Masifunde nge-Nitroglycerin Injection enikwayo xa kukho isifo sentliziyo?

Ngaba wakha weva ngeyeza elikhethekileyo elinikwa umntu oneentlungu zesifuba ngequbuliso okanye oxinzelelo lwegazi oluphezulu kangangokuba kufuneka asiwe esibhedlele? I-Nitroglycerin yinaliti esindisa ubomi esetyenziswa kwiimeko ezinje. Makhe sithethe ngayo ngokweenkcukacha namhlanje, kuba kubaluleke kakhulu ukuba wonke umntu azi ngale nto.

Lithini eli yeza libizwa ngokuba yi-nitroglycerin? Ngamafutshane...

I-Nitroglycerin liyeza elisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kakhulu kunye nokusilela kwentliziyo, njengokuhlaselwa yintliziyo . Likwasetyenziselwa ukunyanga iintlungu zesifuba, okwaziwa ngokuba yi-angina .

Cinga ngemithambo yegazi emizimbeni yethu njengemibhobho ethwala amanzi. Eli yeza lenza ukuba imithambo yegazi ikhululeke kancinci, nto leyo ethetha ukuphumza imithambo yegazi . Oku kuvumela igazi ukuba lihambe lula, nto leyo enciphisa uxinzelelo lwegazi . Kwakhona kunciphisa umsebenzi ekufuneka wenziwe yintliziyo ukupompa igazi. Eli licandelo lamayeza abizwa ngokuba yi-nitrate.

Ngamanye amaxesha oogqirha banokusebenzisa eli yeza nakwezinye iimeko. Ngoko ke ukuba unemibuzo, kungcono ukubuza ugqirha wakho okanye ingcali yezemithi. Eli yeza ngamanye amaxesha lifumaneka phantsi kwamagama eempawu ezifana neNitronal okanye iTridil.

Zeziphi izinto ekufuneka uzixelele iqela lakho lezempilo ngaphambi kokuba usebenzise eli yeza?

Ngaphambi kokuba unikwe le injection ye-nitroglycerin, kubaluleke kakhulu ukuba ugqirha okanye umongikazi ayazi imbali yakho epheleleyo yezonyango. Qiniseka ukuba ubaxelela oku kulandelayo:

• Ukuba une -anemia : Oku kuthetha ukuba kukho ukunqongophala kwegazi emzimbeni.
• Ukuba ukhe wenzakala entloko, wakha wahlaselwa sistroke kutshanje, okanye wopha igazi engqondweni.
• Ukuba unesifo sentliziyo : Oko kuthetha ukuba ukuba sele usebenzisa amayeza esifo sentliziyo, kulungile.
• Ukuba unesifo sesibindi .
• Ukuba une-allergy kwi-nitroglycerin, eminye imithi, ukutya, iidayi, okanye izithinteli zokuguga. Oku kubaluleke kakhulu!
• Ukuba ukhulelwe, okanye uzama ukukhulelwa.
• Ukuba uncancisa.

Kuphela ngokuchaza ezi nyaniso ngokuchanekileyo apho oogqirha baya kukwazi ukukunyanga ngokukhuselekileyo.

Eli yeza linikwa njani emzimbeni?

Olu luhlaselo olufakwa ngemithambo yegazi, oko kuthetha ukuba lufakwa emthanjeni . Ludla ngokunikezelwa esibhedlele okanye eklinikhi kuphela. Oko kuthetha ukuba phantsi kweliso likagqirha okanye umongikazi oqeqeshiweyo.

Kubalulekile: Eli yeza lelakho wedwa. Ungaze ulinike omnye umntu. Kwakhona, eli ayiloyeza olisebenzisa rhoqo ekhaya.

Ukuba unika abantwana abancinci eli yeza, kufuneka uxoxe ngalo nogqirha wakho. Nangona linikwa kwezinye iimeko ezithile, kukho amanyathelo okhuseleko asebenzayo.

Ukugqithisa amayeza: Ukuba ucinga ukuba usele amayeza amaninzi kakhulu, oko kukuthi, ukugqithisa amayeza, fowunela iziko lolawulo lwetyhefu okanye igumbi longxamiseko ngokukhawuleza.

Kuthekani ukuba ndiphoswa yidosi? Oku akusoloko kusebenza. Oku kungenxa yokuba eli asiloyeza elisetyenziswa rhoqo, kodwa liyeza likaxakeka.

Ngawaphi amanye amayeza anokuchaphazela i-nitroglycerin?

Le yinto ekufuneka uyilumkele kakhulu . Kukho amayeza anokuba nemiphumo emibi kakhulu xa esetyenziswa ne-nitroglycerin.

Ungaze uthathe i-nitroglycerin kunye nala mayeza:

• Amanye amayeza asetyenziselwa i-migraines: umzekelo, i-ergotamine kunye ne-dihydroergotamine (DHE).
• Amayeza okungasebenzi kakuhle kwe-erectile: Umzekelo, i-sildenafil, i-tadalafil, kunye ne-vardenafil. Ukusela la mayeza kunokubangela uxinzelelo lwegazi oluphantsi kakhulu, nto leyo enokuba yingozi.
• Iyeza elibizwa ngokuba yiRiociguat .

