Ngezinye izikhathi kungenzeka ukuthi uke wabona umuntu osekhulile efake iplasta encane esifubeni sakhe, engalweni, noma ehlombe. Lena akuyona iplasta esetshenziswa esikhumbeni ngenxa yobuhlungu. Lena iplasta ekhethekile yemithi odokotela abayinikeza abantu abanesifo senhliziyo, ikakhulukazi ukuvimbela ubuhlungu besifuba. Namuhla, sizoxoxa ngaleli patch le-nitroglycerin.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lo muthi obizwa ngokuthi i-nitroglycerin uvimbela ubuhlungu besifuba, isimo esisibiza ngokuthi i-angina.
Nansi indlela esebenza ngayo: Lo muthi unwebeka futhi uphumuze imithambo yegazi emzimbeni wethu. Lokhu kunciphisa umthwalo womsebenzi wenhliziyo wokupompa igazi. Lokhu kunikeza inhliziyo ukuphumula, okusiza ukulawula ubuhlungu besifuba. Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-nitrate.
Kodwa lokhu akuwona umuthi ozokwelapha ubuhlungu besifuba obungazelelwe. Udokotela kungenzeka ukuthi ukunike into efana nephilisi ukuze uyibeke ngaphansi kolimi lwakho ngalokho. Le patch ilapho nje ukukusiza ukuthi umunce umuthi usuku lonke futhi uvimbele ubuhlungu ukuthi bubuye.
Yini okufanele ngiyitshele udokotela ngaphambi kokusebenzisa lesi sitshalo?
Kubaluleke kakhulu ukuthi udokotela wakho azi ngalezi zinto ngaphambi kokukunikeza lo muthi. Uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela ngazo.
- Uma unesifo sesibindi.
- Uma unesifo somfutho wegazi esiphansi noma umthamo wegazi ophansi.
- Uma uke waba nokuhlaselwa yinhliziyo noma ukwehluleka kwenhliziyo ngaphambilini.
- Uma une-allergy ku-nitroglycerin, izinto zokunamathisela eziku-patch, eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukulungele yini noma cha, noma ukuthi umthamo udinga ukushintshwa yini.
Uyisebenzisa kanjani kahle le patch?
Kubaluleke kakhulu ukwazi kahle ukuthi ungayisebenzisa kanjani le ndlela.
- Lesi sici singesokusetshenziswa kwangaphandle kuphela . Ungalokothi usifake emlonyeni wakho.
- Sebenzisa njengoba nje udokotela wakho ekutshelile. I-patch eyodwa iqukethe inani lomuthi owudingayo ngosuku.
- Ngokuvamile, lokhu kufanele kushiywe amahora angu-12 kuya kwangu-14, bese i-patch kufanele isuswe amahora angu-10 kuya kwangu-12 alandelayo.Lesi sikhathi sokuphumula sibaluleke kakhulu. Uma singanakekelwa, umzimba ungase ujwayele umuthi futhi imiphumela yawo ingase yehle.
- Isiqephu kufanele sifakwe endaweni ehlanzekile, eyomile, nengenazinwele yomzimba ongaphezulu, njengesifuba, amahlombe, umhlane, noma isisu. Ungasifaki ezindaweni ezinezilonda, isikhumba esiphukile, noma izibazi.
- Ungayifaki endaweni efanayo nsuku zonke. Shintsha indawo nsuku zonke. Lokhu kuzosiza ekunciphiseni ingozi yokungezwani nesikhumba.
- Ungalokothi usike isiqeshana noma usihlukanise sibe yizicucu.
- Ungayeki ukusebenzisa lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungase kube kubi kakhulu izimpawu zakho. Uma uyeka, yenza lokho njengoba kuqondiswe udokotela wakho, wehlise kancane kancane umthamo.
Yini okufanele uyenze uma umuthi ukhulu kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga, isibonelo uma ukhohlwa ukukhipha i-patch bese ufaka enye, shayela i-National Poison Information Centre e-Colombo National Hospital ngokushesha. Noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (ETU) ngokushesha.
