Ukutshiza kweNitroglycerin
Umxholo
- Ukusebenzisa isitshizi, landela la manyathelo:
- Ngaphambi kokusebenzisa i-nitroglycerin,
- INitroglycerin inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha wakho ukuba ngaba kukho enye yezi mpawu okanye ezo zidweliswe kwiCandelo LOKUGCINWA OKUKHETHEKILEYO zinzima okanye azihambi:
- Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
- Iimpawu libanda kungaquka oku kulandelayo:
Isitshizi seNitroglycerin sisetyenziselwa ukunyanga iziqendu ze-angina (iintlungu zesifuba) kubantu abane-coronary artery disease (ukunciphisa imithambo yegazi ebonelela ngegazi entliziyweni). Isitshizi sinokusetyenziselwa 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 njengesitshizi sokuyisebenzisa okanye phantsi kolwimi. Isitshizi sihlala sisetyenziswa 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. Sebenzisa i-nitroglycerin ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi okanye uyisebenzise rhoqo kunokuyalelwa ngugqirha.
INitroglycerin isenokungasebenzi nasemva kokuba uyisebenzisile kangangexesha elithile okanye ukuba usebenzise idosi ezininzi. Sebenzisa elona nani lincinci lezitshizi ukuze unciphise 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 i-nitroglycerin spray ukunyanga uhlaselo lwe-angina. Ugqirha wakho uya kukuxelela ukuba uhlale phantsi kwaye usebenzise idosi enye ye-nitroglycerin xa kuqala uhlaselo. Ukuba iimpawu zakho aziphuculanga kakhulu okanye ukuba ziya zisiba mbi emva kokusebenzisa lethosi unokuxelelwa ukuba ubize uncedo lwezonyango olungxamisekileyo kwangoko. Ukuba iimpawu zakho azihambi ngokupheleleyo emva kokuba usebenzise idosi yokuqala, ugqirha unokukuxelela ukuba usebenzise 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 usebenzise idosi yesithathu.
Ukusebenzisa isitshizi, landela la manyathelo:
- Hlala phantsi xa kunokwenzeka, ubambe isikhongozeli ungasigungqisi. Susa isiciko seplastiki.
- Ukuba usebenzisa isikhongozeli okokuqala, bamba isikhongozeli nkqo ukuze sikhonjiswe kude kuwe nakwabanye, kwaye ucofe iqhosha amaxesha ali-10 xa usebenzisa iNitromist okanye ka-5 xa usebenzisa i-Nitrolingual pumpspray ukuqala isitya.Ukuba awusisebenzisi isikhongozeli okokuqala kodwa khange usisebenzise kwisithuba seeveki ezi-6, cinezela iqhosha amaxesha ama-2 ukuphinda wenze isikhongozeli xa usebenzisa iNitromist okanye ixesha eli-1 xa usebenzisa i-Nitrolingual pumpspray. Ukuba i-Nitrolingual khange isetyenziswe kwiinyanga ezi-3 okanye ngaphezulu, cinezela iqhosha ukuya kumaxesha ama-5 ukuphinda wenze isitya kwakhona.
- Vula umlomo wakho. Bamba isikhongozeli sime nkqo, sisondele emlonyeni wakho kangangoko.
- Sebenzisa isikhombisi sakho sokucofa ucofe iqhosha ngokuqinileyo. Oku kuya kukhupha ukutshiza emlonyeni wakho. Musa ukungenisa isitshizi.
- Vala umlomo wakho. Musa ukutshiza amayeza okanye uhlambe umlomo wakho kangangemizuzu emi-5 ukuya kweli-10.
- Faka isiciko seplastikhi kwisitya.
- Jonga inqanaba lolwelo kwisitya amaxesha ngamaxesha ukuze uqiniseke ukuba uya kuhlala unamayeza aneleyo ngesandla. Bamba isikhongozeli nkqo ngelixa ujonga. Ukuba ulwelo lufikelela ngaphezulu okanye embindini womngxuma kwicala lesikhongozeli, kuya kufuneka u-odole amayeza amaninzi. Ukuba ulwelo lusezantsi komngxunya, isikhongozeli asisayi kuphinda sikhuphe idosi epheleleyo yamayeza.
