Chii chinonzi Norepinephrine: Zvayinoshandiswa, Madosi, Mativi eMuviri, nezvimwe

Norepinephrine mushonga une simba unobatsira kusimudza ropa riri pasi zvakanyanya kana muviri wako usingakwanise kuzviita wega. Mushonga uyu unoponesa hupenyu unoshanda nekusimbisa tsinga dzeropa uye kusimbisa chiito chemoyo chako, zvichipa hurongwa hwako hwemoyo rutsigiro rwaunoda munguva dzakakosha. Iwe unowanzoona mushonga uyu muzvipatara zvekuchengetwa kwakanyanya, uko zvikwata zvekurapa zvinoishandisa kugadzirisa varwere vari kusangana nekuderera kwakanyanya kweropa.

Chii chinonzi Norepinephrine?

Norepinephrine ndiyo vhezheni yekugadzirwa yehomoni yechisikigo inogadzirwa nemuviri wako kare. Gland yako ye adrenal inowanzoita kemikari iyi kubatsira kudzora ropa uye basa remoyo munguva dzekushushikana kana njodzi. Kana ichipiwa semushonga, inotevedzera mhedzisiro iyi yechisikigo asi iine simba rakawanda.

Mushonga uyu ndewechikwata chemishonga inonzi vasopressors, zvinoreva kuti inoita kuti tsinga dzeropa dzisimbiswe uye dzitete. Funga nezvazvo sekupa hurongwa hwako hwekufambisa ropa simba rekuwedzera kana richinetseka kuchengetedza kuyerera kweropa kwakakwana kumitezo yakakosha semeuropi yako, moyo, uye itsvo.

Vapi vehutano vanoona norepinephrine seimwe yemishonga ine simba rekudzora ropa iripo. Yakachengeterwa mamiriro akakomba apo dzimwe nzira dzekurapa dzisina kushanda, uye varwere vanoda rutsigiro rwemoyo nekukasira kuti vapone.

Norepinephrine inoshandiswa nei?

Norepinephrine inorapa ropa riri pasi zvakanyanya iro rinotyisidzira hupenyu hwako kana basa remitezo. Mamiriro aya, anonzi hypotension, anogona kuitika kana muviri wako ukashaya kugona kuchengetedza kutenderera kweropa kwakakwana wega.

Mamiriro akajairika ayo vanachiremba vanoshandisa mushonga uyu anosanganisira septic shock, uko zvirwere zvakakomba zvinokonzera kuti tsinga dzeropa dzizorore zvakanyanya. Munguva ye septic shock, kudzvanywa kweropa rako kunogona kudonha zvakanyanya zvekuti nhengo dzakakosha hadziwani okisijeni yakakwana uye zvinovaka muviri kuti dzishande nemazvo.

Zvimwe zvirwere zvakakomba zvinogona kuda norepinephrine zvinosanganisira allergic reactions dzakakomba, kurasikirwa kukuru kweropa kubva mukuvadzwa kana kuvhiyiwa, uye mamwe marudzi ekukundikana kwemoyo. Muchiitiko chimwe nechimwe, mushonga unoshanda sechibatsiro chekurapa, uchitsigira hurongwa hwako hwemoyo apo vanachiremba vanogadzirisa dambudziko riri pasi.

Vamwe varwere vanogamuchira norepinephrine panguva yekuvhiyiwa kwemoyo kwakaoma apo moyo wavo unotambura kwenguva pfupi kuti upombe zvinobudirira. Mushonga unobatsira kuchengetedza kudzvanywa kweropa kusvika moyo wapora kubva mukuvhiya.

Norepinephrine Inoshanda Sei?

Norepinephrine inoshanda nekumisa ma receptors akasiyana mutsinga dzako dzeropa uye tsandanyama yemoyo. Kana ma receptors aya akagamuchira chiratidzo chemushonga, anokonzera shanduko dzekukurumidza dzinokwidza kudzvanywa kweropa rako uye nekuvandudza kutenderera kweropa.

