Chii chinonzi Dobutamine uye Dextrose: Zvinoshandiswa, Dosage, Migumisiro uye Zvimwe

Dobutamine uye dextrose musanganiswa wemishonga inoshandiswa mumitsetse yetsinga inoshandiswa muzvipatara kutsigira basa remoyo munguva dzakakosha. Mushonga uyu une simba wemoyo unobatsira moyo wako kupomba zvakanyanya uchipa shuga yakakosha yesimba kana muviri wako uchida rubatsiro rwakawedzerwa.

Iwe unowanzo gamuchira mushonga uyu muchikamu chekuchengetwa kwakanyanya kana nzvimbo yekuchengetedza moyo uko nyanzvi dzekurapa dzinogona kunyatso tarisa mhinduro yemoyo wako. Musanganiswa unoshanda nekusimbisa kusungirirwa kwemoyo wako uchivimbisa kuti muviri wako une mazinga akakwana eglucose panguva yekurapa.

Chii chinonzi Dobutamine uye Dextrose?

Dobutamine uye dextrose inobatanidza zvikamu zviviri zvakakosha zvinoshanda pamwechete kutsigira hurongwa hwako hwemoyo. Dobutamine mushonga we synthetic unotevedzera makemikari echisikigo mumuviri wako anonzi catecholamines, ayo anobatsira moyo wako kurova zvakasimba uye nemazvo.

Chikamu che dextrose imhando ye glucose (shuga) inopa simba rekare kumasero emuviri wako. Kana yakasanganiswa, mishonga iyi inogadzira mhinduro inogona kupiwa nemitsipa yako kuti ibatsire kugadzirisa basa remoyo wako uchichengetedza mazinga akakodzera eshuga yeropa.

Mushonga uyu unogara uchigadzirirwa uye uchishandiswa nenyanzvi dzehutano munzvimbo dzekurapa dzakadzorwa. Hauzo sangani nemusanganiswa uyu kunze kwezvipatara kana nzvimbo dzakakosha dzekurapa nekuti zvinoda kuramba zvichitariswa uye kuyera kwakaringana.

Chii chinonzi Dobutamine uye Dextrose chinoshandiswa?

Musanganiswa wemishonga iyi unonyanya kushandiswa kurapa kukundikana kwemoyo kwakanyanya uye cardiogenic shock, mamiriro apo moyo wako usingakwanise kupomba ropa zvakakwana kuti zvienderane nezvido zvemuviri wako. Vanachiremba vanowanzo kuraira izvi kana dzimwe nzira dzekurapa dzisina kupa kuvandudzwa kwakakwana mubasa remoyo.

Chikwata chako chekurapa chingashandisa musanganiswa uyu munguva dzakawanda dzinonetsa dzinoda rubatsiro rwemoyo rwekukurumidza:

• Zviitiko zvekuramba kwemoyo kwakanyanya uko moyo wako unongoerekana wava kusakwanisa kupomba zvakakwana
• Cardiogenic shock ichitevera kurwisa kwemoyo apo ropa rinodonha zvakanyanya
• Rutsigiro rwekuvhiya kwemoyo kuti rubatsire moyo wako kupora kubva mukushushikana kwekuvhiya
• Chirwere chakakomba chemhasuru yemoyo (cardiomyopathy) panguva yezviitiko zvakanyanya
• Zviitiko zvekuzvidzwa kwekutapurirana kwemoyo apo moyo mutsva unoda rubatsiro rwekuwedzera

Muzviitiko zvisingawanzoitiki, vanachiremba vanogona zvakare kushandisa musanganiswa uyu kuyedzwa kwemoyo kwekuongorora kunonzi dobutamine stress echocardiography. Izvi zvinobatsira kuongorora kuti moyo wako unoshanda sei pasi pekushushikana kunodzorwa kana kuyedzwa kwekuita muviri kwetsika kusingabviri.

Dobutamine neDextrose Zvinoshanda Sei?

Izvi zvinoonekwa semushonga wemoyo wakasimba, unokurumidza kuita unokanganisa zvakananga kugona kwemoyo wako kusungana nekupomba ropa. Dobutamine inoshanda nekukurudzira ma receptors akati wandei mumhasuru dzemoyo wako dzinonzi beta-1 receptors, izvo zvakaita semaswiti anoudza moyo wako kuti urove zvakanyanya.

Kana dobutamine ikashandisa ma receptors aya, mhasuru dzemoyo wako dzinosungana zvakanyanya, zvichikwidza huwandu hweropa rinopombwa nekurova kwega kwega kwemoyo. Ichi chiito chakavandudzwa chekupomba chinobatsira kuendesa okisijeni uye zvinovaka muviri zvinobudirira mumuviri wako wese, zvichitsigira nhengo dzakakosha dzakaita seuropi hwako, itsvo, uye mamwe matishu.

