Ngaba wakha weva ugqirha exelela isigulana esikwigumbi labagula kakhulu (ICU) okanye kwigumbi likaxakeka (ETU) ukuba "sinika iyeza elikhethekileyo lokuqinisa intliziyo"? Ngamanye amaxesha, ingakumbi xa intliziyo iyeka ukusebenza ngequbuliso, kusetyenziswa amayeza akhethekileyo ukuyinika amandla kwakhona. I-Isoproterenol liyeza elibaluleke kakhulu elisetyenziswa kwiimeko ezingxamisekileyo ezinjalo. Kubalulekile ukuliqaphela, kuba eli asiloyeza oqhele ukulithenga kwikhemesti kwaye ulisebenzise ekhaya. Makhe sithethe ngalo namhlanje.
Yintoni i-Isoproterenol?
Ngamafutshane, i-Isoproterenol liyeza elonyusa isantya sentliziyo kunye namandla okumpompa ngokubonelela ngamandla, okanye ukutsala, kwimisipha yentliziyo. Kwizonyango, olu didi lwamayeza silubiza ngokuba yi-'inotropes'.
Eli yeza lisetyenziswa kakhulu kwezi zinto zilandelayo:
- Ukusilela kwentliziyo: Ukuphucula ukusebenza kwentliziyo xa ingakwazi ukupompa igazi elaneleyo emzimbeni.
- Iingxaki zokubetha kwentliziyo: Ukubuyisela izinga lentliziyo eliqhelekileyo xa izinga lentliziyo licotha ngokungaqhelekanga (iBradycardia) okanye ezinye iingxaki zesingqisho sentliziyo zisenzeka.
Eyona nto ibalulekileyo kukuba eli liyeza elinikwa esibhedlele kuphela, phantsi kweliso elithe ngqo loogqirha nabahlengikazi.
Izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Ngaphambi kokuba akunike eli yeza, ugqirha wakho uya kufuna ukwazi imbali yakho epheleleyo yempilo. Kuba ezinye iimeko zonyango zifuna unonophelo olungakumbi xa usebenzisa eli yeza. Ngoko ke, qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
| Ngaba unazo ezi meko? | Kutheni kubalulekile ukuxelela ugqirha? |
|---|---|
| Isifo seswekile | Eli yeza linokuthi lichaphazele amanqanaba eswekile egazini. |
| Ezinye izifo zentliziyo | Kufuneka unonophelo olukhethekileyo xa unika eli yeza kubantu abaneengxaki zentliziyo esele zikhona. |
| Isifo se-thyroid | Eli yeza linokunyusa iziphumo ebezingalindelekanga kubantu abane-thyroid gland esebenza kakhulu. |
| Ii-aleji | Kubaluleke kakhulu ukutyhila naziphi na ii-allergies kwi-Isoproterenol okanye kwamanye amayeza, ukutya, okanye iidayi. |
| Ukukhulelwa okanye ukuzama ukukhulelwa | Ufanele uxoxe nogqirha wakho ngemiphumo enokubakho kwimveku engekazalwa. |
| Ukuncancisa | Thetha nogqirha wakho malunga nokuba iyeza lidluliselwa na kumntwana wakho ngobisi lwebele. |
Ungayisebenzisa njani le mithi kwaye kuthekani ukuba ugqithisile?
Njengoko benditshilo ngaphambili, eli liyeza elinikwa njengenaliti emthanjeni okanye njenge-infusion, njengesicombululo se-saline. Oku kwenziwa esibhedlele okanye ekliniki kuphela yingcali yezonyango eqeqeshiweyo. Ukuba eli yeza linikwa abantwana abancinci, lifuna ukubekwa esweni okukhethekileyo ngugqirha wezingane.
Ekubeni oku kunikwe esibhedlele, amathuba okuba kubekho "i-overdose" aphantsi kakhulu. Ukuba oku kuyenzeka, abasebenzi bezonyango baya kuthatha amanyathelo afunekayo. Nangona kunjalo, ukuba ufuna naluphi na ucebisi malunga nayo nayiphi na ityhefu yeziyobisi, ungatsalela umnxeba iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo . Kwimeko engxamisekileyo, kubaluleke kakhulu ukuya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Ngaba kukho iingxaki ngamanye amayeza?
Ewe, i-Isoproterenol inokunxibelelana namanye amayeza. Ngoko ke, kubalulekile ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka amayeza ezinye izifo, iivithamini, amayeza esintu, kunye namayeza e-Ayurvedic). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa amanye amayeza.
| Udidi lweziyobisi | Imizekelo |
|---|---|
| Musa ukunika eli yeza kunye. | |
| Ii-alkaloids ze-Ergot | Amayeza e-Migraine anjenge-dihydroergotamine kunye ne-ergotamine |
| Ii-MAOI | Amayeza okugula ngengqondo afana noMarplan, uNardil, noParnate |
| Unxibelelwano lunokwenzeka nala mayeza. | |
| I-Epinephrine | Iyeza elisetyenziselwa i-aleji ezingxamisekileyo |
| Ii-anesthetics eziqhelekileyo | Amayeza asetyenziswa kutyando, afana ne-halothane kunye ne-isoflurane |
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Ngelixa unikwa eli yeza, izinga lentliziyo yakho kunye noxinzelelo lwegazi ziya kuhlolwa ngokusondeleyo ngabasebenzi bezonyango. Nangona kunjalo, kubalulekile ukubazisa ngokukhawuleza ukuba ufumana naziphi na kwezi ziphumo zilandelayo:
| Imiphumela | Inkcazo |
|---|---|
| Izinto ekufuneka uzixelele ugqirha okanye umongikazi ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Utshintsho oluyingozi kwisantya sentliziyo | Intlungu yesifuba, isiyezi, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga, ukubetha kwentliziyo okungapheliyo, ukutyhafa, ukuquleka, ubunzima bokuphefumla. |
| Izinto ezingaqhelekanga ukuba zinzulu, kodwa kufuneka zixelwe ukuba ziyaqhubeka | |
| Isiyezi | Ndiziva ndikhululekile. |
| Intloko ebuhlungu | Intloko ebuhlungu eqhelekileyo. |
| Ukuhlamba ubuso | Ubuso buvakala bushushu kwaye bujika bube bomvu. |
| Isicaphucaphu | Ukuziva ngathi uhlanza. |
Nceda uqaphele ukuba olu luhlu lusenokungabi nazo zonke iziphumo ebezingalindelekanga. Ukuba unemibuzo malunga noku, buza ugqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Isoproterenol liyeza elikhethekileyo elinikwa esibhedlele kuphela xa intliziyo ibuthathaka okanye ineengxaki zokubetha kwentliziyo.
- Oku kuyayomeleza imisipha yentliziyo kwaye kwandisa amandla ayo okupompa.
- Ngaphambi kokuba usebenzise eli yeza, kubalulekile ukwazisa ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nazo zonke ezinye iziyobisi ozisebenzisayo.
- Oku kwenziwa phantsi kweliso elibukhali lezonyango, kwaye imeko yakho isoloko ijongwa.
- Ukuba ufumana iimpawu ezifana neentlungu zesifuba, isiyezi esiqatha, okanye ubunzima bokuphefumla ngelixa usebenzisa amayeza, yazisa abasebenzi bezonyango ngoko nangoko.
- Eli asiloyeza lokusetyenziswa ekhaya.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho