Cabanga ngomuntu ongeniswe esibhedlela ngenxa yokwehla kwengcindezi yegazi ngokuzumayo noma isimo esifana nokwehluleka kwenhliziyo. Ezimweni ezibucayi kangaka, umuthi okhethekile, onamandla odokotela abawusebenzisa ukusindisa impilo yesiguli ubizwa ngokuthi i-dopamine. Lona akusiwo umuthi ovame ukuwuthenga ekhemisi bese uwusebenzisa ekhaya. Unikezwa esibhedlela, endaweni efana neyunithi yokunakekelwa okujulile (ICU), ngaphansi kokuqashwa okugcwele kodokotela nabahlengikazi. Ngakho-ke, ake sixoxe ngalo muthi obalulekile namuhla.
Iyini i-dopamine? Iyini emzimbeni?
Kalula nje, i-dopamine iyisidakamizwa esinemisebenzi emibili eyinhloko.
1. I-Vasoconstrictor: Lo muthi ubangela ukuthi imithambo yegazi emzimbeni wethu inciphe kancane. Njengoba nje ucindezela ipayipi lamanzi kancane, amanzi ageleza ngokushesha, lapho imithambo yegazi incipha, umfutho wegazi uyakhuphuka. Lokhu kubaluleke kakhulu lapho i-BP iphansi kakhulu futhi impilo isengozini.
2. Ukuqinisa ukusebenza kwenhliziyo (i-Inotrope): Futhi, lo muthi uthinta imisipha yenhliziyo, wandise isivinini namandla esenzo sokupompa kwenhliziyo. Ezimweni ezifana nokwehluleka kwenhliziyo, inhliziyo iba buthakathaka futhi ayikwazi ukupompa igazi elanele emzimbeni. Ngaleso sikhathi, lo muthi ungasiza inhliziyo.
Ngenxa yalezi zenzo ezimbili, i-dopamine ivame ukusetshenziswa ukuzinzisa isimo sesiguli ezimweni zomfutho wegazi ophansi kakhulu kanye nokwehluleka kwenhliziyo .
Ngingakunika kanjani lo muthi?
Lokhu kubaluleke kakhulu. I-Dopamine akuyona iphilisi ongayithatha noma uyijove ekhaya.
- Lokhu kunikezwa esibhedlela noma endaweni yokwelapha kuphela.
- Umuthi wenziwa ube uketshezi bese ufakwa ngqo emthanjeni nge-cannula .
- Lona akuyona nje umuthi ojovwayo. Ngokuvamile uxhunywe emshinini obizwa ngokuthi i-infusion pump bese ufakwa kancane kancane emzimbeni ngesivinini esinembile.
- Udokotela noma umhlengikazi uzoqhubeka nokuqapha izinga lokushaya kwenhliziyo yakho, umfutho wegazi, kanye nezinye izimpawu ezibalulekile phakathi nesikhathi osithola lo muthi.
Njengoba lo muthi unikezwa ngaphansi kokuqashwa kwezokwelapha esibhedlela, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma usola into efana nale, kufanele wazise abasebenzi bezokwelapha ngokushesha. Uma kudingeka, bazoxhumana neNational Poisons Information Centre eColombo National Hospital ukuze bathole iseluleko. Uzolaliswa ngqo e -Emergency Treatment Unit (ETU) yesibhedlela ukuze uthole ukwelashwa.
Ingabe lo muthi unganikezwa izingane ezincane?
Yebo, uma kudingeka, lo muthi unganikezwa izingane. Kodwa wenziwa ngokucophelela okukhulu, umthamo ulungiswa ngokwesisindo nesimo sengane.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha i-dopamine
Ngisho noma unquma ukunikeza lo muthi esimweni esiphuthumayo, uma uqaphile noma unomnakekeli, kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi.
- Ukungezwani komzimba: Qiniseka ukuthi utshela udokotela wakho uma une-allergies ku-dopamine, ama-sulfite, ummbila, eminye imithi, ukudla, noma amadayi asetshenziswa emithini.
- Izinkinga zenhliziyo: Uma usuvele unenhliziyo engajwayelekile.
