Mitu ya Nitroglycerin

Zamkati

• Musanagwiritse ntchito mafuta a nitroglycerin,
• Mafuta a nitroglycerin amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:
• Zizindikiro za bongo zingaphatikizepo izi:

Mafuta a Nitroglycerin (Nitro-Bid) amagwiritsidwa ntchito popewera ma angina (kupweteka pachifuwa) mwa anthu omwe ali ndi matenda amitsempha (kuchepa kwa mitsempha yamagazi yomwe imapereka magazi pamtima). Mafuta a nitroglycerin amatha kugwiritsidwa ntchito popewa angina; Sizingagwiritsidwe ntchito kuthana ndi angina ikangoyamba. Mafuta a Nitroglycerin (Rectiv) amagwiritsidwa ntchito kwa achikulire kuti athetse ululu kuchokera kumatenda amphako (kugawanika kapena kung'amba minofu pafupi ndi malo am'mbali). Nitroglycerin ili mgulu la mankhwala otchedwa vasodilators. Mafuta a nitroglycerin amaletsa angina pochepetsa mitsempha yamagazi kuti mtima usafunike kugwira ntchito molimbika motero sugwiritsa ntchito mpweya wambiri. Mafuta a Nitroglycerin amathandizira kupweteka kwamisempha ndikumatsitsimutsa mitsempha yamagazi, yomwe imachepetsa kukakamira kumatumba amkati.

Matenda a nitroglycerin amabwera ngati mafuta odzola pakhungu. Pogwiritsidwa ntchito kupewa angina, imagwiritsidwa ntchito kawiri patsiku, kamodzi mukangodzuka m'mawa, komanso maola 6 pambuyo pake. Mukagwiritsidwa ntchito pochiza kupweteka kwa msana, nthawi zambiri imagwiritsidwa ntchito maola 12 aliwonse mpaka milungu itatu. Ngati mukuvutikabe ndi zotupa mukatha kugwiritsa ntchito mafutawo kwa milungu itatu, itanani dokotala wanu. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Gwiritsani ntchito mafuta a nitroglycerin monga momwe adauzira. Osagwiritsa ntchito zocheperako kapena kuzigwiritsa ntchito pafupipafupi kuposa momwe dokotala angakulamulireni.

Ngati mukugwiritsa ntchito mafuta a nitroglycerin kuti muteteze angina, dokotala wanu angakuyambitseni mafuta ochepa a nitroglycerin ndipo akhoza kukulitsa mlingo wanu pang'onopang'ono kuti muwongolere angina. Mafuta a nitroglycerin sangagwire ntchito atagwiritsidwa ntchito kwakanthawi, makamaka pamlingo waukulu. Pofuna kupewa izi, dokotala wanu amakonzekeretsani mlingo wanu kuti pakhale nthawi yomwe simudzakhala ndi nitroglycerin tsiku lililonse. Ngati angina yanu imachitika pafupipafupi, imatenga nthawi yayitali, kapena imakula kwambiri nthawi iliyonse mukamalandira chithandizo, itanani dokotala wanu.

Mafuta a nitroglycerin amathandiza kupewa angina koma samachiritsa matenda amitsempha. Pitirizani kugwiritsa ntchito mafuta a nitroglycerin ngakhale mutakhala bwino. Osasiya kugwiritsa ntchito mafuta a nitroglycerin osalankhula ndi dokotala.

