"Nitroglycerin" ku chiyani? Mbali zotsatira "nitroglycerin"

Panopa maalumali mankhwala monga akuphulikira pa chiwerengero cha mankhwala, zomwe iwo anali. mankhwala ambiri mukhoza kupeza, monga kukhala pa dzanja mankhwala ochokera dokotala, koma ambiri mankhwala kuchokera osiyanasiyana amazigulitsa popanda pamaso pa zimenezi. Ndi mankhwala momasuka anagulitsa likukhudza "nitroglycerin". Imene imathandiza, tingaphunzire kuchokera m'nkhaniyi. Ngakhale kutchuka, ndi kuchitira m'pofunika kulandira mosamala.

Information za lokonzekera

Nitroglycerin (ku feteleza gulu) Mwachangu anapeza ntchito. Gwiritsani linayamba m'ma 19 usiku, Mipukutu ya ku Italy Ascanio Sobrero. Poyamba, anali kupanga mabomba.

Pambuyo kuonerera yaitali antchito mu masitolo kwa kupanga zachiwawa dokotala Merrill anapeza kuti mabanja nitroglycerin chikoka pa thanzi la munthu.

Patapita kanthawi, chinapezeka kuti mankhwala angagwiritsidwe ntchito mankhwala zolinga zochizira matenda ena. Mwachitsanzo, atalandira kuphipha zotheka kuchotsa ziwiya mtima. Pamene zikwapu anali ndithu madontho ochepa a mankhwala kumugwira.

Popeza nitroglycerin pang'onopang'ono anayamba kugwiritsidwa ntchito mu yochizira matenda.

Lero, ngati mudzapempha aliyense za "nitroglycerin": "Kodi ayenera kugwiritsidwa ntchito" pafupifupi aliyense adzanene kuti ndi yofunika kwambiri chifukwa vuto la mtima. Siinafike ndi mankhwala ena amene akhala mofulumira relieves ululu wa angina.

mawonekedwe amasulidwe mankhwala

"Nitroglycerin" akhoza zimachitika kutsegula wamkulu wa dziko la mankhwala, zimachitika infrequently. Pa ntchito zake, ndipo kale zaka zoposa 100, ndipo si anatulukira mankhwala aluso kuti "pectoris angina."

Opanga kubala kosiyanasiyana ndipo ma CD, koma iwo ali nawo pophika yogwira ali yemweyo. Tsopano pharmacies angapeze lalikulu osiyanasiyana zokwanira. "Nitroglycerin" opangidwa mu mawonekedwe a mapiritsi kuti ayenera kuikidwa pansi lilime. Izi ndi mtundu woyamba wa kumasulidwa mankhwala.

Tsopano mafashoni wakhala nitroglycerin chigamba, umene uli zokwanira n'kudziphatika kwa khungu kapena Kakhungu mucous kwa thunthu yogwira anayamba machiritso ntchito yake. Ngakhale kwambiri kufika ndi "nitroglycerin-kutsitsi". Ngakhale kuti zokonzekera onsewa ali ndi chinthu chomwecho, ndalama zawo zosiyanasiyana ndithu ambiri.

"Nitroglycerin" - limagwirira kanthu

Anthu ambiri mwina kudzifunsa, kodi chinsinsi cha chotero chithunzithunzi-kanthu za mankhwala a matenda a mtima. Yankho lonse lagona pa mfundo ya ntchito mankhwala. Ululu wa pectoris angina chifukwa cha kuchepa pachimake mpweya mu mnofu mtima. Chotsani yekha mu njira zingapo:

1. Zomwe otaya mpweya mtima.
2. Kuchepetsa pafupipafupi ndi mphamvu ya contractions mtima, kuti kuchepetsa kumwa oxygen.

Zonsezi ndithu ungam'chititse "nitroglycerin". Atalandira kupanga ake kumatheka mwa okusayidi nitric, amene dilates Mitsempha, makamaka mitsempha. Zimenezi zimabweretsa chakuti minofu mtima yafupika inflow magazi venous, ndi pafupipafupi contractions ndi mphamvu zochepa. Times zochepa ntchito, ndi zochepa mpweya chofunika.

Koma mankhwala "nitroglycerin" Komanso kumawonjezera kotunga mpweya mtima chifukwa cha kukula kwa zipangizo inatsekeratu, ichi ndi yeniyeni mu malo ischemia, imbaenda kuchepetsa mofulumira angina.

