Kodi nthawi zina mumamva kupweteka pachifuwa panu komwe kumamveka ngati kukufinyidwa, kufinyidwa, kapena kulemera kwakukulu? M'mawu azachipatala, izi zimatchedwa angina. Imeneyi ndi vuto lomwe limachitika pamene mtima sulandira magazi okwanira. Chifukwa chake, imodzi mwa mankhwala omwe madokotala nthawi zambiri amalangiza kuti apewe mtundu uwu wa ululu pachifuwa wokhudzana ndi matenda a mtima ndi mafuta a Nitroglycerin. Ichi ndi chinthu chomwe chimapezeka pokhapokha ngati dokotala wakupatsani mankhwala. Lero, tiyeni tikambirane za momwe tingagwiritsire ntchito mafuta awa molondola komanso zomwe tiyenera kusamala nazo kwambiri.
Kodi mafuta a Nitroglycerin ndi chiyani?
Mwachidule, uwu ndi mankhwala omwe amathandiza mitsempha yamagazi ya thupi lanu kukula ndi kupumula. Mtundu uwu wa mankhwala umatchedwa nitrates. Taganizirani izi, pamene chitoliro chamadzi chatsekedwa, zimakhala zovuta kuti madzi ayende, eti? Mofananamo, pamene mitsempha yamagazi yomwe imanyamula magazi kupita kumtima yachepa, mtima umayenera kugwira ntchito molimbika kuti upompe magazi. Pamenepo ndi pamene kupweteka pachifuwa kumabwera.
Mafuta a Nitroglycerin amagwira ntchito pokulitsa mitsempha yamagazi ndikupangitsa kuti magazi aziyenda mosavuta. Izi zimachepetsa ntchito ya mtima. Izi zimaletsa kupweteka kwa angina.
Chofunika: Mafuta awa amagwiritsidwa ntchito popewa kupweteka kwa angina, osati kuchiza kupweteka kwadzidzidzi pachifuwa. Dokotala wanu mwina anakupatsani piritsi lina (GTN tablet) kuti musunge pansi pa lilime lanu kuti muchepetse kupweteka kwadzidzidzi.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu yonse ya matenda. Chifukwa chake, onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Kuchepa kwa magazi m'thupi , kutanthauza ngati magazi akusowa.
- Ngati mwavulala mutu posachedwapa, sitiroko , kapena kutuluka magazi muubongo.
- Ngati muli ndi matenda aliwonse a chiwindi .
- Ngati munadwalapo matenda a mtima kale.
- Ngati muli ndi vuto la nitroglycerin, mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukuyembekezera kutenga pakati .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ayi.
Kodi mafuta awa mumawagwiritsa ntchito bwanji?
Ndikofunikira kwambiri kugwiritsa ntchito izi moyenera. Ngakhale cholakwika chaching'ono chingakhudze mphamvu ya mankhwala.
1. Choyamba, kumbukirani iziIyi ndi njira yogwiritsira ntchito pakhungu lokha. Musamwe ndi pakamwa kapena kumwa mwanjira ina iliyonse.
2. Mudzalandira pepala lapadera lokhala ndi tepi yoyezera yokhala ndi muyeso. Nthawi zonse gwiritsani ntchito pepalali kuti muyese mlingo woyenera. Pakani mafutawo pa muyeso womwe dokotala wanu wakuuzani (monga inchi imodzi) papepalalo.
3. Kenako, pakani mafuta awa pamalo oyera komanso ouma pakhungu okhala ndi tsitsi laling'ono, monga pachifuwa, m'mimba, kapena m'manja apamwamba .
4. Musapake pa mabala, mikwingwirima, zipsera, mabala, kapena khungu lokwiya .
5. Chofunika kwambiri: Musamapaka mafuta pakhungu lanu . Musachite zimenezo. Pakani pamwamba pa khungu pang'onopang'ono, ngati thaulo la pepala.
6. Kenako, ikani pepalalo pamwamba pa chophimbacho ndikuchimangirira ndi tepi yopangira opaleshoni kuti chisasunthike. Izi zipangitsa kuti chisalowe pa zovala zanu. Muthanso kuliphimba ndi pulasitiki ngati pakufunika kutero.
7. Mukatha kugwiritsa ntchito mankhwalawa, sambani m'manja mwanu bwino ndi sopo chifukwa angakugwereni m'manja.
8. Musanagwiritse ntchito mlingo wotsatira, chotsani pepalalo pamalo akale a mankhwala ndikutsuka bwino malowo .
9. Kupaka mankhwala pamalo omwewo pakhungu tsiku lililonse kungawononge khungu. Chifukwa chake, sinthani malo omwe mupaka mankhwalawo tsiku lililonse . Ngati mwapaka kumanja kwa chifuwa chanu lero, pakani kumanzere mawa.
Musasiye kugwiritsa ntchito mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita zimenezi kungayambitsenso kupweteka pachifuwa chanu.