Chikamu che dextrose chinoshanda sechinhu chinokurumidza chesimba remasero emuviri wako, zvakanyanya kukosha kana moyo wako uchishanda zvakanyanya. Muviri wako unogona nekukurumidza kushandura glucose iyi kuita simba, ichitsigira basa remoyo uye metabolism yemasero ese panguva ino yakakosha.

Kusiyana nemimwe mishonga yemoyo inonyanya kukanganisa kumhanya kwemoyo, dobutamine inotarisa pakuvandudza simba rekurova kwemoyo kwega kwega. Izvi zvinoita kuti ive yakakosha kana moyo wako uchida kupomba zvakanyanya zvinobudirira pane kungorova nekukurumidza.

Ndingatora sei Dobutamine neDextrose?

Haugone kutora mushonga uyu nemuromo kana kumba - unongopihwa chete kuburikidza nemutsara we intravenous muchipatara. Vashandi vehutano vachaisa chubhu diki mutsinga yako, kazhinji muruoko rwako kana ruoko, iyo mushonga unoyerera nguva dzose.

Mushonga uyu unouya semhinduro yakagadzirirwa kare inogadzirirwa zvakanyatsonaka nevanyanzvi vemaparmazi echipatara kana vashandi vekurapa vakadzidziswa. Vanamukoti vako vachabatanidza mhinduro iyi kune IV pump inodzora chaizvo kuti ungawana mushonga wakawanda sei miniti yega yega, vachive nechokwadi chekuti unopa chiyero chakakodzera zvichienderana nekupindura kwemuviri wako.

Haufanire kunetseka nezvekudya kana kunwa chero chinhu chakakosha usati watora mushonga uyu. Zvisinei, timu yako yekurapa inogona kutarisa mazinga eshuga yeropa yako nguva dzose sezvo chikamu che dextrose chinogona kukanganisa mazinga eglucose muropa rako.

Vapi vehutano vako vacharamba vachitarisa rhythm yemoyo wako, BP, uye zvimwe zviratidzo zvakakosha mukati mekurapa. Vachagadzirisa chiyero chemushonga zvichienderana nekuti moyo wako unopindura sei, dzimwe nguva vachiwedzera kana kuderedza huwandu kuti vawane mhedzisiro yakanakisisa inogoneka.

Ndingatora Dobutamine neDextrose kwenguva yakareba sei?

Kureba kwekurapa kunosiyana zvakanyanya zvichienderana nemamiriro ako chaiwo uye nekukurumidza moyo wako unopindura kumushonga. Varwere vazhinji vanogamuchira musanganiswa uyu kwenguva kubva kumaawa mashoma kusvika kumazuva akati wandei, zvichienderana nekukomba kwemamiriro avo emoyo.

Chikwata chako chekurapa chicharamba chichiongorora mashandiro emoyo wako vachishandisa maturusi akasiyana ekutarisa sema electrocardiograms (ECGs) uye echocardiograms. Kana moyo wako waratidza kuvandudzika kwakagadzikana uye uchikwanisa kushanda zvakakwana wega, vachaderedza zvishoma nezvishoma mushonga.

Maitiro ekuregedza anoitika zvishoma nezvishoma uye nekuchenjerera kudzivirira moyo wako kuti usavimba nerutsigiro rwemushonga. Vanachiremba vako vanowanzo kuendesa iwe kumishonga yemoyo yemuromo yaunogona kutora kumba usati wamisa zvachose kurapwa kweIV.

Mune dzimwe nguva, varwere vane kukundikana kwemoyo kwakanyanya kwenguva refu vangangoda kurapwa kwenguva pfupi nekubatanidzwa uku panguva yekugara muchipatara. Chiremba wako wemoyo achasarudza chirongwa chakakodzera chekurapa kwenguva refu zvichienderana nemamiriro emoyo wako uye kupindura kurapa.

Ndezvipi Zvakaipa zveDobutamine uye Dextrose?

Semishonga yese ine simba, dobutamine uye dextrose inogona kukonzera mhedzisiro, kunyangwe varwere vazhinji vachizvitsungirira zvakanaka pasi pekutariswa kwekurapa kwakanyatsonaka. Chikwata chako chehutano chinokutarisa zvakanyanya kuti chitarise uye kubata chero maitiro asina kunaka anogona kuitika.