Zotsatira za mankhwala zingaoneke patapita mphindi pang'ono. Basi mwamsanga kupita pa athamangitsidwe wa magazi. Mphindi 40-45 kenako anali atapita sadzatero.

zikuonetsa

Pali matenda umene tikulimbikitsidwa "nitroglycerin". ntchito angafunike kamodzi kapena yaitali. Mwachitsanzo mwa zizindikiro zotsatirazi:

• mawonetseredwe aliyense wa angina.
• Inatsekeratu vasospasm, zomwe zingapangitse endovascular kafukufuku.
• M'mnyewa wamtima infarction, makamaka ku maziko a matenda oopsa.
• Mtima kulephera.

• Patsogolo ntchito neurosurgical akhoza kugwiritsa ntchito "nitroglycerin". Kugwiritsa kuti chongopeka kuchepetsa magazi.
• Kuphipha ya mitsempha pa diso la mwana wa m'diso la.
• Dyskinesia ena zigawo dongosolo m'mimba.

dokotala wanu angakulangizeni kugwiritsa ntchito ina iliyonse. Mukhoza kusankha amene yabwino kwambiri kwa inu.

Pamene inu mukhoza kutenga "nitroglycerin"?

Iwo likukhalira kuti mankhwala angagwiritsidwe ntchito osati mphindi mtima, komanso nthawi zina ena. Mwachitsanzo, chifukwa kupewa kuukira, ngati muli ndi ntchito thupi kapena maganizo ndi kuyembekezera.

Nthawi anatengedwa ndi odwala ndi matenda a "angina" pamene akukwera pamasitepe pansi pamwamba pa nyumba multistory. Ndi bwino asanadye izo chokwera phiri, makamaka m'nyengo yozizira, nyengo frosty ndi mphepo.

Mukhoza kudabwa ngati dotolo inu pa matenda kapamba, kapena biliary colic mankhwala "nitroglycerin". Chinsinsi ku Latin, koma mankhwala mu mankhwala m'mabuku amenewa kuwadziwa bwino. Chotero kumsonkhano singalifotokoze chakuti mankhwala ndi bwino relieves kuphipha minofu yosalala thirakiti m'mimba.

Kukonza mankhwala

Ngakhale kuti anthu kuchuluka kwa mankhwala, muyenera kukumbukira kuti akadali mankhwala, choncho m'pofunika kutenga motsatira malamulo. Mwa njira iyi tingathe sangadzavutike.

The kwambiri ndi yofulumira njira kuthandiza kuti zikukhala phale pansi lilime "nitroglycerin". Kuyambira mu kamwa kwambiri Mitsempha mankhwala pasanapite nthawi odzipereka mu magazi, ndipo apo pakubwera mpumulo.

Ngati mwaganiza kutenga mankhwala "nitroglycerin", ndiye ndi bwino kukhala pansi. Ena akhoza kupanga mutu wanu sapota, ndipo nthawi yapadera ndi kukomoka.

Mu ukalamba, phwando bwino kusonyeza mu malo supine. Pa nthawi kuukira piritsi kuchita mu maminiti pang'ono. Ngati ululu salola kupita, inu mukhoza kutenga wina. Ngati pambuyo Mphindi 15 ululu amalimbikira, muli kwa dokotala, kapena kutseka ndi m'mnyewa wamtima infarction.

Ngati mankhwala anu nduna "nitroglycerine" mu mawonekedwe a madontho, ndiye pamene amawasautsa akhoza kusiya 2-4 akutsikira pa shuga kyubu nauyang'anire pansi pa lilime lanu mpaka amasungunula. Ena amakwanitsa adzagwa mwachindunji kuzibweretsa lilime kunyambita kapena ngakhale ndi machubu kuwira.

Samenya kudzipatsa chithandizo, ngakhale ngati muli bwino "nitroglycerin". Kumene izo tikulimbikitsidwa kugwiritsa ntchito - mukudziwa chinachake, koma mlingo cholakwika ndi zinadzala ndi mavuto aakulu.

Zosiyanasiyana "nitroglycerin"

Aliyense akudziwa kuti mankhwala amachita msanga, koma posakhalitsa. Panopa, ife analenga mitundu kuti amatha kuchita khama zotsatira zake achire patangotha maola ochepa. Mankhwalawa monga nitroglycerin yaitali, mwachitsanzo "Sustak" "Nitrong" "Trinitrolong".