Kuyanjana kwa mankhwala ndi zoopsa zina
Nitroglycerin ndi mankhwala omwe amatha kuyanjana kwambiri ndi mankhwala ena, choncho muyenera kusamala kwambiri ndi izi.
| Kuyanjana kwa mankhwala ndi nitroglycerin | |
|---|---|
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse (oopsa kwambiri) | |
| Mankhwala Ochiza Kulephera Kugonana (ED) | Mankhwala monga Sildenafil (Viagra), Tadalafil (Cialis), ndi Vardenafil. Kumwa mankhwalawa pamodzi kungayambitse kuthamanga kwa magazi kotsika kwambiri komanso kungayambitse imfa. |
| Mankhwala ena a mutu waching'alang'ala | Mankhwala monga Ergotamine ndi Dihydroergotamine (DHE). |
| Riociguat | Uwu ndi mankhwala apadera a kuthamanga kwa magazi m'mapapo. |
| Mankhwalawa angagwirizane ndi mankhwala awa (uzani dokotala wanu ) | |
| Mankhwala ena | Aspirin, Heparin (wochepetsa magazi), mankhwala othamanga magazi, mankhwala ochepetsa kuvutika maganizo, ndi mankhwala ena a angina. |
Zinthu zina zofunika kuziganizira
- Kuzunguzika ndi kugona: Mankhwalawa angakupangitseni kumva chizungulire ndi kugona. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Samalani mukadzuka: Kuyimirira mwadzidzidzi kapena kudzuka kuchokera pamalo okhala kungayambitse chizungulire ndi kukomoka. Samalani makamaka ngati ndinu okalamba. Nthawi zonse imirirani pang'onopang'ono.
- Pewani mowa: Mowa ungapangitse chizungulire ndi kugona kukhala zovuta kwambiri.
- Ngati mwamwa mopitirira muyeso: Ngati mukuganiza kuti mwamwa mopitirira muyeso, funsani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Department (ETU) ya chipatala chapafupi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena onse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Ena ndi oopsa, ena ndi ofala.
| Zotsatira zoyipa | Zoyenera kuchita |
|---|---|
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo kapena pitani ku ETU. | |
| Matenda a ziwengo ( Kutupa pakhungu, kuyabwa, kutupa kwa nkhope/milomo/lilime) | Funani upangiri wa dokotala nthawi yomweyo. |
| Zizindikiro za Methemoglobinemia (mutu waukulu, kutopa kosazolowereka, kuvutika kupuma, kusanza, kugunda kwa mtima mofulumira, khungu labuluu kapena milomo ) | Uwu ndi vuto ladzidzidzi lomwe limakhudza mphamvu yonyamula mpweya m'magazi ndipo limafuna kuti munthu agonekedwe kuchipatala nthawi yomweyo. |
| Kupanikizika kochulukira kuzungulira ubongo (Kupweteka mutu kwambiri, kusawona bwino, kusanza) | Funani upangiri wa dokotala nthawi yomweyo. |
| Kuthamanga kwa magazi kotsika (Chizungulire, kukomoka, maso abuluu) | Uzani dokotala wanu. Ngati mukumva kukomoka, khalani pansi kapena mugone pansi. |
| Kuwonjezeka kwa ululu pachifuwa (angina) (Ngati ululu kapena kuuma kwa chifuwa, khosi, msana, kapena manja kukukulirakulira) | Funani upangiri wa dokotala nthawi yomweyo. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Izi zimachitika kawirikawiri kumayambiriro. Nthawi zambiri zimatha patatha masiku ochepa. Ngati zikupitirira, uzani dokotala wanu . |
| Chizungulire, kutuluka magazi | Izi nazonso zimachitika kawirikawiri. Ngati zikupitirira, lankhulani ndi dokotala wanu. |
Uthenga Wopita Nawo Kunyumba
- Mafuta a nitroglycerin sagwiritsidwa ntchito pochiza kupweteka kwadzidzidzi pachifuwa, koma popewa kupwetekako.
- Mankhwalawa ayenera kugwiritsidwa ntchito pogwiritsa ntchito pepala lapadera lomwe limabwera nalo, popanda kuwapaka pakhungu.
- Ndikoopsa kwambiri kugwiritsa ntchito izi pamodzi ndi mankhwala oletsa kugonana monga Viagra (sildenafil). Uzani dokotala wanu za mankhwala onse omwe mukumwa.
- Samalani mukayendetsa galimoto kapena mukugwira ntchito ndi makina, chifukwa chizungulire ndi kukomoka zimatha kuchitika.
- Ngati mukukumana ndi zotsatirapo zachilendo (makamaka milomo yabuluu, mutu waukulu), funsani upangiri wa dokotala nthawi yomweyo .
- Sungani mankhwalawa pamalo omwe ana sangafikire , kutentha kwa chipinda. Tayani mankhwala omwe atha ntchito.
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