Mhedzisiro yakajairika yaungasangana nayo inosanganisira zviratidzo izvi zvinogoneka izvo zvinowanzo gadzirisa muviri wako sezvaunogadzirisa:

• Kuwedzera kwemoyo kana palpitations sezvo moyo wako uchipindura kumushonga
• Kurwadziwa nemusoro kudiki kubva mukuchinja kweropa uye kumanikidzwa
• Nyota shoma kana kusagadzikana mudumbu
• Kunzwa kupisa kana flushing muchiso chako nemutsipa
• Kushushikana kudiki kana kusagadzikana kubva kune zvinokurudzira
• Kudedera kudiki kana kutinhira mumaoko ako

Izvi zvinowanzoitika zvinowanzo ratidza kuti mushonga uri kushanda uye kazhinji unova usingaoneki sezvo kurapwa kuchipfuurira. Chikwata chako chekurapa chinotarisira izvi uye chine nzira dzekukubatsira kuti unzwe wakasununguka.

Mhedzisiro yakakomba inoda kutariswa kwechimbichimbi kwechiremba, kunyangwe dzisingawanzoitika kana iwe uchitariswa zvakanaka:

• Kuchinja kwengozi kwemoyo (arrhythmias) kunogona kukanganisa kushanda kwemoyo
• Kukwira kwakanyanya kweropa kunogona kukuvadza hurongwa hwako hwemoyo
• Kurwadziwa muchipfuva kana kuwedzera kwezviratidzo zvekukundikana kwemoyo
• Kuchinja kukuru kweshuga yeropa inoda kugadziriswa kwe insulin
• Maitiro akakomba ekuita allergic anosanganisira kuoma kufema kana kuzvimba

Zvisingawanzoitiki asi zvakakomba zvinogona kusanganisira kukuvadzwa kwetishu panzvimbo ye IV kana mushonga wabuda kunze kwemuviri, kana kudonha kwengozi kweropa kana kumiswa nekukurumidza. Chikwata chako chekurapa chinotora matanho chaiwo ekudzivirira matambudziko aya kuburikidza nekutarisa zvakanyanya uye nzira dzakakodzera dzekushandisa.

Ndiani Asingafaniri Kutora Dobutamine uye Dextrose?

Mamwe mamiriro ezvinhu anoita kuti mushonga uyu usakodzere kana kuva nengozi, saka vanachiremba vako vachanyatsoongorora nhoroondo yako yekurapa vasati vatanga kurapwa. Kana uine matambudziko chaiwo emoyo kana mamwe mamiriro emoyo, mamwe marapirwo anogona kuva sarudzo dzakachengeteka.

Chikwata chako chekurapa chichadzivisa mushonga uyu kana uine mamiriro chaiwo aya anogona kuita kuti kurapwa kuve nengozi:

• Severe aortic stenosis (kudzikira kwevhavha huru yemoyo) inogona kuwedzera nekukwira kwemoyo
• Hypertrophic cardiomyopathy ine obstruction, uko kusimba kwemoyo kunogona kuvharira kuyerera kweropa
• Kusadzora kwengozi kwemoyo kunogona kuva njodzi kuhupenyu
• Kukwira kwakanyanya kweropa kusingadzorwe kunogona kusvika panjodzi
• Kuziva allergy ku dobutamine kana mishonga yakafanana
• Chirwere cheshuga chakakomba chakaoma kudzora, sezvo dextrose inogona kuomesa manejimendi eshuga yeropa

Zvimwe zvirwere zvisingawanzoitika zvinoda kufungwa zvakanyanya uye kuongororwa kwakakosha kana mushonga uyu wava kudikanwa. Izvi zvinosanganisira pheochromocytoma (bundu risina kujairika re adrenal gland), matambudziko akakomba ethyroid, kana kurwisa kwemoyo kwemazuva ano nemamwe matambudziko akakosha.

Vanachiremba vako vachayerera mabhenefiti anogona kuwanikwa vachienzanisa nenjodzi yega yega. Dzimwe nguva mabhenefiti anoponesa hupenyu anokunda njodzi, kunyangwe muvarwere vane contraindications, asi izvi zvinoda kuongororwa zvakanyanya uye kutarisirwa kwakakosha.

Mazita eBrand eDobutamine neDextrose

Musanganiswa wemishonga iyi unowanzoitwa semusanganiswa wakakosha wechipatara panzvimbo pekuwanikwa sechigadzirwa chimwe chete chine zita. Zvipatara zvakawanda zvinogadzira musanganiswa vachishandisa mhinduro dzakasiyana dzedobutamine nedextrose dzakavhenganiswa zvinoenderana nemaprotocol akajairwa.

