Icyo Nitroglycerin (inzira yo mu mpuzandaro) ari cyo: Ibikoreshwa, Urutonde rw'imiti, Ingaruka ziterwa n'iyo miti n'ibindi

Umuti wa nitroglycerin wo mu mpuzandaro ni umuti wandikirwa na muganga ufasha koroshya imitsi yoroshye no kunoza imikorere y'amaraso. Muganga wawe ashobora kukwandikira uyu muti wa nitroglycerin by'umwihariko kugira ngo avure ibibazo by'impyiko z'umwanya munini, zikaba ari ibice bito bito byo mu gice cy'umubiri gikikije umwanya munini bishobora gutera ububabare bukomeye kandi bugatuma gukira bigenda gahoro.

Uyu muti ukora mu buryo butandukanye n'ibindi bisanzwe bizwi cyane bya nitroglycerin bikoreshwa mu bibazo by'umutima. Nubwo ari ikintu kimwe gikora, uburyo bwo mu mpuzandaro butegurwa by'umwihariko kuvura ikibazo cyihariye kandi gikunze gutera ububabare gikora ku buzima bwawe bwa buri munsi n'imibereho yawe.

Umuti wa Nitroglycerin wo mu mpuzandaro ni iki?

Umuti wa nitroglycerin wo mu mpuzandaro ni ikirimo cyoroshye, cyera kirimo nitroglycerin nk'ikintu gikora. Yagenewe gushyirwa mu gice cy'umwanya munini kugira ngo ifashe gukiza ibibazo by'impyiko z'umwanya munini binyuze mu koroshya imitsi no kunoza imikorere y'amaraso mu gice cy'umubiri cyagizweho ingaruka.

Uyu muti uza mu tube duto dufite akantu kadasanzwe gafasha gushyira umuti mu gice cy'umubiri gikwiye. Akenshi, uzasanga iboneka nk'ikirimo cya 0.4%, bivuze ko kirimo miligarama 4 za nitroglycerin kuri garama imwe y'ikirimo.

Ibi ntibisa n'ibindi bisanzwe bya nitroglycerin cyangwa ibishishwa bikoreshwa mu bibazo by'umutima, nubwo birimo ikintu kimwe gikora. Uburyo bwo mu mpuzandaro butegurwa by'umwihariko gukoreshwa ahantu hato no kwinjizwa binyuze mu ruhu rwo mu gice cy'umwanya munini.

Umuti wa Nitroglycerin wo mu mpuzandaro ukoreshwa mu iki?

Umuti wa nitroglycerin wo mu mpuzandaro ahanini wandikirwa kuvura ibibazo by'impyiko z'umwanya munini mu bantu bakuru. Impyiko z'umwanya munini ni agace gato cyangwa urwobo mu gice cyoroshye, gitose gitwikira umwanya munini wawe, kandi bishobora gutera ububabare bukomeye mu gihe cyo kwituma no nyuma yaho.

Ibyuruka by'amavunja ya anal ni ibyo byamaze igihe kirekire kirenze ibyumweru 6-8 kandi ntibyakize ubwabyo hamwe n'imiti isanzwe nk'imihindagurikire y'imirire, imiti yoroshya imyanda, cyangwa amazi ashyushye. Ibi byuruka bihoraho akenshi biterwa n'uko umusaruro wa anal ukomeza kuba ukomeye cyane, ukagabanya amaraso ajya muri ako gace kandi ukabuza gukira neza.

Muganga wawe ashobora kandi gutekereza kuri uyu muti niba ufite ibyuruka bya anal bigaruka bikomeza kugaruka nyuma yo gusa nkaho bikize. Uyu muti ufasha guca uru rugendo rw'ubuzima mu gukemura imitsi y'imitsi y'ibanze ituma habaho guhanga no gukira nabi kw'ibi byuruka bibabaza.

Ni gute umuti wa Nitroglycerin Rectal ukora?

Nitroglycerin ikora mugukurura imitsi yoroshye muri anal sphincter yawe, ari rwo ruziga rw'imitsi rugenzura gufungura no gufunga anus yawe. Iyo iyi mitsi ikomeye cyane, irashobora kugabanya amaraso ajya muri ako gace kandi ikabuza ibyuruka bya anal gukira neza.

Uyu muti uhinduka nitric oxide mu mubiri wawe, bituma imitsi yoroshye iruhuka kandi imitsi y'amaraso ikaguka. Ibi byongera amaraso atwara umwuka wa oxygene n'intungamubiri mu gice cyangiritse, bigatuma habaho ibintu byiza byo gukira bikaba kare.

