Uxinzelelo lwe-intracranial lubangelwa ngenxa yokuhamba kakuhle kwe-cerebrospinal fluid. Ngenxa yoko, i-cerebrospinal fluid iqokelela kuyo nayiphi na indawo ebhokisini elingenanto. Le meko ihambelana neentloko ezinzima kwaye ithathwa njengengozi enkulu ebomini. Ukufumana unyango lweziyobisi kunye noxinzelelo lwe-intracranial, i-Diacarb (okanye i-Acetazolamide) yezilwanyana ezinokwelapha ye-inhibitors kunye ne-diuretics, isetyenziswa rhoqo. Isilwanyana sisetyenzisiweyo, njengommiselo, kwipilisi ye-ICP ye-genesis eyahlukeneyo kubantu abadala. Indlela yokuthatha i-Diacarb ngokunyanzeliswa kwengcinezelo, siya kuqhubeka.
Ukusetyenziswa kwe-Diacarb yokucwangcisa ngexinzelelo
I-Diakarb iDrugb ithathwa njengobuthakathaka obuthathaka. Kodwa ngenxa yezenzo zesifo se-diuretic ne-anti-edematous esenza ukuba izidakamizwa zisebenze emzimbeni, zisetyenziswe ngokusisiseko kwiyeza elincomekayo kunye ne-intracranial hypertension. Ukongeza, iDiakarb imiselwe izifo nezimo ezilandelayo:
- isifo se-edematic syndrome;
- ukuhlaselwa ngokukhawuleza kwe- glaucoma ;
- ukuhluthwa (kunye kunye nezidakamizwa zokulwa ne-antiepileptic);
- Isifo "sokuphakama esiphakamileyo" (ukwenzela ukunciphisa ixesha lokunciphisa).
Iingcali zi lumkisa ukuba i-Diacarb ayifanele ithatyathwe ngenyuka enkulu ekunyanzelekeni kwe-intracranial xa:
- ukuchithwa kwempahla kwizinto ezisemgangathweni;
- ukungafihleki kwintlungu
- acidosis;
- hypokorticism;
- hypokalemia;
- Isifo sika-Addison;
- uremere;
- ukukhulelwa (ngokukodwa kwi-I-st trimester) kwaye ngexesha lokutya.
Indlela kunye nesilinganiselo seDiacarb ngokunyanzeliswa kwengcinezelo
Iyeza lithathwa ngomlomo. Ugqirha, echaza ukulungiswa kweDiacarb kunye nokunyanzeliswa kwengcinezelo kubantu abadala, ucingisisa ngobudala, ubunzima, iimpawu zomzimba wesigulane. Iingcebiso eziqhelekileyo ezinikwe imiyalelo yokusetyenziswa zi:
- Ngoxinzelelo lwegazi, obangela ukwanda kweengcinezelo ezingenakunyango, kwinqanaba lokuqala lama-250 mg yesigqirha ngosuku. Iingcali zicebisa ukuhlula idosi ebonisiweyo kwiiyithithi ezimbini kwaye uphuze emva kweeyure eziyi-8 ukuya kwezi-12. Kwezinye iimeko, ukulingana kwansuku zonke kweziyobisi kunokunyuswa, kodwa kungabi ngaphezu kwe-750 mg. Ngomxinzelelo ophezulu, i-diacarb yesifo seSabetem isilungisiso, esinika isithuba sokumkela rhoqo iintsuku ezine iintsuku ezimbini. Inyaniso yokuba isilwanyana sisebenza njenge-oxidizer yegazi, kwaye ukuba umzimba ubuyele kwinto eqhelekileyo, idinga ikhefu lesigxina.
- Nge-syemrome ye-edematic, iDiacarb kufuneka ithathwe ngesantya sama-250 mg ngosuku, mhlawumbi kusasa. Ukuze ufezekise umgangatho ofunekayo wezondlo, kuyacetyiswa ukuba uthathe amayeza emva komhla yonke imihla okanye iintsuku ezi-2 ngokulandelelana, uze uthathe ikhefu ngosuku lokuqala.
- Nge-glaucoma evulekileyo, i-Diacarb ilawulwa kwidaysi ye-250 mg kunye nobunzima be-1 ukuya kwezi-4 ngezihlandlo ngosuku. I dose ephezulu ayifanele idlule i-1000 mg. I-glaucoma yesibini kunye nokuhlaselwa okubukhali kwe-glaucoma
uthathe izilwanyana ezine ngosuku ngosuku lwama-250 mg ngosuku lokufumana. - Ngenxa yokuhluthwa ngosuku, kuyacetyiswa ukuthatha i-250 ukuya ku-500 mg yesilwanyana kwiseshoni enye. Kwakhona kubalulekile ukuhambelana neskimu esisiweyo, ukubonelela emva kweentsuku ezi-3 zokuthatha ikhefu ngosuku lwesine.
Nceda nceda! Nangona i-Diacarb isichengechunge se-low-toxicity, iyeza elide ixesha elide likhokelela kwimiphumo emibi efana ne-tinnitus, ukulala, ukuxakeka kwezondlo kunye nokutshatyalaliswa. Kwakunqwenelekayo kule ngxaki ukuqhuba iimoto nokwenza umsebenzi ofuna ukugxininiswa.