Isisombululo kwiingxaki zentliziyo ezikhawulezileyo? Masifunde ngenaliti ye-Esmolol!

Ngaba wakha weva ngomntu owathi ngequbuliso waba noxinzelelo lwegazi oluphezulu kakhulu, okanye ukubetha kwentliziyo okungahambelaniyo, waza walaliswa esibhedlele? Ngamanye amaxesha, kwiimeko ezingxamisekileyo nezinzima, kukho amayeza akhethekileyo asetyenziswa ngoogqirha njengonyango olukhawulezileyo. Elinye lamayeza anjalo yi-Esmolol. Lidla ngokunikezelwa njengenaliti. Ngoko ke, namhlanje siza kuthetha ngeli yeza libizwa ngokuba yi-Esmolol ngokweenkcukacha ezithe vetshe nangokulula.

Yintoni le Esmolol? Yintoni eyenzayo?

Ngamafutshane, i-Esmolol liyeza elisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu . Likwasetyenziselwa ukulawula i-arrhythmias, eziziintliziyo ezibetha ngokungacwangciswanga okanye xa intliziyo ibetha ngokukhawuleza kakhulu.

Oku kukwiqela lamayeza abizwa ngokuba yi-`(Beta blockers)`. Cinga ngentliziyo yakho njengenjini encinci. Oko kwenziwa zezi `(Beta blockers)` kukulawula isantya saloo njini kancinci. Oko kukuthi, ziyanciphisa isantya sentliziyo yakho, zehlisa uxinzelelo lwegazi lakho. Emva koko intliziyo inokupompa igazi ngokulula emzimbeni wonke. Oku kunciphisa nomsebenzi entliziyweni. Ngamanye amaxesha ungayifumana le yeza phantsi kwegama lophawu `(Brevibloc)`.

Isetyenziswa nini i-Esmolol?

Oogqirha basebenzisa kakhulu eli yeza libizwa ngokuba yi-Esmolol kwiimeko ezimbini ezithile.

1. Ukulawula uxinzelelo lwegazi oluphezulu:

Ngamanye amaxesha, ingakumbi ngexesha lotyando okanye emva kotyando okanye kwezinye iimeko ezingxamisekileyo, uxinzelelo lwegazi lunokunyuka kakhulu ngequbuliso. Le yimeko eyingozi kakhulu. Kuba uxinzelelo lwegazi oluphezulu lungonakalisa intliziyo, ingqondo kunye nezintso. Kwiimeko ezinjalo, i-Esmolol inceda ukulawula uxinzelelo lwegazi ngokukhawuleza.

2. Ukulawula ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo (i-Arrhythmia):

Iintliziyo zethu zihlala zibetha ngesingqisho esithile. Nangona kunjalo, ngenxa yeemeko ezithile zonyango, isantya sentliziyo sinokukhawuleza kakhulu (iTachycardia) okanye isantya sentliziyo singangahambelani (iArrhythmia). Kwiimeko ezinjalo, intliziyo inobunzima bokupompa igazi ngokufanelekileyo, kwaye isigulane sinokufumana ukungakhululeki, iintlungu zesifuba, kunye nesiyezi. I-Esmolol inceda ukulawula olu kubetha kwentliziyo okukhawulezayo nokungahambelaniyo kunye nokubuyisela ukusebenza kwentliziyo okuqhelekileyo.

Kubalulekile: Eli yeza lidla ngokusetyenziswa kwizigulana ezibhedlele, phantsi kweliso likagqirha. Asiloyeza lokusetyenziswa ekhaya.

Uza kunikwa njani eli yeza?

Eli yeza libizwa ngokuba yi-Esmolol ulinikwa ngokulifaka emthanjeni., oko kukuthi, ngendlela ethi ``Intravenous okanye IV```. Oku kwenziwa esibhedlele okanye ekliniki, ngabasebenzi bezonyango abaqeqeshiweyo. Oku kuthetha ukuba eli asiloyeza onokulithatha ekhemesti uze ulithathe uye nalo ekhaya.

Ugqirha okanye umongikazi uza kunika idosi echanekileyo kunye nesantya sokufakwa kwenaliti ngokwemeko yakho. Isantya sentliziyo yakho kunye noxinzelelo lwegazi kuya kuhlolwa rhoqo ngelixa ufumana eli yeza.

Ingaba eli yeza lisetyenziselwa abantwana?

Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linokunikwa nabantwana. Kodwa lifuna unonophelo olukhethekileyo . Umlinganiselo umiselwa ngokusekwe kubunzima bomntwana, ubudala, kunye nemeko yakhe yempilo. Ke ngoko, ukuba umntwana uyalifuna eli yeza, kufuneka lixoxwe ngononophelo neqela lezonyango kwaye kufuneka kwenziwe izigqibo.

Zeziphi izinto ekufuneka uzixelele iqela lakho lezonyango ngaphambi kokuba usebenzise i-Esmolol?