Kutanga, mushonga unoita kuti tsinga dzako dzeropa dzidzikise kana kusimba. Kusimbisa uku kunowedzera kudzvanywa mukati mehutano hwako hwekutenderera, zvakafanana nekuti kuvhara chikamu che nozzle ye hose yemunda kunowedzera kudzvanywa kwemvura. Mhedzisiro iyi inobatsira kusunda ropa zvine simba mumuviri wako.

Chechipiri, norepinephrine inosimbisa kusungana kwemoyo wako, ichiita kuti kurova kwega kwega kwemoyo kuve nesimba. Simba iri rakawedzera rekupomba rinobatsira kufambisa ropa rakawanda nekurova kwega kwega, richivandudza kutenderera kweropa kunhengo dzinoda okisijeni uye zvinovaka muviri.

Mushonga uyu unoonekwa seune simba rakanyanya nekuti unogadzira mhedzisiro iyi nekukurumidza uye zvakanyanya. Kusiyana nemishonga yakapfava yekudzvanywa kweropa yaungatora kumba, norepinephrine inogadzira shanduko dzekukurumidza, dzinoita mumuviri wako wemoyo.

Ndingatora Sei Norepinephrine?

Haugoni kutora norepinephrine nemuromo kana kuzvipa iwe pachako kumba. Mushonga uyu unongouya semhinduro ye intravenous iyo nyanzvi dzehutano dzinofanira kupa zvakananga muropa rako kuburikidza neIV line yakakosha.

Zvikwata zvekurapa zvinowanzoisa IV catheter mutsinga hombe, kazhinji mumutsipa wako, chipfuva, kana ruoko rwepamusoro. Kuisa uku kwepakati kunobvumira mushonga kuti usvike pamoyo wako nekukurumidza uye unoona kuti unosangana zvakanaka neropa rako usati wasvika mumidziyo midiki.

Dosage inotanga yakaderera kwazvo uye inowedzera zvishoma nezvishoma kusvikira ropa rako rasvika padanho rakachengeteka. Chikwata chako chehutano chinotarisa kurova kwemoyo wako, ropa, uye basa remuviri nguva dzose uchigadzirisa mushonga.

Haufanire kunetseka nezvekuita kwechikafu kana nguva yekudya sezvo mushonga uchienda zvakananga muropa rako. Chikwata chako chekurapa chinobata zvese zvekupa uye kuongorora iwe uchitarisa kupora.

Ndingatora Norepinephrine Kwenguva Yakareba Sei?

Kureba kwekurapa kwe norepinephrine kunoenderana zvachose nemamiriro ako ari pasi uye nekukurumidza kwemuviri wako unopindura kune dzimwe nzira dzekurapa. Vazhinji varwere vanogamuchira mushonga uyu kwemaawa kusvika kumazuva, kwete mavhiki kana mwedzi.

Chikwata chako chekurapa chichaderedza zvishoma nezvishoma dose sezvo ropa rako richigadzikana uye dzimwe nzira dzekurapa dzichitanga kushanda. Iyi nzira yekuregedza inoitika zvishoma nezvishoma kudzivirira ropa rako kubva pakudonha kamwe kamwe kana mushonga wakamira.

Vamwe varwere vane zvirwere zvakakomba vangangoda norepinephrine kwemazuva akati wandei apo maantibiotics anorwisa hutachiona huri pasi. Vamwe vanopora kubva mukuvhiwa kukuru vangangoda chete kwemaawa mashoma kusvikira hurongwa hwavo hwemoyo hwagadzirika.

Chinangwa ndechokushandisa dose yakaderera inoshanda kwenguva pfupi sezvinobvira. Kana muviri wako uchikwanisa kuchengetedza ropa rakakwana pachako, chikwata chako chehutano chichamisa mushonga zvachose.

Ndezvipi Zvakaipa ZveNorepinephrine?

Kufanana nemishonga yese ine simba, norepinephrine inogona kukonzera matambudziko, kunyangwe timu yako yezvokurapa ichikutarisa zvakanyanya kudzivirira nekugadzirisa chero matambudziko anomuka.

Zvakanyanya kuwanda zvinokonzerwa zvine chekuita nemishonga yekukwirisa tsinga dzeropa. Unogona kuona kurwadziwa mumusoro, kushushikana, kana kusagadzikana sezvo muviri wako uchigadzirisa kuwedzera kweropa. Vamwe varwere vanoona maoko avo netsoka vachitonhora kana kunzwa tingly nekuti kuyerera kweropa kunzvimbo idzi kunoderera kwenguva pfupi.

