Mankhwala Osokoneza Bongo

Zamkati

• Momwe amagwirira ntchito
• Mitundu yamankhwala osokoneza bongo komanso momwe amagwiritsira ntchito
• Achifwamba
• Opondereza
• Zolimbikitsa zamtima
• Zina zofunikira

Kodi mankhwala osokoneza bongo ndi otani?

Mankhwala a adrenergic ndi mankhwala omwe amalimbikitsa mitsempha ina m'thupi lanu. Amachita izi mwina motsanzira zochita za amithenga amtundu wa epinephrine ndi norepinephrine kapena powalimbikitsa kuti amasulidwe. Mankhwalawa amagwiritsidwa ntchito munthawi zambiri zowopsa pamoyo wawo, kuphatikiza kumangidwa kwamtima, mantha, kuwombana ndi mphumu, kapena kusagwirizana.

Momwe amagwirira ntchito

Mankhwala a adrenergic amachititsa mitsempha m'thupi lanu lomvera chisoni (SNS). Njirayi imathandizira kuwongolera zomwe thupi lanu limachita mukapanikizika kapena mwadzidzidzi. Nthawi yamavuto, SNS imatulutsa amithenga am'magazi ochokera ku adrenal gland. Amithenga amtunduwu amathandizira thupi lanu kuti liwonjezere kugunda kwa mtima, thukuta, komanso kupuma komanso kuti muchepetse chimbudzi. Izi nthawi zina zimatchedwa yankho la "nkhondo kapena kuthawa".

Mankhwala a adrenergic ali ndi mawonekedwe ofanana ndi omwe amithenga amthupi omwe thupi lanu limapanga munthawi yamavuto, monga epinephrine ndi norepinephrine. Madera ena omwe amatchedwa adrenergic receptors amalandira mauthenga ochokera ku epinephrine ndi norepinephrine omwe amauza thupi lanu momwe mungayankhire. Mankhwala a adrenergic amalumikizananso ndi izi. Amatha kutsanzira epinephrine ndi norepinephrine ndikumanga ndi zolandilira, zomwe zimayambitsa nkhondo kapena mayankho apaulendo. Mankhwalawa amathanso kumangika ndi zolandilira kuti zithandizire kutulutsa epinephrine ndi norepinephrine.

Mankhwala osokoneza bongo angathandize kuchita izi:

• kuonjezera kuthamanga kwa magazi
• kuchepetsa mitsempha yamagazi
• tsegulani njira zapaulendo zopita kumapapu
• onjezani kugunda kwa mtima
• siyani kutuluka magazi

Mitundu yamankhwala osokoneza bongo komanso momwe amagwiritsira ntchito

Mtundu uliwonse wa mankhwala a adrenergic umagwira mikhalidwe yosiyana kutengera ndi zolandila ziti zomwe zimayang'aniridwa. Zochita za mankhwalawa zimadaliranso ngati mankhwalawa amagwiranso ntchito ngati mankhwala amithenga kapena mwanjira ina polimbikitsa kutulutsidwa kwa amithenga.

Achifwamba

Ma bronchodilator amatsegula timachubu ta bronchial, kapena ma air passage. Mankhwala a adrenergic awa amagwiritsa ntchito zolandila za beta mwachindunji. Akamanga ndi beta-2 receptors, amachititsa kuti njira zapaulendo zotsogolera m'mapapu zizitseguka. Izi zimathandizira kupuma kwa odwala omwe ali ndi matenda opuma monga:

• mphumu
• Matenda osokoneza bongo (COPD)
• emphysema
• chifuwa

Zitsanzo za bronchodilators ndi izi:

• albuterol
• chochita
• kutchfuneral
• olodaterol
• salmeterololi

Opondereza

Vasopressors amatha kuchita zinthu pa alpha-1, beta-1, ndi beta-2 adrenergic receptors. Angathenso kuthandizira ma dopamine receptors. Mankhwalawa amachititsa kuti minofu ikhale yosalala m'mitsempha ya magazi. Izi zimapangitsa mitsempha yanu kukhala yopapatiza. Izi zimapangitsanso kuti magazi anu achuluke.

Kuchulukitsa kuthamanga kwa magazi kumatha kuthandizira kuthana ndi mantha. Kuchepetsa mitsempha yamagazi kumathandiza kuti magazi asiye kutuluka. Zitha kuthandizanso kuti mankhwala oletsa dzanzi (mankhwala omwe amanyozetsa thupi lanu) kuti asafalikire potseka mitsempha yamagazi yapafupi.

Ma vasopressor ena atha kugwiritsidwanso ntchito chimfine kapena chifuwa. Amatha kuchepetsanso mitsempha yamagazi yotupa m'mimbamu ya mphuno zanu. Mankhwalawa nthawi zambiri amatchedwa mankhwala opatsirana m'mphuno.

Zitsanzo za vasopressor osiyanasiyana ndi monga:

• ephedrine
• epinephrine
• dopamine
• chithuvj
• pseudoephedrine
• oxymetazoline

Zolimbikitsa zamtima

Zoyambitsa mtima zitha kugwiritsidwa ntchito kutakasa ndi kubwezeretsa kugunda kwa mtima. Amagwiritsidwa ntchito ngati mtima wanu wasiya kugunda modzidzimutsa chifukwa chakuzunguliridwa ndi magetsi, kubanika, kapena kumira. Izi zikachitika, epinephrine amatha kubayidwa mumtima mwanu kuti ayambitsenso.

Zina zofunikira

Ngati mukuganiza za mankhwala a adrenergic, muyenera kuganiziranso zoyipa ndi mbiri yanu yazachipatala. Zotsatira zoyipa za mankhwala a adrenergic zimasiyana ndipo zimadalira mankhwala omwe mumamwa. Sikuti anthu onse ndi omwe angakumane ndi zovuta zina zilizonse za mankhwala a adrenergic. Momwemonso, si mankhwala aliwonse a adrenergic omwe ali oyenera munthu aliyense. Matenda ena kupatula omwe muyenera kuthandizidwa ndi mankhwala a adrenergic atha kuthandizira posankha mankhwala omwe ali oyenera kwa inu. Mutha kukambirana zonsezi ndi dokotala kuti mupeze chisankho chabwino.