Wake wavakashela umuntu osegunjini lokunakekelwa okujulile (ICU) esibhedlela? Uma wenza kanjalo, kumelwe ukuthi uqaphele ukuthi kunemishini ezungeze umbhede wesiguli, futhi usawoti kanye nemithi kunikezwa emithanjeni kusuka emabhodleleni ahlukahlukene. Eminye yemithi enikezwa ngale ndlela ibizwa ngokuthi 'ama-Inotropes'. Futhi, mhlawumbe othile emndenini wakho uthatha umuthi womfutho wegazi ophakeme ongowaleli qembu elifanayo elibizwa ngokuthi ama-Inotropes. Kulungile, ake sibone ukuthi la ma-Inotropes ayini kalula.
Kalula nje, ayini ama-Inotropes?
Kalula nje, ama-inotropes uhlobo lomuthi otshela imisipha yenhliziyo yethu ukuthi "ishaye kanzima" noma "ishaye kancane kancane." Ashintsha amandla inhliziyo yethu eshaya ngawo, noma efinyela ngawo.
Kunezinhlobo ezimbili eziyinhloko zama-inotropes.
1. Ama-Inotropes Aqondile: Lawa atshela inhliziyo ukuthi ipompe igazi "kanzima, ngamandla amakhulu."
2. Ama-Inotropes Angemahle: Lawa atshela inhliziyo ukuthi "iphumule kancane, iphumule" futhi ipompe igazi.
Ake sibheke lezi zinhlobo ezimbili ngemininingwane ethe xaxa.
Izinhlobo ezimbili eziyinhloko zama-inotropes
Ama-Inotropes Ahle: Imithi 'ephefumula' inhliziyo
Cabanga ukuthi iphampu yamanzi endlini yakho ibuthakathaka, kanti amanzi asethangini eliphezulu ageleza kancane kakhulu. Ngendlela efanayo, ngezinye izikhathi lapho inhliziyo yethu iba buthakathaka, ayikwazi ukupompa inani legazi elidingekayo emzimbeni wonke. Lokhu sikubiza ngokuthi isimo esifana nokwehluleka kwenhliziyo.
Yilapho-ke ama-Inotropes Ane-Positive efika khona ukuze asize. Le mithi inikeza amandla engeziwe emisipheni yenhliziyo ebuthaka, noma ngokunembile , yandisa inani legazi inhliziyo ephampa ngalo lonke ukushaya (ukuphuma kwenhliziyo). Lokhu kuqinisekisa ukuthi izitho ezibaluleke kakhulu emzimbeni wethu, njengobuchopho nezinso, zithola umoya-mpilo nezakhamzimba ezizidingayo.
Lezi zinhlobo zemithi, ebizwa ngokuthi i-Positive Inotropes, ngokuvamile zisetshenziswa ezimweni eziphuthumayo nezibucayi, emayunithi okunakekelwa okujulile (ama-ICU) ezibhedlela.
Ama-Inotropes Angalungile: Izidakamizwa 'ezizolisa' inhliziyo
Manje ake ucabange ukuthi ushayela imoto, kodwa uhlala uhamba ngesivinini esiphezulu, ngesivinini esiphezulu. Kwenzekani uma lokho kwenzeka? Injini iyashisa, amathuba ezingozi ayanda, futhi ayilungele imoto, akunjalo?
Izinhliziyo zethu ngezinye izikhathi zisebenza kanzima kakhulu. Yilokhu okwenzeka ezimweni ezifana nomfutho wegazi ophakeme, i-angina, kanye nokushaya kwenhliziyo okungajwayelekile (i-arrhythmia).
Ama-inotropes angalungile alawula izinga lenhliziyo esebenze kakhulu futhi ayinike ukuphumula okuncane.Le mithi itshela imisipha yenhliziyo ukuthi inciphe “kancane kancane, ngamandla amancane.” Lokhu kusiza ukulawula umfutho wegazi futhi kunciphisa ukucindezeleka okungadingekile enhliziyweni.
