Fungidzira kuti mumwe munhu anopinda muchipatara nekudonha kweropa kamwe kamwe kana chirwere chakaita sekushaya simba kwemoyo. Muzviitiko zvakakomba zvakadaro, mushonga unokosha, une simba unoshandiswa navanachiremba kuponesa hupenyu hwemurwere unonzi dopamine. Uyu hausi mushonga waunogona kutenga kubva kupharmacy woshandisa kumba. Unopihwa muchipatara, munzvimbo yakaita seyuniti yevarwere vanorwara zvakanyanya (ICU), pasi pekutarisirwa kwakazara kwavanachiremba nevanamukoti. Saka, ngatitaurei nezvemushonga uyu unokosha nhasi.
Chii chinonzi dopamine? Chii chinoita kuti muviri ushande zvakanaka?
Zvichitaurwa zviri nyore, dopamine mushonga une mabasa maviri makuru.
1. Vasoconstrictor: Mushonga uyu unoita kuti tsinga dzeropa mumuviri wedu dziite zvidimbu zvishoma. Sekunge kana uchidzvanya pombi yemvura zvishoma, mvura inoyerera nekukurumidza, kana tsinga dzeropa dzichiita zvidimbu, BP inowedzera. Izvi zvakakosha zvikuru kana BP yakaderera uye hupenyu huri panjodzi.
2. Kusimbisa mashandiro emwoyo (Inotrope): Uyewo, mushonga uyu unokanganisa tsandanyama dzemwoyo, uchiwedzera kumhanya nesimba rekushanda kwemoyo. Mumamiriro ezvinhu akadai sekushaya simba kwemoyo, moyo unova usina simba uye haugone kupomba ropa rakakwana mumuviri. Panguva iyoyo, mushonga uyu unogona kubatsira moyo.
Nekuda kwezviito zviviri izvi, dopamine inowanzo shandiswa kugadzirisa mamiriro emurwere kana aine BP yakaderera zvakanyanya uye kutadza kushanda kwemoyo .
Ndingakupa sei mushonga uyu?
Izvi zvakakosha zvikuru. Dopamine haisi piritsi raunogona kunwa kana kubaya jekiseni kumba.
- Izvi zvinongopihwa muchipatara kana kukiriniki chete.
- Mushonga uyu unogadzirwa kuita mvura uye unopinzwa zvakananga mutsinga kuburikidza ne cannula .
- Uyu hausi mushonga unobayiwa jekiseni chete. Unowanzo batanidzwa nemuchina unonzi infusion pump uye unopinzwa mumuviri zvishoma nezvishoma nekukurumidza kwakanyatsojeka.
- Chiremba kana nesi acharamba achitarisa kurova kwemoyo wako, BP, nezvimwe zviratidzo zvinokosha panguva yese yaunenge uchitora mushonga uyu.
Sezvo mushonga uyu uchipiwa pasi pekutarisirwa nachiremba muchipatara, mikana yekuti mushonga uyu upindwe zvakanyanya yakaderera. Zvisinei, kana ukafungidzira chimwe chinhu chakadai, unofanira kuzivisa vashandi vekurapa nekukasika. Kana zvichidikanwa, vachabata National Poisons Information Centre paColombo National Hospital kuti vakupe mazano. Uchapinda zvakananga kuEmergency Treatment Unit (ETU) yechipatara kuti unorapwa.
Mushonga uyu ungapiwa kuvana vadiki here?
Ehe, kana zvichidikanwa, mushonga uyu unogona kupihwa kuvana. Asi unoitirwa nokungwarira kukuru, uye mushonga wacho unogadziriswa zvichienderana nehuremu hwemwana nemamiriro ake ezvinhu.
Zvinhu zvekuudza chiremba wako usati watora dopamine
Kunyangwe ukasarudza kupa mushonga uyu panguva yekukurumidzira, kana uchiziva kana kuti uine muchengeti, zvakakosha kuti uchengetedzeke kuudza chiremba ruzivo urwu.
- Kurwara: Iva nechokwadi chekuudza chiremba wako kana uine allergies kune dopamine, sulfites, chibage, mimwe mishonga, chikafu, kana madhayi anoshandiswa mumishonga.
- Matambudziko emwoyo: Kana uchitova nekurova kwemoyo kusina kurongeka.
