He aha ka Nitroglycerin (Ala ʻĀʻī): Nā Hoʻohana, Dosage, Nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka ʻaila rectal nitroglycerin he lāʻau lapaʻau i kauoha ʻia e kōkua i ka hoʻomaha ʻana i ka ʻiʻo maʻemaʻe a hoʻomaikaʻi i ke kahe koko. Hiki i kāu kauka ke kauoha i kēia ʻano nitroglycerin no ka mālama ʻana i nā anal fissures maʻi, he mau waimaka liʻiliʻi i loko o ka ʻiʻo a puni kou anus e hiki ke hōʻeha nui a hoʻolohi i ka hoʻōla.

Hana ʻokoʻa kēia lāʻau lapaʻau mai nā papa nitroglycerin i ʻike nui ʻia no nā maʻi puʻuwai. ʻOiai ʻo ia ka mea hana like, ua hana kūikawā ʻia ke ʻano rectal e mālama i kahi maʻi kikoʻī a pinepine i ka ʻeha e pili ana i kou ʻoluʻolu i kēlā me kēia lā a me ka maikaʻi o ke ola.

He aha ka ʻaila rectal nitroglycerin?

ʻO ka ʻaila rectal nitroglycerin he ʻaila maʻemaʻe, keʻokeʻo i loaʻa ka nitroglycerin ma ke ʻano he mea hana. Ua hoʻolālā ʻia e hoʻopili pololei ʻia i ka wahi anal e kōkua i ka hoʻōla ʻana i nā anal fissures maʻi ma ka hoʻomaha ʻana i nā ʻiʻo a me ka hoʻomaikaʻi ʻana i ke kahe koko i ka ʻiʻo i hoʻopilikia ʻia.

Hele mai ka lāʻau lapaʻau i loko o kahi paipu liʻiliʻi me kahi ʻōlelo noi kūikawā e maʻalahi ai ka hoʻopili ʻana i ka nui kūpono i ka wahi kūpono. ʻO ka mea maʻamau, e ʻike ʻoe he 0.4% ʻaila, ʻo ia hoʻi, aia he 4 milligrams o nitroglycerin no ka gram o ka ʻaila.

ʻAʻole like kēia me nā papa nitroglycerin a i ʻole nā ​​patches i hoʻohana ʻia no nā maʻi puʻuwai, ʻoiai aia nā mea hana like. Ua hoʻolālā kūikawā ʻia ka formulation rectal no ka noi kūloko a me ka absorption ma ka ʻili i ka wahi anal.

No ke aha e hoʻohana ʻia ai ka ʻaila rectal nitroglycerin?

Hoʻohana nui ʻia ka ʻaila rectal nitroglycerin e mālama i nā anal fissures maʻi i nā pākeke. ʻO ka anal fissure he waimaka liʻiliʻi a i ʻole ka māwae i loko o ka ʻiʻo lahilahi a pulu e laina i kou anus, a hiki ke hōʻeha nui i ka wā a ma hope o ka neʻe ʻana o ka ʻōpū.

ʻO nā māwae anal mau loa nā mea i mau no nā pule 6-8 a ʻoi aku paha a ʻaʻole i ola ma ko lākou iho me nā lapaʻau conservative e like me nā loli ʻai, nā mea palupalu no ka noho ʻana, a i ʻole nā ʻauʻau mahana. Hoʻomohala pinepine ʻia kēia mau māwae mau loa no ka mea e paʻa loa ana ka ʻiʻo anal sphincter, e hōʻemi ana i ke kahe koko i ka wahi a pale i ka hoʻōla kūpono.

Hiki i kāu kauka ke noʻonoʻo i kēia lāʻau lapaʻau inā loaʻa iā ʻoe nā māwae anal e hoʻi pinepine ana ma hope o ka mea i ʻike ʻia e ola. Kōkua ka ʻaila e wāwahi i kēia pōʻaiapuni ma ka hoʻoponopono ʻana i ka ʻiʻo i lalo e kōkua ana i ka hoʻokumu mua ʻana a me ka hoʻōla maikaʻi ʻole o kēia mau waimaka ʻeha.