Ngati mukugwiritsa ntchito mafuta a nitroglycerin kuti mupewe angina, tsatirani malangizo a dokotala ndi malangizo omwe ali m'ndimeyi kuti mugwiritse ntchito mankhwalawa. Mafuta a Nitroglycerin amabwera ndi wogwiritsa ntchito pepala wokhala ndi mzere wolamulira poyeza mlingo (mu mainchesi). Ikani pepalalo pamalo athyathyathya ndikufinya mafutawo papepalalo, ndikuyeza mosamala kuchuluka komwe kwafotokozedwazi. Ngati mafuta anu abwera m'mapaketi a zojambulazo, muyenera kudziwa kuti paketi iliyonse ili ndi mafuta okwanira inchi imodzi ndipo ayenera kugwiritsidwa ntchito pamlingo umodzi wokha. Ikani pepala pakhungu lanu ndi mbali ya mafutawo pansi, ndipo gwiritsani ntchito pepalalo kuti mufalitse mafutawo pang'ono kuphimba gawo la khungu lokulirapo ngati yemwe akuwapaka. Osapaka mafutawo pakhungu. Lembani wogwiritsa ntchitoyo ndikuphimba ndi chidutswa cha pulasitiki kukhitchini kuti muteteze mafutawo kuti asadetse zovala zanu. Ngati mafuta anu abwera mu chubu, sinthanitsani kapuyo ndikuipukuta mwamphamvu. Ngati mafuta anu abwera paketi yaying'ono, tulutsani paketiyo. Yesetsani kuti musapeze mafuta pazala zanu. Sambani m'manja mutapaka mafutawo.

Ngati mukugwiritsa ntchito mafuta a nitroglycerin kuti muchepetse kupweteka kwa msana, tsatirani malangizo a dokotala ndi malangizo omwe ali m'ndimeyi kuti mugwiritse ntchito mankhwalawa. Phimbani chala chanu ndi kukulunga pulasitiki, golovesi yotayika, kapena mphasa wa chala. Ikani chala chophimbidwa pambali pa mzere wazitsulo wa 1 inchi pambali ya bokosi la mafuta a nitroglycerin kuti nsonga ya chala ikhale kumapeto kwa mzere wa dosing. Kuyambira kunsonga ya chala, fanizani mafuta pachala chanu kutalika kofanana ndi chizindikiro m'bokosi ndi mzere wa 1-inchi wa dosing. Ikani pang'onopang'ono chala ndi mafuta mu ngalande ya anal, mpaka chala choyamba. Pakani mafutawo mkatikati mwa ngalande ya kumatako. Ngati izi ndizopweteka kwambiri, ndiye kuti perekani mafutawo kunja kwa anus. Chotsani chophimba chala. Sambani m'manja mutapaka mafutawo.

Ngati mukugwiritsa ntchito mafuta a nitroglycerin kuti muchepetse kupweteka kwa fissure, funsani wamankhwala kapena dokotala kuti akupatseni zambiri za wopanga za wodwalayo.

Mankhwalawa amatha kupatsidwa ntchito zina. Funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri,