Ungazami ukuvula isitya se-nitroglycerin spray. Le mveliso inokutsha, ke sukuyisebenzisa kufutshane nedangatye elivulekileyo, kwaye ungavumeli ukuba isikhongozeli sitshiswe emva kokusetyenziswa.
Eli yeza linokumiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.
Ngaphambi kokusebenzisa i-nitroglycerin,
- xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana namachaphaza e-nitroglycerin, iipilisi, ioyile okanye ukutshiza; nawaphi na amanye amayeza; okanye nasiphi na isithako kwiipilisi ze-nitroglycerin okanye ukutshiza 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 ungasebenzisi i-nitroglycerin ukuba uthatha elinye okanye ngaphezulu kula 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, kwi-Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard, eCorzide), propranolol (Hemangeol, Inderal LA, Innopran XL), sotalol (Betapace, Sorine ), kunye netimolol; iicalcium block blockers ezinje ngeamlodipine (Norvasc, eTekamlo), diltiazem (Cardizem, Cartia, Dilacor, others), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), kunye verapamil (Calan, Covera, Verelan, abanye); uhlobo lwamayeza ergot anjenge bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine, ergotamine (Ergomar, eCafergot, eMigergot), methylergonovine (Methergine) ; ayisafumaneki e-US), kwaye igolide (iPermax; ayisasebenzi e-US); amayeza oxinzelelo lwegazi oluphezulu, ukusilela kwentliziyo, okanye ukubetha kwentliziyo okungaqhelekanga. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
- xelela ugqirha wakho ukuba ucinga ukuba une-anemia (inani elisezantsi kuneliqhelekileyo leeseli ezibomvu zegazi), okanye unayo nayiphi na imeko eyonyusa uxinzelelo kwingqondo yakho okanye kukhakhayi. Ugqirha wakho unokukuxelela ukuba ungasebenzisi i-nitroglycerin.
- xelela ugqirha wakho ukuba ucinga ukuba unokuphelelwa ngamanzi emzimbeni, ukuba usandula ukubanjwa sisifo sentliziyo, kwaye ukuba ukhe wanalo uxinzelelo lwegazi oluphantsi, ukusilela kwentliziyo, okanye isifo sentliziyo (hypertrophic cardiomyopathy).
- xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwe ngelixa usebenzisa i-nitroglycerin, biza ugqirha wakho.
- ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa i-nitroglycerin.
- Kuya kufuneka uyazi ukuba unokufumana iintloko ngexesha lonyango lwakho nge-nitroglycerin. Ezi ntloko zinokuba luphawu lokuba iyeza liyasebenza njengoko kufanelekile. Ungazami ukutshintsha amaxesha owasebenzisa i-nitroglycerin ukunqanda iintloko kuba emva koko amayeza anokungasebenzi ngokunjalo.
- buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa usebenzisa i-nitroglycerin. Utywala bunokwenza iziphumo ebezingalindelekanga ukuba zibe mbi ngakumbi kwi-nitroglycerin.
Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.
Isitshizi seNitroglycerin sihlala sisetyenziswa njengoko kufuneka ukunyanga iziqendu ze-angina; ungayisebenzisi rhoqo ngokucwangcisiweyo.
INitroglycerin inokubangela iziphumo ebezingalindelekanga. Xelela ugqirha wakho ukuba ngaba kukho enye yezi mpawu okanye ezo zidweliswe kwiCandelo LOKUGCINWA OKUKHETHEKILEYO zinzima okanye azihambi:
- ukugungxula
- ngokukhawuleza okanye ukubetha kwentliziyo
Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko okanye ufumane unyango olungxamisekileyo:
- irhashalala, ukudumba, okanye ukuxobuka kolusu
- isicaphucaphu
- ukugabha
- ubuthathaka
- ukubila
- ulusu oluthuthu
INitroglycerin inokubangela ezinye iziphumo ebezingalindelekanga. Biza ugqirha wakho ukuba unayo nayiphi na ingxaki engaqhelekanga ngelixa usebenzisa 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 eli yeza kwisikhongozeli lifikile, livalekile, kwaye alifumaneki ebantwaneni. 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
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Iimpawu libanda kungaquka oku kulandelayo:
- intloko ebuhlungu
- ukudideka
- ifiva
- isiyezi
- utshintsho kumbono
- icotha okanye ibetha ngamandla intliziyo
- 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.
Musa ukuvumela omnye umntu asebenzise 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.
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