An ambiri osokoneza a nitroglycerin: zotsatira thandizo, woopsa mlingo

Kodi akanatha kulimbana ndi ambiri osokoneza a nitroglycerin? Zotsatira za kusalankhula kutenga mankhwala Adzaperekedwa pansipa. Inunso aphunzire zolinga za imene mankhwala ntchito, ndipo kaya ali mavuto.

mfundo zofunika

Monga pali ambiri osokoneza? Nitroglycerine ndi mankhwala ovuta amene ali pafupifupi aliyense nduna mankhwala kunyumba. Anthu ambiri ndi matenda a mtima kutenga izo mosatonthozeka. Chifukwa, iwo vuto, monga ambiri osokoneza amapezeka.

Nitroglycerin ndi mtundu wa chithandizo choyamba, omwe ndi ofunika kwambiri ku mitima yathu ngati mpweya. SIKUKOKOMEZA kunena kuti mankhwala chakupulumutsa moyo kuposa wina. Aliyense akudziwa kuti pambuyo ingesting pasanapite nthawi muka-. Koma, mwatsoka, si onse akuganiza zingachitike kuti uka pambuyo ntchito mopitirira muyezo mankhwala.

Akatswiri amanena kuti ena zinthu mwachangu amafuna ntchito mobwerezabwereza kwa mankhwala. Kaya, mu nkhani iyi, tikhale ndi ambiri osokoneza? Nitroglycerin anavomera lalikulu zedi, Kodi chifukwa mavuto aakulu. Komanso, nthawi zina mankhwala amenewa kusalankhula kuyambitsa imfa.

Chifukwa chaichi kodi ntchito?

Kodi nitroglycerin? Malangizo ntchito (mapiritsi ndi dzina lomweli amagulitsidwa drugstores zonse) ananena kuti ndithu mankhwala otchuka amene ali gulu la vasodilators, mwachitsanzo zinthu dilates Mitsempha. Izo ntchito mwakhama cardiology mchitidwe ndipo nthawizina gastroenterology. Chotero kodi machitidwe mankhwala funso?

limagwirira kanthu

Nitroglycerin ndi mtima wabwino kwambiri. Ndi mwayi ndi nsupa, koma kuwonjezera otaya mpweya. Ndicho chifukwa chida ichi kawirikawiri amagwiritsidwa ntchito angina, mwachitsanzo, matenda, amene amakhala ndi maonekedwe a kupweteka kwa minofu mtima chifukwa chosowa mpweya. Kodi izi zingakhale nkhani ya mankhwala osokoneza bongo? Nitroglycerin angakhale osokoneza. Choncho, pa nthawi thupi mtima Amasintha kwa mlingo anapatsidwa, ndi mankhwala ayenera kutenga mu kuchuluka zikuluzikulu. Zimenezi zambiri kumayambitsa chitukuko cha matendawo.

Kodi wina amathandiza matenda azichitira la mankhwala? Akatswiri amanena kuti chida ichi kawirikawiri amagwiritsidwa ntchito matenda a thirakiti biliary, monga bwino pansi minofu thirakiti m'mimba.

Iwo ayenera kukumbukira kuti nthawi zina ntchito nitroglycerin embolism (i.e. occlusion) wa mtsempha wamagazi chapakati diso la thupi chamawonedwe.

mlingo otetezedwa

Kodi mlingo ayenera kutenga nitroglycerin? A mlingo woopsa wa mankhwala chili m'munsimu. Pankhani muyezo mlingo wa mankhwala, zomwe kawirikawiri analimbikitsa odwala, ndi miyala 1-2 tsiku. Ngati malo ichi anagulidwa mwa mawonekedwe njira, ndiye amatengedwa mu kuchuluka kwa madontho 4 pa tsiku.

Mlingo wa mankhwala a nitroglycerin si zoipa. Koma m'pofunika kuwonjezera mlingo kwa wodwala pang'ono - ndi mankhwala mwamsanga kumathandiza kuti chitukuko mavuto.

Komanso tisaiwale kuti anthu ambiri kukayikira njira yomweyo chifukwa poizoni. Nthawi zambiri amapezeka kale pa dzanja za 25-50 mg wa thunthu.

Tiyenera kuona kuti nitroglycerin ndi mosavuta chosakanikirana kudzera pakhungu. Choncho, ngati kukhudzana mwangozi ndi thupi la zotsatira zake poizoni amapezeka mofulumira kwambiri.

Nitroglycerine: woopsa mlingo

Kulandira mlingo wa mankhwala kungachititse kuti imfa? Akatswiri amanena kuti mlingo woopsa wa thunthu zimasiyanasiyana mkati 100-150 mg wa pa makilogalamu 1 kulemera mtima.

