Zimene muyenera kudziwa zokhudza jakisoni wa Norepinephrine wopulumutsa moyo panthawi yadzidzidzi

Mwina munamvapo dokotala akukuuzani pamene munthu wina m'banja mwanu ali mu chipinda chosamalira odwala kwambiri (ICU), "Kuthamanga kwa magazi kumakhala kotsika kwambiri, choncho tinayamba mankhwala apadera kuti tipulumutse miyoyo yawo." Kapena mwina munawonapo mufilimu, pomwe munthu amene ali pamavuto adzidzidzi amalumikizidwa ndi makina ambiri, ndipo mankhwala amalowetsedwa m'thupi kudzera mu sirinji yaying'ono yochokera ku makina amodzi. Norepinephrine ndi mankhwala ofunikira kwambiri komanso amphamvu omwe amaperekedwa nthawi ngati zimenezi. Nthawi zambiri amagwiritsidwa ntchito polimbana ndi moyo ndi imfa. Choncho tiyeni tikambirane za izi lero.

Kodi norepinephrine ndi chiyani kwenikweni?

Mwachidule, Norepinephrine ndi mankhwala opangidwa omwe amafanana kwambiri ndi mahomoni a Adrenaline, omwe amapangidwa mwachilengedwe m'thupi lathu. M'mawu azachipatala, timawatcha vasoconstrictor .

Tangoganizirani chitoliro cha madzi. Mukakanikiza chitoliro pang'ono, madzi amatuluka ndi kupanikizika kwambiri, sichoncho? Mofananamo, zomwe mankhwala a Norepinephrine amachitazi zimapangitsa kuti mitsempha yamagazi yofewa m'thupi lathu lonse ichepetse (kulimbitsa). Kenako kuthamanga kwa magazi mkati mwa mitsempha imeneyo, ndiko kuti, kuthamanga kwa magazi, mwadzidzidzi kumawonjezeka.

Kodi mankhwala awa amafunika nthawi ziti?

Kawirikawiri, kuthamanga kwa magazi kwa munthu kukamatsika, chinthu choyamba chomwe timachita ndi kumupatsa saline. Koma nthawi zina, ngakhale ndi saline, kuthamanga kwa magazi sikubwerera pamlingo womwe mukufuna. Pamenepo ndi pomwe kuthamanga kwa magazi kumatsika kufika pamlingo womwe ungakhale pachiwopsezo. Norepinephrine imagwiritsidwa ntchito kuthandiza.

Mwachitsanzo:

• Matenda Oopsa (Sepsis): Mu septic shock, matenda oopsa amalowa m'thupi ndipo amachititsa kutsika kwadzidzidzi kwa kuthamanga kwa magazi.
• Matenda a Mtima: Pamene mtima sungathe kupopa magazi bwino pambuyo pa matenda aakulu a mtima.
• Kuvulala Kwambiri: Pamene magazi akutuluka kwambiri pambuyo pa ngozi yaikulu.
• Maopaleshoni Akuluakulu: Makamaka pambuyo pa opaleshoni yayikulu ya mtima.
• Kusokonezeka Kwambiri kwa Thupi (Anaphylactic Shock): Mwa anthu ena, kuthamanga kwa magazi kumatha kutsika kwambiri akakhala ndi vuto lalikulu la thupi chifukwa cha chinthu china.

Mu mkhalidwe wotere, ngati ziwalo zofunika kwambiri m'thupi, monga ubongo, mtima, ndi impso , sizilandira magazi ofunikira, ziwalozo zitha kulephera ndipo wodwalayo akhoza kufa. Norepinephrine imagwiritsidwa ntchito kuonjezera kuthamanga kwa magazi ndi kutumiza magazi ku ziwalozo.

Kodi mankhwalawa amaperekedwa bwanji? Ndipo ndi chiyani choti muuze dokotala?

Mankhwalawa amaperekedwa kudzera mu kanula yomwe imayikidwa mumtsempha. Koma chifukwa chakuti amafunika kuperekedwa m'thupi pamlingo woyenera, chipangizo chapadera chotchedwa infusion pump chimagwiritsidwa ntchito pa izi. Kuthamanga kwa magazi kwa wodwalayo kumayendetsedwa nthawi zonse ndi chowunikira, ndipo dokotala nthawi zonse amasintha liwiro lomwe mankhwala amaperekedwa kutengera zomwezo.

Musanayambe chithandizochi, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yonse ya thanzi (kapena la wodwalayo). Makamaka zinthu izi:

• Kodi munayamba mwakhalapo ndi vuto la norepinephrine kapena mankhwala otchedwa sulfites ?
• Kodi muli ndi mbiri ya kugunda kwa mtima kosasinthasintha?
• Kodi muli ndi vuto la magazi kuundana?
• Kodi muli ndi vuto la kuyenda kwa magazi m'manja mwanu?
• Kodi muli ndi pakati, mukufuna kutenga pakati, kapena muli ndi mayi woyamwitsa?
• Kodi pali vuto la kuchepa madzi m'thupi?

Chithandizo chingasinthe kutengera izi.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?

Popeza mankhwalawa ndi amphamvu kwambiri, zotsatirapo zina zimatha kuchitika. Ndicho chifukwa chake ogwira ntchito kuchipatala nthawi zonse amakhala maso pa izi. Amachitapo kanthu akangoona vuto.

Kodi muyenera kuopa kumwa mankhwala opitirira muyeso?

Ayi. Izi zili choncho chifukwa mankhwalawa si chinthu chomwe mungapite nacho kunyumba. Amaperekedwa kuchipatala, moyang'aniridwa ndi madokotala onse, komanso m'njira yolamulidwa bwino, kotero mwayi woti munthu agwiritse ntchito mankhwala mopitirira muyeso ndi wochepa kwambiri . Ngati zoterezi zitachitika, ogwira ntchito kuchipatala ali okonzeka kupereka chithandizo chonse chofunikira. Ngati muli ndi kukayikira kulikonse, mutha kuyimbiranso National Poisons Information Centre ku Colombo National Hospital kuti mudziwe zambiri.

Kuyanjana komwe kungatheke ndi mankhwala ena

Ndikofunikanso kuuza dokotala wanu za mankhwala ena aliwonse omwe mukumwa, chifukwa mankhwala ena angayambitse mavuto akaphatikizidwa ndi norepinephrine.

• Ergot alkaloids: Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga mutu waching'alang'ala.
• Mankhwala Oletsa Kuvutika Maganizo: Makamaka mankhwala monga amitriptyline ndi mankhwala omwe ali mgulu la mankhwala otchedwa MAOIs (Monoamine Oxidase Inhibitors).
• Mankhwala oletsa ululu: Mankhwala ena omwe amaperekedwa kuti apangitse munthu kugona panthawi ya opaleshoni.
• Mankhwala a shuga: Popeza norepinephrine imatha kusintha kuchuluka kwa shuga m'magazi, mlingo wa mankhwala a shuga ungafunike kusinthidwa.

Uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala ochokera ku zitsamba, komanso ngati mumasuta kapena kumwa mowa, chifukwa zinthuzi zingakhudze chithandizo chanu.