Ingabe ngezinye izikhathi uzizwa ukuqina noma ukuqina esifubeni sakho uma ukhuphuka izitebhisi, ukhathala kancane, noma uhamba ngokushesha? Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-angina . Kalula nje, lobu buhlungu buvela lapho inhliziyo ingatholi inani elidingekayo lomoya-mpilo. Ngakho-ke, i-Isosorbide Mononitrate umuthi ovame ukunconywa odokotela futhi abantu abaningi bawusebenzisa ukuvimbela lobu buhlungu be-angina. Namuhla, sizokhuluma ngalo muthi obalulekile ngendlela elula kakhulu.
Uhlobo luni lomuthi i-Isosorbide Mononitrate?
I-Isosorbide Mononitrate umuthi ongowesigaba semithi ebizwa ngokuthi ama-nitrate . Umsebenzi wawo oyinhloko ukuvimbela ukwenzeka kobuhlungu benhliziyo, okungukuthi, i-angina.
Cabanga ngenhliziyo yakho njengephampu esebenza ngokungayeki. Uma imithambo yegazi ethumela igazi kule phampu imincane, iphampu kufanele isebenze kanzima. Yilapho-ke ubuhlungu bufika khona. Ngakho-ke lokho okwenziwa yilo muthi ukwandisa leyo mithambo yegazi kancane (ukuyiphumuza), okwenza kube lula ukuthi igazi ligeleze. Bese umthwalo enhliziyweni, okungukuthi, inani lomsebenzi, uyancipha. Bese ubuhlungu be-angina buyancipha.
Into ebaluleke kakhulu: Lo muthi usetshenziselwa "ukuvimbela" ubuhlungu be-angina, hhayi "ukunciphisa ubuhlungu obungazelelwe ngokushesha." Izinhlobo zemithi enikezwa ubuhlungu obungazelelwe zihlukile. Ngakho khumbula lokhu.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kunezinto ezimbalwa okufanele uzazi. Kubaluleke kakhulu ukuze ukuphepha kwakho kube sobala ngalezi zinto.
- Uma uke waba nokuhlaselwa yinhliziyo noma ukwehluleka kwenhliziyo ngaphambilini.
- Tshela udokotela wakho uma une -allergy ku-Isosorbide Mononitrate noma kunoma iyiphi enye i-nitrate. Tshela nodokotela wakho uma une-allergy kweminye imithi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe , noma ulindele umntwana .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, noma ukuthi umthamo udinga ukushintshwa yini.
Ngiyisebenzisa kanjani ngempela le mithi?
Lokhu nakho kubaluleke kakhulu. Ukuze uthole okuningi ngomuthi, udinga ukuwusebenzisa ngendlela efanele.
- Gwinya leli philisi ngengilazi yamanzi.
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi.Lawa amaphilisi ikakhulukazi "okukhululwa okunwetshiwe" (ETU) . Lokhu kusho ukuthi umuthi wenzelwe ukukhishwa emzimbeni ngokuhamba kwesikhathi. Uma uphula iphilisi, leyo nqubo iyalahleka.
- Thatha umuthi wakho njengoba nje udokotela wakho ekuyalele, ngesikhathi udokotela wakho akuyalele ngaso. Uma uwuthatha kanye ngosuku, zama ukuwuthatha ngesikhathi esifanayo nsuku zonke.
- Ngisho noma uzizwa ungcono, ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Lo muthi ungadinga ukunakekelwa okukhethekile uma unikezwa izingane. Khuluma nodokotela wakho ngalokhu.
Kuthiwani uma ngengozi ngithatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uphuze umuthi omningi ngephutha, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma, shayela i-National Poisons Information Centre e-Colombo National Hospital .
Khumbula, udokotela ukunikeze lo muthi wena kuphela. Unganiki umngane wakho lo muthi ngoba nje enenkinga efanayo.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo okhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Lokhu kubaluleke kakhulu. Ukuthatha i-Isosorbide Mononitrate kanye neminye imithi kungaba nemiphumela emibi eyingozi. Ngakho-ke qaphela lokhu.
| Uhlobo lwesidakamizwa | Incazelo |
|---|---|
| Ungalokothi uthathe amagama ahambisana nalawa! | |
| Imithi ye-ED | Imithi efana ne-Avanafil, i-Sildenafil (i-Viagra), i-Tadalafil, ne-Vardenafil. Ukuthatha lezi zinto zombili ndawonye kungabangela umfutho wegazi ophansi ngendlela eyingozi. |
| I-Riociguat | Lona futhi umuthi womfutho wegazi. Ukuwuthatha nge-Isosorbide kuyingozi kakhulu. |
| Qaphela lapho uhamba nalezi zinto. | |
| Imithi Yomfutho Wegazi Ophakeme | Ukuthatha lokhu ndawonye kungandisa isiyezi kanye nomfutho wegazi ophansi. |
| Eminye imithi ye-angina noma yesifo senhliziyo | Sebenzisa kuphela njengoba kuqondiswe udokotela wakho. |
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini, amakhambi, kanye nezithasiselo) , kanye nokuthi ubhema noma uphuza utshwala.
Izinto okufanele uzicabangele lapho uthatha imithi
- Ukuzungeza: Ungase uzizwe uzungeza noma uzizwa unesiyezi ngenkathi usebenzisa lo muthi. Gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ungavuki ngokushesha: Ukuze unciphise isiyezi nokuquleka, vuka kancane uma uvuka lapho uhleli noma ulele. Qaphela lokhu ikakhulukazi uma usukhulile.
