Thisen sang tih hi kan hre vek tawh. Mahse, thisen sang hniam pawh hi chutiang bawka hlauhawm a ni thei tih i hria em, chu aia hlauhawm zawk pawh a ni thei bawk? Mi pakhat, rang taka natna khirh tak neia Intensive Care Unit (ICU)-a admit a nih thu i hre tawh ngei ang. Chutiang hunah chuan chu mi thisen sang chu nasa takin a tlahniam mai thei. Chutiang a lo thlen chuan taksa peng pawimawh ber ber, thluak, thinlung leh kal te chu an mamawh thisen oxygen tamna chu an hloh ta a ni. Vawiin hian damdawi chi khat, thiltithei tak tak, doctor-te’n hetiang nunna atana hlauhawm emergency-a nunna chhanhimna atana an hman thin chungchang kan sawi dawn a ni. Hei hi damdawi lama Vasopressors an tih chu a ni.
Vasopressor hi eng nge ni mai?
A awlsam zawngin sawi ila, vasopressor hi damdawi chi khat, doctor-te’n thisen sang hniam tak tak nei te chu a pangngaia an awm leh theih nan an hman thin damdawi chi khat a ni. Heng damdawi te hian kan taksa chhunga thisen kalna kawngte chu a tikhawtlai emaw, a tizau emaw a ni.
Hetiang hian han ngaihtuah teh. Kan taksa pum puia thisen kal chu tui pipe system ang mai a ni. Heng pipe (thisen kalna kawng) te hi a lian emaw, a lo hring emaw a nih thut chuan a chhunga tui (thisen) luang chhuak pressure a tlahniam thin. Hei hi state of shock kan tih chu a ni. Hetiang hunah hian taksa peng pawimawh tak takah thisen a luang chhuak tawh lo. Oxygen tel lo chuan chu taksa pengte chuan hna an thawk tawh lo va, chu mi nunna pawh a tichhe thei a ni.
A tlangpuiin hetiang hian pressure a tlahniam chuan saline (IV fluids) pek hmasak ber tur a ni. Mahse saline hmang pawha pressure a normal leh lo a nih chuan doctor-te tih tur dang chu damdawi chi khat vasopressor an tih hman hi a ni. Heng damdawi te hi vein pakhata direct-a inject thin te an ni. A tlangpuiin tube bik hmanga pek an ni a, chu chu kawr emaw, rilruah emaw vein lian takah dah a ni a, chu chu central venous catheter an ti a ni. Tichuan damdawi chu rang takin thinlungah a kal a, taksa pum puiah a darh ta a ni.
He damdawi hian taksaah engtin nge hna a thawh?
Vasopressor damdawi hian taksaa a luh hian thil pawimawh pahnih a ti a.
1. Thisen kalna kawng (constrict blood vessels): Hei hi a pawimawh ber a ni. Taksa pum puia thisen kalna kawng a ti zim a. Tui pipe hrual hian tui a luang chak zawk ang bawkin thisen kalna kawng a zim chuan a chhunga thisen pressure a sang chho zel a ni.
2. Heart contractions tihpun: Vasopressor thenkhat chuan heart-ah hna an thawk a, a beat apiangin thisen a pump chhuah zat a tipung. Hei hian hun eng emaw chen atan thinlung pump theihna an tipung tihna a ni.
Hêng hmanraw pahnih hian thisen hniam chu rang takin a siam ṭha leh a, thluak, thinlung, leh kal ang chi taksa peng pawimawh tak takah thisen kal chu a siam ṭha leh bawk .
Vasopressor chi hrang hrang hman tam berte chu engte nge ni?
Vasopressor hi intensive care unit (ICU)-ah hian chhan hrang hrang avanga thisen sang tihhniam enkawlna atan hman a ni. Doctor chuan damlo dinhmun a zirin damdawi \ha ber a thlang \hin.
| Ruihhlo Hming | Brand Name thenkhat |
|---|---|
| Norepinephrine a ni | Levophed® hmanga siam a ni |
| Epinephrine a ni | Adrenalin®, EpiPen® tih a ni |
| Vasopressin a ni | Pitressin®, Vasostrict® tih a ni |
| Dopamine a ni | Intropin® hmanga siam a ni |
| Phenylephrine a ni | Biorphen®, Vazculep® hmanga siam a ni |
| Angiotensin-II hmanga siam a ni | Giapreza® tih a ni |
Hetiang damdawi hi nitin nunah kan hmang em?
Awle. He damdawi ang hian chak lo mah se, he damdawi ang bawka hnathawk thei damdawi thenkhat chu nitin kan hmang thin.
- Nasal Decongestants: Khawsik i neih chuan i hnar a tikhawlo thin. Hnar drop emaw lozenge kan hman thenkhatah hian `(Ephedrine)` leh `(Pseudoephedrine) ang chi thil a awm a.` Hengte hian hnar chhunga thisen kalna kawngte a tikhawlo a, a hring a ti tlem a, thawk a ti awlsam bawk.
- EpiPen®: EpiPen® hi allergy na tak nei, bee emaw wasp sting avanga anaphylaxis emaw, ei tur thenkhat ei emaw a nih chuan Epinephrine an tih damdawi ang chiah hi a awm a.
- Khawsik damdawi thenkhat: Khawsik damdawi packet thenkhatah chuan `(Phenylephrine)` a awm thei. Chu pawh chu he vasopressor category-ah hian a tel ve a ni.
Vasopressors leh Inotropes te hi thil inang an ni em?
Ni e, hengte hi damdawi chi hnih a ni. Mahse doctor-te chuan heng chi hnih hi an hmang dun fo thin. A danglamna chu awlsam takin i hrethiam ang u.
