Cabanga ngenja igxumagxuma kuwe ngokuzumayo ngenkathi uhamba emgwaqweni. Noma lowo muzwa wokwesaba owutholayo ngaphambi kokuhlolwa okubalulekile... Inhliziyo yakho iqala ukushaya ngokushesha, umzimba wakho uyabanda futhi ujuluke, amehlo akho aba makhulu. Imizuzwana embalwa, umzimba wakho wonke ulungiselela ukulwa okukhulu noma ukugijima. Lokhu yilokho esikubiza ngokuthi impendulo ' yokulwa noma ukubaleka '. Ngemuva kwakho konke lokhu kunamaqhawe amabili emzimbeni wethu. I-Epinephrine (Epinephrine) ne-Norepinephrine (Norepinephrine). Sizokhuluma ngalaba ababili namuhla.
Ngubani othi i-Epinephrine ne-Norepinephrine?
Kalula nje, laba ababili bayizithunywa emizimbeni yethu. Bobabili bangenza izinto ezimbili.
1. Njengama-hormone: I-hormone iyisithunywa samakhemikhali esihamba egazini lethu futhi sitshele izitho ezahlukene ukuthi "zenze lokhu." I-Epinephrine ne-Norepinephrine zikhiqizwa kakhulu yizindlala ezimbili ezincane ezitholakala ngaphezu kwezinso zethu (izindlala ze-adrenal).
2. Njengama -neurotransmitter : Lawa ngamakhemikhali adlulisa imiyalezo phakathi kwezigidigidi zamaseli ezinzwa ebuchosheni bethu kanye nasesimisweni sezinzwa. Asiza ekulawuleni konke kusukela ekushayeni kwenhliziyo yethu kuya emizweni yethu.
Zombili lezi ziyingxenye yeqembu lamakhemikhali abizwa ngokuthi ama-catecholamines . Elinye ilungu eliyinhloko laleli qembu yi -dopamine . Womathathu la makhemikhali asebenza ndawonye ukulungiselela umzimba wakho lapho ucindezelekile. Kodwa i-dopamine yaziwa kakhulu ngemiphumela yayo ezintweni ezifana nenjabulo yethu, inkumbulo, kanye nokunaka.
Uma la mazinga e-hormone enyuka ngesikhathi sokucindezeleka, umzimba wakho usabela ngezindlela ezilandelayo:
* Kwandisa ukugeleza kwegazi kuya ebuchosheni nasemisipheni.
* Uqaphile kahle.
* Kukhulisa izinga lokushaya kwenhliziyo.
* Kukhulisa umfutho wegazi.
Ngezinye izikhathi, uma unezimpawu eziqhubekayo njengomfutho wegazi ophakeme okunzima ukuzilawula, ukukhathazeka njalo, isicanucanu, kanye nekhanda elibuhlungu kakhulu , udokotela wakho angase acele ukuhlolwa kwegazi nomchamo ukuze ahlole amazinga akho ala ma-catecholamine. Amazinga aphezulu alokhu aqhubeka nokuba uphawu lohlobo lomdlavuza olungavamile kakhulu lwezindlala ezizungeze izinso.
Laba bobabili basebenza kanjani ngendlela ehlukile?
Nakuba i-epinephrine ne-norepinephrine zisebenza ndawonye, imisebenzi yazo eyinhloko ihlukile kancane. Ake sibheke ukuthi kanjani.
| Umsebenzi we-Norepinephrine (i-Noradrenaline) | Umsebenzi we-Epinephrine (i-Adrenaline) |
|---|---|
| Ngokuvamile isebenza njenge -neurotransmitter , okusho ukuthi ithwala imiyalezo esuka ebuchosheni iye kwezinye izingxenye zomzimba. | Ngokuvamile isebenza njenge -hormone . Ikhishwa ezindlaleni ze-adrenal ngesikhathi sokucindezeleka. |
| Isebenza emzimbeni ngaso sonke isikhathi , hhayi nje ngezikhathi zokucindezeleka. Imisebenzi yayo eyinhloko ukulawula umfutho wegazi lethu, ukulawula ukulala nokuvuka (kuyasiza ekukuvuseni ekuseni), nokusisiza sihlale siqaphile usuku lonke. | Isebenza kakhulu ngesikhathi sokuphendula 'ngokulwa noma ngokubaleka' , ilungiselela umzimba isimo esiphuthumayo. |
| Ukuncipha kwemithambo yegazi kudlala indima enkulu ekulawuleni umfutho wegazi . Kodwa-ke, uma izinga liqhubeka nokukhuphuka, umfutho wegazi ophezulu ungavela. | Kunciphisa umuzwa wobuhlungu esimweni esiphuthumayo. Lokhu kukuvumela ukuthi ugijime noma ulwe noma ngabe ulimele. Kuphinde kwandise amandla akho okwesikhashana. |
| Amazinga aphansi ahlotshaniswa nezinkinga zempilo yengqondo njengokucindezeleka kanye ne-ADHD . Nakuba amazinga aphezulu ngokuzumayo angaletha injabulo enkulu, angaholela nasekuhlaselweni uvalo . | Amazinga aphezulu okucindezeleka ahlala ekhona angabangela ukungaphumuli, ukuqwasha, ngisho nokulimala kwenhliziyo . |
Zisetshenziswa kanjani lezi zidakamizwa njengomuthi?
Ngenxa yokuthi zombili lezi zingaba nomthelela osheshayo nojulile emzimbeni, odokotela bayazisebenzisa futhi njengomuthi.
Nini ukunikeza i-Norepinephrine
I-Norepinephrine umuthi onikezwa kakhulu ezimweni eziphuthumayo ukwelapha umfutho wegazi ophansi ngendlela eyingozi (umfutho wegazi ) uwukwandisa nokuwugcina. Amacala anjalo yilawa:
- Ukuboshwa Kwenhliziyo
- Ukushaqeka Okuyingozi (ukushaqeka okusongela ukuphila okubangelwa ukutheleleka okukhulu)
- Ngesikhathi sokuhlinzwa komgogodla (i-Spinal Anesth ESI a)
- Ekuphenduleni kwemithi ethile
- Ezimweni ezifana nokuqongelela koketshezi oluzungeze inhliziyo (i-pericardial tamponade)
Ngaphezu kwalokho, imithi yokwelapha i-ADHD kanye neminye imithi yokucindezeleka isebenza ngokwandisa amazinga e-norepinephrine ebuchosheni.
Isikhathi Sokunikeza I-Epinephrine (i-Adrenaline)
I-epinephrine yokwenziwa isetshenziswa njengomuthi ezimweni ezibaluleke kakhulu.
- Ngesikhathi sokuvuselelwa kwenhliziyo namaphaphu (CPR)
- Gcina imbongolo ivulekile ngesikhathi sokuhlinzwa kwamehlo.
- Khulisa umfutho wegazi ekushaqekeni kwe-septic
- Vula imigudu yomoya uma une-asthma (njenge-inhaler)
Ukubaluleka kwe-Epinephrine ku-Anaphylaxis
Enye yezindlela ezibaluleke kakhulu zokusebenzisa i-epinephrine ukwelashwa okuphuthumayo kwezifo zokungezwani komzimba ezinzima nezisongela ukuphila, okubizwa ngokuthi i-anaphylaxis.
Cabanga ngomuntu ngokuzumayo eba nobunzima bokudla okuthile okufana namakinati, ama-shrimp, noma ukulunywa yinyosi.
- Umphimbo uzwakala uqinile futhi uvuvukele
- Sekunzima ukuphefumula.
- Ukukhwehlela, ukuthimula.
- Kuzwakala sengathi kuyiphupho elibi.
Ezikhathini ezinjengalezi, umuthi osindisa impilo yi-epinephrine. Lo muthi uvame ukunikezwa ngepeni yokuzijova ngokuzenzakalelayo (njenge-EpiPen). Abantu abane-allergies enzima bavame ukutshelwa odokotela babo ukuthi bagcine leli peni nabo ngaso sonke isikhathi. Ngezinye izikhathi, udinga ukulijova ngokushesha nje lapho izimpawu ziqala. Lingalawula ngokushesha izimpawu ezinzima, njengokuphelelwa umoya.
Kubaluleke kakhulu: Ngisho noma umjovo we-epinephrine usetshenziswa futhi izimpawu ziphela ngokuphelele, kubalulekile ukuya ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze noma ushayele u-1990 Suwaseriya. Lokhu kungenxa yokuthi izimpawu zingase ziphinde zivele ngemva kokuba umuthi usuphelile.
Kwenzekani uma lokhu kunganele emzimbeni?
Ngezinye izikhathi imizimba yethu ingakhiqiza la ma-hormone amancane. Izizathu zalokhu zingaba nzima, futhi udokotela kuphela ongazithola.
Izinkinga ezihambisana namazinga aphansi e-norepinephrine:
- Ukukhathazeka Nokucindezeleka
- I-ADHD
- Ikhanda elibuhlungu
- Izinkinga zememori nokulala
- Umfutho wegazi ophansi (i-Hypotension)
- Ushukela ophansi egazini (i-Hypoglycemia)
Izinkinga ezihambisana namazinga aphansi e-epinephrine:
- Ukukhathazeka Nokucindezeleka
- Ikhanda elibuhlungu
- Izinkinga zokulala
- Ushukela ophansi egazini (i-Hypoglycemia)
Uma uqhubeka nokuba nezimpawu ezinjengalezi, into engcono kakhulu ongayenza ukukhuluma nodokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Epinephrine (i-Adrenaline) kanye ne-Norepinephrine bangabadlali ababili ababalulekile empendulweni ethi 'Yilwa noma Undiza' elungiselela umzimba wakho ingozi.
- I-Norepinephrine iyi-neurotransmitter esebenza njalo, ilawula izinto ezifana nomfutho wegazi, ukunaka, kanye nokulala.
- I-Epinephrine iyi-hormone esebenza kakhulu ngesikhathi sokucindezeleka okungazelelwe.
- I-Norepinephrine isetshenziswa njengomuthi wokuphakamisa umfutho wegazi ophansi kakhulu ukuba ungaba yingozi empilweni.
- I-Epinephrine iyindlela yokwelapha esindisa impilo yezinkinga ezinkulu zokungezwani komzimba (i-anaphylaxis).
- Uma unezinkinga eziqhubekayo njengokukhathazeka, ikhanda elibuhlungu, noma izinguquko ekucindezelweni kwegazi, qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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