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Jonga Iimpawu
Izibhedlele kunye noogqirhaJulayi 16, 2026🔄 Updated: Jul 16, 2026⏱ 4 min

Oko kufuneka ukwazi malunga nenaliti yeNorepinephrine esindisa ubomi ngexesha likaxakeka

Dr. Priya Sammani
Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification
Oko kufuneka ukwazi malunga nenaliti yeNorepinephrine esindisa ubomi ngexesha likaxakeka

Usenokuba ukhe weva ugqirha ekuxelela xa umntu kusapho lwakho ekwigumbi labagula kakhulu (ICU), esithi, "Uxinzelelo lwegazi luphantsi kakhulu, ngoko ke siqalise unyango olukhethekileyo lokusindisa ubomi bakhe." Okanye usenokuba ulubonile kwimuvi, apho umntu okwimeko engxamisekileyo eqhagamshelwe kwiimashini ezininzi, kwaye unyango lufakwa emzimbeni ngesirinji encinci evela kumatshini omnye. I-Norepinephrine liyeza elibaluleke kakhulu nelinamandla elinikwa ngamaxesha anjalo. Lihlala lisetyenziswa kumlo phakathi kobomi nokufa. Ngoko masithethe ngalo namhlanje.

Yintoni kanye kanye i-norepinephrine?

Ngamafutshane, iNorepinephrine yikhemikhali yokwenziwa efana kakhulu nehomoni iAdrenaline, eveliswa ngokwemvelo emizimbeni yethu. Ngokwezonyango, siyibiza ngokuba yi-vasoconstrictor .

Khawucinge ngombhobho wamanzi. Xa ucinezela umbhobho kancinci, amanzi aphuma ngoxinzelelo olungaphezulu, akunjalo? Ngendlela efanayo, into eyenziwa leli yeza leNorepinephrine kukuba libangela ukuba imithambo yegazi ebuthathaka emzimbeni wethu wonke inciphe (iqine). Emva koko uxinzelelo lwegazi oluhamba ngaphakathi kwezo mithambo, oko kukuthi, uxinzelelo lwegazi, luyanda ngequbuliso.

Eli asiloyeza lesifo esiqhelekileyo. Eli liyeza elinamandla kakhulu. Yiyo loo nto lisetyenziswa esibhedlele kuphela, ingakumbi kwicandelo labagula kakhulu (ICU) okanye kwicandelo lonyango olungxamisekileyo (ETU), phantsi kweliso elipheleleyo loogqirha kunye nabasebenzi babongikazi.

Kuxa kutheni apho eli yeza lifuneka khona?

Ngokwesiqhelo, xa uxinzelelo lwegazi lomntu lusehla, into yokuqala esiyenzayo kukumnika i-saline. Kodwa ngamanye amaxesha, nokuba usebenzisa i-saline, uxinzelelo alubuyeli kwinqanaba elifunekayo. Kulapho uxinzelelo lwegazi lusehla luye kwinqanaba elinokuba yingozi ebomini. I-Norepinephrine isetyenziselwa ukunceda.

Umzekelo:

  • Izifo Ezinzima (Sepsis): Kwisifo sombefu, usulelo olunzima lungena emzimbeni luze lubangele ukwehla ngequbuliso koxinzelelo lwegazi.
  • Ukuhlaselwa yintliziyo: Xa intliziyo ingakwazi ukupompa igazi ngokufanelekileyo emva kokuhlaselwa yintliziyo kakhulu.
  • Ukonzakala Okukhulu: Xa kukho ukopha kakhulu emva kwengozi enkulu.
  • Utyando Olukhulu: Ingakumbi emva kotyando olukhulu lwentliziyo.
  • Ukusabela Okubi Kakhulu Kwi-Allergy (Anaphylactic Shock): Kwabanye abantu, uxinzelelo lwegazi lunokwehla kakhulu xa kukho ukusabela okubi kakhulu kwinto ethile.

Kwimeko enjalo, ukuba amalungu abalulekileyo emzimbeni, anje ngengqondo, intliziyo, nezintso , akafumani igazi elifunekayo, loo malungu anokungasebenzi kakuhle kwaye umguli angafa. I-Norepinephrine isetyenziselwa ukwandisa uxinzelelo ngokwenziwa kunye nokuthumela igazi kuloo malungu.

Linikwa njani eli yeza? Kwaye umele uxelele ugqirha ntoni

Eli yeza linikwa nge-cannula efakwe emthanjeni. Kodwa kuba kufuneka lihanjiswe emzimbeni ngesantya esichanekileyo, kusetyenziswa isixhobo esikhethekileyo esibizwa ngokuba yi-infusion pump . Uxinzelelo lwegazi lomguli luhlala lujongwa ngesixhobo sokujonga, kwaye ugqirha uhlala etshintsha isantya elinikwa ngaso iyeza ngokusekelwe kwezo xabiso.

