Ngaba wakha watyelela umntu okwigumbi lokunyamekela abagula kakhulu (ICU) esibhedlele? Xa usiya, usenokuba uqaphele ukuba ezinye izigulana zihlala zinikwa amayeza ahlukeneyo ngemibhobho yetyuwa. Mhlawumbi umntu kusapho lwakho unikwe amayeza oxinzelelo lwegazi oluphezulu okanye ingxaki yesingqisho sentliziyo. Namhlanje, siza kuthetha ngodidi olukhethekileyo lwamayeza anokusetyenziswa kwiimeko ezinjalo. La abizwa ngokuba yi-'inotropes' ngokwezonyango.
Ngamafutshane, ziintoni ezi 'Inotropes'?
Ii-inotropes luhlobo lwamayeza 'axelela' izihlunu zentliziyo yakho ukuba zinzima okanye zicotha kangakanani. Cinga ngentliziyo yakho njengepompo epompa amanzi eya endlwini yakho. Ngamanye amaxesha le mpompi ayinakupompa amanzi aneleyo endlwini yakho. Ngamanye amaxesha, le mpompi ingazisebenza kakhulu, ibangele uxinzelelo ukuba luqokeleleke kwaye ide iqhumise imibhobho.
Ii-inotropes zifana neswitshi eyonyusa okanye enciphisa 'amandla' ale moto. Kukho iintlobo ezimbini eziphambili zezi.
1. Ii-Inotropes Ezilungileyo: Ezi zenza intliziyo ibethe ngamandla , njengokunika amandla angakumbi kwi-water motor ebuthathaka.
2. Ii-Inotropes Ezingalunganga: Ezi zibangela ukuba intliziyo ibethe kancinci kwaye inganamandla amaninzi , njengokulawula isantya senjini esebenza ngokukhawuleza kakhulu.
Kutheni kufuneka i-'Positive Inotropes'?
Ii-inotropes ezintle zinokunceda xa intliziyo yakho ibuthathaka kwaye ingakwazi ukupompa igazi elaneleyo ukuhlangabezana neemfuno zomzimba. La mayeza enza izihlunu zentliziyo ziqine ngakumbi. Oku kunceda ukuba ubungakanani begazi elipompelwa yintliziyo, okanye imveliso yentliziyo, bubuyele esiqhelweni.
Oku kuqinisekisa ukuba amalungu abalulekileyo emzimbeni wakho, njengengqondo nezintso, afumana igazi kunye neoksijini ayidingayo, nto leyo ewanceda ukuba aqhubeke nokusebenza.
Ezi "Inotropes Ezilungileyo" zihlala zinikwa izigulana ezikwiiyunithi zokhathalelo oluphezulu (ii-ICU) zezibhedlele, ezineengxaki ezinzulu ezifana nokusilela kwentliziyo. Zinikwa ngemithambo yegazi (IV).
Ngoko ke kwenzeka ntoni nge-'Negative Inotropes'?
`Ii-Inotropes ezingalunganga` zenza okwahlukileyo koko. Zixelela izihlunu zentliziyo, "Musa ukusebenza nzima kakhulu, sebenza kancinci kancinci, ngamandla amancinci."
Ezi ziluncedo kubantu abaneemeko ezifana noxinzelelo lwegazi oluphezulu (`uxinzelelo lwegazi oluphezulu`), iintlungu zesifuba (`angina`), kunye nesantya sentliziyo esingaqhelekanga (`arrhythmia`). La mayeza ayayithintela intliziyo ekusebenzeni nzima kakhulu kwaye alawule iimpawu ezinxulumene nayo. La mayeza adla ngokuthathwa njengeepilisi kwaye athathwa ixesha elide.
Iindidi ezahlukeneyo ze-'Inotropes' ezisetyenziswa rhoqo
Oogqirha basebenzisa iintlobo ezahlukeneyo ze-'Inotropes' kuxhomekeke kwimeko yesigulana. Nazi ezinye zemizekelo.
| Ii-Inotropes ezilungileyo (eziqinisa izinga lentliziyo) | Ii-Inotropes ezingalunganga (ezinciphisa isantya sentliziyo) |
|---|---|
| I-Dopamine | I-Verapamil |
| I-Dobutamine | I-Atenolol |
| I-Epinephrine (iAdrenalin®) | I-Flecainide |
| I-Norepinephrine (iLevophed®) | I-Clonidine |
| I-Digoxin (iLanoxin®) | I-Disopyramide |
Izifo ezisetyenziselwa eli yeza
`Ii-Inotropes Ezilungileyo` kunye ne-`Inotropes Ezingalunganga` ziintlobo ezimbini zamayeza asetyenziselwa iinjongo ezahlukeneyo.
Iimeko apho kusetyenziswa ii-Inotropes eziNgcono:
- Umothuko wentliziyo: Imeko esongela ubomi ebangelwa kukungakwazi kwentliziyo ukupompa igazi.
- Ukudumba kweSeptic: Ukwehla koxinzelelo lwegazi okubangelwa kukusabela okuqatha komzimba wonke kwisifo.
