Khawuthelekelele ukuba umntu osondeleyo kuwe ngequbuliso uba noxinzelelo lwegazi oluphezulu kakhulu, okanye ungxamiseko lwentliziyo aze alaliswe esibhedlele. Ngoko usenokuba uvile ngeyeza elikhethekileyo elinikwa ngoogqirha ngesisombululo setyuwa njengonyango olungxamisekileyo. I-Nitroprusside liyeza elibaluleke kakhulu elisetyenziswa kwiimeko ezinjalo. Eli asiloyeza lokusetyenziswa ekhaya, kodwa liyeza elikhethekileyo elinikwa kuphela phantsi kweliso elingqongqo esibhedlele. Ke namhlanje, masithethe ngeli yeza ngokweenkcukacha ezithe vetshe nangokulula.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, iNitroprusside liyeza elikudidi lwamayeza abizwa ngokuba yivasodilators . Igama elithi 'vasodilator' lisenokuvakala ngathi yinto enkulu, kodwa intsingiselo yalo ilula kakhulu. Into eyenziwa leli yeza kukwandisa imithambo yegazi emizimbeni yethu size siyiphumze.
Khawucinge nje ukuba xa umbhobho wamanzi uvalekile kancinci, ukuba uyawuvula umbhobho, amanzi ahamba lula ngaphandle koxinzelelo, akunjalo? Yiloo nto eyenzekayo nalapha. Xa imithambo yegazi ikhula, kukho indawo engakumbi yokuba igazi lihambe. Ngenxa yoku, uxinzelelo lwegazi olwaluphezulu kakhulu luyehla ngokukhawuleza. Kwakhona, umgudu ekufuneka wenziwe yintliziyo ukupompa igazi uyancipha kakhulu.
Ngenxa yezi zizathu, oogqirha basebenzisa eli yeza ikakhulu kwiimeko ezimbini:
- Lawula uxinzelelo lwegazi oluphezulu/ingxaki ye-hypertension enzima .
- Nciphisa uxinzelelo entliziyweni xa kukho imeko enzima yokusilela kwentliziyo .
Izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho ngaphambi kokuba unike eli yeza
Nangona eli liyeza elinikwa esibhedlele, kubalulekile ukuba ugqirha ayazi imbali yakho okanye yesigulana yonke yempilo. Ngokuqinisekileyo kufuneka wazise ugqirha ukuba unenye yezi meko zilandelayo:
- Ezinye izifo onazo, ingakumbi:
- Ingxaki yamehlo
- Ukulimala entloko kwangaphambili
- Ezinye izifo zentliziyo
- Isifo sezintso
- Isifo sesibindi
- I-anemia / iiseli ezibomvu zegazi ezisezantsi
- Ukuba une -allergies kwi-nitroprusside okanye naliphi na elinye iyeza, ukutya, okanye idayi.
- Ukuba ukhulelwe okanye uzama ukukhulelwa .
- Ukuba ungumama oncancisayo .
Ngokusekelwe kolu lwazi, ugqirha uya kugqiba ukuba akunike eli yeza okanye angakuniki na, okanye ukuba akunike njani.
Ndingayisebenzisa njani le mithi kwaye kwenzeka ntoni ukuba ndisebenzisa kakhulu?
Lo asiloyeza onokulithatha ekhaya.Eli liyeza elinikwa nge-saline infusion emthanjeni. Linikwa kuphela kwindawo efana neyunithi yokhathalelo olunzulu yesibhedlele okanye ikliniki, ngugqirha okanye abasebenzi abaqeqeshiweyo bobuhlengikazi. Baza kuhlala bejonga izinto ezifana noxinzelelo lwegazi kunye nesantya sentliziyo yakho.
Ngaba uyabanika abantwana?
Eli yeza linokunikwa abantwana abancinci, kwanabasandul’ ukuzalwa, kwiimeko ezithile ezikhethekileyo. Kodwa isigqibo senziwa ngugqirha wabantwana. Ke ngoko, ukuba linikwa umntwana, kukho amanyathelo akhethekileyo okhuseleko asebenzayo.
Ukugqithisa
Ekubeni oku kunikwa ngononophelo olukhulu esibhedlele, amathuba okusela kakhulu aphantsi kakhulu. Nangona kunjalo, ukuba ukrokrela ukuba uthathe amayeza amaninzi kakhulu, kufuneka wazise abasebenzi bezonyango ngoko nangoko. Ngokwesiqhelo, xa kukho nayiphi na ityhefu, sithi masithi fownela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo . Nangona kunjalo, xa kukho enye into esibhedlele esifana nesi, kubaluleke kakhulu ukwazisa iYunithi yoNyango oluNgxamisekileyo (i-ETU) okanye abasebenzi bezonyango bewadi efanelekileyo ngokuthe ngqo.
