Chii chinonzi Isosorbide Dinitrate: Zvazvinoshandiswa, Madosi, Migumisiro Yakaipa uye Zvimwe

Isosorbide dinitrate mushonga wemoyo unobatsira kudzivirira kurwadziwa muchipfuva (angina) nekuzorodza nekukudza tsinga dzako dzeropa. Izvi zvinobvumira ropa rakawanda uye okisijeni kuyerera kumhasuru dzemoyo wako, zvichideredza kushushikana pamoyo wako panguva yekushanda muviri kana kushushikana kwemanzwiro.

Funga nezvazvo sekupa tsinga dzeropa dzemoyo wako rubatsiro rwekugara dzakavhurika uye dzichichinjika. Yave ichishandiswa zvakachengeteka kwemakumi emakore kubatsira vanhu vane matambudziko emoyo kurarama zviri nyore uye kuramba vachishingaira.

Chii chinonzi Isosorbide Dinitrate?

Isosorbide dinitrate ndeyeboka remishonga rinonzi nitrates. Inoshanda nekushanduka kuita nitric oxide mumuviri wako, iyo chinhu chechisikigo chinobatsira tsinga dzeropa kuzorora nekukura.

Mushonga uyu unouya mumhando dzakawanda dzinosanganisira mahwendefa enguva dzose, mahwendefa anoburitswa kwenguva yakareba, uye mahwendefa epasi pemururimi anonyungudika pasi perurimi rwako. Fomu repasi pemururimi rinoshanda nekukurumidza, kazhinji mukati memaminitsi 2-5, zvichiita kuti zvikwanise kubatsira pakukurumidza zororo panguva yezviitiko zvekutambudzika muchipfuva.

Chiremba wako angaraira mushonga uyu sechikamu chechirongwa chekuchengetedza moyo chakazara. Inowanzo shandiswa pamwe chete nemimwe mishonga yemoyo kuti ikupe dziviriro yakanakisa uye zororo rezviratidzo.

Chii chinonzi Isosorbide Dinitrate chinoshandiswa?

Chinhu chikuru chinoshandiswa isosorbide dinitrate kudzivirira kurwisa angina, izvo zviitiko zvekutambudzika muchipfuva zvinokonzerwa nekuderera kweropa kumoyo wako. Zvinobatsira zvikuru kune vanhu vane coronary artery disease uko tsinga dzinopa moyo dzichiwanda.

Chiremba wako angaraira mushonga uyu kana iwe uchitambudzika nekutambudzika muchipfuva panguva yezviitiko zvemuviri sekufamba, kukwira masitepisi, kana kunyange panguva yekushushikana kwemanzwiro. Inogonawo kubatsira kana iwe uine kutambudzika muchipfuva kunoitika nenzira inotaurwa, senge panguva dzakatarwa dzezuva kana mushure memadyiro.

Mune dzimwe nguva, vanachiremba vanonyora isosorbide dinitrate yekukundikana kwemoyo, uko kunobatsira kuderedza basa pamoyo wako nekurerutsa kuyerera kweropa mumuviri mako.

Isosorbide Dinitrate Inoshanda Sei?

Mishonga iyi inoonekwa semushonga wemoyo une simba repakati nepakati unoshanda nekutambanudza (kuwedzera) midzi yeropa yako. Paunoi tora, mushonga unochinjwa kuita nitric oxide, iyo inoratidza tsandanyama dzakatsetseka mumadziro emidzi yeropa yako kuti dzizorore.

Sezvo midzi yeropa yako ichizorora uye ichiwedzera, moyo wako haufaniri kushanda zvakaoma kupomba ropa kuburikidza nawo. Izvi zvinoderedza kudiwa kweokisijeni yemhasuru dzemoyo wako, izvo zvinobatsira kudzivirira zviitiko zvekurwadziwa muchipfuva.

Mishonga iyi inobatsirawo ropa kudzokera kumoyo wako zvakanyanya, ichideredza kumanikidzwa mukati memakamuri emoyo wako. Iri bhenefiti kaviri rinoita kuti moyo wako uite basa rawo pasina kushanda zvakanyanya.

Ndingatora Sei Isosorbide Dinitrate?

Tora isosorbide dinitrate sezvakanyorwa nachiremba wako, kazhinji mudumbu risina chinhu negirazi remvura izere. Kuitora nezvokudya kunogona kunonotsa kuti muviri wako unotora sei mushonga nekukurumidza.

Kune mahwendefa enguva dzose, avamedze ese pasina kuputsa kana kutsenga. Kana uri kushandisa mahwendefa anoburitswa kwenguva yakareba, zvakakosha kuti usava putse, sezvo izvi zvinogona kukonzera kuti mushonga wakawanda ubudiswe kamwechete.

