Ni iki Nitroglycerin IV: Ibyo ikoreshwa, urugero rwo gufata, ingaruka ziterwa n'iyo miti n'ibindi

Nitroglycerin IV ni umuti ukomeye w'umutima utangwa mu maraso yawe unyuze mu urwungano rw'imitsi. Ukora vuba kugirango uruhure imitsi y'amaraso kandi ugabanye umurimo ku mutima wawe mugihe cy'ibibazo bikomeye by'umutima. Uyu muti ukoreshwa cyane mu bitaro mugihe umutima wawe ukeneye ubufasha bwihuse, kandi abaganga bazagukurikiranira hafi mugihe uwufata.

Nitroglycerin IV ni iki?

Nitroglycerin IV ni uburyo bwa nitroglycerin butangwa mu urwungano rw'imitsi, umuti wo mu itsinda ryitwa nitrates. Iyo itanzwe binyuze mu urwungano rw'imitsi, yinjira mu maraso yawe ako kanya igatangira gukora mumunota. Iki gikorwa cyihuse gituma gifite agaciro cyane mugihe cy'ibibazo byihutirwa aho umutima wawe ukeneye ubufasha bwihuse.

Uyu muti uza nk'igisubizo cyiza, kitagira ibara abaganga bavanga n'amazi atagira mikorobe mbere yo kuyiguha. Bitandukanye na nitroglycerin tablet ushobora gufata murugo, uburyo bwa IV butuma abaganga bashobora kugenzura umubare nyawo wawo wakira kandi bakawuhindura umunota kumunota bitewe nuko witwara.

Nitroglycerin IV ikoreshwa kubera iki?

Nitroglycerin IV ivura ibibazo byinshi bikomeye by'umutima bisaba ubuvuzi bwihuse. Muganga wawe ashobora kuyikoresha mugihe umutima wawe uri munsi y'umunaniro ukabije kandi ukeneye ubufasha bwihuse. Uyu muti ufasha cyane mugihe cy'umutima utera, ibihe bikomeye byo kuribwa mu gituza, cyangwa mugihe umutima wawe urimo guhagarara gukora neza.

Hano hari ibibazo nyamukuru aho abaganga bishingikiriza kuri nitroglycerin IV kugirango bafashe umutima wawe:

• Uburwayi bukaze bw'umutima (myocardial infarction) kugabanya kwangirika kw'imitsi y'umutima
• Angina itajegajega cyangwa kubabara mu gituza bikaze bititabira izindi nshuti
• Uburwayi bw'umutima butuma umutima udashobora gutera amaraso neza
• Ibyago byo kuzamuka kw'umuvuduko w'amaraso bikomeye byangiza ingingo zawe
• Mu gihe cyo kubaga umutima kugira ngo urinde imitsi y'umutima wawe
• Edema yo mu bihaha iyo amazi yiyongera mu bihaha byawe bitewe n'ibibazo by'umutima

Mu bihe bidasanzwe, abaganga bashobora gukoresha nitroglycerin IV ku mpamvu zikomeye z'imitsi yo mu muhogo cyangwa mu gihe cyo kubaga. Itsinda ry'abaganga bazasuzuma neza niba uyu muti ukomeye ari wo ukwiriye mu bihe byawe byihariye.

Nitroglycerin IV ikora ite?

Nitroglycerin IV ni umuti ukomeye ukora urekura imitsi yoroshye mu miyoboro y'amaraso yawe. Iyo iyi mitsi iretse, imiyoboro y'amaraso yawe iraguka, bigabanya umuvuduko muri yo kandi bikorohereza umutima wawe gutera amaraso mu mubiri wawe.

Tekereza imiyoboro yawe y'amaraso nk'imiyoboro yo mu busitani. Iyo nitroglycerin irekuye inkuta z'imiyoboro, bimeze nk'ukoza umuyoboro kugira ngo amazi ashobore kunyuramo byoroshye. Ibi bivuze ko umutima wawe utagomba gukora cyane kugira ngo utere amaraso mu miyoboro yawe, ukamuha amahirwe yo kuruhuka no gukira.

Uyu muti kandi wiyongera ku mikorere y'amaraso mu mutima wawe ubwawo wongera imitsi y'imitsi y'umutima. Aya maraso yiyongereye azana umwuka mwinshi wa oxygen mu mutima wawe, ibi ni ngombwa cyane mu gihe cyo gufatwa n'umutima igihe ibice by'imitsi y'umutima wawe bishobora kutabona oxygen ihagije.

