Created at:1/13/2025
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Fenoldopam mushonga une simba wekudzikisa ropa unopiwa kuburikidza neIV muzvipatara kana ropa rako richida kudzika nekukurumidza uye zvakachengeteka. Yakagadzirirwa zvakananga matambudziko ehypertensive - mamiriro akakomba uko ropa rinotyisa rinotyisa nhengo dzako uye rinoda kutariswa kwekurapa nekukurumidza.
Funga nezve fenoldopam sebureki rekukurumidzira reiyo cardiovascular system yako. Kana ropa rako richikwira kusvika pamatanho ane njodzi, mushonga uyu unoshanda nekukurumidza kuti udzose kumatanho akachengeteka uchidzivirira itsvo dzako nedzimwe nhengo dzakakosha.
Fenoldopam mushonga we synthetic unotevedzera dopamine, kemikari yechisikigo mumuviri wako inobatsira kudzora ropa. Iyo ndeyeboka remishonga inonzi dopamine receptor agonists, zvinoreva kuti inoshandisa ma receptors akakosha mumidzi yeropa rako uye itsvo.
Mushonga uyu unowanikwa chete se intravenous infusion, zvinoreva kuti unotumirwa zvakananga muropa rako kuburikidza neIV line. Iwe unongogamuchira fenoldopam muchipatara kana mumamiriro ekiriniki uko vanopa hutano vanogona kukutarisa zvakanyanya panguva yekurapa.
Fenoldopam inonyanya kushandiswa kurapa matambudziko ehypertensive - mamiriro anotyisa-hupenyu uko ropa rako rinokwira zvakanyanya zvekuti rinogona kukuvadza uropi hwako, moyo, itsvo, kana dzimwe nhengo. Matambudziko aya anoda kupindira kwekurapa nekukurumidza kudzivirira kukuvara zvachose kana kufa.
Vapi vehutano vanowanzo shandisa fenoldopam kana systolic blood pressure yako (iyo nhamba yepamusoro) inosvika 180 mmHg kana kupfuura, kana diastolic pressure yako (nhamba yezasi) inodarika 120 mmHg, kunyanya kana ichiperekedzwa nezviratidzo zvakaita semarwadzo akakomba emusoro, kurwadziwa muchipfuva, kana kuoma kufema.
Mushonga uyu unoshandiswawo mumamwe maitiro ekuvhiya apo kutonga kwakaringana kweropa kunokosha. Vamwe vanachiremba vanogona kuushandisa kuchengetedza basa reitsvo muvarwere vari panjodzi yekukuvadzwa kweitsvo panguva kana mushure mekuvhiyiwa.
Fenoldopam inoshanda nekumisa dopamine receptors mumidzi yeropa rako, zvichikonzera kuti izorore uye iwedzere. Iyi nzira, inonzi vasodilation, inoderedza kuramba moyo wako paunenge uchipomba ropa, izvo zvinoderedza ropa rako.
Chinonyanya kuita fenoldopam chakakosha ndiko kukwanisa kwayo kuchengetedza itsvo dzako uchideredza ropa. Inowedzera kuyerera kweropa kune itsvo dzako uye inovabatsira kubvisa sodium yakawandisa nemvura, iyo inotsigira zvakare mazinga eropa ane hutano.
Mushonga uyu unoonekwa seune simba zvine mwero uye unoshanda nekukurumidza - iwe unowanzoona shanduko yeropa mukati memaminitsi gumi nemashanu ekutanga infusion. Zvisinei, yakagadzirirwa kuderedza ropa zvishoma nezvishoma pane kukonzera kudonha kamwe kamwe kunotyisa.
Hautore fenoldopam iwe pachako - inotungamirirwa chete nenyanzvi dzehutano muchipatara. Mushonga uyu unouya semhinduro yakanyanya iyo inoderedzwa uye inopiwa kuburikidza neIV infusion pump yekuyera kwakaringana.
Chikwata chako chehutano chichatanga nedosi yakaderera uye zvishoma nezvishoma ichiwedzera zvichienderana nekuti ropa rako rinopindura sei. Vachakutarisa nguva dzose, vachiongorora ropa rako maminitsi mashoma ekutanga, wobva wava kushoma sezvo mamiriro ako achigadzikana.
Sezvo fenoldopam ichipiwa intravenously, hapana zvirambidzo zvekudya kana zvinodiwa zvakakosha zvekudya. Zvisinei, chikwata chako chekurapa chinogona kurambidza kutora kwemvura kana kurumbidza nzvimbo chaiyo yekuvandudza kushanda kwemushonga.
Kurapa neFenoldopam kazhinji kunotora kubva kumaawa mashoma kusvika kumazuva akati wandei, zvichienderana nekuti ropa rako rinopindura sei uye mamiriro ako ese. Varwere vazhinji vanogamuchira mushonga kwemaawa makumi maviri nemana kusvika makumi mana nemasere panguva yekukurumidzira kweropa rakakwira.
