Ni iki cyitwa Adenosine: Ibyo ikoreshwa, urugero rwo kuyifata, ingaruka zayo n'ibindi

Adenosine ni umuti ukomeye w'umutima abaganga bakoresha kugira ngo basubize umutima mu murimo usanzwe mu buryo bwihuse iyo umutima wawe utera cyane. Itangwa mu maraso yawe binyuze mu muyoboro wa IV, kandi ikora mu gihe gito cyane kugira ngo ifashe umutima wawe gusubira mu murimo usanzwe.

Uyu muti akenshi ukoreshwa mu bihe by'ubutabazi cyangwa ahantu havurirwa haba hari abaganga bafite ubushobozi bwo kuvura iyo umutima wawe ukeneye gukosorwa ako kanya. Wibuke ko ari nk'«akabuto ko gusubiza ibintu mu buryo busanzwe» ku bwoko bumwe na bumwe bw'umutima utera nabi bishobora gutuma wumva uruka, ufite umwuka muke, cyangwa utameze neza.

Adenosine ni iki?

Adenosine ni ikintu gisanzwe kibaho umubiri wawe umaze gukora, ariko mu buryo bw'umuti, cyashyizwe hamwe kandi cyaranyujijwe kugira ngo gikoreshwe mu buvuzi. Iyo itanzwe nk'umuti, itinda by'agateganyo ibimenyetso by'amashanyarazi mu mutima wawe, bituma ushobora gusubira mu murimo usanzwe.

Uyu muti ubarirwa mu cyiciro cyitwa imiti irwanya arrhythmia, igamije cyane ibibazo by'umutima utera nabi. Bitandukanye n'imiti imwe n'imwe y'umutima ufata buri munsi, adenosine ikoreshwa gusa iyo bibaye ngombwa kandi ikora vuba cyane, akenshi mu gihe cy'amasegonda 10-20 nyuma yo gutangwa.

Uzakira adenosine gusa mu bitaro cyangwa mu kigo cy'ubuvuzi aho abaganga bashobora gukurikirana umutima wawe hafi. Ntabwo ari ikintu wajya ufata mu rugo, kuko bisaba ubugenzuzi bw'abaganga b'umwuga n'ibikoresho byihariye.

Adenosine ikoreshwa mu iki?

Adenosine ikoreshwa cyane cyane mu kuvura ubwoko bwihariye bw'umutima utera vuba cyane witwa supraventricular tachycardia (SVT). Iyi ndwara ituma umutima wawe utera cyane cyane, akenshi guterana 150-250 ku munota, bishobora gutuma wumva uhangayitse, uruka, cyangwa ufite umwuka muke.

SVT ibaho iyo ibimenyetso by'amashanyarazi mu byumba byo hejuru by'umutima wawe bigumye mu murongo, bigatuma umutima wawe guteragura cyane kurusha uko bisanzwe. Adenosine ikuraho uyu murongo mu gihe gito ibuza ibi bimenyetso by'amashanyarazi, ikemerera umutima wawe gusubira mu murongo usanzwe.

Rimwe na rimwe abaganga bakoresha kandi adenosine nk'igikoresho cyo gupima mu gihe cy'ibizamini by'umutima. Bishobora kubafasha kureba uko umutima wawe witwara mu gihe cy'umunaniro cyangwa kumenya ubwoko bwihariye bw'ibibazo by'umutima bishobora kutagaragara mu gihe cy'ibizamini bisanzwe.

Adenosine ikora ite?

Adenosine ikora mu gihe gito ibuza inzira z'amashanyarazi mu mutima wawe, by'umwihariko ahantu hitwa AV node. Ibi bituma umutima wawe uhagarara gato, bikawufasha gusubira mu murongo usanzwe.

Uyu muti ufashwe nk'umuti ukomeye kandi ukora vuba, niyo mpamvu ukora neza mu bihe by'ubutabazi. Mu gihe gito nyuma yo kuwuhabwa, ushobora kumva umutima wawe uhagarara gato cyangwa ukareka guteragura, ariko ibi ni ibisanzwe kandi birategerejwe.

Umubiri wawe usenya adenosine vuba cyane, akenshi mu gihe cy'amasegonda 10-30, bivuze ko ingaruka zayo zimara igihe gito. Iyi mvungura yihuse ifasha rwose kuko bivuze ko ingaruka zose zitari nziza ushobora kugira zizashira vuba cyane.

Nkwiriye gufata adenosine nte?