Eminye imithi okungafanele isetshenziswe nalo muthi
Ngesikhathi usebenzisa le patch, ukuthatha eminye imithi kungabangela ukusabela okubi kakhulu. Ngakho-ke, kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.
| Uhlobo lomuthi | Okufanele ukunake kakhulu |
|---|---|
| Imithi yokungasebenzi kahle kocansi | Ukuthatha imithi efana ne-Sildenafil, i-Tadalafil, ne-Vardenafil ngale patch kuyingozi kakhulu . Umfutho wegazi ungehla kakhulu. |
| Eminye imithi yokwelapha ikhanda elibuhlungu | Imithi efana ne-ergotamine kanye ne-dihydroergotamine (DHE). |
| I-Riociguat | Lona umuthi wokwelapha umfutho wegazi ophezulu emaphashini. |
| Eminye imithi yokwelapha umfutho wegazi ophakeme | Ukuhamba nalesi sitshalo kunganciphisa kakhulu umfutho wegazi lakho. |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemithi yendabuko oyithathayo.
Yiziphi izinto okufanele uziqaphele uma usebenzisa i-patch?
- Ukuhlolwa kwezokwelapha: Yiya kudokotela ngesikhathi esihleliwe bese uzihlola. Kala umfutho wegazi lakho kanye nokushaya kwenhliziyo.
- Ukujuluka: Lo muthi ungakwenza uzizwe unesizungu noma unesizungu. Ngakho-ke, vuka kancane uma uvuka endaweni yokuhlala noma uphuma embhedeni. Lesi simo singaba sibi kakhulu uma uphuza utshwala.
- Ukushayela: Gwema ukushayela noma ukusebenzisa imishini uze wazi kahle ukuthi lo muthi uthinta kanjani wena.
- Ukuskena kwe-MRI: Lokhu kubaluleke kakhulu. Uma uskena i-MRI, qiniseka ukuthi utshela abasebenzi ukuthi usebenzisa i-nitroglycerin patch. Amanye ama-patches ane-aluminium layer. Le aluminium layer ingashisa ngesikhathi sokuskena kwe-MRI futhi ishise isikhumba sakho. Ngakho kuzodingeka ususe i-patch ngaphambi kokuskena.
- Uma isiqephu siphuma: Uma isiqephu siphuma sodwa, sigoqe phakathi (uhlangothi olunamathelayo lubheke ngaphakathi) bese usibeka endaweni ekude nezingane nezilwane. Bese ufaka isiqephu esisha.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye iyingozi, eminye ivamile.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho 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 | Ukuzizwa unesizungu, ukuphelelwa amandla, ubunzima bokuphefumula, ukuzizwa ukhathele ngendlela engavamile. |
| I-angina eyandayo | Ubuhlungu, ukuqina, noma umuzwa wokuqina esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Izimpawu ze-Methemoglobinemia | Ikhanda elibuhlungu, ubuthakathaka obungavamile, ukuphelelwa umoya, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza okwesibhakabhaka noma izindebe. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ikhanda elibuhlungu | Lokhu kuvamile ezinsukwini zokuqala zokusebenzisa umuthi. |
| Isiyezi | Kungazwakala ikakhulukazi uma umi. |
| Ukuhlanza | Indawo yobuso nentamo iba bomvu futhi izwakale ishisa. |
Umlayezo Wokuya Nawe Ekhaya
- Lesi sitshalo sisetshenziselwa ukuvimbela ubuhlungu besifuba (i-angina). Asilusizo ebuhlungu besifuba obungazelelwe.
- Njengoba nje udokotela esho, shiya i-patch ivuliwe ngenani elibekiwe lamahora (ngokuvamile amahora angu-12-14) bese uyisusa ngenani elibekiwe lamahora (amahora angu-10-12). Qiniseka ukuthi uyalandela lesi sikhathi "sokuvala" .
- Ungalokothi uyeke ukuthatha imithi ngokuzumayo ngaphandle kokubuza udokotela wakho.
- Kuyingozi kakhulu ukusebenzisa lesi sitshalo kanye nemithi yokwelapha ukungasebenzi kahle kocansi (njengeSildenafil).
- Uma uhlelelwe ukwenza i-MRI scan, qiniseka ukuthi wazisa abasebenzi be-MRI ukuthi usebenzisa le patch.
- Uma unemibuzo noma ukukhathazeka, khuluma nodokotela wakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho