I-Nitroglycerin Spray

-Delile

• Ukuze usebenzise isifutho, landela lezi zinyathelo:
• Ngaphambi kokusebenzisa i-nitroglycerin,
• INitroglycerin ingadala 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 noma uthole ukwelashwa okuphuthumayo:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Isifutho seNitroglycerin sisetshenziselwa ukwelapha iziqephu ze-angina (ubuhlungu besifuba) kubantu abanesifo semithambo yegazi (ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni). Isifutho singasetshenziswa ngaphambi nje kwemisebenzi engadala iziqephu ze-angina ukuvimbela ukuthi i-angina ingenzeki. INitroglycerin isekilasini lemithi ebizwa ngama-vasodilators. Isebenza ngokuxegisa imithambo yegazi ngakho-ke inhliziyo ayidingi ukusebenza kanzima ngakho-ke ayidingi umoya-mpilo omningi.

INitroglycerin iza njengesifutho sokuyisebenzisa noma ngaphansi kolimi. Isifutho sivame ukusetshenziswa lapho kudingeka, noma imizuzu eyi-5 kuya kwengu-10 ngaphambi kwemisebenzi engadala ukuhlaselwa yi-angina noma lapho kutholakala khona isibonakaliso sokuqala sokuhlaselwa. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa i-nitroglycerin njengoba iqondisiwe. Ungayisebenzisi ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

INitroglycerin kungenzeka ingasebenzi kahle ngemuva kokuyisebenzisa isikhathi esithile noma uma usebenzise imithamo eminingi. Sebenzisa inani elincane kakhulu lezifutho ezidingekayo ukudambisa ubuhlungu bokuhlaselwa kwakho. Uma ukuhlaselwa i-angina kwenzeka kaningi, kuhlala isikhathi eside, noma kuba nzima kakhulu nganoma yisiphi isikhathi ngesikhathi sokwelashwa kwakho, shayela udokotela wakho.

Khuluma nodokotela wakho ngokuthi ungayisebenzisa kanjani i-nitroglycerin spray ukwelapha ukuhlaselwa i-angina. Udokotela wakho mhlawumbe uzokutshela ukuthi uhlale phansi usebenzise umthamo owodwa we-nitroglycerin lapho kuqala ukuhlaselwa. Uma izimpawu zakho zingathuthuki kakhulu noma uma ziba zimbi kakhulu ngemuva kokusebenzisa le dose ungatshelwa ukuthi ucele usizo lwezokwelapha oluphuthumayo ngokushesha. Uma izimpawu zakho zingapheli ngokuphelele ngemuva kokusebenzisa umthamo wokuqala, udokotela wakho angakutshela ukuthi usebenzise umthamo wesibili ngemuva kwemizuzu engu-5 isidlulile kanye nomthamo wesithathu emizuzwini engu-5 ngemuva komthamo wesibili. Shayela usizo oluphuthumayo lwezokwelapha ngokushesha uma ubuhlungu besifuba sakho bungakapheli ngokuphelele imizuzu engu-5 ngemuva kokusebenzisa umthamo wesithathu.

Ukuze usebenzise isifutho, landela lezi zinyathelo:

1. Hlala phansi uma kungenzeka, ubambe isitsha ngaphandle kokusiqhuqha. Susa ikepisi lepulasitiki.
2. Uma usebenzisa isiqukathi okokuqala, bamba isitsha siqonde ukuze sikhonjwe kude kuwe nakwabanye, bese ucindezela inkinobho izikhathi eziyi-10 lapho usebenzisa i-Nitromist noma amahlandla ama-5 lapho usebenzisa i-Nitrolingual pumpspray ukuqala isiqukathi.Uma ungasebenzisi isiqukathi okokuqala kepha ungasisebenzisanga kungakapheli amasonto ayisithupha, cindezela inkinobho izikhathi ezi-2 ukuphinda wenze isitsha lapho usebenzisa i-Nitromist noma isikhathi esingu-1 lapho usebenzisa i-Nitrolingual pumpspray. Uma i-Nitrolingual ingasetshenziswanga ezinyangeni ezi-3 noma ngaphezulu, cindezela inkinobho kuze kube izikhathi ezi-5 ukuze uphinde usebenzise isiqukathi.
3. Vula umlomo wakho. Bamba isitsha siqonde, siseduze nomlomo wakho ngangokunokwenzeka.
4. Sebenzisa umunwe wakho wangaphambili ukucindezela inkinobho ngokuqinile. Lokhu kuzokhipha isifutho emlonyeni wakho. Musa ukuhogela isifutho.
5. Vala umlomo wakho. Ungawukhafuli umuthi noma ugeze umlomo wakho imizuzu emihlanu kuya kweyishumi.
6. Faka ikepisi lepulasitiki esitsheni.
7. Hlola izinga loketshezi esitsheni ngezikhathi ezithile ukuze uqiniseke ukuthi uzohlala unemithi eyanele esandleni. Bamba isitsha siqonde ngenkathi uhlola. Uma uketshezi lufinyelela phezulu noma maphakathi nomgodi ohlangothini lwesitsha, kufanele u-ode imishanguzo eyengeziwe. Uma uketshezi lungaphansi komgodi, isitsha ngeke sisakhipha imithamo ephelele yemithi.

