Kungenzeka ukuthi uke wezwa udokotela ekutshela lapho othile emndenini wakho esegumbini lokunakekelwa okujulile (ICU), "Umfutho wegazi uphansi kakhulu, ngakho-ke siqale umuthi okhethekile wokusindisa impilo yakhe." Noma kungenzeka ukuthi uke wakubona ku-movie, lapho umuntu osesimweni esiphuthumayo exhunywe khona emishinini eminingi, futhi umuthi ufakwa emzimbeni ngesirinji encane evela emshinini owodwa. I-Norepinephrine umuthi obaluleke kakhulu futhi onamandla onikezwa ngezikhathi ezinjalo. Uvame ukusetshenziswa empini phakathi kokuphila nokufa. Ngakho ake sixoxe ngakho namuhla.
Iyini ngempela i-norepinephrine?
Kalula nje, i-Norepinephrine iyikhemikhali yokwenziwa efana kakhulu ne-hormone i-Adrenaline, ekhiqizwa ngokwemvelo emizimbeni yethu. Ngokwezokwelapha, siyibiza ngokuthi i-vasoconstrictor .
Cabanga ngepayipi lamanzi. Uma ucindezela ipayipi kancane, amanzi aphuma ngokucindezela okukhulu, akunjalo? Ngendlela efanayo, lokho okwenziwa yilesi sidakamizwa se-Norepinephrine ukuthi sibangela ukuthi imithambo yegazi ethambile emzimbeni wethu wonke inciphe (iqine). Bese ukucindezela kwegazi eligeleza ngaphakathi kwaleyo mithambo, okungukuthi, ukucindezeleka kwegazi, kukhuphuka ngokuzumayo.
Lona akuwona umuthi wesifo esivamile. Lona umuthi onamandla kakhulu. Yingakho usetshenziswa esibhedlela kuphela, ikakhulukazi egunjini lokunakekelwa okujulile (ICU) noma egunjini lokwelashwa okuphuthumayo (ETU), ngaphansi kokuqondisa okugcwele kodokotela nabasebenzi abahlengikazi.
Lomuthi udingeka nini?
Ngokuvamile, lapho umfutho wegazi womuntu wehla, into yokuqala esiyenzayo ukumnikeza usawoti. Kodwa ngezinye izikhathi, ngisho noma usebenzisa usawoti, umfutho wegazi awubuyeli ezingeni elifunekayo. Yilapho umfutho wegazi wehla khona uye ezingeni elingaba yingozi empilweni. I-Norepinephrine isetshenziselwa ukusiza.
Ngokwesibonelo:
- Izifo Ezinzima (Sepsis): Uma kwenzeka ukushaqeka kwe-septic, ukutheleleka okukhulu kungena emzimbeni futhi kubangele ukwehla okungazelelwe komfutho wegazi.
- Ukuhlaselwa Yinhliziyo: Lapho inhliziyo ingakwazi ukupompa igazi kahle ngemva kokuhlaselwa yinhliziyo okukhulu.
- Ukulimala Okukhulu: Uma kukhona ukopha ngokweqile ngemva kwengozi enkulu.
- Ukuhlinzwa Okukhulu: Ikakhulukazi ngemva kokuhlinzwa okukhulu kwenhliziyo.
- Ukusabela Okukhulu Kokungezwani Nomzimba (i-Anaphylactic Shock): Kwabanye abantu, umfutho wegazi ungehla kakhulu ngesikhathi sokusabela okukhulu kokungezwani nomzimba kokuthile.
Esimweni esinjalo, uma izitho zomzimba ezibaluleke kakhulu, njengobuchopho , inhliziyo nezinso , zingatholi igazi elidingekayo, lezo zitho zingase zingasebenzi kahle futhi isiguli singase sife. I-Norepinephrine isetshenziselwa ukwandisa ingcindezi ngokwenziwa nokuthumela igazi kulezo zitho.
Lomuthi unikezwa kanjani? Futhi yini okufanele uyitshele udokotela
Lo muthi unikezwa nge-cannula efakwe emthanjeni. Kodwa ngenxa yokuthi udinga ukulethwa emzimbeni ngesivinini esinembile kakhulu, kusetshenziswa idivayisi ekhethekile ebizwa ngokuthi i-infusion pump kulokhu. Umfutho wegazi wesiguli uqashwa njalo nge-monitor, futhi udokotela uhlala eshintsha izinga lomuthi onikezwa ngalo ngokusekelwe kulawo manani.
