Ngaba wakha watyelela umntu okwigumbi labagula kakhulu (ICU) esibhedlele? Xa usiya, kufuneka ukuba uqaphele ukuba kukho oomatshini abajikeleze ibhedi yesigulana, kwaye ityuwa kunye namayeza anikwa emithanjeni evela kwiibhotile ezahlukeneyo. Amanye amayeza anikwa ngale ndlela abizwa ngokuba yi-'Inotropes'. Kwakhona, mhlawumbi umntu kusapho lwakho usela iyeza loxinzelelo lwegazi oluphezulu elikweli qela linye elibizwa ngokuba yiInotropes. Kulungile, makhe sibone ukuba ziyintoni ezi Inotropes ngokulula.
Ngamafutshane, ziintoni ii-Inotropes?
Ngamafutshane, ii-inotropes luhlobo lwamayeza axelela izihlunu zentliziyo yethu ukuba "zibethe ngamandla" okanye "zibethe kancinci kancinci kwaye kancinci." Ziyawutshintsha amandla entliziyo yethu abetha ngawo, okanye anciphayo.
Kukho iintlobo ezimbini eziphambili ze-inotropes.
1. Ii-Inotropes Ezilungileyo: Ezi zixelela intliziyo ukuba ipompe igazi "ngokuqinileyo, ngamandla angakumbi."
2. Ii-Negative Inotropes: Ezi zixelela intliziyo ukuba "iphumle kancinci, iphumle" kwaye ipompe igazi.
Ngoku makhe sijonge ezi ntlobo zimbini ngeenkcukacha ezithe vetshe.
Iindidi ezimbini eziphambili ze-inotropes
Ii-Inotropes Ezilungileyo: Amayeza 'aphefumla' intliziyo
Khawucinge ukuba ipompo yamanzi endlwini yakho ibuthathaka, kwaye amanzi etankini ephezulu ahamba kancinci kakhulu. Ngendlela efanayo, ngamanye amaxesha xa intliziyo yethu ibuthathaka, ayikwazi ukupompa igazi elifunekayo emzimbeni wonke. Oku sikubiza ngokuba yimeko efana nokusilela kwentliziyo.
Kulapho ke ii-Positive Inotropes ziza kunceda khona. La mayeza anika amandla angakumbi kwimisipha yentliziyo ebuthathaka, okanye ngokuchanekileyo , anyuse inani legazi eliphampa intliziyo ngokubetha ngakunye (ukuphuma kwentliziyo). Oku kuqinisekisa ukuba amalungu abalulekileyo emzimbeni wethu, njengengqondo nezintso, afumana ioksijini kunye nezondlo azidingayo.
Olu hlobo lwamayeza, olubizwa ngokuba yi-Positive Inotropes, lusetyenziswa kakhulu kwiimeko ezingxamisekileyo nezinzima, kwiindawo zokhathalelo olunzulu (ii-ICU) zezibhedlele.
Ii-Inotropes Ezingalunganga: Amayeza 'azolisa' intliziyo
Khawuthelekelele ukuba uqhuba imoto, kodwa uhlala uhamba ngesantya esiphezulu, ngesantya esiphezulu. Kwenzeka ntoni xa oko kusenzeka? Injini iyatshisa, amathuba eengozi ayanda, kwaye ayilungelanga imoto, akunjalo?
Iintliziyo zethu ngamanye amaxesha zisebenza nzima kakhulu. Oku kwenzeka kwiimeko ezifana noxinzelelo lwegazi oluphezulu, i-angina, kunye nokubetha kwentliziyo okungaqhelekanga (i-arrhythmia).
Ii-inotropes ezingalunganga zilawula isantya sentliziyo esebenza kakhulu kwaye ziyinike ukuphumla okuncinci.La mayeza axelela izihlunu zentliziyo ukuba zinciphe “kancinci kancinci, ngamandla amancinci.” Oku kunceda ukulawula uxinzelelo lwegazi kwaye kunciphisa uxinzelelo olungeyomfuneko entliziyweni.
