Ngā Vasopressors: Akohia ēnei rongoā whakaora ora i ngā wā ohorere

Whakaarohia tētahi e tata ana ki a koe ka pāngia e te mate ohorere, ā, ka whakaurua ki te Wāhanga Tiaki Kaha (ICU). E mea ana ngā tākuta, 'He tino iti te toto toto (BP), ā, me tīmata he rongoā motuhake hei whakapiki ake.' Tērā pea kua rongo koe i ngā kupu pēnei i te 'pressors' e tīmatahia ana. He momo rongoā tino nui ngā vasopressors e whakamahia ana i roto i tētahi pakanga whakaora ora. He mea tino nui kia mōhio tika koe ki ēnei. Nō reira, me kōrero tātou mō tēnei i tēnei rā.

Hei whakarāpopototanga, he aha ēnei Vasopressors?

He rongoā kaha ngā vasopressors e whakamahia ana e ngā tākuta hei whakapiki i te toto toto kua tino heke iho. I te nuinga o te wā ka hoatu ki ngā tūroro e pāngia ana e te ohorere . I roto i tēnei āhua ohorere, ka tino heke te toto toto, ā, ka ngaro i ngā whekau nui o te tinana, pērā i te roro, te ngākau, me ngā whatukuhu, te toto whai hāora e hiahiatia ana e rātou. Ka taea e tēnei te kino i aua whekau, ā, ka mate pea.

I te nuinga o te wā, ina heke te toto o te tangata, ko te mea tuatahi ka mahia e rātou ko te hoatu i te tote (wai IV). Heoi, ki te kore te toto e piki ki te taumata e hiahiatia ana ahakoa kua hoatu te tote, ka whakamahia e ngā tākuta ēnei vasopressors hei mahi e whai ake nei.

Me pēhea te tuku i ēnei rongoā ki te tinana?

Nā te mea he tino kaha ēnei rongoā, kāore i te nuinga o te wā ka tukuna mā te cannula e whakanohoia ana ki roto i te uaua i te ringa. Ka tukuna mā te 'central venous catheter' . He ngongo motuhake tēnei e whakanohoia ana ki roto i tētahi uaua toto nui, i te kaki, i te uma, i te hope rānei. Mā tēnei, ka uru tika te rongoā ki roto i tētahi uaua nui e tata ana ki te ngākau, kia haumaru ake ai, kia tere ake ai hoki te pānga.

He aha ngā mea ka tupu i roto i te tinana me ngā vasopressors?

E rua ngā mahi matua a ēnei rongoā:

1. Te whakawhāiti: Whakaarohia he paipa wai. Ki te pēhia te paipa kia paku, ka piki ake te tere me te pēhanga o te wai, tika? Ka pērā anō te mahi a ngā vasopressors. Ka whakawhāiti (whaiti) ngā oko toto iti o tō tātou tinana i ēnei rongoā. Ka piki ake te toto toto.

2. Te whakanui ake i te mahi a te ngākau: Ka pāngia te uaua o te ngākau e ētahi momo vasopressors, ka āwhina i te ngākau ki te pupuhi toto kia kaha ake.

Mā ēnei tikanga e rua, ka piki ake te toto toto iti, ā, ka tīmata anō te rere pai o te toto ki ngā whekau nui.

Ngā Momo me ngā Tauira o te Vasopressor e Whakamahia Nuitia ana

He maha ngā momo vasopressors e whakamahia ana i roto i ngā wāhanga tiaki nui. Ka whiriwhiria e te tākuta te rongoā tino tika i runga i te āhua o te tūroro.

Kei te whakamahi mōhiotia anō hoki e tātou ngā vasopressors?

Āe, ki tētahi taumata. Kei roto hoki i ngā rongoā whakapoto ihu, e whakamahia ana hei whakaora i te ihu pupū ina pāngia koe e te makariri, he rongoā e whakawhāiti ana i ngā oko toto. Ka whakawhāitihia e tēnei ngā oko toto i roto i te ihu, ka whakaiti i te pupuhi, ā, ka māmā ake te manawa. Waihoki, kei roto i te EpiPen® , he vasopressor kaha e tika ana kia puritia e te hunga he mate pāwera kino, he epinephrine.

I roto i ēhea āhuatanga hauora e hiahiatia ai ēnei rongoā?

He rongoā tautoko ora ngā vasopressors. E hiahiatia ana ēnei i roto i ngā āhuatanga tino kino, e morearea ana ki te ora.

• Ru: Te ru i puta mai i te mate kino (ru septic), te ngoikore o te ngakau (ru cardiogenic), te toto nui rānei.
• Te mate pāwera:Nā te kore e taea te whakahaere i tētahi mate kua uru ki te tinana, ka rerekē te urupare a te tinana katoa, ka heke te toto toto.
• Te whakaekenga o te ngakau me te ngoikore o te ngakau: Ina kore e taea e te ngakau te pupuhi tika i te toto.
• I te wā pokanga: Ina koa ka heke te toto toto nā te rongoā whakamoe tuaiwi.
• Te tauhohenga kino ki te rongoā, te ngau rānei a te nakahi.
• I te wā o te whakaora manawa ohorere (CPR).

He pānga taha rānei ō ngā vasopressors?

Āe. He tino kaha ēnei rongoā, ā, he tūponotanga kei puta he pānga taha. Koia te take ka hoatu noa i roto i te wāhanga tiaki nui (ICU), i raro i te tirotiro tonu a ngā tākuta me ngā nēhi. Ka aro turukihia tonutia ngā mea katoa mai i te tere o te manawa o te tūroro, te toto toto, me ngā taumata hāora mā roto i ngā aroturuki.

Ko ētahi o ngā pānga taha ka pā mai:

• Te manukanuka me te ānini.
• Mamae o te uma.
• Ngā rerekētanga o te tere o te ngakau - te tere piki ake (Tachycardia) te tere heke rānei (Bradycardia).
• Te pikinga nui rawa o te toto toto.
• Te hekenga o te rere o te toto ki ngā pito o ngā maihao nā te nui rawa o te whakawhāititanga o ngā oko toto.
• Te mōrearea o ngā toto totoka (thromboembolism).

Kei te aro turuki tonu te tīma hauora i te tūroro kia iti ake ai ēnei pānga taha. Ka whakarerekē tonu rātou i te horopeta o te rongoā ina hiahiatia.

Te wā whakaora

He tino mate hauora kino ngā vasopressors e hiahia ana koe kia mau tonu. Ko te roa o te ora ka whakawhirinaki ki te mate taketake i hoatu ai ēnei rongoā ki a koe. Me noho pea koe ki te hōhipera mō ngā wiki, mō ngā marama rānei. Ahakoa kua tae koe ki te kāinga, me hoatu he wā ki a koe anō kia hoki ki tō āhua noa.

Kia hoki koe ki te kāinga, he mea tino nui kia tangohia e koe ngā rongoā katoa i tohua e tō tākuta i te wā tika, i te horopeta tika, me te haere ki ngā wā whakarite ki te whare hauora i te wā tika. Mēnā ka pāngia koe e ētahi tohu pēnei i te kore e pai te āhua, te mamae o te uma, te uaua rānei ki te manawa, whakapā atu ki tō tākuta tonu atu, haere rānei ki te Tari Urupare (ETU) o te hōhipera tata.