Ntabwo uzifata adenosine ubwawe - buri gihe itangwa n'abashinzwe ubuzima banyuze mu muyoboro wa IV mu kuboko kwawe. Uyu muti ugomba guterwa vuba cyane, ugahita ukurikirwa n'amazi y'umunyu kugira ngo wemeze ko ugera ku mutima wawe vuba.

Mbere yo guhabwa adenosine, uzahuzwa n'ibikoresho byo gukurikirana umutima kugira ngo ikipe yawe y'abaganga ibashe kureba umutima wawe neza. Ubusanzwe uzaba uryamye mu gihe cy'iki gikorwa, kuko abantu bamwe bumva bafite isereri cyangwa batameze neza mu gihe gito nyuma yo kuyihabwa.

Igihe n'uburyo bwo gutanga adenosine ni ingenzi kugira ngo ikore neza. Itsinda ryawe rishinzwe ubuzima rizaba ryateguye ibintu byose kandi rizakorana neza inshinge kugira ngo rishobore gutanga ibisubizo byiza ku miterere yawe yihariye.

Mbona Adenosine Mugihe Kingana Gite?

Adenosine ni uburyo bumwe bwo kuvura bukora ako kanya kandi ntibusaba gukoreshwa buri gihe. Abantu benshi bakeneye urugero rumwe gusa, nubwo rimwe na rimwe urugero rwa kabiri cyangwa rwa gatatu rushobora gutangwa niba urwa mbere rutagarura umuvuduko w'umutima usanzwe.

Umuti ubwawo usohoka rwose mu mubiri wawe mu minota mike, ariko umuvuduko w'umutima wawe ugomba gusubira mu buryo busanzwe kandi ukaguma gutyo. Niba ikibazo cy'umuvuduko w'umutima wawe kigarutse, muganga wawe azakenera gukora iperereza ku mpamvu ziri inyuma kandi ashobora gutanga ibindi bisubizo.

Nyuma yo guhabwa adenosine, uzagenzurwa igihe gito kugira ngo urebe niba umuvuduko w'umutima wawe ukomeza kuba utajegajega. Abantu bamwe bataha uwo munsi, mu gihe abandi bashobora gukenera gukurikiranwa cyangwa kuvurwa bitewe n'imiterere yabo yihariye.

Ni Ibihe Bikorwa Bigaragara Bya Adenosine?

Abantu benshi bahura n'ingaruka zimwe na zimwe z'agateganyo ziva kuri adenosine, ariko akenshi zimara amasegonda 10-30 gusa. Kumva kudasanzwe cyane ni ukumva ububabare bwo mu gituza cyangwa umuvuduko, ibyo bibaho kuko umuti utinda umutima wawe by'agateganyo.

Dore ibikorwa bigaragara ushobora guhura nabyo muri ayo masegonda make nyuma yo guhabwa adenosine:

• Ububabare bugufi bwo mu gituza cyangwa umuvuduko
• Kumva nkaho ntushobora guhumeka cyangwa guhumeka bigufi
• Kuribwa umutwe cyangwa kumva ureremba
• Isesemi cyangwa kuruka
• Uburyohe bw'icyuma mu kanwa kawe
• Kugira uruhu rutukura cyangwa kumva ushyushye
• Kumva ko ibintu bigiye kuba bibi cyangwa guhangayika

Uku kumva kurashobora kumvikana cyane ariko ni ibisanzwe rwose kandi bizashira vuba. Itsinda ryawe rishinzwe ubuzima rizakuburira mbere y'ibi bikorwa kugira ngo umenye icyo witegura.

Mu buryo butajegajega, abantu bamwe bashobora guhura n'ingaruka zikomeye zirimo umutima utinda cyane cyangwa guhumeka bigoranye. Ibi nibyo bituma adenosine itangwa gusa ahantu havurirwa abarwayi aho imiti yihutirwa iboneka igihe bibaye ngombwa.

Ninde Utagomba Gufata Adenosine?

Adenosine ntikwiriye buri wese, kandi muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kuyiguha. Abantu bafite indwara zimwe na zimwe z'umutima cyangwa ibibazo byo guhumeka ntibashobora kuba abakandida beza kuri uyu muti.

Muganga wawe azitonda cyane niba ufite kimwe muri ibi bikurikira:

• Asima ikomeye cyangwa indwara y'umwijima ihoraho
• Gufunga umutima (ibibazo by'ibimenyetso by'amashanyarazi mu mutima wawe)
• Umubare muto cyane w'amaraso
• Umutima watewe vuba
• Kunanirwa k'umutima gukomeye
• Allergie izwi kuri adenosine

Niba unywa caffeine buri gihe cyangwa ufata theophylline (umuti w'ibibazo byo guhumeka), ibi birashobora kubuza adenosine gukora neza. Muganga wawe azakenera kumenya imiti yose n'ibiyongera ufata.

