Tekereza imbwa igutunguye mu gihe ugenda mu muhanda. Cyangwa se ukumva ufite ubwoba mbere yo kwipimisha ikintu cy'ingenzi... Umutima wawe utangira gutera cyane, umubiri wawe urimo gukonja no kubira ibyuya, amaso yawe arakomera. Mu masegonda make, umubiri wawe wose witegura kurwana cyangwa kwiruka. Ibi ni byo twita igisubizo cyo ' kurwana cyangwa guhunga '. Inyuma y'ibi byose hari intwari ebyiri mu mubiri wacu. Ni Epinephrine (Epinephrine) na Norepinephrine (Norepinephrine). Tugiye kuvuga kuri ibi bibiri uyu munsi.
Ni nde uvuga Epinephrine na Norepinephrine?
Mu magambo make, aba bombi ni intumwa mu mubiri wacu. Bombi bashobora gukora ibintu bibiri.
1. Nk'imisemburo: Imisemburo ni ubutumwa bw'ibinyabutabire bunyura mu maraso yacu bukabwira ingingo zitandukanye "gukora ibi." Epinephrine na Norepinephrine ahanini bikorerwa n'uturemangingo tubiri duto tuba hejuru y'impyiko zacu (uturemangingo tw'inkende).
2. Nk'imiti ikora mu bwonko : Iyi ni imiti ikwirakwiza ubutumwa hagati y'uturemangingo tugera kuri tiriyari mu bwonko bwacu no mu mitsi. Ifasha kugenzura ibintu byose kuva ku gutera k'umutima kugeza ku marangamutima yacu.
Ibi byombi biri mu itsinda ry'ibinyabutabire byitwa catecholamines . Ikindi kintu gikomeye muri iri tsinda ni dopamine . Ibi bintu bitatu byose bikorana kugira ngo bitegure umubiri wawe igihe ufite stress. Ariko dopamine izwi cyane kubera ingaruka zayo ku bintu nk'ibyishimo byacu, kwibuka no kwita ku bintu.
Iyo iyi misemburo izamutse mu gihe cy'ikibazo gikomeye, umubiri wawe ubyitabira mu buryo bukurikira:
* Yongera amaraso mu bwonko no mu mitsi.
* Uri maso cyane.
* Yongera umuvuduko w'umutima.
* Yongera umuvuduko w'amaraso.
Hari igihe, niba ufite ibimenyetso bidashira nko kuzamuka k'umuvuduko w'amaraso bigoye kubigenzura, guhangayika kenshi, isesemi, no kuribwa umutwe cyane , muganga wawe ashobora kugutegeka gupimwa amaraso n'inkari kugira ngo arebe urugero rw'izi catecholamines. Kugabanuka kw'ibi bishobora kuba ikimenyetso cy'ubwoko bwa kanseri idasanzwe mu ngirabuzimafatizo zikikije impyiko.
Ni gute ibi byombi bikora mu buryo butandukanye?
Nubwo epinephrine na norepinephrine bikorana, inshingano zabyo z'ingenzi ziratandukanye gato. Reka turebe uko bigenda.
| Imikorere ya Norepinephrine (Noradrenaline) | Akamaro ka Epinephrine (Adrenaline) |
|---|---|
| Akenshi ikora nk'icyuma gitera impuzamitsi , bivuze ko itwara ubutumwa buva mu bwonko bujya mu bindi bice by'umubiri. | Akenshi ikora nk'imisemburo . Irekurwa mu ngirabuzimafatizo z'inkende mu gihe cy'ihungabana. |
| Ikora mu mubiri igihe cyose , ntabwo ari mu bihe by'imihangayiko gusa. Imirimo yayo y'ingenzi ni ukugenzura umuvuduko w'amaraso yacu, kugenzura ibitotsi no gukanguka (idufasha kubyuka mu gitondo), no kudufasha kuguma turi maso umunsi wose. | Ikora cyane cyane mu gihe cyo kwitaba 'Fight-or-Flight' , igategura umubiri ku bw'impanuka. |
| Imitsi ifunganye y'amaraso igira uruhare runini mu kugenzura umuvuduko w'amaraso . Ariko, iyo urugero rukomeje kuzamuka, umuvuduko w'amaraso urashobora kwiyongera. | Bigabanya ububabare mu gihe cy’impanuka. Ibi bigufasha kwiruka cyangwa kurwana nubwo waba wakomeretse. Binakongera imbaraga zawe by’igihe gito. |
| Urugero ruri hasi rufitanye isano n'ibibazo by'ubuzima bwo mu mutwe nka depression na ADHD . Nubwo urugero ruri hejuru mu buryo butunguranye rushobora gutera ibyishimo bikabije, rushobora no gutera ubwoba . | Guhorana stress nyinshi bishobora gutera kubura umutuzo, kudasinzira neza, ndetse no kwangiza umutima . |
Ni gute ibi bikoreshwa nk'umuti?
Kubera ko ibi byombi bishobora kugira ingaruka zihuse kandi zikomeye ku mubiri, abaganga na bo babikoresha nk'umuti.
