Uncedo lwentliziyo yakho: Masifunde ngesitofu sokugonya iDobutamine.

Ngamanye amaxesha iintliziyo zethu zifuna uncedo oluncinci, akunjalo? Ingakumbi xa intliziyo ibuthathaka kancinci kwaye inengxaki yokusebenza kakuhle. Kwiimeko ezinjalo, amayeza akhethekileyo abizwa ngokuba yiDobutamine asetyenziswa ngoogqirha. Ngaba singabona ezinye iinkcukacha ngale mayeza? Ndiyathemba ukuba oku kuya kukunika ukuqonda okungcono ngale mayeza.

Luhlobo luni lweyeza iDobutamine?

Ngamafutshane, iDobutamine liyeza eliqinisa izihlunu zentliziyo . Ngokwezonyango, likwiqela lamayeza abizwa ngokuba yi-`(Inotrope)`. Intliziyo yethu ifana nepompo ethumela igazi emzimbeni wonke. Ngamanye amaxesha, ngenxa yezizathu ezahlukeneyo, amandla okupompa ale ntliziyo, oko kukuthi, amandla ezihlunu zentliziyo ukuba zinciphe, ayancipha. Kulapho ke eli yeza elibizwa ngokuba yiDobutamine liza kunceda khona.

Oku kusetyenziswa kakhulu ekunyangeni iimeko ezifana nokusilela kwentliziyo okuxineneyo. Oko kukuthi, xa intliziyo ibuthathaka kangangokuba ayikwazi ukupompa igazi elaneleyo emzimbeni wonke. Cinga ngayo njengemoto yamanzi. Ukuba imoto ibuthathaka, amanzi awahambi kakuhle, yindlela esebenza ngayo. Eli yeza lisebenza ngokunyusa kancinci amandla "emoto" yentliziyo.

Ukongeza kwesi sizathu siphambili, oogqirha banokulisebenzisa eli yeza nakwezinye iinjongo zonyango. Ngoko ke, ukuba unikwa eli yeza, kulungile ukubuza ugqirha wakho ukuba lenzelwe ntoni kwaye lisebenza njani. Ungalifumana eli yeza phantsi kwegama lophawu `(Dobutrex)`.

Zeziphi izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza?

Lo ngumbuzo obaluleke kakhulu. Ngaphambi kokuba unikwe iDobutamine, ugqirha wakho uza kukubuza imibuzo ethile. Kubaluleke kakhulu ukuba uyiphendule ngokuchanekileyo. Olu lwazi lubalulekile ekugqibeni ukuba eli yeza lifanelekile na kwimeko yakho, indlela elifanele linikwe ngayo, kunye nokuba lingakanani na elifanele linikwe. Kufuneka uxelele ugqirha wakho ngezi zinto:

• Ukuba unesifo sentliziyo esele sikhona , oko kuthetha uhlobo oluthile lwesifo sentliziyo.
• Ukubetha kwentliziyo akuhambelani, oko kuthetha ukuba akubethi ngendlela efanayo, okanye ukuba kuye kwenzeka ngaphambili (imbali yokubetha kwentliziyo okungahambelaniyo). Ngamanye amaxesha intliziyo ibetha kancinci, ngamanye amaxesha ikhawuleza, okanye ngamanye amaxesha ingenasigqi.
• Ukuba uneengxaki zezintso (isifo sezintso).
• Ukuba ukhe wahlaselwa yintliziyo kutshanje.
• Ukuba une-aleji kwiyeza iDobutamine, ikhemikhali ebizwa ngokuba yi-sulfites (efumaneka kwamanye amayeza nokutya), naliphi na elinye iyeza, ukutya, iidayi zokutya, okanye izithinteli.(impendulo engaqhelekanga okanye ye-allergy kwi-dobutamine, i-sulfites, amanye amayeza, ukutya, iidayi, okanye izithinteli). Isenokuba yiyo nantoni na ukususela kwi-rash encinci ukuya kwi-reaction enkulu.
• Nokuba uzama ukukhulelwa okanye sele ukhulelwe.
• Ukuba ungumama oncancisayo .

Ukuxelela ugqirha wakho ngezi zinto ngaphandle kokuzifihla kuya kukunceda kakhulu ukuba ufumane unyango ngokukhuselekileyo.

Inikwa njani inaliti yeDobutamine?

Eli yeza alinikwa wena njengepilisi okanye ukuba ulithathe uye nalo ekhaya ulifake. I-Dobutamine liyeza elinikwa njengenaliti emthanjeni. Oko kuthetha ukuba, njenge-saline, linikwa ngqo egazini lakho nge-cannula. Oogqirha bakubiza oku ngokuthi yi-infusion.