Zvimwe zvakakomba asi zvinogadzirisika zvinogona kusanganisira:

• Kurova kwemoyo kusingaite kana kurova kwemoyo
• Kurwadziwa muchipfuva kana kusagadzikana
• Kufema kwemhepo
• Kusvotwa kana kurutsa
• Kutadza kurara
• Kutukirwa kana kunzwa kupisa

Zvisingawanzoitiki asi zvakakomba matambudziko anogona kuitika kana mushonga uchibuda kubva muIV yako uchienda kunzvimbo dzakapoteredza. Iyi mamiriro, anonzi extravasation, anogona kukuvadza ganda uye matishu akadzama akatenderedza nzvimbo yekujekesa. Vanamukoti vako vanotarisa saiti yako yeIV kazhinji kudzivirira dambudziko iri.

Vamwe varwere vanogona kukudziridza matambudziko eitsvo kana ropa ravo richiramba rakakwira kwenguva yakareba. Chikwata chako chekurapa chinotarisa basa reitsvo dzako kuburikidza nekuongororwa kweropa nguva dzose uye chinogadzirisa mushonga zvinoenderana.

Kazhinji, varwere vanogona kusangana nekuita kwakanyanya kweallergy, kunyangwe izvi zvisingawanzoitiki. Zviratidzo zvinosanganisira kufema kwakaoma, kuzvimba, kana rash yakapararira, iyo timu dzekurapa dzinobata nekukasira kana dzikaitika.

Ndiani Asingafaniri Kutora Norepinephrine?

Norepinephrine inowanzova yakachengeteka kune vanhu vazhinji kana ichishandiswa zvakakodzera muzvipatara, asi mamiriro akati wandei anoda kungwarira kwakawanda kana dzimwe nzira dzekurapa.

Vanhu vane matambudziko akakomba emoyo rhythm vangangoda mishonga yakasiyana nekuti norepinephrine dzimwe nguva inogona kuwedzera kurova kwemoyo kusingaite. Chikwata chako chekurapa chichafunga nezvebasa remagetsi remoyo wako usati watanga kurapwa.

Varwere vane mhando dzechirwere chemoyo, kunyanya avo vanokanganisa nzvimbo dzakatarwa dzemhasuru dzemoyo, vangave vasiri vakakodzera. Zvinogona kuitika kuti mishonga inogona kuwedzera kukuvadza mumamiriro ezvinhu aya.

Vanhu vane chirwere chakakomba cheperipheral artery, uko tsinga dzeropa mumaoko nemakumbo dzakatopeteka, vanoda kutariswa zvakanyanya. Zvinogona kuitika kuti mishonga inogona kuwedzera kutenderera kweropa kunzvimbo idzi.

Kuzvitakura kunoda kufunga kwakakosha, kunyangwe vanachiremba vachiri kushandisa norepinephrine kana hupenyu hwamai huri panjodzi. Mishonga inogona kuyambuka placenta uye inogona kukanganisa kuyerera kweropa remwana ari kukura.

Varwere vane matumbu e thyroid anonyanya kushanda vanoda kugadzirisa dosi nekuti miviri yavo inogona kunge ichinyanya kunzwisisa kumigumisiro yemishonga. Saizvozvowo, vanhu vari kutora mamwe maantidepressants vangave vaine mhinduro dzakasimba ku norepinephrine.

Mazita eNorepinephrine Brand

Norepinephrine inowanikwa pasi pemazita akati wandei emhando, kunyangwe vhezheni ye generic ichishanda zvakafanana nemafomu ane branded. Zita rinonyanya kushandiswa ndere Levophed, iro raungave ukaona pamavara emishonga yako kana kunzwa vanopa hutano vachitaura.

Mamwe mazita emhando anosanganisira Noradrenaline uye akasiyana-siyana generic formulations kubva kumakambani akasiyana-siyana emishonga. Zvisinei nezita remhando, ese mavhezheni ane chinhu chimwe chete chinoshanda uye anoshanda nenzira imwechete mumuviri wako.