Kune mahwendefa epasi pemururimi, aise pasi perurimi rwako uye uarege achinyungudika zvachose. Usamedze, kutsenga, kana kunwa chero chinhu kusvikira piritsi ranyungudika zvizere. Izvi zvinowanzo tora maminitsi 1-3.

Edza kutora mushonga wako panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana mumuviri wako. Kana chiremba wako akanyora madosi akawanda, aite zvakaenzana zuva rese sezvakarairwa.

Ndingatora Isosorbide Dinitrate Kwenguva Yakareba Sei?

Kureba kwenguva yekurapwa ne isosorbide dinitrate kunosiyana zvakanyanya zvichienderana nemamiriro ako uye maitiro ako kumushonga. Vamwe vanhu vanoda mushonga uyu kwemwedzi mishoma, asi vamwe vanogona kuutora kwemakore mazhinji sechikamu chekutarisira moyo kwenguva refu.

Chiremba wako achatarisa nguva dzose kuti mushonga uri kushanda sei kwauri uye kana uri kusangana nemhedzisiro ipi neipi. Vanogona kuchinja mushonga wako kana kuraira shanduko zvichienderana nezviratidzo zvako uye hutano hwemoyo wako hwese.

Usambomira kutora mushonga uyu kamwe kamwe usina kutanga wataura nachiremba wako. Kumira kamwe kamwe dzimwe nguva kunogona kukonzera mhedzisiro yekudzoka uko kurwadziwa kwako muchipfuva kunowedzera kwenguva pfupi.

Ndezvipi Zviri Zvakaipa zveIsosorbide Dinitrate?

Vanhu vazhinji vanotsungirira isosorbide dinitrate zvakanaka, asi semishonga yese, inogona kukonzera mhedzisiro. Mhedzisiro inowanzoitika inowanzoita nyoro uye inowanzoita nani muviri wako uchigadzirisa kumushonga.

Heano mhedzisiro yaungasangana nayo, yakakamurwa nekuti inowanzoitika sei:

Mhedzisiro Inowanzoitika

Mhedzisiro iyi inoitika muvanhu vazhinji uye kazhinji haisi yakakomba:

• Kutemwa nemusoro (kazhinji mhedzisiro yekutanga yaunozoona)
• Dizziness kana lightheadedness, kunyanya kana uchimira
• Kutsva kana kudziya muchiso chako nemutsipa
• Nausea kana dumbu rinogumbuka
• Kushaya simba kana kuneta

Kutemwa nemusoro kunowanzoita nani mushure memazuva mashoma kana mavhiki muviri wako uchijaira mushonga. Chiremba wako angakurudzira kutanga nemushonga wakaderera kuti uderedze mhedzisiro iyi.

Mhedzisiro Isingawanzoitiki

Mhedzisiro iyi inoitika kazhinji asi ichiri kukosha kuziva nezvayo:

• Kurova kwemoyo nekukurumidza kana palpitations
• Kusaona zvakanaka
• Muromo wakaoma
• Kutukwa
• Kusagadzikana kana kushushikana

Kana chero mhedzisiro iyi ikaramba kana kuve inoshungurudza, zivisa chiremba wako. Vanogona kukwanisa kuchinja mushonga wako kana nguva yekubatsira kuderedza izvi.

Mhedzisiro Yakaipa asi Inotyisa

Kunyange zvazvisingawanzoitiki, mhedzisiro iyi inoda kutariswa kwechiremba nekukasira:

• Kuderera kwakanyanya kweropa kuchikonzera kufenda
• Maitiro ekuita allergic ane rash, kukwenya, kana kuzvimba
• Kurwadziwa kwemusoro kwakanyanya kunoramba kuripo
• Kurwadziwa muchipfuwa kunowedzera kana kuchinja maitiro
• Kutadza kufema kana kufema zvishoma

Bata chiremba wako nekukasira kana ukaona chero zviratidzo izvi. Zvinogona kuratidza kuti mushonga hauna kukukodzera kana kuti muyero wako unoda kugadziriswa.

Ndiani Asingafaniri Kutora Isosorbide Dinitrate?

Vanhu vakati wandei havafaniri kutora isosorbide dinitrate nekuti inogona kukuvadza hutano hwavo. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akurudzira mushonga uyu.

Haufaniri kutora mushonga uyu kana uine anemia yakanyanya, sezvo inogona kuwedzera mamiriro acho ezvinhu. Vanhu vane mamwe marudzi ezvirwere zvemtima, senge hypertrophic cardiomyopathy, vanogonawo kuda kudzivisa mushonga uyu.

Kana uri kutora mishonga yekusagadzikana kwe erectile (senge sildenafil, tadalafil, kana vardenafil), haugone kutora isosorbide dinitrate. Musanganiswa unogona kukonzera kuderera kwakanyanya kweropa kunogona kuisa hupenyu panjodzi.

