Ingabe ngezinye izikhathi uzizwa ubuhlungu besifuba noma isicanucanu ? Noma ingabe udokotela wake wakubhalela iphilisi elibizwa ngokuthi `(Isosorbide Dinitrate)`? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe. Ake sixoxe ngalo muthi ngendlela elula ongayiqonda.
Uyini lo muthi obizwa ngokuthi `(Isosorbide Dinitrate)`?
Kalula nje, `(Isosorbide Dinitrate)` umuthi onikezwa ukuvimbela ubuhlungu besifuba, okungukuthi, isimo esisibiza ngokuthi `(Angina)`. Cabanga nje, lobu buhlungu besifuba buvela lapho imithambo ethwala igazi enhliziyweni yethu incipha kancane. Lo muthi okwenziwa yilo kwandisa nokukhulula leyo mithambo . Khona-ke ukugeleza kwegazi enhliziyweni kuba lula, futhi inhliziyo akudingeki isebenze kanzima kangaka. Lokhu kungokwesigaba semithi ebizwa ngokuthi `(Nitrates)`.
Kodwa kukhona into eyodwa ebaluleke kakhulu okufanele uyikhumbule! Lo muthi awusiwo owobuhlungu besifuba obungazelelwe . Okusho ukuthi, awusiwo umuthi okufanele uwuthathe uma uqala ukuba nobuhlungu besifuba ngokuzumayo. Uwunikwa ukuze uqhubeke nokuwusebenzisa futhi uvimbele ubuhlungu besifuba ukuthi buphinde buvele.
Udokotela wakho kungenzeka ukuthi ukunike lo muthi ngaphansi kwegama lomkhiqizo elifana ne-'Isordil Titradose', 'Sorbitrate', noma 'Wesorbide'. Wonke umuthi uyafana. Ngezinye izikhathi odokotela bangawusebenzisa lo muthi nakwezinye izimo. Ngakho-ke uma unemibuzo, khuluma nodokotela wakho noma nosokhemisi.
Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?
Ngaphambi kokuthi uqale ukusebenzisa la maphilisi e-`(Isosorbide Dinitrate)`, kufanele utshele udokotela wakho izinto ezithile. Ngoba lolo lwazi yilokho udokotela azokusebenzisa ukunquma ukuthi lo muthi ukulungele yini nokuthi angakunika malini.
Uma unezinye zalezi zinto, qiniseka ukuthi utshela udokotela wakho:
- Uma uke waba nokuhlaselwa yinhliziyo ngaphambili noma uma unesifo senhliziyo .
- Uma une-allergy kulo muthi (i-Isosorbide Dinitrate), kweminye imithi equkethe ama-nitrate, kunoma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma ulindele umntwana .
- Uma ungumama oncelisayo .
Ukukhuluma ngalezi zinto ngokwethembeka nodokotela wakho kubaluleke kakhulu empilweni yakho.
Uyisebenzisa kanjani kahle le mithi?
Kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uwusebenzisa kanjani.
- La maphilisi kufanele aphuzwe ngomlomo, kanye nengilazi yamanzi .
- Sebenzisa umuthi njengoba nje uqondiswe kwilebula likadokotela noma emiyalweni enikezwe udokotela wakho ngesikhathi uwunikwa.
- Kubaluleke kakhulu: Lo muthi kufanele uthathwe esiswini esingenalutho . Okusho ukuthi, okungenani imizuzu engama-30 ngaphambi kokudla.Kulungile, kufanele uyiphuze okungenani amahora ama-2 ngemva kokudla . Ungayithathi kanye nokudla . Umuthi umuncwa kangcono uma uthathwa esiswini esingenalutho.
- Thatha imithi yakho ngezikhathi ezithile njengoba udokotela wakho ekuyalele. Ungathathi ngaphezu kwenani elibekiwe.
- Enye into ebaluleke kakhulu: Ungayeki ukuthatha lo muthi ngokuzumayo . Ukwenza kanjalo kungenza izimpawu zakho (isib. ubuhlungu besifuba) zibe zimbi kakhulu futhi. Ngakho-ke, uma udinga ukuyeka ukuthatha umuthi, khuluma nodokotela wakho bese wehlisa kancane kancane umthamo njengoba encoma.
- Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni . Ngakho-ke, khuluma nodokotela wakho mayelana nokusebenzisa lo muthi enganeni.
