Khawuthelekelele umntu engeniswa esibhedlele ngenxa yokwehla ngequbuliso koxinzelelo lwegazi okanye imeko efana nokusilela kwentliziyo. Kwiimeko ezinzima kangaka, iyeza elikhethekileyo nelinamandla elisetyenziswa ngoogqirha ukusindisa ubomi besigulana libizwa ngokuba yi-dopamine. Eli asiloyeza onokulithenga rhoqo kwikhemesti uze ulisebenzise ekhaya. Linikwa esibhedlele, kwindawo efana neyunithi yokhathalelo oluphezulu (ICU), phantsi kweliso elipheleleyo loogqirha kunye nabongikazi. Ngoko ke, masithethe ngeli yeza libalulekileyo namhlanje.
Yintoni i-dopamine? Yintoni eyenzayo emzimbeni?
Ngamafutshane, i-dopamine sisiyobisi esinemisebenzi emibini ephambili.
1. I-Vasoconstrictor: Eli yeza libangela ukuba imithambo yegazi emzimbeni wethu inciphe kancinci. Njengokuba xa ucinezela umbhobho wamanzi kancinci, amanzi ahamba ngokukhawuleza, xa imithambo yegazi incipha, uxinzelelo lwegazi luyanda. Oku kubaluleke kakhulu xa i-BP iphantsi kakhulu kwaye ubomi busemngciphekweni.
2. Ukuqinisa ukusebenza kwentliziyo (Inotrope): Kwakhona, eli yeza lichaphazela izihlunu zentliziyo, linyusa isantya namandla entshukumo yokumpompa kwentliziyo. Kwiimeko ezifana nokusilela kwentliziyo, intliziyo iba buthathaka kwaye ayikwazi ukupompa igazi elaneleyo emzimbeni. Ngelo xesha, eli yeza linokunceda intliziyo.
Ngenxa yezi zenzo zimbini, i-dopamine isetyenziswa kakhulu ukuzinzisa imeko yesigulana kwiimeko zoxinzelelo lwegazi oluphantsi kakhulu kunye nokusilela kwentliziyo .
Ndingakunika njani eli yeza?
Oku kubaluleke kakhulu. I-Dopamine ayilo pilisi onokuyisebenzisa okanye uyifake ekhaya.
- Oku kunikwa kuphela esibhedlele okanye kwindawo yeklinikhi .
- Iyeza lenziwa libe lulwelo kwaye lifakwe ngqo emthanjeni nge-cannula .
- Eli asiloyeza elifakwayo kuphela. Lidla ngokudityaniswa nomatshini obizwa ngokuba yi-infusion pump kwaye lifakwa kancinci emzimbeni ngesantya esichanekileyo.
- Ugqirha okanye umongikazi uza kuqhubeka ejonga izinga lentliziyo yakho, uxinzelelo lwegazi, kunye nezinye iimpawu ezibalulekileyo ngalo lonke ixesha ufumana eli yeza.
Ekubeni eli yeza linikwa phantsi kweliso lezonyango esibhedlele, amathuba okuba lisetyenziswe ngokugqithisileyo aphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela into efana nale, kufuneka wazise abasebenzi bezonyango ngoko nangoko. Ukuba kuyimfuneko, baya kuqhagamshelana neZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze bafumane iingcebiso. Uya kungeniswa ngqo kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ukuze ufumane unyango.
Ngaba eli yeza linokunikwa abantwana abancinci?
Ewe, ukuba kuyimfuneko, eli yeza linokunikwa abantwana. Kodwa lenziwa ngononophelo olukhulu, kunye nomlinganiselo olungelelaniswe nobunzima kunye nemeko yomntwana.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe i-dopamine
Nokuba ugqiba ekubeni unike eli yeza xa kukho imeko engxamisekileyo, ukuba uphilile engqondweni okanye unomgcini, kubaluleke kakhulu kukhuseleko lwakho ukuxelela ugqirha olu lwazi.
- Ii-Allergies: Qiniseka ukuba uxelela ugqirha wakho ukuba une-allergies kwi-dopamine, i-sulfites, umbona, amanye amayeza, ukutya, okanye iidayi ezisetyenziswa kumayeza.
- Iingxaki zentliziyo: Ukuba sele unentliziyo engaqhelekanga.
- Iingxaki zokujikeleza kwegazi: Imeko enciphisa ukuhamba kwegazi ukuya kwiminwe nakwiinzwane, njengesifo sikaRaynaud.
