Ngamanye amaxesha, xa kufuneka ulaliswe esibhedlele ngenxa yemeko efana nokusilela kwentliziyo, ugqirha wakho unokukunika iyeza elikhethekileyo nge-IV ukunceda intliziyo yakho. I-Milrinone yenye yeyeza elibaluleke kakhulu elinikwa esibhedlele kuphela. Ngoko ke, masithethe ngokufutshane ngale yeza, into eliyenzayo, kunye nento ekufuneka uyazi xa inikwa.
Luhlobo luni lweyeza iMilrinone?
Ngamafutshane, i-milrinone sisiyobisi esenza izinto ezimbini eziphambili.
1. Ukuqinisa izihlunu zentliziyo: Eli yeza lonyusa amandla okuqina kwezihlunu zentliziyo yakho. Kufana nokunika amandla amaninzi umatshini wamanzi obuthathaka kwaye uwenze umpompe amanzi ngcono. Oku kuvumela intliziyo ukuba ipompe ubungakanani begazi elifunekayo emzimbeni ngokufanelekileyo.
2. I-Vasodilator: Eli yeza liyandisa imithambo yegazi emzimbeni wakho. Khawuthelekelele ukuba xa uvula umbhobho wamanzi, uxinzelelo lwamanzi luyehla kwaye ahamba ngokulula, akunjalo? Ngokufanayo, xa imithambo yegazi ivuleka, intliziyo kufuneka isebenze kancinci ukupompa igazi.
Zombini ezi zinto zinika isiqabu esikhulu kwintliziyo ebuthathaka.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Kubaluleke kakhulu ukunika ugqirha wakho ingxelo epheleleyo ngemeko yakho yempilo. Qiniseka ukuba ubaxelela ngezi zinto ngokukodwa.
- Ukuba ukhe waba nesifo sentliziyo ngaphambili.
- Ukuba unembali yokubetha kwentliziyo okungaqhelekanga.
- Ukuba unesifo sezintso .
- Ukuba ukhe waba ne-allergy kwiMilrinone okanye naliphi na elinye iyeza, ukutya, okanye idayi ngaphambili.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ngokusekelwe kolu lwazi, ugqirha uya kugqiba ukuba eli yeza lifanelekile na kuwe okanye akunjalo.
Eli yeza linikwa njani emzimbeni?
Eli asiloyeza onokulithatha ekhaya. I-Milrinone yinaliti efakwa emthanjeni esibhedlele okanye ekliniki ngabasebenzi bezonyango abaqeqeshiweyo kuphela.
Ngokwesiqhelo, xa ukwigumbi lonyango okanye kwicandelo labagula kakhulu (ICU), ugqirha uza kufaka eli yeza emzimbeni wakho njenge-saline nge-cannula engalweni yakho. Ngoko ke akufuneki ucinge ngendlela yokulisebenzisa, abasebenzi bezonyango baza kujongana nayo yonke into.
Ngaba eli yeza linokunikwa abantwana?
Ewe, kwezinye iimeko ezikhethekileyo, eli yeza linikwa nabantwana ngokokubona kukagqirha. Kodwa lenziwa ngononophelo olukhulu nangononophelo olukhethekileyo.
Kwenzeka ntoni ukuba idosi yeyeza inyusiwe?
Ekubeni eli yeza linikwa esibhedlele, amathuba okuba lisetyenziswe kakhulu aphantsi kakhulu. Ukuba into enjalo yenzeka, abasebenzi bezonyango baya kuthatha amanyathelo afunekayo ngoko nangoko. Akufuneki ukhathazeke ngayo. Ukuba ufuna ukwazi ukuba wenze ntoni ukuba ngempazamo uthabathe amayeza amaninzi kakhulu, ungathatha amanyathelo ngoko nangoko. Kwimeko enjalo, inkqubo eqhelekileyo kukwazisa iYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele okanye utsalele umnxeba iZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo .
Amanye amayeza anokusebenza kunye nale mayeza
Amanye amayeza anokusebenzisana ne-milrinone, ngoko ke kubaluleke kakhulu ukuxelela ugqirha wakho ngawo onke amayeza owasebenzisayo.
- Iziyobisi zomchamo
- Amayeza oxinzelelo lwegazi oluphezulu, ezinye iimeko zentliziyo, okanye ukubetha kwentliziyo okungaqhelekanga
Ungalibali ukuxelela ugqirha wakho ngazo naziphi na iivithamini, amayeza esintu, kunye nezongezo ozithathayo.
Izinto ekufuneka uzilumkele xa usebenzisa iyeza
Oogqirha kunye nabasebenzi bonyango baza kukujonga ngononophelo lonke ixesha onikwa eli yeza.
Uza kuqhagamshelwa kwiimonitha ezihlala zijonga izinga lentliziyo yakho, uxinzelelo lwegazi, kunye neminye imisebenzi yomzimba. Oku kuvumela iqela lezonyango ukuba libone ngoko nangoko naluphi na utshintsho kwimeko yakho.
Zeziphi iziphumo ebezingalindelekanga ezinokulindelwa?
Njengakweyiphi na iyeza, i-milrinone inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziyingozi kwaye kufuneka zixelwe ngoko nangoko.
| Uhlu lweziphumo ebezingalindelekanga | |
|---|---|
| Izinto onokuzixelela ugqirha wakho okanye umongikazi wakho ngoko nangoko | |
| Iimpawu ze-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi. |
| Iintlungu zesifuba | Naluphi na uhlobo lwentlungu okanye ukuxinana entliziyweni. |
| Utshintsho kwisantya sentliziyo | Ukudinwa, ukubetha kwentliziyo ngokukhawuleza kakhulu okanye ngokungangqalanga, ukuziva utyhafile, ubunzima bokuphefumla. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukuba nesiyezi, ukuziva ukhaphukhaphu, ukuziva udiniwe ngendlela engaqhelekanga. |
| Iingxaki kwindawo yokutofa | Intlungu, ukuba bomvu, okanye ukudumba apho kufakwe khona i-cannula. |
| Ukopha okungaqhelekanga | Amabala afana nokugruzuka eluswini okanye ukopha okungayekiyo nokuba kwenzakele kancinci. |
| Izinto ezingaqhelekanga ukuba zimbi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intloko ebuhlungu | Intloko ebuhlungu kancinci ukuya kwephakathi. |
| Isicaphucaphu nokuhlanza | Ukuphazamiseka kwesisu, isicaphucaphu, okanye ukuhlanza. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, nceda uxelele ugqirha wakho okanye umongikazi wakho ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Milrinone liyeza elikhethekileyo elinikwa ngemithambo esibhedlele kuphela ukunyanga izifo ezifana nokusilela kwentliziyo.
- Oku kuyayiqinisa imisipha yentliziyo, kwandisa imithambo yegazi, kwaye kwenza kube lula ngentliziyo ukupompa igazi.
- Kubalulekile ukuba uxelele ugqirha wakho ngazo zonke iimeko zakho zempilo kunye namanye amayeza owasebenzisayo ngaphambi kokuba uwasebenzise.
- Akunyanzelekanga ukuba ukhathazeke ngokhuseleko lwakho kuba abasebenzi bezonyango baza kukubeka esweni kakhulu ngelixa unikwa eli yeza.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezifana neentlungu zesifuba, isiyezi, okanye iimpawu zokunganyamezelani komzimba, yazisa abasebenzi bezonyango ngoko nangoko.
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