Wali okyaliddeko omuntu mu kifo ekijjanjabirwamu abalwadde abayi (ICU) mu ddwaaliro? Bw’okola bw’otyo, oteekwa okuba nga weetegereza nti waliwo ebyuma okwetooloola ekitanda ky’omulwadde, era omunnyo n’eddagala biweebwa mu misuwa okuva mu bucupa obw’enjawulo. Ezimu ku ddagala eriweebwa mu ngeri eno liyitibwa ‘Inotropes’. Ate era, mpozzi omuntu mu maka go amira eddagala eriwonya puleesa eri mu kibinja kino kye kimu ekiyitibwa Inotropes. Okay, ka tulabe Inotropes zino kye ziri simply.
Mu ngeri ennyangu, Inotropes kye ki?
Mu ngeri ennyangu, inotropes kika kya ddagala erigamba ebinywa by'omutima gwaffe "okukuba katono" oba "okukuba katono okugonvuwa era mpola." Zikyusa amaanyi omutima gwaffe ge gukuba oba gwe gukonziba.
Waliwo ebika bibiri ebikulu ebya inotropes.
1. Positive Inotropes: Zino zigamba omutima okupampagira omusaayi "mu maanyi, mu maanyi."
2. Negative Inotropes: Zino zigamba omutima "wummuleko katono, kitwale" n'okupampa omusaayi.
Kati katutunuulire ebika bino ebibiri mu bujjuvu katono.
Ebika ebikulu ebibiri ebya inotropes
Positive Inotropes: Eddagala ‘erissa’ omutima
Teebereza ppampu y’amazzi mu nnyumba yo nnafu, ate ng’amazzi agali mu ttanka waggulu gakulukuta mpola nnyo. Mu ngeri y’emu, oluusi omutima gwaffe bwe gunafuwa, guba tegusobola kutambuza musaayi gwetaagibwa mu mubiri gwonna. Kino tukiyita embeera nga Heart Failure.
Wano Positive Inotropes we zijja okutaasa. Eddagala lino liwa amaanyi ag’enjawulo eri ebinywa by’omutima ebinafuye, oba okusingawo , lyongera ku bungi bw’omusaayi omutima gwe gukuba buli lwe gukuba (omutima ogufuluma). Kino kikakasa nti ebitundu ebisinga obukulu mu mubiri gwaffe, gamba ng’obwongo n’ensigo, bifuna omukka gwa oxygen n’ebiriisa bye byetaaga.
Ebika by’eddagala lino eriyitibwa Positive Inotropes, okutwalira awamu likozesebwa mu mbeera ez’amangu n’obulwadde obw’amaanyi, mu bifo eby’abalwadde abayi (ICUs) eby’amalwaliro.
Negative Inotropes: Eddagala ‘ekkakkanya’ omutima
Kati teebereza ng’ovuga mmotoka, naye bulijjo ogenda ku sipiidi enzijuvu, ku sipiidi esingako. Kiki ekibaawo ng’ekyo kituuse? Yingini ebuguma, emikisa gy’obubenje gyeyongera, era si kirungi eri mmotoka, nedda?
Emitima gyaffe oluusi gikola nnyo. Kino kye kibaawo mu mbeera nga puleesa, angina, n’okukuba kw’omutima okutali kwa bulijjo (arrhythmia).
Negative inotropes zifuga omutindo gw’omutima ogusukkiridde okukola ne guwummuzaako katono.Eddagala lino ligamba ekinywa ky'omutima okukonziba "mu ngeri ennyangu katono, n'amaanyi matono." Kino kiyamba okufuga puleesa n’okukendeeza ku buzibu obuteetaagisa ku mutima.
Ebika ebikulu eby’eddagala lya inotrope n’enkozesa yaalyo
Kati nga bw’olina endowooza enkakali ku bika by’eddagala bino ebibiri, ka tulabe eddagala eddala eriri mu bibinja bino ebibiri n’embeera ki gye likozesebwa.
| Ekika kya inotrope | Eddagala eritera okukozesebwa (ebyokulabirako) . | Embeera ezijjanjabwa |
|---|---|---|
| Inotropes Ennungi (Positive Inotropes) eziyitibwa Inotropes (Positive Inotropes). (Anyweza ekikolwa ky’omutima) |
|
|
| Inotropes ezitali za maanyi (Negative Inotropes). (Okukkakkanya ekikolwa ky'omutima) |
|
|
Biki ebiva mu ddagala lino?
Okufaananako n’eddagala lyonna, inotropes zisobola okuleeta ebizibu ebimu. Bino tebituuka ku buli muntu, era bisobola okwawukana okusinziira ku kika ky’eddagala ne ddoozi. Bw’oweebwa eddagala lino, omusawo ajja kuba alondoola embeera yo buli kiseera.
| Ekika kya inotrope | Ebiyinza okuvaamu ebizibu |
|---|---|
| Inotropes Ennungi (Positive Inotropes) eziyitibwa Inotropes (Positive Inotropes). |
|
| Inotropes ezitali za maanyi (Negative Inotropes). |
Ekisinga obukulu kwe kutegeeza omusawo mu bwangu singa ofuna obubonero bwonna obutali bwa bulijjo ng’omaze okutandika eddagala lyonna.
Ddi lwe nnina okuddamu okulaba omusawo?
Oluvannyuma lw’okujjanjabwa n’ebirungo ebiyitibwa ‘positive inotropes’ n’okudda eka okuva mu ddwaaliro, bw’oddamu okufuna obubonero bwo obw’edda (okugeza, okussa obubi, okulumwa mu kifuba) oba bwe bugenda bweyongera, funa amagezi mu bwangu omusawo.
Bw’oba omira eddagala nga Negative Inotropes okumala ebbanga eddene, gamba nga puleesa, ebintu bino bikuume mu birowoozo:
- Tolekera awo kumira ddagala lyo: Ne bw’oba owulira bulungi kati, tolekera awo kumira ddagala lyo nga tolina magezi ga musawo.
- Yogera ku bizibu ebiyinza okuva mu ddagala: Bw’oba olina ebizibu ebitanyuma olw’eddagala, tegeeza omusawo wo. Bayinza okukukyusa n’odda ku ddagala ery’enjawulo.
- Tosubwa okugoberera: Kakasa nti ogenda ku nnaku omusawo z’akugamba okudda.
- Weegendereze eddagala eddala:Tomira ddagala lyonna eriweweeza ku bulumi, vitamiini oba eddagala ly’ebimera nga tosoose kwebuuza ku musawo. Ziyinza okukwatagana n’eddagala ly’omira edda.
Inotropes ddagala lya maanyi nnyo erikulu ennyo eri obulamu bw’omutima era oluusi liyinza okuleeta enjawulo wakati w’obulamu n’okufa. Bulijjo zirina okumira nga zilabirirwa omusawo, mu ddoozi eragiddwa, era okumala ekiseera ekiragiddwa.
Obubaka Obutwala Awaka
- Inotropes kika kya ddagala erikosa amaanyi g’okukonziba kw’ebinywa by’omutima.
- Positive Inotropes "zinyweza" okukuba kw'omutima, era zikozesebwa mu mbeera ez'amangu ng'okulwala omutima n'okusannyalala.
- Negative Inotropes "zikkakkanya" omutima okukuba, era zikozesebwa okufuga embeera eziwangaala nga puleesa.
- Lino ddagala lya maanyi nnyo era lirina kukozesebwa ng’omusawo amulagidde.
- Tokyusa mu ddoozi oba okulekera awo okumira eddagala lyonna lye bakulagidde nga tolina magezi ga musawo.

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