- Ezinye izifo: Ukuba unethumba kwi-adrenal gland ebizwa ngokuba yi-pheochromocytoma.
- Ukuphelelwa ngamanzi emzimbeni: Ukuba ulahlekelwe ngamanzi emzimbeni wakho ngenxa yorhudo okanye ezinye izizathu.
- Ukukhulelwa: Ukuba ukhulelwe, uzama ukukhulelwa, okanye ungumama oncancisayo.
Amanye amayeza anokusebenzisana nalo mayeza (Ukusebenzisana kwamayeza)
I-Dopamine inokunxibelelana namayeza amaninzi. Ngoko ke, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (amiselwe ngugqirha wakho, athengiswa ngaphandle kwemvume kagqirha, amayeza esintu, iivithamini, iimveliso zezityalo). Apha ngezantsi kukho amanye amayeza anokunxibelelana ne-dopamine.
| Udidi lweziyobisi | Impembelelo kunye nemizekelo |
|---|---|
| Amanye amayeza oxinzelelo lwegazi kunye nesifo sentliziyo | Ezi zinto zinokuchaphazela umsebenzi we-dopamine. |
| Amayeza okudakumba kunye nokuxhalaba | Ingakumbi amayeza e-MAOI (umz. iParnate, iNardil) anokusabela kakubi kakhulu kwi-dopamine. |
| Iziyobisi zomchamo | Kufuneka kuqatshelwe xa kunikwa i-dopamine ngala mayeza asusa amanzi emzimbeni. |
| Ii-Alkaloids ze-Ergot | Iingxaki zinokubakho ngamayeza e-migraine anjenge-ergotamine. |
| Ii-Anesthetics eziQhelekileyo | Amayeza anjenge-isoflurane, asetyenziselwa ukuvusa umntu ukuba alale ngexesha lotyando. |
| Amanye amayeza | Amayeza anjengePhenytoin (iyeza elinikwa abantu abaxhuzulayo) kunye neOxytocin (iyeza elinikwa abantu abaxhuzulayo). |
Zithini iziphumo ebezingalindelekanga ezinokubakho xa usebenzisa amayeza?
Njengayo nayiphi na imithi, i-dopamine inokubangela iziphumo ebezingalindelekanga. Ekubeni uza kuba sesibhedlele xa unikwa eli yeza, ungoyiki ukuxelela ugqirha okanye umongikazi onyangayo ngoko nangoko ukuba uziva into engaqhelekanga.
| Iziphumo ebezingalindelekanga zeDopamine | |
|---|---|
| 🚨 Ukuba ufumana ezi mpawu, xelela ugqirha wakho okanye umongikazi wakho ngokukhawuleza. | |
| Iimpendulo ze-Allergic | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kwemilebe, ulwimi okanye ubuso, ubunzima bokuphefumla. |
| Iingxaki zentliziyo | Intlungu esifubeni, isiyezi, ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngokungacwangciswanga (i-palpitations), ukuziva ngathi ungafa isiqaqa. |
| Iingxaki kwindawo ye-cannula | Intlungu, ukubomvu, ukudumba, okanye ukudumba apho iyeza lifakwe khona. |
| 🙂 Ukuba ezi mpawu ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho. | |
| Intloko ebuhlungu | Intloko ebuhlungu ngokubanzi inokubakho. |
| Isicaphucaphu nokuhlanza | Ukuphazamiseka kwesisu, isicaphucaphu, okanye ukuhlanza kunokubakho. |
| Ixhala | Usenokuziva ungaphumli kwaye uxhalabile. |
Umyalezo Wokuya Ekhaya
- I-Dopamine liyeza elinamandla kakhulu elisetyenziswa kwiimeko ezingxamisekileyo ukonyusa uxinzelelo lwegazi nokubuyisela ukusebenza kwentliziyo. Linikwa esibhedlele kuphela.
- Kubalulekile ukwazisa ugqirha wakho ukuba unayo nayiphi na i-allergies, ezinye iimeko zempilo, okanye amanye amayeza owasebenzisayo.
- Ukuba ufumana iintlungu esifubeni, ubunzima bokuphefumla, isiyezi esiqatha, okanye iimpawu zokunganyamezelani komzimba ngelixa usela iyeza, yazisa abasebenzi bezonyango ngoko nangoko.
- Eli nqaku lishwankathelo nje. Ukuba unemibuzo engaphezulu malunga nale mithi, ungathandabuzi ukubuza ugqirha wakho.
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