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 dɛn kin gi sɔm sik pipul dɛn difrɛn mɛrɛsin dɛn ɔltɛm tru salin tyub dɛn. Sɔntɛm dɛn dɔn gi sɔmbɔdi na yu yon famili mɛrɛsin fɔ ay blɔd prɛshɔn ɔ fɔ gɛt prɔblɛm wit yu at. Tide, wi go tɔk bɔt wan spɛshal klas fɔ mɛrɛsin we dɛn kin yuz pan dɛn kayn tin ya. dεn kכl dεn tin ya ‘inotropes’ insay mεdikal tεm dεm.
Simply put, wetin na dis `Inotropes`?
Inotropes na wan kayn mɛrɛsin we de ‘tɛl’ yu at mɔsul dɛm aw at ɔ aw slo dɛn fɔ kɔntrakt. Tink bɔt yu at lɛk pɔmp we de pɔmp wata na yu os. Sɔntɛnde dis pɔmp nɔ kin ebul fɔ pɔmp inof wata na yu os. Ɔda tɛm dɛn, dis pɔmp kin wok pasmak insɛf, ɛn dis kin mek di prɛshɔn bɔku ɛn ivin bɔs di paip dɛn.
inotrop dεm lεk swich we de inkrεs כ dכn di ‘pawa’ fכ dis mכta. Tu men kayn dɛn de.
1. Pozitiv Inotrop dεm: dεn ya de mek di at bit strכng , jכs lεk fכ gi mכr pawa to wik wata mכta.
2. Negativ Inotrop dεm: dεn kin mek di at bit sloslo εn wit sכm fכs , jכs lεk fכ kכntrכl di spid fכ mכta we de wok tu fast.
Wetin mek dɛn nid `Pozitiv Inotropes`?
Pozitiv inotrop kin ɛp we yu at wik ɛn nɔ ebul fɔ pɔmp inof blɔd fɔ mit di bɔdi in nid. Dɛn mɛrɛsin ya kin mek di at mɔsul dɛn kɔntrakt mɔ strɔng wan. Dis kin ɛp di blɔd we di at de pɔmp, ɔ di we aw di at de kɔmɔt, fɔ kam bak to nɔmal.
Dis kin mek shɔ se di ɔgan dɛn we impɔtant pas ɔl na yu bɔdi lɛk di bren ɛn di kidni dɛn kin gɛt di blɔd ɛn ɔksijɛn we dɛn nid, ɛn dis kin ɛp dɛn fɔ kɔntinyu fɔ wok.
Dɛn kin gi dɛn ``Positive Inotropes`` ya to pasɛnt dɛn we de na intensiv kia yunit (ICU) na ɔspitul, we de sɔfa wit siriɔs kɔndishɔn lɛk at pwɛl. Dɛn kin gi dɛn tru wan vein (IV).
So wetin kin apin wit `Negative Inotropes`?
`Negative Inotropes` de du di ɔpɔzit. Dɛn kin tɛl di at mɔsul se, "Nɔ wok tumɔs, wok smɔl smɔl, wit smɔl fɔs."
dis dεm kin fayn fכ pipul dεm we gεt kכndyushכn lεk hεy bכdi prεshכn (`high blood pressure`), chεst pen (`angina`), εn abnכmal at ritm (`arrhythmia`). Dɛn mɛrɛsin ya kin stɔp di at fɔ wok tumɔs ɛn kɔntrol di sayn dɛm wae gɛt fɔ du wit am. Dɛn kin tek dɛn tin ya as pils ɛn dɛn kin tek dɛn fɔ lɔng tɛm.
Bɔku kayn `Inotropes` we dɛn kin yuz
Dɔktɔ dɛn kin yuz difrɛn kayn `Inotropes` dipen pan di sikman in kɔndishɔn. Na sɔm ɛgzampul dɛn.
| Pozitiv Inotrop dεm (we de mek di at rεt strכng) . | Negativ Inotropes (we de slo di hat rit) . |
|---|---|
| Dopamin we dɛn kɔl Dopamin | Verapamil we dɛn kɔl Vɛrapamil |
| Dobutamin we gɛt di sik | Atenolol we gɛt di sik |
| Epinefrin (Adrenalin®) we dɛn kɔl di . | Flekainide we dɛn kɔl |
| Norepinephrine (Levophed®) we dɛn kɔl di . | Klɔnidin we dɛn kɔl |
| Digoxin (Lanoxin®) we dɛn kɔl di . | Disopiramid we dɛn kɔl disopyramid |
Sik dɛn we dɛn kin yuz dis mɛrɛsin fɔ
`Positive Inotropes` ɛn `Negative Inotropes` na tu kayn drɔgs we dɛn kin yuz fɔ difrɛn tin dɛn.
Situeshɔn dɛn usay dɛn de yuz Pozitiv Inotrop dɛn:
- Cardiogenic Shock: Na tin we kin mek pɔsin in layf de pan denja bikɔs di at nɔ kin ebul fɔ pɔmp blɔd.
