Chiremba wako akambokupa here kana mumwe munhu wemumhuri mako mushonga mudiki wekushandisa kana uchinzwa kurwadziwa mumoyo mako? Ungangove wakakurudzirwa kuupfapfaidza pasi perurimi rwako kana uchinzwa kusimba kwechipfuva kana kurwadziwa. Tinowanzoti uyu mushonga weGTN. Kunyangwe vanhu vazhinji vachiushandisa, havazivi kuti ungaushandisa sei, kuti ungaushandise sei, uye kuti ndeapi mishonga isingafaniri kunwiwa nawo. Saka, nhasi tichataura nezve mushonga uyu unokosha weGTN nenzira iri nyore yaunogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi GTN spray (Nitroglycerin) iyi?
Uyu mushonga unopiwa kudzora nekudzivirira angina , chirwere chinoitika muchipfuva kana paine emergency. Kutaura chokwadi, unoshanda nekuwedzera tsinga dzeropa dzinopa ropa kumoyo wako uye kudzizorodza. Izvi zvinoita kuti zvive nyore kuti ropa riyerere kumoyo, uye basa remoyo rinodzikira. Kana basa remoyo radzikira nenzira iyi, kurwadziwa kwechipfuva kunoderedzawo nekukurumidza. Mushonga uyu ndeweboka remishonga inonzi nitrates .
Zvinhu zvaunofanira kuudza chiremba wako usati washandisa mushonga uyu
Kana uine chimwe chezvirwere izvi, unofanira kuzivisa chiremba wako usati washandisa mushonga uyu.
- Kana uine chirwere chechiropa .
- Kana wakamborwara nemoyo munguva pfupi yapfuura .
- Kana uine allergy kana ukashandisa nitroglycerin, mimwe mishonga, chikafu, kana madhayi echikafu.
- Kana uine pamuviri , uchiedza kubata pamuviri , kana kuti uchiyamwisa .
Ruzivo urwu rwakakosha zvikuru pakuchengetedza kwako, saka udza chiremba usingavanzi chero chinhu.
Aya ndiwo mashandisirwo emashandisirwo emapfapfaidzo aya nemazvo:
Chikamu chino chakakosha zvikuru. Ndapota chiverengei nokungwarira.
Iyi spray ndeyekunwa chete. Inofanira kushandiswa nekukurumidza kana marwadzo echipfuva atanga. Inogona zvakare kushandiswa maminetsi mashanu kusvika gumi usati waita chimwe chinhu chaunofunga kuti chingakonzera kurwadziwa kwechipfuva (semuenzaniso, kukwira masitepisi).
Nzira chaiyo yekushandisa:
1. Gara pasi: Zvakakosha kugara pasi uchinwa mushonga uyu, nekuti dzimwe nguva unogona kunzwa dzungu.
2. Gadzirira: Bvisa chivharo chepurasitiki pamusoro pebhodhoro. Usazunza bhodhoro.
3. Kushandisa Kekutanga (Priming): Kana uri kushandisa izvi kekutanga, unofanira kuishandisa. Kuti uite izvi, bata bhodhoro rakamira woripfapfaidza kanenge kashanu mumhepo, kure newe. Usarifeme.
4.Kudzoreredza mushonga: Kana usati washandisa mushonga uyu kwemavhiki matanhatu, unofanira kuupfapfaidza mumhepo zvakare usati washandisa.
5. Kupfapfaidza: Bata bhodhoro rakamira wopfapfaidza parurimi rwako kana pasi parwo.
6. Mushure mekushandisa: Usafeme mukati paunenge uchipfapfaidza. Vhara muromo wako mushure mekupfapfaidza, asi usamedze kana kusuka muromo wako. Ipa mushonga nguva yekunwa.
Zvekuita kana paine emergency (mutemo wemaminitsi gumi nemashanu)
- Unofanira kunzwa zororo mukati memaminitsi mashanu mushure mekutora mushonga wekutanga.
- Kana usinganzwe zororo, unogona kutora imwe dose mumaminitsi mashanu.
- Nenzira iyi, unogona kutora kusvika padanho repamusoro remadosi matatu mumaminitsi mashanu ega ega.
Zvakakosha: Kana usinganzwe zviri nani mushure mekutora mushonga wekutanga, kana kuti uchinzwa kuti mamiriro ako ari kuipa, enda kuchipatara nekukurumidza kana kufonera amburenzi ye1990. Usambofa watora mishonga inopfuura mitatu mukati memaminitsi gumi nemashanu.
Ko kana ndikatora mushonga wakawandisa?
Kana uchifunga kuti watora mushonga uyu wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Mishonga isingafaniri kutorwa nepfapfaidzo iyi
Iri ipfungwa imwe inoponesa hupenyu. GTN spray inogona kupindirana nemimwe mishonga yokonzera kudzikira kweBP.
| Rudzi rwemishonga | Mienzaniso netsananguro |
|---|---|
| Mishonga yeKusashanda zvakanaka kweSimba reKubereka | Mishonga yakaita seSildenafil, Tadalafil, Vardenafil (iyo inogona kutengeswa nemazita akasiyana) ine njodzi huru kunwiwa neGTN. |
| Mimwe mishonga yekurwadziwa kwemusoro | Mishonga yakaita seErgotamine neDihydroergotamine (DHE). |
| Riociguat | Mushonga unokosha weBP yemapapu. |
| Mishonga yeBP yakakwira | Izvi zvinogonawo kukanganisa mimwe mishonga yeBP. |
Zvakakosha zvikuru kuudza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora. Izvi zvinogona kubatsira kudzivirira njodzi dzisina kukodzera.
Paunenge uchishandisa GTN spray, ziva zvinhu izvi:
- Gara uchigara newe: Iyi spray yakafanana neshamwari yako inoponesa hupenyu. Saka gara uine iwe nguva dzese.
- Gara wakadzikama: Kana uchirwadziwa pachipfuva, usavhunduke, gara pasi, wonwa mushonga wako wakadzikama. Izvi zvichakubatsira kuti upore nekukurumidza.
- Mishonga yedzungu: Kana uchinzwa dzungu, tora mweya wakadzika zvishoma worara pasi makumbo ako akasimudzwa. Kana kuti gara pachigaro wozorora musoro wako pakati pemabvi ako.
- Mabasa anoda kutarisirwa: Unganzwa hope uye dzungu. Saka , usaite mabasa ane njodzi akadai sekutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei.
- Usamira kamwe kamwe: Kunyanya kana wakwegura, usamira kana kugara pasi kamwe kamwe. Izvi zvinoderedza mukana wekufenda nekudonha.
- Doro: Kunwa mushonga uyu nedoro kunogona kuwedzera hope nedzungu. Saka , dzivisa doro zvachose.
- Mimwe mishonga: Usatore mishonga yekukosora, dzihwa, kana yekurwadziwa usingabhadharise chiremba wako usati watanga wabvunza chiremba wako. Mimwe mishonga inogona kuwedzera BP yako.
Migumisiro inogona kuitika yemushonga
| Rudzi rwemhedzisiro yakaipa | Hunhu |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Methemoglobinemia (chirwere apo mwero weokisijeni muropa uri pasi) | Musoro usingawanzoonekwi, kushaya simba, kuoma kufema, kuda kurutsa, kurova kwemoyo nekukurumidza, ganda rebhuruu kana miromo. |
| Kuwedzera kumanikidzwa kwakakomberedza uropi | Musoro wakanyanya, kuona zvisipo, kuchinja kwemaonero, kuda kurutsa, kurutsa. |
| Kuderera kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Kurova kwemoyo kunononoka | Dzungu, kupera simba, kuvhiringidzika, kunetseka kufema. |
| Kuwedzera kwekurwadziwa kwechipfuva (angina) | Kurwadziwa kana kuomarara kuri kuwedzera muchipfuva, mutsipa, musana, kana maoko. |
| Zvinhu zvekuudza chiremba wako kana kazhinji zvisiri zvekukosha, asi zvichiramba | |
| Musoro | Iyi imhedzisiro yakajairika. |
| Dzungu | Zvinoitika kana wangotora mushonga wobva wadzikira mushure mechinguva. |
| Kushambadza | Izvi zvinokonzerwa nekuwedzera kweropa rinosvika paganda. |
Munochengeta sei mushonga uyu?
- Chengeta kure nevana .
- Chengeta patembiricha yemumba (pakati pe15 ne30 degrees Celsius).
- Usapfapfaidza bhodhoro pedyo nemoto wakavhurika. Usarivhure nesimba kana kurikanda mumoto.
- Rasa kana rapera.
Mharidzo Yekuenda Nayo Kumba
- GTN spray inoshandiswa pakurwadziwa kwechipfuva kamwe kamwe (angina), kwete semushonga wezuva nezuva.
- Gara pasi nguva dzose paunenge uchitora mushonga. Kana kurwadziwa kwechipfuva kukasapera mushure memushonga wekutanga kana kuti zvikanyanya kuipa, enda kuchipatara nekukasika.
- Usambofa watora madosi anopfuura matatu mukati memaminitsi gumi nemashanu.
- Zvine njodzi huru kushandisa izvi pamwe chete nemishonga yekurapa kusagadzikana pabonde (senge Sildenafil).
- Udza chiremba wako nezvemishonga yese yaunotora. Kana uine mibvunzo, usatya kubvunza chiremba wako.
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