Tekereza nk'uko guha umubiri wawe uburyo bwo gukira busanzwe inkunga ukeneye. Mugukingira imitsi no kunoza imikorere, uyu muti ufasha gushyiraho ibidukikije aho igice cyacitse gishobora kwisana neza kurusha uko byari kuba byoroshye.

Ibi bifatwa nk'ubuvuzi bufite imbaraga ziringaniye kubyuruka bya anal. Birakomeye kuruta ingamba zisanzwe nk'imihindagurikire y'imirire yonyine, ariko akenshi igeragezwa mbere yo gutekereza ku buryo bwo kubaga, bituma iba uburyo bw'ubuvuzi bw'ingenzi.

Nkwiriye gufata gute umuti wa Nitroglycerin Rectal?

Ugomba gukoresha umuti wa nitroglycerin wo gusiga mu kibuno nk'uko muganga wawe abitegeka, akenshi buri masaha 12 (kabiri ku munsi). Ubusanzwe urugero rukoreshwa ni agace k'umuti kanganana na santimetero imwe n'igice, bingana na miligarama 375 z'umuti cyangwa miligarama 1.5 za nitroglycerin.

Ubwa mbere, oza intoki zawe neza cyane ukoresheje isabune n'amazi. Hanyuma, ukoresheje agace k'ibikoresho byo gusiga cyangwa urutoki rwejeje ruriho igitambaro cyangwa igitambaro gito, usige umuti mu gice cy'umwanya w'inyuma no muri kanali y'inyuma. Ntabwo bisaba ko uwinjiza cyane - gusa hafi y'umwanya w'inyuma no gato imbere birahagije.

Igihe cyiza cyo gusiga umuti ni akenshi mu gitondo na nimugoroba, byaba byiza nyuma yo kwituma no nyuma yo koza ahantu neza n'amazi. Abantu bamwe basanga bifasha gusiga umuti mbere yo kuryama kuko uzaba uryamye, ibyo bishobora gufasha umuti kumara igihe kirekire ahantu.

Ntabwo bisaba gufata uyu muti hamwe n'ibiryo cyangwa amazi kuko usigwa ku ruhu. Ariko, kugira imyitwarire isanzwe, yoroshye yo kwituma bizafasha umuti gukora neza, bityo kugumana amazi menshi no kurya ibiryo birimo fibre biracyakomeye ku gutsinda kw'ubuvuzi bwawe muri rusange.

Nzagenda Nkoresha Umuti wa Nitroglycerin wo Gusiga mu Kibuno Igihe Kingana Gite?

Abaganga benshi bategeka umuti wa nitroglycerin wo gusiga mu kibuno mu gihe cy'ibyumweru 6-8 mbere na mbere, nubwo abantu bamwe bashobora kuwukoresha mu gihe cy'ibyumweru 12. Igihe nyacyo giterwa n'uko ikibazo cyo mu kibuno cyawe cyitwara ku buvuzi n'uko igice cy'umubiri gikira vuba.

Ubusanzwe uzatangira kubona igisubizo cyo kugabanya ububabare mu cyumweru cya mbere cyangwa icya kabiri ukoresha umuti buri gihe. Gukira neza kw'ikibazo bisaba ibyumweru byinshi, kandi muganga wawe azashaka kukubona mu gihe cyo gukurikirana kugira ngo akurikirane uko urimo utera imbere.

Ntugahagarike gukoresha umuti ako kanya, n'iyo wumva urimo gukira, keretse muganga wawe abikubwiye. Guhagarika hakiri kare bishobora gutuma icyo kibazo cyongera kugaruka cyangwa ntigikire neza. Muganga wawe azagabanya buhoro buhoro uburyo ukoresha umuti cyangwa akubwire igihe cyiza cyo guhagarika burundu.

Niba utarabona impinduka zigaragara nyuma y'ibyumweru 8 byo gukoresha umuti buri gihe, muganga wawe ashobora kwifuza kuganira nawe ku zindi nzira zo kuvura, harimo imiti itandukanye cyangwa uburyo bwo kubaga.

Ni Ibihe Bikorwa Bigaragara ku Miti ya Nitroglycerin yo Gusiga mu Mpyisi?

Ikigaragara cyane ushobora guhura nacyo ni kubabara umutwe, bikaba bibaho ku bantu bagera kuri 20-30% bakoresha uyu muti. Uku kubabara umutwe kubaho kuko nitroglycerin ishobora gutuma imitsi y'amaraso mu mubiri wawe yaguka, atari gusa mu gice cy'impyisi.