Ndi bwino kugwiritsa ntchito pasadakhale, amatha kuteteza zikamera wa kuukira kwa maola angapo. The yogwira thunthu - nitroglycerin - wayamba kuyenda mu magazi, motero mankhwala kwa nthaŵi ya kanthu ochuluka kwambiri kuposa wapachiyambi "mbale."

Komanso mwayi uwu, iwo ali wochepa ndi liwiro la kanthu, ndipo izi ndi zofunika kwambiri panthawi kuukira. Ichi ndi chifukwa chakuti iwo wakumvera lilime nasamba pansi ndi madzi, motero, pa nthawi yoyenera mankhwala kusungunuka ndi odzipereka mu magazi.

Choncho, ngati kumuukira ndinakugwirani mosadziwika, inu simungakhoze kuchita popanda alipidwa "nitroglycerin" mu maonekedwe a mapiritsi sublingual.

zotsatira zoyipazi

mankhwala aliwonse nthawi zonse kuti zochita chowawa. Iwo zalembedwa mu Zamkati kwa mankhwala. Zimenezi sizikutanthauza kuti anakhudzidwa kwambiri ndi awonetsedwe pakati pa inu, koma muyenera kudziwa za iwo.

Mbali zotsatira "nitroglycerin" singalifotokoze choona kuti dilates Mitsempha. Ndi izi zotsatira wamba osafunika:

1. Nkhope ankatenthetsa ndi kumverera otentha.
2. Mutu, chifukwa zotengera za ubongo kwambiri kukuza ndi pulsate, kuti nthawi zina amakwiya ululu amphamvu.
3. kusiya magazi.
4. Tinnitus.
5. Ndi ambiri osokoneza amphamvu angayambe kugwa, mpaka kukomoka.
6. Kunyansidwa ndi kusanza mwina ngakhale kukhumudwa mpando.
7. Dermatitis.

Long-akuchita mitundu ya mankhwala akhoza kuyambitsa zotsatira ofanana mbali. Dziwani kuti mankhwala yaitali kuti iwo ayamba kutulutsa kuwasiya, zotsatira kotero mbali "nitroglycerin" ndi mtundu uliwonse ali kwambiri yafupika kapena kutha.

Pafupipafupi dosing

Odwala amene akudwala matenda a mtima kawiri kawiri amayesetsa kupirira ululu ndipo musamwenso "nitroglycerin". Koma si kuthandiza imeneyi. Ngati kuukira si kuti asiye ululu achuluke, ndiye kuthetsa kungakhale kovuta kwambiri.

Zikavuta ena odwala mkati mwa tsiku akhoza kumwa mapiritsi oposa 50. Madokotala tikambirane mlingo zinthu zina ndithu wololera.

Asayansi ambiri amene akuchita kafukufuku wa mankhwala, akukhulupirira kuti zones za izo zingachititse kuti azisiyana - kuwongola matendawa pafupipafupi ndi mphamvu.

Choncho, nkhani yoti tikhoza kutenga "nitroglycerin", yankho ndi lodziwikiratu yekha zabwino, koma sizipanga popanda kuimilidwa ndi dokotala ndiponso Mlingo waukulu.

contraindications

Aliyense mankhwala nthawi zonse mndandanda wake wa contraindications, kotero musati ndifulumire kupita mankhwala ndi kugula mankhwala popanda kuuzidwa.

"Nitroglycerin" mu aliyense wa mawonekedwe ake ndi contraindicated mwamtheradi matenda otsatirawa:

• mochedwerako magazi.
• Magazi m'thupi.
• Pachimake m'mnyewa wamtima infarction.
• mavuto magazi.
• M'mapapo mwanga edema.
• Khungu.
• Mowa kuledzera.
• Sitiroko.
• Mtima zopindika.
• Mimba.
• matenda a chithokomiro.
• Impso ndi kulephera chiwindi.

Musamalandire "nitroglycerine" kukachitika kuti ena akutichitira mankhwala "sildenafil".

Ngati inu kuchitika matenda a mtima, ndipo ngati mbiri yanu ya phwando "nitroglycerin" contraindicated, izo m'pofunika kukambirana ndi dokotala wanu mankhwala mukhoza kutenga nkhaniyi.

