ngemuva kwezinhlobo ezithile zokuhlinzwa. Impumulo ye-Desmopressin (Noctiva^®) isetshenziselwa ukulawula ukuchama njalo ebusuku kubantu abadala abavusa okungenani ama-2 ubusuku ngabunye ukuze bachame. Impumulo ye-Desmopressin (Stimate^®) isetshenziselwa ukumisa ezinye izinhlobo zokopha kubantu abane-hemophilia (isimo lapho igazi lingagundi ngokwejwayelekile) nesifo sika-von Willebrand (isifo sokopha) ngamazinga athile egazi. I-Desmopressin nasal isesigabeni semithi ebizwa ngama-antidiuretic hormone. Isebenza ngokufaka i-vasopressin, i-hormone evame ukukhiqizwa emzimbeni ukusiza ukulinganisa inani lamanzi nosawoti.

Impumulo ye-Desmopressin iza njengoketshezi olufakwa emakhaleni ngokusebenzisa ithubhu lesigaxa (ishubhu lepulasitiki elincanyana elifakwa emakhaleni ukwelapha umuthi), nanjengesifutho samakhala. Imvamisa isetshenziswa kathathu noma kathathu ngosuku. Lapho i-desmopressin nasal (Stimate^®) isetshenziselwa ukwelapha i-hemophilia kanye nesifo sika-von Willebrand, isifutho (s) esisodwa kuya kwezi-2 sinikezwa nsuku zonke. Uma Stimate^® isetshenziswa ngaphambi kokuhlinzwa, imvamisa inikezwa amahora amabili ngaphambi kwenqubo. Lapho i-desmopressin nasal (Noctiva^®) isetshenziselwa ukwelapha ukuchama kaningi ebusuku, isifutho esisodwa sivame ukunikezwa ekhaleni lasekhohlo noma kwesokudla emaminithini angama-30 ngaphambi kokulala. Sebenzisa i-desmopressin nasal ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-nasal desmopressin njengoba nje kuqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

I-Desmopressin nasal spray (i-Noctiva) itholakala ngamandla amabili ahlukene. Le mikhiqizo ayikwazi ukufakwa esikhundleni somunye nomunye. Ngaso sonke isikhathi uma ugcwaliswa ngudokotela, qiniseka ukuthi uwutholile umkhiqizo ofanele. Uma ucabanga ukuthi uthole amandla angalungile, khuluma nodokotela wakho nosokhemisi ngokushesha.

Udokotela wakho angakuqala ngomthamo ophansi we-desmopressin nasal bese ulungisa umthamo wakho kuye ngesimo sakho. Landela lezi zinkomba ngokucophelela.

Uma uzosebenzisa isifutho samakhala, kufanele uhlole imininingwane yomkhiqizi ukuthola ukuthi zingaki izifutho ibhodlela lakho eliqukethe. Gcina umkhondo wenombolo yezifafazi ozisebenzisayo, ungafaki izifutho zokuqala. Lahla ibhodlela ngemuva kokusebenzisa inani elishiwo lokufafaza, noma ngabe liqukethe umuthi othile, ngoba izifutho ezengeziwe kungenzeka zingabi nomthamo ogcwele wemithi. Ungazami ukudlulisela umuthi osalile kwenye ibhodlela.

Ngaphambi kokusebenzisa i-desmopressin nasal okokuqala ngqa, funda imiyalelo ebhaliwe eza nomuthi. Qiniseka ukuthi uyayiqonda indlela yokulungisa ibhodlela ngaphambi kokusetshenziswa kokuqala nokuthi uyisebenzisa kanjani isifutho noma ishubhu lobudoda. Buza udokotela wakho noma usokhemisi uma unemibuzo mayelana nokuthi uwusebenzisa kanjani lo muthi.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa i-desmopressin nasal,

• Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-desmopressin, noma imuphi omunye umuthi, noma iziphi izithako ku-desmopressin nasal spray. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi eminye imishanguzo kadokotela neyokungabhalisi, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi uyayisho imishanguzo ebhalwe esigabeni ESIBALULEKILE SESEXWAYISO nanoma yikuphi okulandelayo: i-aspirin nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin) ne-naproxen (Aleve, Naprosyn); i-carbamazepine (i-Equetro, iTegretol, iTeril); i-chlorpromazine; eminye imithi esetshenziswa ekhaleni; i-lamotrigine (iLamictal); imithi ye-narcotic (opiate) yezinhlungu; i-serotonin reuptake inhibitors (SSRIs) ekhethiwe efana ne-citalopram (Celexa), i-escitalopram (Lexapro), i-fluoxetine (i-Prozac, i-Sarafem), i-fluvoxamine, i-paroxetine (i-Paxil), ne-sertraline (i-Zoloft); i-thiazide diuretics (’amaphilisi amanzi’) njenge-hydrochlorothiazide (i-Microzide, imikhiqizo eminingi ehlanganisiwe), i-indapamide, ne-metolazone (iZaroxolyn); noma i-tricyclic antidepressants (’mood elevators’) njenge-amitriptyline, desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), noma i-trimipramine (Surmontil). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke wahluleka noma waba nesifo senhliziyo, umfutho wegazi ophakeme noma isifo senhliziyo. Udokotela wakho uzokutshela ukuthi ungasebenzisi i-desmopressin nasal.
• Tshela udokotela wakho uma uke waba nokugcinwa komchamo noma i-cystic fibrosis (isifo esizalwa naso esidala izinkinga ngokuphefumula, ukugaya ukudla nokuzala). Phinda utshele udokotela wakho uma usanda kuhlinzwa ekhanda noma ebusweni, futhi uma unekhala eligxishiwe noma eligijimayo, isibazi noma ukuvuvukala kwengaphakathi lekhala, noma i-atrophic rhinitis (isimo lapho ulwelwesi lwekhala luyancipha futhi ingaphakathi lekhala ligcwala izigaxa ezomile). Shayela udokotela wakho uma uthuthukisa ikhala eligxishiwe noma eligijimayo nganoma yisiphi isikhathi lapho welashwa.
• tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-desmopressin, shayela udokotela wakho.

Udokotela wakho angakutshela ukuthi ulinganisele inani loketshezi oliphuzayo, ikakhulukazi kusihlwa, ngesikhathi sokwelashwa kwakho nge-desmopressin. Landela izinkomba zikadokotela wakho ngokucophelela ukuvimbela imiphumela emibi kakhulu.

Uma usebenzisa i-desmopressin nasal (DDAVP^®) noma (Stimate^®) bese uphuthelwa umthamo, sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

Uma usebenzisa i-desmopressin nasal (Noctiva^®) bese uphuthelwa umthamo, weqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi sakho esivamile. Ungasebenzisi umthamo ophindwe kabili ukwenza okulahlekile.

I-Desmopressin nasal ingadala imiphumela emibi. Shayela udokotela wakho uma kukhona kulezi zimpawu ezilandelayo ezinzima noma zingapheli:

• ubuhlungu besisu
• isilungulela
• ubuthakathaka
• ubunzima bokulala noma ukulala
• umuzwa ofudumele
• ekhaleni
• ubuhlungu bamakhala, ukungakhululeki, noma isiminyaminya
• amehlo alumazayo noma azwelayo kalula
• ukuhlungu obusemhlane
• umphimbo obuhlungu, ukukhwehlela, ukubanda, noma ezinye izimpawu zokutheleleka
• ukuqhuma

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo noma lezo ezibalwe esigabeni ESIBALULEKILE SESEXWAYISO, shayela udokotela wakho ngokushesha:

• ukuhlanza
• ubuhlungu besifuba
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

I-Desmopressin nasal ingadala eminye imiphumela emibi. Tshela udokotela wakho uma uhlangabezana nezinkinga ezingavamile ngenkathi usebenzisa lo muthi.

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).

Gcina izifutho zamakhala esitsheni efike ngaso, zivaleke ngci, futhi zingafinyeleleki ezinganeni.

Isitolo Esinamandla^® ukufutha kwamakhala kumile ekamelweni lokushisa ukuze kungeqi ku-25 ° C; lahla isifutho samakhala ezinyangeni eziyisithupha emva kokusivula.

Gcina i-DDAVP^® isifutho samakhala siqonde ku-20 kuye ku-25 ° C. Gcina i-DDAVP^® ishubhu lesigqi ku-2 kuye ku-8 ° C; amabhodlela avaliwe azinzile amasonto amathathu ku-20 kuye ku-25 ° C.

Ngaphambi kokuvula uNoctiva^® isifutho samakhala, sigcine simile ku-2 kuye ku-8 ° C. Ngemuva kokuvula uNoctiva^®, gcina isifutho samakhala siqonde ku-20 kuye ku-25 ° C; ilahle ngemuva kwezinsuku ezingama-60.

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Izimpawu zokudlula ngokweqile zingafaka:

• ukudideka
• ukozela
• ikhanda
• ubunzima bokuchama
• ukuzuza kwesisindo ngokungazelelwe
• isithuthwane

Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

• Ukwesaba^®¶
• I-DDAVP^® I-Nasal
• IMinirin^® I-Nasal^¶
• I-Noctiva^® I-Nasal
• Ukuqina^® I-Nasal

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.