I hnaih bertu mi pakhat chu a damlo nasa hle a, Intensive Care Unit (ICU)-ah admit a ni tih han ngaihtuah teh. Doctor-te chuan, 'Blood pressure (BP) hi a hniam hle a, chu chu tihsan nan damdawi bik tan a ngai a ni,' an ti. ‘Pressors’ tih ang chi thumal an tan tih i hre tawh mai thei. Vasopressors hi hetiang nunna chhanhimna indonaah hian damdawi class pawimawh tak a ni. Hengte hi eng nge ni tih chiang taka hriat a pawimawh hle. Chuvangin vawiin hian he thu hi han sawi ila.
A awlsam zawngin, heng Vasopressor te hi engte nge ni?
Vasopressor hi damdawi chak tak a ni a, doctor ten thisen sang tlahniam lutuk tihsan nan an hmang thin. Damlo shock nei te hnenah pek thin a ni . Hetiang dinhmunah hian thisen sang a tlahniam a, taksa peng pawimawh tak tak, thluak, thinlung leh kal te chuan an mamawh thisen oxygen tamna chu an hloh ta a ni. Chu chuan chu taksa pengte chu a tichhe thei a, nunna pawh a tichhe thei a ni.
A tlangpuiin mi thisen sang a tlak hniam chuan saline (IV fluids) pek hmasak ber a ni. Amaherawhchu, saline pek hnuah pawh thisen sang chu duhthusam a san loh chuan doctor ten heng vasopressor te hi a dawt leh atan an hmang thin.
Engtin nge heng damdawi te hi taksaah an pek thin?
Hengte hi damdawi chak tak tak an nih avangin kut chhunga vein pakhata dah cannula hmanga pek an ni tlangpui lo. ‘Central venous catheter’ hmanga pek an ni. Hei hi special tube a ni a, thisen kalna kawng lian tak, lian takah dah a ni a, chu chu a kawng, a rilru emaw, a ke ruh emaw a ni. Chutiang chuan damdawi chu thinlung hnaih ber vein lian takah a lut nghal a, chu chuan a him zawk a, a thawk rang zawk bawk.
Vasopressor hmanga taksa chhungah eng nge thleng?
Heng damdawi te hian hna pawimawh pahnih an nei a:
1. Constriction: Tui pipe hi han ngaihtuah teh. Pipe hi tlem kan hrual chuan tui tlan chakna leh pressure a sang dawn a ni lawm ni? Vasopressor pawhin chutiang bawk chuan an ti ve bawk. Heng damdawi te hian kan taksa chhunga thisen kalna kawng te te chu rei lo te chhung atan a tikhawlo (narrow) thin. Hei hian thisen sang a tisang a.
2. Heart function tihpun: Vasopressor chi thenkhat hian heart muscle a nghawng a, heart hian thisen a pump chak zawk nan a pui thin.
Heng kawng pahnih hmang hian thisen sang a sang a, thisen chu taksa peng pawimawh tak takah a kal tha leh tan ta a ni.
A pawimawh ber chu heng damdawi te hi natna tihdam nan hman a ni lo. Thisen sang control nan leh taksa peng hrang hrang venhim nan an hmang a, chutih lai chuan a hnuaia natna (e.g., natna khirh tak, heart attack) enkawl a ni.
Vasopressor hman tlanglawn chi hrang hrang leh entirnan
Intensive care unit-ah hian vasopressor chi hrang hrang hman a ni. Doctor chuan damlo dinhmun a zirin damdawi tha ber a thlang thin.
| Generic Hming a ni | Thil chhinchhiah |
|---|---|
| Norepinephrine a ni | Shock condition tam tak tan damdawi hman tlanglawn tak a ni. |
| Epinephrine (Adrenaline) tih hi a tha hle. | Allergy na tak (anaphylaxis) leh heart attack-ah te hman thin a ni. |
| Vasopressin a ni | Norepinephrine nen hman dun fo thin. |
| Dopamine a ni | Dose tlem chuan heart rate leh blood pressure a nghawng a ni. |
| Phenylephrine a ni | Anesthesia avanga thisen sang tlahniam tan hman tlanglawn tak. |
Kan hriat lohvin vasopressor pawh kan hmang ve em?
