Ngaba ngamanye amaxesha uziva uxinezelekile okanye uxinezelekile esifubeni sakho xa unyuka izinyuko, udinwa kancinci, okanye uhamba ngokukhawuleza? Ngokwezonyango, le meko siyibiza ngokuba yintlungu ye-angina . Ngamafutshane, le ntlungu yenzeka xa intliziyo ingafumani umlinganiselo ofunekayo weoksijini. Ngoko ke, i-Isosorbide Mononitrate liyeza elicetyiswa rhoqo ngoogqirha kwaye abantu abaninzi balisebenzisa ukuthintela le ntlungu ye-angina. Namhlanje, siza kuthetha ngale mayeza abalulekileyo ngendlela elula kakhulu.
Luhlobo luni lweyeza i-Isosorbide Mononitrate?
I-Isosorbide Mononitrate liyeza elikudidi lwamayeza abizwa ngokuba yi-nitrate . Umsebenzi walo ophambili kukuthintela ukwenzeka kwentlungu yentliziyo, oko kukuthi, i-angina.
Cinga ngentliziyo yakho njengempompo esebenza ngokungayekiyo. Ukuba imithambo yegazi ethumela igazi kule mpompo imxinwa, ipompo kufuneka isebenze nzima. Kulapho ke kuvela khona intlungu. Ngoko ke eli yeza liyenzayo kukwandisa loo mithambo yegazi kancinci (yiphumze), lenze kube lula ukuba igazi lihambe. Emva koko umthwalo entliziyweni, oko kukuthi, ubungakanani bomsebenzi, uyancipha. Emva koko intlungu ye-angina nayo iyancipha.
Eyona nto ibalulekileyo: Eli yeza lisetyenziselwa "ukuthintela" iintlungu ze-angina, hayi "ukunciphisa iintlungu zequbuliso ngoko nangoko." Iindidi zamayeza anikwayo kwiintlungu zequbuliso zahlukile. Ngoko khumbula oku.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba ugqirha wakho akunike eli yeza, kukho izinto ezimbalwa ekufuneka uzazi. Kubaluleke kakhulu ukuba ukhuseleko lwakho luhlale lucacile ngezi zinto.
- Ukuba ukhe wahlaselwa yintliziyo okanye waphelelwa yintliziyo ngaphambili.
- Xelela ugqirha wakho ukuba une -allergy kwi-Isosorbide Mononitrate okanye nayiphi na enye i-nitrate. Kwakhona, xelela ugqirha wakho ukuba une-allergy kwamanye amayeza, ukutya, iidayi, okanye izithinteli.
- Ukuba ukhulelwe , okanye ulindele umntwana .
- Ukuba ungumama oncancisayo .
Ngokusekelwe kolu lwazi, ugqirha uya kugqiba ukuba eli yeza lifanelekile kuwe okanye akunjalo, okanye ukuba kufuneka kutshintshwe idosi.
Ndingayisebenzisa njani kanye kanye le yeza?
Oku kubaluleke kakhulu. Ukuze ufumane amayeza amaninzi, kufuneka uwasebenzise ngokuchanekileyo.
- Ginya le pilisi ngeglasi yamanzi.
- Musa ukuphula, ukutyumza, okanye ukuhlafuna ithebhulethi.Ezi ziipilisi ze-"Extended-Release" (ETU) . Oku kuthetha ukuba iyeza lenzelwe ukukhululwa emzimbeni ngokuhamba kwexesha. Ukuba uyaphula ipilisi, loo nkqubo iyalahleka.
- Sela amayeza akho kanye njengoko ugqirha wakho ekuyalele, ngexesha ugqirha wakho akuyalele ngalo. Ukuba uwasela kube kanye ngemini, zama ukuwasela ngexesha elifanayo yonke imihla.
- Nokuba uzive ungcono, ungayeki ukuthatha amayeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Eli yeza lingadinga ukhathalelo olukhethekileyo ukuba linikwa abantwana. Thetha nogqirha wakho ngale nto.
Kuthekani ukuba ngempazamo ndithathe amayeza amaninzi kakhulu?
Ukuba ucinga ukuba ngempazamo uthathe amayeza amaninzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele esikufutshane ngoko nangoko. Okanye, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo .
Khumbula, ugqirha ukunike eli yeza kuphela. Musa ukunika umhlobo wakho eli yeza kuba nje enengxaki efanayo.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyilibeleyo.
Ezinye izinto ezinokusebenzisana nale mithi (Intsebenziswano)
Oku kubaluleke kakhulu. Ukusela i-Isosorbide Mononitrate kunye namanye amayeza kunokuba nemiphumo emibi eyingozi. Ngoko ke qaphela oku.
| Uhlobo lweziyobisi | Inkcazo |
|---|---|
| Ungaze uthathe amagama anezi zinto! | |
| Amayeza e-ED | Amayeza afana ne-Avanafil, i-Sildenafil (i-Viagra), i-Tadalafil, kunye ne-Vardenafil. Ukuzithatha ezi zinto zimbini kunye kunokubangela uxinzelelo lwegazi oluphantsi ngendlela eyingozi. |
| I-Riociguat | Eli liyeza loxinzelelo lwegazi. Ukulisebenzisa kunye ne-Isosorbide kuyingozi kakhulu. |
| Lumka xa uhamba nazo. | |
| Amayeza oxinzelelo lwegazi oluphezulu | Ukuzisebenzisa kunye ezi zinto kunokunyusa isiyezi kunye noxinzelelo lwegazi oluphantsi. |
| Amanye amayeza e-angina okanye isifo sentliziyo | Sebenzisa kuphela njengoko ugqirha wakho ekuyalele. |
Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza emifuno, kunye nezongezo) , kunye nokuba uyatshaya okanye usela utywala.
Izinto ekufuneka ziqwalaselwe xa usebenzisa amayeza
- Ukudinwa: Usenokuziva unesizungu okanye unesizungu xa usebenzisa eli yeza. Kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani.
- Musa ukuvuka ngokukhawuleza: Ukuze unciphise isiyezi kunye nokuquleka, vuka kancinci xa uvuka ekuhlaleni okanye ulele. Lumka ngakumbi ngale nto ukuba umdala.
- Utywala: Ukusela utywala kunokunyusa isiyezi, ukurhawuzelela, kunye nokubetha kwentliziyo okunyukileyo. Ke ngoko, kukhuselekile ukuhlala kude notywala ngokupheleleyo ngelixa usebenzisa eli yeza.
- Amayeza ezinye izifo: Xa ukhwehlela, umkhuhlane, okanye uqaqanjelwa ngumzimba, musa ukuthenga amayeza kwikhemesti ngaphandle kokubonisana nogqirha wakho. Ezinye izithomalalisi zentlungu kunye nesiraphu zokukhwehlela zinokunyusa uxinzelelo lwakho lwegazi.
Iziphumo ebezingalindelekanga zeyeza
Njengayo nayiphi na imithi, le inokuba nemiphumo emibi. Makhe sijonge ukuba yintoni na.
| Ukuba ufumana ezi mpawu, bonana nogqirha ngokukhawuleza. | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Ukubetha kwentliziyo okucothayo | Ukudinwa, ukuquleka, ubunzima bokuphefumla, ukudinwa okungaqhelekanga. |
| I-angina eyandayo | Ukwanda kwentlungu, uxinzelelo, okanye ukuqina esifubeni, entanyeni, emqolo, okanye ezingalweni. |
| Iimpawu zeMethemoglobinemia | (Le yimeko apho igazi lingathwali ioksijini) - Intloko ebuhlungu kakhulu, ubuthathaka obungaqhelekanga, ubunzima bokuphefumla, isicaphucaphu, ukuhlanza, ukubetha kwentliziyo ngokukhawuleza, ulusu okanye imilebe eluhlaza okwesibhakabhaka. |
| Uxinzelelo oluphezulu olujikeleze ingqondo | Intloko ebuhlungu kakhulu, umbono ofipheleyo, utshintsho embonweni, isicaphucaphu, ukuhlanza. |
| Ezi zihlandlo azibalulekanga kangako, kodwa ukuba ziyaqhubeka, xelela ugqirha wakho. | |
| Isiyezi | Oku kunokuncipha njengoko umzimba uqhelana namayeza. |
| Intloko ebuhlungu | Ixhaphake kakhulu kwiintsuku zokuqala emva kokuqala iyeza. |
| Ukuhlanjwa ngamanzi | Ulusu lubomvu okanye luvakalelwa kukufudumala. |
Umyalezo Wokuya Ekhaya
- I-Isosorbide Mononitrate liyeza elithintela i-angina (iintlungu zesifuba), kungekhona iyeza eliphilisa iintlungu ezikhawulezileyo ngoko nangoko.