Nkwiriye gufata nte Nitroglycerin IV?

Ntabwo uzifata nitroglycerin IV ubwawe kuko ihabwa n'abantu bafite ubumenyi mu by'ubuzima mu bitaro. Uyu muti winjira mu maraso yawe unyuze mu tuyobora duto twitwa IV catheter dushyizwe mu urugero rw'ukuboko kwawe.

Itsinda ry'ubuvuzi ryawe rizatangirana n'urugero ruto cyane kandi rikarugura buhoro buhoro bitewe n'uko umubiri wawe witwara. Bazagenzura umuvuduko w'amaraso yawe, umuvuduko w'umutima, n'ibimenyetso buri gihe kugira ngo barebe neza ko ubona urugero rukwiye. Uyu muti akenshi uvangwa n'umuti wa saline kandi utangwa hakoreshejwe pompe idasanzwe igenzura umuvuduko nyakuri.

Mugihe cy'ubuvuzi, birashoboka ko uzahuzwa n'ibikoresho bigenzura umuvuduko w'umutima wawe n'umuvuduko w'amaraso. Abaforomo bawe bazagusura kenshi kandi bahindure urugero rw'umuti uko bikwiye. Urashobora kubona ingaruka mumunota, nko koroherwa n'ububabare bwo mu gituza cyangwa guhumeka byoroshye.

Nzamara Igihe Kingana Iki Nkorera Nitroglycerin IV?

Igihe uvurwa na nitroglycerin IV giterwa rwose n'uburwayi bwawe n'uburyo witwara neza ku muti. Abantu benshi barawuhabwa kuva mumasaha make kugeza kuminsi myinshi, ariko muganga wawe azahitamo ibi bitewe n'uko ubuzima bwawe bumeze.

Kubera guturika k'umutima, urashobora guhabwa nitroglycerin IV mumasaha 24 kugeza kuri 48 mugihe umutima wawe ugaragara. Niba uvurwa indwara yo kunanirwa k'umutima, ubuvuzi burashobora gukomeza muminsi myinshi kugeza igihe ibimenyetso byawe bigabanuka kandi imikorere y'umutima wawe ikaba ihamye.

Itsinda ryawe ry'ubuvuzi rizagabanya buhoro buhoro urugero mbere yo guhagarika umuti burundu. Iyi ngabanya buhoro ifasha kwirinda impinduka zidasanzwe mumuvuduko w'amaraso yawe cyangwa imikorere y'umutima. Bazagusuzuma kandi nyuma yo guhagarika IV kugirango barebe neza ko ubuzima bwawe bukomeza kuba bwiza.

Ni Iyihe Ngaruka Ziterwa na Nitroglycerin IV?

Nitroglycerin IV irashobora gutera ingaruka ziterwa nuko ari umuti ukomeye ugira ingaruka kumikorere y'amaraso yawe yose. Ingaruka nyinshi ziterwa n'ingaruka zo kuruhura imitsi y'amaraso y'umuti kandi muri rusange zirashobora gucungwa neza no kugenzura neza.

Hano hari ingaruka zisanzwe ushobora guhura nazo mugihe cy'ubuvuzi:

• Umutwe, akenshi usobanurwa nk'uguturumbuka cyangwa gukomeretsa
• Kuribwa umutwe cyangwa kumva ureremba, cyane cyane iyo uhinduye imyanya
• Urugimbu cyangwa kumva urwaye
• Kugira uruhu rutukura cyangwa kumva ushyushye
• Umubyimba muke ushobora gutuma wumva unaniwe
• Umutima wihuta uko umubiri wawe uhinduka ku muti

Ingaruka zikomeye zirashobora kubaho ariko ntizikunze kubaho. Itsinda ryawe ry'ubuvuzi rirazitondera kandi rizaguhindurira imiti niba bibaye ngombwa. Ingaruka zikomeye zirimo umubyimba muke cyane, umutwe ukabije, cyangwa ibimenyetso by'uburwayi.

Mu bihe bidasanzwe, abantu bamwe bashobora guhura na methemoglobinemia, uburwayi aho amaraso yawe adashobora gutwara umwuka neza. Ibi bishoboka cyane iyo ufata imiti myinshi cyangwa uvurwa igihe kirekire, niyo mpamvu itsinda ryawe ry'ubuvuzi rikora igenzura ry'umwuka wawe wa oxygen.

Ninde utagomba gufata Nitroglycerin IV?

