Isihloko se-Nitroglycerin

-Delile

• Ngaphambi kokusebenzisa amafutha e-nitroglycerin,
• Amafutha eNitroglycerin angadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Amafutha eNitroglycerin (Nitro-Bid) asetshenziselwa ukuvimbela iziqephu ze-angina (ubuhlungu besifuba) kubantu abane-coronary artery disease (ukuncipha kwemithambo yegazi ehambisa igazi enhliziyweni). Amafutha e-nitroglycerin angasetshenziswa kuphela ukuvimbela ukuhlaselwa kwe-angina; ngeke isetshenziselwe ukwelapha ukuhlaselwa i-angina uma isiqalile. Amafutha eNitroglycerin (Rectiv) asetshenziswa kubantu abadala ekwelapheni ubuhlungu obuvela emifantwini yangemuva (ukuhlukana noma ukudabuka ezicutshini eziseduze nendawo engunxande). INitroglycerin isekilasini lemithi ebizwa ngama-vasodilators. Amafutha eNitroglycerin avimbela i-angina ngokuxegisa imithambo yegazi ukuze inhliziyo ingadingi ukusebenza kanzima ngakho-ke ayidingi umoya-mpilo omningi. Amafutha eNitroglycerin alapha ubuhlungu be-fissure yangasese ngokuphumuza imithambo yegazi, eyehlisa ukucindezela kwezicubu zangasese.

I-topical nitroglycerin iza njengamafutha okugcoba esikhunjeni. Lapho isetshenziselwa ukuvimbela i-angina, ijwayele ukufakwa kabili ngosuku, kanye emva kokuvuka ekuseni, iphinde iphindwe emva kwamahora ayisithupha. Uma isetshenziselwa ukwelapha ubuhlungu be-anal fissure, imvamisa isetshenziswa njalo emahoreni ayi-12 kuze kube amasonto ama-3. Uma usenobuhlungu be-fissure ngemuva kokusebenzisa amafutha wamaviki amathathu, shayela udokotela wakho. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Sebenzisa amafutha e-nitroglycerin njengoba nje kuqondisiwe. Ungayifaki ngaphezulu noma ngaphansi kwayo noma uyisebenzise kaningi kunokuyalelwa ngudokotela wakho.

Uma usebenzisa i-nitroglycerin ointment ukuvimbela i-angina, udokotela wakho mhlawumbe uzokuqala kumthamo ophansi wamafutha we-nitroglycerin futhi angakhuphula kancane umthamo wakho njengoba kudingeka ukulawula i-angina yakho. Amafutha eNitroglycerin kungenzeka angasebenzi futhi ngemuva kokuthi esetshenziswe isikhathi esithile, ikakhulukazi kumanani aphezulu. Ukusiza ukuvimbela lokhu, udokotela wakho uzohlela amanani akho 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.

Amafutha eNitroglycerin asiza ukuvikela ukuhlaselwa yi-angina kepha awaselaphi isifo semithambo yenhliziyo. Qhubeka nokusebenzisa amafutha e-nitroglycerin noma ngabe uzizwa uphilile. Ungayeki ukusebenzisa amafutha e-nitroglycerin ngaphandle kokukhuluma nodokotela wakho.

Uma usebenzisa amafutha e-nitroglycerin ukuvimbela i-angina, landela izinkomba zikadokotela wakho kanye nemihlahlandlela ekulesi sigaba ukusebenzisa umuthi. Amafutha eNitroglycerin eza nesicelo sephepha esinolayini obekiwe wokulinganisa umthamo (ngamasentimitha). Beka iphepha endaweni eyisicaba bese ucindezela umuthi ephepheni, ulinganise ngokucophelela inani elishiwo kwilebuli kadokotela wakho. Uma uwoyela wakho ufika kumaphakethe we-foil, kufanele wazi ukuthi iphakethe ngalinye liqukethe u-1 intshi wamafutha futhi lizosetshenziselwa umthamo owodwa kuphela. Beka iphepha esikhunjeni sakho nohlangothi lwamafutha phansi, bese usebenzisa iphepha ukusabalalisa kancane umuthi ukumboza indawo yesikhumba okungenani enkulu njengalowo ofake isicelo. Musa ukugcoba amafutha esikhunjeni. Thepha umfakisicelo endaweni yakhe bese ummboza ngesiqeshana sepulasitiki ekhishini yokugoqa ukuvimbela amafutha ukuthi angcolise izingubo zakho. Uma amafutha akho efika epayipini, shintsha ikepisi bese uluqinisa ngokuqinile. Uma amafutha akho eza ephaketheni elincane le-foil, lahla iphakethe. Zama ukungawatholi amafutha eminwe yakho. Geza izandla zakho ngemuva kokugcoba.

Uma usebenzisa amafutha e-nitroglycerin ukwelapha ubuhlungu be-fissure yangasese, landela izinkomba zikadokotela wakho kanye nemihlahlandlela ekulesi sigaba ukusebenzisa umuthi. Mboza umunwe wakho ngeplastiki, igilavu ​​yokuhlinza elahlwayo, noma umbhede womunwe. Beka umunwe omboziwe eceleni komugqa wokulinganisa ongu-1 intshi ohlangothini lwebhokisi lokugcoba le-nitroglycerin ukuze ichopho lomunwe likomunye umkhawulo womugqa wokulinganisa. Ukuqala ngothiphu womunwe, cindezela umuthi emunweni wakho ngobude obufanayo njengoba umakwe ebhokisini ngomugqa wokulinganisa ongu-1-intshi. Faka ngobumnene umunwe ngamafutha emgodini wendunu, kuze kube sekuhlanganisweni komunwe wokuqala. Gcoba amafutha okugcoba ngaphakathi komsele wesidunu. Uma lokhu kubuhlungu kakhulu, gcoba amafutha ngqo ngaphandle kwendunu. Lahla isembozo somunwe. Geza izandla zakho ngemuva kokugcoba.

