Kei te tango rongoā tētahi o tō whānau, tō pāpā, tō koroua rānei, mō te mate ngākau. Mō ēnei tāngata, kua hoatu pea e te tākuta he papa iti hei pupuri mā rātou i raro i ō rātou arero ina pāngia rātou e te mamae o te uma, e te kikī rānei, tika? I tēnei rā kei te kōrero tātou mō taua rongoā tino nui, arā, ko te Nitroglycerin, ko te papa GTN rānei e mōhiotia ana e tātou katoa. Mā te mōhio ki te whakamahi tika ka āwhina i te whakaora i tō oranga me te oranga o ō whanaunga.
He aha rawa te GTN (Nitroglycerin)?
He rongoā tēnei e hoatu ana hei rongoā, hei ārai hoki i tētahi mate e kiia nei ko te angina. Ko te angina he mamae nui o te uma e puta ana ina kore e nui te toto, te hāora rānei, e whiwhi ana te ngākau hei mahi.
Whakaarohia tō tātou ngākau he papu e mahi tonu ana. Mēnā ka whaiti ngā oko toto e kawe ana i te toto ki tēnei papu, me kaha ake te mahi a te ngākau. Ka whakangāwari ngā pire GTN i ngā oko toto i roto i te ngākau me te tinana, ka māmā ake te rere o te toto. Ka whakaitihia te taumahatanga o te ngākau. He rongoā tēnei nō tētahi akomanga rongoā e kiia nei ko te nitrates.
Ngā mea hei kōrero ki tō tākuta i mua i te whakamahinga o tēnei rongoā
He mea tino nui kia mōhio tō tākuta mēnā kei a koe tētahi o ēnei mate i mua i te tukunga o tēnei rongoā, nā te mea he mōrearea pea te whakamahi i tēnei rongoā me ētahi mate hauora.
- Mena he anemia tōu.
- Mena kua whara tō upoko i ngā wā tata nei, kua pāngia rānei koe e te whara o te upoko, te whiu, te toto rānei o te roro .
- Mena he mate ate tōu .
- Mena kua pāngia koe e te mate ngakau o mua.
- Mena he mate pāwera koe ki te nitroglycerin, ki tētahi atu rongoā, kai, tae rānei.
- Mena kei te hapu koe, kei te ngana rānei kia hapu .
- Mena he whaea koe e whāngai ana i te u .
He mea tino nui kia pono te whakapuaki i ēnei mōhiohio ki tō tākuta, kia haumaru ai koe.
He aha te huarahi tika hei whakamahi i tēnei pire?
Koinei te wāhanga tino nui. Kia tino whai hua ai tēnei rongoā, me whakamahi tika koe.
1. Noho: Noho, takoto rānei ki raro i te whakamarie i mua i te tango i te rongoā. Mā tēnei ka āwhina i te ārai i te hinganga nā te whanoke i puta mai i te rongoā.
2. Whakatakotoria ki raro i te arero: Kaua tēnei pire e horomia ki te wai. Tangohia te pire ka whakatakotoria ki raro i te arero, ka waiho kia rewa.Ka tere te memeha o tēnei mena he huware kei roto i tō waha. Ki te horomia e koe mā te hē, waiho tētahi atu papa i raro i tō arero.
3. Āhea te whakamahi:
- Whakatakotoria tētahi papa ki raro i tō arero ina pāngia koe e te mamae o te uma, te kikī, te kōpiripiri rānei (angina).
- Waihoki, ka taea te whakamahi i tēnei pire 5-10 meneti i mua i te mahi i tētahi mea ka mamae ai te uma (hei tauira, te whakakorikori tinana, te piki arawhata, te moe tāne).
4. Te wā tatari: Kaua e kai, e inu, e momi hikareti, e ngaungau rānei i te mea kei raro i tō arero te papa.
Me aha i roto i tētahi āhuatanga ohorere
He mea tino nui tēnei, kia maumahara pai.
- Ka taea e koe te rongo i te whakamarie i roto i te 5 meneti i muri i te whakatakotoranga o te papa tuatahi ki raro i tō arero.
- Ki te kore te mamae e memeha i muri i te 5 meneti , whakatakotoria tētahi atu papa ki raro i tō arero.
- Pēnei, ka taea e koe te tango i te pire kotahi i ia 5 meneti, tae atu ki te 3 pire te mōrahi (15 meneti te roa katoa).
- He mea tino nui: Ki te kore te mamae e memeha i muri i te tango i te pire tuatahi, ki te mea rānei kei te kino haere te mamae, kaua e tatari ki te tango i tētahi atu pire, me waea atu tonu ki te 1990 mō tētahi waka tūroro, me tono rānei i tētahi e tata ana kia haere ki te Tari Whawhati Tata o te hōhipera (ETU). He tohu pea tēnei mō te mate manawa.
Ki te nui rawa te rongoā ka horomia e koe, waea atu tonu ki te National Poisons Information Centre i te Colombo National Hospital , haere rānei ki te Emergency Treatment Unit (ETU) o te hōhipera tata.
