Wakambonzwa here chiremba achiudza murwere ari muchikamu chevarwere vanorwara zvakanyanya (ICU) kana mukamuri rekukurumidzira (ETU) kuti "vari kupa mushonga wakakosha wekusimbisa moyo"? Dzimwe nguva, kunyanya kana moyo ukangoerekana wamira kushanda, mishonga yakakosha inoshandiswa kuupa simba zvakare. Isoproterenol mushonga unokosha zvikuru unoshandiswa munguva dzekukurumidzira dzakadai. Zvakakosha kuziva nezvawo, sezvo uyu usiri mushonga waunowanzo tenga kubva kupharmacy woshandisa kumba. Ngatitaure nezvazvo nhasi.
Chii chinonzi Isoproterenol?
Zvichitaurwa zviri nyore, Isoproterenol mushonga unowedzera kurova kwemoyo uye kugona kupomba nekupa simba, kana kuti kudhonza, tsandanyama dzemwoyo. Mukurapa, tinodana boka iri remishonga kuti 'inotropes'.
Mushonga uyu unonyanya kushandiswa pa:
- Kukundikana kwemoyo: Kuvandudza mashandiro emoyo kana usingakwanise kupomba ropa rakakwana mumuviri.
- Matambudziko ekurova kwemoyo: Kudzorera kurova kwemoyo kwakajairika kana kurova kwemoyo kwava kunonoka zvisingawanzoitiki (Bradycardia) kana mamwe matambudziko ekurova kwemoyo akaitika.
Chinhu chinonyanya kukosha ndechekuti mushonga uyu unongopihwa muchipatara chete, uchitarisirwa zvakananga navanachiremba nevanamukoti.
Zvinhu zvakakosha zvekuudza chiremba wako usati wapa mushonga uyu
Chiremba wako asati akupe mushonga uyu, achada kuziva nhoroondo yako yese yehutano. Nekuti mamwe matambudziko ehutano anoda kungwarira zvakanyanya pakushandisa mushonga uyu. Saka, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
| Une mamiriro ezvinhu aya here? | Sei zvichikosha kuudza chiremba? |
|---|---|
| Chirwere cheshuga | Mushonga uyu unogona kukanganisa huwandu hweshuga muropa. |
| Zvimwe zvirwere zvemwoyo | Kungwarira kwakakosha kunodiwa pakupa mushonga uyu kuvanhu vane matambudziko emwoyo akambovapo. |
| Chirwere chethyroid | Mushonga uyu unogona kuwedzera migumisiro yakaipa kune vanhu vane thyroid gland inoshanda zvakanyanya. |
| Kurwara | Zvakakosha zvikuru kutaura nezve allergies dzeIsoproterenol kana mimwe mishonga, chikafu, kana madhayi. |
| Kubata pamuviri kana kuedza kubata pamuviri | Unofanira kukurukura nachiremba wako nezvemigumisiro inogona kuitika pamwana ari mudumbu. |
| Kuyamwisa | Taura nachiremba wako kana mushonga wacho uchizopinda mumwana wako kuburikidza nemukaka wemuzamu. |
Ungashandisa sei mushonga uyu uye ko kana ukatora zvinodhaka zvakanyanya?
Sezvandambotaura, uyu mushonga unobayiwa jekiseni mutsinga kana kuti semushonga wesaline, semushonga wesaline. Izvi zvinongoitwa muchipatara kana kiriniki nenyanzvi yezvekurapa yakadzidziswa. Kana mushonga uyu ukapihwa vana vadiki, unoda kutarisirwa kwakakosha nachiremba wevana.
Sezvo izvi zvichipiwa muchipatara, mikana yekuti "kuwedzerwa kwemushonga" ishoma kwazvo. Kana izvi zvikaitika, vashandi vekurapa vachatora matanho anodiwa. Zvisinei, kana uchida mazano ane chekuita nechero chepfu yemishonga, unogona kufonera National Poisons Information Centre paColombo National Hospital . Kana paine emergency, zvakakosha kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Panogona kuva nematambudziko nemimwe mishonga here?
Ehe, Isoproterenol inogona kushanda pamwe chete nemimwe mishonga. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora (kusanganisira mishonga yemamwe matambudziko, mavhitamini, mishonga yechivanhu, uye mishonga yeAyurvedic). Zvakare, udza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
| Rudzi rwemishonga | Mienzaniso |
|---|---|
| Musape mushonga uyu pamwe chete. | |
| Ergot alkaloids | Mishonga yemigraine yakadai se dihydroergotamine uye ergotamine |
| MAOIs | Mishonga yezvirwere zvepfungwa yakaita seMarplan, Nardil, Parnate |
| Mishonga iyi inogona kusangana nemishonga iyi. | |
| Epinephrine | Mushonga unoshandiswa pakurapa allergies dzechimbichimbi |
| Mishonga inopedza marwadzo | Mishonga inoshandiswa mukuvhiya, yakadai se halothane ne isoflurane |
Ndezvipi zvingakonzera migumisiro yakaipa?
Paunenge uchipiwa mushonga uyu, kurova kwemoyo wako neBP zvichatariswa zvakanyanya nevashandi vezvehutano. Zvisinei, zvakakosha kuvazivisa nekukasika kana ukasangana nemimwe yemigumisiro inotevera:
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekutaurira chiremba kana nesi nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuchinja kune njodzi mukurova kwemoyo | Kurwadziwa pachipfuva, dzungu, kurova kwemoyo nekukurumidza kana kusina kurongeka, kurova kwemoyo zvakanyanya, kupera simba, kuoma kufema. |
| Zvinhu zvisingawanzo kuve zvakakomba, asi zvinofanira kutaurwa kana zvikaramba zviripo | |
| Dzungu | Kunzwa musoro wakareruka. |
| Musoro | Musoro unowanzoonekwa. |
| Kuchenesa kumeso | Chiso chinonzwa kupisa uye chinoshanduka kuva chitsvuku. |
| Kusvotwa | Kunzwa kuda kurutsa. |
Ndapota cherechedzai kuti runyorwa urwu runogona kunge rusina migumisiro yese inogona kuitika. Kana muine mibvunzo nezveizvi, bvunzai chiremba wenyu.
Mharidzo Yekuenda Nayo Kumba
- Isoproterenol mushonga wehunyanzvi unongopihwa muchipatara chete kana moyo usina simba kana kuti uine matambudziko nekurova kwemoyo.
- Izvi zvinosimbisa tsandanyama dzemwoyo uye zvinowedzera kugona kwayo kupomba.
- Usati watora mushonga uyu, zvakakosha kuzivisa chiremba wako nezvezvirwere zvako zvese pamwe nemimwe mishonga yauri kutora.
- Izvi zvinoitwa pasi pekutarisirwa kwakasimba kwechiremba, uye mamiriro ako ezvinhu anogara achitariswa.
- Kana ukaona zviratidzo zvakaita sekurwadziwa pachipfuva, dzungu rakakomba, kana kuoma kufema paunenge uchinwa mushonga, zivisa vashandi vekurapa nekukasika.
- Uyu hausi mushonga wekushandisa kumba.
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