Kuthiwani uma ngiphuza umuthi omningi kakhulu? (Umthamo oweqile)
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isikhungo sokulawula ubuthi ngokushesha noma uye egumbini lezimo eziphuthumayo esibhedlela esiseduze . Lokhu kungaba kubi kakhulu.
Sicela uqaphele: Lo muthi unikezwe wena kuphela . Ungawuniki omunye umuntu. Umthamo kanye nomthamo kuyahlukahluka kuye ngesifo kanye nobudala bomuntu ngamunye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ngezinye izikhathi kungenzeka ukuthi uphuthelwe umthamo wemithi, akunjalo? Uma lokho kwenzeka, nakhu okufanele ukwenze:
- Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula.
- Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili noma uthathe imithamo eyengeziwe .
Yiziphi ezinye izinto ezingasebenzisana nalo muthi? (Ukusebenzisana)
Leli futhi iphuzu elibaluleke kakhulu. Umuthi `(Isosorbide Dinitrate)` ungasebenzisana, okungukuthi, "ukungqubuzana", neminye imithi noma ezinye izinto ozithathayo. Uma lokhu kwenzeka, imiphumela eyingozi ingenzeka.
Ungalokothi uthathe `(Isosorbide Dinitrate)` nale mithi:
- Izinhlobo zemithi yokwelapha ukungasebenzi kahle kocansi kwabesilisa (ED). Izibonelo zifaka phakathi i-Avanafil, i-Sildenafil (eyaziwa nangokuthi i-Viagra), i-Tadalafil, ne-Vardenafil. Ukuthatha lokhu nge-Isosorbide Dinitrate kungabangela ukwehla okuyingozi komfutho wegazi, okungaba yingozi empilweni.
- Umuthi ubizwa ngokuthi 'i-Riociguat'.
Lo muthi ungase uhlangane neminye imithi:
- Imithi yokwelapha umfutho wegazi ophakeme.
- Eminye imithi enikezwa i-angina noma ukwehluleka kwenhliziyo.
Lolu hlu alufaki konke ukuxhumana. Ngakho-ke,Kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, kanye nezithasiselo zokudla), kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nalo muthi.
Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?
Udinga ukunakekela umzimba wakho kancane ngenkathi uthatha lo muthi.
- Hlola izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi njalo . Buza udokotela wakho ukuthi izinga lokushaya kwenhliziyo yakho kanye nomfutho wegazi kufanele kube yini nokuthi kufanele umshayele nini ucingo udokotela wakho.
- Uma unomuzwa wokuthi lo muthi awusebenzi kahle njengakuqala, tshela udokotela wakho.
- Ungase uzizwe unesiyezi (unekhanda elikhanyayo) . Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ukuqapha uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela, ikakhulukazi uma usukhulile, lapho uvuka ngokuzumayo usuka endaweni yokuma noma usuka endaweni yokuhlala . Ukwenza kanjalo kungandisa isiyezi futhi kungabangela ukuba uwe.
- Utshwala bungenza isiyezi sibe sibi kakhulu . Bungabangela nokusha kwenhliziyo kanye nokushaya kwenhliziyo okusheshayo. Ngakho-ke gwema ukuphuza utshwala.
- Ngesikhathi uthatha lo muthi, qiniseka ukuthi ubuza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi wokukhwehlela, umkhuhlane, noma eminye imithi yobuhlungu, njengoba eminye imithi ingakhuphula umfutho wegazi lakho.
Yimiphi imiphumela emibi engaba khona yalo muthi? (Imiphumela Engemihle)
Njenganoma yimuphi umuthi, i-`(Isosorbide Dinitrate)` ingabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo.
Tshela udokotela wakho ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi elandelayo (imiphumela emibi kakhulu):
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Uma lokhu kwenzeka, kuyingozi kakhulu.
- Izimpawu zesimo esibizwa ngokuthi `i-Methemoglobinemia`: Lesi yisimo esibi kakhulu esenzeka egazini. Izimpawu zifaka phakathi ikhanda elibuhlungu , ukukhathala okungavamile, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, kanye nesikhumba noma izindebe eziluhlaza okwesibhakabhaka.
- Ukwanda kwengcindezi ezungeze ubuchopho: ikhanda elibuhlungu kakhulu, umbono ofiphele, izinguquko zombono, isicanucanu, ukuhlanza.
- Umfutho wegazi ophansi: isiyezi, ukuquleka, ukubona okufiphele.
- Ukushaya kwenhliziyo okuhamba kancane : isiyezi, ukuquleka, ukudideka, ubunzima bokuphefumula, ukukhathala okungavamile.
