He aha te Regadenoson: Ngā Whakamahinga, te Inenga, ngā Pānga taha me ētahi atu

He rongoā te Regadenoson e āwhina ana i ngā tākuta ki te kite i te pai o te mahi o tō ngākau i ngā whakamātautau whakaahua motuhake. Ka tukuna mā te werohanga IV (intravenous) hei whakanui i te rere o te toto ki tō ngākau, e māmā ai te kite a ngā tākuta i ngā raruraru o te tuku toto o tō ngākau.

I hangaia tēnei rongoā mō te whakamātautau taumahatanga ngākau ina kore e taea e koe te whakakori tinana i runga i te mira hikoi, i te paihikara tū. Whakaarohia he huarahi ki te "whakamātautau taumahatanga" i tō ngākau me te kore mahi tinana, e hoatu ana ki tō tākuta ngā mōhiohio whai hua mō te hauora o tō ngākau i roto i te taiao haumaru, i te taiao whakahaere.

He aha te Regadenoson e whakamahia ana mō?

Ko te Regadenoson te mea nui e whakamahia ana mō te whakaahua perfusion myocardial, he kupu whakapaipai mō te tango pikitia taipitopito o te rere toto ki tō uaua ngākau. Ka tūtohu pea tō tākuta i tēnei whakamātautau mēnā kei te pā koe i te mamae o te uma, te poto o te manawa, ētahi atu tohumate rānei e tohu ana i ngā raruraru ngākau pea.

He tino whai hua te rongoā mō te hunga e kore e taea te mahi whakamātautau taumahatanga whakakori tinana tuku iho. Kei roto i tēnei ko ngā tāngata whai mate rūmātiki, ngā raruraru pūkahukahu, ētahi atu āhuatanga rānei e uaua ai, e kore ai e haumaru te whakakori tinana i te wā o te whakamātautau.

I te wā o te tikanga, ka whai i te pānga o te whakakori tinana ki tō ngākau te regadenoson. Mā tēnei ka taea e ngā tākuta te kite i te urupare o tō ngākau ki te piki o te hiahia mō te hāora me te rere toto, e āwhina ana i a rātou ki te tautuhi i ngā uaua kua aukatia, kua whāiti rānei.

Me pēhea te mahi a te Regadenoson?

Ka mahi te Regadenoson mā te whai i ngā kaiwhiwhi motuhake i tō ngākau e kīia ana ko ngā kaiwhiwhi adenosine A2A. Ina herea ana ki ēnei kaiwhiwhi, ka whānui, ka whānui rānei ō uaua coronary (ngā oko toto e tuku ana i tō ngākau) i te nui.

Ka whakanui tēnei pānga whānui i te rere o te toto ki ngā wāhi hauora o te uaua o tō ngākau, i te wā e iti ana te rere o te toto ki ngā wāhi kua aukatia, kua whāiti rānei ngā uaua. Ka puta mārama te rerekētanga i waenga i ēnei wāhi i ngā karapa whakaahua, e āwhina ana i tō tākuta ki te tautuhi i ngā wāhi raruraru.

E whakaarohia ana te rongoā nei he whakawhānui uaua kōronā whiriwhiri, he kaha hoki. I hangaia kia tere te mahi me te whai hua, ā, ko te nuinga o ngā pānga ka roa noa iho mō ētahi meneti i muri i te werohanga.

Me pēhea taku tango i te Regadenoson?

Kāore koe e tango i te regadenoson i a koe anō – ka hoatu tonu e ngā tāngata hauora whakangungu i roto i te whare rongoā. Ka tae mai te rongoā hei werohanga kua rite ki te whakamahi, ka hoatu mā te raina IV i tō ringa.

I mua i tō tūpono, ka tono pea tō tākuta ki a koe kia karo i te kawhe mō te 12 ki te 24 haora. Kei roto i tēnei ko te kawhe, te tī, te tiakarete, me ētahi wai inu, nā te mea ka raru te kawhe i te mahi o te regadenoson i tō tinana.

Ka tonoa koe kia nohopuku mō ētahi haora i mua i te whakamātautau, ahakoa ka taea e koe te inu wai. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe i runga i tō āhuatanga takitahi me te momo whakaahua e mahia ana.