La mayeza anokusebenzisana ne-nitroglycerin:

• I-Alteplase
• I-aspirin
• I-Heparin
• Amanye amayeza oxinzelelo lwegazi oluphezulu
• Amayeza okudakumba kwengqondo
• Amanye amayeza e-angina
• IiPhenothiazines: Umzekelo, i-chlorpromazine, i-mesoridazine, i-prochlorperazine, i-thioridazine.

Olu luhlu alubandakanyi zonke iindlela onokuthi usebenzise ngayo amayeza. Ngoko ke, xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini, amayeza esintu, amayeza athengiswa ngaphandle kwemvume kagqirha, kunye nezongezo zokutya) . Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa iziyobisi ezingekho mthethweni. Ezinye zezi zinto zinokusebenzisana nalo mayeza.

Zeziphi izinto ezikhethekileyo ekufuneka uzilumkele xa usebenzisa eli yeza?

Xa unikwa le injection ye-nitroglycerin, imeko yakho iya kuhlolwa ngononophelo ngoogqirha kunye nabasebenzi babongikazi.

• Usenokuziva ulele okanye unesizungu . Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani.
• Musa ukuma okanye ukuhlala ngequbuliso , ingakumbi ukuba sele ukhulile. Ukwenza njalo kunokunciphisa umngcipheko wokuba nesiyezi nokuwa.
• Kuphephe ukusela utywala . Utywala bunokukwenza ulale kwaye ube nesiyezi.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, i-nitroglycerin inokubangela ezinye iziphumo ebezingalindelekanga, kodwa ayinguye wonke umntu ozifumanayo.

Ukuba kukho into efana nale eyenzekayo, xelela iqela lezonyango ngoko nangoko:

• Iimpendulo ze-allergy: ukurhawuzelela kwesikhumba, ukurhawuzelela, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, okanye umqala.
• Iimpawu zesifo esibizwa ngokuba yi-methemoglobinemia: Kulapho amandla egazi okuthwala ioksijini ehla khona. Iimpawu ziquka: intloko ebuhlungu, ubuthathaka obungaqhelekanga, ukudinwa, ukuphefumla kancinci, isicaphucaphu, ukuhlanza, ukubetha kwentliziyo ngokukhawuleza, kunye nolusu okanye imilebe eluhlaza okwesibhakabhaka.
• Uxinzelelo oluphezulu olujikeleze ingqondo: Intloko ebuhlungu kakhulu, umbono ofipheleyo, utshintsho embonweni, isicaphucaphu, ukuhlanza.
• Uxinzelelo lwegazi oluphantsi: Ukuba nesiyezi, ukuquleka, ukubona izinto ezingaqondakaliyo.
• Ukubetha kwentliziyo okucothayo : isiyezi, ukuquleka, ukudideka, ubunzima bokuphefumla, ubuthathaka obungaqhelekanga.
• Intlungu yesifuba (i-angina) iya isiba mandundu: Intlungu okanye ukuxinana esifubeni, entanyeni, emqolo, okanye ezingalweni.

Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa ekufuneka zixelwe kugqirha wakho ukuba ziyaqhubeka kwaye ziyakhathaza:

• Isiyezi
• Ububomvu bobuso, ukurhawuzelela
• Intloko ebuhlungu

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ubona nantoni na engaqhelekanga, thetha nogqirha wakho. Ungaxela ezi ziphumo ebezingalindelekanga kwi-FDA (Food and Drug Administration) ku-1-800-FDA-1088.

Uligcina njani eli yeza?

Eli asiloyeza onokulithatha ekhaya. Linikwa esibhedlele okanye eklinikhi kuphela . Ngoko ke akufuneki uligcine ekhaya.

Eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ndiyathemba ukuba ungakhumbula izinto ezimbalwa ezibalulekileyo kwinto esithethe ngayo ngenaliti ye-nitroglycerin.

Ngamafutshane, eli lingaba liyeza elisindisa ubomi elisetyenziswa kwiimeko ezingxamisekileyo, ingakumbi kwiingxaki zentliziyo kunye noxinzelelo lwegazi oluphezulu.

• Oku kwenziwa phantsi kweliso likagqirha, esibhedlele.
• Kubaluleke kakhulu ukuxelela ugqirha wakho ngezinye izifo onazo kunye nezinye amayeza owasebenzisayo.
• Ukusebenzisa oku kunye namanye amayeza kunokuba yingozi kakhulu , ngoko ke qaphela loo nto.
• Qaphela iziphumo ebezingalindelekanga , kwaye ukuba ubona nantoni na engaqhelekanga, xelela iqela lakho lezonyango ngoko nangoko.

Ndiyathemba ukuba olu lwazi luza kukunceda. Khumbula rhoqo, ukuba unemibuzo malunga nempilo yakho, kungcono ukubonana nogqirha.

I- Nitroglycerin, uhlaselo lwentliziyo, i-angina, uxinzelelo lwegazi oluphezulu, ii-nitrate, unyango olungxamisekileyo, ugonyo