- Ubuhlungu besifuba (i-Angina) buba bubi kakhulu:Uma uzwa ubuhlungu, ukuqina, noma ukuqina esifubeni sakho, entanyeni, emhlane, noma ezingalweni.
Imiphumela emibi evame ukungadingi iseluleko sezokwelapha (kodwa kufanele ibikwe kudokotela uma iqhubeka noma ikhathaza):
- Isiyezi
- Ukushawa, ukuzizwa unesicanucanu
- Ikhanda elibuhlungu
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile ngaphezu kwale, sicela uxhumane nodokotela wakho.
Ngingawugcina kuphi lo muthi? (Indawo yokugcina)
Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.
- Yigcine kude nezingane.
- Gcina endaweni yokushisa yegumbi (ngokuvamile cishe ama-degree Celsius angama-25).
- Vikela ekukhanyeni. Okusho ukuthi, ungayibeki elangeni eliqondile noma ezindaweni ezikhanyayo.
- Gcina ibhodlela noma iphakethe lemithi livaliwe kahle .
- Lahla umuthi ophelelwe yisikhathi ngaphandle kokuwusebenzisa.
Ezinye izinto ezibaluleke kakhulu (Umyalezo Wokuya Ekhaya)
Ngiyethemba ukuthi kulokho esikuxoxile, usuthole ukuqonda okuhle ngomuthi `(Isosorbide Dinitrate)`. Ngamafuphi:
- Lo muthi unikezwa ukuvimbela ubuhlungu besifuba (i-angina), hhayi ukwelapha ubuhlungu obungazelelwe .
- Thatha njengoba kuqondiswe udokotela, ngesikhathi esifanele, ngenani elifanele, futhi esiswini esingenalutho .
- Ungayeki ngokuzumayo .
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo, ikakhulukazi imithi ye-ED.
- Qaphela imiphumela emibi . Uma ubona noma yini embi kakhulu, tshela udokotela wakho ngokushesha.
- Lokhu kumane nje kuyisifinyezo. Uma uneminye imibuzo, khuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo . Ungakhathazeki, bazokusiza.
Kubaluleke kakhulu ukusebenzisa lo muthi ngendlela efanele ukuze inhliziyo yakho ihlale iphilile. Ngikufisela ukululama okusheshayo!
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe i-Isosorbide Dinitrate iyiphilisi lokuhlaselwa yinhliziyo?
Lona akusiwo umuthi okufanele unikezwe ngemva kokuhlaselwa yinhliziyo! Unikezwa ukuvimbela nokulawula 'ubuhlungu obukhulu phakathi kwesifuba obubangelwa ukungatholi igazi/i-oxygen eyanele enhliziyweni' (i-Angina Pectoris). Odokotela banikeza lo muthi njengesixazululo sesikhathi eside 'sokuqinisa isifuba' esiza ngaphambi kokuhlaselwa yinhliziyo.
💬 Lo muthi welapha kanjani ubuhlungu besifuba (i-Angina)?
Lona umuthi oseqenjini le-Nitrate. Uma uthatha lo muthi, imithambo yegazi emzimbeni wakho wonke, ikakhulukazi ezungeze inhliziyo yakho, 'iyavuleka/iyaphumula'. Uma imithambo yegazi ivuleka, igazi ligeleza kalula liye enhliziyweni yakho ngaphandle kokuvinjelwa, futhi inhliziyo yakho akudingeki ipompe ngamandla. Uma uphumula, ubuhlungu besifuba buyaphela ngokuphelele.
💬 Kungani ngihlala ngiphathwa yikhanda ngemva kokuthatha lo muthi izinyanga eziningi?
Yilowo mphumela omubi kakhulu nodumile kakhulu walo muthi! Lapho imithambo ivuleka, hhayi inhliziyo kuphela, kodwa nemithambo yegazi ebuchosheni/ekhanda iyavuleka. Lapho imithambo enjalo ivuleka futhi igcwele igazi, kuvela ikhanda elibuhlungu elinzima, okuyikhanda elibuhlungu eliphuma ngaphakathi kwekhanda. (Ezinsukwini zokuqala, ungathatha i-paracetamol ngalokhu, kodwa ngokuhamba kwesikhathi, njengoba umzimba ujwayela, leli khanda lizophela lodwa).
I- Isosorbide Dinitrate, i-Angina, Isifo Senhliziyo, Ubuhlungu Besifuba, Ama-Nitrate, Imithi, Impilo Yenhliziyo











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