Uyini umzila wezilimi ezincane nokuthi yini okuhle nokubi
-Delile
Indlela yokuphathwa kwezilimi ezimbalwa yenzeka lapho kunikezwa umuthi ngaphansi kolimi, okuyindlela esheshayo yokumunca umzimba, uma kuqhathaniswa namaphilisi athathwe ngomlomo, lapho iphilisi lisadinga ukubola futhi ligaywe yisibindi, kuze kube ngemuva kwalo kuphela ibanjwa futhi inomphumela wayo wokwelapha.
Zimbalwa kuphela izinto ezisebenzayo ezitholakalayo ezinikezwa kancane, njengoba zidinga ukuba nezici ezithile ezizosebenza ngalo mzila, onomphumela osheshayo we-systemic, ngoba ngaphezu kokufakwa ngqo egazini, azihlanganiswa isibindi.
Yiziphi izimo ezibonisiwe
Umzila wezilimi ezimbili uyindlela esetshenziswa kabanzi, ezimweni lapho kudingeka khona ukuphuza imithi ngokushesha, njengokuhlaselwa yisifo senhliziyo, ngokwesibonelo, lapho i-nitroglycerin ifakwa ngaphansi kolimi, eqala ukusebenza cishe kumzuzu owodwa kuya kwemibili.
Ngaphezu kwalokho, futhi kuyindlela yezimo zezinto ezisebenzayo ezishintshwa noma ezonakaliswe amajusi esiswini kanye / noma ne-hepatic metabolism, ngoba ukumuncwa kwenzeka ku-mucosa yomlomo, ene-vascularized kakhulu. Izinto zithathwa ngokushesha yimithambo engaphansi komlomo womlomo futhi ithuthwe yimithambo ye-jachiular ye-brachiocephalic neyangaphakathi bese idonsela ekusakazweni kohlelo.
Umzila wezilimi ezincane futhi ungenye indlela ongayisebenzisa kubantu asebekhulile nasezinganeni ezingakwazi ukugwinya amaphilisi.
Yiziphi izinzuzo nezinkinga
Izinzuzo eziphambili zokuphathwa kwemithi engezansi yilezi:
- Ivumela umuthi ukuthi umunce ngokushesha okukhulu;
- Ivimbela umuthi ukuthi ungasebenzi ngejusi lesisu;
- Kusiza ukunamathela ekwelashweni kubantu abanenkinga yokugwinya amaphilisi, njengezingane, abantu abadala noma abantu abanezinkinga zengqondo / zezinzwa;
- Kuvimbela umphumela wokuqala wokudlula esibindini futhi kunokutholakala okungcono;
- Ukuqedwa okusheshayo komuthi, ngaphandle kwesidingo samanzi.
Okubi okuyinhloko komzila wezilimi ezincane yilena:
- Ukuphazamisa iziphuzo, ukudla noma ukukhuluma;
- Inesikhathi esifushane sokusebenza;
- Ayikwazi ukusetshenziswa uma umuntu equlekile noma engabambisani;
- Ivumela kuphela ukuphathwa kwemithamo emincane;
- Kunzima ukuyisebenzisa ngezinto ezingathandeki ezinambitha izinto ezisebenzayo.
Qonda ukuthi umuthi usebenza kanjani ngoba umuncwa uze ukhishwe.
Izibonelo zamakhambi
Ezinye izibonelo zamakhambi atholakalayo angaphansi kwe-sublingually yi-nitroglycerin, yamacala we-infarction, lapho kudingeka khona ukuthatha isinyathelo ngokuphuthumayo ukugwema i-sequelae, i-zolmitriptan, okuyikhambi elikhonjiswe i-migraine, ukukhulula ngokushesha izimpawu, noma i-buprenorphine, kukhonjiswa ngobuhlungu obukhulu kanye / noma obungapheli.