- Septic Shock: Na di blɔd prɛshɔn we de go dɔŋ we pɔsin gɛt siriɔs riakshɔn ɔlsay na di bɔdi we i gɛt infekshɔn.
- At Fayla: Smɔl smɔl di at kin wik.
- Afta opin-at ɔpreshɔn (`Post-open-hat ɔpreshɔn`).
- Afta big big trauma ɔ ɔpreshɔn.
Ustɛm fɔ yuz Nɛgitiv Inotrop dɛn:
- Di ay blɔd prɛshɔn
- Angina (`Angina`): .Chɛst pen we kin kam bikɔs blɔd nɔ kin rich na di at.
- Di at bit we nɔ de bit (`Aritmia`) .
- Hypertrophic Cardiomyopathy: Na wan sik we de kam bikɔs di at mɔsul tik.
Wetin kin bi di bad tin dɛn we dɛn tin ya kin du?
Lɛk ɛni mɛrɛsin, inotropes kin gɛt sayd ɛfɛkt. Dɛn tin ya kin difrɛn frɔm wan pɔsin to ɔda pɔsin ɛn i kin difrɛn frɔm di kayn mɛrɛsin we dɛn kin yuz.
| Sayd Efεkt dεm we Pozitiv Inotrop Dεn Gεt | Sayd Efεkt dεm we Nεgεtiv Inotrop dεm Gεt |
|---|---|
| Chenj dεm na di at ritm (`Arrhythmias`) . | Diziz we pɔsin kin gɛt |
| At bit kwik kwik wan (Tachycardia) . | Fɔ fil wik na di bɔdi |
| Lɔw ɔ ay blɔd prɛshɔn (Hypotension/Hypertension) . | Ed de at |
| Ed we de at ɛn nɔ de rɛst | Banbɛlɛ |
| di bכdi we de rεdכks to di at mכsul (`Myocardial ischemia`) . | Dray mɔt |
| (Impɔtant) Di risk fɔ day kin bɔku we yu yuz am fɔ lɔng tɛm. | Nɔs ɛn vɔmit |
I impɔtant fɔ mɛmba se pan ɔl we `Positive Inotropes` na drɔgs we de sev layf, dɛn gɛt risk we dɛn yuz dɛn fɔ lɔng tɛm. Na dat mek dɔktɔ dɛn kin yuz dɛnFɔ di shɔt tɛm we nid fɔ de, insay di doz we smɔl pas ɔl.
Ustɛm yu fɔ go to yu dɔktɔ bak?
Afta yu go na os afta yu dɔn gɛt `Positive Inotropes` na ɔspitul, tɛl yu dɔktɔ wantɛm if yu fɔs simptom dɛn kam bak ɔr wɔs. Dɔn bak, tɛl yu dɔktɔ if yu gɛt ɛni siriɔs sayd ɛfɛkt frɔm nyu mɛrɛsin we dɛn gi yu.
If yu na pɔsin we de yuz mɛrɛsin fɔ lɔng tɛm lɛk `Negative Inotropes`, no bɔt dɛn tin ya:
- If yu nɔ de gɛt bɛtɛ rilif frɔm di mɛrɛsin we dɛn gi yu ɔ yu de gɛt bad bad sayd ɛfɛkt , tɔk to yu dɔktɔ.
- Nɔ stɔp fɔ tek di mɛrɛsin we dɛn gi yu fɔ ɛni rizin. I impɔtant fɔ tek yu mɛrɛsin di rayt doz ɛn di rayt tɛm, ilɛksɛf yu fil fayn.
- Nɔ tek ɛni vaytamɛn, ɛbul mɛrɛsin, ɔ ɔda tin dɛn we yu de yuz if yu dɔktɔ nɔ advays yu. Dɛn kin intarakt wit di mɛrɛsin dɛm wae yu de tek naw. Ɔltɛm tɔk to yu dɔktɔ bɔt wetin yu dɔn disayd fɔ du.
Mɛsej we dɛn kin kɛr go na os
- `Inotropes` na dכg dεm we de chenj di fכs we di at de bit. `Positive Inotropes` de mek di bit strɔng, we `Negative Inotropes` de mek i kol.
- ``Positive Inotropes`` dεn kin yus am bכku tεm na כspitul intensiv kεriכn yunit dεm pan siriכs kes dεm lεk hat atak εn shכk.
- `Negative Inotropes` dεn kin gi dεm as pils fכ kכntrכl lכng tεm kכndyushכn lεk hεy blכd prεshכn εn chεst pen.
- Nɔ ɛva stɔp fɔ tek ɔ chenj di doz fɔ di mɛrɛsin dɛn we yu dɔktɔ gi yu fɔ yusɛf.
- If yu gɛt ɛnitin fɔ wɔri bɔt di mɛrɛsin dɛn we yu de tek ɔ di sayd ɛfɛkt dɛn we yu de gɛt, tɔk to yu dɔktɔ opin wan.
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