Emergency-a nunna chhanhim thei Norepinephrine injection chungchanga i hriat tur

I chhungte zinga mi pakhat intensive care unit (ICU)-a a awm laiin doctor-in, "Thisen sang a hniam hle a, chuvang chuan an nunna chhanhim nan damdawi bik kan tan a ni," a tih che i hre tawh mai thei. A nih loh leh movie-ah i hmu tawh mai thei, emergency-a mi pakhat chu machine tam takah a inzawm a, machine pakhat atanga syringe te tak te hmangin damdawi pakhat chu taksaah a inject a ni. Norepinephrine hi damdawi pawimawh tak leh thiltithei tak a ni a, chutiang huna pek thin a ni. Nunna leh thihna inbeihnaah hman a ni fo. Chuvangin vawiin hian awlsam takin sawi ila.

Norepinephrine hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Norepinephrine hi synthetic chemical a ni a, kan taksaa pianphung atanga lo chhuak hormone Adrenaline nen a inang hle. Damdawi lam hawi chuan vasoconstrictor kan ti a ni.

Tui pipe pakhat han mitthla teh. Pipe tlem i hrual chuan tui chu pressure sang zawkin a luang chhuak thin a ni lawm ni? Chutiang bawkin he Norepinephrine damdawi hian a tih chu kan taksa pum puia thisen kalna kawng nalh tak takte chu a inzawm khawm (tighten) tir a ni. Tichuan chu thisen kalna kawng chhunga thisen luang chhuak, chu chu thisen sang chu a sang nghal zung zung a.

Eng dinhmunah nge he damdawi hi a mamawh?

A tlangpuiin mi thisen sang a tlak hniam chuan kan tih hmasak ber chu saline pek hi a ni. Mahse a chang chuan saline hmang pawhin pressure chu duh ang level-ah a lo let leh lo. Chu chu thisen sang chu nunna atana hlauhawm thei level-ah a tlahniam a ni. Norepinephrine hi a tanpui nan hman a ni.

Entir nan:

• Severe Infections (Sepsis): Septic shock-ah chuan natna khirh tak chu taksaah a lut a, thisen sang a tlahniam nghal a ni.
• Heart Attacks: Heart attack na tak hnua thisen a pump tha thei lo a nih chuan.
• Major Trauma: Accident lian tak hnua thisen chhuak tam lutuk a awm chuan.
• Surgery lian tham: A bik takin heart surgery lian tak tak hnuah.
• Severe Allergic Reaction (Anaphylactic Shock): Mi thenkhatah chuan thil pakhata allergy na tak an neih laiin thisen sang nasa takin a tlahniam thei a.

Chutiang dinhmunah chuan taksa peng pawimawh ber ber, thluak, thinlung, leh kal , te hian thisen mamawh an dawng lo a nih chuan, chu taksa pengte chu a chhiat phah thei a, damlo chu a thi thei a ni. Norepinephrine hi artificial taka pressure tihsan nan leh chu taksa peng hrang hrangah thisen thawn nan hman a ni.

Engtin nge he damdawi hi pek a nih? Tin, doctor hnenah eng nge hrilh tur tih pawh

He damdawi hi vein chhunga cannula dah hmanga pek a ni. Mahse taksaah rate dik tak a thlen a ngai avangin hei atan hian hmanraw bik infusion pump an tih chu hman a ni. Damlo thisen sang chu monitor hmangin enfiah chhunzawm zel a ni a, doctor chuan chutiang value a zirin damdawi pek dan rate chu a thlak danglam fo thin.

He enkawlna hi i tan hmain i doctor hnenah i (or damlo) hriselna chanchin kimchang hrilh hmasak a pawimawh hle . A bik takin heng thilte hi:

• Norepinephrine emaw chemical sulfites an tih emaw allergy i nei tawh em ?
• Thinlung thawk mumal lo (irregular heartbeat) history i nei em?
• Thisen zam chungchangah harsatna i nei em?
• I kut zungtang ah hian circulation problem i nei em?
• Naupai i ni em, naupai i beisei em, a nih loh leh nau hnute petu i ni em?
• Taksaah hian tui tlakchhamna (dehydration condition) a awm em?

He thu hriat avang hian enkawl dan pawh a danglam thei.

Damdawi hian eng side effect nge a neih theih?

Hei hi damdawi chak tak a nih avangin side effect thenkhat a awm thei. Chuvang chuan damdawi ina thawktute chu he thil hi an fimkhur reng a ni. Harsatna an hmuh veleh hma an la nghal thin.

Overdose ei hi i hlau tur em ni?

Ni lo, hei hi a chhan chu he damdawi hi in lama hruai theih a nih loh vang a ni. Damdawi inah pek a ni a, doctor-te enkawlna famkim hnuaiah pek a ni a, controlled takin pek a ni a, chuvangin overdose chance a tlem hle . Chutiang thil a lo thlen chuan damdawi ina thawktute chu a tul anga enkawlna zawng zawng pe turin an inpeih reng a ni. Ringhlelna i neih chuan Colombo National Hospital-a National Poisons Information Center-ah pawh phone la, hriat belh duh i nei thei bawk.

Damdawi dang nena inzawmna awm thei

Damdawi dang i ei lai pawh i doctor hrilh a pawimawh hle a, damdawi thenkhat chu norepinephrine nena inkawp chuan harsatna a thlen thei a ni.

• Ergot alkaloids: Damdawi thenkhat chu migraine ang chi natna enkawlna atana hman thin.
• Antidepressant: A bik takin damdawi amitriptyline leh damdawi class-a damdawi MAOIs (Monoamine Oxidase Inhibitors) tih te.
• General anesthetics: Surgery neih laiin mut tir nana damdawi thenkhat pek thin.
• Diabetes damdawi: Norepinephrine hian thisen sugar level a tihdanglam theih avangin zunthlum damdawi ei tur zat hi siamrem a ngai mai thei.

Damdawi zawng zawng, vitamin, herbal products, leh zu i in leh in loh zawng zawng te doctor hnenah hrilh la, heng thilte hian i enkawlna a nghawng thei a ni.