Uburwayi bumwe na bumwe butuma nitroglycerin IV idatekanye cyangwa ikeneye ingamba zidasanzwe. Muganga wawe azasuzuma amateka yawe y'ubuvuzi mbere yo gutangira ubu buvuzi kugirango arebe ko bitekanye kuri wewe.

Ntabwo ugomba guhabwa nitroglycerin IV niba ufite ubu burwayi:

• Anemia ikabije kuko umuti ushobora gukomeza ibibazo byo gutwara oxygen
• Umubyimba wiyongereye mu bwonko bwawe (umuvuduko w'imbere mu bwonko)
• Uburwayi bukomeye bw'impyiko bugira ingaruka ku buryo umubiri wawe ukoresha imiti
• Uburwayi buzwi bwa nitroglycerin cyangwa indi miti ya nitrate
• Ubwoko bumwe na bumwe bw'ibibazo by'umutima bishobora kwiyongera hamwe n'imihindagurikire y'umubyimba

Ukwitonda bidasanzwe birakenewe niba ufite umubyimba muke mbere, ibibazo by'umwijima, cyangwa niba ufata imiti imwe na rimwe nk'imiti ivura uburwayi bwo kutabasha gushyira mu bikorwa. Itsinda ryawe ry'ubuvuzi rizagereranya inyungu n'ibishobora guteza akaga muri ibyo bihe.

Gusama inda no konsa nabyo bisaba kwitonderwa cyane. Nubwo nitroglycerin IV ishobora gukoreshwa mugihe cyo gutwita mugihe bibaye ngombwa mumategeko ya muganga, muganga wawe azayandika gusa niba inyungu zirusha neza ingaruka zishobora kugira kuri wowe no kumwana wawe.

Amazina ya Nitroglycerin IV

Nitroglycerin IV iboneka munsi yamazina menshi yubwoko, nubwo ibitaro byinshi bikoresha verisiyo rusange. Amazina yubwoko asanzwe arimo Nitro-Bid IV, Tridil, na Nitrostat IV. Byose birimo ibikoresho bikora kimwe kandi bikora kimwe.

Farumasi yawe y'ibitaro izahitamo verisiyo yo gukoresha ishingiye ku kuboneka no kubagurisha bakunda. Imikorere n'umutekano biraguma kimwe hatita ku izina ry'ubwoko cyangwa verisiyo rusange wakira.

Izindi nzira za Nitroglycerin IV

Imiti myinshi irashobora gukoreshwa mu mwanya wa cyangwa hamwe na nitroglycerin IV, bitewe n'uburwayi bwawe bwihariye. Muganga wawe ashobora guhitamo izi nzira zindi zishingiye ku mateka yawe yubuvuzi, imiti ukoresha ubu, cyangwa uburyo witwara neza ku buvuzi.

Izindi nzira zisanzwe zirimo izindi miti ya nitrate nka isosorbide dinitrate IV, ikora kimwe ariko ishobora kuba ikwiriye neza kubibazo byawe byihariye. Beta-blockers, ACE inhibitors, cyangwa calcium channel blockers nazo zirashobora gukoreshwa bitewe n'uburwayi bwawe bw'umutima.

Kubibazo bimwe na bimwe, imiti mishya nka clevidipine cyangwa nicardipine irashobora gukundwa kuko itanga uburyo bwo kugenzura umuvuduko wamaraso neza. Itsinda ryawe ryubuvuzi rizagena uburyo bwiza bushingiye kubyo ukeneye wenyine nuburwayi bwawe.

Ese Nitroglycerin IV iruta izindi miti y'umutima?

Nitroglycerin IV ntabwo ari ngombwa ko

Ugereranije n'imiti yo kunywa, nitroglycerin IV itangira gukora mu minota mike aho gukora mu minota 30 kugeza kuri 60. Iyi mikorere yihuse ituma iba ingirakamaro mu gihe cy'uburwayi bwihutirwa iyo umutima wawe ukeneye ubufasha bwihuse. Ubushobozi bwo guhindura urugero umunota ku wundi butuma abaganga bagira uburyo bwiza bwo kugenzura ubuvuzi bwawe.

Ariko, imiti yo kunywa ishobora kuba ikwiriye kurushaho mu kuvura igihe kirekire igihe uburwayi bwawe bumaze guhagarara. Muganga wawe akenshi azaguhindurira ku miti yo kunywa uvuye kuri IV igihe urimo gukira, ahuza inyungu zihuse za IV n'uburyo bworoshye bwo gufata imiti ushobora gufata uri mu rugo.

