Cabanga ngomuntu oseduze nawe ngokuzumayo eba nomfutho wegazi ophakeme kakhulu, noma isimo esiphuthumayo senhliziyo bese elaliswa esibhedlela. Khona-ke kungenzeka ukuthi uke wezwa ngomuthi okhethekile onikezwa odokotela ngesisombululo se-saline njengokwelashwa okuphuthumayo. I-Nitroprusside umuthi obaluleke kakhulu osetshenziswa ezimweni ezinjalo. Lona umuthi akuwona owokusetshenziswa ekhaya, kodwa umjovo okhethekile onikezwa kuphela ngaphansi kokubhekwa okuqinile esibhedlela. Ngakho-ke namuhla, ake sixoxe ngalomuthi ngemininingwane ethe xaxa futhi kalula.
Kwenzekani ngempela ngalo muthi?
Kalula nje, i-Nitroprusside iyisidakamizwa esisesigabeni semithi ebizwa ngokuthi ama-vasodilator . Igama elithi 'vasodilator' lingase lizwakale njengento enkulu, kodwa incazelo yalo ilula kakhulu. Lokho okwenziwa yilesi sidakamizwa ukwandisa imithambo yegazi emzimbeni wethu futhi siyiphumuze.
Cabanga ukuthi uma ipayipi lamanzi livalekile kancane, uma uvula ipayipi, amanzi ageleza kalula ngaphandle kokucindezela, akunjalo? Yilokho okwenzekayo nalapha. Lapho imithambo yegazi ivuleka, kuba nendawo enkulu yokugeleza kwegazi. Ngenxa yalokhu, umfutho wegazi owawuphezulu kakhulu wehla ngokushesha. Futhi, umzamo inhliziyo okufanele iwenze ukuze ipompe igazi uncipha kakhulu.
Ngenxa yalezi zizathu, odokotela basebenzisa lo muthi ikakhulukazi ezimweni ezimbili:
- Lawula umfutho wegazi ophakeme kakhulu/inkinga yomfutho wegazi ophakeme kakhulu .
- Nciphisa ukucindezeleka enhliziyweni ezimweni ezithile zokwehluleka kwenhliziyo okukhulu .
Izinto ezibalulekile okufanele uzitshele udokotela wakho ngaphambi kokunikeza lo muthi
Ngisho noma lo umuthi unikezwa esibhedlela, kubalulekile ukuthi udokotela azi umlando wakho noma wesiguli ophelele wezokwelapha. Kufanele nakanjani wazise udokotela uma unezinye zezimo ezilandelayo:
- Ezinye izifo onazo, ikakhulukazi:
- Isimo samehlo
- Ukulimala ekhanda kwangaphambilini
- Ezinye izifo zenhliziyo
- Isifo sezinso
- Isifo sesibindi
- I-anemia / amaseli abomvu aphansi egazi
- Uma une -allergies ku-nitroprusside noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
Ngokusekelwe kulolu lwazi, udokotela uzonquma ukuthi uzokunika lo muthi noma cha, noma ukuthi uzowunikeza kanjani.
Ngingawusebenzisa kanjani lo muthi futhi kwenzekani uma ngisebenzisa ngokweqile?
Lona akusiwo umuthi ongawuthatha ekhaya.Lona umuthi onikezwa nge-saline infusion emthanjeni. Unikezwa kuphela endaweni efana neyunithi yokunakekelwa okujulile esibhedlela noma emtholampilo, ngudokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi. Bazoqhubeka nokuqapha izinto ezifana nomfutho wegazi lakho kanye nokushaya kwenhliziyo.
Uyabanika yini abantwana?
Lo muthi unganikezwa izingane ezincane, ngisho nezinsana ezisanda kuzalwa, kwezinye izimo ezikhethekile. Kodwa isinqumo senziwa udokotela wezingane. Ngakho-ke, uma unikezwa ingane, kunezinyathelo zokuphepha ezikhethekile ezisebenzayo.
