Mumwe munhu mumhuri yako, pamwe baba vako kana sekuru vako, ari kutora mushonga wechirwere chemwoyo. Kune vanhu vakadaro, chiremba angangodaro akavapa piritsi diki rekuti vagare pasi perurimi rwavo pavanongoerekana vanzwa kurwadziwa muchipfuva kana kusimba, handiti? Nhasi tiri kutaura nezvemushonga unokosha zvikuru, kureva Nitroglycerin kana piritsi reGTN sezvatinoriziva tese. Kuziva mashandisirwo aro nemazvo kunogona kubatsira kuponesa hupenyu hwako nehupenyu hwevadikani vako.
Chii chaizvo chinonzi GTN (Nitroglycerin)?
Muchidimbu, uyu mushonga unopiwa kurapa nekudzivirira chirwere chinonzi angina. Angina ikurwadziwa kukuru kwechipfuva kunoitika kana moyo usingawani ropa rakakwana, kana kuti oxygen, kuti ushande.
Funga nezvemwoyo wedu sepombi inoshanda nguva dzose. Kana mitsipa yeropa inotakura ropa kuenda kupombi iyi ikava diki, mwoyo unofanirwa kushanda nesimba. Mapiritsi eGTN anozorodza mitsipa yeropa mumoyo nemumuviri, zvichiita kuti zvive nyore kuti ropa rifambe. Izvi zvinoderedza basa remwoyo. Uyu mushonga uri muboka remishonga inonzi nitrates.
Zvinhu zvekuudza chiremba wako usati washandisa mushonga uyu
Zvakakosha kuzivisa chiremba wako kana uine chimwe chezvirwere izvi usati wanyora mushonga uyu, sezvo kushandisa mushonga uyu kune mamwe mamiriro ehutano kunogona kuva nengozi.
- Kana uine anemia .
- Kana wakambokuvara musoro, wakakuvara musoro, wakarohwa nestroke, kana kuti wakabuda ropa muuropi munguva pfupi yapfuura.
- Kana uine chirwere chechiropa .
- Kana wakamborwara nemoyo kare.
- Kana uine allergy kana ukashandisa nitroglycerin kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vari kuyamwisa .
Zvakakosha zvikuru kuti muve vakachengeteka kuudza chiremba wenyu ruzivo urwu nokutendeka.
Ndeipi nzira chaiyo yekushandisa piritsi iri?
Ichi ndicho chinhu chakakosha zvikuru. Kuti uwane zvakawanda kubva pamushonga uyu, unofanira kuushandisa nemazvo.
1. Gara pasi: Gara pasi kana kurara zvakanaka usati watora mushonga. Izvi zvinogona kubatsira kudzivirira kudonha nekuda kwedzungu rinokonzerwa nemushonga.
2. Isa pasi perurimi: Piritsi iri harifanirwe kumedzwa nemvura. Tora piritsi woriisa pasi perurimi worega richinyunguduka.Izvi zvinonyungudika nekukurumidza kana uine mate mumuromo mako. Kana ukaamedza netsaona, chengeta rimwe piritsi pasi perurimi rwako.
3. Nguva yekushandisa:
- Isa piritsi rimwe pasi perurimi rwako kana wangonzwa kurwadziwa muchipfuva, kusimba, kana kusimba (angina).
- Uyewo, piritsi iri rinogona kushandiswa maminetsi mashanu kusvika gumi usati waita chimwe chinhu chinogona kukonzera kurwadziwa muchipfuva (semuenzaniso, kurovedza muviri, kukwira masitepisi, kuita zvepabonde).
4. Nguva yekumirira: Usadye, usanwe, usasvuta, kana kutsenga fodya piritsi riri pasi perurimi rwako.
Zvekuita kana paine emergency
Izvi zvakakosha zvikuru, yeuka zvakanaka.
- Unofanira kunzwa zororo mukati memaminitsi mashanu kubva pakuisa piritsi rekutanga pasi perurimi rwako.
- Kana kurwadziwa kukasapera mushure memaminitsi mashanu , isa rimwe piritsi pasi perurimi rwako.
- Nenzira iyi, unogona kunwa piritsi rimwe chete mumaminitsi mashanu ega ega, kusvika pamapiritsi matatu (nguva yese maminetsi gumi nemashanu).
- Zvakakosha: Kana kurwadziwa kusingaderere mushure mekunwa piritsi rekutanga kana kuti kana kurwadziwa kwacho kuchiratidza kunge kuri kuwedzera, usamirira kunwa rimwe piritsi wobva wafonera 1990 kuti utore amburenzi kana kuti mumwe munhu ari pedyo aende kuchipatara cheEmergency Department (ETU). Izvi zvinogona kuva chiratidzo chechirwere chemwoyo.
Kana ukatora mushonga uyu wakawandisa netsaona, fonera National Poisons Information Centre kuColombo National Hospital nekukasika kana kuenda kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
Mishonga isingafaniri kushandiswa pamwe chete nemushonga uyu uye yaunofanira kungwarira nayo
Iyi inyaya yekuchengetedza hupenyu. Kutora mimwe mishonga neGTN kune njodzi huru.
| Dzivisa kushandisa GTN (Nitroglycerin) pamwe chete nemushonga uyu. | |
|---|---|
| Mishonga yekurapa kusagadzikana pabonde | Mishonga yakaita seSildenafil, Tadalafil, naVardenafil (inowanikwa nemazita akasiyana pamusika) inogona kukonzera kuderera kweropa zvakanyanya kana ikatorwa pamwe chete. |
| Mimwe mishonga yekurwadziwa kwemusoro | Mishonga yakaita seErgotamine neDihydroergotamine (DHE). |
| Riociguat | Mushonga weBP yemapapu. |
| Kana ukashandisa izvi, taura nachiremba wako. | |
| Mimwe mishonga | Mishonga yakaita seaspirin, heparin, mimwe mishonga yeBP, mishonga yekudzora kushushikana kwepfungwa, uye phenothiazines. |
Udza chiremba wako nezvemishonga yese, mavhitamini, uye mishonga yemiti yauri kutora.
Zvinhu zvekungwarira pakushandisa mushonga
- Gara uchigara newe: Uyu mushonga waungade kana paine dambudziko, saka tora nawo kwese kwaunoenda.
- Dzungu: Unogona kunzwa dzungu kana kusuruvara mushure mekutora mushonga uyu. Ndosaka zvichikurudzirwa kuushandisa wakagara kana kurara pasi. Kana uchinzwa dzungu, tora mweya wakadzika zvishoma, simudza makumbo ako, worara pasi.
- Kumira nekugara: Kunyanya kana wakwegura, usamira kana kugara pasi panguva imwe chete. Izvi zvinoderedza njodzi yekufenda nekudonha.
- Doro: Kunwa doro kunogona kuwedzera hope nedzungu. Saka dzivisa doro.
- Mishonga yemamwe matambudziko: Bvunza chiremba wako usati watora mishonga yekukosora, dzihwa, kana yekurwadziwa usingabhadhariswi nechiremba paunenge uchitora mushonga uyu. Mimwe mishonga inogona kuwedzera BP yako.
Migumisiro inogona kuitika nekuda kwemishonga
Kufanana nemushonga upi zvawo, uyu unogona kukonzera mimwe migumisiro yakaipa.
| Migumisiro yakakomba inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kurwara | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kuderera kweropa | Dzungu rakakomba, kuona zvisipo, uye kusuruvara. |
| Kurova kwemoyo kunononoka | Kufenda, kuoma kufema, kushaya simba kusingawanzoitiki. |
| Kuwedzera kwekurwadziwa kwechipfuva | Kurwadziwa kana kuomarara kuri kuwedzera muchipfuva, mutsipa, musana, kana maoko. |
| Zviratidzo zve methemoglobinemia | Musoro wakakomba, kushaya simba kusingawanzoitiki, kunetseka kufema, kuda kurutsa, kurova kwemoyo nekukurumidza, ganda rebhuruu kana miromo. |
| Migumisiro isingawanzoitiki yekunetseka nezvayo, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo | |
| Musoro | Ichi chinhu chinowanzoonekwa. |
| Dzungu/vertigo | Zvinogona kuitika kunyanya kana wakamira. |
| Kushambadza | Kutsvuka uye kunzwa kupisa pachiso nepamutsipa. |
Ndingachengeta sei mushonga uyu?
- Chengeta panzvimbo yakachengeteka iri kure nevana.
- Chengeta patembiricha yemumba (pakati pe20-25 Celsius).
- Chengeta mubhodhoro rayo rekutanga, rakadzivirirwa kubva kuchiedza nehunyoro, uye rakavharwa zvakasimba.
- Rasa mushonga wese wasara mushure mezuva rekupera kwekushandiswa.
Mharidzo Yekuenda Nayo Kumba
- GTN (Nitroglycerin) mushonga unoponesa hupenyu unopiwa pakurwadziwa kwechipfuva kamwe kamwe (angina).
- Gara uchiisa piritsi iri pasi perurimi rwako worega richinyunguduka. Usamborimedza nemvura.
- Gara pasi kana kurara pasi paunenge uchishandisa mushonga.
- Kana pasina zororo mukati memaminitsi mashanu kubva pakutora piritsi rekutanga kana kana kurwadziwa kukawedzera, enda kuchipatara kuEmergency Department (ETU) nekukasika.
- Usamboshandisa GTN pamwe chete nemishonga inoderedza simba rekusvuta (yakadai seSildenafil). Zvine njodzi huru muhupenyu.
- Udza chiremba wako nezvemishonga yese yauri kutora.
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