Ingabe ngezinye izikhathi uzizwa ubuhlungu esifubeni sakho obuzwakala sengathi buyacindezelwa, buyacindezelwa, noma bunzima? Ngokwezokwelapha, lokhu kubizwa ngokuthi i-angina. Lesi yisimo esenzeka lapho inhliziyo ingatholi igazi elanele. Ngakho-ke, omunye wemithi odokotela abavame ukuyincoma ukuvimbela lolu hlobo lobuhlungu besifuba oluhlobene nesifo senhliziyo uwoyela we-Nitroglycerin. Lokhu kuyinto etholakala kuphela ngomuthi kadokotela. Ngakho-ke namuhla, ake sixoxe ngendlela yokusebenzisa lo mafutha kanye nalokho okudingeka sikuqaphele kakhulu.
Iyini i-Nitroglycerin ointment?
Kalula nje, lo umuthi osiza imithambo yegazi yomzimba wakho ukuba ivuleke futhi iphumule. Lolu hlobo lomuthi lubizwa ngokuthi ama-nitrate. Cabanga ngakho, lapho ipayipi lamanzi livaliwe, kunzima ukuthi amanzi ageleze, akunjalo? Ngendlela efanayo, lapho imithambo yegazi ethwala igazi enhliziyweni iba mincane, inhliziyo kufanele isebenze kanzima ukupompa igazi. Yilapho-ke ubuhlungu besifuba bufika khona.
Amafutha e-nitroglycerin asebenza ngokwandisa leyo mithambo yegazi nokwenza ukugeleza kwegazi kube lula. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni. Lokhu kuvimbela ubuhlungu be-angina.
Okubalulekile: Lo mafutha usetshenziselwa ukuvimbela ubuhlungu be-angina, hhayi ukwelapha ubuhlungu besifuba obungazelelwe. Udokotela wakho kungenzeka ukuthi ukunike elinye iphilisi (ithebhulethi ye-GTN) ukuze uligcine ngaphansi kolimi lwakho ngenxa yobuhlungu obungazelelwe.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka azi umlando wakho wezokwelapha ophelele. Ngakho-ke, qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- I-anemia , okusho ukuthi uma kukhona ukuntuleka kwegazi.
- Uma usanda kulimala ekhanda , isifo sohlangothi , noma ukopha ebuchosheni.
- Uma unesifo sesibindi .
- Uma uke waba nesifo senhliziyo ngaphambili.
- Uma une -allergy ku-nitroglycerin, noma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma unethemba lokukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha.
Uyisebenzisa kanjani kahle le mafutha?
Kubaluleke kakhulu ukusebenzisa lokhu ngendlela efanele. Ngisho nephutha elincane lingathinta ukusebenza kahle komuthi.
1. Okokuqala, khumbula lokhuLokhu kusetshenziselwa ukwelapha kuphela. Ungakuphuzi ngomlomo noma ukugwinya nganoma iyiphi enye indlela.
2. Uzothola iphepha elikhethekile elinetheyiphu yokulinganisa enesilinganiso kulo. Sebenzisa leli phepha njalo ukukala umthamo ofanele. Faka amafutha esilinganisweni udokotela wakho akutshela sona (isib. 1 intshi) ephepheni.
3. Okulandelayo, faka lo mafutha endaweni ehlanzekile, eyomile yesikhumba enezinwele ezincane, njengesifuba , isisu, noma izingalo ezingaphezulu .
4. Ungafaki ezisikweni, emihuzukweni, ezibazini, emanxebeni, noma esikhumbeni esicasukile .
5. Okubaluleke kakhulu: Ungagcobi amafutha esikhumbeni sakho . Ungakwenzi lokho. Sakaza phezu kwesikhumba ngesendlalelo esincane, njengethawula lephepha.
6. Bese ubeka iphepha phezu kwengubo bese ulibopha ngetheyiphu yokuhlinzwa ukuze lingayinyakazi. Lokhu kuzolivimbela ukuthi lingangeni ezingutsheni zakho. Ungalimboza ngepulasitiki uma kudingeka.
7. Ngemva kokusebenzisa umuthi, geza izandla zakho kahle ngensipho ngoba ingase ifike eminweni yakho.
8. Ngaphambi kokusebenzisa umthamo olandelayo, susa iphepha endaweni yomuthi endala bese uhlanza indawo kahle .
9. Ukufaka umuthi endaweni efanayo yesikhumba nsuku zonke kungalimaza isikhumba. Ngakho-ke, shintsha izindawo lapho ufaka khona umuthi nsuku zonke . Uma uwufake ngakwesokudla kwesifuba sakho namuhla, uwufake ngakwesokunxele kusasa.
Ungayeki ukusebenzisa lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi ubuhlungu besifuba sakho bubuye.
