Teko ea tensilon

Teko ea Tensilon ke mokhoa oa ho thusa ho hlahloba myasthenia gravis.

Ho fanoa ka moriana o bitsoang Tensilon (hape o bitsoang edrophonium) kapa moriana oa dummy (placebo e sa sebetseng). Mofani oa tlhokomelo ea bophelo o fana ka moriana ka e 'ngoe ea methapo ea hau (ka methapo, ka IV). U ka fuoa moriana o bitsoang atropine pele u amohela Tensilon e le hore u se ke oa tseba hore u fumana moriana.

O tla kopuoa ho etsa mesifa e meng khafetsa, joalo ka ho tšela le ho fapanya maoto kapa ho phahama setulong. Mofani o tla hlahloba hore na Tensilon e ntlafatsa matla a mesifa ea hau. Haeba u na le bofokoli ba leihlo kapa mesifa ea sefahleho, phello ea Tensilon ho sena e tla hlahlojoa hape.

Teko e kanna ea phetoa mme o kanna oa ba le liteko tse ling tsa Tensilon ho thusa ho tseba phapang lipakeng tsa myasthenia gravis le maemo a mang.

Ha ho litokisetso tse khethehileng hangata tse hlokahalang. Latela litaelo tsa mofani oa hau mabapi le ho itokisa.

U tla utloa bohloko bo hlabang ha nale ea IV e kentsoe. Lithethefatsi li ka baka maikutlo a ho felloa ke mpa kapa maikutlo a fokolang a ho otla ha pelo, haholoholo haeba atropine e sa fuoe pele.

Teko e thusa:

• Hlahloba myasthenia gravis
• Bolella phapang lipakeng tsa myasthenia gravis le maemo a mang a tšoanang a boko le methapo
• Hlahloba kalafo ka meriana ea anticholinesterase ea molomo

Teko e kanna ea etsoa bakeng sa maemo a kang lefu la Lambert-Eaton. Ena ke bothata boo ho bona puisano e fosahetseng lipakeng tsa methapo le mesifa e lebisang bofokoling ba mesifa.

Ho batho ba bangata ba nang le myasthenia gravis, bofokoli ba mesifa bo tla ntlafala hang kamora ho amohela Tensilon. Ntlafatso e nka metsotso e seng mekae feela. Bakeng sa mefuta e meng ea myasthenia, Tensilon e ka mpefatsa bofokoli.

Ha lefu lena le mpefala ho lekana hore le hloka kalafo (bothata ba myasthenic), ho na le ntlafatso e khuts'oane ea matla a mesifa.

Ha ho na le overdose ea anticholinesterase (mathata a cholinergic), Tensilon e tla etsa hore motho a be bobebe le ho feta.

Moriana o sebelisitsoeng nakong ea tlhahlobo o ka baka litla-morao, ho kenyelletsa ho akheha kapa ho hema. Ke ka hona tlhahlobo e etsoang ke mofani maemong a bongaka.

Myasthenia gravis - tensilon tlhahlobo

• Mokhathala oa mesifa

CC ea Chernecky, Berger BJ. Teko ea tensilon - tlhahlobo. Ka: Chernecky CC, Berger BJ, bahlophisi. Liteko tsa Laboraro le Mekhoa ea Tlhatlhobo. La 6th. St Louis, MO: Elsevier Saunders; 2013: 1057-1058.

Sanders DB, Guptill JT. Mathata a phetisetso ea neuromuscular. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 109.