Noma ubani ohlushwa imifantu yendunu uyazi ukuthi ubuhlungu buyacasula futhi bungakhululeki kangakanani. Lesi simo singenza kube nzima ngisho nokwenza imisebenzi yansuku zonke. Ngakho-ke, kukhona amafutha akhethekile odokotela abawanikeza ukulawula lobu buhlungu. Namuhla sikhuluma ngamafutha aqukethe i-Nitroglycerin.
Luhlobo luni lomuthi lolu?
Kalula nje, lokhu kuyikhilimu esetshenziselwa ukwelapha ubuhlungu endaweni yendunu. Isithako sayo esiyinhloko yi -nitroglycerin . Lo muthi ungoweqembu lemithi ebizwa ngokuthi ama-nitrate.
Lokhu kusebenza kanje: Kuphumuza imithambo yegazi endaweni yethu yendunu, kunciphisa ingcindezi kuleyo ndawo. Cabanga ngakho njengokuphumula kwemisipha eqinile. Lokhu kuvumela ukujikeleza kwegazi okungcono, imifantu iqala ukuphola, futhi ubuhlungu buyancipha. I-RECTIV igama lomkhiqizo elidumile lalo muthi.
Udokotela wakho angase akunike lo muthi nakwezinye izimo. Uma unemibuzo ngawo, buza udokotela wakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Ngaphambi kokukunikeza lo mafutha, udokotela wakho kufanele aqaphele umlando wakho wezempilo ophelele. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezingezansi.
- Ukulimala ekhanda, isifo sohlangothi samuva nje, noma ukopha ebuchosheni: Lolu lwazi lubaluleke kakhulu ngoba lo muthi ungashintsha ingcindezi ebuchosheni.
- Isifo senhliziyo: Uma unesifo senhliziyo, kufanele usitshele ngaso.
- Izimo ezifana nokubalwa kwamangqamuzana abomvu egazini okuphansi: Uma unezimo ezifana ne-anemia, indlela lo muthi osebenza ngayo ingashintsha.
- Umfutho wegazi ophansi: Lo muthi ungabangela umfutho wegazi wakho wehle kakhulu, ngakho-ke kufanele utshele udokotela wakho uma usuvele unomfutho wegazi ophansi.
- Ubuhlungu bekhanda obuvame ukwenzeka noma ikhanda elibuhlungu: Ubuhlungu bekhanda bungaba khona futhi njengomphumela ongemuhle walo muthi.
- Uma une-allergy ku-nitroglycerin noma eminye imithi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Uyisebenzisa kanjani kahle le mafutha?
Ukuze uthole okuningi kulo muthi, udinga ukuwusebenzisa njengoba kuyalelwe. Ungowokusetshenziswa kwe-rectal kuphela . Ungawuphuzi ngomlomo nganoma yisiphi isizathu.
Imiyalelo yesinyathelo ngesinyathelo:
1. Geza izandla zakho: Geza izandla zakho kahle ngensipho ngaphambi nangemva kokusebenzisa umuthi.
2. Mboza umunwe wakho: Mboza umunwe wakho ngeplastiki noma ngegilavu yokuhlinzwa. Lokhu kwenzelwa ukuvimbela umuthi ukuthi ungamuncwa ngesikhumba somunwe wakho futhi ngenxa yezizathu zokuhlanzeka.
3. Kala umthamo ofanele: Sebenzisa umhlahlandlela womthamo ebhokisini lemithi bese ukala inani eliqondile udokotela wakho akutshela ukuthi ulithathe. Ungaqageli.
4. Faka: Faka ngokucophelela umunwe ogcotshwe endunu kuze kufike eqotsheni lokuqala bese ufaka.
5. Susa isembozo: Ngemva kokufaka, lahla isembozo esisemnweni wakho emgqonyeni kadoti.
6. Geza izandla zakho futhi: Geza izandla zakho kahle futhi.
Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni, ngakho khuluma nodokotela wakho ngawo.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Umthamo oweqile)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, xhumana ngokushesha ne-National Poisons Information Centre e-National Hospital eColombo . Noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu onezimpawu ezifana nezakho.