- Ungaze uyithathe le mithi kunye namayeza afana neSildenafil (Viagra), asetyenziselwa ukungasebenzi kakuhle ngokwesondo. Inokuba yingozi ebomini.
- Ginya le pilisi yonke ngaphandle kokuyiqhekeza, ukuyityumza, okanye ukuyihlafuna .
- Musa ukuyeka ukuthatha amayeza akho ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Njengoko kusenokubakho isiyezi xa usebenzisa iyeza, lumka xa usenza imisebenzi eyingozi efana nokuqhuba. Kuphephe ukusela utywala.
- Kubalulekile ukwazisa ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Iipilisi ze-Isosorbide Mononitrate / Imdur ziziyobisi ezisetyenziselwa ukunyanga isifo esinjani?
Le ayisiyo pilisi eqhelekileyo yesifo sentliziyo! Le yipilisi esebenza kakhulu (i-Nitrate vasodilator) enika ulawulo lwexesha elide lwe-angina pectoris, imeko eyenzeka xa intliziyo ingafumani gazi laneleyo kwaye ibangela iintlungu zesifuba ngaphambi kokuhlaselwa yintliziyo. 'Ukukhululwa Okubanzi' koku kuthetha ukuba xa uthatha ipilisi enye, iyeza elikuyo liyanyibilika emzimbeni (ngaphezulu kweeyure ezili-12-24) (Isebenza ixesha elide), ukuze ungafumani iintlungu zesifuba imini yonke.
💬 Xa uziva ukuba isifuba sakho sixinene/ukuhlaselwa yintliziyo, ungayilawula njani xa usela ezi pilisi (Isosorbide)?
Intlungu yesifuba iyenzeka kuba izihlunu zentliziyo ziyadinwa ngenxa yokungoneli kwegazi. Xa le pilisi ingena emzimbeni, ijika ibe yigesi yekhemikhali ebizwa ngokuba yi-'Nitric Oxide (NO)' emzimbeni. Kwangoko nje loo gesi ingena, yonke imithambo yegazi (ingakumbi inkqubo yemithambo yegazi) eza entliziyweni nekwindawo yonke yomzimba iyakhululeka/yande ngoko nangoko (iVasodilation). Emva koko, ubunzima/umthwalo intliziyo enawo wokupompa igazi uyanyamalala ngoko nangoko, ngoko ke intlungu yesifuba iyanyangeka ngoko nangoko.
💬 Yintoni ingozi ebulalayo (Isilumkiso seBlack Box) abantu abasebenzisa eli yeza (Imdur) abangafanele bayenze?
Ukuba usela le pilisi, ungaze uthathe iipilisi ezifana ne-'Viagra / Sildenafil / Cialis' ukuze uvuseleleke ngokwesondo ngaxeshanye/ngokuqhubekayo! Ukuba uzithatha kunye, yonke imithambo yegazi iya kwanda kakhulu kwaye uxinzelelo lwakho lwegazi luya kwehla luye kwi-zero (Fatal Hypotension) kwaye ungangena kwi-coma uze ufe! Ingxaki eqhelekileyo abanayo bonke abanye kukuba yenza intloko yakho ibe buhlungu ngokungathi iza kuqhuma (Severe Headaches).
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