Amanye amayeza anokusebenza kunye nale mayeza
Okubaluleke kakhulu: Nika ugqirha wakho uluhlu olucacileyo lwamayeza owasebenzisayo (anikwe ngabanye oogqirha, athengiswa ngaphandle kwemvume kagqirha, awesintu, iivithamini, iimveliso zemifuno). Baxelele nokuba uyatshaya okanye usela utywala. Ezinye izinto zinokuchaphazela eli yeza.
Ngokukodwa, iNitroprusside inokunxibelelana namayeza alandelayo:
- Amanye amayeza asetyenziselwa ukungasebenzi kakuhle ngokwesondo (umz. iSildenafil, iTadalafil)
- I-Riociguat (iyeza loxinzelelo lwegazi oluphezulu emaphaphu)
- Amanye amayeza oxinzelelo lwegazi, isifo sentliziyo, kunye nokubetha kwentliziyo okungaqhelekanga
- Ii-anesthetics eziqhelekileyo ezisetyenziswa ngexesha lotyando
Zeziphi iziphumo ebezingalindelekanga ezinokubonwa?
Njengayo nayiphi na iyeza, iNitroprusside inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye zezi ziphumo kufuneka zixelwe ngoko nangoko, ngelixa ezinye zingengobungozi kangako.
| Imiphumela | Inkcazo |
|---|---|
| Izinto ekufuneka uzixelele ugqirha/abasebenzi bomongikazi ngoko nangoko | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kwemilebe/ulwimi/ubuso. |
| Iimpawu zokwanda kwe-asidi egazini (i-Acidosis) | Ukunyuka kwesantya sokuphefumla, ukubetha kwentliziyo ngokukhawuleza, intloko ebuhlungu, ukudideka, ukudinwa kakhulu, isicaphucaphu, ukuhlanza. |
| Iimpawu zoxinzelelo lwegazi oluphantsi kakhulu | Isiyezi esiqatha, ukuziva ngathi amehlo akho ajika abe luhlaza okwesibhakabhaka, ukuziva ngathi uza kuwa, ubuthathaka obukhulu. |
| Iimpawu ze-methemoglobinemia | Ulusu olumhlophe, olungwevu, okanye oluluhlaza okwesibhakabhaka, intloko ebuhlungu, ukubetha kwentliziyo ngokukhawuleza, ukuphefumla nzima, ukudinwa. |
| Akukho nto ingaqhelekanga yokuxhalaba ngayo, kodwa ukuba iyaqhubeka, izinto ekufuneka zixelwe | |
| Ukuhlamba ubuso | Ubuso buvakala bushushu kwaye bujika bube bomvu. |
| Intlungu kwindawo yokutofa | Intlungu, ukubomvu, okanye ukudumba apho kufakwe khona inaliti. |
Enye into ekufuneka uyilumkele xa unika amayeza...
Ngenxa yokuba eli yeza lehlisa uxinzelelo lwegazi, ungaziva unesizungu . Ngoko ke, musa ukuvuka uhleli okanye uphume ebhedini ngequbuliso. Ukwenza njalo kunokunyusa isizunguzelo kwaye kukubangele ukuba uwe. Lumka kakhulu ngale nto, ingakumbi ukuba umdala.
Umyalezo Wokuya Ekhaya
- I-Nitroprusside liyeza elikhethekileyo elinikwa ngemithambo esibhedlele ukulawula uxinzelelo lwegazi oluphezulu kunye neemeko ezithile zentliziyo kwiimeko ezingxamisekileyo.
- Oku kwandisa imithambo yegazi kwaye kunciphisa umthwalo womsebenzi entliziyweni.
- Qiniseka ukuba uxelela ugqirha wakho ngazo naziphi na ezinye izifo onazo, onke amayeza owasebenzisayo, kunye nazo naziphi na izinto ezibangela ukuba ungabi namdla kwizinto ezithile.
- Lumka xa umi okanye uhleli phantsi, kuba kusenokubakho isiyezi xa unikwa iyeza.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngamaqhuqhuva eluswini, ubunzima bokuphefumla, okanye isiyezi esigqithisileyo, yazisa abasebenzi bezonyango ngoko nangoko.
- Ukuba unemibuzo malunga nale yeza, ungathandabuzi ukubuza ugqirha okunyangayo.
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