Abantu bafite ubwoko bumwe na bumwe bw'ibibazo by'umuvuduko w'umutima, cyane cyane abafite urugero rwo hasi rw'umutima, mubisanzwe ntibagomba guhabwa adenosine kuko bishobora gutuma indwara yabo irushaho kuba mibi.

Amazina y'ubwoko bwa Adenosine

Adenosine iboneka munsi y'amazina menshi y'ubwoko, aho Adenocard ariyo ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Ushobora kandi kumva bavuga Adenoscan, ikoreshwa mugupima umutima aho kuvura ibibazo by'umuvuduko.

Ibitaro bitandukanye n'ibigo by'ubuvuzi bishobora gukoresha ubwoko butandukanye, ariko byose birimo ibintu bimwe bikora kandi bikora kimwe. Itsinda ryawe ry'ubuzima rizakoresha ubwo ari bwo bwose buboneka kandi bukwiye kubera imiterere yawe yihariye.

Izina rusange "adenosine" nicyo uzumva cyane abaganga n'abaforomo bakoresha mugihe baganira kuri uyu muti nawe cyangwa umuryango wawe.

Uburyo bwo gusimbuza Adenosine

Niba adenosine itagukwiriye cyangwa idakora neza, muganga wawe afite izindi nzira nyinshi zo kuvura umuvuduko w'umutima. Guhitamo biterwa n'ubwoko bw'ikibazo cy'umutima wawe n'ubuzima bwawe muri rusange.

Imiti yindi ishobora gukoreshwa harimo verapamil cyangwa diltiazem, bikora buhoro ariko bishobora gufasha mu bwoko bumwe bw'ibibazo by'umutima. Iyi miti itangwa binyuze muri IV nk'uko adenosine ikorwa ariko bitwara igihe kirekire kugira ngo ikore.

Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba gukoresha electrical cardioversion, ikoresha umuriro w'amashanyarazi ugenzurwa kugira ngo wongere umutima wawe. Ibi bikorwa mugihe urimo guhumurizwa kandi bifasha cyane mu bwoko butandukanye bw'ibibazo by'umutima.

Mu gihe kirekire, muganga wawe ashobora kugusaba imiti ya buri munsi, impinduka mu mibereho, cyangwa ibikorwa nk'ubuvuzi bwa catheter ablation, bushobora gukemura burundu ubwoko bumwe bw'ibibazo by'umutima.

Ese Adenosine iruta Verapamil?

Adenosine na verapamil zombi zifasha kuvura umuvuduko w'umutima, ariko zikora mu buryo butandukanye kandi zifite inyungu zihariye. Adenosine ikora vuba cyane, mubisanzwe mumasegonda, mugihe verapamil itwara iminota myinshi kugirango yerekane ingaruka zayo.

Adenosine akenshi ikundwa nk'ihitamo rya mbere kuko ikora vuba cyane kandi ikava mu mubiri wawe vuba. Ibi bivuze ko niba itagize icyo ikora cyangwa iteje ibibazo, ingaruka zirashira vuba, kandi abaganga bashobora kugerageza ikindi kintu.

Verapamil ishobora guhitwamo niba ufite asima ikomeye cyangwa indwara y'ibihaha, kuko muri rusange irinzwe kubantu bafite ibibazo byo guhumeka. Nanone ikunda gutera ibintu bike bitari byiza adenosine ishobora gutera.

Muganga wawe azahitamo uburyo bwiza bushingiye ku kibazo cy'umutima wawe, amateka yawe y'ubuvuzi, n'uko umuvuduko w'umutima wawe ukeneye gukosorwa.

Ibikunze Kubazwa Kuri Adenosine

Ese Adenosine irinzwe kubantu barwaye indwara y'umutima?

Adenosine irashobora kuba umutekano ku bantu barwaye indwara z'umutima, ariko bisaba isuzuma ryitondewe na itsinda ryawe ry'abaganga. Muganga wawe azatekereza ku bwoko bwihariye bw'indwara y'umutima ufite, uko ikomeye, niba adenosine ariyo nziza kuri wowe.

Abantu bafite ubwoko bumwe bw'indwara z'umutima, nk'umutima wananiwe cyane cyangwa umutima watewe n'umutima vuba, bashobora gukenera ingamba zidasanzwe cyangwa imiti isimbura. Itsinda ryawe ry'ubuzima rizagukurikiranira hafi cyane niba ufite ibibazo by'umutima.

Ikintu cy'ingenzi ni ukugira abaganga b'inararibonye bashobora gusubiza vuba niba hari ibibazo bibayeho. Iyi niyo mpamvu adenosine itangwa gusa mu bigo by'ubuvuzi bifite ibikoresho bikwiye byo gukurikirana n'abakozi babihuguriwe.

Nkwiriye gukora iki niba mbonye adenosine nyinshi ku buryo butunguranye?

Ntabwo ukeneye guhangayika kubera kubona adenosine nyinshi ku buryo butunguranye kuko itangwa gusa n'abantu b'inararibonye mu buvuzi babara kandi bapima neza buri doze. Umuti utegurwa kandi ukatangwa mu maso y'abaganga.

Niba hariho uburyo adenosine nyinshi yatangwa, ingaruka ziracyaba iz'agateganyo kuko umubiri wawe uyisenya vuba cyane. Itsinda ryawe ry'ubuvuzi ryaba rihari kugirango ritange ubufasha n'imiti ako kanya niba bibaye ngombwa.

Amabwiriza y'umutekano mu bigo by'ubuvuzi yateguwe kugirango yirinde amakosa y'imiti, harimo ibizamini byinshi mbere yo gutanga umuti uwo ariwo wose, cyane cyane imiti ikomeye nka adenosine.

Nkwiriye gukora iki niba ntasubije doze ya adenosine?

Iki kibazo ntigisobanura neza kuri adenosine kuko si umuti ufata buri gihe mu rugo. Itangwa gusa iyo ufite ikibazo cyihariye cy'umutima gikeneye kuvurwa ako kanya.

Niba ikibazo cyawe cy'umutima kigarutse nyuma yo kuvurwa neza na adenosine, wagombye kongera gushaka ubufasha bw'ubuvuzi. Ibi ntibisa no "kutagera ku doze" - byaba ari igice gishya gisaba isuzuma n'imiti.

Muganga wawe azaganira nawe icyo ugomba gukora niba uzagira ibibazo by'umuvuduko w'umutima mu gihe kizaza, bishobora kuba birimo guhamagara ubufasha bwihutirwa cyangwa kujya kwa muganga, bitewe n'uko ubuzima bwawe buhagaze.

Ni ryari nshobora kureka gufata Adenosine?

Adenosine ireka gukora mu gihe gito cyane nyuma yo kuyihabwa, kuva ku isegonda kugeza ku munota, bityo ntugomba "kureka" kuyifata. Iyo itanzwe kandi igakora akazi kayo ko gusubiza umuvuduko w'umutima mu buryo busanzwe, ihita ivanwa mu mubiri wawe.

Ikibazo cyo kureka kuvurwa kijyanye cyane n'imiti muganga wawe ashobora kukwandikira kugira ngo wirinde ibibazo by'umuvuduko w'umutima mu gihe kizaza. Ibyemezo nk'ibi biterwa n'icyateye ikibazo cy'umuvuduko w'umutima wawe.

Muganga wawe azaganira nawe ku bijyanye n'uburyo bwo kuvura buri gihe, bushobora kuba burimo imiti ya buri munsi, impinduka mu mibereho, cyangwa uburyo bwo gukemura ikibazo cyateye ibibazo by'umuvuduko w'umutima wawe.

Nshobora gutwara imodoka nyuma yo guhabwa Adenosine?

Ntugomba gutwara imodoka ako kanya nyuma yo guhabwa adenosine, kuko abantu bamwe bumva bameze nk'abazungera cyangwa bananiwe nyuma y'igihe gito. Itsinda ry'abaganga rizareba uko wumva umeze n'igihe bizaba byemewe ko usubira mu bikorwa bisanzwe.

Abantu benshi bumva bameze neza nyuma y'isaha imwe cyangwa ebyiri nyuma yo guhabwa adenosine, ariko ibi bishobora gutandukana ku muntu ku muntu. Niba waje kwa muganga wenyine, ushobora gukenera gutegura umuntu uzakujyana mu rugo.

Muganga wawe azaguha amabwiriza arambuye y'igihe ushobora gutwara imodoka neza, akenshi biterwa n'uko wumva umeze niba ukeneye izindi mvura cyangwa gukurikiranwa.