Nitroglycerin Sublingual

Qanacsan

• Kahor qaadashada ama isticmaalka nitroglycerin,
• Nitroglycerin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahan ama kuwa ku taxan qaybta taxaddarrada khaaska ah ay daran yihiin ama ayan ka tagin:
• Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:
• Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

Kiniiniyada sub-luqadda ee loo yaqaan 'Nitroglycerin sublingual' ayaa loo isticmaalaa in lagu daaweeyo dhacdooyinka angina (feedho xanuun) ee dadka qaba cudurka halbowlayaasha wadnaha (yaraynta marinnada dhiigga ee dhiigga siiya wadnaha). Waxaa sidoo kale loo isticmaalaa waxyar uun kahor waxqabadyada sababi kara dhacdooyinka angina si looga hortago angina inay dhacdo. Nitroglycerin waxay ku jirtaa nooc dawooyin ah oo loo yaqaan 'vasodilatore'. Waxay ku shaqeysaa iyada oo nasinaysa xididdada dhiigga sidaa darteed wadnuhu uma baahna inuu u shaqeeyo si adag sidaas darteedna uma baahna oksijiin badan.

Nitroglycerin waxay u timaadaa sidii kiniin sublingual ah oo lagu qaato carrabka hoostiisa. Kiniiniyada badanaa waxaa loo qaataa sidii loogu baahdo, ama 5 ilaa 10 daqiiqo kahor howlaha laga yaabo inay sababaan weerarada angina ama calaamadaha ugu horeeya ee weerarka. Si taxaddar leh u raac tilmaamaha ku qoran calaamadaha laguu qoray, oo weydii takhtarkaaga ama farmashiistaha inuu kuu sharxo qayb kasta oo aadan fahmin. Qaado nitroglycerin sida saxda ee lagu faray. Ha ka qaadin wax ka yar ama ka yar ama u qaado si ka badan inta dhakhtarku kuu qoray.

Nitroglycerin si fiican uma shaqeyn karto ka dib markii aad muddo isticmaashay ama haddii aad qaadatay qiyaaso badan. Qaado kaniiniyada ugu yar ee loo baahan yahay si loo yareeyo xanuunka weeraradaada. Haddii weeraradaada angina ay dhacaan marar badan, muddo dheer sii socdaan, ama ka sii darnaadaan wakhti kasta inta lagu jiro daaweyntaada, wac dhakhtarkaaga.

Kala hadal dhakhtarkaaga sida loo isticmaalo kiniiniyada nitroglycerin si loo daweeyo weerarada angina. Dhakhtarkaagu wuxuu kuu sheegi doonaa inaad fariisato oo aad qaadato hal qiyaas oo ah nitroglycerin markii uu weerarku bilaabmo. Haddii astaamahaagu aysan aad u fiicnayn ama ay ka sii darayaan ka dib markaad qaadatay qiyaastaas waxaa laguu sheegi karaa inaad wacdo gargaar caafimaad oo degdeg ah. Haddii calaamadahaagu gabi ahaanba bixi waayaan ka dib markaad qaadatid qiyaasta koowaad, dhakhtarkaaga ayaa kuu sheegi kara inaad qaadatid qaadasho labaad ka dib markii 5 daqiiqo laga soo gudbay iyo tallaal saddexaad oo ah 5 daqiiqo kadib qiyaasta labaad. Wac gargaar caafimaad oo deg-deg ah isla markiiba haddii laabtaada xanuunku aanu dhammaan gebi ahaanba 5 daqiiqo ka dib qaadashada qiyaasta saddexaad.

Ha calalin, ha burburin, ama ha liqin kiniiniyada hoose ee nitroglycerin. Taabadalkeed, dhig kiniinka carrabkaaga hoostiisa ama inta udhaxeysa dhabanka iyo ciridka oo sug inta uu ka milmayo. Waxaa laga yaabaa inaad dareento gubasho ama xoqid afkaaga ah markii kiniinku kala baxo. Tani waa wax iska caadi ah laakiin ma aha calaamad muujinaysa in kiniinku shaqeynayo. Ha ka welwelin in kaniinku uusan shaqeyneyn haddii aadan dareemeyn gubasho ama xoqasho.

Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.