Ngaphambi kokuqala lokhu kwelashwa, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezempilo (noma wesiguli). Ikakhulukazi lezi zinto:
- Wake waba nokungezwani komzimba ne-norepinephrine noma ikhemikhali ebizwa ngokuthi ama-sulfite ?
- Ingabe unomlando wokushaya kwenhliziyo okungajwayelekile?
- Ingabe unenkinga ngamahlule egazi?
- Ingabe unezinkinga zokujikeleza kwegazi ezandleni zakho?
- Ingabe ukhulelwe, unethemba lokukhulelwa, noma ungumama oncelisayo?
- Ingabe kukhona isimo sokuphelelwa ngamanzi emzimbeni?
Ukwelashwa kungashintsha ngokusekelwe kulolu lwazi.
Yimiphi imiphumela emibi engaba khona yomuthi?
Ngenxa yokuthi lesi umuthi onamandla kakhulu, imiphumela emibi ingavela. Yingakho abasebenzi besibhedlela behlala beqaphile ngalokhu. Bathatha isinyathelo ngokushesha nje lapho bebona inkinga.
| Umphumela ongemuhle | Incazelo nokuthi yini okufanele uyenze |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe ngokushesha | Lezi azivamile, kodwa tshela udokotela wakho noma umhlengikazi ngokushesha uma ubona:
|
| Imiphumela emibi evame ukungabi mibi kakhulu | Lokhu kuvame ukuziphelela, kodwa uma kuqhubeka, tshela udokotela wakho: |
Ingabe kufanele wesabe ukuthatha i-overdose?
Cha. Lokhu kungenxa yokuthi lo muthi awuyona into ongayithatha uye nayo ekhaya. Unikezwa esibhedlela, ngaphansi kokuqondisa okugcwele kodokotela, futhi ngendlela elawulwa kakhulu, ngakho amathuba okusebenzisa ngokweqile aphansi kakhulu . Uma kwenzeka into enjalo, abasebenzi besibhedlela bakulungele ukukunikeza konke ukwelashwa okudingekayo. Uma unokungabaza, ungashayela neNational Poisons Information Centre eColombo National Hospital ukuthola ulwazi olwengeziwe.
Ukusebenzisana okungenzeka neminye imithi
Kubaluleke kakhulu futhi ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo, njengoba eminye imithi ingabangela izinkinga uma ihlanganiswa ne-norepinephrine.
- Ama-alkaloid e-Ergot: Eminye imithi esetshenziselwa ukwelapha izimo ezifana ne-migraines.
- Ama-antidepressants: Ikakhulukazi imithi efana ne-amitriptyline kanye nemithi esesigabeni semithi ebizwa ngokuthi i-MAOIs (i-Monoamine Oxidase Inhibitors).
- Izibulala-zinhlungu ezivamile: Eminye imithi enikezwayo ukuze ibangele ubuthongo ngesikhathi sokuhlinzwa.
- Imithi yesifo sikashukela: Ngenxa yokuthi i-norepinephrine ingashintsha amazinga kashukela egazini, umthamo wemithi yesifo sikashukela ungadinga ukulungiswa.
Tshela udokotela wakho ngayo yonke imithi, amavithamini, imikhiqizo yamakhambi, nokuthi uyabhema noma uyaphuza utshwala, njengoba lezi zinto zingathinta ukwelashwa kwakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Norepinephrine iwumuthi onamandla kakhulu osetshenziselwa ukuphakamisa umfutho wegazi osuphansi kakhulu ngendlela esongela impilo esimweni esiphuthumayo.
- Lokhu kunikezwa esibhedlela kuphela, ikakhulukazi eYunithi Yokunakekelwa Okujulile (i-ICU) , ngaphansi kokuqashwa okugcwele kodokotela nabahlengikazi.
- Lokhu kubangela ukuthi imithambo yegazi inciphe, okuqinisekisa ukuthi igazi ligeleza liye ezithweni ezibalulekile.
- Qiniseka ukuthi wazisa udokotela ngayo yonke imithi oyithathayo wena noma isiguli sakho kanye nazo zonke izifo ezikhona.
- Imiphumela emibi ingenzeka, kodwa akudingeki ukhathazeke ngokungadingekile ngoba abasebenzi besibhedlela bahlala beyiqapha.

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