Pehea e hana ai ka Nitroglycerin Rectal Ointment?

Hana ʻo Nitroglycerin ma ka hoʻomaha ʻana i nā fiber ʻiʻo maʻemaʻe i loko o kāu anal sphincter, ʻo ia ke apo o ka ʻiʻo e hoʻomalu i ka wehe a me ka pani ʻana o kou anus. Ke paʻa loa kēia ʻiʻo, hiki iā ia ke hōʻemi i ke kahe koko i ka wahi a pale i nā māwae anal mai ka hoʻōla pono.

Hoʻololi ka lāʻau lapaʻau i ka nitric oxide i loko o kou kino, e hoʻomaha ai ka ʻiʻo maʻemaʻe a e hoʻonui ai nā kīʻaha koko. Hoʻonui kēia i ke kahe koko i ka ʻiʻo i hōʻino ʻia, e hana ana i nā kūlana maikaʻi no ka hoʻōla e hana maoli.

E noʻonoʻo e like me ka hāʻawi ʻana i ke kākoʻo i ke kaʻina hana hoʻōla maoli o kou kino. Ma ka hōʻemi ʻana i ka ʻiʻo a me ka hoʻomaikaʻi ʻana i ke kahe, kōkua ka ʻaila e hana i kahi kaiapuni kahi e hiki ai i ka ʻiʻo haehae ke hoʻoponopono iā ia iho ma mua o ka hiki iā ia iho.

Ua manaʻo ʻia he lapaʻau ikaika waena no nā māwae anal. ʻOi aku ka ikaika ma mua o nā ana conservative e like me nā loli ʻai wale nō, akā ua hoʻāʻo pinepine ʻia ma mua o ka noʻonoʻo ʻana i nā koho ʻoki, kahi e lilo ai i koho lapaʻau waena koʻikoʻi.

Pehea e lawe ai i ka Nitroglycerin Rectal Ointment?

Pono ʻoe e hoʻopili i ka ʻaila nitroglycerin rectal e like me ke kauoha a kāu kauka, maʻamau i kēlā me kēia 12 hola (ʻelua manawa i ka lā). ʻO ka maʻamau o ka maʻamau he hapalua ʻīniha o ka ʻaila, e like me 375 milligrams o ka ʻaila a i ʻole 1.5 milligrams o ka nitroglycerin.

ʻO ka mea mua, holoi pono i kou mau lima me ke kopa a me ka wai. A laila, me ka hoʻohana ʻana i ka piko applicator a i ʻole kahi manamana lima maʻemaʻe i uhi ʻia me kahi mīkina lima hiki ke hoʻolei ʻia a i ʻole ka manamana lima, e hoʻopili mālie i ka ʻaila i ka puka anal a ma loko o ke kahawai anal. ʻAʻole pono ʻoe e hoʻokomo hohonu – ma kahi o ka puka anal a me loko iki e lawa.

ʻO nā manawa maikaʻi loa e hoʻopili ai i ka ʻaila maʻamau i ke kakahiaka a me ke ahiahi, ma hope o ka neʻe ʻana o ka ʻōpū a ma hope o ka hoʻomaʻemaʻe ʻana i ka wahi me ka wai. Manaʻo kekahi poʻe he mea kōkua ke hoʻopili i ka ʻaila ma mua o ka moe ʻana no ka mea e moe ana ʻoe, hiki ke kōkua i ka lāʻau lapaʻau e noho lōʻihi i kahi.

ʻAʻole pono ʻoe e lawe i kēia lāʻau me ka meaʻai a i ʻole ka wai no ka mea ua hoʻopili ʻia i luna. Eia naʻe, ʻo ka loaʻa ʻana o nā neʻe ʻana o ka ʻōpū maʻamau a palupalu e kōkua i ka lāʻau lapaʻau e hana ʻoi aku ka maikaʻi, no laila he mea nui ka mālama ʻana i ka hydration maikaʻi a me ka lawe ʻana i ka fiber no ka holomua o kāu mālama ʻana.

Pehea ka lōʻihi e pono ai iaʻu ke lawe i ka ʻaila Nitroglycerin Rectal?

Hoʻonohonoho ka hapa nui o nā kauka i ka ʻaila nitroglycerin rectal no 6-8 mau pule i ka wā mua, ʻoiai pono paha kekahi poʻe e hoʻohana ia mea a hiki i 12 mau pule. Aia ka lōʻihi pololei i ka pane ʻana o kāu anal fissure i ka mālama ʻana a me ka wikiwiki o ka hoʻōla ʻana o ka ʻiʻo.

E hoʻomaka ana ʻoe e ʻike i kekahi hōʻoluʻolu ʻeha i loko o ka pule mua a i ʻole ʻelua o ka hoʻohana mau ʻana i ka ʻaila. ʻO ka hoʻōla piha ʻana o ka fissure e lawe maʻamau i kekahi mau pule, a makemake kāu kauka e ʻike iā ʻoe no nā koho ukali e nānā i kāu holomua.

Mai hooki i ka hoʻohana ʻana i ka lāʻau koke, ʻoiai inā maikaʻi kou manaʻo, ke ʻole e haʻi aku kāu kauka iā ʻoe. ʻO ka hooki ʻana i ka wā mua loa hiki ke alakaʻi i ka hoʻi ʻana mai o ka māwae a i ʻole ka hoʻōla ʻole ʻana. E hōʻemi mālie kāu kauka i ke alapine o ka hoʻohana ʻana a i ʻole e haʻi iā ʻoe i ka wā e palekana ai ke hooki loa.

Inā ʻaʻole ʻoe i ʻike i ka hoʻomaikaʻi nui ʻana ma hope o 8 pule o ka hoʻohana mau ʻana, makemake paha kāu kauka e kūkākūkā i nā koho lapaʻau ʻē aʻe me ʻoe, me nā lāʻau lapaʻau like ʻole a i ʻole nā hana ʻoki.

He aha nā hopena ʻaoʻao o ka Nitroglycerin Rectal Ointment?

ʻO ka hopena ʻaoʻao maʻamau āu e ʻike ai, ʻo ia ka ʻehaʻeha o ke poʻo, e kū ana ma kahi o 20-30% o ka poʻe e hoʻohana ana i kēia lāʻau. Hiki mai kēia mau ʻehaʻeha o ke poʻo no ka mea hiki i ka nitroglycerin ke hoʻonui i nā kīʻaha koko ma kou kino a pau, ʻaʻole wale ma ka wahi anal.

Eia nā hopena ʻaoʻao āu e hālāwai ai, e hoʻomaka ana me nā mea maʻamau:

• ʻEhaʻeha o ke poʻo (maʻamau ka maʻalahi a i ka waena a hiki ke hoʻomaikaʻi i ka wā e hoʻoponopono ai kou kino)
• ʻO ka wili a i ʻole ka māmā, ʻoi loa i ka wā e kū koke ai
• Hoʻomaʻemaʻe a i ʻole ka manaʻo mehana i kou maka a me kou ʻāʻī
• ʻO ka ʻūlū anal a i ʻole ka manaʻo wela ma kahi o ka noi
• Nausea a i ʻole ka manaʻo ʻoluʻolu
• ʻO ka luhi a i ʻole ka manaʻo luhi ma mua o ka maʻamau

ʻO kēia mau hopena ʻaoʻao maʻamau e lilo pinepine i mea ʻike ʻole ʻia i ka wā e maʻa ai kou kino i ka lāʻau i ka pule mua a i ʻole ʻelua o ka lapaʻau.