Oku kubaluleke kakhulu. Ngaphambi kokuba unikwe inaliti ye-Esmolol, kubalulekile ukuxelela ugqirha wakho okanye umongikazi ulwazi olulandelayo. Ukufihla ezi zinto kunokukwenzakalisa.

• Ukuba uphelelwe ngamanzi emzimbeni: Xa umzimba wakho uphelelwe ngamanzi emzimbeni, amanye amayeza anokusebenza ngendlela eyahlukileyo.
• Ukuba uneDiabetes Mellitus: Ii-Beta blockers ngamanye amaxesha zinokufihla iimpawu ze-hypoglycemia (umz., ukubetha kwentliziyo ngokukhawuleza). Ke ngoko, kufuneka kuthathwe unonophelo olukhethekileyo xa kunikwa eli yeza kubantu abanesifo seswekile.
• Ukuba unezinye izifo zentliziyo: Umzekelo, ukuba unemeko efana ne-"Bradycardia" apho isantya sentliziyo sicotha kakhulu, okanye i-"Heart block", eli yeza lisenokungafaneleki.
• Ukuba unesifo sezintso: Izintso zinoxanduva lokucoca nokususa uninzi lwamayeza emzimbeni. Ukuba izintso azisebenzi kakuhle, amayeza anokuqokelelwa emzimbeni aze andise umngcipheko weziphumo ebezingalindelekanga.
• Ukuba unesifo semiphunga okanye sokuphefumla, njenge-asthma: Ezinye ii-beta blockers zingenza i-asthma ibe mandundu. Ngoko ke kubalulekile ukuxelela ugqirha wakho ngale nto.
• Ukuba unayo okanye ukhe waba ne-allergy kwi-Esmolol, ezinye ii-beta blockers, amanye amayeza, ukutya, iidayi, okanye izithinteli: Oku kubaluleke kakhulu. Sixelele, nokuba ucinga ukuba yinto encinci.
• Ukuba ukhulelwe okanye uzama ukukhulelwa: Amanye amayeza ngexesha lokukhulelwa anokuchaphazela umntwana.
• Ukuba uncancisa: Amanye amayeza anokudluliselwa kumntwana wakho ngobisi lwebele.

Ukuba uyayazi ngokuchanekileyo le ngcaciso, iqela lezonyango lingakunika unyango olufanelekileyo nolukhuselekileyo.

Kwenzeka ntoni ukuba uthatha amayeza amaninzi kakhulu? (Ukusebenzisa amayeza amaninzi kakhulu)

Ekubeni i-Esmolol iyiyeza elinikwa esibhedlele phantsi kweliso likagqirha, kudla ngokuba ncinci amathuba okuba i-overdose ithathwe kuba oogqirha kunye nabongikazi bahlala beyijongile.

Nangona kunjalo, ukuba uziva ngathi usele amayeza amaninzi kakhulu, okanye ukuba ufumana iimpawu ezifana nokubetha kwentliziyo okucothayo kakhulu, isiyezi esigqithisileyo, okanye ukulahlekelwa zingqondo, kufuneka wazise abasebenzi bezonyango ngoko nangoko.

Khumbula: Eli yeza lelakho kuphela. Musa ukulinika omnye umntu okanye wabelane ngalo nabanye. (Eli liyeza le-IV, ngoko ke aliyonto onokuya nayo ekhaya, kodwa eli licebiso elibalulekileyo malunga neyeza ngokubanzi.)

Kuthekani ukuba ndiphoswa lidosi leyeza?

Lo mbuzo awubalulekanga apha. Kuba i-Esmolol ayiloyeza ekufuneka ulithathe yonke imihla, ngexesha elimiselweyo. Olu lunyango olunikwa ngoogqirha esibhedlele, njengoko kufuneka.

Zeziphi ezinye izinto ezinokusebenzisana nale mithi? (Iindlela ezisetyenziswa ngayo)

"Intsebenziswano" ithetha ukuba iyeza elinye oliselayo lichaphazela indlela elinye iyeza oliselayo elisebenza ngayo. Ngamanye amaxesha oku kunokunyusa iziphumo ebezingalindelekanga okanye kwenze ukuba iyeza lingasebenzi kakuhle.

Amanye amayeza anokusebenzisana ne-Esmolol aquka:

• Amanye amayeza oxinzelelo lwegazi, isifo sentliziyo, kunye nokubetha kwentliziyo okungahambelaniyo.
• I-Digoxin (ikwaliyeza lesifo sentliziyo)
• I-Mivacurium (iyeza elisetyenziselwa ukuphumza izihlunu ngexesha lotyando)
• I-Succinylcholine (ikwaye isiphumzi semisipha)

Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho okanye umongikazi malunga nawo onke amayeza , imifuno , amayeza angagunyaziswanga ngugqirha , kunye nezongezo zokutya ozithathayo. Kwakhona, qiniseka ukuba uyabaxelela ukuba uyatshaya , usela utywala , okanye usebenzisa iziyobisi ezingekho mthethweni . Ezinye zezi zinto zinokuchaphazela amayeza akho.

Yintoni endifanele ndiyilumkele ngakumbi xa ndisebenzisa eli yeza?

