Fungidzira kuti mumwe munhu ari pedyo newe anongoerekana arwara zvikuru obva apinda muIntensive Care Unit (ICU). Vanachiremba vanoti, 'BP yakaderera zvikuru, uye mushonga wakakosha unofanira kutanga kuwedzerwa.' Ungave wakanzwa mashoko akadai sekuti 'pressors' achitangwa. Vasopressors imhando yemishonga inokosha inoshandiswa muhondo yakadaro inoponesa hupenyu. Zvakakosha kuziva kuti iyi chii chaizvo. Saka ngatitaurei nezvazvo nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Vasopressors idzi?
Mishonga yeVasopressors ine simba inoshandiswa navanachiremba kuwedzera BP yakaderera zvakanyanya. Inowanzopihwa varwere vanenge vabatwa neshock . Mumamiriro ezvinhu aya ekuvhunduka, BP inoderera zvakanyanya zvekuti nhengo dzinokosha dzemuviri, dzakadai seuropi, moyo, neitsvo, dzinoshaya ropa rakawanda reokisijeni radzinoda. Izvi zvinogona kukuvadza nhengo idzodzo uye kutoisa upenyu panjodzi.
Kazhinji, kana BP yemunhu yadzikira, chinhu chekutanga chavanoita kupa saline (IV fluids). Zvisinei, kana BP ikasakwira kusvika padanho raunoda kunyangwe mushure mekupa saline, vanachiremba vanoshandisa mishonga iyi yekusimbisa ropa sedanho rinotevera.
Mishonga iyi inopinzwa sei mumuviri?
Nekuti iyi mishonga ine simba guru, haiwanzopihwa kuburikidza ne cannula yakaiswa mutsinga iri muruoko. Inopihwa kuburikidza ne 'central venous catheter' . Iyi ichubhu yakakosha inoiswa mutsinga huru yeropa mumutsipa, pachipfuva kana pahudyu. Nenzira iyi, mushonga unopinda zvakananga mutsinga huru iri pedyo nemoyo, zvichiita kuti ive yakachengeteka uye ikurumidze kushanda.
Chii chinoitika mumuviri ne vasopressors?
Mishonga iyi ine mabasa maviri makuru:
1. Kudzikira: Funga nezvepombi yemvura. Kana tikadzvanya pombi zvishoma, kumhanya nekumanikidzwa kwemvura zvichawedzera, handiti? Vasopressors vanoita zvimwe chete. Mishonga iyi inoita kuti tsinga diki dzeropa mumuviri wedu dzidzikire kwenguva pfupi (dzitete). Izvi zvinoita kuti BP ikwire.
2. Kuwedzera kushanda kwemoyo: Mamwe marudzi evasopressors anokanganisa tsandanyama dzemwoyo, zvichibatsira moyo kupomba ropa zvine simba.
Nekushandisa nzira idzi dzese, BP yakaderera inowedzera uye ropa rinotanga kuyerera zvakanaka kuenda kunhengo dzakakosha zvakare.
Chinhu chakakosha ndechekuti mishonga iyi haishandiswe kurapa chirwere. Inoshandiswa kudzora BP nekudzivirira nhengo dzemuviri uku chirwere chiripo (semuenzaniso, hutachiona hwakakomba, chirwere chemwoyo) chichirapwa.
Mhando dzeVasopressor dzinowanzoshandiswa uye mienzaniso
Mhando dzakasiyana dzemishonga inodzvinyirira vasopressor dzinoshandiswa mumakamuri evarwere vanorwara zvakanyanya. Chiremba anosarudza mushonga wakakodzera zvichienderana nemamiriro emurwere.
| Zita reGeneric | Cherechedza |
|---|---|
| Norepinephrine | Mushonga unoshandiswa zvakanyanya pakurapa zvirwere zvakawanda zvinokonzeresa kuvhunduka. |
| Epinephrine (Adrenaline) | Inoshandiswa mukurwisa zvirwere zvakanyanya (anaphylaxis) uye kurwiswa kwemoyo. |
| Vasopressin | Inowanzoshandiswa pamwe chete neNorepinephrine. |
| Dopamine | Madhigirii mashoma anokanganisa kurova kwemoyo neBP. |
| Phenylephrine | Inoshandiswa zvakanyanya pakuderedza BP kunokonzerwa nekushandisa mushonga weanesthesia. |
Tiri kushandisawo mishonga inodzvinyirira ropa tisingazive here?