ʻO nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi hiki ke komo i ka wili nui, ka hāʻule ʻana, a i ʻole nā hōʻailona o ka hopena maʻi e like me ka ʻōpala, ka pehu ʻana, a i ʻole ka pilikia o ka hanu ʻana. Inā ʻike ʻoe i kekahi o kēia mau mea, pono ʻoe e hoʻokaʻaʻike koke i kāu kauka a i ʻole e ʻimi koke i ka lāʻau lapaʻau.

ʻIke kekahi poʻe i ka piʻi ʻana o ka ʻeha anal a i ʻole ka hōʻoluʻolu i ka wā e hoʻomaka ai lākou e hoʻohana i ka ʻaila. Hoʻomaikaʻi maʻamau kēia i loko o kekahi mau lā i ka hoʻomaka ʻana o ke kaʻina hana hoʻōla.

ʻO wai ka mea pono ʻole e lawe i ka Nitroglycerin Rectal Ointment?

ʻAʻole pono ʻoe e hoʻohana i ka ʻaila rectal nitroglycerin inā he maʻi ʻoe i ka nitroglycerin a i ʻole kekahi o nā mea hana ʻole i loko o ka ʻaila. Pono nō hoʻi ʻoe e pale i kēia lāʻau lapaʻau inā he anemia koʻikoʻi kou, piʻi ke kaomi i kou poʻo, a i ʻole inā ua loaʻa ʻoe i kahi ʻeha poʻo.

ʻAʻole pono ka poʻe e lawe ana i kekahi mau lāʻau lapaʻau no ka erectile dysfunction (e like me sildenafil, tadalafil, a i ʻole vardenafil) e hoʻohana i ka nitroglycerin no ka mea hiki i ka hui ʻana ke hoʻohaʻahaʻa i ke koko. E haʻi mau i kāu kauka e pili ana i nā lāʻau lapaʻau a pau āu e lawe nei, me nā lāʻau lapaʻau a me nā mea hoʻohui.

Inā he haʻahaʻa ke koko, nā pilikia o ka naʻau, a i ʻole nā migraines, pono i kāu kauka e noʻonoʻo pono inā kūpono kēia lāʻau lapaʻau iā ʻoe. Hiki iā lākou ke makemake e nānā pono iā ʻoe a i ʻole e hoʻoponopono i kāu hoʻolālā lapaʻau.

Pono nā wāhine hāpai a me ka hānai ʻana e kūkākūkā i nā pilikia a me nā pōmaikaʻi me kā lākou kauka, no ka mea, he ʻike liʻiliʻi e pili ana i ka palekana o kēia lāʻau lapaʻau i ka wā hāpai a me ka hānai ʻana.

Nā inoa inoa ʻo Nitroglycerin Rectal Ointment

Loaʻa ka ʻaila rectal nitroglycerin ma lalo o kekahi mau inoa inoa, ʻo Rectiv ka inoa i kauoha pinepine ʻia ma ʻAmelika Hui Pū ʻIa. Aia kēia inoa i ka 0.4% nitroglycerin a hele mai me kahi mea noi kūikawā i hoʻolālā ʻia no ka hoʻohana ʻana i ka rectal.

Hiki i kekahi mau hale kūʻai lāʻau lapaʻau ke lawe i nā mana generic o ka ʻaila rectal nitroglycerin, aia nā mea hana like akā he ʻokoʻa iki nā mea hana ʻole. Hana maikaʻi nā mana generic e like me ka mana inoa inoa.

E kuhikuhi kāu kauka i ka inoa a i ʻole ka mana generic āu e makemake ai e hoʻohana, a hiki i kāu kauka lapaʻau ke kōkua iā ʻoe e hoʻomaopopo i nā ʻokoʻa ma waena o nā koho i loaʻa iā ʻoe.