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 ongawusebenzisi bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Eminye imithi engase ihlangane nalo muthi
Eminye imithi ingasebenzisana nalesi sidakamizwa, okungabangela imiphumela emibi eyingozi. Ngakho-ke tshela udokotela wakho ngayo yonke imithi oyiphuzayo.
| Ungalokothi usebenzise lezi! | |
|---|---|
| Uhlobo lomuthi | Incazelo |
| Imithi yokwelapha ukungasebenzi kahle kwe-erectile (ED) | Imithi efana ne-sildenafil, i-tadalafil, ne-vardenafil. Lokhu kungabangela umfutho wegazi ophansi ngendlela eyingozi uma kusetshenziswa ndawonye. |
| I-Riociguat | Umuthi womfutho wegazi ophezulu emaphashini. |
| Yazisa udokotela ngalokhu. | |
| I-Alteplase | I-aspirini |
| Eminye imithi yokwelapha ikhanda elibuhlungu | njenge-ergotamine kanye ne-dihydroergotamine (DHE). |
| I-Heparin | Imithi yokwelapha umfutho wegazi ophakeme |
| Eminye imithi yokwelapha ubuhlungu benhliziyo (i-angina) | |
Lolu hlu aluphelele. Tshela udokotela wakho nganoma yimiphi imithi, amavithamini, noma imithi yendabuko oyithathayo.
Izinto okufanele uziqaphele uma usebenzisa umuthi
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ungavuki ngokushesha: Ungavuki ngokuzumayo uhleli noma ulele phansi, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isiyezi futhi ungase uwe.
- Utshwala abunakwa: Ukuphuza utshwala kungenza ukozela kanye nesiyezi kube kubi nakakhulu.
- Eminye imithi: Ungayiphuzi imithi yokukhwehlela, yomkhuhlane, noma yezinhlungu ethengwa ngaphandle kwemvume kadokotela ngaphandle kokubheka udokotela wakho kuqala. Eminye imithi ingakhuphula umfutho wegazi lakho.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu ze-Methemoglobinemia | Ikhanda elibuhlungu kakhulu, ubuthakathaka obungavamile, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza noma izindebe (lesi yisimo esibi esithinta ikhono legazi lokuthwala umoya-mpilo). |
| Ukwanda kwengcindezi ezungeze ubuchopho | Ikhanda elibuhlungu kakhulu, umbono ofiphele, ukushintsha kombono, isicanucanu, ukuhlanza. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukushaya kwenhliziyo okuhamba kancane | Ukuzungeza, ukuquleka, ukudideka, ubunzima bokuphefumula, ubuthakathaka obungavamile. |
| Imiphumela emibi evame ukungadingi ukunakekelwa kwezokwelapha (kodwa okufanele ibikwe uma iqhubeka) | |
| Isiyezi | Ikhanda elibuhlungu - Lona umphumela ovame kakhulu. |
| Ukuhlanza | |
Ngingawugcina kanjani umuthi?
- Gcina kude nezingane.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degrees Celsius angu-20-25).
- Vala isivalo ngokuqinile ngemva kokusebenzisa.
- Lahla noma yimuphi umuthi osele ngemuva kosuku lokuphelelwa yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Lo mafutha umuthi wobuhlungu bendunu. Ukhulula imithambo yegazi futhi wehlise ubuhlungu kanye nokucindezeleka.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo, ikakhulukazi imithi yenhliziyo neyomfutho wegazi. Kuyingozi kakhulu ukuyisebenzisa kanye nemithi yokungasebenzi kahle kwenduku yowesilisa (ED).
- Landela isilinganiso kanye nendlela efanele uma usebenzisa amafutha. Mboza umunwe.
- Gwema ukushayela imoto kuze kube yilapho umuthi usujwayele umzimba wakho, ngoba kungase kube nesiyezi kanye nokozela.
- Uma ubona umphumela omubi kakhulu njengekhanda elibuhlungu, ukushintsha kombono, noma isikhumba esiluhlaza okwesibhakabhaka, shayela udokotela wakho ngokushesha.
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