Dzimwe nguva unonzwa kurwadziwa muchipfuva chako kunonzwa sekunge kuri kudzvanywa, kudzvanywa, kana kuti kurema kwakanyanya here? Mukurapa, izvi zvinonzi angina. Ichi chirwere chinoitika kana moyo usingawani ropa rakakwana. Saka, imwe yemishonga inowanzo kurudzirwa navanachiremba kudzivirira rudzi urwu rwekurwadziwa muchipfuva kune chekuita nechirwere chemwoyo iNitroglycerin ointment. Ichi chinhu chinowanikwa chete nechiremba. Saka nhasi, ngatitaurei nezve mashandisirwo emafuta aya chaizvo uye zvatinofanira kungwarira zvikuru.
Chii chinonzi mafuta eNitroglycerin?
Zvichitaurwa zviri nyore, uyu mushonga unobatsira mitsipa yeropa yemuviri wako kukura uye kuzorora. Rudzi urwu rwemushonga runonzi nitrates. Funga nezvazvo, kana pombi yemvura yakavharwa, zvinonetsa kuti mvura ifambe, handiti? Saizvozvowo, kana mitsipa yeropa inotakura ropa kuenda kumoyo yave diki, moyo unofanirwa kushanda nesimba kupomba ropa. Ndipo panotanga kurwadziwa pachipfuva.
Mafuta eNitroglycerin anoshanda nekuwedzera tsinga dzeropa uye kuita kuti kuyerera kweropa kuve nyore. Izvi zvinoderedza basa remoyo. Izvi zvinodzivirira marwadzo e angina.
Zvakakosha: Mafuta aya anoshandiswa kudzivirira kurwadziwa kweangina, kwete kurapa kurwadziwa kwechipfuva kamwe kamwe. Chiremba wako anogona kunge akakupa rimwe piritsi (GTN tablet) kuti ugare pasi perurimi rwako kana kurwadziwa kamwe kamwe kuchiitika.
Zvinhu zvekuudza chiremba wako usati washandisa mushonga uyu
Chiremba wako asati akupa mushonga uyu, anofanira kuziva nhoroondo yako yese yezvekurapa. Saka, iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Anemia , zvinoreva kana paine kushomeka kweropa.
- Kana wakambokuvara musoro , sitiroko , kana kubuda ropa muuropi munguva pfupi yapfuura.
- Kana uine chirwere chechiropa .
- Kana wakamborwara nemoyo kare.
- Kana uine allergy ne nitroglycerin, chero mimwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uchitarisira kubata pamuviri .
- Kana uri amai vanoyamwisa .
Zvichibva paruzivo urwu, chiremba ndiye achasarudza kana mushonga uyu wakakodzera iwe kana kuti kwete.
Unoshandisa sei mafuta aya?
Zvakakosha kushandisa mushonga uyu nemazvo. Kunyangwe chikanganiso chidiki chinogona kukanganisa kushanda kwemushonga uyu.
1. Chekutanga, yeuka izviIyi inongoshandiswa chete pamusoro peganda. Usaitore nemuromo kana kuinwa neimwe nzira.
2. Uchagamuchira bepa rakakosha rine tepi yekuyera ine chiyero pariri. Shandisa bepa iri nguva dzose kuyera chiyero chakakodzera. Isa mafuta ekuzora pachiyero chaunoudzwa nachiremba wako (semuenzaniso 1 inch) pabepa.
3. Zvadaro, isa mafuta aya panzvimbo yakachena, yakaoma yeganda ine bvudzi diki, senge pachipfuva, mudumbu, kana pamusoro pemaoko .
4. Usazora pamaronda, mavanga, mavanga, kana ganda rakatsvuka .
5. Chinonyanya kukosha: Usazora mafuta aya paganda rako . Usadaro. Paradzira pamusoro peganda nechikamu chakatetepa, sejira repepa.
6. Wobva waisa bepa pamusoro pejira worisunga netepi yekuvhiya kuti risafambe. Izvi zvinodzivirira kuti risafambe pahembe dzako. Unogonawo kurifukidza nepurasitiki kana zvichidikanwa.
7. Mushure mekushandisa mushonga, geza maoko ako nesipo zvakanaka sezvo inogona kukubata paminwe yako.
8. Usati waisa mushonga unotevera, bvisa bepa racho panzvimbo yemushonga wekare wochenesa nzvimbo yacho zvakanaka .
9. Kuisa mushonga panzvimbo imwe chete yeganda zuva nezuva kunogona kukuvadza ganda. Saka, tenderedza nzvimbo dzaunoisa mushonga zuva nezuva . Kana wakaisa kurudyi rwechipfuva chako nhasi, uise kuruboshwe mangwana.
Usarega kushandisa mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kukonzera kuti kurwadziwa kwechipfuva chako kudzokere.
Kudyidzana kwemishonga nedzimwe njodzi
Nitroglycerin mushonga unogona kuita zvinopesana nemimwe mishonga, saka unofanira kungwarira zvikuru neizvi.
| Zvinogona kuitika kuti mushonga ushande pamwe chete ne nitroglycerin | |
|---|---|
| Usambofa watora mushonga uyu pamwe chete nemumwe mushonga (une njodzi huru) | |
| Mishonga yeKusashanda zvakanaka kweSimba reKubereka (ED) | Mishonga yakaita seSildenafil (Viagra), Tadalafil (Cialis), naVardenafil. Kutora mishonga iyi pamwe chete kunogona kukonzera kuderera kweropa zvakanyanya uye kutokonzera njodzi kuhupenyu. |
| Mimwe mishonga yekurwadziwa kwemusoro | Mishonga yakaita seErgotamine neDihydroergotamine (DHE). |
| Riociguat | Uyu mushonga unokosha wekurapa BP yemapapu. |
| Kudyidzana kwemushonga uyu kunogona kuitika (udza chiremba wako ) | |
| Mimwe mishonga | Aspirin, Heparin (inobvisa ropa rakawanda), mishonga yeBP yakakwira, mishonga yekuora mwoyo, mimwe mishonga ye angina. |
Zvimwe zvinhu zvekufunga nezvazvo
- Dzungu nehope: Mushonga uyu unogona kuita kuti unzwe dzungu uye hope. Saka, dzivisa zvinhu zvinoda kungwarira, zvakaita sekutyaira kana kushandisa michina, kusvika waziva kuti mushonga uyu unokubatsira sei.
- Chenjerera paunomuka: Kumira kamwe kamwe kana kusimuka kubva panzvimbo yawakagara kunogona kukonzera dzungu uye kupera simba. Chenjerera zvikuru kana wakwegura. Gara uchimuka zvishoma nezvishoma.
- Dzivisa doro: Doro rinogona kukonzera dzungu nekurara zvakanyanya.
- Kana ukanwa doro zvakanyanya: Kana uchifunga kuti wanwa doro zvakanyanya, kurumidza kubata National Poisons Information Centre paColombo National Hospital . Kana kuti enda kuEmergency Department (ETU) yechipatara chiri pedyo.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemishonga yese, iyi inogona kuva nemigumisiro yakaipa. Mimwe yakakomba, mimwe inowanzoonekwa.
| Mhedzisiro yedivi | Zvekuita |
|---|---|
| Kana ukaona zviratidzo izvi, taurira chiremba wako nekukasika kana kuti enda kuETU. | |
| Kusawirirana kwemuviri ( Mapundu eganda, kuvaviwa, kuzvimba kwechiso/miromo/rurimi) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Zviratidzo zveMethemoglobinemia (musoro wakanyanya, kuneta kusingawanzoitiki, kunetseka kufema, kurutsa, kurova kwemoyo nekukurumidza, ganda rebhuruu kana miromo ) | Ichi chirwere chekukurumidzira chinokanganisa kugona kweropa kutakura okisijeni uye chinoda kuti munhu apinde muchipatara nekukasika. |
| Kuwedzera kumanikidzwa kwakakomberedza uropi (Musoro wakanyanya, kuona zvisipo, kurutsa) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Kuderera kweropa (Dzungu, kupera simba, maziso ebhuruu) | Udza chiremba wako. Kana uchinzwa kupera simba, gara pasi kana kuti rara pasi. |
| Kuwedzera kwekurwadziwa kwechipfuva (angina) (Kana kurwadziwa kana kuomarara muchipfuva, mutsipa, musana, kana maoko kukawedzera) | Tsvaga rubatsiro rwechiremba nekukasika. |
| Zviratidzo zvisingawanzo kuva zvakakomba, asi zvinofanira kutaurwa kuna chiremba kana zvikaramba zviripo | |
| Musoro | Izvi zvinowanzoitika pakutanga. Zvinowanzopera mukati memazuva mashoma. Kana zvikaramba zviripo, udza chiremba wako . |
| Dzungu, kubuda ropa | Izvi zvinowanzoitikawo. Kana zvikaramba zviripo, taura nachiremba wako. |
Mharidzo Yekuenda Nayo Kumba
- Mafuta eNitroglycerin haashandiswi kurapa marwadzo epachipfuva kamwe kamwe, asi kudzivirira .
- Mushonga uyu unofanira kushandiswa uchishandisa bepa rakakosha rinouya nawo, usingaukwizire paganda.
- Zvine njodzi huru kushandisa izvi pamwe chete nemishonga inoderedza kusununguka kwepabonde yakaita seViagra (sildenafil). Udza chiremba wako nezvemishonga yese yauri kutora.
- Chenjerera paunenge uchityaira kana kushanda nemichina, sezvo dzungu uye kufenda zvinogona kuitika.
- Kana ukasangana nematambudziko asina kujairika (kunyanya miromo yebhuruu, musoro wakanyanya), tsvaga rubatsiro rwechiremba nekukasika .
- Chengeta mushonga uyu kure nevana , patembiricha yemumba. Rasa mushonga wapera basa.
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