Doctor-in intensive care unit (ICU) emaw emergency room (ETU)-a damlo pakhat hnenah "thinlung tichak turin damdawi bik an pe" tih a hrilh i hre ngai em? A châng chuan, a bîk takin thinlungin hna a thawh tawh loh thut chuan, a chakna pe leh tûrin damdawi bikte an hmang ṭhin. Hetiang emergency-a hman thin damdawi pawimawh tak isoproterenol hi a ni. Hei hi damdawi dawr atanga i lei a, in lama i hman tlangpui a nih loh avangin fimkhur a pawimawh hle. Vawiin hian awlsam takin sawi ila.
Isoproterenol hi eng nge ni?
A awlsam zawngin sawi ila, Isoproterenol hi heart rate leh pumping capacity tisangtu damdawi a ni a, heart muscle chu chakna, a nih loh leh traction pein a tichak a ni. Damdawi lamah chuan he damdawi chi hi ‘inotropes’ kan ti thin.
He damdawi hi a bik takin:
- Heart Failure: Taksaah thisen a pump tam theih loh huna a hnathawh that nan.
- Heartbeat problems: Heart rate pangngai lo taka a slow (Bradycardia) emaw heart rhythm lama harsatna dang a awm chuan heart rate pangngai siam that leh nan.
A pawimawh ber chu hei hi damdawi inah chauh pek thin a ni a, doctor leh nurse te enkawlna hnuaia direct-a pek thin a ni.
He damdawi hi i pek hmaa doctor hrilh tur pawimawh
He damdawi hi a pek hmain i doctor chuan i hriselna chanchin kimchang a hriat duh ang. A chhan chu damdawi lam dinhmun thenkhatah chuan he damdawi hman hian fimkhur zawk a ngai a ni. Chuvangin, a hnuaia natna te hi i neih chuan doctor hnenah hrilh ngei ang che:
| Heng dinhmunte hi i nei em? | Engvangin nge doctor hnena hrilh a pawimawh? |
|---|---|
| Zunthlum | He damdawi hian thisen sugar level a nghawng thei a ni. |
| Lung natna dang | He damdawi hi thinlung natna nei tawhte hnena pek hunah fimkhur bik a ngai a ni. |
| Thyroid natna a ni | He damdawi hian thyroid gland overactive nei te tan side effect a tipung thei a ni. |
| Allergy nei te pawh a awm | Isoproterenol emaw damdawi dang emaw, ei tur dang emaw, dye dang emaw allergy i neih chuan hriattir a pawimawh hle. |
| Naupai emaw, nau pai tum emaw | Nausen chunga nghawng a neih theih dan tur chu i doctor nen in sawiho tur a ni. |
| Nau hnute pek | Damdawi chu i naute hnenah hnute hnute hmanga a kal leh kal loh chungchangah i doctor nen sawiho rawh. |
He damdawi hi engtin nge i hman ang a, i overdose a nih chuan engtin nge ni ang?
Ka sawi tawh ang khan hei hi damdawi a ni a, chu chu vein-a injection angin emaw, infusion angin emaw, saline solution ang maia pek a ni. Hei hi damdawi in emaw clinic emaw-ah chauh training nei tawh medical professional-in a ti thin. He damdawi hi naupang tê tête hnena pek a nih chuan naupang enkawltu doctor-in a bik taka a enkawl a ngai a ni.
Hei hi damdawi ina pek a nih avangin "overdose" a awm theihna chance a tlem hle. Hetiang a nih chuan medical staff ten a tul angin hma an la ang. Mahse, ruihhlo rimchhia chungchanga thurawn i mamawh chuan Colombo National Hospital-a National Poisons Information Center -ah i call thei ang. Eng emergency-ah pawh damdawi in hnai ber Emergency Treatment Unit (ETU) pan a pawimawh hle.
Damdawi dangah harsatna a awm thei em?
Ni e, Isoproterenol hian damdawi thenkhat nen a inzawm thei. Chuvangin, i damdawi ei zawng zawng (condition dang damdawi, vitamin, hnam damdawi, leh Ayurvedic damdawi te pawh telin) i doctor hnenah hrilh vek a pawimawh. Tin, zu i in emaw, zu i in emaw, ruihhlo dang i hman emaw chuan i doctor hnenah hrilh bawk ang che.
| Ruihhlo chi hrang hrang | Entirnan |
|---|---|
| He damdawi hi pe khawm suh. | |
| Ergot alkaloids a awm a | Migraine damdawi dihydroergotamine leh ergotamine te |
| MAOI te an ni | Rilru natna damdawi Marplan, Nardil, Parnate te |
| Heng damdawi te nen hian inzawmna a awm thei. | |
| Epinephrine a ni | Emergency allergy natna atana hman thin damdawi |
| General anesthetics hmanga tihdam theih a ni | Surgery-a hman tur damdawi, halothane leh isoflurane te |
Side effect awm thei te chu engte nge ni?
He damdawi hi i pek chhung hian i heart rate leh thisen sang chu medical staff ten uluk takin an enfiah ang. Mahse, a hnuaia side effects i neih chuan hriattir nghal a pawimawh:
| Side effect a awm thei | Hrilhfiahna |
|---|---|
| Doctor emaw nurse emaw hnena report nghal tur thil | |
| Allergy natna a awm thei | Vun vun rawng, hnim hring, hmai, hmui emaw lei emaw a hring. |
| Heart rate inthlak danglamna hlauhawm tak | Chhung na, luak chhuak, thinlung na rang emaw, mumal lo emaw, thinlung na, muthilh, thawk harsa. |
| Thil pawi tak ni lo, mahse a awm reng chuan report tur a ni | |
| Luak chhuak thei | Lightheaded tih hriatna. |
| Lu na | Lu na tlangpui. |
| Hmai a rawn sen chhuak | Hmai chu a lum hle tih a hriat a, a sen vek bawk. |
| Luhai | Luak chhuak ang maia hriatna. |
He list hian side effect awm thei zawng zawng a keng tel lo thei tih hre reng ang che. Hemi chungchanga zawhna i neih chuan doctor zawt la.
Take-Home Thuchah a ni
- Isoproterenol hi damdawi bik a ni a, damdawi inah chuan thinlung a chak loh emaw, thinlung thawk lama harsatna a neih emaw chauhvin pek thin a ni.
- Hei hian heart muscle a tichak a, a pump theihna a tipung bawk.
- He damdawi i ei hma hian i damdawi lam dinhmun zawng zawng leh i ei tur dang zawng zawng doctor hnenah hriattir hmasak a pawimawh hle.
- Hei hi damdawi lam enkawlna khauh tak hnuaiah pek a ni a, i dinhmun pawh enfiah reng a ni.
- Damdawi i ei laiin i rilru natna, luak chhuak nasa tak, thawk harsa tih ang chi symptom i neih chuan medical staff te hriattir nghal rawh.
- Hei hi in lama hman tur damdawi a ni lo.
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