Fungidzira imbwa ichingoerekana yasvetuka pauri kufamba mumugwagwa. Kana kuti kunzwa kwekutya kwaunowana usati waita bvunzo yakakosha... Mwoyo wako unotanga kurova nekukurumidza, muviri wako unotonhora uye unonzwa kudikitira, maziso ako anokura. Kwemasekondi mashoma, muviri wako wese unogadzirira kurwa kukuru kana kumhanya. Izvi ndizvo zvatinodaidza kuti ' kurwa-kana-kutiza '. Kuseri kwezvose izvi kune magamba maviri mumuviri wedu. NdiEpinephrine (Epinephrine) naNorepinephrine (Norepinephrine). Tichataura nezvevaviri ava nhasi.
Ndiani anoti Epinephrine neNorepinephrine?
Zvichitaurwa zviri nyore, vaviri ava vatumwa mumuviri wedu. Vose vanogona kuita zvinhu zviviri.
1. Semahormone: Homoni ikemikari inotumwa neropa redu ichiudza nhengo dzakasiyana-siyana kuti "ita izvi." Epinephrine neNorepinephrine zvinonyanya kugadzirwa nematumbu maviri madiki ari pamusoro peitsvo dzedu (adrenal glands).
2. Sema neurotransmitters : Aya makemikari anotumira mameseji pakati pematiriyoni emasero etsinga muuropi hwedu nehurongwa hwetsinga. Anobatsira kudzora zvese kubva pakurova kwemoyo wedu kusvika pamanzwiro edu.
Zvese izvi zviri muboka remakemikari anonzi catecholamines . Imwe nhengo huru yeboka iri idopamine . Makemikari ese matatu aya anoshanda pamwe chete kugadzirira muviri wako paunenge uchinetseka. Asi dopamine inozivikanwa zvakanyanya nemhedzisiro yayo pazvinhu zvakaita semufaro wedu, ndangariro, uye kutarisisa.
Kana huwandu hwemahormone aya hukakwira panguva yekunetseka, muviri wako unopindura nenzira dzinotevera:
* Inowedzera kuyerera kweropa kuenda kuuropi netsandanyama.
* Wakanyatso ngwarira.
* Inowedzera kurova kwemoyo.
* Inowedzera BP.
Dzimwe nguva, kana uine zviratidzo zvinogara zviripo zvakaita seBP yakanyanya kuoma kudzora, kuzvidya mwoyo nguva nenguva, kuda kurutsa, uye musoro wakanyanya , chiremba wako anogona kuraira kuongororwa ropa neweti kuti aone huwandu hwema catecholamines aya. Kuwanda kwakawanda kweizvi kunogona kuva chiratidzo chegomarara risingawanzoitiki mumatumbu akakomberedza itsvo.
Izvi zviviri zvinoshanda zvakasiyana sei?
Kunyangwe epinephrine ne norepinephrine zvichishanda pamwe chete, mabasa azvo makuru akasiyana zvishoma. Ngationei kuti zvinoitwa sei.
| Basa reNorepinephrine (Noradrenaline) | Basa reEpinephrine (Adrenaline) |
|---|---|
| Inowanzo shanda se neurotransmitter , zvinoreva kuti inotakura mameseji kubva kuuropi kuenda kune dzimwe nhengo dzemuviri. | Inowanzo shanda sehomoni . Inoburitswa kubva muadrenal glands panguva yekushushikana. |
| Inoshanda mumuviri nguva dzese , kwete panguva yekushushikana chete. Mabasa ayo makuru ndeekudzora BP yedu, kudzora kurara nekumuka (inobatsira kukumutsa mangwanani), uye kutibatsira kugara takamuka mukati mezuva rese. | Inonyanya kushanda panguva yekupindura kwe'Fight-or-Flight' , ichigadzirira muviri panguva yekukurumidzira. |
| Kutetepa kwetsinga dzeropa kunoita basa guru mukudzora BP . Zvisinei, kana huwandu hwacho hukaramba huchikwira, BP inogona kukwira. | Zvinoderedza kunzwa kwekurwadziwa panguva yekukurumidzira. Izvi zvinokutendera kuti umhanye kana kurwa kunyangwe wakakuvara. Zvinowedzerawo simba rako kwenguva pfupi. |
| Kuderera kwehuwandu hwepfungwa kwakabatana nematambudziko ehutano hwepfungwa akadai sekuora mwoyo uye ADHD . Kunyange zvazvo huwandu hwakakwira kamwe kamwe huchigona kukonzera mufaro mukuru, hunogonawo kukonzera kutya . | Kushushikana kwakanyanya nguva dzose kunogona kukonzera kusagadzikana, kushaya hope, uye kunyange kukuvara kwemoyo . |
Izvi zvinoshandiswa sei semushonga?
Nekuti zvese izvi zvinogona kukanganisa muviri nekukurumidza uye zvakadzama, vanachiremba vanozvishandisawo semushonga.
