Cabanga nje uma
umfutho wegazi womuntu
ungavele ungalawuleki, noma uma eba nesimo esiphuthumayo
sokwehluleka kwenhliziyo ? Namuhla sikhuluma ngomuthi okhethekile, onamandla odokotela abawusebenzisa ezibhedlela ezimweni ezimbi kangaka. Igama lalo muthi yi-Nitroprusside. Lona akusiwo umuthi ovame ukuthengwa ekhemisi futhi usetshenziswe ekhaya. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Kalula nje, iyini i-nitroprusside?
Lona umuthi owuketshezi onikezwa umzimba (
ukumnika ) njengosawoti ngemithambo yegazi. Kalula nje, lo muthi usebenza ngokwandisa imithambo yegazi emzimbeni wethu nokunciphisa ukuqina kwayo. Kufana nokushintsha ipayipi lamanzi elincane ngepayipi elikhulu. Kwenzekani-ke? Inhliziyo kufanele isebenze kancane ukuze ipompe igazi. Ngenxa yalokho, umfutho wegazi ophakeme ngendlela eyingozi ungalawulwa ngokushesha. Lo muthi ungoweqembu lemithi ebizwa ngokuthi ama-nitrate.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngenxa yokuthi i-nitroprusside iyisidakamizwa esinamandla kakhulu, kubalulekile ukuthi udokotela wakho aqaphele noma yiziphi ezinye izimo zezokwelapha ongase ube nazo. Uma unezinye zezimo ezibalwe kuthebula elingezansi, qiniseka ukuthi utshela udokotela wakho ngazo.
| Isimo sakho sezokwelapha | Kungani ukuqaphela kubalulekile? |
|---|
| Isifo samehlo | Lo muthi ungathinta ezinye izimo, njengokucindezeleka kwamehlo. |
| Ukulimala ekhanda | Kubalulekile ukuqaphela lo muthi ngoba ungathinta ingcindezi ezungeze ubuchopho. |
| Isifo sezinso | Uma izinso zingasebenzi kahle, ezinye zezithako kulo muthi zingase ziqongelelane emzimbeni. |
| Isifo sesibindi | Uma ukusebenza kwesibindi kuphazamiseka, umuthi ungase uqhekeke emzimbeni. |
| Izibalo zegazi eziphansi | Kubalulekile ukuqaphela lokhu, ikakhulukazi uma unamaseli abomvu egazi aphansi. |
| Ukungezwani nento ethile | Qiniseka ukuthi uyasitshela uma une-allergies ku-nitroprusside noma kunoma yimuphi omunye umuthi noma ukudla. |
| Uma ukhulelwe noma ulindele umntwana | Udokotela kumele enze isinqumo mayelana nemiphumela yalo muthi ngesikhathi sokukhulelwa. |
| Uma umama encelisa ingane yakhe | Kudingeka uqaphele ukuthi umuthi udlulela enganeni ngobisi lwebele noma cha. |
Uyisebenzisa kanjani le mithi?
Lomuthi akuyona into ongayithatha uye nayo ekhaya.
Umuthi onikezwa esibhedlela noma emtholampilo kuphela, ngaphansi kokuqashwa kwezokwelapha. Ngokuvamile usetshenziswa kakhulu endaweni efana neyunithi yokunakekelwa okujulile (ICU). Ngisho nasezinganeni ezincane, uma kudingeka, lo muthi unqunywa odokotela ezimweni ezikhethekile. Kodwa ngokuqapha okukhulu.
Ngesikhathi uthatha lo muthi, odokotela nabahlengikazi bazoqhubeka nokuqapha umfutho wegazi lakho kanye nokushaya kwenhliziyo , ukuze uphephe.
Kuthiwani uma umthamo wemithi ukhuphuka?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuba lokho kwenzeke mancane kakhulu. Ngoba konke kwenzeka ngaphansi kokulawulwa. Kodwa uma ucabanga ukuthi umuthi uphuzwe ngokweqile ngandlela thile, kufanele wazise abasebenzi bezokwelapha ngokushesha. Ngokuvamile, uma uthatha eminye imithi eminingi kakhulu, into yokuqala okufanele uyenze ukushayela ucingo
iNational Poison Information Center eColombo National Hospital , noma uye
e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi). Eminye imithi ingaba nemiphumela eyingozi uma ihlanganiswa ne-nitroprusside.
Ungayithathi i-Nitroprusside kanye nalezi.
| Eminye imithi yokwelapha ukungasebenzi kahle kocansi | Imithi efana ne-Sildenafil ne-Tadalafil. Ukuthatha lezi zinto zombili ndawonye kungabangela umfutho wegazi ophansi ngendlela eyingozi. |
| I-Riociguat | Umuthi womfutho wegazi ophezulu emaphashini. Uma uthathwa kanye nalokhu, umfutho ungehla kakhulu. |
Kudingeka uqaphele nalomuthi futhi.
| Eminye imithi yokucindezeleka kwegazi | Uma inikezwa kanye neminye imithi yomfutho wegazi, umfutho wegazi ungase wehle kakhulu. Odokotela bazokuqapha lokhu. |
| Izinzwa ezivamile | Lo muthi ungase uhlangane nomuthi onikezwe ukuze ubangele ukungazi lutho ngesikhathi sokuhlinzwa. |
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-nitroprusside ingabangela imiphumela emibi. Njengoba uzobe usesibhedlela lapho lo muthi unikezwa, uma uzwa okuthile okungajwayelekile
, tshela udokotela noma umhlengikazi lapho ngokushesha. Tshela
udokotela wakho /umhlengikazi
ngokushesha uma unalezi zimpawu. Lezi ngokuvamile azibi kakhulu, kodwa uma ziqhubeka, tshela
udokotela wakho. | Umphumela ongemuhle | kwenzekani? |
|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe nolimi. |
| Umfutho wegazi ophansi kakhulu | Isiyezi , amehlo aluhlaza okwesibhakabhaka , ukuquleka . |
| Isimo se-Methemoglobinemia | Izimpawu ezifana nekhanda elibuhlungu kakhulu, ukukhathala okukhulu, ubunzima bokuphefumula, isicanucanu, ukuhlanza, ukushaya kwenhliziyo okusheshayo, kanye nesikhumba noma izindebe eziluhlaza okwesibhakabhaka . |
| Ukwanda kwe-acidity emzimbeni | Ubunzima bokuphefumula, ukukhathala okukhulu, ukungaphumuli, ukushaya kwenhliziyo okusheshayo. |
| Ukwanda kwengcindezi ezungeze ubuchopho | Ikhanda elibuhlungu kakhulu, ukubona okufiphele, isicanucanu, nokuhlanza. |
| Ukuhlanza ubuso | Lo muthi ubangela ukwanda kokugeleza kwegazi ebusweni, okubangela ukubomvu. |
| Ubuhlungu endaweni yokujova | Ubomvu, ubuhlungu, noma ukuvuvukala lapho kufakwe khona i-cannula. |
Umlayezo Wokuya Nawe Ekhaya
- I-Nitroprusside iwumuthi onamandla onikezwa ngemithambo kuphela esibhedlela ezimweni eziphuthumayo ezifana nomfutho wegazi ophakeme kanye nokuhlaselwa yinhliziyo .
- Ngaphambi kokuba unikezwe lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha kanye neminye imithi oyithathayo.
- Akukho okufanele ukhathazeke ngakho njengoba abasebenzi bezokwelapha bazokuqapha njalo ngenkathi unikezwa umuthi.
- Ikhanda elibuhlungu , isiyezi,Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile , njengobunzima bokuphefumula, yazisa umhlengikazi noma udokotela ngokushesha.
- Njengoba lo muthi unikezwa ngaphansi kokuqondisa kochwepheshe, sicela ubuze udokotela wakho noma yimiphi imibuzo ongase ube nayo ngawo.
I-Nitroprusside, umfutho wegazi ophakeme, ukwehluleka kwenhliziyo, ukufakwa kwe-IV, ukwelashwa okuphuthumayo, imithi yasesibhedlela
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