Tangoganizani kuti munthu walowa m'chipatala mwadzidzidzi chifukwa cha kutsika kwa kuthamanga kwa magazi kapena vuto monga kulephera kwa mtima. Pa milandu yoopsa chonchi, mankhwala apadera komanso amphamvu omwe madokotala amagwiritsa ntchito kupulumutsa moyo wa wodwalayo amatchedwa dopamine. Iyi si mankhwala omwe nthawi zambiri mungagule ku pharmacy ndikugwiritsa ntchito kunyumba. Amaperekedwa kuchipatala, pamalo ngati chipinda chosamalira odwala kwambiri (ICU), moyang'aniridwa ndi madokotala ndi anamwino. Chifukwa chake, tiyeni tikambirane za mankhwala ofunikira awa lero.
Kodi dopamine ndi chiyani? Kodi imachita chiyani m'thupi?
Mwachidule, dopamine ndi mankhwala omwe ali ndi ntchito ziwiri zazikulu.
1. Vasoconstrictor: Mankhwalawa amachititsa kuti mitsempha yamagazi m'thupi lathu ichepetse pang'ono. Monga momwe mukamakanikiza chitoliro chamadzi pang'ono, madzi amathamanga mofulumira, mitsempha yamagazi ikachepa, kuthamanga kwa magazi kumawonjezeka. Izi ndizofunikira kwambiri pamene kuthamanga kwa magazi kuli kochepa kwambiri ndipo moyo uli pachiwopsezo.
2. Kulimbitsa ntchito ya mtima (Inotrope): Komanso, mankhwalawa amakhudza minofu ya mtima, ndikuwonjezera liwiro ndi mphamvu ya ntchito ya mtima. Pa matenda monga kulephera kwa mtima, mtima umakhala wofooka ndipo sungathe kupopera magazi okwanira m'thupi. Panthawiyo, mankhwalawa angathandize mtima.
Chifukwa cha zochita ziwirizi, dopamine imagwiritsidwa ntchito kwambiri polimbitsa thanzi la wodwalayo ngati magazi ake atsika kwambiri komanso ngati mtima wake walephera kugwira ntchito bwino .
Ndingakupatseni bwanji mankhwala awa?
Izi ndizofunikira kwambiri. Dopamine si piritsi lomwe mungamwe kapena kubaya kunyumba.
- Izi zimaperekedwa kuchipatala kapena kuchipatala chokha.
- Mankhwalawa amapangidwa kukhala madzi ndipo amaperekedwa mwachindunji mumtsempha kudzera mu cannula .
- Mankhwalawa si ongobayidwa okha. Nthawi zambiri amalumikizidwa ndi makina otchedwa infusion pump ndipo amalowetsedwa pang'onopang'ono m'thupi pa liwiro lolondola kwambiri.
- Dokotala kapena namwino adzapitiriza kuyang'anira kugunda kwa mtima wanu, kuthamanga kwa magazi, ndi zizindikiro zina zofunika kwambiri nthawi yonse yomwe mukulandira mankhwalawa.
Popeza mankhwalawa amaperekedwa moyang'aniridwa ndi dokotala kuchipatala, mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri. Komabe, ngati mukukayikira kuti pali vuto ngati limeneli, muyenera kuuza ogwira ntchito zachipatala nthawi yomweyo. Ngati pakufunika kutero, adzalumikizana ndi National Poisons Information Centre ku Colombo National Hospital kuti akupatseni malangizo. Mudzaloledwa mwachindunji ku Emergency Treatment Unit (ETU) ya chipatalacho kuti mukalandire chithandizo.
Kodi mankhwalawa angaperekedwe kwa ana aang'ono?
Inde, ngati pakufunika, mankhwalawa angaperekedwe kwa ana. Koma amachitidwa mosamala kwambiri, ndipo mlingo wake umasinthidwa malinga ndi kulemera ndi momwe mwanayo alili.
Zinthu zoti muuze dokotala wanu musanamwe dopamine
Ngakhale mutasankha kupereka mankhwala awa pakagwa ngozi, ngati muli ndi chikumbumtima kapena muli ndi wosamalira, ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi.
- Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la ziwengo chifukwa cha dopamine, sulfites, chimanga, mankhwala ena, zakudya, kapena utoto womwe umagwiritsidwa ntchito mu mankhwala.