Nguva yekupa Norepinephrine
Norepinephrine mushonga unonyanya kupihwa panguva dzenjodzi kurapa BP yakaderera zvine njodzi (BP ) ndeyekuwedzera uye kuchengetedza BP. Nyaya dzakadai ndeidzi:
- Kusungwa Kwemwoyo
- Septic Shock (kuvhunduka kunotyisa kunokonzerwa nehutachiona hwakanyanya)
- Panguva yekunzwa kurwadziwa kwemusana (Spinal Anesth ESI a)
- Mukuita kwemamwe mishonga
- Muzviitiko zvakaita sekuungana kwemvura yakakomberedza mwoyo (pericardial tamponade)
Pamusoro pezvo, mishonga yekurapa attention deficit hyperactivity disorder (ADHD) uye mimwe mishonga yekudzora kushungurudzika inoshanda nekuwedzera huwandu hwe norepinephrine muuropi.
Nguva yekupa Epinephrine (Adrenaline)
Epinephrine yakagadzirwa inoshandiswa semushonga mumamiriro ezvinhu akakosha zvikuru.
- Munguva yekubatsira kwemwoyo nemapapu (CPR)
- Chengeta mboni yakavhurika panguva yekuvhiyiwa kweziso.
- Kuwedzera kumanikidzwa kweropa mu septic shock
- Vhura nzira dzekufema kana munhu arwara neasthma (semushonga wekufema)
Kukosha kweEpinephrine paAnaphylaxis
Imwe yenzira dzakakosha dzekushandisa epinephrine kurapa chirwere chemwoyo kana paine allergies dzakakomba, dzinouraya, inonzi anaphylaxis.
Fungidzira mumwe munhu achingoerekana aomerwa nekudya chimwe chinhu chakadai senzungu, shrimp, kana kurumwa negonye.
- Huro inonzwa yakasimba uye yakazvimba
- Zviri kuoma kufema.
- Kukosora, kuhotsira.
- Zvinoita sehope dzakaipa.
Munguva dzakadai, mushonga unoponesa hupenyu iepinephrine. Uyu unowanzopihwa kuburikidza nepeni yekuzvibaya otomatiki (seEpiPen). Vanhu vane allergies dzakakomba vanowanzo udzwa navanachiremba vavo kuti vagare nepeni iyi nguva dzese. Dzimwe nguva, unofanirwa kuibaya nekukurumidza kana zviratidzo zvatanga. Inogona kudzora zviratidzo zvakakomba, zvakaita sekushaya mweya.
Zvakakosha: Kunyangwe kana jekiseni re epinephrine rikashandiswa uye zviratidzo zvikadzikira zvachose, zvakakosha kuenda kuchipatara chiri pedyo Emergency Department (ETU) kana kufonera 1990 Suwaseriya. Izvi zvinodaro nekuti zviratidzo zvinogona kuoneka zvakare mushure mekunge mushonga wapera.
Chii chinoitika kana izvi zvisina kukwana mumuviri?
Dzimwe nguva miviri yedu inogona kugadzira mahormone mashoma aya. Zvikonzero zveizvi zvinogona kunge zvakaoma, uye chiremba chete ndiye anogona kuzvinzwisisa.
Matambudziko ane chekuita nemazinga akaderera e-norepinephrine:
- Kuzvidya Mwoyo Uye Kuora Mwoyo
- ADHD
- Musoro
- Matambudziko ekurangarira uye kurara
- Kuderera kweropa (Hypotension)
- Shuga shoma muropa (Hypoglycemia)
Matambudziko ane chekuita nemazinga akaderera e epinephrine:
- Kuzvidya Mwoyo Uye Kuora Mwoyo
- Musoro
- Matambudziko ekurara
- Shuga shoma muropa (Hypoglycemia)
Kana ukaramba uine zviratidzo zvakadai, chinhu chakanakisa chekuita kutaura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Epinephrine (Adrenaline) neNorepinephrine ndivo vaviri vakakosha mukuita kwe'Fight-or-Flight' iyo inogadzirira muviri wako njodzi.
- Norepinephrine ineurotransmitter inogara ichishanda, ichidzora zvinhu zvakaita seBP, kutarisisa, uye kurara.
- Epinephrine ihormone inonyanya kushanda panguva yekushungurudzika kamwe kamwe.
- Norepinephrine inoshandiswa semushonga wekuwedzera BP iyo yakaderera zvakanyanya zvekuti haigone kuisa hupenyu panjodzi.
- Epinephrine mushonga unoponesa hupenyu hwemunhu ane allergy yakanyanya (anaphylaxis).
- Kana uine matambudziko aripo akadai sekuzvidya mwoyo, musoro, kana kuchinja kweBP, iva nechokwadi chekuona chiremba wako kuti akupe mazano.
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