An libanda of nitroglycerin: iziqhamo, zoncedo lokuqala, umthamo ebulalayo

Yintoni Sijongene libanda kakhulu nitroglycerin? Iziphumo engalawulekiyo ukuthatha eli chiza iya thaca ngezantsi. Uza kufunda iinjongo apho ichiza iyasetyenziswa, nokuba ngaba iziphumo ebezingalindelekanga.

ulwazi olusisiseko

Njengoko kukho i libanda? Nitroglycerine sisiyobisi kakhulu okuye phantse yonke emithi ekhaya. Abantu abaninzi abanesifo ungalibekeli ntliziyo eli angalawuleki. Ngenxa yoko, ubunzima ngakumbi, njengokuba kusenzeka libanda.

Nitroglycerin luhlobo zoncedo lokuqala, nto kubalulekile ukuba iintliziyo zethu njengoko umoya. Akukho ubaxo ukuba bathi lo iyeza isindise ngaphezu kwesinye ubomi. Wonke umntu uyazi ukuba emva ephuza phantse kwangoko kuba ngcono. Kodwa ke, ngelishwa, asingabo bonke ucinga ngemiphumo kunokwenzeka ukuba kuvela emva kokusebenzisa eli yeza.

Iingcali zithi kwezinye iimeko engxamisekileyo ifuna ukusetyenziswa ngokuphindaphindiweyo beziyobisi. Nokuba, kule meko, sisungule libanda? Nitroglycerin, yamkelwa ezininzi, ingabangeli iingxaki ezinzulu. Ngaphezu koko, maxa wambi ichiza enjalo nkomoni de kukhokelela ekufeni.

Ngayiphi injongo zisetyenziswa?

Yintoni nitroglycerin? Imiyalelo yokusebenzisa (amacwecwe kunye efanayo igama ethengiswa zonke drugstores) uthi ukuba kakhulu amayeza ethandwayo elilelethu iqela vasodilators, okt izinto ukuba dilates imithambo yegazi. Oku ngenkuthalo asetyenziswe practice zentliziyo kwesinye Gastroenterology. Ngoko ke yintoni na izenzo ngeziyobisi mbuzo?

indlela isenzo

Nitroglycerin intliziyo elungileyo kakhulu. Oku uyakwazi ukwandisa nezitsha, kodwa kwandisa ukuhamba oksijini. Yiloo nto le sixhobo isoloko isetyenziswa angina, oko kukuthi, esi sifo, nto leyo luphawulwa imbonakalo iintlungu imisipha intliziyo ngenxa yokunqongophala emoyeni. Ngaba oku kuba kwimeko libanda? Nitroglycerin kunokuba idle. Ngoko ke, ekuhambeni kwexesha umzimba isigulane wayethimb babelwe idosi, kwaye ichiza kufuneka ungenisa imali enkulu. Le meko idla kukhokelela kuphuhliso iingxaki.

Phantsi yintoni enye kunceda izifo uphathe zamayeza? Iingcali zithi le sixhobo isoloko isetyenziswa kuzo izifo phecana biliary, njengoko kakuhle buyasikhulula izihlunu phecana zesisu.

Kufuneka kuqatshelwe ukuba ngamanye amaxesha isetyenziselwa nitroglycerin Embolism (ngamanye occlusion) kwemithambo kumbindi retina umzimba optic.

umthamo ekhuselekileyo

Ziziphi idosi kufuneka athathe nitroglycerin? A ithamo ezinkulu ichiza eboniswe ngezantsi. Ngokumalunga idosi umgangatho amayeza, nto leyo ngokufuthi kucetyiswa ukuba izigulane, kuba iipilisi 1-2 ngosuku. Ukuba le ndawo zaye zathengwa ifomu isisombululo, ngoko kubhaliwe ezibanjiswe isixa ngamathontsi-4 ngosuku.

Xa nedosi ye nitroglycerin ayikho yingozi. Kodwa kuyimfuneko kukwandisa umthamo kwisigulana kancinci - kwaye ichiza nangoko inegalelo kuphuhliso yeziphumo ebezingalindelekanga.

Kwakhona kufanele kuphawulwe ukuba xi ebaluleke kakhulu kwiindlela ngokukhawuleza lenze yityhefu. Ngokuqhelekileyo, oko kwenzeka sele esandleni malunga 25-50 mg ukwimo.

Kufuneka kwakhona uqaphele ukuba nitroglycerin leyo kakhulu lula wendele ngesikhumba. Ngoko ke, xa ukudibana ngengozi kunye umzimba isiphumo buthi ubonakala ngokukhawuleza kakhulu.

Nitroglycerine: umthamo ebulalayo

Bakuba bamkele umthamo ichiza kunokukhokelela ekufeni? Iingcali zithi ukuba idosi ebulalayo ukwimo yahluka kwisithuba 100-150 mg nganye 1 kg ubunzima nomonde.