Ukusebenzisana kwezidakamizwa nezinye izingozi
I-Nitroglycerin iyisidakamizwa esingasabela kakhulu kweminye imithi, ngakho-ke kudingeka uqaphele kakhulu ngalokhu.
| Ukuxhumana okungenzeka kwezidakamizwa ne-nitroglycerin | |
|---|---|
| Ungalokothi uthathe lo muthi kanye nanoma yimuphi omunye umuthi (uyingozi kakhulu) | |
| Imithi Yokungasebenzi Kahle Kwesidoda (ED) | Imithi efana ne-Sildenafil (Viagra), i-Tadalafil (Cialis), ne-Vardenafil. Ukuyithatha kanye kanye kungabangela umfutho wegazi ophansi ngendlela eyingozi futhi kungaba yingozi ngisho nokuphila. |
| Eminye imithi yokwelapha ikhanda elibuhlungu | Imithi efana ne-Ergotamine kanye ne-Dihydroergotamine (DHE). |
| I-Riociguat | Lona umuthi okhethekile womfutho wegazi ophezulu wamaphaphu. |
| Kungase kube nokusebenzisana nalo muthi (tshela udokotela wakho ) | |
| Eminye imithi | I-aspirin, i-Heparin (ukwehlisa igazi), imithi yokucindezeleka kwegazi, imithi yokucindezeleka, neminye imithi ye-angina. |
Ezinye izinto okufanele uzicabangele
- Ukuzungeza kanye nokozela: Lo muthi ungakwenza ube nesiyezi futhi ulale. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Qaphela lapho uvuka: Ukuma ngokuzumayo noma ukuvuka endaweni yokuhlala kungabangela isiyezi nokuquleka. Qaphela ikakhulukazi uma usukhulile. Njalo vuka kancane.
- Gwema utshwala: Utshwala bungenza isiyezi kanye nokozela kube kubi nakakhulu.
- Uma weqisa izidakamizwa: Uma ucabanga ukuthi weqise izidakamizwa, xhumana ngokushesha ne-National Poisons Information Centre e-Colombo National Hospital . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Yimiphi imiphumela emibi engaba khona?
Njengayo yonke imithi, lena ingaba nemiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Okufanele ngikwenze |
|---|---|
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha noma uye ku-ETU. | |
| Ukusabela kokungezwani komzimba ( Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso/izindebe/ulimi) | Funa iseluleko sezokwelapha ngokushesha. |
| Izimpawu ze-Methemoglobinemia (ikhanda elibuhlungu kakhulu, ukukhathala okungavamile, ubunzima bokuphefumula, ukuhlanza, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza okwesibhakabhaka noma izindebe ) | Lesi yisimo esiphuthumayo esithinta amandla okuthwala umoya-mpilo egazini futhi sidinga ukulaliswa esibhedlela ngokushesha. |
| Ukucindezela okwandisiwe okuzungeze ubuchopho (Ikhanda elibuhlungu kakhulu, ukubona okufiphele, ukuhlanza) | Funa iseluleko sezokwelapha ngokushesha. |
| Umfutho wegazi ophansi (Isiyezi, ukuquleka, amehlo aluhlaza okwesibhakabhaka) | Tshela udokotela wakho. Uma uzizwa uphelelwa amandla, hlala phansi noma ulale phansi. |
| Ubuhlungu besifuba obandayo (i-angina) (Uma ubuhlungu noma ukuqina kwesifuba, intamo, umhlane, noma izingalo kukhuphuka) | Funa iseluleko sezokwelapha ngokushesha. |
| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ikhanda elibuhlungu | Lokhu kuvame kakhulu ezigabeni zokuqala. Ngokuvamile kuyaphela zingakapheli izinsuku ezimbalwa. Uma kuqhubeka, tshela udokotela wakho . |
| Isiyezi, ukushawa kwamanzi | Lezi nazo zivamile. Uma ziqhubeka, khuluma nodokotela wakho. |
Umlayezo Wokuya Nawe Ekhaya
- Amafutha e-nitroglycerin awasetshenziswa ukwelapha ubuhlungu besifuba obungazelelwe, kodwa ukuvimbela .
- Umuthi kufanele usetshenziswe kusetshenziswa iphepha elikhethekile elihambisana nawo, ngaphandle kokuwuhlikihla esikhumbeni.
- Kuyingozi kakhulu ukusebenzisa lokhu nemithi yokungasebenzi kahle kwe-erectile efana ne-Viagra (sildenafil). Tshela udokotela wakho ngayo yonke imithi oyiphuzayo.
- Qaphela lapho ushayela noma usebenza ngemishini, njengoba kungase kube nesiyezi kanye nokuquleka.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi engavamile (ikakhulukazi izindebe eziluhlaza okwesibhakabhaka, ikhanda elibuhlungu kakhulu), funa iseluleko sezokwelapha ngokushesha .
- Gcina lo muthi kude nezingane , ezingeni lokushisa legumbi. Lahla umuthi ophelelwe yisikhathi.
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