I-Nitroglycerin Transdermal Patch
-Delile
- Ukuze usebenzise iziqeshana ze-nitroglycerin, landela lezi zinyathelo ezingezansi. Izinhlobo ezahlukahlukene zezimagqabhagqabha ze-nitroglycerin zingasetshenziswa ngezindlela ezihluke kancane, ngakho-ke qiniseka ukuthi ulandela izinkomba ezifakiwe nezimagqabhagqabha zakho:
- Ngaphambi kokusebenzisa amabala e-nitroglycerin,
- Amachashazi eNitroglycerin angadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
Amachashazi e-Nitroglycerin transdermal asetshenziselwa ukuvimbela iziqephu ze-angina (ubuhlungu besifuba) kubantu abane-coronary artery disease (ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni). Izimagqabhagqabha ze-Nitroglycerin transdermal zingasetshenziswa kuphela ukuvikela ukuhlaselwa kwe-angina; azinakusetshenziswa ukwelapha ukuhlaselwa i-angina uma isiqalile. INitroglycerin isekilasini lemithi ebizwa ngama-vasodilators. Isebenza ngokuxegisa imithambo yegazi ukuze inhliziyo ingadingi ukusebenza kanzima ngakho-ke ayidingi umoya-mpilo omningi.
I-Transdermal nitroglycerin iza njengesichibi ukufaka esikhunjeni. Imvamisa ifakwa kanye ngosuku, ifakwa amahora ayi-12 kuye kwangama-14, bese isuswa. Faka ama-patroglycerin patches ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa izingqimba ze-nitroglycerin njengoba nje kuqondisiwe. Ungasebenzisi iziqeshana ezingaphezulu noma ezimbalwa noma usebenzise iziqubu kaningi kunokuyalelwa ngudokotela wakho.
Khetha indawo emzimbeni wakho ophezulu noma ezingalweni ezingaphezulu ukuze usebenzise isichibi sakho. Ungasifaki isichibi ezingalweni zakho ngaphansi kwezindololwane, emilenzeni yakho ngaphansi kwamadolo, noma emaphethweni esikhumba. Faka isichibi esikhunjeni esihlanzekile, esomile, esingenaboya esingacasukile, esingenamabala, esishile, esaphukile, noma esingenazinwele. Khetha indawo ehlukile usuku ngalunye.
Ungageza ngenkathi ugqoke isikhumba se-nitroglycerin.
Uma isiqeshana sithukulula noma siwa, esikhundleni saso sifake esisha.
Ukuze usebenzise iziqeshana ze-nitroglycerin, landela lezi zinyathelo ezingezansi. Izinhlobo ezahlukahlukene zezimagqabhagqabha ze-nitroglycerin zingasetshenziswa ngezindlela ezihluke kancane, ngakho-ke qiniseka ukuthi ulandela izinkomba ezifakiwe nezimagqabhagqabha zakho:
- Geza izandla zakho.
- Bamba isichibi ukuze ukusekelwa kwepulasitiki kubheke kuwe.
- Gobisa izinhlangothi zesikhwama kude nawe bese ubhekisa kuwe uze uzwe ukuqhuma.
- Gwema ohlangothini olulodwa lokusekelwa kwepulasitiki.
- Sebenzisa olunye uhlangothi lwesichibi njengesibambo, bese ugcobisa uhhafu wenduku esikhunjeni sakho endaweni oyikhethile.
- Cindezela ohlangothini olunamathelayo lwesichibi esikhunjeni bese ushelelisa phansi.
- Songa emuva ngakolunye uhlangothi lwesichibi. Bamba isiqeshana sepulasitiki esisele bese usisebenzisa ukudonsa isichibi esikhunjeni.
- Geza izandla zakho futhi.
- Lapho usukulungele ukususa isichibi, cindezela phansi enkabeni yaso ukuphakamisa imiphetho kude nesikhumba.
- Bamba onqenqemeni ngobumnene futhi kancane ukhiphe isichibi kude nesikhumba.
- Songa isichibi ngesigamu bese uhlangothi olunamathelayo lucindezelwe ndawonye bese ulilahla ngokuphepha, lapho izingane nezilwane ezifuywayo bengenakufinyelela kuzo. Isiqephu esisetshenzisiwe singaqhubeka sinemithi esebenzayo engalimaza abanye.
- Geza isikhumba ebesimbozwe ngesiqephu ngensipho namanzi. Isikhumba singabomvu futhi singazizwa sifudumele isikhashana. Ungafaka i-lotion uma isikhumba somile, futhi kufanele ushayele udokotela wakho uma ububomvu bungapheli emva kwesikhashana.
Izimagqabhagqabha zeNitroglycerin kungenzeka zingabe zisasebenza futhi ngemuva kokuzisebenzisa isikhathi esithile. Ukuvimbela lokhu, udokotela wakho uzokutshela ukuthi ugqoke isichibi ngasinye ngamahora ayi-12 kuya kwayi-14 kuphela ngosuku ukuze kube nesikhathi lapho ungavulelwa i-nitroglycerin nsuku zonke. Uma ukuhlaselwa i-angina kwenzeka kaningi, kuhlala isikhathi eside, noma kuba nzima kakhulu nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho, shayela udokotela wakho.
Izimagqabhagqabha zeNitroglycerin zisiza ukuvimbela ukuhlaselwa yi-angina kepha azelaphi isifo semithambo yenhliziyo. Qhubeka nokusebenzisa ama-nitroglycerin patches noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa ama-nitroglycerin patches ngaphandle kokukhuluma nodokotela wakho.
Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokusebenzisa amabala e-nitroglycerin,
- Tshela udokotela wakho kanye nosokhemisi uma une-allergies kuma-nitroglycerin patches, amaphilisi, isifutho, noma amafutha; noma imiphi eminye imithi; izinto zokunamathisela; noma yiziphi izithako ezikumagqabhagqabha esikhumba se-nitroglycerin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
- Tshela udokotela wakho uma uthatha i-riociguat (Adempas) noma uma uthatha noma usanda kuthatha i-phosphodiesterase inhibitor (PDE-5) efana ne-avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), kanye vardenafil (Levitra, Staxyn). Udokotela wakho uzokutshela ukuthi ungasebenzisi ama-nitroglycerin patches uma uthatha noma iyiphi yale mithi.
- Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qinisekisa ukusho noma yikuphi kokulandelayo: i-aspirin; ama-beta blocker anjenge-atenolol (Tenormin), i-carteolol, i-labetalol (iTrandate), i-metoprolol (i-Lopressor), i-nadolol (i-Corgard), i-propranolol (i-Inderal), i-sotalol (i-Betapace) ne-timolol; ama-calcium channel blocker anjenge-amlodipine (Norvasc), diltiazem (Cardizem), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Procardia), kanye ne-verapamil (Calan, Isoptin); Imithi yohlobo lwe-ergot efana ne-bromocriptine (Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergonovine (i-Ergotrate), i-ergotamine (i-Cafergot), i-methylergonovine (i-Methergine), i-methysergide (i-Sansert) I-Permax); imishanguzo yomfutho wegazi ophakeme, ukwehluleka kwenhliziyo, noma ukushaya kwenhliziyo okungajwayelekile. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- Tshela udokotela wakho uma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, uma ngabe usanda kuhlaselwa yinhliziyo, futhi uma uke wahluleka noma waba nesifo senhliziyo, umfutho ophansi wegazi, noma i-hypertrophic cardiomyopathy (ukuqina kwesicubu senhliziyo).
- utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa ama-nitroglycerin patches, shayela udokotela wakho.
- uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa ama-nitroglycerin patches.
- buza udokotela wakho ngokusetshenziswa okuphephile kophuzo oludakayo ngenkathi usebenzisa ama-patroglycerin patches esikhumba. Utshwala bungenza imiphumela emibi evela kwizimagqabhagqabha ze-nitroglycerin ibe yimbi kakhulu.
- kufanele wazi ukuthi iziqeshana ze-nitroglycerin zingadala isiyezi, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu lapho ulele khona, noma nganoma yisiphi isikhathi, ikakhulukazi uma uphuze iziphuzo ezidakayo. Ukugwema le nkinga, sukuma kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma. Thatha izinyathelo ezengeziwe zokugwema ukuwa ngesikhathi sokwelashwa kwakho ngama-nitroglycerin patches.
- kufanele wazi ukuthi ungazizwa uphathwa yikhanda nsuku zonke lapho welashwa ngama-patroglycerin patches. Lezi zinhlungu zekhanda zingaba uphawu lokuthi umuthi usebenza ngendlela efanele. Ungazami ukuguqula izikhathi noma indlela osebenzisa ngayo ama-patroglycerin patches ukugwema ukuphathwa yikhanda ngoba lapho-ke umuthi kungenzeka ungasebenzi futhi. Udokotela wakho angakutshela ukuthi uthathe isidambisi sezinhlungu ukwelapha ikhanda lakho.
Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.
Faka isichibi esilahlekile ngokushesha nje lapho usikhumbula. Uma sekuyisikhathi sokufaka isichibi sakho esilandelayo, weqa isichibi esilahlekile bese uqhubeka nesimiso sakho sokulinganisa. Susa isichibi sakho ngesikhathi ohleliwe ngaso noma ngabe usisebenzise ngemuva kwesikhathi esijwayelekile. Ungafaki ama-patches amabili ukwenzela umthamo ophuthelwe.
Amachashazi eNitroglycerin angadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:
- ububomvu noma ukucasuka kwesikhumba ebesimbozwe yipheshi
- ukuqhuma
Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
- ukushaya kwenhliziyo okuhamba kancane noma okusheshayo
- ukwanda kobuhlungu besifuba
- ukuqubuka
- isifuba
- ukulunywa
- ukuphefumula kanzima noma ukugwinya
Amachashazi eNitroglycerin angadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi usebenzisa le mithi.
Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).
Gcina lo muthi kude nezingane. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Lahla noma imuphi umuthi osuphelelwe yisikhathi noma ongasadingeki.
Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.
Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org
Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.
Izimpawu zokudlula ngokweqile zingafaka okulandelayo:
- ikhanda
- ukudideka
- imfiva
- isiyezi
- ukushaya kwenhliziyo okuhamba kancane noma okushaya ngamandla
- isicanucanu
- ukuhlanza
- uhudo olunegazi
- ukuquleka
- ukuphelelwa umoya
- ukujuluka
- ukuqhuma
- kubanda, isikhumba se-clammy
- ukulahlekelwa amandla okuhambisa umzimba
- ikhoma (ukulahlekelwa ukwazi isikhathi esithile)
- isithuthwane
Gcina wonke ama-aphoyintimenti nodokotela wakho.
Ungavumeli omunye umuntu asebenzise imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.
Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.
- IMinitran® Isiqephu
- INitro-Dur® Isiqephu