Oku kudla ngokunikezelwa yingcali yezempilo esibhedlele okanye kwikliniki ekhethekileyo. Oku kuthetha ukuba ugqirha okanye umongikazi oqeqeshiweyo uza kukunika eli yeza aze akujonge ngokusondeleyo ngelo xesha.

Ingaba ninika abantwana abancinci oku?

Ngokuqinisekileyo kuya kufuneka uthethe nogqirha wakho wabantwana malunga nokusebenzisa eli yeza leDobutamine kubantwana abancinci, oko kukuthi, abantwana. Kuba, kwezinye iimeko ezikhethiweyo, oko kukuthi, kuxhomekeke kwimeko yomntwana, eli yeza linokunikwa abantwana, kodwa kukho amanyathelo akhethekileyo okhuseleko kunye nezigqibo zomthamo ezinxulumene nalo. Alinakunikwa njengokuba linikwa abantu abadala. Ke ngoko, kubalulekile ukuthetha nogqirha kwaye ulandele imiyalelo yakhe.

Yintoni omawuyenze ukuba idosi yeyeza inyusiwe? (Umthamo ogqithisileyo)

Ekubeni oku kudla ngokunikezelwa esibhedlele, umngcipheko wokusebenzisa amayeza amaninzi uphantsi. Nangona kunjalo, ukuba ucinga ukuba unikwe amayeza amaninzi kakhulu, okanye ukuba uyazi ukuba oku kwenzekile, yingxamiseko. Ukuba oku kuyenzeka , kufuneka uqhagamshelane neziko lolawulo lwetyhefu elikufutshane okanye igumbi likaxakeka lesibhedlele.

Kuthekani ukuba ndiphoswa yintlanganiso yamayeza?

I-Dobutamine liyeza elihlala linikwa xa kufuneka ngelixa usesibhedlele. Kubaluleke kakhulu ukugcina onke amadinga onyango emva kokulandela kunye namaxesha acwangcisiweyo ngugqirha wakho ukuba uwathathe la mayeza. Akuyonto ilungileyo ukuphosa idosi. Ukuba awukwazi ukugcina idinga nangasiphi na isizathu, fowunela ugqirha wakho okanye ingcali yezempilo ngokukhawuleza.

Ngaba kukho amanye amayeza anokusebenzisana nalo mayeza? (Ukusebenzisana kwamayeza)

Ewe, ngokuqinisekileyo. Kukho amayeza athile anokusebenzisana neDobutamine, oko kuthetha ukuba anokuphazamisana. Ukuba kunjalo, nokuba indlela esebenza ngayo iDobutamine inokutshintsha, okanye indlela esebenza ngayo amanye amayeza inokutshintsha, okanye umngcipheko weziphumo ebezingalindelekanga unokwanda.

Ngoko ke, kufuneka uxelele ugqirha wakho ngayo yonke imithi oyithathayo, kuquka amayeza aqholiweyo, iivithamini, amayeza angagunyaziswanga ngugqirha, kunye nezongezo zokutya. Kufuneka uxelele ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezi zinto zinokubonakala ngathi zizinto ezincinci, kodwa zinokubangela iingxaki ezinkulu xa zidityaniswe namayeza.

Amanye amayeza anokusebenzisana neDobutamine ngala:

• Ii-Beta-blockers: Ezi luhlobo lwamayeza adla ngokunikezelwa kuxinzelelo lwegazi oluphezulu kunye nezinye izifo zentliziyo.
• Amanye amayeza asetyenziswa ukunyanga isifo sikaParkinson: Umzekelo, amayeza anjenge-entacapone kunye ne-tolcapone.
• I-Nitroprusside: Eli likwaliyeza elisetyenziselwa ukulawula uxinzelelo lwegazi oluphezulu.

Olu luhlu alubandakanyi yonke into enokwenzeka, ngoko ke kungcono ukuxelela ugqirha wakho ngayo yonke imithi kunye nayo yonke into oyithathayo.

Izinto ekufuneka uzilumkele xa usebenzisa iDobutamine

Xa unikwa eli yeza, oogqirha kunye nabahlengikazi baya kujonga imeko yakho ngononophelo olukhulu nangokusondeleyo. Oku kuthetha ukuba izinga lentliziyo yakho (ngezinto ezifana ne-ECG), uxinzelelo lwegazi, kunye nokuphefumla kuya kuhlolwa rhoqo. Oku kwenzelwa ukuqinisekisa ukuba iyeza lisebenza kakuhle kwaye akukho ngxaki.

Ngoko ke ukuba uziva into engaqhelekanga, eyahlukileyo, okanye engakhululekanga, njengeentlungu zesifuba, ubunzima bokuphefumla, okanye isiyezi, ungaze woyike ukuxelela ugqirha okanye umongikazi ngoko nangoko. Nokuba yinto encinci nje.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengalo naliphi na iyeza, i-dobutamine inokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, oku akuthethi ukuba wonke umntu othatha eli yeza uza kulifumana. Abanye abantu basenokulifumana, kwaye abanye basenokungalifumani kwaphela. Eyona nto ibalulekileyo kukwazi nantoni na engaqhelekanga.