Ungazami ukuvula isitsha se-nitroglycerin spray. Lo mkhiqizo ungasha, ngakho-ke ungasebenzisi eduze kwelangabi elivulekile, futhi ungavumeli ukuthi isitsha sishiswe ngemuva kokusetshenziswa.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokusebenzisa i-nitroglycerin,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji kuma-patroglycerin patches, amaphilisi, amafutha okugcoba, noma i-spray; noma imiphi eminye imithi; noma yiziphi izithako ezisezibhebheni ze-nitroglycerin noma i-spray. 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 angakutshela ukuthi ungasebenzisi i-nitroglycerin uma uthatha eyodwa noma ngaphezulu 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, in Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard, eCorzide), propranolol (Hemangeol, Inderal LA, Innopran XL), i-sotalol (iBetapace, iSorine ), kanye netimolol; ama-calcium channel blocker anjenge-amlodipine (Norvasc, eTekamlo), diltiazem (Cardizem, Cartia, Dilacor, others), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), kanye ne-verapamil (Calan, Covera, Verelan, abanye); Imithi yohlobo lwe-ergot efana ne-bromocriptine (i-Cycloset, i-Parlodel), i-cabergoline, i-dihydroergotamine (i-DHE 45, i-Migranal), i-ergoloid mesylates (i-Hydergine), i-ergonovine, i-ergotamine (i-Ergomar, eCafergot, eMigergot), i-methylergonovine (iMethergine) ; ayisatholakali e-US), ne-pergolide (Permax; ayisatholakali e-US); 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 une-anemia (inani eliphansi kunelijwayelekile lamaseli abomvu egazi), noma unanoma isiphi isimo esandisa ingcindezi ebuchosheni noma kogebhezi lwakho. Udokotela wakho angakutshela ukuthi ungasebenzisi i-nitroglycerin.
• Tshela udokotela wakho uma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, uma usanda kuhlaselwa yinhliziyo, futhi uma uke waba nomfutho wegazi ophansi, ukwehluleka kwenhliziyo, noma i-hypertrophic cardiomyopathy (ukuqina kwesicubu senhliziyo).
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa i-nitroglycerin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa i-nitroglycerin.
• kufanele wazi ukuthi ungathola ikhanda lapho ulashwa nge-nitroglycerin. Lezi zinhlungu zekhanda zingaba uphawu lokuthi umuthi usebenza ngendlela efanele. Ungazami ukushintsha izikhathi lapho usebenzisa khona i-nitroglycerin ukuze ugweme ukuphathwa yikhanda ngoba lapho-ke umuthi kungenzeka ungasebenzi futhi.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kweziphuzo ezidakayo ngenkathi usebenzisa i-nitroglycerin. Utshwala bungenza imiphumela emibi ye-nitroglycerin ibe yimbi kakhulu.

Ngaphandle kokuthi udokotela wakho akutshele ngenye indlela, qhubeka nokudla okuvamile.

Isifutho seNitroglycerin sivame ukusetshenziswa lapho kudingeka ukwelapha iziqephu ze-angina; ungayisebenzisi ngezikhathi ezihleliwe njalo.

INitroglycerin ingadala imiphumela emibi. Tshela udokotela wakho uma ngabe enye yalezi zimpawu noma lezo ezisohlwini lwe-SPECIAL PRECAUTIONS isigaba zinzima noma zingapheli:

• ukuqhuma
• ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

• ukuqubuka, ukushwabana, noma ukuxebuka kwesikhumba
• isicanucanu
• ukuhlanza
• ubuthakathaka
• ukujuluka
• isikhumba esiphaphathekile

INitroglycerin ingadala 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 le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

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
• izinguquko embonweni
• 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.

• I-Nitrolingual^® Iphampu
• I-Nitromist^®