Izinhlobo eziyinhloko zemithi ye-inotrope kanye nokusetshenziswa kwayo
Manje njengoba usunombono oqondile ngalezi zinhlobo ezimbili zemithi, ake sibheke ukuthi yimiphi eminye imithi engaphansi kwala maqembu amabili nokuthi isetshenziselwa ini.
| Uhlobo lwe-Inotrope | Izidakamizwa ezisetshenziswa kakhulu (izibonelo) | Izimo eziphathwayo |
|---|---|---|
| Ama-Inotropes Aqondile (Kuqinisa isenzo senhliziyo) |
|
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| Ama-Inotropes Angalungile (Ukuzola isenzo senhliziyo) |
|
|
Iyini imiphumela emibi yale mithi?
Njenganoma yimuphi umuthi, ama-inotropes angabangela imiphumela emibi ethile. Lokhu akwenzeki kuwo wonke umuntu, futhi kungahluka kuye ngohlobo lomuthi kanye nomthamo. Uma unikezwa lo muthi, udokotela wakho uzohlala eqapha isimo sakho.
| Uhlobo lwe-Inotrope | Imiphumela emibi engaba khona |
|---|---|
| Ama-Inotropes Aqondile |
|
| Ama-Inotropes Angalungile |
Into ebaluleke kakhulu ukwazisa udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuqala noma yimuphi umuthi.
Kufanele ngiphinde ngimbone nini udokotela?
Ngemva kokwelashwa nge-inotropes enhle nokubuya ekhaya usuka esibhedlela, uma uphinda uhlangabezana nanoma yiziphi izimpawu zakho zakudala (isibonelo, ukuphelelwa umoya, ubuhlungu besifuba) noma uma ziba zimbi kakhulu, funa iseluleko sezokwelapha ngokushesha.
Uma uthatha imithi efana ne-Negative Inotropes yesikhathi eside, njengokwelashwa komfutho wegazi ophakeme, khumbula lezi zinto:
- Ungayeki ukuphuza imithi yakho: Ngisho noma uzizwa ungcono manje, ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Khuluma ngemiphumela emibi: Uma unemiphumela emibi engathandeki ngenxa yomuthi, tshela udokotela wakho. Bangase bakwazi ukukushintshela komunye umuthi.
- Ungaphuthelwa yizivivinyo zokulandelela: Qiniseka ukuthi uyahamba ngezinsuku udokotela wakho akutshela ukuthi ubuye ngazo.
- Qaphela eminye imithi:Ungaphuzi noma yimiphi imithi yokubulala izinhlungu, amavithamini, noma imithi yamakhambi ngaphandle kokuhlola udokotela wakho kuqala. Ingase ihlangane nemithi osuvele uyiphuza.
Ama-inotropes ayiqembu elinamandla lemithi ebaluleke kakhulu empilweni yenhliziyo futhi ngezinye izikhathi angenza umehluko phakathi kokuphila nokufa. Kufanele athathwe njalo ngaphansi kokuqondisa kwezokwelapha, ngesilinganiso esinqunyiwe, nangesikhathi esinqunyiwe.
Umlayezo Wokuya Nawe Ekhaya
- Ama-inotropes uhlobo lomuthi oluthinta amandla okufinyela kwemisipha yenhliziyo.
- Ama-Inotropes amahle "aqinisa" ukushaya kwenhliziyo, futhi asetshenziswa ezimweni eziphuthumayo njengokuhlaselwa yinhliziyo kanye nokushaqeka.
- Ama-Inotropes angalungile "athobisa" ukushaya kwenhliziyo, futhi asetshenziselwa ukulawula izimo zesikhathi eside njengomfutho wegazi ophakeme.
- Lena imithi enamandla kakhulu futhi kufanele isetshenziswe kuphela ngokunconywa udokotela.
- Ungalokothi ushintshe umthamo noma uyeke ukuthatha noma yimuphi umuthi owunikezwe ngaphandle kweseluleko sikadokotela.
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