Ingabe udokotela wakho wake wakunika wena noma othile emndenini wakho isifutho esincane ongasisebenzisa uma uzwa ubuhlungu enhliziyweni yakho? Kungenzeka ukuthi welulekwe ukuthi usifuthe ngaphansi kolimi lwakho uma uzwa ukuqina kwesifuba noma ubuhlungu. Ngokuvamile sikubiza ngokuthi isifutho se-GTN. Nakuba abantu abaningi besisebenzisa, abazi kahle ukuthi sisetshenziswa kanjani, ukuthi singenzani, nokuthi yimiphi imithi okungafanele ithathwe ngaso. Ngakho-ke, namuhla sizokhuluma ngalesi sifutho se-GTN esibaluleke kakhulu ngendlela elula ongayiqonda.
Kalula nje, iyini le spray ye-GTN (i-Nitroglycerin)?
Lona umuthi onikezwa ukulawula nokuvimbela i-angina , isimo esenzeka esifubeni uma kunesimo esiphuthumayo. Uma sikhuluma iqiniso, usebenza ngokwandisa imithambo yegazi enikeza igazi enhliziyweni yakho futhi uyiphumuze. Lokhu kwenza kube lula ukuthi igazi ligeleze liye enhliziyweni, futhi umthwalo womsebenzi enhliziyweni uyancipha. Lapho umthwalo womsebenzi enhliziyweni uncishiswa ngale ndlela, ubuhlungu besifuba nabo buyehla ngokushesha. Lo muthi ungoweqembu lemithi ebizwa ngokuthi ama-nitrate .
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokusebenzisa lo muthi
Uma unezinye zalezi zimo, kufanele nakanjani wazise udokotela wakho ngaphambi kokusebenzisa lo muthi.
- Uma unesifo sesibindi .
- Uma usanda kuba nokuhlaselwa yinhliziyo .
- Uma une -allergy ku-nitroglycerin, eminye imithi, ukudla, noma udayi wokudla.
- Uma ukhulelwe , uzama ukukhulelwa , noma uncelisa .
Lolu lwazi lubaluleke kakhulu ekuphepheni kwakho, ngakho-ke tshela udokotela ngaphandle kokufihla lutho.
Nansi indlela yokusebenzisa lesi sifutho ngendlela efanele:
Lesi sigaba sibaluleke kakhulu. Sicela usifunde ngokucophelela.
Lesi sifutho singesokusetshenziswa ngomlomo kuphela. Kufanele sisetshenziswe ngokushesha nje lapho ubuhlungu besifuba buqala. Singasetshenziswa futhi imizuzu emi-5 kuya kweyi-10 ngaphambi kokwenza into ocabanga ukuthi ingabangela ubuhlungu besifuba (isb., ukukhwela izitebhisi).
Indlela efanele yokusebenzisa:
1. Hlala phansi: Kubaluleke kakhulu ukuhlala phansi ngenkathi uthatha lo muthi, ngoba ngezinye izikhathi ungase uzizwe unesiyezi.
2. Lungisa: Susa isivalo sepulasitiki phezulu kwebhodlela. Ungalishukumisi ibhodlela.
3. Ukusetshenziswa Kokuqala (Ukuzilungiselela): Uma usebenzisa lokhu okokuqala, udinga ukukusebenzisa. Ukuze wenze lokhu, bamba ibhodlela liqonde phezulu bese ulifutha cishe izikhathi ezi-5 emoyeni, kude nawe. Ungalihogeli.
4.Ukuvuselela: Uma ungakasebenzisi lesi sifutho cishe emavikini ayisithupha, kufanele usifuthe emoyeni futhi ngaphambi kokusisebenzisa.
5. Ukufutha: Bamba ibhodlela liqonde bese ulifutha ngolimi lwakho noma ngaphansi kwalo.
6. Ngemuva: Ungaphefumuli ngenkathi ufutha. Vala umlomo wakho ngemva kofutha, kodwa ungagwinyi noma ugeze umlomo wakho. Nikeza umuthi isikhathi sokumunca.
Okufanele ukwenze uma kunesimo esiphuthumayo (umthetho wemizuzu eyi-15)
- Kufanele uzizwe ukhululekile zingakapheli imizuzu emi-5 uphuze umthamo wokuqala.
- Uma ungazizwa ukhululekile, ungathatha omunye umthamo ngemizuzu emi-5.
- Ngale ndlela, ungathatha kufikela kumithamo emi-3 njalo ngemizuzu emi-5.
