Wake waba nobuhlungu obungazelelwe, obucindezelayo esifubeni sakho? Kwabanye, lobu buhlungu busakazeka ezingalweni zakho, emahlombe, nasentanyeni. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-angina. Namuhla, sikhuluma ngomuthi okhethekile odokotela abawunikezayo ukuze usetshenziswe ezikhathini ezinjengalezi. Lowo yi-nitroglycerin powder, enikezwa ukuze incibilike ngaphansi kolimi. Lona umuthi osiza ezikhathini ezinjengalezi njengomsindisi wokuphila. Ngakho-ke, ake sibone ukuthi uyini, ukuthi ungawusebenzisa kanjani, nokuthi yiziphi izinto okufanele uziqaphele.
Kalula nje, iyini i-nitroglycerin?
I-Nitroglycerin umuthi onikezwa ukuvimbela nokwelapha ubuhlungu besifuba, okungukuthi, i-angina. Cabanga ngemithambo yegazi ethwala igazi enhliziyweni yakho njengamapayipi amanzi. Ngezinye izikhathi, lapho la mapayipi eba mancane, inhliziyo ayitholi inani legazi elidingayo. Yilapho-ke lobo buhlungu besifuba bufika khona.
Lo muthi we-nitroglycerin usebenza ngokwandisa imithambo yegazi emincane (ukukhulula imithambo yegazi). Lokhu kwenza kube lula ngenhliziyo ukupompa igazi. Njengoba nje ukwandisa umgwaqo omatasa kwenza kube lula ngezimoto ukudlula. Lokhu kusho ukuthi inhliziyo akudingeki isebenze kanzima, futhi ubuhlungu buyancipha kancane kancane. Lo muthi ongoweqembu lemithi ebizwa ngokuthi ama-nitrate.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba udokotela wakho akunike lo muthi, kuzodingeka abe nesithombe esiphelele sempilo yakho. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho .
- Uma une -anemia .
- Uma unomlando wokopha ebuchosheni noma ukulimala ekhanda.
- Uma unezinye izinkinga zenhliziyo.
- Uma unesifo sesibindi.
- Uma une-allergy ku-nitroglycerin noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisayo.
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi lo muthi ukufanele yini noma cha, nokuthi uwunikeza kanjani.
Uyisebenzisa kanjani kahle le mithi?
Kubaluleke kakhulu ukwazi ukuthi ungayisebenzisa kanjani kahle le nto, ngoba isetshenziswa ezimweni eziphuthumayo.
Into ebaluleke kakhulu ukuyisebenzisa ngokushesha nje lapho ubuhlungu besifuba buqala . Ngisho nangaphambi kwalokho, hlala phansi . Ngoba abanye abantu bangazizwa benesiyezi ngemva kokuthatha umuthi. Lokhu kunganciphisa amathuba okuwa.
Kulungile, manje ake sibone ukuthi singakwenza kanjani isinyathelo ngesinyathelo:
1. Lungisa iphakethe: Bamba iphakethe lemithi liqonde. Isikhala esiphezulu sephakethe kanye nomugqa womcibisholo obomvu kufanele kubheke phezulu. Manje, engeza ungqimba lwempuphu phansi kwephakethe bese uqoqa yonke impuphu phansi.
2. Lifake emlonyeni wakho: Bamba iphakethe eduze kwesikhala bese ulisondeza emlonyeni wakho ngangokunokwenzeka. Manje dabula iphakethe ngomcibisholo obomvu.
3. Beka ngaphansi kolimi: Phakamisa ulimi lwakho bese ubeka yonke i-powder evela ephaketheni esikhaleni esingaphansi kolimi lwakho.
4. Vala umlomo wakho: Vala umlomo wakho ngokuqinile ngokushesha bese uphefumula ngendlela evamile ngekhala lakho.
5. Bekezela: Vumela le mpuphu incibilike ngaphansi kolimi lwakho. Ungahlanzi umlomo wakho, ukhafule, noma ugwinye imizuzu emi-5.
Manje yingxenye ebaluleke kakhulu:
- Ngokuvamile kufanele uzizwe ukhululekile zingakapheli imizuzu emi-5 uphuze umthamo wokuqala.
