Ese wigeze usura umuntu uri mu cyumba cy’indembe (ICU) mu bitaro? Iyo ubikoze, ugomba kuba warabonye ko hari imashini zikikije igitanda cy’umurwayi, kandi hari imiti iva mu macupa atandukanye ishyirwa mu mitsi. Imwe mu miti itangwa muri ubu buryo yitwa 'Inotropes'. Nanone, wenda hari umuntu wo mu muryango wawe urimo gufata umuti w’umuvuduko ukabije w’amaraso uri muri iryo tsinda ryitwa Inotropes. Reka turebe ibyo izi Inotropes ari byo.
Mu magambo make, Inotropes ni iki?
Mu magambo make, inotropes ni ubwoko bw'umuti ubwira imitsi y'umutima wacu "gutera cyane" cyangwa "gutera buhoro buhoro." Uhindura imbaraga umutima wacu utera, cyangwa ugahuza.
Hari ubwoko bubiri bw'ingenzi bwa inotropes.
1. Inotropes nziza: Izi zibwira umutima gupompa amaraso "bikomeye kandi bikomeye."
2. Inotropes mbi: Izi zibwira umutima "kuruhuka gato, kwiruhutsa" no kuvoma amaraso.
Reka turebe ubu bwoko bubiri mu buryo burambuye.
Ubwoko bubiri bw'ingenzi bwa inotropes
Inotropes nziza: Imiti 'ihumeka' umutima
Tekereza ko pompe y'amazi iri mu nzu yawe idakomeye, kandi amazi ari mu kigega cyo hejuru arimo gutemba buhoro cyane. Muri ubwo buryo, rimwe na rimwe iyo umutima wacu ucitse intege, ntushobora kohereza amaraso akenewe ku mubiri wose. Ibi tubyita indwara nka Heart Failure.
Icyo gihe ni bwo Positive Inotropes iza gufasha. Iyi miti itanga imbaraga zidasanzwe ku mitsi y'umutima ifite intege nke, cyangwa se yongera amaraso umutima utera buri gutera (umutima usohoka). Ibi bituma ingingo z'ingenzi mu mubiri wacu, nk'ubwonko n'impyiko, zibona umwuka wa ogisijeni n'intungamubiri zikeneye.
Ubwo bwoko bw'imiti, yitwa Positive Inotropes, ikoreshwa mu bihe byihutirwa n'iby'uburwayi bukomeye, mu byumba byita ku barwayi barembye cyane (ICU) mu bitaro.
Inotropes mbi: Ibiyobyabwenge 'bituza' umutima
Noneho tekereza ko utwaye imodoka, ariko uhora ugenda ku muvuduko wose, ku muvuduko ntarengwa. Bigenda bite iyo bibaye? Moteri irashyuha, amahirwe yo gukora impanuka ariyongera, kandi ntabwo ari byiza ku modoka, sibyo?
Hari igihe imitima yacu ikora cyane. Ibi ni byo bibaho mu bihe nk'umuvuduko ukabije w'amaraso, angina, no gutera k'umutima ku buryo budasanzwe (arrhythmia).
Indwara mbi zigenzura umuvuduko w'umutima ukora cyane kandi zikawuha ikiruhuko gito.Iyi miti ibwira imitsi y'umutima "gufunga gato, nta mbaraga nyinshi." Ibi bifasha mu kugenzura umuvuduko w'amaraso no kugabanya umuvuduko utari ngombwa ku mutima.
Ubwoko bw'ingenzi bw'imiti ya inotrope n'ikoreshwa ryayo
Noneho ko ufite igitekerezo gifatika kuri ubu bwoko bubiri bw'imiti, reka turebe indi miti iri muri aya matsinda yombi n'imiterere yayo.
| Ubwoko bwa Inotrope | Ibiyobyabwenge bikunze gukoreshwa (ingero) | Indwara zivurwa |
|---|---|---|
| Inotropes nziza (Ikomeza ibikorwa by'umutima) |
|
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| Inotropes mbi (Gutuza ibikorwa by'umutima) |
|
|
Ingaruka mbi z'iyi miti ni izihe?
Kimwe n'indi miti yose, inotropes zishobora gutera ingaruka zimwe na zimwe. Izi ngaruka ntizibaho kuri buri wese, kandi zishobora gutandukana bitewe n'ubwoko bw'umuti n'ingano yawo. Iyo uhawe uyu muti, muganga wawe azakomeza gukurikirana indwara yawe.
| Ubwoko bwa Inotrope | Ingaruka mbi zishobora kubaho |
|---|---|
| Inotropes nziza |
|
| Inotropes mbi |
Icy'ingenzi ni ukumenyesha muganga wawe vuba niba ubonye ibimenyetso bidasanzwe nyuma yo gutangira imiti iyo ari yo yose.
Ni ryari ngomba kongera kubonana na muganga?
Nyuma yo kuvurwa imiti ya inotropes nziza no gutaha uvuye mu bitaro, niba wongeye kugira ibimenyetso bya kera (urugero, kubura umwuka, kubabara mu gatuza) cyangwa niba birushijeho gukomera, shaka ubufasha kwa muganga byihutirwa.
Niba ufata imiti nka Negative Inotropes y'igihe kirekire, nko kuvura umuvuduko ukabije w'amaraso, zirikana ibi bintu:
- Ntureke gufata imiti yawe: Nubwo waba wumva umeze neza ubu, ntureke gufata imiti yawe utabanje kugirwa inama na muganga.
- Vuga ku ngaruka mbi: Niba ufite ingaruka mbi ziterwa n'umuti, bwira muganga wawe. Bashobora kuguhindurira undi muti.
- Ntucikwe n'ibikurikiranwa: Menya neza ko ugiye ku matariki muganga wawe akubwira ko ugaruka.
- Witondere indi miti:Ntugafate imiti igabanya ububabare, vitamine, cyangwa imiti y'ibimera utabanje kugisha inama muganga wawe. Ishobora kugira ingaruka ku miti usanzwe ufata.
Inotropes ni ubwoko bukomeye bw'imiti ifite akamaro kanini ku buzima bw'umutima kandi rimwe na rimwe ishobora gutandukanya ubuzima n'urupfu. Igomba gufatwa buri gihe iyobowe na muganga, mu gipimo cyagenwe, no mu gihe runaka.
Ubutumwa bwo kujyana mu rugo
- Inotropes ni ubwoko bw'umuti ugira ingaruka ku mbaraga z'imitsi y'umutima.
- Inotropes nziza "ikomeza" gutera k'umutima, kandi ikoreshwa mu bihe byihutirwa nko kurwara umutima no guhungabana.
- Inotropes mbi "zituza" umuvuduko w'umutima, kandi zikoreshwa mu kugenzura indwara z'igihe kirekire nko kuzamuka k'umuvuduko w'amaraso.
- Iyi ni imiti ikomeye cyane kandi igomba gukoreshwa gusa iyo muganga aguhaye inama.
- Ntuzigere uhindura ingano cyangwa ngo uhagarike gufata imiti iyo ari yo yose wahawe nta nama za muganga.
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