Ngelixa unyangwa nge-Esmolol, imeko yakho iya kuhlolwa ngokusondeleyo ngabasebenzi bezonyango. Oku kuthetha ukuba uxinzelelo lwegazi lakho, izinga lentliziyo yakho kunye nesingqisho, kunye nokuphefumla kuya kuhlolwa rhoqo. Ngoko ke akukho nto ibalulekileyo. Ukwindawo ekhuselekileyo.

Zithini iziphumo ebezingalindelekanga ezinokubakho zeli yeza? (Iziphumo ebezingalindelekanga)

Njengazo zonke iziyobisi, i-Esmolol inokubangela iziphumo ebezingalindelekanga kwabanye abantu, nangona ingenguye wonke umntu ozifumanayo.

Iziphumo ebezingalindelekanga ekufuneka zixelwe kwiqela lezonyango ngoko nangoko:

Ukuba ufumana naziphi na kwezi mpawu, musa ukucinga ukuba yinto encinci, kodwa xelela ugqirha wakho okanye umongikazi wakho ngoko nangoko .

• Iimpendulo ze-allergy:
• Ukuqhambuka kwesikhumba
• Ukurhawuzelela
• IiHives
• Ukudumba kobuso, imilebe, ulwimi, okanye umqala – Oku kunokubangela ubunzima bokuphefumla.
• Iimpawu zokusilela kwentliziyo: (Ezi ziimpawu zokuba buthathaka komsebenzi wentliziyo)
• Ukuqhawukelwa ngumphefumlo
• Ukudumba kwamaqatha, iinyawo, okanye izandla
• Ukunyuka kwesisindo ngequbuliso
• Ubuthathaka okanye ukudinwa okungaqhelekanga
• Amanqanaba aphezulu e-potassium egazini:
• Ubuthathaka bemisipha
• Ukubetha kwentliziyo okukhawulezayo okanye okungaqhelekanga
• Uxinzelelo lwegazi oluphantsi:
• Isiyezi
• Ukuziva utyhafile okanye unentloko ebuhlungu
• Umbono ofipheleyo
• Ukubetha kwentliziyo okucothayo:
• Isiyezi
• Ukuziva utyhafile okanye unentloko ebuhlungu
• Ukudideka, ubunzima bokugxila
• Ubunzima bokuphefumla
• Ubuthathaka okanye ukudinwa okungaqhelekanga

Iziphumo ebezingalindelekanga ezihlala zingadingi nyango, kodwa kufuneka zixelwe kwiqela lezonyango ukuba ziyaqhubeka okanye ziyakhathaza:

Ezi ziphumo bezingalindelekanga azibi zimbi kakhulu kwaye ziya kuphela emva kwexesha elithile. Nangona kunjalo, ukuba ziyaqhubeka okanye zikukhathaza kakhulu, xelela iqela lakho lezonyango ngazo.

• Isiyezi
• Ukudinwa
• Intloko ebuhlungu
• Isicaphucaphu - ukuziva ngathi uhlanza
• Intlungu, ukubomvu, okanye ukucaphuka kwindawo yokutofa

Olu luhlu aluzizo zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, nceda udibane nogqirha wakho.

Uligcina phi eli yeza?

Oku kulula kakhulu. I-Esmolol liyeza elinikwa phantsi kweliso likagqirha esibhedlele okanye eklinikhi. Ngoko ke, ayisiyonto onokuyithatha uye nayo ekhaya uyigcine. Uza kufumana unyango olufunayo esibhedlele.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule

Kulungile, ngoku uyaqonda kakuhle into ebesithetha ngayo namhlanje, Esmolol. Masiphinde sijonge ezona zinto zibalulekileyo kwakhona:

• I-Esmolol liyeza elifakwa ngemithambo (IV) elisetyenziselwa ukulawula uxinzelelo lwegazi oluphezulu kunye nokubetha kwentliziyo okungahambelaniyo kwiimeko ezingxamisekileyo.
• Eli liyeza elikwiklasi ye-`(Beta blocker)`.
• Kubaluleke kakhulu ukwazisa iqela lezonyango ngazo zonke iimeko zakho zempilo, ii-allergies, kunye namanye amayeza owasebenzisayo ngaphambi kokuba ufumane olu nyango.
• Uza kuhlolwa ngononophelo ngexesha lonyango.
• Ukuba ufumana naziphi na iimpawu ezingaqhelekanga okanye iziphumo ebezingalindelekanga, yazisa abasebenzi bezonyango ngoko nangoko.
• Eli liyeza elinikwa esibhedlele, alisetyenziswa ekhaya.

Siyathemba ukuba olu lwazi luza kukunceda. Khumbula, ukuba unemibuzo engaphezulu malunga nale yeza, ungathandabuzi ukubuza ugqirha wakho, umongikazi, okanye ikhemisti.

i- esmolol, uxinzelelo lwegazi oluphezulu, izinga lentliziyo, i-beta blocker, i-arrhythmia, i-beta blocker, i-Brevibloc, unyango olungxamisekileyo