Noradrenaline

Zamkati

• Ndi chiyani
• Momwe mungagwiritsire ntchito
• Njira yogwirira ntchito
• Yemwe sayenera kugwiritsa ntchito
• Zotsatira zoyipa

Norepinephrine, yemwenso amadziwika kuti norepinephrine, ndi mankhwala omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi m'malo ena ovuta a hypotensive komanso monga cholumikizira pochizira kumangidwa kwamtima ndi hypotension yayikulu.

Izi zimapezeka ngati jakisoni, zomwe zimayenera kugwiritsidwa ntchito pothandizidwa ndi azachipatala ndipo kayendetsedwe kake kayenera kuchitidwa ndi katswiri wazachipatala.

Ndi chiyani

Norepinephrine ndi mankhwala omwe amawonetsedwa kuti amachepetsa kuthamanga kwa magazi m'malo ena ovuta a hypotensive, mu zinthu monga pheochromocytomectomy, sympathectomy, polio, infarction ya myocardial, septicemia, kuthiridwa magazi komanso momwe mungachitire ndi mankhwala.

Kuphatikiza apo, itha kugwiritsidwanso ntchito ngati chithandizo chothandizira kumangidwa kwamtima ndi hypotension yakuya.

Momwe mungagwiritsire ntchito

Norepinephrine ndi mankhwala omwe amayenera kuperekedwa ndi akatswiri azaumoyo, kudzera m'mitsempha, mu njira yothetsera vutoli. Mlingo woti uperekedwe uyenera kukhala wodziwika payekha ndikudziwitsidwa ndi dokotala.

Njira yogwirira ntchito

Norepinephrine ndi neurotransmitter yokhala ndi zochitika zofananira, yogwira mwachangu, yomwe imawoneka pa alpha-adrenergic receptors ndipo imadziwika kwambiri pa zolandilira za beta-adrenergic. Chifukwa chake, zotsatira zake zofunika kwambiri zimachitika pakukweza kuthamanga kwa magazi, komwe kumachitika chifukwa cha zomwe zimapangitsa chidwi cha alpha, zomwe zimayambitsa vasoconstriction, ndikuchepetsa magazi m'magazi, chiwindi, khungu komanso, nthawi zambiri, mafupa aminyewa.

Yemwe sayenera kugwiritsa ntchito

Noradrenaline sayenera kugwiritsidwa ntchito kwa anthu omwe ali ndi vuto loganizira kwambiri za kapangidwe kake kapena mesenteric kapena peripheral vascular thrombosis.

Kuphatikiza apo, sayenera kuperekedwa kwa anthu omwe ali ndi hypotensive chifukwa chakuchepa kwa magazi, kupatula ngati njira yodzidzimutsa yopititsira patsogolo kutsekemera kwamitsempha yam'mimba mpaka magazi atamalizidwa, ngakhale panthawi ya anesthesia yokhala ndi cyclopropane ndi halothane, monga ventricular tachycardia kapena fibrillation zitha kuchitika.

Zotsatira zoyipa

Zotsatira zoyipa zomwe zimatha kuchitika pambuyo poyang'anira norepinephrine ndizovulala zamankhwala, kuchepa kwa mtima, nkhawa, kupweteka kwakanthawi kwakanthawi, kupuma movutikira ndi necrosis pamalo obayira.