Ko te werohanga tonu e pā ana ki te 10 hēkona, ka whai tonu i te horoi tote kia mōhio ai kua tae katoa te rongoā ki tō toto tere me te whai hua.

Kia Pēhea te Roa o taku tango i te Regadenoson?

Kāore te Regadenoson i te rongoā e tango pinepine ana koe, mō tētahi wā roa rānei. He werohanga kotahi anake ka hoatu i te wā o tō tikanga whakamātautau ahotea ngākau.

Ka tīmata ngā pānga o te regadenoson i roto i ngā hēkona i muri i te werohanga, ā, ka roa te nuinga mō te 2 ki te 4 meneti. Heoi, ka pōrohe pea ētahi tāngata i ngā pānga e mau ana mō te 15 meneti i muri i te werohanga.

Ka noho koe ki te whare rongoa mo te tirotiro mo te 15 ki te 30 meneti i muri i te werohanga kia mohio kei te pai koe i mua i to wehenga atu. Ka aroturukihia koe e to roopu hauora i tenei wa.

He aha nga paanga taha o Regadenoson?

Ko te nuinga o nga tangata ka pa ki etahi paanga taha mai i te regadenoson, engari he ngawari noa iho, he poto te roa. Ko nga paanga taha tino noa ka puta na te mea ka pa te rongoa ki te rere o te toto puta noa i to tinana, ehara i to ngakau anake.

Anei nga paanga taha ka pa ki a koe i te wa, i muri tata ranei i to werohanga:

• Te poto o te manawa, te ahua ranei kare e taea e koe te hopu i to manawa
• Te mamae o te uma, te ahua ranei o te pehanga
• Te whero, te mahana ranei i to kanohi me to kaki
• Te ānini
• Te whanoke, te mamae ranei o te mahunga
• Te whakapairuaki
• He reka konganuku i roto i to waha
• Te ahua o te piri o te korokoro

Ko enei paanga ka memeha i roto i etahi meneti i te wa e ngaro ana te rongoa. Ka tino aroturukihia koe e to roopu hauora, ka taea e ratou te whakarato rongoa hei awhina i nga tohu kino mena e tika ana.

Ko nga paanga taha kino engari he iti noa iho ka uru ki te heke nui o te toto, nga uaua nui ki te manawa, ki nga tauhohenga mate pāwera ranei. Ahakoa he onge, me aro tonu enei ahuatanga ki te rongoa, koinei te take i mahia ai te whakamatautau i roto i te whare rongoa.

Ko etahi o nga tangata e mate huango ana, e mate pukupuku ranei i te ngongo ka nui ake te uaua ki te manawa. Mena kei a koe enei ahuatanga, ka ata whakatau to taakuta i nga painga me nga tupono i mua i te taunaki i tenei whakamatautau.

Ko wai e kore e tango Regadenoson?

Kaore a Regadenoson e tika ana mo te katoa, a ka ata arotakehia e to taakuta to hitori rongoa i mua i te taunaki i tenei whakamatautau. Ko te rongoa ka karohia i te nuinga o te waa i roto i nga tangata e raru ana te manawataki o te ngakau, e raru ana ranei te manawa.

Kāore koe e whiwhi regadenoson mēnā he angina kōaro tōu, arā, he mamae i te uma e kino haere ana, e puta ana rānei i te okiokinga. Ko ngā tāngata e pā ana ki ētahi momo raruraru o te manawa, ina koa ko ēnei e pā ana ki te pūnaha hiko o te ngākau, me karo pea tēnei rongoā.

Mēnā he mate hāwhe nui tōu, he mate rānei e pā ana ki te pūkahukahu (COPD), me arotake tō tākuta mēnā he haumaru te regadenoson mōu. I ētahi wā ka taea e te rongoā te whakapōrearea i ngā raruraru hā i roto i ngā tāngata e pā ana ki ēnei āhuatanga.

Me tūpato ngā tāngata he toto tōraro rawa te pēhanga, i te mea ka taea e te regadenoson te whakaheke i te pēhanga toto. Ka aroturukihia e tō rōpū hauora tō pēhanga toto i mua i te wā, me te wā o te tikanga.