Iziphumo ebezingalindelekanga ekufuneka uxelele ugqirha wakho ngazo ngoko nangoko

Ukuba ufumana naziphi na iimpawu ezingezantsi, kufuneka uxelele ugqirha wakho okanye ingcali yezempilo ngokukhawuleza, kuba oko kunokuba yingozi.

• Iimpendulo ze-allergy:Ukurhawuzelela kwesikhumba, ukurhawuzelela okufana ne-eczema, ukurhawuzelela okunganyamezelekiyo, kwaye ngamanye amaxesha ukudumba kobuso, imilebe, nolwimi. Ukuba kwenzeka into efana nale, isenokuba yi-allergy.
• Intlungu, ububomvu, okanye ukurhawuzelelwa kwindawo apho kufakwe khona inaliti: Ukuba indawo apho kufakwe khona inaliti iba buhlungu, ibe bomvu, okanye irhawuzelelwe.
• Iimpawu zotshintsho oluyingozi kwisantya sentliziyo okanye isingqisho sentliziyo:
• Ukuva iintlungu esifubeni.
• Uziva ngathi uyadinwa kwaye uza kuwa.
• Intliziyo ibetha ngokukhawuleza kakhulu, okanye ibetha ngendlela engaqhelekanga kwaye ingenasingqi.
• Ukubetha kwentliziyo - Ukuziva ngathi intliziyo yakho ibetha ngokungathi iza kuphuma esifubeni sakho.
• Iza njengenkobe, isenokukurhuqa phantsi.
• Ubunzima bokuphefumla, uzive ngathi uyafuthaniseka.
• Iimpawu zoxinzelelo lwegazi oluphantsi:
• Isiyezi.
• Iza njengenkobe, isenokukurhuqa phantsi.
• Ukuziva udiniwe ngendlela engaqhelekanga, ungenabomi, kwaye ubuthathaka.

Iziphumo ebezingalindelekanga oqhele ukuxelela ugqirha wakho ngazo, kodwa kufuneka zixelwe ukuba ziyaqhubeka

Ezi zinto azibalulekanga kangako kwaye zinokuphela emva kweentsuku ezimbalwa. Kodwa ukuba ziyakukhathaza okanye ziyaqhubeka kangangeentsuku ezingaphezu kwezimbalwa, kulungile ukuxelela ugqirha wakho ngazo.

• Intloko ebuhlungu
• Isicaphucaphu: Oku kuthetha ukuziva ugula, ukuziva ugula.

Olu luhlu alunazo zonke iziphumo ebezingalindelekanga. Ukuba ubona enye into engaqhelekanga okanye eyahlukileyo, thetha nogqirha wakho ngayo. Xelela ugqirha wakho. Amanye amazwe aneearhente ezikhethekileyo zokuxela iziphumo ebezingalindelekanga ezinjalo (umzekelo, i-FDA eMelika), kodwa eSri Lanka, kubalulekile ukwazisa ugqirha wakho.

Ndingaligcina njani eli yeza?

Akunyanzelekanga ukuba ukhathazeke ngale nto. Ngenxa yokuba iDobutamine ayisiyonto onokuyithatha uye nayo ekhaya. Ekubeni inikwa esibhedlele okanye eklinikhi, iziko lezonyango elifanelekileyo ligcina eli yeza phantsi kolawulo lobushushu olufanelekileyo, ngokukhuselekileyo. Ngoko ke, akufuneki uligcine ekhaya.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke ngokwento esithethe ngayo, ndiyathemba ukuba unayo ingcamango ngeDobutamine.

• I-Dobutamine sisiyobisi esibaluleke kakhulu esinceda ukusebenza kwentliziyo, ingakumbi xa intliziyo ingasebenzi kakuhle.
• Oku kunikwa njengenaliti emthanjeni esibhedlele, phantsi kweliso elibukhali likagqirha.
• Ukuba unemibuzo malunga nale yeza, iziphumo ebezingalindelekanga, okanye nantoni na enye, ungoyiki okanye ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Balapha ukukunceda. Bakulungele ukuphendula yonke imibuzo yakho.

Okokugqibela, eli yeza lelakho kuphela. Ugqirha wakho ukunike lona ngokwemeko yakho. Ngoko ke, ungaliniki omnye umntu, kuba ukwenza njalo kunokuba yingozi.

Ndikunqwenelela ukuchacha ngokukhawuleza!

I- Dobutamine, isifo sentliziyo, amayeza entliziyo, isitofu sokugonya, izihlunu zentliziyo, iziphumo ebezingalindelekanga, ukusilela kwentliziyo