Kahor qaadashada ama isticmaalka nitroglycerin,

• u sheeg dhakhtarkaaga iyo farmashiistahaaga haddii aad xasaasiyad ku leedahay balastarrada nitroglycerin, kaabsulka, kiniinnada, boomaatada, ama buufinta; daawooyin kale; ama mid ka mid ah maaddooyinka ku jira kiniinnada sublingual nitroglycerin. Weydii farmashiistahaaga liiska waxyaabaha ay ka kooban yihiin.
• u sheeg dhakhtarkaaga haddii aad qaadanaysid riociguat (Adempas) ama haddii aad qaadanaysid ama aad dhawaan qaadatay fosfodiesterase inhibitor (PDE-5) sida avanafil (Stendra), sildenafil (Revatio, Viagra), tadalafil (Adcirca, Cialis), iyo vardenafil (Levitra, Staxyn). Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan nitroglycerin haddii aad qaadanaysid mid ka mid ah daawooyinkan.
• u sheeg dhakhtarkaaga iyo farmashiistaha dawooyinka dhakhtarku qoro iyo kuwa aan dhakhtar qorin, fiitamiinnada, nafaqada nafaqada, iyo alaabta dhirta ah ee aad qaadanayso ama aad qorsheyneyso inaad qaadato. Hubso inaad sheegto mid ka mid ah kuwan soo socda: asbiriin; beta blockers sida atenolol (Tenormin), carteolol, labetalol (Trandate, Normozide, Trandate HCT), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), propranolol (Hemangeol, Inderal, Innopran), sotalol (Betap, ), iyo timolol; Kaalshiyamka kaaliyayaasha sida amlodipine, diltiazem (Cardizem, Cartia, Diltzac, kuwa kale), felodipine (Plendil), isradipine (DynaCirc), nifedipine (Adalat, Afeditab CR, Procardia), iyo verapamil (Calan, Covera, Verelan, in Tarka) ; durayaasha (kaniiniyada biyaha); daawooyinka nooca ergot sida bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergotamine (Cafergot, in Migergot), iyo methylergonovine (Methergine) daawooyinka dhiig karka, wadnaha oo istaaga, ama garaaca wadnaha oo aan joogto ahayn. Dhakhtarkaaga ayaa laga yaabaa inuu u baahdo inuu beddelo qiyaasta daawooyinkaaga ama uu si taxaddar leh kuugu ilaaliyo dhibaatooyinka soo raaca.
• waa inaad ogaataa in kiniiniyada sub-luqadda ee loo yaqaan 'nitroglycerin sublingual' aysan si fudud ugu milmi karin afkaaga haddii aad qaadanaysid daawooyin keena afka qalalan sida antihistamines; dawooyinka lidka diiqadda oo ay ku jiraan amitriptyline, amoxapine, clomipramine (Anafranil), desipramine (Norpramin), doxepin (Silenor), imipramine (Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), iyo trimipramine (Surmontil); ipratropium (Atrovent); ama daawooyinka cudurka mindhicirka xanaaqa, dhaqdhaqaaqa dhaqdhaqaaqa, cudurka Parkinson, boogaha, ama dhibaatooyinka kaadida. Haddii ay taasi dhacdo, isticmaal badeecad candhuuf gacan ku sameysan ah ama xanjo si aad u kordhiso qadarka candhuufta ee afkaaga ku jira si kaniinigu u milmo.
• u sheeg dhakhtarkaaga haddii aad dhawaan wadno xanuun ku qabatay iyo haddii dhiig-yaraan (dhiig yar oo unugyada dhiigga cas) ah ama xaalad kasta oo sababi karta cadaadis ku kordha madaxaaga. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaadan qaadan nitroglycerin.
• u sheeg dhakhtarkaaga haddii aad u maleyneyso inaad fuuqbaxan tahay iyo haddii aad qabto ama aad waligaa wadnaha istaagto, cadaadis dhiig oo hooseeya, ama hypertrophic cardiomyopathy (murqaha wadnaha oo adkaada).
• u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad qaadanaysid nitroglycerin, wac dhakhtarkaaga.
• haddii aad qalliin sameyneyso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha in aad qaadanayso nitroglycerin.
• Weydii dhakhtarkaaga isticmaalka aaminka ah ee cabitaanka khamriga ah inta aad qaadanaysid nitroglycerin. Aalkoladu waxay ka sii dari kartaa waxyeelada ka timaadda nitroglycerin.
• waa inaad ogaataa in nitroglycerin ay sababi karto dawakhaad, madax-wareer, iyo miyir beelid markaad si dhakhso leh uga kacdo booska jiifka, ama wakhti kasta, gaar ahaan haddii aad cabaysay cabitaanno aalkolo leh. Si looga fogaado dhibaatadan, si tartiib ah u kac, cagahaaga ku dhig sagxad daqiiqado ah ka hor intaadan istaagin. Qaad taxaddar dheeri ah si aad uga fogaato inaad ku dhacdo inta lagu jiro daweyntaada nitroglycerin.
• waa inaad ogaataa inaad dareemi karto madax xanuun inta lagu jiro daweyntaada nitroglycerin. Madax xanuunkaan ayaa laga yaabaa inay calaamad u yihiin in daawada ay u shaqeyneyso sidii la rabay. Ha isku dayin inaad bedesho waqtiyada aad qaadato nitroglycerin si aad uga fogaato madax xanuun sababtoo ah markaa daawadu sidoo kale uma shaqeyn karto sidoo kale.

Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.

