Vasopressors: Lan bɔt dɛn mɛrɛsin ya we de sev layf we yu gɛt imejensi

Imajin se sɔmbɔdi we de nia yu kin sik bad bad wan wantɛm wantɛm ɛn dɛn kin admit am na di Intensive Care Unit (ICU). Di dɔktɔ dɛn se, ‘Di blɔd prɛshɔn (BP) rili smɔl, ɛn dɛn nid fɔ bigin wan spɛshal mɛrɛsin fɔ mek i go ɔp.’ Yu go dɔn yɛri wɔd dɛn lɛk ‘pressors’ we dɛn de stat. Vasopressors na wan rili impɔtant klas fɔ drɔgs we dɛn kin yuz fɔ dis kayn fɛt we de sev pipul dɛn layf. I rili impɔtant fɔ no gud gud wan wetin na dɛn tin ya. So lɛ wi tɔk bɔt dis tide.

Fɔ tɔk am simpul wan, wetin na dɛn Vasopressors ya?

Vasopressors na pawaful mɛrɛsin dɛn we dɔktɔ dɛn kin yuz fɔ mek blɔd prɛshɔn we dɔn go dɔŋ tumɔs, go ɔp. Dɛn kin gi dɛn to pasɛnt dɛn we gɛt shɔk . Insay dis kayn we aw pɔsin kin shɔk, di blɔd prɛshɔn kin go dɔŋ so dat 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. Dis kin pwɛl dɛn ɔgan dɛn de ɛn ivin mek pɔsin in layf de pan denja.

Bɔku tɛm, we pɔsin in blɔd prɛshɔn go dɔŋ, di fɔs tin we i kin du na fɔ gi am salin (IV fluid). Bɔt if di blɔd prɛshɔn nɔ go ɔp to di lɛvɛl we dɛn want ivin afta dɛn dɔn gi am salin, dɔktɔ dɛn kin yuz dɛn vasopressors ya as di nɛks tin we dɛn fɔ du.

Aw dɛn kin gi dɛn mɛrɛsin ya to di bɔdi?

Bikɔs dɛn mɛrɛsin ya na rili strɔng drɔgs, dɛn nɔ kin gi dɛn tru wan kanula we dɛn put insay wan vein na di an. dεn de gi dεm tru wan ‘sεntral venכs kateta’ . dis na spεshal tiub we dεn kin put insay wan big, big bכdi we de na di nεk, chεst כ groin. Dis we ya, di mɛrɛsin kin go dairekt insay wan big vein we de nia di at, we kin mek i sef ɛn i kin wok kwik kwik wan.

Wetin kin apin insay di bɔdi wit vasopressors?

Dɛn mɛrɛsin ya gɛt tu men wok dɛn:

1. Kɔnstrikshɔn: Tink bɔt wata paip. If wi swɛt di paip smɔl, di spid ɛn prɛshɔn we di wata de gi go bɔku, nɔto so? Vasopressors de du di sem tin. Dɛn drɔgs ya kin mek di smɔl smɔl blɔd vesel dɛn na wi bɔdi kɔnstrikt (narrow) fɔ sɔm tɛm. Dis kin mek di blɔd prɛshɔn go ɔp.

2. Fɔ mek di at wok fayn: Sɔm kayn vasopressor de afɛkt di at mɔsul, we de ɛp di at fɔ pɔmp blɔd mɔ pawa.

Wit dɛn tu we ya, di lɔw blɔd prɛshɔn kin go ɔp ɛn blɔd kin bigin fɔ flɔ fayn fayn wan to impɔtant ɔgan dɛn bak.

Vasopressor Types ɛn Ɛgzampul dɛn we Dɛn kin Yuz

Dɛn kin yuz difrɛn kayn vasopressor dɛn na di say dɛn we dɛn kin kia fɔ pipul dɛn we sik bad bad wan. Di dɔktɔ kin pik di mɛrɛsin we fit pas ɔl bay di sik we di pɔsin gɛt.

Wi de yuz vasopressors bak we wi nɔ no?