Yinto eyaziwayo ukuba nitroglycerine rhoqo kakhulu ukuthatha abakhulileyo. Oku kungenxa yokuba kolu didi izigulane bekhalaza buhlungu gqolo entliziyweni, ngokunjalo ukubandezeleka ukusuka kwimemori sokunciphisa. Kungenxa yoko le nto libanda kweziyobisi kudla ngokwenzeka ngenxa kwephulwa imigaqo yokhuseleko kunye ukulibala banal sabaqalayo, ingakumbi xa loo nto iye abazifumene ngohlobo isisombululo ngomlomo.

Izimo ukuba kokufumana

Kwezinye iimeko, awukwazi ukwabela nitroglycerin? Imiyalelo yokusebenzisa (iipilisi kunye amachaphaza ngomlomo na nezithintelo efanayo) uthi Izimo zilandelayo:

• noxinzelelo intracranial;
• iposi engabalulekanga (ixesha oyingozi);
• glaucoma;
• hliswa wegazi;
• yamafutha ebuchotsheni (kubonakaliswa);
• ukukhulelwa, ebuntwaneni kunye zisanyisa.

Iziphumo ebezingalindelekanga nitroglycerin libanda

Ziziphi ziphumo bezingalindelekanga ukuphuhlisa emva kakubi ingqalelo amayeza? Iingcali zithi abasabela ezibi zilandelayo:

• wavakalisa ubuthathaka jikelele;
• ukungaboni;
• nesiyezi;
• yintloko ebuhlungu, ngakumbi kule mihla lolwamkelo lokuqala;
• komzimba, libonakaliswa njenge urticaria;
• Njengokungeniswa (kwiimeko kakhulu);
• ukuhla ebukhali wegazi;
• anozizi esikhumbeni.

imiphumo libanda

Yinto akukho mfihlakalo ukuba amathamo elikhulu amachiza ukuba nabani na oza kuzuza. Kwaye nitroglycerin Akukho ngaphandle. Xa ufumana inani elikhulu yeziphumo ebezingalindelekanga iziyobisi ayiyi kuthabatha ixesha elide ukuba alinde. Ngenxa umthetho, ukuba ichazwa ngolu hlobo lulandelayo:

• okwesibhakabhaka, izandla kunye nail ipleyiti;
• isicaphucaphu, umlomo owomileyo nokugabha;
• isiyezi, ukungabi osezingqondweni, buthathaka kakhulu kwaye uphelelwa ngumphefumlo;
• ukwanda lobushushu emzimbeni, uphuhliso unditsho, ukwanda koxinzelelo intracranial ;
• hypotension intolerance.

libanda Fatal emva nitroglycerin kwenzeka kwimizuzu emi-2 emva kokuba ulawulo amachiza umthamo 210 mg / kg.

lokuqala zoncedo

Kuthekani ukuba isigulane uthathe idosi eliphezulu ichiza nitroglycerin? Uncedo kunye libanda, kufuneka kunikwa ngoko nangoko. Ukuba ngaba ukumelana neziphumo amayeza ukuthatha engalawulekiyo kwixa elizayo, oku kungakhokelela kubunzima okanye ude ubulale.

Ngoko ke yintoni ukwenza kunye libanda kakhulu nitroglycerin? Ukuza kuthi ga ngoku, iingcali bacebisa ukuba balandele ngqo le migaqo ilandelayo:

• Kufuneka ngoko nangoko ukuyiyeka nofikelelo kwichiza kumguli.
• Ukuba isisombululo ngokungakhethiyo hit eluswini, kufuneka sikhanyise ngoko nangoko.
• Ukuba yingozi amacwecwe ngomlomo kufuneka eze ixhoba kwisigxina oxwesileyo kwaye zinyuse imilenze yakhe.
• Ngenxa libanda of nitroglycerin kuyimfuneko ukuze kuqinisekiswe ufikelelo ioksijini emntwini. Xa kunjalo, ukuba oko kwigumbi ukuvaleka, kufuneka athathwe phezulu ezitratweni.
• Ngaphambi kokuba bafike ambulensi ukuba yokuhlamba isisu ochaphazelekayo usebenzisa saline okanye amanzi ashushu.
• Ebubuvuvu evela nitroglycerin angekhoyo. Ukuthintela isifo xi Jackson caffeine elawulwa kumguli. Kwakhona, esibhedlele kwaye isoloko isetyenziswa plazmozameschayuschie methylene izisombululo blue.

Ngamafuphi

Ngoku uyazi ukuba nitroglycerin kusisiza kuphela isigulane, kodwa unako ukumlimaza. ukwanda ngenjongo okanye ngempazamo le ithamo olu nyango rhoqo iphela isahlakalo nezenyama kwamaqhakuvana kakhulu eluswini, kwakunye obulalayo. Ukongeza, ngenxa unciphiso kabukhali xi isigulane angala zezintso. Kule nkalo, i-ulawulo olongezelelweyo phezu ukwamkelwa echanekileyo nitroglycerine ayisoze.