Dobutamine pachayo inowanikwa pasi pemazita emhando seDobutrex, kunyangwe zvipatara zvakawanda zvichishandisa shanduro dzakajairika dzakafanana. Chikamu che dextrose imhinduro ye glucose yakajairika yemhando yemishonga inowanikwa zvakanyanya kubva kune vagadziri vepharmaceutical vakasiyana.

Pharmacy yechipatara chako ichagadzirira kuwanda kwakakosha uye musanganiswa uyo chiremba wako anoraira zvichienderana nezvido zvako. Iyi nzira yakagadzirirwa inobvumira kuyera kwakaringana uye inovimbisa kuti unogamuchira chaizvo zvinodiwa nemoyo wako.

Dobutamine neDextrose Zvimwe Zvinhu

Mishonga yakati wandei inogona kutsigira basa remoyo, kunyangwe imwe neimwe ichishanda zvakasiyana uye inokodzera mamiriro akasiyana. Chiremba wako wemoyo achasarudza sarudzo yakakodzera zvichienderana nemamiriro ako emoyo, zvimwe zvinhu zvehutano, uye kuti unopindura sei kurapwa.

Mishonga yeIV inogona kubatsira kutsigira basa remoyo inosanganisira izvi zvingasarudzwa izvo chikwata chako chekurapa chingafunga:

• Dopamine, iyo inokanganisa basa remoyo uye kudzvanywa kweropa asi inogona kuwedzera kumhanya kwemoyo zvakanyanya
• Milrinone, iyo inobatsira moyo kuti ubate zviri nani uye inozorodzawo tsinga dzeropa
• Norepinephrine, inonyanya kushandiswa kana kutsigirwa kweropa ndiko kunonyanya kukosha
• Epinephrine, yakachengeterwa mamiriro akanyanya kukosha anoda kutsigirwa kwemoyo nekukurumidza uye kudzvanywa kweropa
• Levosimendan, mushonga mutsva unosimbisa kubata kwemoyo uchidzivirira tsandanyama yemoyo

Zvimwe zvisiri zvemishonga zvingasanganisira michina yekutsigira moyo yezviitiko zvakanyanya. Izvi zvinogona kubva pamapombi emabhururu enguva pfupi anobatsira moyo wako kupomba ropa kusvika kumidziyo yepamusoro inotora chikamu kana zvachose basa remoyo panguva yekupora.

Chirongwa chako chekurapa chingasanganisa nzira dzakawanda, kutanga nemishonga uye kuwedzera rutsigiro rwemuchina kana zvichidikanwa. Chinangwa nguva dzose ndechokutsigira moyo wako uchipora kana kugadzirisa mamiriro ako kuti utarisirwe kwenguva refu.

Ko Dobutamine neDextrose Zviri Nani Pane Dopamine?

Mishonga yese miviri inoshanda mabasa akakosha mukuchengetwa kwemoyo, asi inoshanda zvakasiyana uye inobudirira mumamiriro akasiyana. Dobutamine inonyanya kusimbisa kubata kwemoyo pasina kukanganisa zvakanyanya kudzvanywa kweropa, zvichiita kuti ive yakanaka kana moyo wako uchida rubatsiro rwekupomba asi kudzvanywa kweropa kwako kwakagadzikana.

Dopamine ine huwandu hwakawanda hwezvinoitika zvichienderana nedosi inoshandiswa. Pamadosi akaderera, inogona kuvandudza basa reitsvo uye kuyerera kweropa, nepo madosi epamusoro achiwedzera simba remoyo nekudzvanywa kweropa. Izvi zvinoita kuti dopamine ive yakawanda asiwo inogona kukonzera mhedzisiro yakadai sekuwedzera kumhanya kwemoyo.

Chikwata chako chekurapa chinosarudza pakati pemishonga iyi zvichienderana nezvido zvako chaizvo. Kana tsandanyama yemoyo wako yakasimba asi ropa rako richigamuchirika, dobutamine inogona kunge iri sarudzo iri nani. Kana uchida rutsigiro rwemoyo nekugadzirisa kweropa, dopamine inogona kunge yakakodzera.

Tsvagiridzo inoratidza kuti dobutamine inogona kunge iri nyoro pamagetsi emoyo wako, zvichikonzera matambudziko mashoma emoyo ane njodzi. Zvisinei, mishonga yose miviri inoda kunyatsoongororwa uye manejimendi ekurapa ane hunyanzvi kuti ave nechokwadi chekurapa kwakachengeteka uye kunobudirira.

Mibvunzo Inowanzo Bvunzwa Pamusoro peDobutamine neDextrose

Dobutamine neDextrose Zvakachengeteka Here Kune Vanhu vane Chirwere cheShuga?