Ibikunze Kubazwa Kuri Nitroglycerin IV

Ese Nitroglycerin IV irakwiriye ku bantu barwaye diyabete?

Yego, nitroglycerin IV muri rusange irakwiriye ku bantu barwaye diyabete, ariko itsinda ryawe ry'abaganga rizagukurikiranira hafi cyane. Diyabete ishobora kugira ingaruka ku miyoboro y'amaraso n'umutima wawe, bityo ingaruka z'umuti zishobora gutandukana n'iz'umuntu udafite diyabete.

Urugero rw'isukari mu maraso yawe ruzagenzurwa hafi cyane mugihe cy'ubuvuzi kuko umunaniro n'uburwayi bishobora kugira ingaruka ku kugenzura isukari mu maraso. Umuti ubwawo ntugira ingaruka zigororotse ku isukari mu maraso, ariko uburwayi bw'umutima burimo kuvurwa bushobora kugira ingaruka ku micungire ya diyabete yawe by'agateganyo.

Nkwiriye gukora iki niba mbonye nitroglycerin IV nyinshi ku buryo butunguranye?

Ntabwo ukeneye guhangayika kubera kubona nitroglycerin IV nyinshi ku buryo butunguranye kuko abaganga bafite ubumenyi bafite uburyo bwo kugenzura uburyo bwose. Uyu muti utangwa binyuze mu mashini zikoresha mudasobwa zikumira kwiyongera k'umuti, kandi itsinda ryawe ry'abaganga rigukurikiranira buri gihe.

Niba ufata umuti mwinshi, itsinda ryawe ry'abaganga rizahagarika ako kanya IV kandi rivure ibimenyetso byose. Bashobora kuguha amazi kugirango afashe kuzamura umuvuduko w'amaraso cyangwa imiti yo kurwanya ingaruka. Ibibazo byinshi byo kwiyongera k'umuti bikemurwa vuba n'ubuvuzi bukwiriye.

Nkwiriye gukora iki niba IV yanjye itandukanye?

Niba IV yawe ya nitroglycerin yaciwe cyangwa igahagarara gukora, hamagara umuforomo wawe ako kanya ukoresheje akabuto kawe ko guhamagara. Ntugerageze kubikosora wenyine kuko umuti ugomba gutangwa ku gipimo gihamye, kandi ahantu IV ishyirwa hagomba kuguma hadafite mikorobe.

Umuforomo wawe azahita yongera gukora IV cyangwa atangize nshya niba bibaye ngombwa. Muri icyo gihe, bazagukurikiranira hafi bareba niba hari ibimenyetso byagaruka. Guhagarika umuti by'igihe gito ntibitera ibibazo bikomeye, ariko ni ngombwa kongera gutangira umuti vuba.

Ni ryari nshobora guhagarika gufata Nitroglycerin IV?

Muganga wawe azahitamo igihe cyo guhagarika IV yawe ya nitroglycerin bitewe n'uko indwara yawe y'umutima yateye imbere kandi niba uhagaze neza ku buryo ushobora kubaho utayifite. Iyi myanzuro ikunze gufatwa iyo ibimenyetso byawe bigenzurwa neza kandi imikorere y'umutima wawe yihagazeho.

Uyu muti akenshi uhagarikwa buhoro buhoro aho guhagarikwa icyarimwe. Kugabanya uyu muti buhoro bifasha kwirinda ko umuvuduko w'amaraso yawe wiyongera mu buryo butunguranye cyangwa ibimenyetso byawe bigaruka. Itsinda ryawe ry'abaganga rizagukurikiranira hafi muri iki gihe cy'impinduka.

Nshobora kurya ibiryo bisanzwe nkorera kuri Nitroglycerin IV?

Ubusanzwe ushobora kurya ibiryo bisanzwe mugihe wakira nitroglycerin IV, keretse muganga wawe afite ibyo agomba kugufungira byihariye kubera indwara yawe y'umutima. Uyu muti ntugirana imikoranire n'ibiryo byinshi, ariko gahunda yawe yose yo kuvurwa irashobora kuba irimo amabwiriza yerekeye imirire.

Itsinda ryawe ry'abaganga rishobora kugusaba kurya ibiryo byiza ku mutima birimo umunyu muke na za poroteyine zifite amavuta menshi kugirango bifashe mu gukira kwawe. Bazareba kandi niba ubona amazi ahagije kugirango ugumane umuvuduko w'amaraso ukwiye. Niba ufite ibibazo byerekeye ibyo ushobora kurya, baza umuforomo wawe cyangwa muganga wawe kugirango bagufashe.