- Utshwala: Ukuphuza utshwala kungandisa isiyezi, ukushawa uketshezi, kanye nokushaya kwenhliziyo okukhuphukile. Ngakho-ke, kuphephile kakhulu ukuyeka utshwala ngokuphelele ngenkathi uthatha lo muthi.
- Imithi yezinye izifo: Uma ukhwehlela, umkhuhlane, noma ubuhlungu bomzimba, ungathengi umuthi ekhemisi ngaphandle kokubonisana nodokotela wakho. Amanye ama-painkillers kanye nama-cough syrups angakhuphula umfutho wegazi lakho.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lo ungaba nemiphumela emibi. Ake sibheke ukuthi iyini.
| Uma uhlangabezana nalezi zimpawu, bona udokotela ngokushesha. | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukushaya kwenhliziyo okuhamba kancane | Ukuzungeza, ukuquleka, ubunzima bokuphefumula, ukukhathala okungavamile. |
| I-angina eyandayo | Ubuhlungu obandayo, ingcindezi, noma ukuqina esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Izimpawu ze-Methemoglobinemia | (Lesi yisimo lapho igazi lingathwali khona umoya-mpilo) - Ikhanda elibuhlungu kakhulu, ubuthakathaka obungavamile, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza okwesibhakabhaka noma izindebe. |
| Ukwanda kwengcindezi ezungeze ubuchopho | Ikhanda elibuhlungu kakhulu, umbono ofiphele, izinguquko embonweni, isicanucanu, ukuhlanza. |
| Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka, tshela udokotela wakho. | |
| Isiyezi | Lokhu kungase kunciphe njengoba umzimba ujwayela imithi. |
| Ikhanda elibuhlungu | Kuvame kakhulu ezinsukwini ezimbalwa zokuqala ngemva kokuqala umuthi. |
| Ukuhlanza | Ukubomvu kwesikhumba noma umuzwa wokufudumala. |
Umlayezo Wokuya Nawe Ekhaya
- I-Isosorbide Mononitrate umuthi ovimbela i-angina (ubuhlungu besifuba), hhayi umuthi owelapha ubuhlungu obungazelelwe ngokushesha.
- Ungalokothi uthathe lokhu nemithi efana ne-Sildenafil (Viagra), esetshenziselwa ukungasebenzi kahle kocansi. Kungaba yingozi empilweni.
- Gwinya leli philisi lonke ngaphandle kokuliphula, ukulichoboza, noma ukulihlafuna .
- Ungayeki ukuthatha imithi yakho ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Njengoba kungase kube nesiyezi ngenkathi uthatha umuthi, qaphela lapho wenza imisebenzi eyingozi njengokushayela. Gwema ukuphuza utshwala.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi oyithathayo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Amaphilisi e-Isosorbide Mononitrate / Imdur ayimithi esetshenziselwa ukwelapha yisiphi isifo?
Leli akulona iphilisi lesifo senhliziyo elivamile! Leli iphilisi elisebenza kahle kakhulu (i-Nitrate vasodilator) elilawula i-angina pectoris isikhathi eside, isimo esenzeka lapho inhliziyo ingatholi igazi elanele futhi sibangela ubuhlungu besifuba ngaphambi kokuhlaselwa yinhliziyo. 'Ukukhululwa Okunwetshiwe' kwalokhu kusho ukuthi uma uthatha iphilisi elilodwa, umuthi okulo uyancibilika emzimbeni (ngaphezu kwamahora ayi-12-24) (Osebenza isikhathi eside), ukuze ungazizwa ubuhlungu besifuba usuku lonke.
💬 Uma uzwa ukuqina kwesifuba/ukuhlaselwa yinhliziyo, ungayilawula kanjani uma uthatha la maphilisi (i-Isosorbide)?
Ubuhlungu besifuba buvela ngoba imisipha yenhliziyo iyakhathala ngenxa yokungatholakali kwegazi okwanele. Uma leli philisi lingena emzimbeni, liphenduka igesi yamakhemikhali ebizwa ngokuthi 'i-Nitric Oxide (NO)' emzimbeni. Lapho nje lelo gesi lingena, yonke imithambo yegazi (ikakhulukazi uhlelo lwemithambo yegazi) eza enhliziyweni futhi ekhona emzimbeni wonke iyaphumula/iyanda ngokushesha (i-Vasodilation). Ngemuva kwalokho, ubunzima/umthwalo inhliziyo enawo ukuze ipompe igazi uyanyamalala ngokushesha, ngakho ubuhlungu besifuba buyaphela ngokushesha.
💬 Iyini ingozi ebulalayo (Isexwayiso Sebhokisi Elimnyama) okungafanele abantu abathatha lo muthi (Imdur) bayenze?
Uma uthatha leli philisi, ungalokothi uthathe amaphilisi afana ne-'Viagra / Sildenafil / Cialis' ukuze uvuselele ucansi ngesikhathi esifanayo/ngokuqhubekayo! Uma uwathatha ndawonye, yonke imithambo yegazi izovuleka kakhulu futhi umfutho wegazi wakho uzokwehla uye ku-zero (Fatal Hypotension) futhi ungase ube yi-coma bese ushona! Inkinga evamile wonke umuntu anayo ukuthi yenza ikhanda lakho libe buhlungu sengathi lizoqhuma (Severe Headaches).
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