Mishonga iyi inogona kushandiswa zvakachengeteka muvanhu vane chirwere cheshuga, asi inoda kunyatsoongororwa uye manejimendi eshuga yeropa. Chikamu che dextrose chichakwidza mazinga eshuga yeropa rako, saka chikwata chako chekurapa chichaongorora shuga yeropa rako kazhinji uye chigadzirise insulin kana mamwe mishonga yeshuga sezvinodiwa.

Vanachiremba vako vachashanda pedyo nenyanzvi dzechirwere cheshuga kana zvichidikanwa kuchengetedza mazinga eshuga yeropa akachengeteka mukati mekurapa. Vanogona kushandisa kuenderera mberi kwe glucose monitoring kana bvunzo dzeropa dzakawanda kuti vave nechokwadi chekuti chirwere chako cheshuga chinoramba chichidzora zvakanaka uchigamuchira mushonga uyu wemoyo.

Ndingaita Sei Kana Ndikagamuchira Dobutamine neDextrose yakawandisa netsaona?

Sezvo mushonga uyu uchipiwa chete munzvimbo dzekuchipatara nekutarisa nguva dzose, overdoses netsaona hazviwanzoitiki uye dzinobva dzazivikanwa nechikwata chako chekurapa. Kana mishonga yakawandisa ikapiwa netsaona, vanopa hutano vako vachaziva zviratidzo nekukurumidza kuburikidza nekuongorora rhythm yemoyo uye shanduko yezviratidzo zvakakosha.

Kurapa kwe overdose kunosanganisira kumisa kana kuderedza mushonga nekukurumidza uye kupa rutsigiro. Chikwata chako chekurapa chakadzidziswa kubata mamiriro aya uye chine protocol chaiyo yekudzosa chero mhedzisiro yakaipa zvakachengeteka uye nekukurumidza.

Ndingaita Sei Kana Dosisi yeDobutamine neDextrose Yakapotswa?

Kupotsa madhosi kazhinji hakusi kunetesa sezvo mushonga uyu uchipiwa seIV infusion inoramba ichienderera mberi munzvimbo dzekuchipatara. Vanamukoti vako vanotarisa IV pombi nguva dzose kuti vave nechokwadi chekuendesa zvakajairika, uye chero kukanganiswa kunogadziriswa nekukurumidza nevashandi vezvokurapa.

Kana matambudziko ehunyanzvi neIV pombi kana mutsetse akaitika, chikwata chako chekurapa chichatanga mushonga nekukurumidza kana kuchinjira kune dzimwe nzira dzekutsigira. Vakadzidziswa kuchengetedza rutsigiro rwemoyo runoenderera mberi pasina makomba ane njodzi mukurapa.

Ndingamira Rini Kutora Dobutamine neDextrose?

Chikwata chako chekurapa chichasarudza kuti ungamira rini mushonga uyu zvichienderana nekuti moyo wako wavandudzika sei uye kugona kushanda zvakakwana pasina rutsigiro. Sarudzo iyi inosanganisira kuongorora kwakanyatsoitwa kwebasa remoyo wako kuburikidza nemiedzo yakasiyana-siyana uye kuongorora mhinduro yako kune kuderedzwa kwedosi zvishoma nezvishoma.

Maitiro ekuregedza anowanzoitika zvishoma nezvishoma kwemaawa kana mazuva, zvichibvumira moyo wako kuti ugadzirise zvishoma nezvishoma kushanda pasina rutsigiro rwemushonga. Vanachiremba vako vachaita shuwa kuti moyo wako unoramba wakagadzikana vasati vamisa kurapwa zvachose uye vachikuchinjisa kumishonga yemuromo kana zvichidikanwa.

Ndingatyaira kana Kushanda Mushure meKugamuchira Dobutamine neDextrose?

Haugone kutyaira kana kushanda uchigamuchira mushonga uyu sezvo uchipiwa chete munzvimbo dzekuchipatara kwaunoda kuongororwa kwekurapa nguva dzose. Mushure mekunge kurapwa kwapera uye waburitswa muchipatara, chiremba wako achakupa zano rekuti zvakachengeteka rini kutangazve mabasa ako akajairika.

Nguva yekupora inosiyana zvichienderana nemamiriro emoyo wako ari pasi uye hutano hwako hwese. Chiremba wako wemoyo achapa gwara rakatarwa rekudzokera kubasa, kutyaira, uye zvimwe zviitiko zvichibva pamamiriro ako ega uye kuvandudzwa kwebasa remoyo.