Kubaluleke kakhulu: Uma ungazizwa ungcono ngemva kokuthatha umthamo wokuqala, noma uma uzizwa sengathi isimo sakho siya siba sibi kakhulu, iya ekamelweni lezimo eziphuthumayo esibhedlela (ETU) ngokushesha noma ushayele isevisi ye-ambulensi ka-1990. Ungalokothi uthathe imithamo engaphezu kwemithathu kungakapheli imizuzu eyi-15.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Imithi okungafanele ithathwe nalesi sifutho
Leli elinye icebiso elisindisa impilo. Isifutho se-GTN singasabela ngemithi ethile futhi sibangele ukwehla okuyingozi komfutho wegazi.
| Isigaba sezidakamizwa | Izibonelo nezincazelo |
|---|---|
| Imithi Yokungasebenzi Kahle Kwe-Erectile | Imithi efana ne-Sildenafil, i-Tadalafil, i-Vardenafil (engase isetshenziswe ngamagama ahlukene emakethe) iyingozi kakhulu ukuyithatha ne-GTN. |
| Eminye imithi yokwelapha ikhanda elibuhlungu | Imithi efana ne-Ergotamine ne-Dihydroergotamine (DHE). |
| I-Riociguat | Umuthi okhethekile womfutho wegazi ophezulu wamaphaphu. |
| Imithi yokwelapha umfutho wegazi ophakeme | Lokhu kungaba nomthelela nakweminye imithi yokucindezeleka kwegazi. |
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo. Lokhu kungasiza ekuvimbeleni izingozi ezingadingekile.
Uma usebenzisa i-GTN spray, qaphela lezi zinto:
- Yigcine nawe njalo: Lesi sifutho sifana nomngane wakho osindisa impilo. Ngakho-ke yigcine nawe ngaso sonke isikhathi.
- Hlala uzolile: Ungesabi uma uzwa ubuhlungu esifubeni, hlala phansi, bese uphuza umuthi wakho ngokuthula. Lokhu kuzokusiza ukuthi ululame ngokushesha.
- Izindlela zokwelapha isiyezi: Uma uzizwa unesiyezi, thatha umoya ojulile bese ulala phansi imilenze yakho iphakanyisiwe. Noma hlala esihlalweni bese ubeka ikhanda lakho phakathi kwamadolo akho.
- Imisebenzi edinga ukunakwa: Ungase uzizwe ulele futhi unesiyezi. Ngakho-ke , ungenzi imisebenzi eyingozi njengokushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Ungasukumi ngokuzumayo: Ikakhulukazi uma usukhulile, ungasukumi noma uhlale phansi ngokuzumayo. Lokhu kuzonciphisa amathuba okuquleka nokuwa.
- Utshwala: Ukuthatha lo muthi notshwala kungandisa ukozela kanye nesiyezi. Ngakho-ke , gwema utshwala ngokuphelele.
- 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 engaba khona yomuthi
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| I-Methemoglobinemia (isimo lapho amazinga omoya-mpilo egazini ephansi) | Ikhanda elibuhlungu elingajwayelekile, ubuthakathaka, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, isikhumba esiluhlaza okwesibhakabhaka noma izindebe. |
| 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 | Ukuzizwa unesizungu, ukuquleka, ukudideka, nobunzima bokuphefumula. |
| Ubuhlungu besifuba obandayo (i-angina) | Ubuhlungu noma ukuqina okwandayo esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Izinto okufanele uzitshele udokotela wakho uma ngokuvamile zingabi zimbi kakhulu, kodwa ziqhubeka | |
| Ikhanda elibuhlungu | Lona umphumela ovame kakhulu. |
| Isiyezi | Kwenzeka ngokushesha nje lapho uthatha umuthi bese kunyamalala ngemva kwesikhashana. |
| Ukuhlanza | Lokhu kubangelwa ukwanda kwegazi esikhumbeni. |
Uwugcina kanjani umuthi futhi uwugcina kanjani?
- Yigcine kude nezingane .
- Gcina ekamelweni lokushisa (phakathi kuka-15 no-30 degrees Celsius).
- Ungafafazi eduze kwelangabi elivulekile. Ungalivuli ngenkani ibhodlela noma uliphonse emlilweni.
- Lahla ngemva kokuphelelwa yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- Isifutho se-GTN sisetshenziselwa ubuhlungu besifuba obungazelelwe (i-angina), hhayi njengomuthi wansuku zonke.
- Hlala phansi njalo uma uthatha umuthi. Uma ubuhlungu besifuba bungapheli ngemva komthamo wokuqala noma uma buba bubi kakhulu, hamba uye esibhedlela ngokushesha.
- Ungalokothi uthathe imithamo engaphezu kwemithathu zingakapheli imizuzu eyi-15.
- Kuyingozi kakhulu ukusebenzisa lokhu kanye nemithi yokwelapha ukungasebenzi kahle kocansi (njengeSildenafil).
- Tshela udokotela wakho ngayo yonke imithi oyiphuzayo. Uma unemibuzo, ungesabi ukubuza udokotela wakho.
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