- Mavuto a mtima: Ngati muli kale ndi kugunda kwa mtima kosakhazikika.
- Mavuto a magazi m'thupi: Matenda omwe amachepetsa kuyenda kwa magazi m'zala ndi zala, monga matenda a Raynaud.
- Matenda ena: Ngati muli ndi chotupa mu adrenal gland chotchedwa pheochromocytoma.
- Kusowa madzi m'thupi: Ngati mwataya madzi m'thupi lanu chifukwa cha kutsegula m'mimba kapena zifukwa zina.
- Mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena ndinu mayi woyamwitsa.
Mankhwala ena omwe angagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)
Dopamine imatha kuyanjana ndi mankhwala ambiri. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa (omwe dokotala wanu wakupatsani, omwe mumawagula musanayambe kumwa, mankhwala achikhalidwe, mavitamini, ndi mankhwala azitsamba). Pansipa pali mankhwala ena omwe angagwirizane ndi dopamine.
| Gulu la mankhwala | Zotsatira ndi zitsanzo |
|---|---|
| Mankhwala ena a kuthamanga kwa magazi ndi matenda a mtima | Izi zingakhudze ntchito ya dopamine. |
| Mankhwala ochizira kuvutika maganizo ndi nkhawa | Mankhwala a MAOI makamaka (monga Parnate, Nardil) amatha kusokoneza kwambiri dopamine. |
| Mankhwala ochepetsa mphamvu ya mkodzo | Muyenera kusamala kwambiri mukamapereka dopamine ndi mankhwala awa omwe amachotsa madzi m'thupi. |
| Ergot Alkaloids | Mavuto angachitike ndi mankhwala a mutu waching'alang'ala monga ergotamine. |
| Mankhwala Oletsa Kupweteka Kwambiri | Mankhwala monga isoflurane, omwe amagwiritsidwa ntchito popangitsa munthu kugona panthawi ya opaleshoni. |
| Mankhwala ena | Mankhwala monga Phenytoin (mankhwala operekedwa kwa fuluwenza) ndi Oxytocin (mankhwala operekedwa kwa chiberekero). |
Kodi zotsatirapo zake zingakhale zotani chifukwa chomwa mankhwalawo?
Monga mankhwala ena aliwonse, dopamine ingayambitse zotsatirapo zoyipa. Popeza mudzakhala kuchipatala mukapatsidwa mankhwalawa, musaope kuuza dokotala kapena namwino amene akukuthandizani nthawi yomweyo ngati mukumva china chake chachilendo.
| Zotsatirapo zomwe zingatheke za Dopamine | |
|---|---|
| 🚨 Ngati mukumva zizindikiro izi, uzani dokotala kapena namwino wanu nthawi yomweyo. | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo, lilime kapena nkhope, kuvutika kupuma. |
| Mavuto a mtima | Kupweteka pachifuwa, chizungulire, kumva ngati mtima wanu ukugunda mofulumira kapena mosakhazikika (kugunda kwa mtima), kumva ngati kuti mungatuluke m'mimba. |
| Mavuto pamalo obayira kansalu | Ululu, kufiira, kutupa, kapena kutupa komwe mankhwalawo adabayidwa. |
| 🙂 Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Mutu | Mutu waukulu ukhoza kuchitika. |
| Kusanza ndi kusanza | Kusokonezeka m'mimba, nseru, kapena kusanza kungachitike. |
| Nkhawa | Mungamve kusakhazikika komanso kuda nkhawa. |
Uthenga Wopita Nawo Kunyumba
- Dopamine ndi mankhwala amphamvu kwambiri omwe amagwiritsidwa ntchito pa nthawi yadzidzidzi kuti awonjezere kuthamanga kwa magazi ndikubwezeretsa ntchito ya mtima. Amaperekedwa kuchipatala chokha.
- Ndikofunikira kudziwitsa dokotala wanu ngati muli ndi ziwengo, matenda ena, kapena mankhwala ena omwe mukumwa.
- Ngati mukumva kupweteka pachifuwa, kuvutika kupuma, chizungulire chachikulu, kapena zizindikiro za ziwengo mukumwa mankhwala, dziwitsani ogwira ntchito kuchipatala nthawi yomweyo.
- Nkhaniyi ndi chidule chabe. Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu.
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