Amadziwika kuti nitroglycerine zambiri kutenga okalamba. Ichi ndi chifukwa chakuti gulu la odwala kudandaula ululu kulimbikira mtima, komanso akudwala matenda kukumbukira. N'chifukwa chake mankhwala ambiri osokoneza zambiri zimachitika chifukwa cha chophwanya malamulo chitetezo ndi banal pulayimale kuyiwala, makamaka ngati mankhwala wakhala anagula mu mawonekedwe a njira m'kamwa.

Contraindications kulandira

Nthawi zina, mungathe sanasankhe nitroglycerin? Malangizo ntchito (mapiritsi ndi madontho m'kamwa ndi malamulo oletsa yomweyo) limati contraindications zotsatirazi:

• kuthamanga intracranial;
• m'mnyewa wamtima infarction (pachimake nyengo);
• khungu;
• kutsitsa magazi;
• atherosclerosis oziziritsa (anafotokoza);
• pregnancy, wakhanda ndi mkaka wa m'mawere.

Zotsatira zoyipa za nitroglycerin ambiri osokoneza

Kodi mankhwalawo angathe pambuyo asamadye ankaona mankhwala? Akatswiri amanena izi zosiyanasiyana chokhwima:

• anasonyeza kufooka ambiri;
• amaona masomphenya;
• chizungulire;
• aakulu mutu, makamaka masiku oyamba kulowa;
• ziwengo, chidawoneka urticaria;
• mantha (mu Zikavuta);
• kuchepa lakuthwa magazi;
• redness a khungu.

zotsatira za mankhwala osokoneza bongo

Ndi palibe chinsinsi chimene Mlingo waukulu wa mankhwala aliyense sinditi kupindula. Ndipo nitroglycerin yotero. Mukalandira ambiri mavuto mankhwala izo sizitenga nthawi yaitali kudikira. Monga ulamuliro, iwo anafotokoza motere:

• buluu milomo, manja ndi mbale msomali;
• nseru, youma pakamwa ndi kusanza;
• chizungulire, imfa ya chikumbumtima, kufooka kwambiri ndi kufupika kwa mpweya;
• kuwonjezeka thupi kutentha, chitukuko a khunyu, kuthamanga intracranial ;
• Orthostatic hypotension.

Dzitetezeni ambiri osokoneza pambuyo nitroglycerin amapezeka mkati mphindi 2 pambuyo utsogoleli wa mankhwala pa mlingo wa 210 mg / kg.

choyamba-chithandizo

Kodi ngati wodwalayo watenga mlingo mkulu wa mankhwala nitroglycerin ndi? Thandizo ndi mankhwala osokoneza bongo ayenera kupatsidwa nthawi yomweyo. Ngati mulibe kupirira mavuto a kusalankhula kumwa mankhwala posachedwapa, izo kungayambitse mavuto kapena ngakhale imfa.

Choncho chochita ndi ambiri osokoneza a nitroglycerin? Kuti zimenezi zitheke, akatswiri amalangiza kuti azitsatira malamulo otsatirawa:

• Iwo ayenera yomweyo isiye kulumikiza mankhwala mu mtima.
• Ngati yankho ndi mosintha kugunda pa khungu, iwo ayenera yasintha yomweyo.
• Ngati chiphe mapiritsi m'kamwa azibweretsa wozunzidwayo udindo yopingasa ndi kukweza miyendo yake.
• Ndi ambiri osokoneza a nitroglycerin pofuna mwayi kwa mpweya kuti mwamuna. Zikatero, ngati izo ziri mu chipinda yatsekera, ayenera kumwedwa pa msewu.
• Chivulalireni ambulansi analola m'mimba wosambitsa anakhudzidwa ntchito saline kapena madzi ofunda.
• Tingadziteteze ku nitroglycerin palibe. Pofuna kupewa mwadzidzidzi kuthamanga dontho Kafeini kutumikiridwa la wodwalayo. Komanso, kuchipatala ndipo kawirikawiri amagwiritsidwa ntchito plazmozameschayuschie methylene buluu njira.

kuti adzimvera

Tsopano inu mukudziwa kuti nitroglycerin ndi amathandiza osati wodwala, komanso akhoza kuphedwa. Chatanthauzo kapena mwangozi kuchuluka kwa mlingo wa mankhwala kawirikawiri itha yatsoka zosatha a zotupa pa khungu, komanso amapha. Komanso, chifukwa kuchepetsa lakuthwa a kuthamanga mu mtima safuna impso. Pa nkhani imeneyi, ndi ulamuliro zina pa phwando olondola a nitroglycerine konse ukuwawa.