E aʻo kākou e pili ana i nā lāʻau lapaʻau e "hoʻoikaika" a "hōʻoluʻolu" i ka puʻuwai (Inotropes)

Ua kipa aku anei ʻoe i kekahi ma ka ʻāpana mālama koʻikoʻi (ICU) o kahi haukapila? Ke hana ʻoe, pono ʻoe e ʻike he mau mīkini a puni ka moena o ka mea maʻi, a ke hāʻawi ʻia nei ka saline a me nā lāʻau lapaʻau i loko o nā aa mai nā ʻōmole like ʻole. ʻO kekahi o nā lāʻau lapaʻau i hāʻawi ʻia ma kēia ʻano ua kapa ʻia ʻo 'Inotropes'. Eia kekahi, malia paha ke lawe nei kekahi o kou ʻohana i kahi lāʻau lapaʻau no ke koko kiʻekiʻe no kēia hui like i kapa ʻia ʻo Inotropes. ʻAe, e nānā kākou i ke ʻano o kēia mau Inotropes.

I ka ʻōlelo maʻalahi, he aha nā Inotropes?

I nā huaʻōlelo maʻalahi, ʻo nā inotropes kahi ʻano lāʻau lapaʻau e haʻi ana i ko mākou mau ʻiʻo puʻuwai e "kuʻi ikaika iki" a i ʻole "kuʻi mālie a lohi iki." Hoʻololi lākou i ka ikaika e kuʻi ai ko mākou puʻuwai, a i ʻole e ʻaelike.

ʻElua ʻano nui o nā inotropes.

1. Nā Inotropes Maikaʻi: Ke haʻi aku nei kēia i ka puʻuwai e pamu i ke koko "ʻoi aku ka ikaika, ʻoi aku ka ikaika."

2. Nā Inotropes Maikaʻi ʻole: Ke haʻi aku nei kēia i ka puʻuwai e "hoʻomaha iki, e lawe mālie" a pamu i ke koko.

E nānā kākou i kēia mau ʻano ʻelua me nā kikoʻī hou aku.

ʻO nā ʻano nui ʻelua o nā inotropes

Nā Inotropes Maikaʻi: Nā lāʻau lapaʻau e 'hanu' ai i ka puʻuwai

E noʻonoʻo ua nāwaliwali ka pamu wai i loko o kou hale, a ke kahe mālie nei ka wai i loko o ka pahu ma luna. Pēlā nō, i kekahi manawa ke nāwaliwali ko kākou puʻuwai, ʻaʻole hiki iā ia ke pamu i ka nui o ke koko e pono ai i ke kino holoʻokoʻa. Kāhea mākou i kēia he ʻano e like me ka Heart Failure.

ʻO ia ka manawa e hiki mai ai nā Inotropes Positive i ke kōkua. Hāʻawi kēia mau lāʻau i ka ikaika hou aku i ka ʻiʻo puʻuwai nāwaliwali, a ʻoi aku ka pololei , hoʻonui i ka nui o ke koko a ka puʻuwai e pamu ai me kēlā me kēia kuʻi (cardiac output). Hōʻoia kēia e loaʻa i nā ʻōkana koʻikoʻi loa i loko o ko mākou kino, e like me ka lolo a me nā puʻupaʻa, ka oxygen a me nā meaʻai e pono ai lākou.

Nā Inotropes Maikaʻi ʻole: Nā lāʻau lapaʻau e 'hōʻoluʻolu' i ka puʻuwai

I kēia manawa, e noʻonoʻo ʻoe e hoʻokele ana i kahi kaʻa, akā holo mau ʻoe i ka wikiwiki piha, i ka wikiwiki loa. He aha ka mea e hana ʻia ke hana ʻia kēlā? Wela ka ʻenekini, piʻi ka manawa o nā ulia, a ʻaʻole maikaʻi ia no ke kaʻa, ʻeā?

Hana nui loa ko kākou mau puʻuwai i kekahi manawa. ʻO kēia ka mea e hana ʻia i nā kūlana e like me ke koko kiʻekiʻe, ka angina, a me nā puʻuwai puʻuwai kūpono ʻole (arrhythmia).

Hoʻomalu nā inotropes maikaʻi ʻole i ka wikiwiki o ka puʻuwai hana nui a hāʻawi iā ia i kahi hoʻomaha iki.Ke haʻi aku nei kēia mau lāʻau i ka ʻiʻo o ka puʻuwai e ʻūmiʻi iki aʻe "me ka ikaika iki." Kōkua kēia i ka hoʻomalu ʻana i ke koko a hoʻēmi i ke kaumaha pono ʻole ma ka puʻuwai.

ʻO nā ʻano nui o nā lāʻau inotrope a me kā lākou hoʻohana

I kēia manawa ua loaʻa iā ʻoe kahi manaʻo maʻamau o kēia mau ʻano lāʻau ʻelua, e nānā kākou i nā lāʻau ʻē aʻe e pili ana i kēia mau hui ʻelua a me nā kūlana i hoʻohana ʻia ai lākou.

He aha nā hopena ʻaoʻao o kēia mau lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, hiki i nā inotropes ke hana i kekahi mau hopena ʻaoʻao. ʻAʻole hiki kēia i nā kānaka āpau, a hiki ke ʻokoʻa lākou ma muli o ke ʻano o ka lāʻau lapaʻau a me ka nui. Ke hāʻawi ʻia kēia lāʻau lapaʻau iā ʻoe, e nānā mau ana kāu kauka i kou kūlana.

Āhea wau e ʻike hou ai i ke kauka?

Ma hope o ka mālama ʻia ʻana me nā inotropes maikaʻi a hoʻi i ka home mai ka haukapila, inā ʻike hou ʻoe i kekahi o kāu mau hōʻailona kahiko (e laʻa me ka pōkole o ka hanu, ka ʻeha o ka umauma) a inā e ʻoi aku ka ʻino, e ʻimi koke i ke kōkua lapaʻau.

Inā ʻoe e lawe ana i kahi lāʻau lapaʻau e like me Negative Inotropes no ka wā lōʻihi, e like me ke koko kiʻekiʻe, e hoʻomanaʻo i kēia mau mea:

• Mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau: ʻOiai inā ʻoi aku kou maikaʻi i kēia manawa, mai ho'ōki i ka lawe ʻana i kāu lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
• E kamaʻilio e pili ana i nā hopena ʻaoʻao: Inā loaʻa iā ʻoe nā hopena ʻaoʻao ʻoluʻolu ʻole mai kahi lāʻau lapaʻau, e haʻi i kāu kauka. Hiki paha iā lākou ke hoʻololi iā ʻoe i kahi lāʻau lapaʻau ʻē aʻe.
• Mai poina i nā hahai ʻana: E hōʻoia e hele i nā lā a kāu kauka e haʻi aku ai iā ʻoe e hoʻi mai.
• E makaʻala me nā lāʻau lapaʻau ʻē aʻe:Mai lawe i nā lāʻau ʻeha, nā huaora, a i ʻole nā ​​lāʻau lapaʻau me ka nānā mua ʻole ʻana me kāu kauka. Hiki iā lākou ke launa pū me nā lāʻau lapaʻau āu e lawe nei.

He papa lāʻau ikaika nā Inotropes i mea nui loa no ke olakino o ka puʻuwai a hiki i kekahi manawa ke hana i ka ʻokoʻa ma waena o ke ola a me ka make. Pono e lawe mau ʻia ma lalo o ka mākaʻikaʻi lapaʻau, ma ke ʻano i kuhikuhi ʻia, a no ka manawa i kuhikuhi ʻia.