Me karo ngā wāhine hapū i te regadenoson, ki te kore e tino nui ake ngā painga i ngā tūponotanga. Mēnā kei te whāngai ū koe, ka tohutohu pea tō tākuta kia whakamutua te whāngai ū mō te 10 ki te 12 hāora i muri i te werohanga.

Ngā Ingoa Waitohu o Regadenoson

Ko te regadenoson te nuinga e mōhiotia ana e tōna ingoa waitohu Lexiscan i te United States. Koinei te ingoa waitohu tuatahi ka rongo koe i ngā whare rongoā me ngā pepa e pā ana ki tō whakamātautau ahotea.

Ka wātea pea te rongoā i raro i ngā ingoa waitohu rerekē i ētahi atu whenua, engari ko Lexiscan tonu te ingoa e mōhiotia whānuitia ana mō te regadenoson i Amerika ki te Raki.

Ngā Kōwhiringa kē mō Regadenoson

Mēnā kāore te regadenoson e tika ana mōu, he maha ētahi atu kōwhiringa a tō tākuta mō te whakamātautau ahotea o te ngākau. He rerekē te mahi a ia kōwhiringa, ā, he pai ake pea i runga i tō āhuatanga hauora.

Ko te Adenosine tētahi atu rongoā e mahi ana i te rite ki te regadenoson engari e hiahia ana kia roa ake te whakauru IV i te werohanga kotahi. He pai ake te aro o ētahi tāngata ki te adenosine, i te mea e pai ana ētahi ki te wā poto o te regadenoson.

He rongoā tawhito te Dipyridamole e whakanui ana i te rere o te toto ki te ngakau mō ngā take whakaahua. Ka tukuna mā te IV i roto i ngā meneti maha, ā, ka taea te whakakotahi ki te whakakori tinana mēnā ka taea e koe te hikoi i runga i te treadmill.

I ētahi wā ka whakamahia te Dobutamine hei rongoā kē, inā koa mō te hunga e kore e taea te tango i ētahi atu rongoā. Ka mahi mā te whakatere i tō ngakau kia tere ake, kia kaha ake, kaua mā te whānui i ngā oko toto.

Ka whiriwhiria e tō tākuta te kōwhiringa pai rawa atu i runga i tō hītori hauora, ngā rongoā e inu ana koe, me ngā āhuatanga hauora motuhake.

He Pai Ake Anei te Regadenoson i te Adenosine?

He whai hua te regadenoson me te adenosine mō te whakamātautau ahotea ngakau, engari he rerekētanga nui ō rāua e āhei ai tētahi te pai ake mōu i tētahi atu.

Ka whai wātea te Regadenoson i te werohanga kotahi, tere hoki, e 10 hēkona noa iho te roa ki te whakahaere. He tere ake tēnei i te adenosine, e hiahia ana i te 4 ki te 6 meneti te roa o te IV tonu.

He maha ngā tāngata e kite ana he pai ake ngā pānga taha o te regadenoson nā te mea he iti ake te kaha, he poto ake te roa. He maha ngā wā ka pā mai te mamae o te uma me te uaua o te manawa i te wā roa o te whakahaere adenosine.

Heoi anō, kua whakamahia te adenosine mō te whakamātautau ahotea ngakau mō te wā roa atu i te regadenoson, nō reira he nui ake ngā raraunga mō te wā roa mō tōna haumaru me tōna whai huatanga. E pai ana ētahi tākuta ngakau ki te adenosine nā te mea ka taea e rātou te whakamutu i te whakahaere i te wā tonu mēnā ka puta mai ngā pānga taha kino.

Ko te kōwhiringa i waenga i ēnei rongoā ka heke iho ki tō āhuatanga hauora takitahi, te wheako me te hiahia o tō tākuta, me te mea e wātea ana i tō whare whakamātautau.

Ngā Pātai Auau mō Regadenoson

He Haumaru Anei te Regadenoson mō te Hunga Mate Huka?

Āe, he haumaru te regadenoson mō te hunga mate huka. Kāore te rongoā e pā tika ana ki ngā taumata huka toto, nō reira kāore e pā mai te pikinga, te hekenga rānei o tō glucose i te wā o te whakamātautau.