Nitroglycerin kaniiniyada sublingual badanaa waxaa loo qaataa sidii loogu baahdo si loogu daweeyo dhacdooyinka angina; ha u qaadin si joogto ah.

Nitroglycerin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahan ama kuwa ku taxan qaybta taxaddarrada khaaska ah ay daran yihiin ama ayan ka tagin:

• dhaqid

Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga:

• aragga oo xumaada
• afka qalalan
• finan yaryar, fin, ama maqaarka oo diirma
• finan
• cuncun
• neefsashada ama wax liqidda oo ku adkaata
• lallabbo
• matagid
• daciifnimo
• dhidid
• maqaarka cirro leh

Nitroglycerin sublingual wuxuu sababi karaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad qaadanaysid dawadan.

Haddii aad isku aragto waxyeellooyin daran, adiga ama dhakhtarkaaga ayaa warbixin u diri kara Barnaamijka Ka Warbixinta Dhacdooyinka Xun ee Maamulka Cuntada iyo Dawooyinka (FDA) (http://www.fda.gov/Safety/MedWatch) ama taleefan ( 1-800-332-1088).

Daawadan ku hay weelka ay soo gashay, si adag u xir adeegsiga ka dib, iyo meel aysan carruurtu gaarin. Ku keydi heerkulka qolka oo ka fog kuleylka iyo qoyaanka badan (ha ku jirin musqusha).

Daawooyinka aan loo baahnayn waa in lagu tuuraa siyaabo gaar ah si loo hubiyo in xayawaanka, carruurta, iyo dadka kaleba aysan cuni karin. Si kastaba ha noqotee, waa inaadan ku daadinin daawadan musqusha hoosteeda. Taabadalkeed, sida ugufiican ee dawada looga takhalusi karaa waa iyada oo loo maro barnaamijka dib u celinta daawada. La hadal farmashiistahaaga ama la xiriir waaxda qashinka / dib u warshadaynta si aad wax uga ogaato barnaamijyada dib-u-celinta ee bulshadaada. Ka eeg bogga internetka ee 'FDA ee Amni-Qaadashada Daawooyinka (http://goo.gl/c4Rm4p) si aad u hesho macluumaad dheeraad ah haddii aadan marin u helin barnaamijka dib-u-celinta.

Waa muhiim inaad ka ilaaliso dhammaan daawooyinka meel aan la arkeynin oo aysan gaari karin carruurta maaddaama weelal badan (sida kuwa toddobaadlaha kiniiniga ka fiirsada iyo kuwa loogu talagalay dhibcaha isha, kareemada, dhejiyeyaasha, iyo kuwa neefta ku siiya) uma adkeysana carruurta, carruurta yaryarna si fudud ayey ku furi karaan. Si aad uga ilaaliso carruurta yaryar sunta, marwalba xiro daboolka badbaadada isla markaana isla markiiba dhig dawada meel aamin ah - mid kor iyo fog kana fog aragooda oo gaadha. http://www.upandaway.org

Xaalada xad dhaafka ah, wac khadka caawinta ka hortagga sunta 1-800-222-1222. Macluumaadka sidoo kale waxaa laga heli karaa internetka https://www.poisonhelp.org/help. Haddii dhibbanuhu burburay, suuxdin qabtay, neefsashadu dhib ku tahay, ama aan la kici karin, isla markiiba wac adeegyada gurmadka ee 911.

Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:

• madax xanuun
• jahwareer
• qandho
• dawakhaad
• gaabis ama garaacid garaaca wadnaha
• aragtida isbeddelay
• lallabbo
• matagid
• shuban dhiig ah
• miyir beelid
• neefta oo ku qabata
• dhidid
• dhaqid
• hargab, maqaar ciriiri ah
• luminta awoodda dhaqaajinta jirka
• miyir beelid (miyir beelid muddo ah)
• qalal

Dhammaan ballamaha la dhig dhakhtarkaaga.

Kahor baaritaanka shaybaarka, u sheeg dhakhtarkaaga iyo shaqaalaha sheybaarka inaad qaadatid subag luqadda nitroglycerin.

Ha u ogolaan qof kale inuu qaato daawadaada. Weydii farmashiistahaaga wixii su'aalo ah ee aad ka qabto dib u soo celinta daawada laguu qoray.

Waxaa muhiim kuu ah inaad haysato liis qoran oo ku saabsan dhammaan daawooyinka laguu qoro iyo kuwa aan dhakhtar qorin (warqad dhakhtar la aan ah) ee aad qaadanaysid, iyo sidoo kale wax soo saar kasta sida fiitamiinnada, macdanta, ama nafaqooyinka kale ee nafaqada leh. Waa inaad soo qaadataa liiskan markasta oo aad booqato dhakhtar ama haddii isbitaal la dhigo. Sidoo kale waa macluumaad muhiim ah inaad lasocoto haddii ay jiraan xaalado deg deg ah.

• Nitrostat^®