Pharmacy yako yechipatara ichachengeta chero vhezheni yavanofarira zvichienderana nemutengo, kuwanikwa, uye zvavanofarira. Kusarudzwa kwemhando hakukanganisi mhedzisiro yako yekurapa kana kuchengeteka.

Zvimwe Zvinhu Zvitsva zveNorepinephrine

Mishonga yakati wandei inogona kurapa BP yakaderera, kunyangwe imwe neimwe ichishanda zvishoma zvakasiyana uye inokodzera mamiriro akasiyana. Chikwata chako chekurapa chinosarudza sarudzo yakanakisa zvichienderana nemamiriro ako chaiwo uye mhinduro yemuviri wako.

Epinephrine yakafanana ne norepinephrine asi inokanganisa moyo wako zvakanyanya. Vanachiremba vangasarudza epinephrine kune varwere vanoda kumutswa kwemoyo pamwe nekutsigirwa kweropa.

Dopamine imwe nzira inogona kuwedzera ropa richitsigira basa reitsvo. Mushonga uyu ungave wakakodzera kune varwere vane matambudziko eitsvo kana avo vanoda kutsigirwa kweropa zvinyoro nyoro.

Vasopressin inoshanda zvakasiyana nekukanganisa maitiro anoita itsvo dzako mvura nemunyu. Vamwe varwere vanogamuchira mushonga uyu pamwe chete ne norepinephrine yekuvandudzwa kwekutonga kweropa.

Phenylephrine inonyanya kusimbisa midzi yeropa isina kukanganisa zvakanyanya kumhanya kwemoyo. Sarudzo iyi ingakodzera varwere vanoda kutsigirwa kweropa asi havagone kutsungirira kumutswa kwemoyo kwakawedzerwa.

Ko Norepinephrine Zviri Nani Pane Dopamine?

Ose ari maviri norepinephrine uye dopamine mishonga yakanaka yekurapa kuderera kweropa, asi anoshanda zvakanyanya mumamiriro akasiyana. Hapana imwe iri nani kupfuura imwe.

Norepinephrine inowanzo kufarirwa ye septic shock nekuti inosimbisa zvakanyanya midzi yeropa iyo yakanyanya kuzorora nekuda kwehutachiona. Inewo zvishoma zvinokanganisa rhythm yemoyo, zvichiita kuti ive yakachengeteka kune varwere vane mamwe mamiriro emoyo.

Dopamine ingave iri nani kune varwere vane kukundikana kwemoyo nekuti inogona kusimbisa kusungirirwa kwemoyo ichitsigira basa reitsvo. Zvisinei, zvinogona kukonzera kusagadzikana kwemoyo mune vamwe varwere.

Tsvakurudzo yemazuva ano yezvokurapa inoratidza kuti norepinephrine inogona kuva yakachengeteka zvachose, iine zvishoma zvinokanganisa uye mhedzisiro iri nani muvarwere vanorwara zvakanyanya. Zvisinei, chikwata chako chezvokurapa chichasarudza mushonga unokodzera mamiriro ako chaiwo uye nhoroondo yezvokurapa.

Mibvunzo Inowanzo Bvunzwa Nezve Norepinephrine

Ko Norepinephrine Yakachengeteka Kune Vanhu Vane Chirwere Chemoyo?

Norepinephrine inogona kuva yakachengeteka kuvanhu vane chirwere chemoyo kana ichishandiswa nekuchenjerera pasi pekutariswa kwechiremba. Chikwata chako chehutano chichatarisa kushanda kwemoyo wako nguva dzose uye chichagadzirisa mushonga zvichienderana nekuti moyo wako unopindura sei.

Mushonga uyu unowedzera basa remoyo wako, izvo zvinogona kuva zvinonetsa kuvanhu vane tsandanyama dzemoyo dzakakuvadzwa zvakanyanya. Zvisinei, mabhenefiti ekuchengetedza ropa rakakwana rinowanzokunda njodzi idzi mumamiriro ezvinhu anotyisa upenyu.

