Zvaunofanira kuziva nezve jekiseni reNorepinephrine rinoponesa hupenyu panguva yekukurumidzira

Ungave wakanzwa chiremba achikuudza kana mumwe munhu wemumhuri mako ari muchikamu chevarwere vanorwara zvakanyanya (ICU), "BP yakaderera zvikuru, saka takatanga mushonga wakakosha wekuponesa hupenyu hwake." Kana kuti ungave wakambozviona mufirimu, apo munhu ari munjodzi anobatanidzwa nemichina yakawanda, uye mushonga unopinzwa mumuviri kuburikidza nesirin'i diki kubva kumuchina mumwe chete. Norepinephrine mushonga unokosha uye une simba unopiwa panguva dzakadaro. Unowanzo shandiswa mukurwa pakati pehupenyu nerufu. Saka ngatitaure nezvazvo nhasi.

Chii chinonzi norepinephrine?

Zvichitaurwa zviri nyore, Norepinephrine ikemikari yakagadzirwa yakafanana zvikuru nehomoni inonzi Adrenaline, iyo inogadzirwa mumuviri wedu. Mukurapa, tinoidaidza kuti vasoconstrictor .

Fungidzira pombi yemvura. Kana ukadzvanya pombi zvishoma, mvura inobuda nekumanikidzwa kwakawanda, handiti? Saizvozvowo, mushonga uyu weNorepinephrine unoita kuti tsinga dzeropa dzakapfava mumuviri wedu wese dziome (dziome). Ipapo kumanikidzwa kweropa riri kuyerera mukati metsinga idzodzo, kureva, kumanikidzwa kweropa, kunowedzera kamwe kamwe.

Mushonga uyu unodiwa mune zvipi zviitiko?

Kazhinji, kana BP yemunhu yadzikira, chinhu chekutanga chatinoita kumupa saline. Asi dzimwe nguva, kunyangwe nesaline, BP haidzokeri padanho raunoda. Ndipo panodzikira BP kusvika padanho rinogona kuisa hupenyu panjodzi. Norepinephrine inoshandiswa kubatsira.

Semuyenzaniso:

• Utachiona Hwakanyanya (Sepsis): Muchirwere che septic shock, chirwere chakanyanya chinopinda mumuviri uye chinokonzera kudzikira kweBP kamwe kamwe.
• Kurwiswa neMwoyo: Kana moyo usingakwanise kupomba ropa zvakanaka mushure mekurwiswa nemoyo kwakanyanya.
• Kukuvara Kukuru: Kana ropa rakawanda richibuda mushure metsaona huru.
• Kuvhiyiwa Kukuru: Kunyanya mushure mekuvhiyiwa kukuru kwemoyo.
• Kurwara Kwakanyanya (Anaphylactic Shock): Mune vamwe vanhu, BP inogona kuderera zvakanyanya kana paine chirwere chakakomba cheallergy kune chimwe chinhu.

Mumamiriro ezvinhu akadaro, kana nhengo dzinokosha dzemuviri, dzakadai seuropi, moyo, neitsvo , dzikasawana ropa rinodiwa, nhengo idzodzo dzinogona kutadza kushanda uye murwere anogona kufa. Norepinephrine inoshandiswa kuwedzera kumanikidzwa uye kutumira ropa kunhengo idzodzo.

Mushonga uyu unopihwa sei? Uye zvekuudza chiremba

Mushonga uyu unopihwa kuburikidza ne cannula inopinzwa mutsinga. Asi nekuti unofanirwa kuendeswa mumuviri nekukurumidza kwakanyatsojeka, mudziyo unonzi infusion pump unoshandiswa pakuita izvi. Kumanikidzwa kweropa remurwere kunoramba kuchiongororwa ne monitor, uye chiremba anogara achichinja mwero wemushonga zvichienderana nehukuru ihwohwo.

Usati watanga kurapwa uku, zvakakosha zvikuru kuudza chiremba wako nezvenhoroondo yako yese yehutano (kana yemurwere). Kunyanya zvinhu izvi:

• Wakambova neallergy ye norepinephrine here kana kemikari inonzi sulfites ?
• Une nhoroondo yekurova kwemoyo kusina kurongeka here?
• Une dambudziko rekugwamba kweropa here?
• Une matambudziko ekufamba kweropa muminwe yako here?
• Une pamuviri here, uchitarisira kuva nepamuviri, kana kuti uri amai vanoyamwisa?
• Pane dambudziko rekushaya mvura mumuviri here?

Kurapwa kunogona kuchinja zvichienderana neruzivo urwu.

Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?

Nekuti uyu mushonga une simba guru, mimwe migumisiro inogona kuitika. Ndosaka vashandi vechipatara vachigara vakangwarira nezveizvi. Vanotora matanho nekukurumidza pavanoona dambudziko.

Unofanira kutya here kutora mushonga wakawandisa?

Kwete. Izvi zvinodaro nekuti mushonga uyu hausi chinhu chaunogona kuenda nacho kumba. Unopihwa muchipatara, uchitarisirwa zvizere navanachiremba, uye nenzira inodzorwa zvakanyanya, saka mikana yekuwedzerwa mushonga wakawandisa yakaderera . Kana chinhu chakadaro chikaitika, vashandi vechipatara vakagadzirira kupa kurapwa kwese kwakakosha. Kana uine kusava nechokwadi, unogona zvakare kufonera National Poisons Information Centre paColombo National Hospital kuti uwane rumwe ruzivo.

Kudyidzana kunogona kuitika nemimwe mishonga

Zvakakoshawo kuudza chiremba wako nezve mimwe mishonga yauri kutora, sezvo mimwe mishonga inogona kukonzera matambudziko kana ikasanganiswa ne norepinephrine.

• Ergot alkaloids: Mimwe mishonga inoshandiswa kurapa zvirwere zvakaita semigraine.
• Mishonga yekuderedza kushushikana: Kunyanya mishonga yakaita seamitriptyline nemishonga iri mukirasi yemishonga inonzi MAOIs (Monoamine Oxidase Inhibitors).
• Mishonga inorwisa marwadzo: Mimwe mishonga inopiwa kuti munhu arare panguva yekuvhiyiwa.
• Mishonga yechirwere cheshuga: Nekuti norepinephrine inogona kuchinja huwandu hweshuga muropa, chiyero chemishonga yechirwere cheshuga chingada kugadziriswa.

Udza chiremba wako nezvemishonga yese, mavhitamini, mishonga yemishonga, uye kana uchisvuta kana kunwa doro, sezvo zvinhu izvi zvichigona kukanganisa kurapwa kwako.