Ngaphambi kokuba uqale olu nyango, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho (okanye yesigulana) epheleleyo yempilo. Ingakumbi ezi zinto:

  • Ngaba wakha waba ne-allergy kwi-norepinephrine okanye kwikhemikhali ebizwa ngokuba yi-sulfites ?
  • Ngaba unembali yentliziyo engaqhelekanga?
  • Ingaba unengxaki yokuqhekeka kwegazi?
  • Ngaba uneengxaki zokujikeleza kwegazi ezandleni zakho?
  • Ngaba ukhulelwe, unethemba lokukhulelwa, okanye ungumama oncancisayo?
  • Ingaba kukho imeko yokuphelelwa ngamanzi emzimbeni?

Unyango lunokutshintsha ngokusekelwe kolu lwazi.

Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?

Ngenxa yokuba eli liyeza elinamandla kakhulu, ezinye iziphumo ebezingalindelekanga zinokubakho. Yiyo loo nto abasebenzi basesibhedlele besoloko belumkile ngale nto. Bathatha amanyathelo kwangoko xa bebona ingxaki.

Imiphumela Inkcazo kunye nento omawuyenze
Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe ngoko nangoko Ezi azixhaphakanga, kodwa xelela ugqirha wakho okanye umongikazi ngokukhawuleza ukuba uqaphela:
  • Iimpendulo eziqatha ze-allergy (ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso/imilebe/ulwimi)
  • Ubunzima bokuphefumla
  • Ukubetha kwentliziyo okucothayo ngendlela engaqhelekanga
  • Ukutshintsha kombala wolusu, ingakumbi kwindawo ejikeleze i-cannula
  • Iimpawu zokwanda kwe-asidi emzimbeni (ukuphefumla ngokukhawuleza, ukubetha kwentliziyo ngokukhawuleza, intloko ebuhlungu, ukudideka, ukudinwa kakhulu)
Iziphumo ebezingalindelekanga ezingaqhelekangaEzi zifo zihlala ziphela zodwa, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho:
  • Ndiziva ndixhalabile kancinci
  • Intloko ebuhlungu

    • Ngaba kufuneka woyike ukuthatha i-overdose?

    Hayi. Oku kungenxa yokuba eli yeza alikho into onokulithatha uye nalo ekhaya. Linikwa esibhedlele, phantsi kweliso elipheleleyo loogqirha, kwaye ngendlela elawulwayo kakhulu, ngoko ke amathuba okuba lisetyenziswe ngokugqithisileyo aphantsi kakhulu . Ukuba into enjalo iyenzeka, abasebenzi besibhedlele bakulungele ukubonelela ngalo lonke unyango olufunekayo. Ukuba unamathandabuzo, ungatsalela umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ulwazi oluthe kratya.

    Ukunxibelelana okunokwenzeka namanye amayeza

    Kubaluleke kakhulu ukuxelela ugqirha wakho ngamanye amayeza owasebenzisayo, kuba amanye amayeza anokubangela iingxaki xa edibene ne-norepinephrine.

    • Ii-alkaloids ze-Ergot: Amanye amayeza asetyenziselwa ukunyanga izifo ezifana ne-migraines.
    • Amayeza okudakumba: Ingakumbi amayeza afana ne-amitriptyline kunye namayeza akudidi lwamayeza abizwa ngokuba yi-MAOIs (Monoamine Oxidase Inhibitors).
    • Ii-anesthetics eziqhelekileyo: Amanye amayeza anikwayo ukuze abangele ubuthongo ngexesha lotyando.
    • Amayeza esifo seswekile: Ngenxa yokuba i-norepinephrine inokutshintsha amanqanaba eswekile egazini, umthamo wamayeza esifo seswekile unokufuna ukulungiswa.

    Xelela ugqirha wakho ngawo onke amayeza, iivithamini, iimveliso zezityalo, kunye nokuba uyatshaya okanye uyasela utywala, njengoko ezi zinto zinokuchaphazela unyango lwakho.

    Umyalezo Wokuya Ekhaya

    • I-Norepinephrine sisiyobisi esinamandla kakhulu esisetyenziselwa ukunyusa uxinzelelo lwegazi esiye saba sengozini enkulu ebomini xa kukho imeko engxamisekileyo.

    • Oku kunikwa esibhedlele kuphela, ingakumbi kwiYunithi yoKhathalelo oluPhezulu (ICU) , phantsi kweliso elipheleleyo loogqirha kunye nabahlengikazi.

    • Oku kubangela ukuba imithambo yegazi inciphe, nto leyo eqinisekisa ukuba igazi lihamba kakuhle liye kwizitho ezibalulekileyo zomzimba.

    • Qiniseka ukuba uyamazisa ugqirha malunga nawo onke amayeza owasebenzisayo wena okanye isigulana sakho kunye nazo zonke izifo ezikhoyo.

    • Iziphumo ebezingalindelekanga zinokwenzeka, kodwa akufuneki ukhathazeke ngokungeyomfuneko kuba abasebenzi basesibhedlele bahlala bebajongile.

    I-Norepinephrine, uxinzelelo lwegazi oluphantsi, iyunithi yokhathalelo olunzulu, i-ICU, unyango olungxamisekileyo, i-vasoconstrictor, uxinzelelo lwegazi, umothuko
    ⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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