Yɛs, te to sɔm mak. Nasal decongestants, we dɛn kin yuz fɔ mek yu nos nɔ rɔtin we yu gɛt kol, gɛt bak wan mɛrɛsin we de mek di blɔd vesel dɛn nɔ bɔku. Dis kin mek di blɔd vesel dɛn we de insay di nos nɔ gɛt bɛtɛ swɛlin ɛn i kin mek i izi fɔ blo. Dɔn bak, EpiPen® gɛt wan pawaful vasopressor we dɛn kɔl epinephrine, we na tin we pipul dɛn we gɛt siriɔs alɛji fɔ gɛt.

Insay us mɛrɛsin dɛn nid dɛn mɛrɛsin ya?

Vasopressors na layf sɔpɔt tritmɛnt. Dɛn kin nid dɛn pan tin dɛn we rili siriɔs ɛn we kin mek pɔsin in layf de pan denja.

• Shok: Shok we pɔsin kin gɛt we i gɛt siriɔs infɛkshɔn (sɛptik shɔk), at we nɔ de wok fayn (kardiojɛnik shɔk), ɔ we i de blɔd pasmak.
• Sɛpsis: .We di wan ol bɔdi nɔ kin ebul fɔ kɔntrol infɛkshɔn we dɔn go insay di bɔdi, i kin du tin we nɔmal, ɛn dis kin mek di blɔd prɛshɔn go dɔŋ.
• At Atak ɛn At Fayla: We di at nɔ ebul fɔ pɔmp blɔd fayn fayn wan.
• We dɛn de du ɔpreshɔn: Ɛspɛshali we di blɔd prɛshɔn de dɔŋ bikɔs ɔf di spɛshal anɛstɛsia.
• Sivɛri drɔg riakshɔn ɔ snek bit.
• We dɛn de du imejensi kadyopulmonari risasayshɔn (CPR).

Yu tink se vasopressors gɛt sayd ɛfɛkt?

Yɛs. Dɛn mɛrɛsin ya na rili strɔng mɛrɛsin ɛn risk de fɔ gɛt sayd ɛfɛkt. Na dat mek dɛn kin jɔs gi dɛn na say we dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU), we dɔktɔ ɛn nɔs dɛn de wach dɛn ɔltɛm. Dɛn kin wach ɔltin frɔm di pɔsin in at rit, in blɔd prɛshɔn, ɛn ɔksijɛn lɛvɛl ɔltɛm tru monita dɛn.

Sɔm pan di bad tin dɛn we kin apin:

• Fɔ wɔri ɛn ed we de at.
• Chɛst de pen.
• di at rεt abnכmaliti - di spid we de go כp (Tachycardia) כ di spid we de dכn (Bradycardia).
• Di blɔd prɛshɔn we de go ɔp pasmak.
• di bכdi we de fכ di finga dεm dכn dכn biכs di bכdi bכdi de kכntrikt pasmak.
• Risk fɔ mek blɔd klɔt (thromboembolism).

Di mɛdikal tim de wach di pɔsin ɔltɛm fɔ mek dɛn nɔ gɛt dɛn sayd ɛfɛkt ya. Dɛn kin ajɔst di doz fɔ di mɛrɛsin ɔltɛm as dɛn nid am.

Di tɛm fɔ mek pɔsin wɛl

Vasopressors na wan rili siriɔs mɛrɛsin we yu nid fɔ de pan dɛn. Di tɛm fɔ wɛl go dipen pan di ɔndalayn kɔndishɔn we mek dɛn gi yu dɛn mɛrɛsin ya. Yu kin nid fɔ de na ɔspitul fɔ sɔm wik ɔ mɔnt. Ivin afta yu rich na os, yu nid fɔ gi yusɛf tɛm fɔ go bak to yu nɔmal rutin.

We yu dɔn go bak na os, i rili impɔtant fɔ tek ɔl di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ tek di rayt tɛm, di rayt doz, ɛn fɔ atɛnd yu klinik apɔntinmɛnt dɛn di rayt tɛm. If yu gɛt ɛni sayn lɛk fɔ fil fayn, yu chɛst de pen, ɔ yu nɔ de blo fayn, kɔl yu dɔktɔ wantɛm wantɛm ɔ go to di Imejɛnsi Dipatmɛnt (ETU) na di ɔspitul we de nia yu.