Ukweqisa umthamo
Njengoba lokhu kunikezwa ngokucophelela esibhedlela, amathuba okusebenzisa ngokweqile aphansi kakhulu. Kodwa-ke, uma usola ukuthi uthathe umuthi omningi kakhulu, kufanele wazise abasebenzi bezokwelapha ngokushesha. Ngokuvamile, uma kwenzeka ubuthi, sithi shayela iNational Poisons Information Centre eColombo National Hospital . Kodwa-ke, uma kwenzeka okunye esibhedlela esinjengalesi, kubaluleke kakhulu ukwazisa i-Emergency Treatment Unit (ETU) noma abasebenzi bezokwelapha bewadi efanele ngqo.
Eminye imithi engase ihlangane nalo muthi
Okubaluleke kakhulu: Nikeza udokotela wakho uhlu olucacile lwazo zonke izidakamizwa ozithathayo (ezinqunywe abanye odokotela, ezithengiswa ngaphandle kwemithi kadokotela, zendabuko, amavithamini, imikhiqizo yamakhambi). Batshele futhi uma ubhema noma uphuza utshwala. Ezinye izinto zingathintana nalo muthi.
Ikakhulukazi, i-Nitroprusside ingasebenzisana nemithi elandelayo:
- Eminye imithi esetshenziselwa ukungasebenzi kahle kocansi (isib. iSildenafil, iTadalafil)
- I-Riociguat (umuthi womfutho wegazi ophezulu wamaphaphu)
- Eminye imithi yokwelapha umfutho wegazi, isifo senhliziyo, kanye nokushaya kwenhliziyo okungajwayelekile
- Izibulala-zinhlungu ezivamile ezisetshenziswa ngesikhathi sokuhlinzwa
Yimiphi imiphumela emibi engabonakala?
Njenganoma yimuphi umuthi, i-Nitroprusside ingabangela eminye imiphumela emibi. Eminye yale miphumela kufanele ibikwe ngokushesha, kanti eminye ayibi kangako.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izinto okufanele uzibike kudokotela/kubasebenzi babahlengikazi ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe/ulimi/ubuso. |
| Izimpawu zokwanda kwe-asidi egazini (i-Acidosis) | Ukwanda kwesivinini sokuphefumula, ukushaya kwenhliziyo okusheshayo, ikhanda elibuhlungu, ukudideka, ukukhathala okukhulu, isicanucanu, nokuhlanza. |
| Izimpawu zomfutho wegazi ophansi kakhulu | Isiyezi esikhulu, uzizwe sengathi amehlo akho aphenduka aluhlaza okwesibhakabhaka, uzizwe sengathi uzowa, ubuthakathaka obukhulu. |
| Izimpawu ze-methemoglobinemia | Isikhumba esimpunga, esimpunga, noma esiluhlaza okwesibhakabhaka, ikhanda elibuhlungu, ukushaya kwenhliziyo okusheshayo, ukuphelelwa umoya, ukukhathala. |
| Ngokuvamile akukho okufanele ukhathazeke ngakho, kodwa uma kuqhubeka, izinto okufanele uzibike | |
| Ukuhlanza ubuso | Ubuso buzwakala bushisa futhi buphenduka bubomvu. |
| Ubuhlungu endaweni yokujova | Ubuhlungu, ukubomvu, noma ukuvuvukala lapho kujovwe khona. |
Enye into okufanele uyiqaphele lapho unikeza umuthi...
Ngenxa yokuthi lo muthi wehlisa umfutho wegazi, ungase uzizwe unesizungu . Ngakho-ke, ungavuki endaweni ohleli kuyo noma uphume embhedeni ngokuzumayo. Ukwenza kanjalo kungandisa isizungu futhi kukubangele ukuba uwe. Qaphela kakhulu ngalokhu, ikakhulukazi uma usukhulile.
Umlayezo Wokuya Nawe Ekhaya
- I-Nitroprusside umuthi okhethekile onikezwa ngemithambo esibhedlela ukulawula umfutho wegazi ophakeme kanye nezimo ezithile zenhliziyo ezimweni eziphuthumayo.
- Lokhu kwandisa imithambo yegazi futhi kunciphisa umthwalo womsebenzi enhliziyweni.
- Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izifo onazo, yonke imithi oyithathayo, kanye nanoma yikuphi ukungezwani komzimba onakho.
- Qaphela lapho umi noma uhleli phansi, njengoba kungase kube nesiyezi lapho unikezwa umuthi.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuqubuka kwesikhumba, ubunzima bokuphefumula, noma isiyezi esikhulu, yazisa abasebenzi bezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela okwelaphayo.
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