Igihe cyo gutanga Norepinephrine
Norepinephrine ni umuti utangwa cyane cyane mu bihe byihutirwa kugira ngo uvure umuvuduko w'amaraso uri hasi cyane (umuvuduko w'amaraso ) ni uwo kongera no kuwugumana. Muri ubwo buryo ni:
- Guhagarara k'umutima
- Ihungabana ry'umubiri (Septic Shock) (ihungabana rishobora guhitana ubuzima riterwa n'ubwandu bukomeye)
- Mu gihe cyo gusinziriza umugongo (Anesth yo mu mugongo ESI a)
- Mu bijyanye n'ingaruka z'imiti imwe n'imwe
- Mu bihe nk'amazi yirundanyije ku mutima (pericardial tamponade)
Byongeye kandi, imiti ivura indwara yo kudakora neza kw'ibitekerezo (ADHD) hamwe n'imiti imwe n'imwe igabanya ubukana bw'imihangayiko ikora mu kongera urugero rwa norepinephrine mu bwonko.
Igihe cyo gutanga Epinephrine (Adrenaline)
Epinephrine y’ubukorano ikoreshwa nk'umuti mu bihe bikomeye cyane.
- Mu gihe cyo gusubiza umutima mu gifu (CPR)
- Komeza ko imboni yagutse mu gihe cyo kubaga ijisho.
- Ongera umuvuduko w'amaraso mu gihe cy'ihungabana ry'amaraso
- Fungura inzira z'ubuhumekero mu gihe cy'asima (nk'icyuma gihumeka)
Akamaro ka Epinephrine mu kuvura indwara ya Anaphylaxis
Imwe mu mikoreshereze y'ingenzi ya epinephrine ni nk'uburyo bwihutirwa bwo kuvura allergie zikomeye kandi zishobora gushyira ubuzima mu kaga, bwitwa anaphylaxis.
Tekereza umuntu agize ikibazo gitunguranye cyo kurya ibintu nk'ubunyobwa, isambaza, cyangwa arumwe n'ivu.
- Umuhogo umeze nk'aho ufunganye kandi ubyimbye
- Biragoye guhumeka.
- Gukorora, kwitsamura.
- Bisa n'inzozi mbi.
Mu bihe nk'ibi, umuti urokora ubuzima ni epinephrine. Ubusanzwe iyi miti itangwa binyuze mu ikaramu yinjiza mu buryo bwikora (nk'iya EpiPen). Abantu bafite ubwivumbure bukomeye bakunze kubwirwa n'abaganga babo kugumana iyi karamu nabo igihe cyose. Hari igihe uba ugomba kuyitera vuba ibimenyetso bitangiye. Ishobora kugenzura vuba ibimenyetso bikomeye, nko kubura umwuka.
Icy'ingenzi cyane: Nubwo wakoresha inshinge ya epinephrine kandi ibimenyetso bigashira burundu, ni ngombwa guhita ujya mu bitaro bikuru byita ku barwayi ba ETU (ETU) cyangwa ugahamagara 1990 Suwaseriya. Ibi biterwa nuko ibimenyetso bishobora kongera kugaragara nyuma y'uko umuti ushize.
Bigenda bite iyo ibi bidahagije mu mubiri?
Hari igihe imibiri yacu ishobora gukora iyi misemburo mike. Impamvu zishobora kuba zigoye, kandi ni umuganga gusa ushobora kubimenya.
Ibibazo bifitanye isano n'urugero ruri hasi rwa norepinephrine:
- Guhangayika no kwiheba
- ADHD
- Umutwe
- Ibibazo byo kwibuka no gusinzira
- Umuvuduko w'amaraso uri hasi (Hypotension)
- Isukari nke mu maraso (Hypoglycemia)
Ibibazo bifitanye isano n'urugero ruto rwa epinephrine:
- Guhangayika no kwiheba
- Umutwe
- Ibibazo byo gusinzira
- Isukari nke mu maraso (Hypoglycemia)
Niba ukomeje kugira ibimenyetso nk'ibi, icyiza wakora ni ukuganira na muganga wawe.
Ubutumwa bwo kujyana mu rugo
- Epinephrine (Adrenaline) na Norepinephrine ni ingenzi mu gusubiza 'Fight-or-Flight' bitegura umubiri wawe guhangana n'akaga.
- Norepinephrine ni umusemburo w’ubwonko uhora ukora, ugenzura ibintu nk'umuvuduko w'amaraso, kwita ku bintu, no gusinzira.
- Epinephrine ni imisemburo ikora cyane cyane mu gihe cy'ihungabana ritunguranye.
- Norepinephrine ikoreshwa nk'umuti wo kongera umuvuduko w'amaraso uri hasi cyane ku buryo udashobora gushyira ubuzima mu kaga.
- Epinephrine ni umuti uvura indwara zikomeye ziterwa n’ubwivumbure (anaphylaxis).
- Niba ufite ibibazo bikomeje nko guhangayika, kuribwa umutwe, cyangwa impinduka mu muvuduko w'amaraso, menya neza ko wagiye kwa muganga kugira ngo akugire inama.
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