Unoziva here nezvemishonga 'inosimbisa' uye 'inodzikamisa' moyo? (Inotropes)

Wakamboshanyira mumwe munhu ari muchipatara chevarwere vane chirwere chepfungwa (ICU) here? Paunenge uchidaro, ungave wakaona kuti vamwe varwere vanogara vachipiwa mishonga yakasiyana-siyana kuburikidza nemachubhu emunyu. Pamwe mumwe munhu mumhuri mako akanyorerwa mishonga yeBP yakakwira kana dambudziko remwoyo. Nhasi, tichataura nezvemhando yemishonga inogona kushandiswa muzviitiko zvakadaro. Iyi inonzi 'inotropes' mukurapa.

Zvichitaurwa zviri nyore, chii chinonzi 'Inotropes' idzi?

Inotropes rudzi rwemushonga 'unotaurira' tsandanyama dzemwoyo wako kuti dzinofanira kuoma kana kuti kunonoka zvakadii. Funga nezvemoyo wako sepombi inopomba mvura kuenda kumba kwako. Dzimwe nguva pombi iyi haigone kupomba mvura yakakwana kuenda kumba kwako. Dzimwe nguva, pombi iyi inogona kushanda zvakanyanya, zvichikonzera kumanikidzwa kuungana uye kutoputika mapaipi.

Inotropes dzakaita seswitch inowedzera kana kuderedza 'simba' remota iyi. Kune mhando mbiri huru dzadzo.

1. Positive Inotropes: Izvi zvinoita kuti mwoyo urove nesimba , sezvinoita kupa simba rakawanda kumota yemvura isina simba.

2. Negative Inotropes: Izvi zvinoita kuti mwoyo urove zvishoma nezvishoma uye nesimba shoma , zvakafanana nekudzora kumhanya kwemota iri kushanda nekukurumidza zvakanyanya.

Sei `Positive Inotropes` ichidiwa?

Mishonga inotropes inogona kubatsira kana mwoyo wako usina simba uye usingakwanise kupomba ropa rakakwana kuti rigutse zvinodiwa nemuviri. Mishonga iyi inoita kuti tsandanyama dzemwoyo dzibatane zvakasimba. Izvi zvinobatsira kuti huwandu hweropa rinopombwa nemoyo, kana kuti kubuda kwemwoyo, hudzokere pahwakajairika.

Aya ``Positive Inotropes`` anowanzo kupihwa varwere vari mumakamuri ekutarisirwa zvakanyanya (ICUs) muzvipatara, vane zvirwere zvakakomba zvakaita sekushaya simba kwemoyo. Anopihwa kuburikidza netsinga (IV).

Saka chii chinoitika ne `Negative Inotropes`?

`Negative Inotropes` inoita zvakapesana. Inoudza tsandanyama dzemwoyo kuti, "Usashande nesimba, shanda zvishoma nezvishoma, nesimba shoma."

Izvi zvinobatsira vanhu vane zvirwere zvakaita seBP yakakwira (`BP yakakwira`), kurwadziwa pachipfuva (`angina`), uye kurova kwemoyo kusina kujairika (`arrhythmia`). Mishonga iyi inomisa moyo kushanda nesimba uye inodzora zviratidzo zvine chekuita nayo. Iyi inowanzotorwa semapiritsi uye inotorwa kwenguva refu.

Mhando dzakasiyana dze'Inotropes' dzinowanzoshandiswa

Vanachiremba vanoshandisa mhando dzakasiyana dze'Inotropes' zvichienderana nemamiriro emurwere. Heano mimwe mienzaniso.

Zvirwere zvinoshandiswa mushonga uyu

`Positive Inotropes` uye `Negative Inotropes` mhando mbiri dzemishonga dzinoshandiswa pazvinangwa zvakasiyana.

Mamiriro ezvinhu apo Positive Inotropes inoshandiswa:

• Kuvhunduka kwemwoyo: Chirwere chinotyisidzira hupenyu chinokonzerwa nekutadza kwemoyo kupomba ropa.
• Kuvhunduka kweropa: Kudzikira kweBP kunokonzerwa nekuita kwakanyanya kwemuviri wese kana paine chirwere.
• Kukundikana kwemoyo: Kuderera zvishoma nezvishoma kwebasa remoyo.
• Mushure mekuvhiyiwa kwemoyo wakavhurika (`Post-open-heart surgery`).
• Mushure mekukuvara kukuru kana kuvhiyiwa.

Nguva yekushandisa Negative Inotropes:

• Kukwira kweropa
• Angina (Angina):Kurwadziwa pachipfuva kunokonzerwa nekusakwana kweropa rinosvika pamoyo.
• Kusashanda zvakanaka kwemoyo (`Arrhythmia`)
• Hypertrophic Cardiomyopathy: Chirwere chinokonzerwa nekukora kwetsandanyama yemwoyo.

Ndezvipi zvinogona kukonzera migumisiro yakaipa yeizvi?

Kufanana nemishonga yese, inotropes inogona kuva nemigumisiro yakaipa. Izvi zvinosiyana kubva kumurwere mumwe kuenda kune mumwe uye zvichienderana nerudzi rwemushonga unoshandiswa.

Zvakakosha kuyeuka kuti kunyange zvazvo `Positive Inotropes` iri mishonga inoponesa hupenyu, ine njodzi kana ikashandiswa kwenguva refu. Ndosaka vanachiremba vachiishandisa.Kwenguva pfupi inodiwa, muchiyero chidiki kwazvo chinogoneka.

Unofanira kuona chiremba wako zvakare rini?

Mushure mekunge maenda kumba mushure mekugamuchira `Positive Inotropes` muchipatara, zivisai chiremba wenyu nekukasika kana zviratidzo zvenyu zvekare zvadzoka kana kuti zvikawedzera. Zvakare, zivisai chiremba wenyu kana muine migumisiro yakaipa kubva pamushonga mutsva wamakapihwa.

Kana uri kushandisa mishonga kwenguva refu yakaita se `Negative Inotropes`, ziva zvinotevera:

• Kana usiri kuwana zororo rakakwana kubva pamushonga wawakanyorerwa kana kuti uri kuva nemigumisiro yakaipa , taura nachiremba wako.
• Usarega kutora mushonga wawakanyorerwa nechiremba chero chikonzero chipi zvacho. Zvakakosha kutora mushonga wako nechiyero chakakodzera uye panguva chaiyo, kunyangwe uchinzwa zvakanaka.
• Usatore mavhitamini, mishonga yemishonga, kana zvimwe zvinowedzera muviri usina kurairwa nachiremba wako. Zvinogona kukanganisa mishonga yauri kutora parizvino. Gara uchikurukura nachiremba wako nezvesarudzo dzako.