Heoi anō, ki te tango koe i ngā rongoā mō te mate huka, tērā pea ka hoatu e tō tākuta he tohutohu motuhake ki a koe mō te wā e tango ai koe i ō horopeta i te rā o tō whakamātautau, ina koa me nohopuku koe i mua. Me whai tonu i ngā tohutohu a tō kaiwhakarato hauora mō te whakahaere i ō rongoā mō te mate huka i te wā o te tikanga.

Me Pēhea Taku Mahi Mēnā I Whiwhi Ahau i te Nui Rawa o te Regadenoson?

Kāore koe e mōhio ki te māharahara mō te whiwhi nui rawa o te regadenoson i te mea e hoatu ana e ngā tāngata hauora whakangungu i roto i te taiao hauora whakahaere. Ka tae mai te rongoā i roto i ngā horopeta kua whanganga i mua, ā, ka whai tō rōpū hauora i ngā tikanga tino kaha.

Mēnā he āwangawanga mō te horopeta, ka whai rongoā tō rōpū hauora pērā i te aminophylline hei whakakore i ngā pānga o te regadenoson. Koinei tētahi o ngā painga haumaru o te whakahaere i tēnei whakamātautau i roto i te whare hauora.

Me Pēhea Taku Mahi Mēnā Kua Ngaro Taku Whakataunga Regadenoson?

I te mea e hoatu ana te regadenoson i te wā o te tikanga hauora kua whakaritea, ko te ngaro i tō whakataunga ko te tikanga me whakarite anō tō whakamātautau taumahatanga ngākau. Whakapā atu ki te tari o tō tākuta, ki te pokapū whakaahua rānei i te wā e taea ai ki te whakarite i tētahi whakataunga hou.

Kaua e māharahara mō ngā pānga hauora mai i te ngaro i te whakataunga – kāore tō hauora e pā ana i te whakaroa. Heoi anō, ko te whakarite anō i te wā tika ka whakarite kia whiwhi koe i te arotake ngākau i tūtohu ai tō tākuta me te kore e whakaroa i tō manaaki.

Āhea Ka Taea e Au te Whakahoki i ngā Mahi Pūmau i Muri i te Regadenoson?

Ka taea e te nuinga o te tāngata te whakahoki i ngā mahi pūmau i roto i ngā hāora ruarua i muri i te whiwhi i te regadenoson, ina kua tirotirohia rātou, ā, kua whakawāteahia e tō rōpū hauora. Ka tirotirohia koe mō te 15 ki te 30 meneti i muri i te werohanga kia mōhio ai koe kei te pai koe.

Me karo koe i te taraiwa tonu i muri i te whakamātautau mēnā kei te mōrearea koe, kei te māmā rānei te mahunga. He pai ki te tono i tētahi ki te taraiwa i a koe ki te kāinga, ina koa kei te pā tonu koe i ētahi pānga mai i te rongoā.

Ka taea e koe te hoki ki tō kai me ō rongoā noa i muri tonu i te whakamātautau, ki te kore te tākuta e hoatu ētahi tohutohu motuhake ki a koe. Mēnā i mutu koe i te kawhe i mua i te whakamātautau, ka taea e koe te hoki ki te inu kawhe, tī rānei i te otinga o te tikanga.

Ka taea e au te tango i aku rongoā auau i te rā o taku whakamātautau Regadenoson?

I te nuinga o ngā wā, ka taea e koe te haere tonu ki te tango i ō rongoā auau i te rā o tō whakamātautau ahotea regadenoson. Heoi, ka tono pea tō tākuta ki a koe kia mutu tētahi rongoā ngākau mō tētahi wā, ka raru pea i ngā hua o te whakamātautau.

I ētahi wā ka mutu te tango i ngā beta-blockers me ētahi calcium channel blockers mō te rā, e rua rānei i mua i te whakamātautau, nā te mea ka pā ēnei ki te urupare o tō ngākau ki te regadenoson. Ka hoatu e tō kaiwhakarato hauora ētahi tohutohu motuhake ki a koe mō ngā rongoā hei haere tonu me ngā rongoā hei mutu mō tētahi wā.

Kaua rawa e mutu te tango i ngā rongoā kua whakaritea me te kore whakaaetanga a tō tākuta, ahakoa ki te whakaaro koe ka raru pea i te whakamātautau. Me whai tonu i ngā tohutohu motuhake i homai ki a koe e tō rōpū hauora.