Yu go dɔn yɛri dɔktɔ tɛl yu we pɔsin na yu famili de na di intensiv kia yunit (ICU), "Di blɔd prɛshɔn rili smɔl, so wi bigin wan spɛshal mɛrɛsin fɔ sev dɛn layf." Ɔ yu go dɔn si am na fim, usay dɛn kin kɔnɛkt pɔsin we gɛt imejensi to bɔku mashin dɛn, ɛn dɛn kin put mɛrɛsin insay in bɔdi tru wan smɔl sirinj frɔm wan mashin. Norepinephrine na wan mɛrɛsin we rili impɔtant ɛn pawaful we dɛn kin gi dɛn kayn tɛm ya. Bɔku tɛm, dɛn kin yuz am fɔ fɛt bitwin layf ɛn day. So lɛ wi tɔk bɔt am jɔs tide.
Wetin rili na norepinephrine?
Fɔ tɔk am simpul wan, Norepinephrine na wan sɛntetik kemikal we rili fiba di ɔmon Adrenaline, we dɛn kin mek na wi bɔdi bay wilful. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl am vasoconstrictor .
Imajin wan wata paip. We yu swɛt di paip smɔl, di wata kin kɔmɔt wit mɔ prɛshɔn, nɔto so? Na di sem we, wetin dis Norepinephrine drɔg de du na dat i de mek di dilik blɔd vesel dɛn ɔlsay na wi bɔdi kɔntrakt (tayt). Dɔn di prɛshɔn we di blɔd we de flɔ insay dɛn vesel dɛn de, dat na, blɔd prɛshɔn kin go ɔp wantɛm wantɛm.
Dis nɔto mɛrɛsin fɔ wan sik we pipul dɛn kin gɛt. Dis na mɛrɛsin we rili pawaful. Na dat mek dɛn kin yuz am nɔmɔ na ɔspitul, mɔ na intensiv kia yunit (ICU) ɔ imejensi tritmɛnt yunit (ETU), ɔnda di ful sɔpɔtishɔn fɔ dɔktɔ ɛn nɔs wokman dɛn.
Uskayn kes dɛm dɛn nid dis mɛrɛsin?
Bɔku tɛm, we pɔsin in blɔd prɛshɔn go dɔŋ, di fɔs tin we wi kin du na fɔ gi am salin. Bɔt sɔm tɛm, ivin wit salin, di prɛshɔn nɔ kin kam bak to di lɛvɛl we yu want. Na da tɛm de blɔd prɛshɔn kin go dɔŋ to wan lɛvul we kin mek pɔsin in layf de pan denja. Dɛn kin yuz norepinephrine fɔ ɛp.
Fɔ ɛgzampul:
- Sivεr Infεkshכn (Sepsis): Insay sεptik shכk, wan siriכs infεkshכn kin kam insay di bכdi εn mek di blɔd prεshכn dכn wan wan.
- At Atak: We di at nɔ ebul fɔ pɔmp blɔd fayn afta we i gɛt siriɔs at atak.
- Big Trauma: We blɔd de kɔmɔt pasmak afta big aksidɛnt.
- Big Ɔpreshɔn: Ɛspɛshali afta dɛn dɔn du big ɔpreshɔn pan yu at.
- Sivεr Alɛji Riakshɔn (Anaphylactic Shock): Na sɔm pipul dεm, blɔd prεshכn kin dכn bכku wan wae dεn gεt siriɔs alɛji riakshɔn to sɔmtin.
Insay dis kayn tin, if di pat dɛn we impɔtant pas ɔl na di bɔdi lɛk di bren, di at, ɛn di kidni dɛn , nɔ gɛt di blɔd we dɛn nid, dɛn pat dɛn de kin pwɛl ɛn di pɔsin we sik kin day. Dɛn kin yuz norepinephrine fɔ mek di prɛshɔn go ɔp ɛn sɛn blɔd to dɛn ɔgan dɛn de.
Aw dɛn kin gi dis mɛrɛsin? Ɛn wetin fɔ tɛl di dɔktɔ
Dɛn kin gi dis mɛrɛsin tru wan kanula we dɛn kin put insay wan vein. Bɔt bikɔs dɛn nid fɔ kɛr am go na di bɔdi di rayt we, dɛn kin yuz wan spɛshal tin we dɛn kɔl infushɔn pɔmp fɔ dis. Dɛn kin kɔntinyu fɔ wach di pɔsin in blɔd prɛshɔn wit wan monita, ɛn di dɔktɔ kin chenj di rit we dɛn de gi di mɛrɛsin ɔltɛm bay dɛn valyu dɛn de.
