Fungidzira kuti mumwe munhu ari pedyo newe angoerekana abatwa neBP yakakwira, kana kuti chirwere chemwoyo uye opinda muchipatara. Ipapo ungangove wakanzwa nezvemushonga unokosha unopihwa navanachiremba kuburikidza nemushonga wesaline semushonga wekukurumidzira. Nitroprusside mushonga unokosha zvikuru unoshandiswa muzviitiko zvakadaro. Uyu hausi mushonga wekushandisa kumba, asi jekiseni rakakosha rinongopihwa pasi pekutarisirwa kwakasimba muchipatara. Saka nhasi, ngatitaurei nezvemushonga uyu zvakadzama uye zviri nyore.
Chii chaizvo chinoitika nemushonga uyu?
Muchidimbu, Nitroprusside mushonga uri muboka remishonga inonzi vasodilators . Izwi rekuti 'vasodilator' rinogona kunzwika sedambudziko guru, asi zvarinoreva zviri nyore. Zvinoitwa nemushonga uyu kukudza mitsipa yeropa mumuviri wedu nekuizorodza.
Fungidzira kuti kana pombi yemvura yavharika zvishoma, kana ukaiwedzera, mvura inoyerera zviri nyore pasina kumanikidzwa, handiti? Ndizvo zvinoitikawo pano. Kana tsinga dzeropa dzichikura, pane mukana wakawanda wekuti ropa riyerere. Nekuda kweizvi, BP yakakwira zvakanyanya inodonha nekukurumidza. Uyewo, kushanda nesimba kwemoyo pakupomba ropa kunodzikira zvikuru.
Nezvikonzero izvi, vanachiremba vanoshandisa mushonga uyu kunyanya mumamiriro maviri:
- Dzora dambudziko guru reBP/BP .
- Deredza kushushikana kwemoyo kana paine matambudziko emwoyo akakomba .
Zvinhu zvakakosha zvekuudza chiremba wako usati wapa mushonga uyu
Kunyangwe uyu uri mushonga unopihwa muchipatara, zvakakosha kuti chiremba azive nhoroondo yako kana yemurwere. Unofanira kuzivisa chiremba kana uine chimwe chezvirwere zvinotevera:
- Zvimwe zvirwere zvaunazvo, kunyanya:
- Dambudziko reziso
- Kukuvara kwemusoro kwakamboitika
- Zvimwe zvirwere zvemwoyo
- Chirwere cheitsvo
- Chirwere chechiropa
- Anemia / masero matsvuku eropa mashoma
- Kana uine allergies kune nitroprusside kana chero imwe mishonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri .
- Kana uri amai vanoyamwisa .
Zvichibva paruzivo urwu, chiremba ndiye achasarudza kuti okupa mushonga uyu here kana kuti kwete, kana kuti oupa sei.
Ndingashandisa sei mushonga uyu uye chii chinoitika kana ndikashandisa zvinodhaka zvakanyanya?
Uyu hausi mushonga waunogona kutora kumba.Uyu mushonga unopihwa kuburikidza nesaline infusion mutsinga. Unopihwa chete munzvimbo dzakadai seyuniti inochengetedza varwere zvakanyanya muchipatara kana kiriniki, nachiremba kana vashandi vakadzidziswa vekuchengeta varwere. Vacharamba vachiongorora zvinhu zvakaita seBP yako uye kurova kwemoyo.
Unoipa vana here?
Mushonga uyu unogona kupihwa kuvana vadiki, kunyangwe vacheche, mune dzimwe nguva dzakakosha. Asi sarudzo yacho inotorwa nachiremba wevana. Saka, kana ukapihwa kumwana, pane matanho akakosha ekudzivirira.
Kupfuura mwero
Sezvo izvi zvichipiwa nokungwarira muchipatara, mukana wekunwa mushonga wakawandisa wakaderera. Zvisinei, kana uchifungidzira kuti watora mushonga wakawandisa, unofanira kuzivisa vashandi vekurapa nekukasika. Kazhinji, kana paine chepfu, tinoti fonera National Poisons Information Centre paColombo National Hospital . Zvisinei, kana paine chimwe chinhu muchipatara chakadai, zvakakosha kuzivisa Emergency Treatment Unit (ETU) kana vashandi vekurapa vewadhi yakakodzera zvakananga.
Mimwe mishonga inogona kushanda pamwe chete nemushonga uyu
Chinonyanya kukosha: Ipa chiremba wako runyoro rwakajeka rwemishonga yese yaunotora (yakanyorerwa nevamwe vanachiremba, inotengeswa kunze kwemutero, yechivanhu, mavitamini, zvigadzirwa zvemiti). Vaudzewo kana uchisvuta kana kunwa doro. Zvimwe zvinhu zvinogona kukanganisa mushonga uyu.
Kunyanya, Nitroprusside inogona kusangana nemishonga inotevera:
- Mimwe mishonga inoshandiswa pakurapa kusagadzikana pabonde (semuenzaniso Sildenafil, Tadalafil)
- Riociguat (mushonga weBP yemapapu)
- Mimwe mishonga yekurapa BP, chirwere chemwoyo, uye kurova kwemoyo kusina kurongeka
- Mishonga inorwisa marwadzo inoshandiswa panguva yekuvhiyiwa
Ndezvipi migumisiro inogona kuonekwa?
Kufanana nemushonga upi zvawo, Nitroprusside inogona kukonzera mimwe migumisiro yakaipa. Mimwe yacho inofanira kutaurwa nekukasika, asi mimwe haisi yakanyanya kuipa.
| Mhedzisiro yedivi | Tsananguro |
|---|---|
| Zvinhu zvekutaurira chiremba/vashandi vevakoti nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwemiromo/rurimi/kumeso. |
| Zviratidzo zvekuwedzera kweacidity muropa (Acidosis) | Kufema kwakanyanya, kurova kwemoyo nekukurumidza, musoro unotemwa nemusoro, kuvhiringidzika, kuneta kwakanyanya, kuda kurutsa, kurutsa. |
| Zviratidzo zveBP yakaderera zvikuru | Dzungu rakakomba, kunzwa sekunge maziso ako ari kuita bhuruu, kunzwa sekunge wava kuda kudonha, kushaya simba kwakanyanya. |
| Zviratidzo zve methemoglobinemia | Ganda rakachenuruka, grey, kana bhuruu, musoro, kurova kwemoyo nekukurumidza, kushaya mweya, kuneta. |
| Kazhinji hapana chekunetseka nacho, asi kana zvikaramba zviripo, zvinhu zvekuzvitaura | |
| Kuchenesa kumeso | Chiso chinonzwa kupisa uye chinoshanduka kuva chitsvuku. |
| Marwadzo panzvimbo yekubaiwa jekiseni | Marwadzo, kutsvuka, kana kuzvimba kwakapihwa jekiseni. |
Chimwe chinhu chekungwarira pakupa mushonga...
Nekuti mushonga uyu unoderedza BP, unogona kunzwa dzungu . Saka, usamuka kubva panzvimbo yawakagara kana kubuda pamubhedha kamwe kamwe. Kuita izvi kunogona kuwedzera dzungu uye kukukonzera kudonha. Chenjerera zvakanyanya nezveizvi, kunyanya kana wakwegura.
Mharidzo Yekuenda Nayo Kumba
- Nitroprusside mushonga unopiwa netsinga muchipatara kudzora BP yakakwira uye mamwe matambudziko emwoyo munguva dzenjodzi.
- Izvi zvinokudza mitsipa yeropa uye zvinoderedza basa remwoyo.
- Iva nechokwadi chekuudza chiremba wako nezvezvimwe zvirwere zvaunazvo, mishonga yese yaunotora, uye chero allergies yaunayo.
- Chenjerera kana wakamira kana kugara pasi, sezvo dzungu rinogona kuitika kana wapiwa mushonga.
- Kana ukasangana nematambudziko akakomba akadai semapundu paganda, kunetseka kufema, kana dzungu rakanyanya, zivisa vashandi vekurapa nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba ari kukurapai.
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