Wina m'banja mwanu, mwina abambo anu kapena agogo anu, akumwa mankhwala a matenda a mtima. Kwa anthu otere, dokotala mwina wawapatsa piritsi laling'ono kuti alisunge pansi pa lilime lawo mwadzidzidzi akamva kupweteka pachifuwa kapena kupsinjika, sichoncho? Lero tikulankhula za mankhwala ofunikira kwambiri, omwe ndi Nitroglycerin kapena piritsi la GTN monga momwe tonse timadziwira. Kudziwa momwe mungagwiritsire ntchito bwino kungathandize kupulumutsa moyo wanu ndi miyoyo ya okondedwa anu.
Kodi GTN (Nitroglycerin) kwenikweni ndi chiyani?
Mwachidule, uwu ndi mankhwala omwe amaperekedwa kuti athetse ndikuletsa matenda otchedwa angina. Angina ndi kupweteka kwambiri pachifuwa komwe kumachitika pamene mtima sukupeza magazi okwanira, kapena mpweya wokwanira, kuti ugwire ntchito.
Taganizirani mtima wathu ngati pampu yomwe imagwira ntchito mosalekeza. Ngati mitsempha yamagazi yomwe imanyamula magazi kupita ku pampu iyi yachepa, mtima uyenera kugwira ntchito molimbika. Mapiritsi a GTN amamasula mitsempha yamagazi mumtima ndi m'thupi, zomwe zimapangitsa kuti magazi aziyenda mosavuta. Izi zimachepetsa ntchito pamtima. Uwu ndi mankhwala omwe ali mu gulu la mankhwala otchedwa nitrates.
Zinthu zoti muuze dokotala wanu musanagwiritse ntchito mankhwalawa
Ndikofunikira kwambiri kudziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi musanapereke mankhwala awa, chifukwa kugwiritsa ntchito mankhwalawa ndi matenda ena kungakhale koopsa.
- Ngati muli ndi vuto la kuchepa kwa magazi m'thupi .
- Ngati mwavulala mutu posachedwapa, mutu wanu wavulala, sitiroko, kapena kutuluka magazi muubongo .
- Ngati muli ndi matenda a chiwindi .
- Ngati mudadwalapo matenda a mtima kale.
- Ngati muli ndi vuto la ziwengo chifukwa cha nitroglycerin kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi amene akuyamwitsa mwana .
Ndikofunikira kwambiri kuti chitetezo chanu chikhale chotetezeka kuuza dokotala wanu nkhaniyi moona mtima.
Kodi njira yolondola yogwiritsira ntchito piritsi ili ndi iti?
Ichi ndi gawo lofunika kwambiri. Kuti mupindule kwambiri ndi mankhwalawa, muyenera kuwagwiritsa ntchito moyenera.
1. Khalani pansi: Khalani pansi kapena gonani bwino musanamwe mankhwala. Izi zingathandize kupewa kugwa chifukwa cha chizungulire chomwe chimabwera chifukwa cha mankhwalawo.
2. Ikani pansi pa lilime: Piritsi ili lisamedwe ndi madzi. Imwani piritsilo ndipo liyikeni pansi pa lilime ndipo lisungunuke.Izi zidzasungunuka mwachangu ngati muli ndi malovu mkamwa mwanu. Ngati mwameza mwangozi, sungani piritsi lina pansi pa lilime lanu.
3. Nthawi yogwiritsira ntchito:
- Ikani piritsi limodzi pansi pa lilime lanu mukangomva kupweteka pachifuwa, kulimba, kapena kulimba (angina).
- Komanso, piritsi ili lingagwiritsidwe ntchito mphindi 5-10 musanachite chinthu chomwe chingayambitse kupweteka pachifuwa (monga kuchita masewera olimbitsa thupi, kukwera masitepe, kugonana).
4. Nthawi yodikira: Musadye, kumwa, kusuta, kapena kutafuna fodya pamene piritsilo lili pansi pa lilime lanu.
Zoyenera kuchita pakagwa ngozi
Izi ndizofunikira kwambiri, kumbukirani bwino.
- Muyenera kumva mpumulo mkati mwa mphindi 5 mutayika piritsi loyamba pansi pa lilime lanu.
- Ngati ululu sunathe patatha mphindi 5 , ikani piritsi lina pansi pa lilime lanu.
- Mwanjira imeneyi, mutha kumwa piritsi limodzi mphindi zisanu zilizonse, mpaka mapiritsi atatu (nthawi yonse ndi mphindi 15).
- Chofunika Kwambiri: Ngati ululu sunathe mutamwa piritsi loyamba kapena ngati ululu ukukulirakulira, musayembekezere kumwa piritsi lina ndipo nthawi yomweyo imbani ambulansi ku 1990 kapena pemphani wina wapafupi kuti apite ku Dipatimenti Yothandiza Anthu Odwala Zadzidzidzi (ETU) ya chipatala. Izi zitha kukhala chizindikiro cha matenda a mtima.
