Fa no sɛ wɔde obi akɔ ayaresabea a ne mogya so atew mpofirim anaa tebea bi te sɛ koma a entumi nyɛ adwuma. Wɔ nsɛm a emu yɛ den saa mu no, wɔfrɛ aduru titiriw bi a ano yɛ den a nnuruyɛfo de gye ɔyarefo no nkwa no dopamine. Eyi nyɛ aduru a mpɛn pii no wubetumi atɔ afi nnurutɔnbea na wode adi dwuma wɔ fie. Wɔde ma wɔ ayaresabea, wɔ beae te sɛ beae a wɔhwɛ wɔn a wɔyare denneennen (ICU), a nnuruyɛfo ne ayarehwɛfo hwɛ so koraa. Enti, momma yɛnka aduru a ɛho hia yi ho asɛm nnɛ.
Dɛn ne dopamine? Dɛn na ɛyɛ nipadua no?
Sɛ yɛbɛka no tiawa a, dopamine yɛ aduru a ɛwɔ dwumadi atitiriw abien.
1. Vasoconstrictor: Saa aduru yi ma mogya ntini a ɛwɔ yɛn nipadua mu no twetwe kakra. Te sɛ sɛ wopiapia nsuo afiri kakra a, nsuo no sen ntɛmntɛm, sɛ mogya ntini no twetwe a, mogya no kɔ soro. Eyi ho hia yiye bere a BP sua koraa na nkwa da asiane mu no.
2. Koma no dwumadi a ɛhyɛ mu den (Inotrope): Afei nso, saa aduru yi ka koma no ntini, na ɛma koma no tumi a ɛbɔ no ntɛmntɛm ne ahoɔden yɛ kɛse. Wɔ tebea horow te sɛ komayare mu no, koma no yɛ mmerɛw na entumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu. Saa bere no, saa aduru yi betumi aboa koma no.
Esiane nneyɛe abien yi nti, wɔtaa de dopamine di dwuma de ma ɔyarefo no tebea gyina wɔ nsɛm a mogya mmoroso a ɛba fam kɛse ne koma a entumi nyɛ adwuma yiye mu .
Mɛyɛ dɛn ama wo aduru yi?
Eyi ho hia paa. Dopamine nyɛ aduru a wubetumi anom anaa wode ahyɛ mu wɔ fie.
- Wɔde eyi ma wɔ ayaresabea anaa ayaresabea nkutoo .
- Wɔyɛ aduru no nsu na wɔde fa kankyee mu kɔ ntini bi mu tẽẽ .
- Eyi nyɛ aduru a wɔde gu nipadua mu ara kwa. Wɔtaa de bata afiri bi a wɔfrɛ no infusion pump ho na wɔde nkakrankakra hyɛ nipadua no mu wɔ ɔkwan a ɛyɛ pɛpɛɛpɛ so.
- Oduruyɛfo anaa ɔyarehwɛfo bɛkɔ so ahwɛ wo koma bɔ, wo mogya mmoroso, ne nsɛnkyerɛnne afoforo a ɛho hia wɔ bere a woregye aduru yi nyinaa.
Esiane sɛ wɔde aduru yi ma wɔ aduruyɛfo hwɛ ase wɔ ayaresabea nti, hokwan a ɛwɔ hɔ sɛ wɔbɛnom boro so no sua koraa. Nanso, sɛ wususuw sɛ biribi te sɛ eyi a, ɛsɛ sɛ wobɔ nnuruyɛfo no amanneɛ ntɛm ara. Sɛ ɛho hia a, wɔbɛkɔ Ɔman Awuduru Ho Amanneɛbɔbea a ɛwɔ Colombo Ɔman Ayaresabea hɔ no nkyɛn akɔhwehwɛ afotu. Wɔbɛgye wo akɔ ayaresabea no Emergency Treatment Unit (ETU) tẽẽ akɔhwɛ wo.
So wobetumi de saa aduru yi ama mmofra nkumaa?
Yiw, sɛ ɛho hia a, wobetumi de saa aduru yi ama mmofra. Nanso wɔde ahwɛyiye kɛse na ɛyɛ, na wɔsesa dodow a wɔde ma no ma ɛne abofra no mu duru ne ne tebea hyia.
Nneɛma a ɛsɛ sɛ woka kyerɛ wo duruyɛfo ansa na woanom dopamine
Sɛ mpo wusi gyinae sɛ wode saa aduru yi bɛma wo ntɛm ara a, sɛ w’adwene mu da hɔ anaasɛ wowɔ obi a ɔhwɛ wo so a, ɛho hia yiye ma w’ahobammɔ sɛ wobɛka saa nsɛm yi akyerɛ oduruyɛfo no.
- Allergy: Hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo sɛ wowɔ dopamine, sulfites, atoko, nnuru afoforo, nnuan, anaa nnuru a wɔde yɛ nnuru ho akisikuru bi a.
- Koma mu haw: Sɛ wo koma bɔ a ɛnteɛ dedaw a.
- Nkwammoaa mu haw: Tebea a ɛma mogya a ɛkɔ nsateaa ne nansoaa mu no so tew, te sɛ Raynaud yare.
- Nyarewa afoforo: Sɛ wowɔ akisikuru bi wɔ adrenal gland a wɔfrɛ no pheochromocytoma mu a.
