Buufiyo Nitroglycerin
Qanacsan
- Si aad u isticmaasho buufinta, raac talaabooyinkan:
- Kahor isticmaalka nitroglycerin,
- Nitroglycerin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahan ama kuwa ku taxan qaybta TALLAALADA GAARKA ahi ay daran yihiin ama aanad tagin:
- Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
- Calaamadaha xad-dhaafka ah waxaa ka mid noqon kara kuwa soo socda:
Buufinta Nitroglycerin waxaa loo isticmaalaa in lagu daaweeyo dhacdooyinka angina (feedho xanuun) ee dadka qaba cudurka halbowlayaasha wadnaha (yareynta marinnada dhiigga ee dhiigga siiya wadnaha). Buufinta sidoo kale waa la isticmaali karaa 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 buufis lagu isticmaalo carrabka ama hoostiisa. Buufinta waxaa badanaa loo isticmaalaa 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. U isticmaal nitroglycerin sida saxda ee lagu faray. Ha u isticmaalin wax ka yar ama ka yar ama u isticmaal si ka badan inta dhakhtarku kuu qoray.
Nitroglycerin uma shaqeyn karto sidoo kale kadib markaad isticmaashay mudo ama hadii aad qaadatay qiyaaso badan. Isticmaal buufinta ugu yar ee loo baahan yahay si loo yareeyo xanuunka weerarradaada. 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 buufinta nitroglycerin si loo daweeyo weerarada angina. Dhakhtarkaaga ayaa laga yaabaa inuu kuu sheego inaad fadhiisato oo aad isticmaasho hal qiyaas oo ah nitroglycerin markii uu weerarku bilaabmo. Haddii astaamahaagu aysan aad u fiicnayn ama haddii ay sii xumaadaan ka dib markaad isticmaasho qaddarkan waxaa laguu sheegi karaa inaad wacdo gargaar caafimaad oo degdeg ah isla markiiba. Haddii astaamahaagu gabi ahaanba bixi waayaan ka dib markaad isticmaasho qiyaasta koowaad, dhakhtarkaaga ayaa kuu sheegi kara inaad isticmaasho qadar labaad ka dib 5 daqiiqo ka dib iyo tallaal saddexaad oo ah 5 daqiiqo qiyaasta labaad ka dib. Wac gargaar caafimaad oo deg deg ah isla markiiba haddii laabtaada xanuunku aanu dhammaan gebi ahaanba 5 daqiiqo ka dib markaad isticmaasho qiyaasta saddexaad.
Si aad u isticmaasho buufinta, raac talaabooyinkan:
- Fariiso haddii ay suurogal tahay, oo weelka ku hay adigoon ruxin. Furka daboolka ka qaad.
- Haddii aad isticmaaleysid weelka markii ugu horreysay, weelka si toos ah u qabo si aad isaga iyo dadka kaleba u tilmaamtid, oo badhanka taabo 10 jeer markaad isticmaaleyso Nitromist ama 5 jeer markii aad isticmaaleyso Nitrolingual pumppray si aad ugu rido weelka.Haddii aadan isticmaaleyn weelka markii ugu horeysay laakiin aadan isticmaalin muddo 6 toddobaad gudahood ah, riix batoonka 2 jeer si aad dib ugu celiso weelka markaad isticmaaleyso Nitromist ama 1 jeer markaad isticmaaleyso Nitrolingual pumppray. Haddii Nitrolingual aan la isticmaalin 3 bilood ama ka badan, riix badhanka illaa 5 jeer si aad dib ugu soo ceshato weelka.
- Afka fur. Weelka kor u hay, sida ugu dhow afkaaga intii suurtogal ah.
- Isticmaal fartaada si aad si adag ugu riixdid badhanka. Tani waxay ku sii deyn doontaa buufin afkaaga. Ha ku neefsanin buufinta.
- Afka xidho. Ha tufin daawada ama ha luqin afkaaga 5 ilaa 10 daqiiqo.
- Ku beddel daboolka balaastigga ah weelka.
- Hubi heerka dareeraha ku jira weelka waqti ka waqti si aad u hubiso inaad had iyo jeer gacanta ku heyso daawo kugu filan. Weelka kor u hay inta aad hubinaysid. Haddii dareeruhu gaaro dusha ama bartamaha godka dhinaca weelka ku yaal, waa inaad dalbataa dawo dheeraad ah. Haddii dareeruhu ku yaallo salka godka, weelku mar dambe ma bixin doono qiyaas buuxda oo daawo ah.
Ha isku dayin inaad furto weelka lagu buufiyo nitroglycerin. Alaabtaan ayaa dab qaadi kara, markaa ha u isticmaalin meel u dhow olol furan, hana u oggolaan in weelka la gubo ka dib isticmaalka.