Ehe, kusvika pamwero wakati. Mishonga yekubvisa mhino dzakavharika, iyo inoshandiswa kuderedza mhino dzakavharika kana uine dzihwa, inewo mushonga unovhara mitsipa yeropa. Izvi zvinovhara mitsipa yeropa iri mukati memhino, zvichideredza kuzvimba uye zvichiita kuti zvive nyore kufema. Zvakare, EpiPen® , inova mushonga une simba wekusimbisa vasopressor iyo vanhu vane allergies dzakakomba vanofanira kuchengetedza, ine epinephrine.
Mishonga iyi inodiwa mumamiriro api ekurapa?
Mishonga yeVasopressor imishonga inotsigira hupenyu. Inodiwa mumamiriro ezvinhu akaoma zvikuru, anoisa hupenyu panjodzi.
- Kuvhunduka: Kuvhunduka kunokonzerwa nehutachiona hwakanyanya (septic shock), kutadza kushanda kwemoyo (cardiogenic shock), kana kubuda ropa rakawanda.
- Sepsis:Muviri wese haugone kudzora hutachiona hwapinda mumuviri, zvichiita kuti ropa ridzikire.
- Kurwara neMwoyo uye Kukundikana kweMwoyo: Kana moyo usingakwanise kupomba ropa nemazvo.
- Panguva yekuvhiyiwa: Kunyanya kana BP yadzikira nekuda kwekushandisa mushonga wekuti musana usashande zvakanaka.
- Kubatwa nezvinodhaka zvakanyanya kana kurumwa nenyoka.
- Munguva yekukurumidzira kwemwoyo nemapapu (CPR).
Mishonga yekuderedza ropa ine migumisiro yakaipa here?
Ehe. Iyi mishonga ine simba guru uye pane njodzi yemigumisiro yakaipa. Ndosaka ichingopihwa muchikamu chevarwere vane hutano hwakanyanya (ICU), pasi pekutarisirwa nguva dzose navanachiremba nevanamukoti. Zvese kubva pakurova kwemwoyo wemurwere, BP, uye mwero weokisijeni zvinogara zvichiongororwa kuburikidza nevaongorori.
Mimwe yemigumisiro inogona kuitika:
- Kunetseka nemusoro.
- Kurwadziwa kwechipfuva.
- Kusashanda zvakanaka kwekurova kwemoyo - kuwedzera kumhanya (Tachycardia) kana kudzikira kumhanya (Bradycardia).
- Kuwedzera kwakanyanya kweropa.
- Kuderera kweropa rinosvika paminwe nekuda kwekuoma kwetsinga dzeropa zvakanyanya.
- Njodzi yekugwamba kweropa (thromboembolism).
Chikwata chevanachiremba chinogara chichitarisa murwere kuti aderedze migumisiro iyi. Vanogara vachigadzirisa mwero wemushonga sezvinodiwa.
Nguva yekupora
Mishonga yeVasopressor chirwere chakakomba chinoda kuti uishandise. Nguva yekupora inoenderana nechirwere chakakonzera kuti upiwe mishonga iyi. Ungangoda kugara muchipatara kwemavhiki kana mwedzi. Kunyangwe wasvika kumba, unofanirwa kuzvipa nguva yekudzokera kune zvawagara uchiita.
Kana wadzokera kumba, zvakakosha kuti utore mishonga yese yawakanyorerwa nachiremba wako nenguva, muchiyero chakakodzera, uye kuti uende kukiriniki yako nenguva. Kana ukaona zviratidzo zvakaita sekunzwa kusanzwa zvakanaka, kurwadziwa pachipfuva, kana kuoma kufema, taura nachiremba wako nekukasika kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Mharidzo Yekuenda Nayo Kumba
- Mishonga yeVasopressors iboka remishonga ine simba inogona kubatsira kuponesa hupenyu nekuwedzera BP yakaderera zvakanyanya.
- Izvi zvinoshanda nekudzvanya tsinga dzeropa uye kuwedzera mashandiro emoyo.
- Mishonga iyi inongopihwa mumakamuri ekuchengetwa varwere vakasimba (ICUs), pasi pekutarisirwa kwenguva dzose navanachiremba.
- Kunyange zvazvo izvi zvine migumisiro yakaipa, mapoka ekurapa ari kushanda nguva dzose kuti azvigadzirise.
- Zvinotora nguva kuti munhu apore zvizere mushure mekurapwa nenzira iyi, uye zvakakosha kuti munhu atevere mirairo yekurapa.
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