Imixholo yeNitroglycerin

Umxholo

• Ngaphambi kokusebenzisa ioyile ye-nitroglycerin,
• Amafutha eNitroglycerin anokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:
• Iimpawu libanda kungaquka oku kulandelayo:

Amafutha eNitroglycerin (Nitro-Bid) asetyenziselwa ukuthintela iziqendu ze-angina (iintlungu zesifuba) kubantu abane-coronary artery disease (ukunciphisa imithambo yegazi ebonelela ngegazi entliziyweni). Amafutha eNitroglycerin anokusetyenziswa kuphela ukunqanda uhlaselo lwe-angina; ayinakusetyenziselwa ukuphatha uhlaselo lwe-angina xa sele iqalile. Amafutha eNitroglycerin (Rectiv) asetyenziswa kubantu abadala ukunyanga iintlungu ezivela kwimisipha yempundu (ukwahlukana okanye ukukrazula izicwili ezikufutshane nommandla wexande). INitroglycerin ikwiklasi yamayeza abizwa ngokuba yi-vasodilators. Amafutha eNitroglycerin athintela i-angina ngokuphucula imithambo yegazi ukuze intliziyo ingafuneki isebenze nzima kwaye ngenxa yoko ayifuni oksijini eninzi. Amafutha eNitroglycerin aphatha iintlungu zentsimbi ngokuphucula imithambo yegazi, ecutha uxinzelelo kwizicubu zangasese.

Imixholo ye-nitroglycerin iza njengeoli yokuthambisa kulusu. Xa isetyenziselwa ukuthintela i-angina, ihlala isetyenziswa kabini ngemini, kanye kanye emva kokuvuka kusasa, kwaye kwakhona emva kweeyure ezingama-6. Xa isetyenziselwa ukunyanga iintlungu zentsimbi, ihlala isetyenziswa rhoqo kwiiyure ezili-12 ukuya kuthi ga kwiiveki ezi-3. Ukuba usenentlungu ye-fissure emva kokusebenzisa ioyile iiveki ezintathu, tsalela ugqirha wakho. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Sebenzisa ioyile ye nitroglycerin ngokuchanekileyo njengoko kuyalelwe. Sukuyisebenzisa ngaphezulu okanye ngaphantsi kwayo okanye uyisebenzise rhoqo kunokuba umiselwe ngugqirha wakho.

Ukuba usebenzisa i-nitroglycerin ointment ukukhusela i-angina, ugqirha wakho uya kukuqala kwiqondo elincinci le-nitroglycerin ointment kwaye unokunyusa ngokuthe ngcembe umthamo wakho njengoko kufuneka ukulawula i-angina yakho. Amafutha eNitroglycerin anokungasebenzi nasemva kokuba sele esetyenzisiwe kangangexesha elithile, ngakumbi kwiidosi eziphezulu. Ukukunceda ukukhusela oku, ugqirha wakho uya kucwangcisa iidosi zakho ukuze kubekho ixesha apho ungatyhilelwanga kwi-nitroglycerin yonke imihla. Ukuba uhlaselo lwakho lwe-angina lwenzeka rhoqo, luhlala ixesha elide, okanye lube qatha nangaliphi na ixesha kunyango lwakho, tsalela ugqirha wakho.

Amafutha eNitroglycerin anceda ukuthintela uhlaselo lwe-angina kodwa asinyangi isifo semithambo. Qhubeka nokusebenzisa ioyile ye nitroglycerin nokuba uziva uphilile. Sukuyeka ukusebenzisa ioyile ye-nitroglycerin ngaphandle kokuthetha nogqirha wakho.

Ukuba usebenzisa i-nitroglycerin ointment ukukhusela i-angina, landela izikhokelo zikagqirha wakho kunye nezikhokelo kule mhlathi ukusebenzisa iyeza. Amafutha eNitroglycerin eza nesicelo sephepha elinelayini yomgaqo yokulinganisa idosi (nge-intshi). Beka iphepha kumgangatho othe tyaba kwaye ucofe ioyile ephepheni, ngokulinganisa ngononophelo inani elichaziweyo kwileyibhile yakho kagqirha. Ukuba ioyile yakho iza kwiipakethi zeefoyile, kuya kufuneka uyazi ukuba ipakethi nganye iqulethe ioyile yeoyinti enye kwaye iya kusetyenziselwa idosi enye kuphela. Beka iphepha eluswini lwakho kunye necala lokuthambisa, kwaye usebenzise iphepha ukusasaza ioyile ukugubungela indawo yolusu ubuncinci njengelona lifakiweyo. Musa ukuthambisa ioyile kulusu. Tape umfakisicelo endaweni kwaye usigqume ngesiqwenga seplastiki esongelwe ekhitshini ukunqanda ioyile ekungcoliseni impahla yakho. Ukuba ioyile yakho iza ityhubhu, yitshintshe ikepusi kwaye uyijije ngokuqinileyo. Ukuba ioyile yakho ifike kwipakethi encinci, yilahle ipakethi. Zama ukungafumani mafutha kwiminwe yakho. Hlamba izandla zakho emva kokuthambisa ioyile.