Kan thinlung hi tui motor a ni a, kan thisen kalna kawngte hi tui luanna pipe a ni tih han ngaihtuah teh.
- Vasopressors: Heng damdawi te hian thisen kalna kawng a tikhawlo a, thisen sang a tisang bawk.
- Inotropes: Heng damdawi te hian tui motor (thinlung) chakna a tipung a , vawi khatah tui tam zawk a pump chhuak thin.
Chuvangin, mi pakhat thisen sang a hniam a, a thinlung a chak lo a nih chuan doctor-te chuan heng damdawi pahnih hi an pe dun a, a sir khatah tube chu constrict-in pressure an tipung a, a sir lehlamah chuan motor chakna an tipung a, a theih ang anga taksaah thisen pump thei a ni.
Eng dinhmunah nge vasopressor hi mamawh?
Vasopressors hi damlo nunna leh thihna inkar a awm tan nunna chhanhimna damdawi chi khat a ni. Hengte hi natna tlanglawn tak tan damdawi pek a ni lo. An mamawhna dinhmun pawimawh thenkhat chu hetiang hi a ni.
| Dinhmun | A sawifiahna awlsam tak |
|---|---|
| Shock a ni | Thisen sang hi natna khirh tak (sepsis), thisen chhuak nasa tak, leh heart attack ang chi dinhmun avang hian hlauhawm takin a tlahniam thei a ni. |
| Lung natna (Heart Attack) a awm | Thinlung a thisen pe chhuaktu thisen kalna kawng a block avangin thinlung hnathawh a tichhe a, thisen sang a tlahniam bawk. |
| Lung lam chak lohna | Thinlung hian taksaah thisen a pump tling thei lo. |
| Spinal Anesthesia hmanga tihdam theih a ni | Surgery thenkhatah chuan ruhro anesthetic damdawi pek hian thisen sang a ti tlahniam nghal thei a ni. |
| Drug reaction na tak a awm | Damdawi thenkhat allergy na tak chuan thisen sang a ti hniam thei a ni. |
| Accident leh surgery a awm thin | Thisen chhuahna nasa tak avang hian thisen sang a tlahniam. |
He damdawi hian side effect a nei em?
Awle. Vasopressor hi damdawi chak tak a ni . Chuvangin side effect an nei thei a ni. Hemi avang hian heng damdawi te hi intensive care unit (ICU)-ah pek an ni a, chutih rualin damlo dinhmun an enfiah reng bawk . Doctor leh nursing staff te chuan damlo heart rate, thisen sang leh oxygen level te an enfiah reng thin.
Side effect awm thei thenkhat chu:
- Lungkhamna leh chawlh hahdam lohna
- Lu na
- A rilru a na
- Thâwk harsa
- Lung chakna pangngai lo (Bradycardia) .
- Lung chakna a san dan pangngai lo (Tachycardia) .
- Thinlung thawk mumal lo (Arrhythmia) .
- A tul aia sang thisen sang. (Hei hian thluaka thisen chhuah ang chi natna khirh tak pawh a thlen thei)
- Thisen kalna kawng a tikhawtlai lutuk hian kut zungtang leh ke ruh thlenga thisen kal a tlahniam a, chu hmun chu a dum ta a ni.
Heng side effects te hi hlauhawm tak ni mahse, heng damdawi te hi thil hlauhawm zawk, nunna atana hlauhawm zawka pek an ni tih hriat reng a pawimawh. Doctor-te chuan a thatna leh that lohna tehfung siamin damlo tana tha ber tur tih an tum fo thin.
A dam leh theih nan eng chen nge hun a duh?
He zawhna hi chhanna pakhat chauh pek a harsa a, a chhan chu i dam leh theih nan hun rei zawng chu vasopressor damdawi i pek atang khan a innghat lo va, damdawi pek a nih chhan damdawi lam dinhmun a zirin a innghat zawk a ni
Entirnan, natna khirh tak avanga septic shock-a lut chu a dam theih nan kar tam tak, thla tam tak pawh damdawi inah a awm a ngai mai thei. Mahse, anesthesia avanga pressure tihziaawmna tura surgery neih laiin he damdawi hi rei vak lo pek a nih chuan a dam thuai thei a ni.
A pawimawh ber chu hetiang damdawi chak tak pek i ngai tih hian natna khirh tak atanga i dam leh tawh tihna a ni. Chuvangin i taksa chu a dam leh theih nan a mamawh hun i pek a ngai a ni.
Damdawi in atanga i haw hnuah chuan i tih dan pangngaiah kir leh hmanhmawh suh. I doctor-in damdawi a pek chu a hun takah ei thin ang che. Tin, i follow-up appointment te pawh vawng reng ang che. I rilru a na leh a nih chuan, entirnan, thawk harsatna, i rilru a na emaw, i rilru a na emaw a nih chuan i doctor ko nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Take-Home Thuchah a ni
- Vasopressor hi damdawi chi khat chak tak a ni a, emergency, shock ang chi, thisen sang hlauhawm taka a tlahniam chuan nunna chhanhimna atana hman thin a ni.
- An hna ber chu thisen kalna kawng (blood vessels) tihkhawtlai te, thisen sang tihsan te, thisen chu taksa peng pawimawh tak takah a kal theih nan a ni.
- An chakna leh a side effect awm thei avang hian heng damdawi te hi intensive care unit (ICU)-ah chauh pek thin a ni a, doctor leh nursing staff te enkawlna hnuaiah pek thin a ni.
- Nangmah emaw, i hnaih ber tu emaw hnenah hetiang enkawlna hi pek i nih chuan natna khirh tak atanga an dam chho mek tihna a ni. Damdawi in chhuahsan hnuah damdawi lam thurawn uluk taka zawm a pawimawh hle.
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