- Nsu a ɛho ayɛ fĩ: Sɛ nsu afi wo nipadua mu esiane akisikuru anaa nneɛma afoforo nti a.
- Nyinsɛn: Sɛ woanyinsɛn, worebɔ mmɔden sɛ wubenyinsɛn, anaasɛ woyɛ ɛna a ɔma nufu a.
Nnuru afoforo a ebetumi ne saa aduru yi adi nkitaho (Drug Interactions) .
Dopamine tumi ne nnuru pii di nkitaho. Enti, ɛho hia sɛ woka nnuru a worenom nyinaa (a wo duruyɛfo akyerɛw ama wo, a wɔtɔn, nnuru a wɔde di dwuma wɔ amanne kwan so, vitamin, nhabannuru) kyerɛ wo duruyɛfo. Nnuru bi a ebetumi ne dopamine adi nkitaho wɔ ase ha.
| Nnuru a wɔde di dwuma no fã | Nkɛntɛnso ne nhwɛso ahorow |
|---|---|
| Nnuru bi a wɔde sa mogya mmoroso ne komayare | Eyinom betumi aka sɛnea dopamine yɛ adwuma. |
| Nnuru a wɔde sa adwenemhaw ne dadwen | MAOI nnuru titiriw (e.g. Parnate, Nardil) betumi ne dopamine ayɛ wɔn ade bɔne kɛse. |
| Nnuru a ɛma nsu fi nipadua mu | Ɛsɛ sɛ wɔhwɛ yiye bere a wɔde dopamine ka nnuru a ɛma nsu fi nipadua no mu yi ho no. |
| Ergot Alkaloids a Wɔde Yɛ Nneɛma | Ɔhaw ahorow betumi aba wɔ nnuru a wɔde sa atiridiinini te sɛ ergotamine ho. |
| Nnuru a Wɔde Ma Nnipa Nnuru | Nnuru te sɛ isoflurane, a wɔde ma obi da bere a wɔreyɛ oprehyɛn no. |
| Nnuru afoforo | Nnuru te sɛ Phenytoin (aduru a wɔde ma awotwaa mu akisikuru) ne Oxytocin (aduru a wɔde ma awotwaa mu akisikuru). |
Nneɛma bɔne bɛn na ebetumi afi aduru no a wɔnom mu aba?
Te sɛ nnuru biara no, dopamine betumi de ɔhaw ahorow aba. Esiane sɛ wobɛkɔ ayaresabea bere a wɔama wo saa aduru yi nti, sɛ wote nka sɛ biribi soronko bi a, nsuro sɛ wobɛka akyerɛ oduruyɛfo anaa ɔyarehwɛfo a ɔresa wo yare no ntɛm ara .
| Dopamine ho nsunsuanso bɔne a ebetumi aba | |
|---|---|
| 🚨 Sɛ wohu saa nsɛnkyerɛnneɛ yi a, ka kyerɛ wo duruyɛfoɔ anaa ɔyarehwɛfoɔ ntɛm ara. | |
| Nneɛma a ɛma obi ho yɛ no yaw | Wora mu akisikuru, ɛyaw, anofafa, tɛkrɛma anaa anim a ɛho ahonhon, ɛyɛ den sɛ wobɛhome. |
| Koma mu haw ahorow | Koko mu yaw, adwenemhaw, te a wote nka sɛ wo koma rebɔ ntɛmntɛm anaasɛ ɛnte saa (a ɛyɛ wo yaw), te nka sɛ ebia wobɛtotɔ piti. |
| Ɔhaw ahorow a ɛwɔ baabi a wɔde cannula no gu no | Ɛyaw, kɔkɔɔ, ɔfe, anaa ɔfe wɔ baabi a wɔde aduru no guu mu no. |
| 🙂 Sɛ saa nsɛnkyerɛnne yi kɔ so anaasɛ ɛhaw adwene a, ka kyerɛ wo duruyɛfo. | |
| Tipaeɛ | Ebia tiyɛ a ɛyɛ yaw wɔ ɔkwan a ɛkɔ akyiri so. |
| Akisikuru ne ɔfe | Yafunu mu yare, akisikuru, anaa ɔfe betumi aba. |
| Brɛ | Ebia wobɛte nka sɛ wo ho ntɔ wo na wo ho yeraw wo. |
Nkrasɛm a Wɔde Kɔ Fie
- Dopamine yɛ aduru a ano yɛ den yiye a wɔde di dwuma wɔ tebea horow a egye ntɛmpɛ mu de ma mogya mmoroso kɔ soro na ɛma koma no san yɛ adwuma. Wɔde ma wɔ ayaresabea nkutoo.
- Ɛho hia sɛ wobɔ wo duruyɛfo amanneɛ sɛ wowɔ akisikuru, aduruyɛ mu tebea afoforo, anaa nnuru afoforo a wonom a.
- Sɛ wo koko mu yɛ wo yaw, ɛyɛ den sɛ wobɛhome, wo ho yɛ wo yaw kɛse, anaasɛ wo ho yɛ wo hyew bere a worenom aduru no a, ka kyerɛ nnuruyɛfo no ntɛm ara.
- Asɛm yi yɛ nsɛm a wɔaboaboa ano kɛkɛ. Sɛ wowɔ nsɛmmisa foforo bi fa saa aduru yi ho a, ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo.
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