Kwirinda gukoresha desmopressine acetate

Kurenza urugero byongera ibyago byo gufata amazi na hyponatremia.Imicungire ya hyponatremia iratandukanye kubantu.Ku barwayi bafite hyponatremia idafite ibimenyetso, desmopressine igomba guhagarikwa kandi gufata amazi bikabuzwa.Ku barwayi bafite hyponatremia yibimenyetso, nibyiza ko wongera isotonic cyangwa hypertonic sodium chloride kumatonyanga.Mugihe habaye amazi akomeye (kurwara no guta ubwenge), hakwiye kongerwaho imiti hamwe na furosemide.

Abarwayi bafite inyota isanzwe cyangwa psycogeneque;angina pectoris idahindagurika;metabolic dysregulation umutima udahagije;andika IIB y'amaraso hemophilia.Hagomba kwitabwaho cyane cyane ibyago byo gufata amazi.Ibiryo bifata amazi bigomba kugabanuka kugeza kuri bike bishoboka kandi uburemere bugomba kugenzurwa buri gihe.Niba hari kwiyongera gahoro gahoro ibiro byumubiri kandi sodium yamaraso igabanuka munsi ya 130 mmol / L cyangwa plasma osmolality ikamanuka munsi ya mosm / kg 270, gufata amazi bigomba kugabanuka cyane kandi desmopressine igahagarikwa.Koresha witonze kubarwayi bakiri bato cyane cyangwa bageze mu za bukuru;mu barwayi bafite izindi ndwara zisaba kuvura diuretique yo kuvura amazi na / cyangwa kutagira imbaraga;no mu barwayi bafite ibyago byo kwiyongera k'umuvuduko w'imbere.Impamvu ziterwa nigihe cyo kuva amaraso bigomba gupimwa mbere yo gukoresha uyu muti;plasma yibanze ya VIII: C na VWF: AG yiyongera cyane nyuma yubuyobozi, ariko ntibyashobokaga gushiraho isano iri hagati yurwego rwa plasma yibi bintu nigihe cyo kuva amaraso mbere na nyuma yubuyobozi.Niba rero bishoboka, ingaruka za desmopressine mugihe cyo kuva amaraso kubababaye ku giti cyabo igomba kugenwa mubigeragezo.

Kugena igihe cyo kuva amaraso bigomba kugenwa uko bishoboka, urugero, nuburyo bworoshye bwa II.Ingaruka ku Gutwita no Kwonsa Ibizamini byimyororokere yimbeba ninkwavu byatanzwe inshuro zirenga ijana igipimo cyumuntu cyerekanye ko desmopressine itangiza urusoro.Umushakashatsi umwe yatangaje ko inshuro eshatu z’imikorere mibi ku bana bavutse ku bagore batwite ba uremic bakoresheje desmopressine mu gihe batwite, ariko izindi raporo z’imanza zirenga 120 zerekanye ko impinja zavutse ku bagore bakoresha desmopressine mu gihe cyo gutwita zari zisanzwe.

Byongeye kandi, ubushakashatsi bwanditse neza bwerekanye ko nta bwiyongere bw’umuvuduko w’amavuko ku bana 29 bavutse ku bagore batwite bakoresheje desmopressine mu gihe cyose batwite.Isesengura ry’amata y’ibere aturuka ku bagore bonsa bavuwe na dosiye nyinshi (300ug intranasal) ryerekanye ko urugero rwa desmopressine rwahawe uruhinja ruri munsi y’amafaranga yari akenewe kugira ngo yandure diureis na hemostasis.

Imyiteguro: Imiti igabanya ubukana irashobora kongera umurwayi kwitabira desmopressine itongereye igihe cyo gukora.Ibintu bimwe bizwiho gusohora imisemburo ya antidiuretique, nka antidepressants ya tricyclic, chlorpromazine, na karbamazepine, bitera imbaraga za antidiureti.Yongera ibyago byo gufata amazi.