Nā koho ʻē aʻe o Nitroglycerin Rectal Ointment

Inā ʻaʻole hana ka ʻaila rectal nitroglycerin iā ʻoe a i ʻole e hana ana i nā hopena ʻaoʻao he nui, aia kekahi mau koho ʻē aʻe. ʻO ka ʻaila Diltiazem kekahi lāʻau lapaʻau topical e hana like ana ma ka hoʻomaha ʻana i nā ʻiʻo sphincter anal a ua manaʻo pinepine ʻia i ka wā ʻaʻole kūpono ka nitroglycerin.

ʻO nā injections botulinum toxin e hōʻike ana i kahi koho ʻē aʻe no nā fissures anal maʻi ʻaʻole e pane i nā lāʻau lapaʻau topical. Hoʻopōloli kēia mau injections i ka ʻiʻo sphincter anal, e ʻae ana i ka fissure e hoʻōla, akā pono lākou i kahi kaʻina hana ma ke keʻena o kāu kauka.

No kekahi poʻe, hiki i nā lāʻau lapaʻau conservative e like me nā meaʻai fiber kiʻekiʻe, nā mea palupalu stool, nā ʻauʻau sitz mahana, a me nā ʻaila numbing topical ke lawa. Hiki i kāu kauka ke ʻōlelo e hoʻāʻo mua i kēia mau ala, ʻoiai no nā fissures hou a i ʻole nā mea liʻiliʻi.

I nā hihia i ka wā ʻaʻole pono nā lāʻau lapaʻau, hiki ke noʻonoʻo ʻia nā koho ʻokiʻoki e like me ka lateral internal sphincterotomy. He hana ʻokiʻoki liʻiliʻi kēia e pili ana i ka hana ʻana i kahi ʻoki liʻiliʻi i ka ʻiʻo sphincter anal e hōʻemi mau i ka ʻeha.

Ua ʻoi aku ka maikaʻi o ka ʻaila Nitroglycerin Rectal ma mua o Diltiazem?

He mau lāʻau lapaʻau maikaʻi nā ʻaila rectal nitroglycerin a me diltiazem no nā fissures anal maʻi, akā hana lākou ma nā ʻano like ʻole. ʻOi aku ka wikiwiki o ka hana ʻana o ka Nitroglycerin, me ka nui o nā kānaka e ʻike ana i ka hōʻoluʻolu ʻeha i loko o ka pule mua, ʻoiai e lōʻihi ana ka diltiazem e hōʻike i nā hopena piha.

ʻO ka pōmaikaʻi nui o ka nitroglycerin ʻo ia ka wikiwiki o ka hana a me ka moʻolelo i hoʻokumu ʻia no ka mālama ʻana i nā fissures anal. Eia naʻe, hana pinepine ia i nā headaches a me nā hopena ʻaoʻao systemic no ka mea e pili ana i nā kīʻaha koko ma kou kino.

Hiki i ka Diltiazem, ma kekahi ʻaoʻao, ke kumu i nā ʻeha poʻo liʻiliʻi a me nā hopena ʻaoʻao ʻōnaehana no kekahi poʻe, e lilo ana ia i koho maikaʻi inā ʻaʻole hiki iā ʻoe ke ʻae i ka nitroglycerin. Hōʻike kekahi mau haʻawina e loaʻa paha i ka diltiazem nā helu hoʻōla lōʻihi maikaʻi iki, ʻoiai he maikaʻi loa nā lāʻau lapaʻau ʻelua.

E noʻonoʻo kāu kauka i kou kūlana kikoʻī, ka mōʻaukala olakino, a me nā lāʻau lapaʻau ʻē aʻe āu e lawe nei i ka wā e hoʻoholo ai i ke koho maikaʻi loa no ʻoe. I kekahi manawa, inā ʻaʻole hana kekahi a i ʻole ke kumu i nā hopena ʻaoʻao he nui loa, hiki ke holomua loa ka hoʻololi ʻana i kekahi.