Ngati mwamwa mankhwala ochulukirapo mwangozi, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala omwe sayenera kugwiritsidwa ntchito pamodzi ndi mankhwalawa ndipo omwe muyenera kusamala nawo
Iyi ndi nkhani yokhudza chitetezo cha moyo. Kumwa mankhwala ena ndi GTN ndi koopsa kwambiri.
| Pewani kugwiritsa ntchito GTN (Nitroglycerin) pamodzi ndi mankhwalawa. | |
|---|---|
| Mankhwala oletsa kugonana | Mankhwala monga Sildenafil, Tadalafil, ndi Vardenafil (omwe ali ndi mayina osiyanasiyana pamsika) angayambitse kuthamanga kwa magazi kotsika kwambiri ngati atagwiritsidwa ntchito limodzi. |
| Mankhwala ena a mutu waching'alang'ala | Mankhwala monga Ergotamine ndi Dihydroergotamine (DHE). |
| Riociguat | Mankhwala ochizira kuthamanga kwa magazi m'mapapo. |
| Ngati mugwiritsa ntchito izi, lankhulani ndi dokotala wanu. | |
| Mankhwala ena | Mankhwala monga aspirin, heparin, mankhwala ena othamanga magazi, mankhwala oletsa kuvutika maganizo, ndi phenothiazines. |
Uzani dokotala wanu za mankhwala onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
Zinthu zoyenera kusamala nazo mukamagwiritsa ntchito mankhwalawa
- Muzisunga nthawi zonse: Uwu ndi mankhwala omwe mungafunike pakagwa ngozi, choncho tengani nawo kulikonse komwe mukupita.
- Chizungulire: Mungamve chizungulire kapena mutu wopepuka mutamwa mankhwalawa. Ndicho chifukwa chake tikukulimbikitsani kuti mugwiritse ntchito mutakhala pansi kapena mutagona. Ngati mukumva chizungulire, pumirani mpweya wozama pang'ono, ikani miyendo yanu mmwamba, ndikugona pansi.
- Kuyimirira ndi kukhala pansi: Makamaka ngati ndinu okalamba, musayime kapena kukhala pansi nthawi imodzi. Izi zimachepetsa chiopsezo chokomoka ndi kugwa.
- Mowa: Kumwa mowawu pamodzi ndi mowa kungapangitse kuti munthu agone komanso azungulire. Choncho pewani kumwa mowa.
- Mankhwala a matenda ena: Funsani dokotala wanu musanamwe mankhwala a chifuwa, chimfine, kapena opweteka omwe amaperekedwa kwa dokotala mukamamwa mankhwalawa. Mankhwala ena amatha kukweza kuthamanga kwa magazi.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kuthamanga kwa magazi kotsika | Chizungulire chachikulu, kusawona bwino, komanso mutu wopepuka. |
| Kugunda pang'onopang'ono kwa mtima | Kukomoka, kupuma movutikira, kufooka kosazolowereka. |
| Kuwonjezeka kwa ululu pachifuwa | Kuwonjezeka kwa ululu kapena kuuma pachifuwa, pakhosi, msana, kapena m'manja. |
| Zizindikiro za methemoglobinemia | Mutu waukulu, kufooka kosazolowereka, kuvutika kupuma, nseru, kugunda kwa mtima mofulumira, khungu labuluu kapena milomo. |
| Zotsatirapo zomwe nthawi zambiri siziyenera kuda nkhawa nazo, koma ziyenera kufotokozedwa kwa dokotala wanu ngati zikupitirira | |
| Mutu | Ichi ndi chinthu chomwe chimawoneka nthawi zambiri. |
| Chizungulire/chizungulire | Zitha kuchitika makamaka poyimirira. |
| Kutsuka | Kufiira ndi kumva kutentha pankhope ndi pakhosi. |
Kodi ndimasunga bwanji mankhwalawa?
- Sungani pamalo otetezeka omwe ana sangafikire.
- Sungani pamalo otentha (pakati pa 20-25 Celsius).
- Sungani mu botolo lake loyambirira, lotetezedwa ku kuwala ndi chinyezi, ndipo litsekeni bwino.
- Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
Uthenga Wopita Nawo Kunyumba
- GTN (Nitroglycerin) ndi mankhwala opulumutsa moyo omwe amaperekedwa chifukwa cha kupweteka kwadzidzidzi pachifuwa (angina).
- Nthawi zonse ikani piritsi ili pansi pa lilime lanu ndipo lisungunuke. Musalimeze ndi madzi.
- Khalani pansi nthawi zonse mukamagwiritsa ntchito mankhwalawa.
- Ngati palibe mpumulo mkati mwa mphindi 5 kuchokera pamene mwamwa piritsi loyamba kapena ngati ululu ukuwonjezeka, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala nthawi yomweyo.
- Musagwiritse ntchito GTN pamodzi ndi mankhwala oletsa kugonana (monga Sildenafil). Ndi zoopsa kwambiri pa moyo wanu wonse.
- Uzani dokotala wanu za mankhwala onse omwe mukumwa.











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