Damdawi in intensive care unit (ICU)-ah mi i tlawh tawh em? Chutianga i tih chuan damlo khum vel chu machine a awm tih i hre tawh ngei ang a, bottle hrang hrang atangin saline leh damdawi te chu thisen zam chhungah an lut a ni. Hetianga damdawi pek \henkhat chu ‘Inotropes’ an ti a. Tin, i chhungte zingah hian mi pakhatin thisen sang damdawi, he pawl vek Inotropes-a tel ve hi a ei ve mai thei bawk. Okay, heng Inotrope te hi eng nge an nih awlsam takin han en ila.
A awlsam zawngin, Inotropes hi eng nge ni?
A awlsam zawngin sawi ila, inotropes hi damdawi chi khat a ni a, kan thinlung ruh te chu "tlem na zawka beat" emaw "beat tlem leh slow zawk" emaw a ni. Kan thinlung thawk chakna, a nih loh leh a inzawm khawmna chakna chu an thlak danglam a ni.
Inotrope chi hnih a awm a.
1. Positive Inotropes: Hengte hian thinlung chu thisen pump turin "harsa zawk, chak zawk" turin an hrilh a.
2. Negative Inotropes: Hengte hian thinlung chu "tlem hahdam la, hahdam rawh" tiin thisen pump turin a hrilh a.
Tunah hian heng chi hnih hi chipchiar deuhin han thlir ila.
Inotrope chi hnih lian ber
Positive Inotropes: Thinlung ‘thaw’ thei damdawi
I in chhunga tui pump chu a chak lo va, chunglam tank chhunga tui chu a luang zawi hle niin han ngaihtuah teh. Chutiang bawkin, a chang chuan kan thinlung a chak loh chuan taksa pum puiah thisen mamawh zat a pump thei lo. Hei hi Heart Failure ang chi condition kan ti a.
Chutih lai chuan Positive Inotropes te chuan an rawn chhanchhuak ta a ni. Heng damdawi te hian thinlung ruh chak lo zawk chu chakna dang a pe a, a dik zawk chuan , thinlungin thisen a pump chhuah zat chu a beat apiangin (cardiac output) a tipung a ni. Hei hian kan taksa peng pawimawh ber ber, thluak leh kal (kidney) te hian an mamawh oxygen leh nutrients an dawng thei a ni.
Heng damdawi chi hrang hrang, Positive Inotropes tia koh hi a tlangpuiin emergency leh critical illness situation-ah te, damdawi in intensive care unit (ICU)-ah te hman a ni.
Negative Inotropes: Thinlung ‘thlamuangtu’ damdawi
Tunah chuan car i khalh a, mahse full speed-in, maximum speed-in i kal fo ang tih han ngaihtuah teh. Chutiang thil a lo thlen chuan eng nge thleng? Engine a lum a, chetsualna chance a sang a, car tan pawh a tha lo a ni lawm ni?
Kan thinlung hian a chang chuan a thawkrim lutuk thin. Hei hi thisen sang, angina, leh thinlung thawk mumal lo (arrhythmia) ang chi dinhmunah pawh a thleng thin.
Negative inotropes hian thinlung hnathawh tam lutuk rate a control a, chawlh tlem a pe bawk.Heng damdawi te hian heart muscle chu "tlem deuhin, chakna tlem zawkin" contract turin an hrilh a. Hei hian thisen sang control a pui a, thinlunga a tul lo taka tihbuai a tihziaawm bawk.
Inotrope damdawi chi hrang hrang leh a hman dan
Tunah chuan heng damdawi chi hnih chungchangah hian rough idea i nei tawh a, eng damdawi dang nge heng group pahniha tel leh eng condition atana hman nge tih hi han en ila.
| Inotrope chi khat a ni | Damdawi hman tlanglawn tak tak (entirnan) . | Conditions enkawl mekte |
|---|---|---|
| Inotrope tha tak tak te (Thinlung thiltih a tichak) . |
|
|
| Inotrope tha lo tak tak te (Thinlung thiltih ti thlamuangtu) |
|
|
Heng damdawi te hian eng side effect nge a neih?
Damdawi dang ang bawkin inotropes hian side effect engemaw zat a thlen thei a ni. Hengte hi mi zawng zawngah a thleng lo va, damdawi chi leh a dose a zirin a danglam thei bawk. He damdawi hi pek i nih chuan i doctor chuan i dinhmun a enfiah reng ang.
| Inotrope chi khat a ni | Side effect awm thei te |
|---|---|
| Inotrope tha tak tak te |
|
| Inotrope tha lo tak tak te |
A pawimawh ber chu damdawi eng pawh i ei tan hnua natna danglam tak i neih chuan i doctor hriattir nghal tur a ni.
Engtikah nge Doctor ka hmuh leh ang?
Positive inotrope hmanga enkawl i nih hnuah leh damdawi in atanga i haw hnuah i natna hlui (entir nan, thawk hah, rilru na) i neih leh chuan emaw, a na zual emaw chuan damdawi lam thurawn zawng nghal rawh.
Negative Inotropes ang damdawi hi hun rei tak chhung i ei a nih chuan thisen sang tan ang chi hi hengte hi hre reng ang che:
- Damdawi ei kha bansan suh: Tuna i rilru a hahdam viau a nih pawhin doctor thurawn tel lo chuan i damdawi ei kha bansan suh.
- Side effects chungchang sawi rawh: Damdawi avanga side effects nuam lo tak tak i neih chuan doctor hnenah hrilh rawh. Damdawi dang hmangin an thlak thei che a ni.
- Follow-up te chu lo thlir ve suh: I doctor-in lo kal leh tura a tih date-ah chuan kal ngei ngei tur a ni.
- Damdawi dang lakah fimkhur rawh:Doctor hnenah zawh hmasa lovin natna tidamtu, vitamin leh herbal remedies engmah ei suh. Damdawi i ei tawhte nen an inzawm thei a ni.
Inotropes hi damdawi class chak tak a ni a, thinlung hriselna atana pawimawh tak a ni a, a chang chuan nunna leh thihna inthlauhna a siam thei bawk. Damdawi lam enkawlna hnuaiah, a zat tur ruat saah leh hun bituk chhung atan ei fo tur a ni.
Take-Home Thuchah a ni
- Inotropes hi damdawi chi khat a ni a, heart muscle contraction chakna a tichhe thei a ni.
- Positive Inotropes hian thinlung thawk a "ti chak" a, emergency situation, heart attack leh shock-ah te hman a ni.
- Negative Inotropes hian heart rate a "calm" a, hun rei tak chhunga natna awm thei, thisen sang ang chi control nan an hmang thin.
- Hengte hi damdawi chak tak tak an ni a, doctor rawtna ang chauha hman tur a ni.
- Dose hi thlak ngai suh la, damdawi an pek che chu doctor thurawn tel lovin ei kha titawp ngai suh.
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