Dzimwe nguva ungave wakaona munhu mukuru akapfeka plaster diki pachipfuva, paruoko, kana pafudzi. Iyi haisi plaster inoiswa paganda kuti ibatsire pakurwadziwa. Iyi ipatch yemishonga yakakosha inonyorerwa navanachiremba kuvanhu vane chirwere chemwoyo, kunyanya kudzivirira kurwadziwa pachipfuva. Nhasi, tichataura nezvepatch iyi ye nitroglycerin.
Chii chaizvo chinoitika nemushonga uyu?
Zvichitaurwa zviri nyore, mushonga uyu unonzi nitroglycerin unodzivirira kurwadziwa kwechipfuva, chirwere chatinodaidza kuti angina.
Aya ndiwo mashandiro aunoita: Mushonga uyu unokura uye unozorodza tsinga dzeropa mumuviri wedu. Izvi zvinoderedza basa remwoyo rekupomba ropa. Izvi zvinopa moyo zororo, izvo zvinobatsira kudzora marwadzo echipfuva. Mushonga uyu uri muboka remishonga inonzi nitrates.
Asi uyu hausi mushonga unorapa marwadzo epachipfuva kamwe kamwe. Chiremba anogona kunge akakupa chimwe chinhu chakaita sepiritsi rekuisa pasi perurimi rwako kuti ushandise izvozvo. Chigamba ichi chiripo kuti chikubatsire kunwisa mushonga mukati mezuva rose uye kudzivirira marwadzo kuti asadzoke.
Chii chandinofanira kuudza chiremba ndisati ndashandisa chigamba ichi?
Zvakakosha kuti chiremba wako azive nezvezvinhu izvi asati akupa mushonga uyu. Kana uine chimwe chezvirwere zvakanyorwa pazasi, iva nechokwadi chekumuudza nezvazvo.
- Kana uine chirwere chechiropa.
- Kana uine BP yakaderera kana kuti ropa rakaderera.
- Kana wakamborwara nemoyo kana kuti wakamborwara nemoyo.
- Kana uine allergy ne nitroglycerin, manamati ari muchigamba, mimwe mishonga, chikafu, kana madhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa.
Zvichibva paruzivo urwu, chiremba achasarudza kana mushonga uyu wakakunakira iwe kana kwete, kana kuti kana muyero wacho uchifanirwa kuchinjwa.
Unonyatsoshandisa sei chigamba ichi?
Zvakakosha kuziva chaizvo mashandisirwo azvo.
- Chigamba ichi ndechekushandisa panze chete . Usambochiisa mumuromo mako.
- Shandisa sezvawaudzwa nachiremba wako. Chigamba chimwe chete chine huwandu hwemushonga waunoda pazuva.
- Kazhinji, izvi zvinofanira kusiyiwa kwemaawa gumi nemaviri kusvika gumi nemana, uye chigamba chinofanira kubviswa kwemaawa gumi kusvika gumi nemaviri anotevera.Nguva iyi yekuzorora yakakosha zvikuru. Kana ukasaitora, muviri wako uchajaira mushonga uye mhedzisiro yawo inogona kudzikira.
- Chigamba ichi chinofanira kuiswa panzvimbo yakachena, yakaoma, uye isina mvere yemuviri wepamusoro, senge pachipfuva, pamafudzi, musana, kana mudumbu. Usaise panzvimbo dzine maronda, ganda rakatyoka, kana mavanga.
- Usazora panzvimbo imwe chete zuva nezuva. Chinja nzvimbo yacho zuva nezuva. Izvi zvichabatsira kuderedza njodzi yekurwara neganda.
- Usambocheka chigamba kana kuchipatsanura kuita zvidimbu.
- Usarega kushandisa mushonga uyu kamwe kamwe usina kurairwa nachiremba wako. Kuita izvi kunogona kuwedzera zviratidzo zvako. Kana ukarega, ita sezvakarairwa nachiremba wako, uchideredza mushonga zvishoma nezvishoma.
Chii chekuita kana mushonga wacho wakawandisa?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, semuenzaniso kana ukakanganwa kubvisa chigamba wozora chimwe, fonera National Poisons Information Centre kuColombo National Hospital nekukasika. Kana kuti enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika.
