Wetin fɔ du if di prɛshɔn go dɔŋ tumɔs? Lɛ wi lan bɔt mɛrɛsin dɛn we de sev layf (Vasopressors) .

Wi ɔl dɔn yɛri bɔt ay blɔd prɛshɔn. Bɔt yu no se we pɔsin in blɔd prɛshɔn smɔl, i kin rili denja, ɛn sɔntɛm i kin denja pas dat? Yu go dɔn yɛri bɔt pɔsin we sik bad bad wan wantɛm wantɛm ɛn dɛn admit am na di Intensive Care Unit (ICU). Dɛn kayn tɛm dɛn de, da pɔsin de in blɔd prɛshɔn go dɔn go dɔŋ bad bad wan. We dis kin apin, di impɔtant pat dɛn na di bɔdi lɛk di bren, di at, ɛn di kidni dɛn nɔ kin gɛt di blɔd we gɛt bɔku ɔksijɛn we dɛn nid. Tide, wi go tɔk bɔt wan spɛshal, rili pawaful kayn mɛrɛsin we dɔktɔ dɛn kin yuz fɔ sev layf pan dɛn kayn imejensi ya we kin mek pɔsin in layf de pan denja. Dis na wetin dɛn kɔl Vasopressors insay mɛrɛsin.

Wetin na vasopressors jɔs?

Fɔ tɔk am simpul wan, vasopressor na wan kayn mɛrɛsin we dɔktɔ dɛn kin yuz fɔ ɛp pipul dɛn we gɛt rili lɔw blɔd prɛshɔn fɔ mek i kam bak to nɔmal. Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di blɔd vesel dɛn na wi bɔdi kɔnstrikt, ɔ smɔl.

Tink bɔt am dis we. Di blɔd we de go ɔlsay na wi bɔdi tan lɛk wan sistem we gɛt wata paip dɛn. If dɛn paip dɛn ya (blɔd vesel dɛn) big ɔ lɔs wantɛm wantɛm, di prɛshɔn we di wata (blɔd) we de flɔ tru dɛn kin gɛt kin go dɔŋ. Dis na wetin wi de kɔl stet fɔ shɔk. Sɔntɛnde lɛk dis, blɔd kin stɔp fɔ flɔ to di impɔtant pat dɛn na di bɔdi. If ɔksijɛn nɔ de, dɛn ɔgan dɛn de kin stɔp fɔ wok, ɛn da pɔsin de in layf kin ivin de pan denja.

כltu, we di prεshכn dכn lεk dis, di fכs tin fכ du na fכ gi salin (IV fluids). Bɔt if di prɛshɔn nɔ kam bak to nɔmal ivin wit salin, den di nɛks tin we dɔktɔ dɛn kin du na fɔ yuz wan kayn mɛrɛsin we dɛn kɔl vasopressor. Dis na mɛrɛsin dɛn we dɛn kin injɛkt dairekt insay wan vein. כltu dεn kin gi dεm tru wan spεshal tכb we dεn kin put insay wan big vein na di nεk כ chεst, we dεn kכl sεntri venus kateta. Dɔn di mɛrɛsin kin go na di at kwik kwik wan ɛn i kin skata ɔlsay na di bɔdi.

Aw dis mɛrɛsin de wok na di bɔdi?

Vasopressor mεdikeshכn dεm de du tu men tin dεm we dεn go insay di bכdi.

1. Kɔnstrikt blɔd vesel: Dis na di men tin. I de mek di blɔd vesel dɛn we de ɔlsay na di bɔdi smɔl. Jɔs lɛk aw fɔ swɛt wata paip kin mek di wata flɔ fast, we di blɔd vesel dɛn smɔl, di prɛshɔn we di blɔd we de insay dɛn kin gɛt kin go ɔp.

. dis min se dεn de inkrεs di at in pכmp abiliti fכ sכm tεm.

Dɛn tu we ya kin mek di blɔd prɛshɔn kam bak kwik kwik wan ɛn mek di blɔd go bak to impɔtant pat dɛn lɛk di bren, at, ɛn kidni .

Wetin na di kayn vasopressors we dɛn kin yuz mɔ?

Dɛn kin yuz vasopressor na intensiv kia yunit (ICU) fɔ trit lɔw blɔd prɛshɔn bikɔs ɔf difrɛn tin dɛn. Di dɔktɔ kin pik di mɛrɛsin we fit pas ɔl bay di sik we di pɔsin gɛt.

Wi kin yuz dis kayn mɛrɛsin na ɛvride layf?

Yɛs. Wi kin yuz sɔm mɛrɛsin ɛvride we kin wok di sem we lɛk dis mɛrɛsin, pan ɔl we dɛn nɔ gɛt pawa lɛk dis wan.

• Nasal Decongestants: We yu gɛt kol, yu nos kin stɔp. sכm nos dכp כ lozεnj dεm we wi de yuz gεt tin dεm lεk `(Ephedrine)` εn `(Pseudoephedrine).` dεn ya de wok bay we dεn de kכnstrikt di bכdi vεsul dεm insay di nos, rεdכks di swel, εn mek i izi fכ brith.
• EpiPen®: Di EpiPen®, we dɛn kin yuz if pɔsin gɛt siriɔs alɛji, lɛk anafylaksis we bi ɔ wasp sting, ɔ it sɔm it dɛn, gɛt di sem mɛrɛsin we dɛn kɔl Epinephrine.
• Sɔm kol mɛrɛsin: Sɔm kol mɛrɛsin paket kin gɛt `(Phenylephrine)`. Dat tu de pan dis vasopressor kategori.