Chikwata chako chekurapa chichashandisa mushonga wakaderera unoshanda uye chinogona kusanganisa norepinephrine nemamwe marapirwo kuderedza kushushikana pamoyo wako. Vachamisawo mushonga nekukurumidza kana mamiriro ako agadziriswa.

Ndoita Sei Kana Ndikawana Norepinephrine yakawandisa netsaona?

Haufaniri kunetseka nezvekuwana norepinephrine yakawandisa netsaona nekuti nyanzvi dzehutano dzakadzidziswa dzinodzora zvese zvekutapwa kwako. Vanoshandisa mapombi ekuyera akajeka uye vanotarisa kupindura kwako nguva dzose.

Kana ropa rako rikava rakakwira zvakanyanya, chikwata chako chekurapa chichabva chaderedza mushonga kana kumisa mushonga kwenguva pfupi. Vane mitemo yekukurumidza kudzosa chero mhedzisiro yakawandisa.

Vanachiremba vako navanachiremba vanotarisa zviratidzo zvekuwandisa, kusanganisira kurwadziwa kwemusoro kwakanyanya, ropa rakanyanya kukwira, kana matambudziko ekutenderera mumaoko ako netsoka. Vanogona kugadzirisa nyaya idzi nekukurumidza kana dzikaitika.

Chii chinoitika Kana Mutsetse Wangu weIV ukabviswa?

Vashandi vechipatara vanogadzira masisitimu akawanda ekuchengetedza kudzivirira kubviswa kweIV, uye chikwata chako chekurapa chinotarisa mutsetse wako weIV nguva dzose. Kana kubviswa kukaitika, maalarm achazivisa vashandi nekukurumidza.

Ropa rako rinogona kudonha nekukurumidza kana mushonga ukamira kuyerera, asi chikwata chako chekurapa chakagadzirira kutangazve IV uye kudzorera mushonga wako mukati memaminitsi. Vanowanzo kuve neIV yekuchengetedza yakagadzirirwa nechikonzero ichi.

Usayedze kubatanidza zvakare kana kugadzirisa mutsetse wako weIV iwe pachako. Fonera rubatsiro nekukasira kana ukaona matambudziko ekubatanidzwa kwako kweIV, uye timu yako yezvokurapa ichabata mamiriro acho zvakachengeteka.

Ndingamira Rini Kutora Norepinephrine?

Timu yako yezvokurapa ichamisa norepinephrine kana muviri wako uchikwanisa kuchengetedza ropa rakakwana iro pacharo. Izvi zvinowanzoitika sezvo mamiriro ako ari nani nekumwe kurapwa.

Maitiro ekuregedza anoitika zvishoma nezvishoma kwemaawa kana mazuva, zvichienderana nekuti wanga uchigamuchira mushonga kwenguva yakareba sei. Timu yako ichaderedza zvishoma nezvishoma muyero ichitarisa ropa rako kuti ive nechokwadi chekuti rinoramba rakagadzikana.

Uchaziva kuti wagadzirira kumira kana ropa rako richiramba rakajairika nerutsigiro rwemishonga shoma uye zviratidzo zvako zvakakosha zvinoramba zvakagadzikana. Timu yako yezvokurapa inoita sarudzo iyi zvichibva pazvinhu zvakawanda, kwete ropa chete.

Norepinephrine Inogona Kukonzera Matambudziko Enguva Refu Here?

Vazhinji varwere vanopora zvakakwana kubva mukurapwa kwe norepinephrine vasina mhedzisiro yenguva refu. Mhedzisiro yemushonga ndeyenguva pfupi uye inodzoka nekukurumidza kana kurapwa kwamira.

Kazhinji, varwere vanogona kusangana nekuchinja kwenguva pfupi mukutenderera kweminwe netsoka, asi izvi zvinowanzo gadziriswa mukati memazuva kana mavhiki. Timu yako yezvokurapa inotarisa nyaya idzi uye inogona kupa kurapwa kuti ivandudze kutenderera kana zvichidikanwa.

Chinhu chakakosha pakupora kwenguva refu ndiko kurapa mamiriro ako ari pasi zvakanaka. Norepinephrine inobatsira kukuchengeta wakagadzikana apo mamwe marapirwo anogadzirisa chikonzero cheropa rako rakaderera.