Bifo yu bigin dis tritmɛnt, i rili impɔtant fɔ tɛl yu dɔktɔ bɔt yu (ɔ di pɔsin in) kɔmplit wɛlbɔdi istri. Ɛspɛshali dɛn tin ya:
- Yu dɔn ɛva gɛt alɛji to norepinephrine ɔ kemikal dɛn we dɛn kɔl salfayt ?
- Yu gɛt histri bɔt aw yu at kin bit ɔltɛm?
- Yu gɛt prɔblɛm wit blɔd we de klɔt?
- Yu gɛt prɔblɛm wit di blɔd we de kɔmɔt na yu finga?
- Yu gɛt bɛlɛ, yu op fɔ gɛt bɛlɛ, ɔ yu na mama we de gi pikin in bɛlɛ?
- Sɔm tin de we kin mek pɔsin nɔ gɛt wata na di bɔdi?
Di tritmɛnt kin chenj bay dis infɔmeshɔn.
Wetin na di sayd ɛfɛkt dɛn we di mɛrɛsin kin gɛt?
Bikɔs dis na mɛrɛsin we rili pawaful, sɔm sayd ɛfɛkt dɛn kin apin. Na dat mek di wan dɛn we de wok na di ɔspitul kin de wach dis ɔltɛm. Dɛn kin tek akshɔn jɔs afta dɛn si prɔblɛm.
| Sayd ɛfɛkt we pɔsin kin gɛt | Diskripshɔn ɛn wetin fɔ du |
|---|---|
| Siriɔs sayd ɛfɛkt dɛm we dɛn fɔ ripɔt wantɛm wantɛm | Dɛn tin ya nɔ kin bɔku, bɔt tɛl yu dɔktɔ ɔ nɔs wantɛm wantɛm if yu notis:
|
| Sayd ɛfɛkt dɛn we nɔ kin rili siriɔs | Dɛn tin ya kin go fɔ dɛnsɛf, bɔt if dɛn kɔntinyu fɔ de, tɛl yu dɔktɔ: |
Yu fɔ fred fɔ tek ɔvados?
Nɔ, dis na bikɔs dis mɛrɛsin nɔto sɔntin we yu kin kɛr go na os. Dɛn kin gi am na ɔspitul, ɔnda di ful sɔpɔtishɔn fɔ dɔktɔ dɛn, ɛn insay wan we we dɛn kin rili kɔntrol, so di chans fɔ mek pɔsin tek am pasmak nɔ kin bɔku . If dis kayn tin apin, di wan dɛn we de wok na di ɔspitul kin rɛdi fɔ gi ɔl di tritmɛnt dɛn we dɛn nid. If yu gɛt ɛni dawt, yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ no mɔ.
Posisibul intarakshɔn wit ɔda mɛrɛsin dɛm
I rili impɔtant bak fɔ tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu de tek, bikɔs sɔm mɛrɛsin kin mek yu gɛt prɔblɛm we yu put am wit norepinephrine.
- Ergot alkaloids: Sɔm mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn tin dɛn lɛk maygren.
- Antidipreshan: Ɛspɛshali drɔgs lɛk amitriptyline ɛn drɔgs na di klas ɔf drɔgs we dɛn kɔl MAOIs (Monoamine Oxidase Inhibitors).
- Jɛnɛral anestetik: Sɔm mɛrɛsin dɛn we dɛn kin gi fɔ mek pɔsin slip we dɛn de du ɔpreshɔn.
- Dayabitis mɛrɛsin: Bikɔs norepinephrine kin chenj di blɔd shuga, dɛn kin nid fɔ ajɔst di doz fɔ di dayabitis mɛrɛsin.
Tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɛbul prɔdak dɛm, ɛn if yu de smok ɔ drink rɔm, bikɔs dɛn tin ya kin afɛkt yu tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Norepinephrine na wan mɛrɛsin we rili pawaful we dɛn kin yuz fɔ mek blɔd prɛshɔn go ɔp we dɔn kam dɔŋ we kin mek pɔsin in layf pan denja we i gɛt ɛnitin fɔ du wit am.
- Dɛn kin jɔs gi dis na ɔspitul, mɔ na di Intensive Care Unit (ICU) , ɔnda di ful sɔpɔtishɔn fɔ dɔktɔ ɛn nɔs dɛn.
- Dis kin mek di blɔd vesel dɛn kɔnstrikt, ɛn dis kin mek shɔ se di blɔd go na di impɔtant pat dɛn.
- Mek shɔ se yu tɛl di dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu ɔ yu pɔsin de tek ɛn ɔl di sik dɛn we dɔn de.
- Sayd ɛfɛkt dɛn kin apin, bɔt yu nɔ nid fɔ wɔri we yu nɔ nid bikɔs di wan dɛn we de wok na di ɔspitul de wach dɛn ɔltɛm.
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