Mimwe mishonga isingafanirwe kushandiswa nemushonga uyu
Paunenge uchishandisa chigamba ichi, kutora mimwe mishonga kunogona kukonzera matambudziko akanyanya. Saka, zvakakosha kuudza chiremba wako nezvemishonga yese yauri kutora.
| Rudzi rwemushonga | Zvekunyatsoteerera |
|---|---|
| Mishonga yekurapa kusagadzikana pabonde | Kutora mishonga yakaita seSildenafil, Tadalafil, naVardenafil nechigamba ichi kune njodzi huru . Kumanikidzwa kweropa kunogona kudzikira zvakanyanya. |
| Mimwe mishonga yekurwadziwa kwemusoro | Mishonga yakaita se ergotamine ne dihydroergotamine (DHE). |
| Riociguat | Uyu mushonga wekurapa BP yemapapu. |
| Mimwe mishonga yekurapa BP yakakwira | Kutora chigamba ichi kunogona kuderedza BP yako zvakanyanya. |
Rondedzero iyi haina kukwana, saka udza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yechivanhu yaunotora.
Ndezvipi zvinhu zvekungwarira pakushandisa chigamba?
- Kuongororwa kwechiremba: Enda kuna chiremba panguva yakatarwa wozviongorora. Yera BP yako nekurova kwemoyo.
- Dzungu: Mushonga uyu unogona kuita kuti unzwe dzungu kana kuti musoro wakareruka. Saka, simuka zvishoma nezvishoma paunenge wakagara kana kubva pamubhedha. Dambudziko iri rinogona kutowedzera kuipa kana ukanwa doro.
- Kutyaira: Dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokubatsira sei.
- Kuongororwa kweMRI: Izvi zvakakosha zvikuru. Kana uri kuongororwa kweMRI, iva nechokwadi chekuudza vashandi kuti uri kushandisa nitroglycerin patch. Mamwe mapeti ane aluminium layer. Iyi aluminium layer inogona kupisa panguva yekuongororwa kweMRI uye kupisa ganda rako. Saka uchafanira kubvisa ganda usati waongororwa.
- Kana chigamba chikabva: Kana chigamba chikabva chega, chipete nepakati (divi rinonamira rakatarisa mukati) wochiisa kure nevana nemhuka. Wobva waisa chigamba chitsva.
Ndezvipi zvingakonzera migumisiro yakaipa?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mamwe matambudziko. Mimwe yakakomba, mimwe yakajairika.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuderera kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Kurova kwemoyo kunononoka | Kunzwa dzungu, kupera simba, kufema zvakaoma, kunzwa kuneta zvisina kujairika. |
| Angina iri kuwedzera | Kurwadziwa, kusimba, kana kunzwa kusimba muchipfuva, mumutsipa, musana, kana mumaoko. |
| Zviratidzo zveMethemoglobinemia | Musoro, kushaya simba kusingawanzoitiki, kushaya mweya, kuda kurutsa, kurutsa, kurova kwemoyo nekukurumidza, ganda rebhuruu kana miromo. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Musoro | Izvi zvinowanzoitika mumazuva ekutanga ekushandisa mushonga. |
| Dzungu | Zvinogona kunzwikwa kunyanya kana wakamira. |
| Kushambadza | Nzvimbo yechiso nemutsipa zvinotsvuka uye zvinonzwa zvichipisa. |
Mharidzo Yekuenda Nayo Kumba
- Chigamba ichi chinoshandiswa kudzivirira kurwadziwa kwechipfuva (angina). Hachibatsiri pakurwadziwa kwechipfuva kamwe kamwe.
- Sezvakataurwa nachiremba, siya chigamba chakabatidzwa kwemaawa akatarwa (kazhinji maawa 12-14) wobva wachibvisa kwemaawa akatarwa (maawa 10-12). Iva nechokwadi chekutevedzera nguva iyi ye "patch-off" .
- Usamborega kutora mishonga kamwe kamwe usina kubvunza chiremba wako.
- Zvine njodzi huru kushandisa chigamba ichi pamwe chete nemishonga yekurapa kusagadzikana pabonde (senge Sildenafil).
- Kana wakarongerwa kuedzwa neMRI scan, iva nechokwadi chekuzivisa vashandi veMRI kuti uri kushandisa chigamba ichi.
- Kana muine mibvunzo kana zvinokunetsai, taurai nachiremba wenyu.
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