Vasopressors ɛn Inotropes na di sem tin?

Yɛs, dɛn tin ya na tu kayn mɛrɛsin. Bɔt bɔku tɛm, dɔktɔ dɛn kin yuz dɛn tu kayn dɛn ya togɛda. Lɛ wi ɔndastand di difrɛns simpul wan.

• Vasopressors: Dɛn mɛrɛsin ya kin wok bay we dɛn kin mek di blɔd vesel dɛn kɔnstrikt ɛn mek di blɔd prɛshɔn go ɔp.
• Inotropes: Dɛn mɛrɛsin ya de mek di wata motoka (at) gɛt mɔ pawa , we de mek i pɔmp mɔ wata wan tɛm.

So, if pɔsin in blɔd prɛshɔn smɔl ɛn in at wik, dɔktɔ dɛn kin gi dɛn tu mɛrɛsin ya togɛda, dɛn kin mek di prɛshɔn go ɔp bay we dɛn kin kɔnstrikt di tiub na wan say, ɛn mek di motoka we de na di ɔda say gɛt mɔ pawa fɔ pɔmp blɔd to di bɔdi fayn fayn wan.

Insay us sityueshɔn dɛn dɛn nid vasopressors?

Vasopressors na wan kayn mɛrɛsin we de sev layf we dɛn kin gi pɔsin we de bitwin layf ɛn day. Dɛn tin ya nɔto mɛrɛsin we dɛn kin gi fɔ wan sik we pipul dɛn kin gɛt. Na sɔm pan di men tin dɛn we dɛn nid fɔ du.

Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?

Yɛs. Vasopressors na mɛrɛsin dɛn we rili pawaful . So, dɛn kin mek pɔsin gɛt sayd ɛfɛkt. Fɔ dis rizin, dɛn kin gi dɛn mɛrɛsin ya na wan say usay dɛn de kia fɔ di sikman dɛn (ICU), ɛn dɛn kin de wach di pɔsin in kɔndishɔn ɔltɛm . Dɔktɔ ɛn nɔs dɛn kin wach di pɔsin in at rit, blɔd prɛshɔn, ɛn ɔksijɛn ɔltɛm.

Sɔm sayd ɛfɛkt dɛn we pɔsin kin gɛt na:

• Fɔ wɔri ɛn nɔ gɛt rɛst
• Ed de at
• Chɛst de pen
• I nɔ kin izi fɔ yu fɔ blo
• At rit we nɔ de slow (Bradycardia) .
• di at rit we de go ɔp we nɔrmal (Tachycardia) .
• At we nɔ de bit ɔltɛm (Aritmia) .
• Blɔd prɛshɔn we pas aw i nid. (Dis kin ivin mek yu gɛt siriɔs sik lɛk fɔ blɔd na yu bren)
• If di blɔd vesel dɛn kɔnstrikt pasmak, dat kin mek di blɔd nɔ de go na di finga ɛn fut finga dɛn, ɛn dis kin mek dɛn say dɛn de tɔn blak.

Pan ɔl we dɛn sayd ɛfɛkt ya kin denja, i impɔtant fɔ mɛmba se dɛn kin gi dɛn mɛrɛsin ya pan tin dɛn we denja pasmak ɛn we kin mek pɔsin in layf de pan denja. Dɔktɔ dɛn kin tray ɔltɛm fɔ wej di gud ɛn bad tin dɛn ɛn du wetin bɛtɛ fɔ di pɔsin.

Aw lɔng i kin tek fɔ mek i wɛl?

I at fɔ gi wan ansa to dis kwɛstyɔn, bikɔs di tɛm we i tek fɔ mek yu wɛl nɔto bay di vasopressor mɛrɛsin we dɛn bin gi yu, bɔt na di ɔndalayn mɛdikal kɔndishɔn we mek dɛn gi yu di mɛrɛsin .

Fɔ ɛgzampul, pɔsin we go gɛt sɛptik shɔk bikɔs i gɛt siriɔs infekshɔn kin nid fɔ de na ɔspitul fɔ sɔm wiks, ivin sɔm mɔnt fɔ mek i wɛl. Bɔt pɔsin we dɛn gi dis mɛrɛsin fɔ shɔt tɛm we dɛn de du di ɔpreshɔn fɔ ridyus di prɛshɔn we dɛn kin gɛt we dɛn de anestez kin mek i wɛl kwik kwik wan.

Afta yu dɔn kam bak na os frɔm ɔspitul, nɔ rɔsh bak to yu nɔmal rutin. Tek di mɛrɛsin we yu dɔktɔ dɔn tɛl yu fɔ tek di mɛrɛsin di rayt tɛm. Dɔn bak, mek shɔ se yu kip di apɔntinmɛnt dɛn we yu dɔn mek fɔ fala yu. If yu nɔ fil fayn bak, fɔ ɛgzampul, if yu gɛt prɔblɛm fɔ blo, yu chɛst de pen, ɔ yu nɔ de fil fayn, kɔl yu dɔktɔ wantɛm wantɛm ɔ go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU).