Damdawi in intensive care unit (ICU)-ah mi i tlawh tawh em? Chutianga i tih chuan damlo ṭhenkhat chu saline tube hmanga damdawi chi hrang hrang pek reng an nih thu i hmu tawh mai thei. I chhungte ngei pawh mi tu emaw chuan thisen sang emaw, heart rhythm problem emaw damdawi an lo pe tawh pawh a ni mai thei. Vawiin hian chutiang thila hman theih tur damdawi chi hrang hrang kan sawi dawn a ni. Chungte chu damdawi lam tawngin ‘inotropes’ an ti a.
A awlsam zawngin, heng `Inotropes` te hi engte nge ni?
Inotropes hi damdawi chi khat a ni a, i thinlung ruhte chu engtiang chiahin nge a khauh tur emaw, engtiang chiahin nge a contract tur tih emaw a ‘hrilh’ a ni. I thinlung hi i in chhunga tui pump chhuaktu pump angin ngaihtuah rawh. A chang chuan he pump hian i in chhungah tui a pump tling thei lo. A châng chuan he pump hian a thawk nasa lutuk thei a, pressure a tipung thei a, pipe pawh a puak thei bawk.
Inotrope te hi he motor ‘power’ tipung emaw tihhniam emaw switch ang a ni. Chungte chu chi hnih lian tak a ni.
1. Positive Inotropes: Hengte hian heart beat a tichak zawk , tui motor chak lo zawkah power tam zawk pek ang bawkin.
2. Negative Inotropes: Hengte hian thinlung chu a ti na zual a, chakna a ti tlem zawk bawk , motor hnathawk chak lutuk control ang chiah a ni.
Engvangin nge `Positive Inotropes` hi a mamawh?
Positive inotropes hian i thinlung a chak lo a, taksa mamawh phuhruk thei tur thisen a pump theih loh hunah a pui thei a ni. Heng damdawi te hian heart muscle chu a ti contract chak zawk thin. Hei hian thinlungin thisen a pump chhuah zat, a nih loh leh cardiac output chu a pangngaia a awm leh theih nan a pui a ni.
Hei hian i taksa peng pawimawh ber ber, thluak leh kal ang chi te chuan an mamawh thisen leh oxygen an dawng thei a, an hnathawh chhunzawm zel theih nan a pui a ni.
Heng ``Positive Inotropes`` te hi damdawi in intensive care unit (ICU)-a awm, heart failure ang chi natna khirh tak tak tuar te hnenah pek thin a ni. Vein (IV) hmanga pek an ni.
Chuti a nih chuan `Negative Inotropes` hi eng nge thleng?
`Negative Inotropes` te hian a kalh zawngin an ti thin. Heart muscle hnenah, "Hna thawkrim lutuk suh, tlem tal hna thawk la, chakna tlem zawkin thawk rawh," an ti a.
Hengte hi thisen sang (`high blood pressure`), rilru na (`angina`), leh thinlung thawk dan pangngai lo (`arrhythmia`) ang chi natna nei tan a tangkai hle. Heng damdawi te hian thinlung hnathawh nasat lutuk chu a titawp a, a kaihhnawih symptoms te pawh a control bawk. Hengte hi pill anga ei a ni tlangpui a, hun rei tak chhung ei thin a ni.
`Inotropes` hman tlanglawn chi hrang hrang
Doctor ten damlo dinhmun a zirin `Inotropes` chi hrang hrang an hmang thin. Entirna thenkhat chu hetiang hi a ni.
| Positive Inotropes (heart rate tichaktu) . | Negative Inotropes (heart rate ti hniam thei) . |
|---|---|
| Dopamine a ni | Verapamil a ni |
| Dobutamine a ni | Atenolol a ni |
| Epinephrine (Adrenalin®) hmanga siam a ni. | Flecainide a ni |
| Norepinephrine (Levophed®) hmanga tihdam theih a ni. | Clonidine a ni |
| Digoxin (Lanoxin®) a awm bawk. | Disopyramide hmanga siam a ni |
He damdawi hmanna tur natna
`Positive Inotropes` leh `Negative Inotropes` te hi damdawi chi hnih, thil chi hrang hrang atana hman a ni.
Positive Inotropes hmanna hmun hrang hrang:
- Cardiogenic Shock: Thinlung in thisen a pump theih loh vanga nunna atana hlauhawm tak a ni.
- Septic Shock: Infection avanga taksa pum huapa natna khirh tak avanga thisen sang tlahniam.
- Heart Failure: Thinlung hnathawh chak lohna zawi zawiin.
- Open-heart surgery (`Post-open-heart surgery`) hnuah.
- Major trauma emaw surgery emaw hnuah.
Negative Inotropes hman hun tur:
- Thisen sang a sang
- Angina (`Angina`) chuan a rawn ti a.Thinlung thleng tur thisen tling lo avanga rilru natna.
- Thinlung thawk mumal lo (`Arrhythmia`) .
- Hypertrophic Cardiomyopathy: Lung ruh thick lutuk avanga lo awm a ni.
Hengte hian eng side effect nge a neih theih ang?
Damdawi dang ang bawkin inotrope hian side effect a nei thei a ni. Chungte chu damlo hrang hrangah leh damdawi hman chi hrang hrangah a inang lo.
| Positive Inotropes te hian Side Effect a nei thei | Negative Inotropes te hian Side Effect a nei thei |
|---|---|
| Lungphun inthlak danglamna (`Arrhythmias`) . | Luak chhuak thei |
| Lung natna chak tak (Tachycardia) . | Taksaah chak lo anga inhriatna |
| Thisen sang hniam emaw, sang emaw (Hypotension/Hypertension) . | Lu na |
| Lu na leh chawlh hahdam lohna | Ek khal |
| Heart muscle-a thisen kal tlem (`Myocardial ischemia`) . | Kawng a vawt |
| (Pawimawh) Hun rei tak hman a nih chuan thihna hlauhawmna a sang. | Nausea leh luak chhuak |
`Positive Inotropes` hi nunna chhanhim thei damdawi ni mah se, hun rei tak hman a nih chuan hlauhawmna a nei tih hriat reng a pawimawh . Chuvang chuan doctor ten an hmang thinHun rei lote chhung atan, a tlem thei ang bera dose-ah.
Engtikah nge doctor i hmuh leh tur?
Damdawi in a `Positive Inotropes` i dawn hnua i haw hnuah i natna lanchhuahna hmasa kha a lo let leh emaw, a zual emaw chuan doctor hnenah hriattir nghal rawh. Tin, damdawi thar i pek avanga side effect na tak i neih chuan doctor hnenah hrilh bawk ang che.
Hun rei tak chhung damdawi `Negative Inotropes` hmang tawh i nih chuan a hnuaia mite hi hre reng ang che:
- Damdawi pek atanga hahdamna i hmuh tlem emaw, side effect na tak i neih emaw chuan i doctor nen inbia ang che.
- I damdawi pek chu eng thil vang pawha ei kha bansan suh. I damdawi ei tur chu a dose dik tak leh a hun dik takah ei a pawimawh a, i dam tha hle a nih pawhin.
- Doctor thurawn tel lo chuan vitamin, herbal remedies, supplement dang ei loh tur a ni. Tuna i damdawi ei mekte nen hian an inzawm thei a ni. I thutlukna siamte chu doctor nen sawiho fo ang che.
Take-Home Thuchah a ni
- `Inotropes` tih hi lungphu chakna tidanglamtu damdawi a ni. `Positive Inotropes` hian beat a tichak a, `Negative Inotropes` hian a ti thlamuang thung.
- Positive Inotropes hi damdawi in intensive care unit-ah hian heart attack leh shock ang chi natna khirh tak takah hman a ni fo thin.
- Negative inotropes hi hun rei tak chhunga natna awm thei, thisen sang leh rilru natna te control nan pill atan an pe tlangpui.
- I doctor-in damdawi a pekte chu nangmah chauhin ei kha titawp ngai suh, thlak ngai suh.
- Damdawi i ei tur emaw, a side effect i neih dan emaw chungchangah ngaihtuahna i neih chuan i doctor nen zalen takin inbiakna nei rawh.











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