Yu dɔn ɛva go to pɔsin we de na di intensiv kia yunit (ICU) na ɔspitul? We yu du dat, yu go dɔn notis se mashin dɛn de rawnd di pɔsin in bed, ɛn dɛn de gi salin ɛn mɛrɛsin dɛn na di vein dɛn frɔm difrɛn bɔtul dɛn. sכm pan di mεdikeshכn dεm we dεn gi dis we dεn kכl dεm ‘Inotropes’. Dɔn bak, sɔntɛm sɔmbɔdi na yu famili de tek mɛrɛsin fɔ ay blɔd prɛshɔn we de na dis sem grup we dɛn kɔl Inotropes. Okay, mek wi si wetin dis Inotropes bi simpul.
Fɔ tɔk am simpul wan, wetin na Inotropes?
fכ simpul tεm, inotropes na wan kayn mεdikal we de tεl wi at mכsul dεm fכ "bit sכft sכft" כ "bit sכft sכft εn slo." Dɛn kin chenj di pawa we wi at kin bit, ɔ kɔntrakt.
Tu men kayn inotrop de.
1. Pozitiv Inotrop dεm: dεn ya de tεl di at fכ pכmp bכdi "had, mכr pawaful wan."
2. Negativ Inotrop dεm: dεn ya de tεl di at fכ "rilaks sכmtεm, tek am izi" εn pכmp bכdi.
Naw, lɛ wi luk dɛn tu kayn ya smɔl mɔ.
Di tu men kayn inotrop dɛn
Pozitiv Inotropes: Na mεdisin dεm we de ‘brith’ di at
Imajin se di wata pɔmp na yu os wik, ɛn di wata we de na di tank we de ɔp de flɔ sloslo. Semweso, sɔntɛnde we wi at kin wik, i nɔ kin ebul fɔ pamp di blɔd we i nid fɔ go na di wan ol bɔdi. Wi kin kɔl dis kɔndishɔn lɛk At Failure.
Na da tɛm de Pozitiv Inotrop dɛn kam fɔ ɛp. Dɛn drɔgs ya de gi ɛkstra trɛnk to di at mɔsul we wik, ɔ fɔ tɔk mɔ , i de mek di at de pɔmp di blɔd we i de bit (cardiac output) go ɔp. Dis kin mek shɔ se di ɔgan dɛn we impɔtant pas ɔl na wi bɔdi lɛk di bren ɛn di kidni dɛn kin gɛt di ɔksijɛn ɛn di tin dɛn we dɛn nid.
Dɛn kayn mɛrɛsin ya, we dɛn kɔl Positive Inotropes, dɛn kin yuz am mɔ pan imejensi ɛn krichɔ sik, na intensiv kia yunit (ICU) na ɔspitul.
Negative Inotropes: Drug dɛm we de ‘kɔl’ di at
Naw imajin se yu de drayv motoka, bɔt yu de go wit ful spid ɔltɛm, wit maksimal spid. Wetin kin apin we dat apin? Di injin de wam, di chans fɔ mek aksidɛnt bɔku, ɛn i nɔ fayn fɔ di motoka, nɔto so?
Sɔntɛnde, wi at kin wok tumɔs. Dis na wetin kin apin pan tin dɛm lɛk ay blɔd prɛshɔn, angina, ɛn at bit we nɔ de bit ɔltɛm (arithmia).
di nεgεtiv inotrop dεm de kכntro di rεt fכ di at we dεn wok pasmak εn gi am sכm rεst.dis dכg dεm de tεl di at mכsul fכ kכntrakt "sכmtεm layt, wit sכm fכs." Dis kin ɛp fɔ kɔntrol di blɔd prɛshɔn ɛn i kin mek di at nɔ strɛs we nɔ nid fɔ de.