Ni e, eng emaw chen chu. Nasal decongestants, khawsik i neih huna hnar natna tihziaawmna atana hman thin hian thisen kalna kawng tikhawtlai thei damdawi a nei bawk. Hei hian hnar chhunga thisen kalna kawng a tikhawtlai a, a hring a ti tlem a, thawk pawh a ti awlsam bawk. Tin, EpiPen® , chu vasopressor chak tak a ni a, allergy na tak nei tan chuan epinephrine a pai bawk.
Eng damdawi lam dinhmunah nge heng damdawi te hi mamawh?
Vasopressors hi nunna chhanhimtu a ni. Thil pawi tak, nunna atana hlauhawm takah an mamawh a ni.
- Shock: Infection na tak (septic shock), heart failure (cardiogenic shock), emaw thisen chhuah tam lutuk avanga shock.
- Sepsis natna: 1.1.Taksa chhunga natna lo lut tawh chu a thunun thei lo va, taksa pumin a chhan dan pangngai lo takin a chhang let a, chu chuan thisen sang a ti tlahniam a ni.
- Heart Attack leh Heart Failure: Thinlung hian thisen a pump tha thei lo a nih chuan.
- Surgery neih laiin: A bik takin spinal anesthesia avanga thisen sang a tlahniam chuan.
- Drug reaction na tak emaw rul seh emaw.
- Emergency cardiopulmonary resuscitation (CPR) neih laiin.
Vasopressor hian side effect a nei em?
Awle. Hengte hi damdawi chak tak tak an nih avangin side effect a awm theihna a awm. Chuvangin intensive care unit (ICU)-ah chauh pek an ni a, doctor leh nurse-te enkawlna hnuaiah an awm reng a ni. Damlo heart rate, thisen sang, oxygen level atanga engkim hi monitor hmangin enfiah reng a ni.
Side effect awm thei thenkhat:
- Lungkhamna leh lu na.
- A rilru a na.
- Heart rate dik lo - speed sang (Tachycardia) emaw speed tlahniam (Bradycardia) emaw.
- Thisen sang sang lutuk.
- Thisen kalna kawng a tihkhawtlai lutuk avangin kut zungtang-a thisen pek tlem.
- Thisen zam (thromboembolism) a awm theihna.
Medical team chuan damlo hi heng side effects te hi a tlem theih nan an enfiah reng a ni. Damdawi hman dan tur chu a tul angin an siamrem fo thin.
Recovery hun chhung
Vasopressor hi damdawi lam natna khirh tak a ni a, a chungah i awm a ngai a ni. Dam leh hun chhung chu heng damdawi te pekna chhan che dinhmun (underlying condition) ah a innghat ang. Damdawi inah kar tam tak emaw, thla tam tak emaw i awm a ngai mai thei. In i thlen hnuah pawh i tih dan pangngaia i awm leh theih nan hun i pek a ngai a ni.
In lama i haw hnuah chuan i doctor-in damdawi a pek zawng zawng chu a hun taka ei vek a pawimawh hle a, a dose dik takah i ei vek a, i clinic appointment-ah pawh a hun takah i kal vek a pawimawh hle. Hrisel lohna, rilru na, thawk harsa tih ang chi symptoms i neih chuan doctor pan nghal emaw, damdawi in hnai ber Emergency Department (ETU)-ah emaw kal rawh.
Take-Home Thuchah a ni
- Vasopressors hi damdawi chi khat chak tak a ni a, thisen sang nasa tak tihsan a, nunna chhanhim thei a ni.
- Chûngte chuan thisen kalna kawngte a tikhawtlai a, thinlung hnathawhna a tipung a ni.
- Heng damdawi te hi intensive care unit (ICU)-ah chauh pek thin a ni a, doctor-te enkawlna hnuaiah pek thin a ni.
- Hengte hian side effect nei mahse, medical team-te chuan enkawl tumin hma an la reng a ni.
- Hetiang enkawlna kan dawn hnu hian a dam kim theih nan hun a duh a, damdawi lam thurawn zawm a pawimawh hle.
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