- Matambudziko ekuyerera kweropa: Chirwere chinoderedza kuyerera kweropa muminwe nezvigunwe, zvakaita sechirwere chaRaynaud.
- Zvimwe zvirwere: Kana uine bundu muadrenal gland rinonzi pheochromocytoma.
- Kushaya mvura mumuviri: Kana wakarasikirwa nemvura mumuviri wako nekuda kwemanyoka kana zvimwe zvikonzero.
- Kubata pamuviri: Kana uine pamuviri, uri kuedza kubata pamuviri, kana kuti uri amai vanoyamwisa.
Mimwe mishonga inogona kupindirana nemushonga uyu (Kudyidzana Kwemishonga)
Dopamine inogona kushanda pamwe chete nemishonga yakawanda. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (yakanyorerwa nachiremba wako, mishonga isingatengeswi nechiremba, mishonga yechivanhu, mavitamini, zvigadzirwa zvemiti). Pazasi pane mimwe mishonga inogona kushanda pamwe chete nedopamine.
| Rudzi rwemishonga | Mhedzisiro uye mienzaniso |
|---|---|
| Mimwe mishonga yekurapa BP nezvirwere zvemwoyo | Izvi zvinogona kukanganisa mashandiro edopamine. |
| Mishonga yekuora mwoyo nekuzvidya mwoyo | Mishonga yeMAOI kunyanya (semuenzaniso Parnate, Nardil) inogona kukanganisa zvakanyanya dopamine. |
| Mishonga inobvisa mvura mumuviri | Kungwarira kunofanira kuitwa pakupa dopamine nemishonga iyi inobvisa mvura mumuviri. |
| Ergot Alkaloids | Matambudziko anogona kuitika nemishonga yemigraine yakaita seergotamine. |
| Mishonga Inonyaradza Muviri | Mishonga yakaita seisoflurane, inoshandiswa kukonzeresa hope panguva yekuvhiyiwa. |
| Mimwe mishonga | Mishonga yakaita sePhenytoin (mushonga unopihwa wekutapurirana) uye Oxytocin (mushonga unopihwa wekutapurirana kwechibereko). |
Ndezvipi zvingakonzera migumisiro yekutora mushonga?
Kufanana nemishonga yese, dopamine inogona kukonzera migumisiro yakaipa. Sezvo uchange uri muchipatara paunopiwa mushonga uyu, usatya kuudza chiremba kana nesi ari kukurapa nekukurumidza kana ukanzwa chimwe chinhu chisina kujairika.
| Migumisiro inogona kuitika yeDopamine | |
|---|---|
| 🚨 Kana ukaona zviratidzo izvi, taurira chiremba wako kana nesi nekukasika. | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwemiromo, rurimi kana kumeso, kuoma kufema. |
| Matambudziko emwoyo | Kurwadziwa pachipfuva, dzungu, kunzwa sekuti moyo wako uri kurova nekukurumidza kana kuti zvisina kurongeka (kurova kwemoyo), kunzwa sekunge ungafenda. |
| Matambudziko panzvimbo ye cannula | Marwadzo, kutsvuka, kuzvimba, kana kuzvimba panzvimbo pakabayiwa mushonga. |
| 🙂 Kana zviratidzo izvi zvikaramba zviripo kana kuti zvichikunetsa, udza chiremba wako. | |
| Musoro | Musoro wemusoro unogona kuitika. |
| Kusvotwa nekurutsa | Kushungurudzika kwemudumbu, kuda kurutsa, kana kurutsa zvinogona kuitika. |
| Kunetseka | Unganzwa kusagadzikana uye kunetseka. |
Mharidzo Yekuenda Nayo Kumba
- Dopamine mushonga une simba zvikuru unoshandiswa munguva dzenjodzi kuwedzera BP nekudzorera mashandiro emwoyo. Unopihwa muchipatara chete.
- Zvakakosha kuzivisa chiremba wako kana uine allergies, zvimwe zvirwere, kana mimwe mishonga yauri kutora.
- Kana uchinzwa kurwadziwa pachipfuva, kunetseka kufema, dzungu rakakomba, kana zviratidzo zvekusawirirana nemishonga paunenge uchinwa mushonga, zivisa vashandi vekurapa nekukasika.
- Nyaya ino ingori pfupiso. Kana muine mimwe mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu.
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