Uma usebenzisa amafutha e-nitroglycerin ukwelapha ubuhlungu be-fissure yangasese, buza usokhemisi noma udokotela wakho ikhophi lemininingwane yomkhiqizi yesiguli.

Lo muthi ungabekelwa okunye ukusetshenziswa. Buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane,

Ngaphambi kokusebenzisa amafutha e-nitroglycerin,

• Tshela udokotela kanye nosokhemisi wakho uma uxabana namafutha e-nitroglycerin, amaphilisi, isifutho noma amabala; i-isosorbide (i-Isordil, i-Monoket, ku-BiDil, abanye), noma imuphi omunye umuthi, noma yiziphi izithako kumafutha e-nitroglycerin. Buza usokhemisi wakho ukuthola uhlu lwezithako.
• Tshela udokotela wakho uma uthatha i-riociguat (Adempas) noma uma uthatha noma usanda kuthatha i-phosphodiesterase (PDE-5) inhibitors efana ne-avanafil (Strendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), ne-vardenafil (ILevitra, iStaxyn). Udokotela wakho angakutshela ukuthi ungasebenzisi amafutha we-nitroglycerin uma uthatha omunye wale 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, Tenoretic), i-carteolol, i-labetalol (iTrandate), i-metoprolol (i-Lopressor, i-Toprol-XL), i-nadolol (i-Corgard, e-Corzide), i-propranolol (i-Hemangeol, i-Inderal, i-Innopran), i-sotalol (i-Betapace, i-Sorine, i-Sorine Sotylize), kanye ne-timolol; ama-calcium channel blocker anjenge-amlodipine (Norvasc, e-Amturnide, eTekamlo), i-diltiazem (Cardizem, Cartia, Dilt-CD, abanye), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), ne-verapamil (Calan , Covera, Verelan); 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-Ergotrate), i-ergotamine (eseCafergot, eMigergot), i-methylergonovine (iMethergine) I-Sansert; ayisatholakali e-US), ne-pergolide (iPermax; 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 une-anemia (inani eliphansi kunelijwayelekile lamaseli abomvu egazi) noma ngabe unanoma isiphi isimo esandisa ingcindezi ebuchosheni noma kogebhezi lwakho. Udokotela wakho angakutshela ukuthi ungasebenzisi amafutha we-nitroglycerin.
• Tshela udokotela wakho uma ucabanga ukuthi kungenzeka uphelelwe amanzi emzimbeni, uma usanda kuhlaselwa yinhliziyo, futhi uma uke waba nengcindezi yegazi ephansi, ukwehluleka kwenhliziyo, i-hypertrophic cardiomyopathy (ukuqina kwesicubu senhliziyo), noma i-migraines noma ikhanda elibuhlungu elivela njalo .
• utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi usebenzisa amafutha e-nitroglycerin, shayela udokotela wakho.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi usebenzisa amafutha e-nitroglycerin.
• kufanele wazi ukuthi amafutha e-nitroglycerin angakwenza ube nesiyezi. Ungashayeli imoto noma usebenzise imishini uze wazi ukuthi lo muthi ukuthinta kanjani.
• buza udokotela wakho mayelana nokusetshenziswa okuphephile kophuzo oludakayo ngenkathi usebenzisa amafutha e-nitroglycerin. Utshwala bungenza imiphumela emibi evela kumafutha e-nitroglycerin abe mabi 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 nge-nitroglycerin.
• kufanele wazi ukuthi ungaba nekhanda nsuku zonke ngenkathi welashwa ngamafutha we-nitroglycerin. Lezi zinhlungu zekhanda zingaba uphawu lokuthi umuthi usebenza ngendlela efanele. Ungazami ukuguqula izikhathi noma indlela ogcoba ngayo amafutha e-nitroglycerin ukuze ugweme 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.

Sebenzisa umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungafaki umthamo ophindwe kabili ukwenzela okulahlekile.

Amafutha eNitroglycerin angadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ubumhlophe
• isiyezi
• ububomvu noma ukucasuka kwesikhumba ebesimbozwe ngamafutha
• ukuqhuma

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

• ukushaya kwenhliziyo okuhamba kancane
• ukwanda kobuhlungu besifuba
• ukuquleka
• ukuqubuka
• isifuba
• ukulunywa
• ukuphefumula kanzima noma ukugwinya

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. Vala ngokuqinile ityhubhu yokugcoba emva kokusetshenziswa ngakunye. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese). Uma usebenzisa amafutha e-nitroglycerin ukwelapha ubuhlungu be-fissure yangasese, lahla noma yimaphi amafutha asele emasontweni ayisishiyagalombili ngemuva kokuba ithubhu livulwe okokuqala.

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
• Umbala oluhlaza okwesibhakabhaka
• ukukhathala
• 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.

• I-Nitro-Bid^® Amafutha
• Ukulungisa^®