Ngā rongoā kāore e tika ana kia whakamahia tahitia me tēnei rongoā, ā, me tūpato koe ki ēnei
He take haumaru tēnei mō te ora. He tino morearea te tango i ētahi rongoā me te GTN.
| Kaua e whakamahi i te GTN (Nitroglycerin) me tēnei rongoā. | |
|---|---|
| Ngā rongoā mō te koretake o te moepuku | Ka taea e ngā rongoā pēnei i a Sildenafil, Tadalafil, me Vardenafil (he rerekē ngā ingoa kei te mākete) te whakaheke i te toto toto mēnā ka tangohia ngātahi. |
| Ko ētahi rongoā mō te migraines | Ngā rongoā pēnei i te Ergotamine me te Dihydroergotamine (DHE). |
| Riociguat | He rongoā mō te toto toto tiketike. |
| Ki te whakamahi koe i ēnei, kōrero ki tō tākuta. | |
| Ētahi atu rongoā | Ngā rongoā pēnei i te aspirin, te heparin, ētahi atu rongoā toto tiketike, ngā antidepressants, me ngā phenothiazines. |
Me whakamōhio atu ki tō tākuta mō ngā rongoā katoa, ngā huaora me ngā hua otaota e tangohia ana e koe.
Ngā mea hei tūpato māu i te wā e whakamahia ana te rongoā
- Kia mau tonu ki a koe: He rongoā tēnei e hiahiatia ana e koe i roto i tētahi āhuatanga ohorere, nō reira mauria ki hea koe e haere ai.
- Pōuriuri: Tērā pea ka pōuriuri koe, ka pōuriuri rānei i muri i te tango i tēnei rongoā. Koia te take e taunakihia ana kia whakamahia i a koe e noho ana, e takoto ana rānei. Ki te pōuriuri koe, tangohia he manawa hōhonu, whakaarahia ō waewae, ka takoto.
- Te tū me te noho: Ina koa mēnā he kaumātua koe, kaua e tū, kaua hoki e noho i te wā kotahi. Mā tēnei ka whakaiti i te tūponotanga o te hemo me te hinga.
- Waipiro: Mā te inu tahi me te waipiro ka nui ake te hiamoe me te whanoke. Nō reira, karohia te waipiro.
- Ngā rongoā mō ētahi atu mate: Pātai atu ki tō tākuta i mua i te tango i ngā rongoā maremare, makariri, mamae rānei e hokona kore utu ana i a koe e tango ana i tēnei rongoā. Ka taea e ētahi rongoā te whakanui ake i tō toto toto.
Ngā pānga taha ka puta mai i te rongoā
Pērā i tētahi atu rongoā, ka pā mai pea ētahi pānga taha o tēnei.
| Ngā pānga kino nui me ripoata tonu ki te tākuta | |
|---|---|
| Mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, o te korokoro rānei. |
| Te toto toto iti | Te whanoke nui, te tirohanga pōuri, me te māhunga. |
| Te puhoi o te manawa | Te hemo o te ngākau, te uaua ki te manawa, te ngoikore rerekē. |
| Te mamae o te uma kua piki ake | Te mamae nui haere, te kōpiko rānei i te uma, te kaki, te tuara, ngā ringa rānei. |
| Ngā tohu o te methemoglobinemia | Te ānini nui, te ngoikore rerekē, te uaua ki te manawa, te whakapairuaki, te tere o te pā o te ngakau, te kiri, te ngutu kikorangi rānei. |
| Ngā pānga taha kāore e tika ana kia māharaharahia, engari me kōrero ki tō tākuta mēnā ka mau tonu | |
| Ānini | He mea tēnei e kitea pinepinetia ana. |
| Pōuriuri/whakapouriuri | Ka puta pea tēnei ina tū ana koe. |
| Te horoi | Te whero me te kare o te wera i te mata me te kaki. |
Me pēhea te penapena i tēnei rongoā?
- Puritia ki tētahi wāhi haumaru, kāore e taea e ngā tamariki te toro atu.
- Puritia ki te pāmahana rūma (i waenga i te 20-25 nekehanga Celsius).
- Puritia i roto i tōna pounamu taketake, kia tiakina mai i te mārama me te makuku, ā, kia piri pūmau hoki.
- Maka atu ngā rongoā katoa e toe ana i muri i te rā paunga.
Karere Tangohia ki te Kāinga
- He rongoā whakaora ora te GTN (Nitroglycerin) e hoatu ana mō te mamae ohorere o te uma (angina).
- Me whakatakoto tonu tēnei papa ki raro i tō arero, ka waiho kia rewa. Kaua rawa e horomia me te wai.
- Me noho, me takoto rānei i te wā e whakamahia ana te rongoā.
- Ki te kore e kitea he whakaoranga i roto i te 5 meneti i muri i te tango i te pire tuatahi, ki te kaha ake rānei te mamae, me haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU).
- Kaua rawa e whakamahia te GTN me ngā rongoā mō te ngoikore o te ure (pērā i te Sildenafil). He tino morearea mō te ora.
- Me whakamōhio atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
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