Dore ibikorwa bigaragara ushobora guhura nabyo, dutangiriye ku byo dusanga kenshi:

• Kubabara umutwe (akenshi byoroheje kugeza ku birenzeho kandi bishobora kuzanzamuka uko umubiri wawe ubimenyera)
• Kuribwa umutwe cyangwa kumva ureremba, cyane cyane iyo uhagurutse vuba
• Kugira uruhu rutukura cyangwa kumva ususumuka mu maso no mu ijosi
• Kwishima cyangwa kumva ushyushye mu mpande z'impyisi aho wasize umuti
• Urugarara cyangwa kumva urwaye
• Kugira umunaniro cyangwa kumva urushye kurusha uko bisanzwe

Ibi bikorwa bisanzwe bigenda bigabanuka uko umubiri wawe umenyera umuti mu cyumweru cya mbere cyangwa bibiri byo kuvurwa.

Ibitagaragara cyane ariko bikomeye bishobora kuba harimo kuribwa umutwe bikabije, guta ubwenge, cyangwa ibimenyetso byo kwibasirwa n'umubiri nk'uruhu rurya, kubyimba, cyangwa guhumeka bigoranye. Niba ubonye ibyo byose, ugomba guhita uvugana na muganga wawe cyangwa ugashaka ubufasha bwihutirwa bw'ubuvuzi.

Abantu bamwe kandi bahura n'ububabare bw'impyisi bw'agateganyo cyangwa kutumva neza iyo batangira gukoresha uwo muti. Ibi akenshi biragenda bikira mu minsi mike uko gukira bitangira.

Ni Bande Batagomba Gukoresha Umuti wa Nitroglycerin wo Gusiga mu Mpyisi?

Ntabwo ugomba gukoresha umuti wa nitroglycerin wo gusiga mu kibuno niba ufite allergie kuri nitroglycerin cyangwa ibindi bice bitagira akamaro biri muri uwo muti. Ugomba kandi kwirinda uyu muti niba ufite anemia ikomeye, umuvuduko ukabije mu mutwe wawe, cyangwa niba umaze iminsi mike ugize ikibazo mu mutwe.

Abantu bafata imiti imwe na rimwe yo kuvura uburemba (nka sildenafil, tadalafil, cyangwa vardenafil) ntibagomba gukoresha nitroglycerin kuko iyo biyishyize hamwe bishobora gutera umuvuduko w'amaraso ugabanuka cyane. Buri gihe bwire umuganga wawe ku miti yose ufata, harimo n'imiti igurishwa itagombye uruhushya rwa muganga ndetse n'ibyongerera imbaraga umubiri.

Niba ufite umuvuduko muke w'amaraso, ibibazo by'umutima, cyangwa migraine, umuganga wawe azagomba gusuzuma neza niba uyu muti ukwiriye kuri wowe. Bashobora kwifuza kugukurikiranira hafi cyangwa guhindura uburyo uvurwa.

Abagore batwite kandi bonsa bagomba kuganira ku byago n'inyungu n'umuganga wabo, kuko hari amakuru make ku mutekano w'uyu muti mu gihe cyo gutwita no konsa.

Amazina y'ubwoko bw'umuti wa Nitroglycerin wo gusiga mu kibuno

Umuti wa nitroglycerin wo gusiga mu kibuno uboneka mu mazina atandukanye y'ubwoko, aho Rectiv ari ryo zina ry'ubwoko risanzwe ryandikirwa cyane muri Leta Zunze Ubumwe z'Amerika. Ubu bwoko bwihariye burimo 0.4% ya nitroglycerin kandi buzanwa n'igikoresho cyihariye cyagenewe gukoreshwa mu kibuno.

Amavuriro amwe na amwe ashobora kandi kugira ubwoko bwa generic bw'umuti wa nitroglycerin wo gusiga mu kibuno, urimo ibice bifatika bimwe, ariko bishobora kugira ibice bitagira akamaro bitandukanye gato. Ubwoko bwa generic bukora neza nk'ubwoko bw'izina.

Umuganga wawe azavuga neza ubwoko cyangwa ubwoko bwa generic bifuza ko ukoresha, kandi umufarimasi wanyu ashobora kugufasha gusobanukirwa itandukaniro iryo ariryo ryose riri hagati y'uburyo buhari.