- Uma ubuhlungu bungapheli ngemva kwemizuzu emi-5 noma uma kubonakala sengathi buya bukhula, shayela i-ambulensi ngokushesha noma uhambe nothile uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Ungathatha omunye umthamo ngemva kwemizuzu emi-5 ngenkathi ulinde i-ambulensi noma usendleleni eya esibhedlela.
- Khumbula, ungaphuzi ngaphezu kwemithamo emithathu zingakapheli imizuzu eyi-15.
Uma udokotela wakho ekunikeze imiyalelo ehlukile, landela leyo miyalelo njalo.
Imiphumela emibi engaba khona yomuthi
Njenganoma yimuphi umuthi, i-nitroglycerin ingabangela imiphumela emibi. Eminye yale miphumela iyingozi, kanti eminye ivamile. Kubalulekile ukuqaphela lokhu.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Imiphumela emibi kakhulu okufanele uyibike 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 okwesibhakabhaka noma izindebe. |
| Ukucindezela okwandisiwe okuzungeze 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, ukushintsha kwezinga lokuqonda, ubunzima bokuphefumula. |
| Ubuhlungu besifuba obandayo (i-Angina) | Ubuhlungu obandayo, ingcindezi, noma ukuqina esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka: | |
| Isiyezi | Kungenzeka uma uqala ukuthatha umuthi. |
| Ukuhlanza | Indawo yobuso nentamo iba bomvu futhi izwakale ifudumele. |
| Ikhanda elibuhlungu | Kungumphumela ovamile kubantu abaningi. |
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ngakho, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital noma uye e- Emergency Treatment Unit (ETU) eseduze.
Izinto ezimbi ongazisebenzisa ngalo muthi
Lokhu kubaluleke kakhulu. I-Nitroglycerin umuthi ongaba nemiphumela eyingozi kakhulu uma uhlanganiswa neminye imithi ethile. Ungayithathi i-nitroglycerin nganoma yisiphi isizathu , ikakhulukazi uma uthatha noma yimiphi imithi ebhalwe ngezansi.
- Imithi Yokungasebenzi Kahle Kwesidoda: I-Avanafil, i-Sildenafil (eyaziwa ngokuthi i-Viagra), i-Tadalafil, i-Vardenafil. Lokhu kungabangela ukwehla okuyingozi nokusongela impilo komfutho wegazi uma kuthathwa nge-nitroglycerin.
- Ama-alkaloid e-Ergot: Eminye imithi esetshenziselwa ukwelapha ikhanda elibuhlungu, njenge-Dihydroergotamine ne-Ergotamine.
- Umuthi obizwa ngokuthi i-Riociguat .
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
Ezinye izinto okufanele uziqaphele
- Gcina lo muthi nawe ngaso sonke isikhathi . Awazi ukuthi ubuhlungu besifuba buzoqala nini noma kuphi.
- Ungase uzizwe ulele noma udidekile ngemva kokuthatha lo muthi. Ngakho-ke , gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini .
- Uma uvuka endaweni yokuhlala noma uvuka embhedeni, ungasukumi ngokuzumayo . Sukuma kancane. Qaphela kakhulu uma usukhulile.
- Ungayithathi imithi yokukhwehlela, yomkhuhlane, noma yezinhlungu ethengwa ngaphandle kwemvume kadokotela wakho ngaphambi kokubonisana nodokotela wakho. Eminye imithi ingakhuphula umfutho wegazi lakho.
Umlayezo Wokuya Nawe Ekhaya
- I-nitroglycerin powder isetshenziselwa ubuhlungu besifuba obungazelelwe (i-angina). Yiphuze ngokushesha nje lapho ubuhlungu buqala.
- Hlala endaweni ephephile njalo ngaphambi kokuthatha umuthi.
- Beka impuphu ngaphansi kolimi lwakho bese uyivumela incibilike imizuzu emi-5 ngaphandle kokugwinya noma ukuhlanza umlomo wakho.
- Uma ubuhlungu bungapheli zingakapheli imizuzu emi-5 kusukela kumthamo wokuqala noma uma bukhuphuka, funa usizo lwezokwelapha oluphuthumayo (ETU) ngokushesha.
- Ungalokothi usebenzise i-nitroglycerin kanye nemithi yokungasebenzi kahle kwe-erectile (njenge-Sildenafil/Viagra). Kuyingozi kakhulu.
- Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo.
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