- Izinkinga zokujikeleza kwegazi: Isimo esinciphisa ukugeleza kwegazi eminweni nasezinzwaneni, njengesifo sikaRaynaud.
- Ezinye izifo: Uma unesimila esise-adrenal gland esibizwa ngokuthi i-pheochromocytoma.
- Ukuphelelwa amanzi emzimbeni: Uma ulahlekelwe amanzi emzimbeni wakho ngenxa yohudo noma ezinye izizathu.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma ungumama oncelisayo.
Eminye imithi engase ihlangane nalo muthi (Ukusebenzisana Kwezidakamizwa)
I-Dopamine ingasebenzisana nemithi eminingi. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, ethengiswa ngaphandle kwemithi kadokotela, imithi yendabuko, amavithamini, imikhiqizo yamakhambi). Ngezansi kuneminye imithi engase ihlangane ne-dopamine.
| Isigaba sezidakamizwa | Umthelela kanye nezibonelo |
|---|---|
| Eminye imithi yokwelapha umfutho wegazi kanye nesifo senhliziyo | Lokhu kungathinta ukusebenza kwe-dopamine. |
| Imithi yokucindezeleka nokukhathazeka | Imithi ye-MAOI ikakhulukazi (isib. i-Parnate, i-Nardil) ingasabela kabi kakhulu nge-dopamine. |
| Imithi yokuhlanza | Kufanele kuqashelwe lapho kunikezwa i-dopamine ngale mithi esusa amanzi emzimbeni. |
| Ama-Alkaloid e-Ergot | Izinkinga zingavela ngemithi ye-migraine efana ne-ergotamine. |
| Imithi Yokubulala Izinzwa Ejwayelekile | Imithi efana ne-isoflurane, esetshenziselwa ukuvusa ubuthongo ngesikhathi sokuhlinzwa. |
| Eminye imithi | Imithi efana nePhenytoin (umuthi onikezwayo wokuquleka) kanye ne-Oxytocin (umuthi onikezwayo wokuquleka kwesibeletho). |
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-dopamine ingabangela imiphumela emibi. Njengoba uzobe usesibhedlela uma unikezwa lo muthi, ungesabi ukutshela udokotela noma umhlengikazi okwelaphayo ngokushesha uma uzizwa into engavamile.
| Imiphumela emibi engaba khona ye-Dopamine | |
|---|---|
| 🚨 Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho noma umhlengikazi ngokushesha. | |
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe, ulimi noma ubuso, ubunzima bokuphefumula. |
| Izinkinga zenhliziyo | Ubuhlungu besifuba, isiyezi, ukuzwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile (ukushaya kwenhliziyo), ukuzwa sengathi ungase uphelelwe amandla. |
| Izinkinga endaweni ye-cannula | Ubuhlungu, ukubomvu, ukuvuvukala, noma ukuvuvukala lapho umuthi ujovwe khona. |
| 🙂 Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Ikhanda elibuhlungu | Kungase kube khona ikhanda elibuhlungu elijwayelekile. |
| Isicanucanu nokuhlanza | Kungase kube nokuphazamiseka kwesisu, isicanucanu, noma ukuhlanza. |
| Ukukhathazeka | Ungase uzizwe ungakhululekile futhi ukhathazekile. |
Umlayezo Wokuya Nawe Ekhaya
- I-Dopamine iwumuthi onamandla kakhulu osetshenziswa ezimweni eziphuthumayo ukwandisa umfutho wegazi nokubuyisela ukusebenza kwenhliziyo. Inikezwa esibhedlela kuphela.
- Kubalulekile ukwazisa udokotela wakho uma une-allergies, ezinye izimo zezokwelapha, noma eminye imithi oyiphuzayo.
- Uma uzwa ubuhlungu besifuba, ubunzima bokuphefumula, isiyezi esinzima, noma izimpawu zokungezwani komzimba ngenkathi uthatha umuthi, yazisa abasebenzi bezokwelapha ngokushesha.
- Lesi sihloko simane nje siyisifinyezo. Uma uneminye imibuzo mayelana nalo muthi, ungangabazi ukubuza udokotela wakho.
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