Men kayn inotrope drɔgs ɛn aw dɛn de yuz dɛn
Naw we yu dɔn gɛt rough aidia bɔt dɛn tu kayn drɔgs ya, lɛ wi luk us ɔda drɔgs de pan dɛn tu grup ya ɛn us kɔndishɔn dɛn de yuz dɛn fɔ.
| Inotrope tayp | Drɔg dɛn we dɛn kin yuz bɔku tɛm (ɛgzampul dɛn) . | Di kɔndishɔn dɛn we dɛn de trit |
|---|---|---|
| Pozitiv Inotrop dɛn (I de mek di at wok strɔng) |
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| Negativ Inotrop dɛn we de na di wɔl (Kal di at in akshɔn) |
|
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Wetin na di bad tin dɛn we dɛn mɛrɛsin ya kin du?
Lɛk ɛni mɛrɛsin, inotropes kin mek sɔm sayd ɛfɛkt. Dɛn tin ya nɔ kin apin to ɔlman, ɛn dɛn kin difrɛn difrɛn wan bay di kayn mɛrɛsin ɛn di doz. We dɛn gi yu dis mɛrɛsin, yu dɔktɔ go de wach yu sik ɔltɛm.
| Inotrope tayp | Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt |
|---|---|
| Pozitiv Inotrop dɛn |
|
| Negativ Inotrop dɛn we de na di wɔl |
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛnitin we nɔ kɔmɔn afta yu dɔn bigin fɔ tek ɛni mɛrɛsin.
Ustɛm a fɔ go to di dɔktɔ bak?
Afta dɛn dɔn trit yu wit pɔsitiv inotrop ɛn go na os frɔm ɔspitul, if yu gɛt ɛni wan pan yu ol sik dɛn (fɔ ɛgzampul, yu nɔ de blo fayn, yu de fil pen na yu chɛst) bak ɔ if dɛn wɔs, go to dɔktɔ wantɛm wantɛm.
If yu de tek mɛrɛsin lɛk Negative Inotropes fɔ lɔng tɛm, lɛk fɔ ay blɔd prɛshɔn, mɛmba dɛn tin ya:
- Nɔ stɔp fɔ tek yu mɛrɛsin: Ilɛksɛf yu fil fayn naw, nɔ stɔp fɔ tek yu mɛrɛsin if yu dɔktɔ nɔ advays yu.
- Tɔk bɔt di sayd ɛfɛkt dɛm: If yu de gɛt sayd ɛfɛkt dɛm wae nɔr kin fayn fɔ yu frɔm mɛrɛsin, tɛl yu dɔktɔ. Dɛn kin ebul fɔ chenj yu to ɔda mɛrɛsin.
- Nɔ mis fɔ fala yu: Mek shɔ se yu go pan di de dɛn we yu dɔktɔ tɛl yu fɔ kam bak.
- Tek tɛm wit ɔda mɛrɛsin dɛn:Nɔ tek ɛni pen kil, vaytamɛn, ɔ ɛbul mɛrɛsin we yu nɔ chɛk wit yu dɔktɔ fɔs. Dɛn kin intarakt wit mɛrɛsin wae yu dɔn ɔlrɛdi de tek.
Inotropes na pawaful klas fɔ mɛrɛsin wae rili impɔtant fɔ at wɛl bɔdi ɛn sɔmtɛm kin mek difrɛns bitwin layf ɛn day. Dɛn fɔ tek dɛn ɔltɛm ɔnda dɔktɔ in sɔpɔtishɔn, di doz we dɛn tɛl dɛn fɔ tek, ɛn fɔ di tɛm we dɛn tɛl dɛn fɔ tek.
Mɛsej we dɛn kin kɛr go na os
- Inotropes na wan kayn mεdikal we de afekt di fכs we di at mכsul dεm de kכntrikshכn.
- di pozitiv Inotrop dεm de "strεng" di at in bit, εn dεn de yuz dεm pan imejensi lεk at atak εn shכk.
- di nεgεtiv Inotrop dεm de "kכl" di at rεt, εn dεn de yuz dεm fכ kכntrכl lכng tεm kכndyushכn dεm lεk hεy bכdi prεshכn.
- Dɛn mɛrɛsin ya na rili strɔng mɛrɛsin ɛn dɛn fɔ yuz dɛn nɔmɔ if dɔktɔ tɛl dɛn.
- Nɔ ɛva chenj di doz ɔ stɔp fɔ tek ɛni mɛrɛsin we dɛn gi yu if yu nɔ gɛt dɔktɔ advays.
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