Nā Nīnau i Nīnau Pinepine ʻia e pili ana i ka Nitroglycerin Rectal Ointment

Q1. Palekana anei ka Nitroglycerin Rectal Ointment no ka poʻe me ka maʻi puʻuwai?

Hiki ke hoʻohana ʻia ka nitroglycerin rectal ointment e ka poʻe me ka maʻi puʻuwai, akā pono ia i ka nānā pono ʻana e kāu kauka. Mai ka wā e pili ana ka nitroglycerin i nā kīʻaha koko ma kou kino a pau, hiki iā ia ke launa pū me nā lāʻau lapaʻau puʻuwai a e hoʻohaʻahaʻa i kou koko.

Inā loaʻa iā ʻoe ka maʻi puʻuwai, e hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa haʻahaʻa a e nānā pono i kou koko a me ka helu o ka puʻuwai. E nānā pū lākou i kāu mau lāʻau lapaʻau puʻuwai a pau e hōʻoia ʻaʻole e loaʻa nā pilina weliweli, ʻoiai me nā lāʻau lapaʻau no ka erectile dysfunction a i ʻole kekahi mau lāʻau koko.

ʻO ka nui o ka nitroglycerin i komo mai ka rectal ointment i ka hapanui o ka manawa he liʻiliʻi loa ia ma mua o ka mea i hoʻohana ʻia no nā maʻi puʻuwai, no laila hiki i ka nui o ka poʻe me ka maʻi puʻuwai ke hoʻohana palekana ma lalo o ka mālama olakino kūpono.

Q2. He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Nitroglycerin Rectal Ointment?

Inā hoʻopili hewa ʻoe i ka ʻaila ʻoi aku ma mua o ka mea i kuhikuhi ʻia, mai hopohopo. ʻO nā hopena i manaʻo nui ʻia he hoʻonui i ka manawa o nā hopena ʻaoʻao e like me nā ʻeha poʻo, ka wili, a i ʻole ka ʻulaʻula. E holoi mālie i nā ʻaila nui me ka wai a me kahi lole palupalu.

Noho a i ʻole e moe i lalo inā ʻoe e manaʻo ana i ka wili a i ʻole ka māmā o ke poʻo, a inu i ka wai nui. Inā ʻoe e ʻike i ka wili nui, ka hāʻule ʻana, a i ʻole e manaʻo maikaʻi ʻole, e kelepona i kāu kauka a i ʻole e ʻimi koke i ka lāʻau lapaʻau.

No kāu mahele lāʻau e hiki mai ana, e hoʻi i ka hoʻohana ʻana i ka nui i kauoha ʻia. Mai hoʻāʻo e lele i nā mahele lāʻau e

Ua helu ʻia ka ʻaila rectal nitroglycerin ma ke ʻano he lāʻau lapaʻau Category C no ka hāpai ʻana, ʻo ia hoʻi, ʻaʻole lawa ka noiʻi e ʻike maopopo ai inā palekana ia i ka wā hāpai. Pono kāu kauka e kaupaona i nā pōmaikaʻi e hiki mai ana i nā pilikia e hiki mai ana.

Inā hāpai ʻoe a i ʻole e hoʻolālā ana e hāpai, e haʻi koke i kāu kauka. Hiki iā lākou ke hoʻāʻo i nā lāʻau lapaʻau ʻē aʻe ma mua a i ʻole e nānā pono iā ʻoe inā hoʻoholo lākou he pono ka ʻaila no kou maʻi.

ʻO ka nui o ka lāʻau lapaʻau i komo i loko o kou kahe koko mai ka ʻaila rectal he mea liʻiliʻi ia, akā e noʻonoʻo kāu kauka i kou kūlana kikoʻī a me ke koʻikoʻi o kāu anal fissure i ka wā e hana ai i nā ʻōlelo aʻoaʻo lapaʻau i ka wā hāpai.