Uburyo bwo gusimbuza umuti wa Nitroglycerin wo gusiga mu kibuno

Niba umuti wa nitroglycerin wo gusiga mu kibuno utagukundiye cyangwa ugutera ingaruka nyinshi, hari izindi nzira zishobora gukoreshwa. Umuti wa diltiazem ni undi muti usigwa ku ruhu ukora kimwe nawo mu kurekurura imitsi y'urukuta rw'umwanya w'inyuma, kandi akenshi ukoreshwa igihe nitroglycerin itakwiriye.

Inshinge za botulinum toxin zishobora kuba indi nzira yo kuvura ibibazo by'urukuta rw'umwanya w'inyuma byamaze igihe bitakira imiti isigwa ku ruhu. Izi nshinge zihagarika by'agateganyo imitsi y'urukuta rw'umwanya w'inyuma, bigatuma urukuta rukira, nubwo bisaba kubagwa kwa muganga.

Ku bantu bamwe, imiti ikoreshwa mu buryo busanzwe nko kurya ibiryo birimo fibre nyinshi, imiti yoroshya imyanda, kwiyuhagira amazi ashyushye, na cream zisiga zitumiza zishobora kuba zihagije. Muganga wawe ashobora kugusaba kubanza kugerageza izi nzira, cyane cyane ku bibazo bishya cyangwa bidakomeye cyane.

Mu gihe imiti ivura itagize icyo igeraho, inzira zo kubaga nk'ukubaga urukuta rw'umwanya w'inyuma rwo kuruhande rushobora gutekerezwa. Ibi ni uburyo bwo kubaga buto bukorerwa mu gukata gato mu rukuta rw'umwanya w'inyuma kugira ngo rugabanye ubukana burundu.

Ese umuti wa Nitroglycerin wo gusiga mu kibuno uruta diltiazem?

Imiti ya nitroglycerin na diltiazem yo gusiga mu kibuno ni imiti ivura neza ibibazo by'urukuta rw'umwanya w'inyuma byamaze igihe, ariko ikora mu buryo butandukanye gato. Nitroglycerin ikunda gukora vuba, abantu benshi bagahumurizwa mu cyumweru cya mbere, naho diltiazem bishobora gutwara igihe gito kugira ngo bigaragare neza.

Inyungu nyamukuru ya nitroglycerin ni uko ikora vuba kandi ifite amateka meza yo kuvura ibibazo by'urukuta rw'umwanya w'inyuma. Ariko, ikunda gutera kuribwa umutwe n'ingaruka zikwirakwira mu mubiri kuko ifata imitsi yose yo mu mubiri wawe.

Diltiazem, ku rundi ruhande, rishobora gutera ibibazo by'umutwe bikeya n'ingaruka z'umubiri kuri bamwe, bigatuma riba igisubizo cyiza niba utabasha kwihanganira nitroglycerin. Ubushakashatsi bumwe buvuga ko diltiazem ishobora kugira urwego rwo gukira rurerure, nubwo imiti yombi ikora neza.

Muganga wawe azatekereza ku miterere yawe yihariye, amateka yawe y'ubuvuzi, n'indi miti ufata mugihe afata icyemezo cy'uburyo bwiza kuri wewe. Rimwe na rimwe, niba imwe itagikora cyangwa itera ingaruka nyinshi, guhindura ku yindi birashobora kugenda neza cyane.

Ibikunze Kubazwa Ku Mavuta ya Nitroglycerin yo mu Mpyisi

Q1. Ese Amavuta ya Nitroglycerin yo mu Mpyisi afite umutekano ku bantu barwaye indwara z'umutima?

Amavuta ya nitroglycerin yo mu mpyisi ashobora gukoreshwa n'abantu barwaye indwara z'umutima, ariko bisaba gukurikiranwa neza na muganga wawe. Kubera ko nitroglycerin igira ingaruka ku miyoboro y'amaraso mu mubiri wawe wose, irashobora gukorana n'imiti y'umutima kandi igashobora kugabanya umuvuduko w'amaraso yawe.

Niba urwaye indwara y'umutima, muganga wawe ashobora gutangira kugutera urugero ruto kandi agakurikirana umuvuduko w'amaraso yawe n'umuvuduko w'umutima wawe. Bazareba kandi imiti yawe yose y'umutima kugirango barebe neza ko nta mikoranire mibi izabaho, cyane cyane hamwe n'imiti ivura indwara zo gutinda gushyukwa cyangwa imiti imwe yo kugabanya umuvuduko w'amaraso.