Vashandi vehutano vako vachaderedza zvishoma nezvishoma muyero panzvimbo yekumisa kamwechete. Iyi nzira yekuderera inobatsira kudzivirira ropa rako kubva pakudzoka kumazinga ane njodzi kana mushonga wamiswa.
Chinangwa ndechekukuchinjisa kumishonga yeropa inotorwa nemuromo yaunogona kutora kumba kana mamiriro ako agadziriswa. Vanachiremba vako vachashanda newe kuti vagadzire chirongwa chekuchengetedza ropa kwenguva refu usati wabva kuchipatara.
Semishonga yese, fenoldopam inogona kukonzera zvipingamupinyi, kunyangwe zvakawanda zvichigadziriswa uye zvichiongororwa zvakanyanya nevashandi vako vehutano. Kunzwisisa izvi zvinogona kukubatsira kuti utaure zviri nani nevapi vehutano vako nezvekuti unonzwa sei.
Zvipingamupinyi zvakajairika zvaungasangana nazvo zvinosanganisira kurwadziwa nemusoro, kumesa kana kudziya kumeso kwako nemutsipa, uye kusvotwa. Izvi zvinowanzoitika nekuti tsinga dzako dzeropa dziri kuwedzera, izvo ndizvo chaizvo zvinoshanda mushonga kudzikisa ropa rako.
Unogonawo kuona moyo wako uchirova nekukurumidza kupfuura zvakajairika. Izvi zvinoitika nekuti muviri wako pakutanga unoedza kutsiva ropa rakaderera nekuwedzera kumhanya kwemoyo wako. Vashandi vako vehutano vanoongorora izvi zvakanyanya uye vanogona kugadzirisa muyero wako kana zvichidikanwa.
Vamwe varwere vanonzwa dzungu kana musoro, kunyanya kana vachichinja nzvimbo. Ichi ndicho chikonzero iwe uchida kugara pamubhedha kana kufamba zvishoma nezvishoma nerubatsiro uchigamuchira fenoldopam.
Zvimwe zvinokonzera matambudziko asi zvisingawanzoitiki zvinogona kusanganisira kudonha kwakanyanya kweropa, kurova kwemoyo kusingaenderani, kana shanduko mukushanda kwematsvo. Zvisinei, nekuti uri munzvimbo inotarirwa, chikwata chako chehutano chinogona kukurumidza kugadzirisa chero zviratidzo zvinonetsa.
Zvisingawanzoitiki asi zvakakomba zvinokonzera matambudziko zvinosanganisira maitiro ekurwara, kusagadzikana kwakanyanya kwemoyo, kana kusagadzikana kwakanyanya kweelectrolyte. Chikwata chako chekurapa chinoramba chichitarisa zvezvinhu izvi uye chine nzira dziripo dzekuzvigadzirisa nekukurumidza kana zvikaitika.
Fenoldopam haina kukodzera munhu wese, uye chikwata chako chehutano chichanyatsoongorora kana iri sarudzo yakakodzera yemamiriro ako chaiwo. Mamwe mamiriro ezvinhu ekurapa kana mamiriro anogona kuita kuti mushonga uyu usakodzere kana kuva nenjodzi kwauri.
Haufaniri kugamuchira fenoldopam kana uine allergy kwairi kana chero chimwe chezvinhu zvayo. Vanhu vane mamwe mamiriro emoyo, akadai sekukundikana kwemoyo kwakanyanya kana mhando dzakasiyana dzekurova kwemoyo kusingaenderani, vangave vasiri vakakodzera mushonga uyu.
Varwere vane chirwere chakakomba cheitsvo kana avo vari pa dialysis vanoda kutariswa zvakakosha, sezvo fenoldopam ichikanganisa kushanda kwematsvo. Vanachiremba vako vachayerera mabhenefiti achipesana nenjodzi dzinogona kuitika zvichienderana neutano hwako hwematsvo.
Vakadzi vane pamuviri vanowanzo dzivisa fenoldopam kunze kwekunge mabhenefiti achipfuura njodzi. Mushonga unogona kuyambuka placenta, uye mhedzisiro yawo pavacheche vari kukura haizivikanwe zvizere.
Vanhu vari kutora mamwe mishonga, kunyanya ayo anokanganisa ropa kana kurova kwemoyo, vangangoda kugadzirisa dosi kana mamwe marapirwo. Chikwata chako chehutano chichaongorora mishonga yako yese iripo usati watanga fenoldopam.
Fenoldopam inowanikwa pasi pezita remhando yeCorlopam muUnited States. Iri ndiro zita remhando rinonyanya kushandiswa raunosangana naro munzvimbo dzekuchipatara.
Mhando dzakajairika dze fenoldopam dzinogonawo kuwanikwa, zvichienderana neformulary yechipatara chako. Kunyangwe iwe ukagamuchira zita remhando kana vhezheni yakajairika, mushonga unoshanda nenzira imwechete uye unopa mabhenefiti akaenzana ekurapa.
Mishonga yakati wandei inogona kurapa njodzi dzehypertensive, kunyangwe imwe neimwe iine nzira dzakasiyana dzekuita uye zvakanakira zvakakosha. Chikwata chako chehutano chichasarudza sarudzo yakanakisa zvichienderana nemamiriro ako ega uye nhoroondo yekurapa.
Nicardipine imwe mushonga weIV unowanzo shandiswa kune njodzi dzehypertensive. Iyo ndeyemhando yakasiyana yemishonga inonzi calcium channel blockers uye inogona kufarirwa mune dzimwe nguva, senge kana iwe uine mamiriro emoyo akakosha.
Esmolol, beta-blocker inoshanda-pfupi, inopa imwe imwe nzira, inonyanya kubatsira kana kudzora kweropa kunodiwa nekukurumidza uye mhedzisiro yemushonga inoda kuve nyore kudzoserwa.
Clevidipine inomiririra sarudzo itsva inopa kudzora kweropa kwakanyatsojeka uye inogona kudzoserwa nekukurumidza kana zvichidikanwa. Zvimwe zvipatara zvinofarira mushonga uyu kune mamwe maitiro ekuvhiya.
Zvimwe zvisingawanzo shandiswa zvinosanganisira hydralazine, labetalol, kana sublingual nitroglycerin, kunyangwe izvi zvingave nemhedzisiro isingafungidzirwe kana nguva refu yekuita.
Hapana fenoldopam kana nicardipine iri yese
Nicardipine inogona kusarudzwa kana uine mamwe mamiriro emoyo kana kana mhinduro yeropa inotarisirwa ichidiwa. Iine chimiro chakasiyana chekushanda uye inogona kushandiswa zviri nani nevamwe varwere.
Mishonga yese iri miviri inoshanda nekukurumidza uye inogona kudzora zvakanyanya kuburikidza neIV infusion. Sarudzo inowanzouya pasi pezviitiko zvechiremba wako nemushonga wega wega uye mamiriro ako chaiwo ekurapa.
Fenoldopam inogona kushandiswa zvakachengeteka muvanhu vazhinji vane chirwere chemoyo, asi inoda kunyatso tarisa uye kugadzirisa dose. Chikwata chako chehutano chichaongorora mamiriro ako chaiwo emoyo kuti uone kana fenoldopam yakakodzera kwauri.
Vanhu vane mamwe marudzi ekukundikana kwemoyo kana kurova kwemoyo kusingaite vanogona kuda kungwarira kwakakosha kana mamwe mishonga. Mushonga unogona kuwedzera kurova kwemoyo, izvo zvingasava zvakanaka kune munhu wese ane mamiriro emoyo.
Sezvo fenoldopam ichipiwa munzvimbo yechipatara, iwe unofanirwa kuzivisa mukoti wako kana chikwata chehutano nezve chero zvinhu zvisingadiwi zvaunowana. Vakadzidziswa kuziva uye kubata izvi zvinokonzeresa nekukurumidza.
Usaedze kubata zvinhu zvisingadiwi wega kana kumirira kuti uone kana zvichivandudza. Kunyangwe zviratidzo zvakapfava sekutemwa nemusoro kana kusvotwa zvinofanirwa kuziviswa, sezvo zvingaratidza kudiwa kwekugadzirisa dose.
Fenoldopam yakagadzirirwa kuchengetedza itsvo dzako pane kuzikuvadza. Inowedzera kuyerera kweropa kune itsvo uye inogona kubatsira kuchengetedza basa reitsvo panguva yekukurumidzira kwehypertensive.
Zvisinei, semushonga chero upi zvake unokanganisa ropa, fenoldopam inofanira kushandiswa nekuchenjerera muvanhu vane chirwere cheitsvo chiripo. Chikwata chako chehutano chichatarisa basa reitsvo yako zvakanyanya panguva yekurapa.
Fenoldopam inowanzo kutanga kudzikisa BP mukati memaminitsi gumi nemashanu ekutanga kuisa mushonga. Uchaona mhedzisiro yakanyanya mukati memaminitsi makumi matatu kusvika makumi matanhatu, zvichienderana nemwero wako uye mhinduro yako pachako.
Vashandi vehutano vachatarisa BP yako nguva dzese panguva ino, vachigadzirisa mwero sezvinodiwa kuti vawane BP inodiwa zvakachengeteka uye zvishoma nezvishoma.
Vanhu vazhinji vanogamuchira fenoldopam vachada mushonga weBP wenguva refu kudzivirira matambudziko eBP emunguva yemberi. Vashandi vehutano vachashanda newe kuti vagadzire mushonga wemuromo wakakodzera usati wabuda muchipatara.
Kuchinja kubva ku fenoldopam kuenda kumishonga yemuromo kunorongwa zvakanyanya kuti uve nechokwadi chekuti BP yako inoramba yakagadzikana. Vanachiremba vako vachakubatsirawo kunzwisisa shanduko dzemararamiro dzinogona kutsigira kudzora BP kwenguva refu.