Bwino analekerera "nitroglycerin"

Ena mankhwala atalandira lakuthwa amaona mutu, chizungulire, ndi kuyamba kukhulupirira kuti basi sizikugwirizana mankhwala. Koma ichi ndi chifukwa vasodilating kanthu ake. Mobwerezabwereza mankhwalawa akhoza sizichitika, kapena zizindikiro adzaonetsera okha mokoma kwambiri.

Ngati nthawi iliyonse phwando mukumva akudwala, ululu kwambiri mutu, muyenera kukambirana ndi dokotala kuthekera ntchito chida ichi.

Nafe kawirikawiri angina pectoris mankhwala yekha akhoza kukupulumutsani pa nthawi yovuta, kotero musati yomweyo zizindikiro woyamba mavuto kupereka izo. Yesani kuchepetsa mlingo ndipo kambiranani ndi dokotala.

zinthu yosungirako

Pambuyo kugula mankhwala aliwonse m'pofunika osati kutenga mogwirizana ndi malangizo kapena malangizo a dokotala, komanso kusunga akamaziwononga. "Nitroglycerin" sangakhoze anachoka pa kuwala. Mwa zochita zake, mwamsanga akuyamba kugwetsa, chinthu chomwecho chimachitika mu malo otentha.

Popewa izi, mankhwala ayenera kusungidwa mu firiji. Ngati ndinu dokotala Kwalamulidwa "nitroglycerin" (Chinsinsi ku Latin), mudzakhala ndi chokwanira cha malangizo amene anabwera ndi izo. Komanso pamalowa mungathe kuwerenga za zofunika zonse yosungirako.

The malangizo Tingaone kuti katunduyo ngati kuti akuonetsa kuti musunga "nitroglycerin" kuti phukusi, amene anagulitsa. Izi zingathe kufotokozedwa ndi chakuti kuwira ndi ubweya mankhwala zikuchokera wapadera, amene amathandiza kuteteza katundu wa mankhwala.

Mukakhala uncork ndi ma CD, "nitroglycerin" ndi kugwilizana ndi zinthu zonse yosungirako sangathe kukhala ndi makhalidwe mankhwala kwa nthawi yaitali. Kale patapita miyezi ingapo ya dzuwa ake akutsikira 30%. Pa nkhani imeneyi, ndi wolimba kapisozi.

Ngati ndinu ntchito mankhwala kawirikawiri zokwanira, n'koyenera ndithu piritsi, ndipo ngati kawirikawiri ndi bwino kugula kutsitsi kuti ali ndi yaitali alumali moyo.

Ngati simufuna kutenga msewu ndi nsupa kapena ma CD a mapiritsi, ndipo mwaganiza angapo zidutswa atakulungidwa mu chopukutira ndi kuika mu mokakamiza wanu, inu simungathe ngakhale kuyesa, pambuyo mankhwala zoyendera sikungakuthandizeni.

Malangizo ndi zidule pa phwando

Ngakhale kuti ambiri a ife kudziwa chomwe "nitroglycerin", imene imathandiza kuti akhale otetezeka kamodzinso kukumbutsa makamaka ntchito:

1. Musati muziwopa mutu aakulu pambuyo kutenga mankhwala, zikunenedwa kuti mankhwala anayamba kugwira ntchito yake. A njira ochepa maganizo amenewa salinso Musiyeni inu.
2. Ngati mukudwala angina, ndi "nitroglycerin" ayenera kukhala mosavuta.
3. Pamene mtima kuukira zofunika kugwiritsa ntchito makapisozi zili mafuta njira yomwe yaitali odzipereka.
4. Ngati inu kutenga mankhwala kwa nthawi yaitali, zotsatira za izo kwambiri yafupika, kotero muyenera kutenga yopuma.
5. Pamaso pa matenda a maso kutenga "nitroglycerin" aima ndi changu chisamaliro.
6. Pamene yafupika kuthamanga kumwa mankhwala bwino kuzengereza, mwinamwake izo amagwa kwambiri, ndipo munthu watha kutsitsimuka.

Zotsatira zozizwitsa za "nitroglycerin" Mosakayikira, n'zosadabwitsa kuti zaka zoposa 100, asayansi sanathe kuyambitsa mankhwala aluso kwa pectoris angina. Koma ngakhale izi, kutenga zolimbitsa akhale mosamalitsa malangizo a dokotala ndi Mlingo onse, kuti avulaze thanzi lawo.