Umunani wa nitroglycerin winjizwa mu mavuta yo mu mpyisi muri rusange ni muto cyane kuruta uwo bakoresha kubera indwara z'umutima, bityo abantu benshi barwaye indwara z'umutima barashobora kuyikoresha neza munsi y'ubuyobozi bw'abaganga.

Q2. Nkwiriye gukora iki niba nkoresheje amavuta ya Nitroglycerin yo mu mpyisi ku buryo butunganye?

Niba uteye amavuta menshi kuruta uko byategetswe, ntugahagarike. Ingaruka zishoboka cyane zaba amahirwe yiyongereye y'ingaruka nk'ibibazo by'umutwe, isereri, cyangwa gushyuha. Kora isuku y'amavuta yose arenzeho ukoresheje amazi n'igitambaro cyoroshye.

Icara cyangwa uryame niba wumva uruka cyangwa umutwe, unywe amazi menshi. Niba wumva uruka cyane, ugacika intege, cyangwa wumva utameze neza cyane, hamagara muganga wawe cyangwa usabe ubufasha bwihuse bw'ubuvuzi.

Ku rugero rwawe rukurikira, subira gukoresha urugero rwanditswe. Ntugerageze kureka imiti kugirango "ukosore" gukoresha byinshi, kuko ibi bishobora kubangamira uburyo bwo gukira kandi bigatuma ibimenyetso byawe birushaho kuba bibi.

Q3. Ngenzwa n'iki niba nciwe urugero rwa Nitroglycerin Rectal Ointment?

Niba uciwe urugero, shyiraho umuti vuba uko wibuka, keretse igihe cyegereye urugero rwawe rukurikira. Muri icyo gihe, reka urugero rwakubuze ukomeze gahunda yawe isanzwe.

Ntugasigeho urugero rurenzeho kugirango ukosore urugero rwakubuze, kuko ibi bishobora kongera ibyago byo kugira ingaruka ziterwa n'imiti hatagize icyo bigeraho mu gukira. Guhora ukoresha ni ingenzi kuruta gutungana mugihe cyo gukira ibibazo byo mu kibuno.

Niba ukunda kwibagirwa imiti, gerageza gushyiraho ibyibutsa kuri terefone yawe cyangwa gushyiraho umuti mu gihe kimwe buri munsi nk'igice cy'ibikorwa byawe bya buri munsi, nko nyuma y'ibikorwa byawe bya mugitondo na nimugoroba.

Q4. Ni ryari nshobora kureka gufata Nitroglycerin Rectal Ointment?

Ugomba kureka gukoresha nitroglycerin rectal ointment gusa mugihe muganga wawe akubwiye ko bifite umutekano kubikora. Ibi bikunda kuba mugihe ikibazo cyo mu kibuno cyawe cyakize neza kandi umaze ibyumweru byinshi udafite ububabare.

Abantu benshi bakoresha umuti mu byumweru 6-8, ariko bamwe bashobora kuwukenera mu byumweru 12 bitewe n'uburyo ikibazo cyabo gikira. Muganga wawe azagusuzuma mugihe cyo gukurikirana kugirango amenye igihe ikibazo cyakize bihagije.

Kureka kare cyane, kabone niyo wumva umeze neza, bishobora gutuma ikibazo kigaruka cyangwa kitakira neza. Muganga wawe ashobora kugabanya buhoro buhoro uburyo ukoresha umuti mbere yo kuwureka burundu kugirango yemeze ko gukira bigumaho.

Q5. Nshobora gukoresha Nitroglycerin Rectal Ointment mugihe ntwise inda?

Umuti wa nitroglycerin wo gusiga mu kibuno ushyirwa mu cyiciro cya C ku bagore batwite, bivuze ko nta bushakashatsi buhagije bugaragaza neza niba ari mutekano ku mugore utwite. Muganga wawe azagomba gupima inyungu zishobora kuboneka n'ibishobora kuba byatera.

Niba utwite cyangwa ufite gahunda yo gutwita, bimenyeshe muganga wawe ako kanya. Bashobora gushaka kugerageza izindi nshuti mbere cyangwa bakagukurikiranira hafi niba bafashe icyemezo cy'uko uyu muti ari ngombwa ku ndwara yawe.

Umuti winjira mu maraso yawe uvuye muri uyu muti wo gusiga mu kibuno ni muto cyane, ariko muganga wawe azatekereza ku miterere yawe yihariye n'uburemere bw'ikibazo cyo mu kibuno cyawe igihe atanga inama z'ubuvuzi mu gihe utwite.