Ukuba usebenzisa i-nitroglycerin ointment ukunyanga intlungu ye-fissure, landela izikhokelo zikagqirha kunye nezikhokelo kule mhlathi ukusebenzisa iyeza. Vala umnwe wakho ngesongelo seplastiki, iglavu yotyando elahlwayo, okanye ukhuko lomnwe. Beka umnwe ogqunyiweyo ecaleni komgca we-intshi eyi-intshi kwicala lebhokisi yebhokisi yeoyitroglycerin ukuze incam yomnwe ikwicala elinye lomgca wedosi. Ukuqala kwincam yomnwe, cinezela ioyile emnweni wakho ngobude obufanayo obuphawulwe kwibhokisi ngumgca weedosi eyi-1-intshi. Ngenisa ngobumnene umnwe kunye neoli kwi-canal anal, ukuya kuthi ga kwilungu lokuqala lomnwe. Thambisa ioyile ejikeleze ngaphakathi kumsele wangasemva. Ukuba oku kubuhlungu kakhulu, sebenzisa la mafutha ngqo ngaphandle kwe-anus. Lahla isigubungelo somnwe. Hlamba izandla zakho emva kokuthambisa ioyile.

Ukuba usebenzisa i-nitroglycerin ointment ukunyanga iintlungu ze-fissure, cela usokhemesti okanye ugqirha wakho ikopi yolwazi lomenzi wesigulana.

La mayeza angamiselwa ezinye izinto. Buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya,

Ngaphambi kokusebenzisa ioyile ye-nitroglycerin,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-nitroglycerin mafutha, iipilisi, ukutshiza okanye iipatches isosorbide (Isordil, Monoket, kwi-BiDil, abanye), nawaphi na amanye amayeza, okanye naziphi na izithako kwioyile ye-nitroglycerin. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-riociguat (Adempas) okanye ukuba uthatha okanye usandula ukuthatha i-phosphodiesterase (PDE-5) inhibitors ezinje nge-avanafil (Strendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), kunye ne-vardenafil (ILevitra, iStaxyn). Ugqirha wakho unokukuxelela ukuba ungasebenzisi i-nitroglycerin ointment 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, Tenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard, eCorzide), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine, Sotylize), kunye netimolol; iicalcium block blockers ezinje ngeamlodipine (Norvasc, eAmturnide, eTekamlo), diltiazem (Cardizem, Cartia, Dilt-CD, abanye), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), kunye neverapamil (Calan , Covera, Verelan); uhlobo lwamayeza ergot anje nge-bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (eCafergot, eMigergot), methylergonovine (Methergine) I-Sansert; ayisafumaneki e-US), kunye negolide (iPermax; ayisafumaneki 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 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 ointment.
• xelela ugqirha wakho ukuba ucinga ukuba unokuphelelwa ngamanzi emzimbeni, ukuba usandula ukubanjwa sisifo sentliziyo, kwaye ukuba ukhe wanalo uxinzelelo lwegazi oluphantsi, ukusilela kwentliziyo, isifo sentliziyo (hypertrophic cardiomyopathy (ukuqina kwentliziyo yemisipha), okanye migraines okanye iintloko eziphindaphindayo .
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa usebenzisa ioyile ye nitroglycerin, tsalela ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba usebenzisa ioyile ye nitroglycerin.
• Kuya kufuneka uyazi ukuba ioyile ye-nitroglycerin inokukwenza ube nesiyezi. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• buza ugqirha wakho malunga nokusetyenziswa okukhuselekileyo kotywala ngelixa usebenzisa i-nitroglycerin ointment. Utywala bunokwenza iziphumo ezibi kakhulu kwioli ye-nitroglycerin ibe mandundu.
• Kuya kufuneka uyazi ukuba ii-patroglycerin patches zinokubangela ukuba nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo, okanye nangaliphi na ixesha, ngakumbi ukuba ubusele utywala. 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 unokuba nentloko ebuhlungu yonke imihla ngexesha lonyango lwakho ngeoyile ye-nitroglycerin. Ezi ntloko zinokuba luphawu lokuba iyeza liyasebenza njengoko kufanelekile. Ungazami ukutshintsha amaxesha okanye indlela oyifaka ngayo i-nitroglycerin mafutha ukuthintela iintloko kuba emva koko amayeza anokungasebenzi. Ugqirha wakho unokukuxelela ukuba uthathe isiyobisi sokunyanga iintlungu.

Ngaphandle kokuba ugqirha wakho akuxelele ngenye indlela, qhubeka nokutya okuqhelekileyo.

Faka idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukufaka idosi ephindwe kabini ukwenza eyilahlekileyo.

Amafutha eNitroglycerin anokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• intloko elula
• isiyezi
• ukuba bomvu okanye ukucaphuka kolusu olwalugqunywe ngamafutha lawo
• ukugungxula

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba kwangoko:

• ukubetha kwentliziyo kancinci
• ukwanda kwentlungu yesifuba
• isiqaqa
• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya

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 lingafumaneki ebantwaneni. Vala ityhubhu yokuthambisa ngokuqinileyo emva kokusetyenziswa ngakunye. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela). Ukuba usebenzisa i-nitroglycerin ointment ukunyanga iintlungu ze-anal fissure, lahla nayiphi na ioyile eseleyo kwiiveki ezisibhozo emva kokuba kuvulwe ityhubhu.

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
• Umbala oluhlaza okwesibhakabhaka
• ukudinwa
• ukudideka
• ifiva
• isiyezi
• 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.

• Ibhidi yeNitro^® Yamafutha aqholiweyo
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