Daawadan waxaa loo qori karaa adeegsiyo kale; Weydii dhakhtarkaaga ama farmashiistaha wixii macluumaad dheeraad ah.
Kahor isticmaalka nitroglycerin,
- u sheeg dhakhtarkaaga iyo farmashiistaha haddii aad xasaasiyad ku leedahay balastarrada nitroglycerin, kiniinnada, boomaatada, ama buufinta; daawooyin kale; ama mid ka mid ah maaddooyinka ku jira kiniiniyada nitroglycerin ama buufin. 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). Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin nitroglycerin haddii aad qaadanaysid mid ama kabadan 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 beta blockers sida atenolol (Tenormin, Tenoretic), labetalol (Trandate), metoprolol (Lopressor, Toprol-XL), nadolol (Corgard, Corzide), propranolol (Hemangeol, Inderal LA, Innopran XL), sotalol (Betapace, Sorine) ), iyo timolol; kaalsiyamka xanibaada sida amlodipine (Norvasc, in Tekamlo), diltiazem (Cardizem, Cartia, Dilacor, kuwa kale), felodipine (Plendil), isradipine, nifedipine (Adalat CC, Afeditab, Procardia), iyo verapamil (Calan, Covera, Verelan, kuwa kale); daawooyinka nooca ergot sida bromocriptine (Cycloset, Parlodel), cabergoline, dihydroergotamine (DHE 45, Migranal), ergoloid mesylates (Hydergine), ergonovine, ergotamine (Ergomar, in Cafergot, in Migergot), methylergono ; hadda ka dib laga heli maayo Mareykanka), iyo pergolide (Permax; hadda laguma heli karo Mareykanka); 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.
- u sheeg dhakhtarkaaga haddii aad u malaynayso inaad qabtid dhiig-yaraan (tiro ka yar sidii caadiga ahayd ee unugyada dhiigga cas), ama aad yeelatay xaalad kasta oo kordhinaysa cadaadiska maskaxdaada ama madaxaaga. Dhakhtarkaagu wuxuu kuu sheegi karaa inaadan isticmaalin nitroglycerin.
- u sheeg dhakhtarkaaga haddii aad u maleyneyso inaad fuuqbaxan tahay, haddii aad dhowaan wadno xanuun ku qabatay, iyo haddii aad qabto ama aad waligaa yeelatay dhiig kar hoose, wadne istaag, ama dhiig karka dhiig karka (muruqa wadnaha oo adkaada).
- u sheeg dhakhtarkaaga haddii aad uur leedahay, qorsheyso inaad uur yeelato, ama aad naas nuujiso. Haddii aad uur yeelato intaad isticmaaleyso nitroglycerin, wac dhakhtarkaaga.
- haddii aad qalliin samaynayso, oo ay ku jiraan qalliinka ilkaha, u sheeg dhakhtarka ama dhakhtarka ilkaha inaad isticmaaleyso 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 isticmaasho nitroglycerin si aad uga fogaato madax xanuun sababtoo ah markaa daawadu sidoo kale ma shaqeyn karto.
- weydii dhakhtarkaaga wax ku saabsan isticmaalka aaminka ah ee cabitaanka khamriga inta aad isticmaaleyso nitroglycerin. Aalkoladu waxay ka sii dari kartaa waxyeelada ka timaadda nitroglycerin.
Ilaa dhakhtarkaagu kuu sheego mooyee, sii wad cuntadaada caadiga ah.
Buufinta Nitroglycerin badanaa waxaa loo isticmaalaa sidii loogu baahdo si loogu daaweeyo dhacdooyinka angina; Ha ugu isticmaalin jadwal joogto ah oo jadwal ah.
Nitroglycerin waxay sababi kartaa waxyeelo. U sheeg dhakhtarkaaga haddii mid ka mid ah astaamahan ama kuwa ku taxan qaybta TALLAALADA GAARKA ahi ay daran yihiin ama aanad tagin:
- dhaqid
- dhakhso ama garaac wadnaha garaacis
Dhibaatooyinka qaarkood waxay noqon karaan kuwo halis ah. Haddii aad isku aragto mid ka mid ah astaamaha soo socda, isla markiiba wac dhakhtarkaaga ama aad u hesho daaweyn degdeg ah
- finan yaryar, fin, ama maqaarka oo diirma
- lallabbo
- matagid
- daciifnimo
- dhidid
- maqaarka cirro leh
Nitroglycerin waxay sababi kartaa waxyeelo kale. Wac dhakhtarkaaga haddii aad qabtid dhibaatooyin aan caadi ahayn intaad isticmaaleysid 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, 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
- isbedelka aragga
- gaabis ama garaacid garaaca wadnaha
- 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.
Ha u ogolaan qof kale inuu isticmaalo 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.
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