Iintlobo eziphambili zamayeza e-inotrope kunye nokusetyenziswa kwawo
Ngoku ekubeni sele unolwazi olupheleleyo ngezi ntlobo zimbini zamayeza, makhe sijonge ukuba zeziphi ezinye iziyobisi ezikwezi qela zimbini kunye neemeko ezisetyenziselwa zona.
| Uhlobo lwe-Inotrope | Amayeza asetyenziswa rhoqo (imizekelo) | Iimeko ezinyangwayo |
|---|---|---|
| Ii-Inotropes ezilungileyo (Iqinisa isenzo sentliziyo) |
|
|
| Ii-Inotropes ezingalunganga (Ukuzolisa isenzo sentliziyo) |
|
|
Zithini iziphumo ebezingalindelekanga zala mayeza?
Njengayo nayiphi na iyeza, i-inotropes inokubangela ezinye iziphumo ebezingalindelekanga. Ezi azenzeki kuwo wonke umntu, kwaye zinokuhluka ngokuxhomekeke kuhlobo lweyeza kunye nomthamo. Xa unikwa eli yeza, ugqirha wakho uya kuhlala ejonga imeko yakho.
| Uhlobo lwe-Inotrope | Iziphumo ebezingalindelekanga ezinokubakho |
|---|---|
| Ii-Inotropes ezilungileyo |
|
| Ii-Inotropes ezingalunganga |
Eyona nto ibalulekileyo kukwazisa ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na iimpawu ezingaqhelekanga emva kokuqalisa naluphi na unyango.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Emva kokunyangwa nge-inotropes ezakhayo nokubuya ekhaya uvela esibhedlele, ukuba ufumana naziphi na iimpawu zakho zakudala (umzekelo, ukuphefumla okufutshane, iintlungu zesifuba) kwakhona okanye ukuba ziya zisiba mandundu, funa ingcebiso kagqirha ngokukhawuleza.
Ukuba uthatha amayeza afana neNegative Inotropes ahlala ixesha elide, afana noxinzelelo lwegazi oluphezulu, khumbula ezi zinto zilandelayo:
- Musa ukuyeka ukuthatha amayeza akho: Nokuba uzive ungcono ngoku, musa ukuyeka ukuwathatha amayeza akho ngaphandle kwengcebiso kagqirha wakho.
- Thetha ngemiphumo emibi: Ukuba unemiphumo emibi engathandekiyo evela kumayeza athile, xelela ugqirha wakho. Banokukwazi ukukutshintshela kwelinye iyeza.
- Ungaphoswa ziingxelo ezilandelayo: Qiniseka ukuba uyahamba ngemihla ugqirha wakho akuxelele ukuba ubuye ngayo.
- Lumka ngamanye amayeza:Musa ukuthatha nayiphi na imithi yokuthomalalisa iintlungu, iivithamini, okanye amayeza esintu ngaphandle kokujonga ugqirha wakho kuqala. Zisenokudibana namayeza osele uwasebenzisa.
Ii-inotropes ziluhlobo olunamandla lwamayeza abaluleke kakhulu kwimpilo yentliziyo kwaye ngamanye amaxesha anokwenza umahluko phakathi kobomi nokufa. Kufuneka zithathwe phantsi kweliso likagqirha, kwidosi emiselweyo, kwaye zisetyenziswe ixesha elithile.
Umyalezo Wokuya Ekhaya
- Ii-inotropes luhlobo lwamayeza achaphazela amandla okuxinana kwemisipha yentliziyo.
- Ii-Inotropes ezintle "ziyaqinisa" ukubetha kwentliziyo, kwaye zisetyenziswa kwiimeko ezingxamisekileyo ezifana nokuhlaselwa yintliziyo kunye nokothuka.
- Ii-Inotropes ezingalunganga "zithomalalisa" isantya sentliziyo, kwaye zisetyenziselwa ukulawula iimeko ezihlala ixesha elide ezifana noxinzelelo lwegazi oluphezulu.
- La mayeza anamandla kakhulu kwaye afanele asetyenziswe kuphela xa kucetyiswe ngugqirha.
- Ungaze utshintshe idosi okanye uyeke ukuthatha naliphi na iyeza olinikwe ngaphandle kwengcebiso kagqirha.
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