INitroglycerin Sublingual
Umxholo
- Ngaphambi kokuthatha okanye ukusebenzisa i-nitroglycerin,
- INitroglycerin inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha wakho ukuba ngaba kukho enye yezi mpawu okanye ezo zidweliswe kwiCandelo LOKUQINISEKISWA OKUQHELEKILEYO zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:
- Iimpawu libanda kungaquka oku kulandelayo:
Iipilisi zeNitroglycerin sublingual zisetyenziselwa ukunyanga iziqendu ze-angina (iintlungu zesifuba) kubantu abane-coronary disease (ukunciphisa imithambo yegazi ebonelela ngegazi entliziyweni). Ikwasetyenziswa nje ngaphambi kwemisebenzi enokubangela iziqendu ze-angina ukuthintela i-angina ukuba ingenzeki. INitroglycerin ikwiklasi yamayeza abizwa ngokuba yi-vasodilators. Isebenza ngokuphumla kwimithambo yegazi ukuze intliziyo ingadingi ukusebenza nzima kwaye ke ayifuni oksijini eninzi.
INitroglycerin iza njengecwecwe elincinci lokuthatha phantsi kolwimi. Amacwecwe ahlala ethathwa njengoko kufuneka, nokuba yimizuzu emi-5 ukuya kweli-10 ngaphambi kwemisebenzi enokubangela uhlaselo lwe-angina okanye uphawu lokuqala lohlaselo. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-nitroglycerin ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.
INitroglycerin isenokungasebenzi nasemva kokuba uyisebenzisile kangangexesha elithile okanye ukuba uthathe idosi ezininzi. Thatha ezona pilisi zimbalwa zidingekayo ukunciphisa iintlungu kuhlaselo lwakho. Ukuba uhlaselo lwakho lwe-angina lwenzeka rhoqo, luhlala ixesha elide, okanye lube qatha nangaliphi na ixesha kunyango lwakho, tsalela ugqirha wakho.
Thetha nogqirha wakho malunga nendlela yokusebenzisa iipilisi ze-nitroglycerin ukunyanga uhlaselo lwe-angina. Ugqirha wakho uya kuthi kuwe hlala phantsi uthathe idosi enye ye-nitroglycerin xa uhlaselo luqala. Ukuba iimpawu zakho aziphuculanga kakhulu okanye ukuba ziya zisiba mbi emva kokuba uthathe le dosi unokuxelelwa ukuba ubize uncedo lwezonyango olungxamisekileyo kwangoko. Ukuba iimpawu zakho azihambi ngokupheleleyo emva kokuba uthathe idosi yokuqala, ugqirha wakho unokukuxelela ukuba uthathe idosi yesibini emva kwemizuzu emi-5 idlulile kunye nedosi yesithathu imizuzu emi-5 emva kwethamo lesibini. Biza uncedo lwezonyango olungxamisekileyo kwangoko ukuba iintlungu zesifuba zakho aziphelanga ngokupheleleyo emva kwemizuzu emi-5 emva kokuba uthathe idosi yesithathu.
Sukuhlafuna, ukutyumza, okanye ukuginya iipilisi ze-nitroglycerin. Endaweni yoko, beka ithebhulethi phantsi kolwimi lwakho okanye phakathi kwesidlele sakho nentsini kwaye ulinde inyibilike. Unokuziva uvutha okanye ubetheka emlonyeni wakho njengoko ithebhulethi inyibilika. Oku kuqhelekile kodwa ayilulo uphawu lokuba ithebhulethi iyasebenza. Sukuba nexhala lokuba ithebhulethi ayisebenzi ukuba uziva ungatshisi okanye urhawuzelele.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokuthatha okanye ukusebenzisa i-nitroglycerin,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana namachaphaza e-nitroglycerin, iipilisi, iipilisi, ioyile okanye ukutshiza; nawaphi na amanye amayeza; okanye nasiphi na isithako esenziwe kwiipilisi zeetitoglycerin. Buza usokhemesti wakho uluhlu lwezithako.
- xelela ugqirha wakho ukuba uthatha i-riociguat (Adempas) okanye ukuba uthatha okanye usandula ukuthatha i-phosphodiesterase inhibitor (PDE-5) efana ne-avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), kunye vardenafil (ILevitra, iStaxyn). Ugqirha wakho unokukuxelela ukuba ungathathi i-nitroglycerin ukuba uthatha elinye lala mayeza.
- xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: ii-beta blockers ezinje nge-atenolol (Tenormin), carteolol, labetalol (Trandate, eNormozide, kwiTrandate HCT), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine ), kunye netimolol; iicalcium block blockers ezinje ngeamlodipine, diltiazem (Cardizem, Cartia, Diltzac, others), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Adalat, Afeditab CR, Procardia), kunye verapamil (Calan, Covera, Verelan, Tarka) ; womchamo (iipilisi zamanzi); amayeza ohlobo lwe-ergot anje nge-bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (D.H 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (eCafergot, eMigergot), kunye methylergonovine (Methergine) heparin; amayeza oxinzelelo lwegazi oluphezulu, ukusilela kwentliziyo, okanye ukubetha kwentliziyo okungaqhelekanga. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- Kuya kufuneka uyazi ukuba iipilisi ze-nitroglycerin sublingual azinakunyibilika ngokulula emlonyeni wakho ukuba uthatha amayeza abangela umlomo owomileyo njenge-antihistamines; i-antidepressants kubandakanya i-amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), kunye ne-trimipramine (Surmontil); ipratropium (Atrovent); okanye amayeza esi sifo sesisu esinganyangekiyo, isifo sokuhamba, isifo sikaParkinson, izilonda, okanye iingxaki zomchamo. Ukuba oku kuyenzeka, sebenzisa imveliso yamathe okanye eyokuhlafuna itshungama ukwandisa inani lamathe emlonyeni wakho ukuze icwecwe liphele.
- xelela ugqirha wakho ukuba ngaba uhlaselwe sisifo sentliziyo kutshanje kwaye ukuba une-anemia (inani eliphantsi leeseli ezibomvu zegazi) okanye nayiphi na imeko ebangela ukwanda koxinzelelo kukhakhayi lwakho. Ugqirha wakho unokukuxelela ukuba ungathathi i-nitroglycerin.
- xelela ugqirha wakho ukuba ucinga ukuba unamanzi emzimbeni kwaye ukuba ukhe wasilela kwentliziyo, uxinzelelo lwegazi oluphantsi, okanye isifo sentliziyo (hypertrophic cardiomyopathy (ukuqina kwemisipha yentliziyo).
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-nitroglycerin, tsalela ugqirha wakho.
- ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-nitroglycerin.
- buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa uthatha i-nitroglycerin. Utywala bunokwenza iziphumo ebezingalindelekanga ukuba zibe mbi ngakumbi kwi-nitroglycerin.
- Kuya kufuneka uyazi ukuba i-nitroglycerin inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo, okanye nangaliphi na ixesha, ngakumbi ukuba ubusele iziselo ezinxilisayo. Ukuthintela le ngxaki, vuka kancinci, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume. Thatha amanyathelo okhuseleko ukuthintela ukuwa ngexesha lonyango lwakho nge-nitroglycerin.
- Kuya kufuneka uyazi ukuba unokufumana iintloko ngexesha lonyango lwakho nge-nitroglycerin. Ezi ntloko zinokuba luphawu lokuba iyeza liyasebenza njengoko kufanelekile. Ungazami ukutshintsha amaxesha othatha i-nitroglycerin ukunqanda iintloko kuba emva koko amayeza anokungasebenzi ngokunjalo.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Iipilisi zeNitroglycerin sublingual zihlala zithathwa njengoko kufuneka ukunyanga iziqendu ze-angina; sukuzithatha rhoqo.
INitroglycerin inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha wakho ukuba ngaba kukho enye yezi mpawu okanye ezo zidweliswe kwiCandelo LOKUQINISEKISWA OKUQHELEKILEYO zinzima okanye azihambi:
- ukugungxula
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:
- ukungaboni kakuhle
- umlomo owomileyo
- irhashalala, ukudumba, okanye ukuxobuka kolusu
- urhwebo
- ukurhawuzelela
- ubunzima bokuphefumla okanye ukugwinya
- isicaphucaphu
- ukugabha
- ubuthathaka
- ukubila
- ulusu oluthuthu
I-Nitroglycerin sublingual inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unengxaki engaqhelekanga ngelixa uthatha eli yeza.
Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).
Gcina la mayeza kwisitya angene kuwo, avalwe ngokuqinileyo emva kokusetyenziswa ngakunye, nalapho abantwana bangenakufikelela khona. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).
Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.
Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org
Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.
Iimpawu libanda kungaquka oku kulandelayo:
- intloko ebuhlungu
- ukudideka
- ifiva
- isiyezi
- icotha okanye ibetha ngamandla intliziyo
- utshintsho lombono
- isicaphucaphu
- ukugabha
- Urhudo olunegazi
- isiqaqa
- ukuqhawukelwa ngumphefumlo
- ukubila
- ukugungxula
- Kuyabanda, ulusu olunombala
- ukulahleka kwamandla okuhambisa umzimba
- isiqaqa (ukulahleka kwengqondo ixesha elithile)
- ukuxhuzula
Gcina lonke ixesha lokudibana nogqirha wakho.
Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-nitroglycerin sublingual.
Musa ukuvumela nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.
Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.
- INitrostat®