Musanagwiritse ntchito mafuta a nitroglycerin,

• auzeni dokotala ndi wazamankhwala ngati simukugwirizana ndi mafuta a nitroglycerin, mapiritsi, utsi, kapena zigamba; isosorbide (Isordil, Monoket, mu BiDil, ena), mankhwala ena aliwonse, kapena chilichonse chopangira mafuta a nitroglycerin. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani adotolo ngati mukumwa riociguat (Adempas) kapena ngati mukumwa kapena mwatenga posachedwa phosphodiesterase (PDE-5) inhibitors monga avanafil (Strendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), ndi vardenafil (Levitra, Staxyn). Dokotala wanu angakuuzeni kuti musagwiritse ntchito mafuta a nitroglycerin ngati mukumwa imodzi mwa mankhwalawa.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: aspirin; zotchinga beta monga atenolol (Tenormin, Tenoretic), carteolol, labetalol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard, ku Corzide), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betapace, Sorine, Sotylize), ndi timolol; calcium blockers monga amlodipine (Norvasc, ku Amturnide, ku Tekamlo), diltiazem (Cardizem, Cartia, Dilt-CD, ena), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), ndi verapamil (Calan , Covera, Verelan); Mankhwala amtundu wa ergot monga bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine (Ergotrate), ergotamine (ku Cafergot, ku Migergot), methylergonovine (Methergine) Sansert; sikupezeka ku US), ndi pergolide (Permax; sikupezeka ku US); mankhwala othamanga magazi, kulephera kwa mtima, kapena kugunda kwamtima mosasinthasintha. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• Uzani dokotala wanu ngati muli ndi kuchepa kwa magazi (kuchepa kwa maselo ofiira amwazi) kapena mwakhala ndi vuto lililonse lomwe limakulitsa kupsinjika kwa ubongo wanu kapena chigaza. Dokotala wanu angakuuzeni kuti musagwiritse ntchito mafuta a nitroglycerin.
• Uzani dokotala ngati mukuganiza kuti mutha kuchepa madzi m'thupi, ngati mwadwala matenda amtima posachedwa, ndipo ngati mwakhalapo ndi kuthamanga kwa magazi, kulephera kwa mtima, hypertrophic cardiomyopathy (kukulitsa kwa minofu ya mtima), kapena migraines kapena mutu womwe umabwereranso .
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukamagwiritsa ntchito mafuta a nitroglycerin, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukugwiritsa ntchito mafuta a nitroglycerin.
• muyenera kudziwa kuti mafuta a nitroglycerin atha kukupangitsani kukhala ozunguzika. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukugwiritsa ntchito mafuta a nitroglycerin. Mowa umatha kukulitsa mavuto obwera chifukwa cha mafuta a nitroglycerin.
• muyenera kudziwa kuti zigamba za nitroglycerin zimatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka msanga kuchokera pamalo abodza, kapena nthawi iliyonse, makamaka ngati mwakhala mukumwa mowa. Pofuna kupewa vutoli, dzukani pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zochepa musanayimirire. Samalani kuti musagwere mukamamwa mankhwala a nitroglycerin.
• Muyenera kudziwa kuti tsiku lililonse mumatha kumva kupweteka mutu mukamamwa mafuta a nitroglycerin. Mutuwu ukhoza kukhala chizindikiro kuti mankhwalawa akugwira ntchito moyenera. Musayese kusintha nthawi kapena momwe mumagwiritsira ntchito mafuta a nitroglycerin kuti mupewe kupweteka kwa mutu chifukwa mankhwalawa sangathandizenso. Dokotala wanu akhoza kukuwuzani kuti mutenge mankhwala ochepetsa ululu kuti muchiritse mutu wanu.

Pokhapokha dokotala atakuwuzani zina, pitirizani kudya zomwe mumadya.

Ikani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musagwiritse ntchito mlingo wawiri kuti mupange omwe mwaphonya.

Mafuta a nitroglycerin amatha kuyambitsa mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• wamisala
• chizungulire
• kufiira kapena kuyabwa kwa khungu lomwe linaphimbidwa ndi mafutawo
• kuchapa

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi izi, uzani dokotala nthawi yomweyo:

• kugunda kochedwa mtima
• kukulitsa kupweteka pachifuwa
• kukomoka
• zidzolo
• ming'oma
• kuyabwa
• kuvuta kupuma kapena kumeza

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwalawa patali ndi ana. Tsekani botolo la mafuta mwamphamvu mukamagwiritsa ntchito. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa). Ngati mukugwiritsa ntchito mafuta a nitroglycerin kuti muchepetse ululu wam'mimba, tulutsani mafuta aliwonse otsala patatha milungu 8 chubu chitatsegulidwa koyamba.

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Zizindikiro za bongo zingaphatikizepo izi:

• mutu
• mtundu wabuluu wakhungu
• kutopa
• chisokonezo
• malungo
• chizungulire
• kugunda pang'onopang'ono kapena kugunda kwamtima
• nseru
• kusanza
• kutsegula m'mimba
• kukomoka
• kupuma movutikira
• thukuta
• kuchapa
• kozizira, khungu lamadzi
• kutaya mphamvu yosuntha thupi
• chikomokere (kutaya chidziwitso kwakanthawi)
• kugwidwa

Sungani maimidwe onse ndi dokotala wanu.

Musalole kuti wina aliyense agwiritse ntchito mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Kupititsa patsogolo Bid^® Mafuta
• Kukonzekera^®