- Ukungasebenzi kakuhle kwentliziyo: Ukuwohloka kancinci kancinci komsebenzi wentliziyo.
- Emva kotyando lwentliziyo evulekileyo (`Utyando lwentliziyo emva kokuvula`).
- Emva kokwenzakala okukhulu okanye utyando.
Ixesha lokusebenzisa iiNegative Inotropes:
- Igazi elonyukayo
- I-Angina (`I-Angina`):Intlungu yesifuba ebangelwa kukungabikho kwegazi elaneleyo entliziyweni.
- Ukuphazamiseka kwentliziyo (`Arrhythmia`)
- I-Hypertrophic Cardiomyopathy: Imeko ebangelwa kukutyeba kwemisipha yentliziyo.
Zingaba yintoni iziphumo ebezingalindelekanga zezi zinto?
Njengayo nayiphi na imithi, i-inotropes inokuba nemiphumo emibi. Ezi ziyahluka ukusuka kwisigulana ukuya kwisigulana kwaye kuxhomekeke kuhlobo lweyeza elisetyenzisiweyo.
| Iziphumo Ezingalindelekanga Ze-Inotropes Ezilungileyo | Iziphumo Ezingalindelekanga Ze-Inotropes Ezingalunganga |
|---|---|
| Utshintsho kwisingqisho sentliziyo (`Arrhythmias`) | Isiyezi |
| Ukubetha kwentliziyo ngokukhawuleza (iTachycardia) | Ukuziva ubuthathaka emzimbeni |
| Uxinzelelo lwegazi oluphantsi okanye oluphezulu (Uxinzelelo lwegazi oluphezulu/Uxinzelelo lwegazi oluphezulu) | Intloko ebuhlungu |
| Intloko ebuhlungu kunye nokungaphumli | Ukuqhinwa |
| Ukuncipha kokunikezelwa kwegazi kwimisipha yentliziyo (`i-Myocardial ischemia`) | Umlomo owomileyo |
| (Kubalulekile) Umngcipheko ophezulu wokufa ngokusetyenziswa ixesha elide. | Isicaphucaphu nokuhlanza |
Kubalulekile ukukhumbula ukuba nangona 'ii-Positive Inotropes' zingamayeza asindisa ubomi, zinemingcipheko xa zisetyenziswa ixesha elide. Yiyo loo nto oogqirha bezisebenzisa.Ngexesha elifutshane elifunekayo, kwidosi ephantsi kangangoko.
Ufanele uphinde uye kugqirha wakho kwakhona nini?
Emva kokuba ubuyele ekhaya emva kokufumana i-'Positive Inotropes' esibhedlele, yazisa ugqirha wakho ngokukhawuleza ukuba iimpawu zakho zangaphambili ziyabuya okanye ziyanda. Kwakhona, yazisa ugqirha wakho ukuba uneziphumo ebezingalindelekanga ezibi ezivela kumayeza amatsha owanikwe wona.
Ukuba usebenzisa amayeza anje nge-'Negative Inotropes' ixesha elide, qaphela oku kulandelayo:
- Ukuba awufumani ncedo lwaneleyo kumayeza anikiweyo okanye uneziphumo ebezingalindelekanga ezibi kakhulu , thetha nogqirha wakho.
- Musa ukuyeka ukuthatha amayeza owanikwe ngugqirha wakho nangasiphi na isizathu. Kubalulekile ukuthatha amayeza akho ngedosi echanekileyo nangexesha elifanelekileyo, nokuba uzive uphilile.
- Musa ukuthatha naziphi na iivithamini, amayeza emifuno, okanye ezinye izongezo ngaphandle kwengcebiso kagqirha wakho. Zinokuchaphazela amayeza owasebenzisayo ngoku. Soloko uxoxa ngezigqibo zakho nogqirha wakho.
Umyalezo Wokuya Ekhaya
- `Ii-Inotropes` ziziyobisi ezitshintsha amandla okubetha kwentliziyo. `Ii-Inotropes Ezilungileyo` zomeleza ukubetha kwentliziyo, ngelixa i-`Inotropes Ezingalunganga` zomeleza ukubetha kwentliziyo.
- ``Ii-Positive Inotropes`` zisetyenziswa rhoqo kwiindawo zokhathalelo oluphezulu esibhedlele kwiimeko ezinzima ezifana nokuhlaselwa yintliziyo kunye nokothuka.
- `Ii-Inotropes Ezingalunganga` zihlala zinikwa njengeepilisi zokulawula iimeko ezihlala ixesha elide ezifana noxinzelelo lwegazi oluphezulu kunye nentlungu yesifuba.
- Ungaze uyeke ukuthatha okanye ukutshintsha umthamo wamayeza owanikwe ngugqirha wakho wedwa.
- Ukuba unenkxalabo malunga namayeza owasebenzisayo okanye iziphumo ebezingalindelekanga onazo, thetha ngokukhululekileyo nogqirha wakho.
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