Vanhu vane ropa rakaderera zvakanyanya, mamwe marudzi eglaucoma, kana avo vakakuvara mumusoro munguva pfupi yapfuura vanofanirawo kudzivisa mushonga uyu. Nguva dzose udza chiremba wako nezve mishonga yese uye zvinowedzera zvauri kutora.

Isosorbide Dinitrate Mazita eBrand

Isosorbide dinitrate inowanikwa pasi pemazita akati wandei ebrand, neIsordil iri rimwe remashoko anozivikanwa zvakanyanya. Unogonawo kuona ichitengeswa seDilatrate-SR yechikamu chakawedzerwa-kusunungurwa.

Mhando dzakajairika dzinowanikwa zvakanyanya uye dzinobata zvakanyanya semhando dzemhando. Murapi wako wemishonga anogona kukubatsira kunzwisisa kuti ndeipi fomu yaunogamuchira uye kuona kuti uri kuitora nemazvo.

Kana ukagamuchira mushonga wemhando kana we generic zvinowanzoenderana nekuti inishuwarenzi yako inobhadhara sei uye kuti mishonga iripo here pamuchina wemishonga. Zvose zvakachengeteka uye zvinoshanda zvakaenzana kana zvichishandiswa sezvakarairwa.

Zvimwe Zvinogona Kushandiswa Panzvimbo peIsosorbide Dinitrate

Kana isosorbide dinitrate isingashande zvakanaka kwauri kana ichikonzera matambudziko, chiremba wako ane mishonga yakawanda yaanogona kufunga nezvayo. Mamwe ma nitrates akaita se isosorbide mononitrate kana nitroglycerin anoshanda zvakafanana asi anogona kushandiswa zviri nani nevamwe vanhu.

Zvimwe zvinogona kushandiswa panzvimbo pe nitrates zvinosanganisira calcium channel blockers vakaita se amlodipine kana diltiazem, izvo zvinobatsirawo kuzorodza tsinga dzeropa. Beta-blockers vakaita se metoprolol vanogona kuderedza basa remoyo wako nenzira yakasiyana.

Chiremba wako anogonawo kufunga nezvemishonga mitsva yakaita se ranolazine, iyo inoshanda nenzira yakasiyana kubatsira kudzivirira kurwadziwa muchipfuva. Zvakanakisa zvinogona kushandiswa panzvimbo zvinoenderana nemamiriro ako chaiwo, mimwe mishonga yaunotora, uye kuti unopindura sei kurapwa.

Is Isosorbide Dinitrate Better Than Nitroglycerin?

Zvese isosorbide dinitrate uye nitroglycerin mishonga inoshanda ye nitrate, asi inoshanda zviri nani mumamiriro akasiyana. Nitroglycerin inoshanda nekukurumidza, zvichiita kuti ive yakanaka pakubatsira nekukurumidza panguva yekurwadziwa muchipfuva.

Isosorbide dinitrate inogara kwenguva refu mumuviri wako, zvichiita kuti ive nani pakudzivirira kurwadziwa muchipfuva zuva rese. Vanhu vazhinji vanoshandisa mishonga yese iri miviri pamwe chete - nitroglycerin yekubatsira nekukurumidza uye isosorbide dinitrate yekudzivirira kuenderera mberi.

Chiremba wako achasarudza sarudzo yakanakisa zvichienderana nezvaunoda, maitiro ekurwadziwa muchipfuva chako, uye kuti unotsungirira sei mishonga yega yega. Vamwe vanhu vanoita zviri nani neimwe pane imwe, nepo vamwe vachibatsirwa nekushandisa zvese.

Mibvunzo Inowanzo Bvunzwa Nezve Isosorbide Dinitrate

Mubvunzo 1. Is Isosorbide Dinitrate Safe for People with Diabetes?

Hongu, isosorbide dinitrate inowanzo chengeteka kune vanhu vane chirwere cheshuga. Haina zvainobata zvakananga mazinga eshuga yeropa, saka haizokanganisi manejimendi echirwere chako cheshuga.

Zvisinei, kana uine chirwere chemoyo chine chekuita nechirwere cheshuga, chiremba wako achakutarisa zvakanyanya paunotanga mushonga uyu. Kusanganiswa kwechirwere cheshuga nechirwere chemoyo kunoda manejimendi akanyatso tariswa emishonga yese.

Mubvunzo 2. Ndingaita Sei Kana Ndakatora Isosorbide Dinitrate yakawandisa netsaona?

Kana ukatora isosorbide dinitrate yakawandisa netsaona, taura nachiremba wako kana kuti kune vanobatsira kana uine chepfu nekukasika. Zviratidzo zvekuwedzera mushonga zvinosanganisira kurwadziwa kwemusoro kwakanyanya, dzungu, kurova kwemoyo nekukurumidza, kusvotwa, uye kufenda.

Usaedze kuzviita kuti urutse. Pane kudaro, gara pasi kana kurara pasi kudzivirira kuwira kana ukanzwa dzungu. Kana ukafenda kana kuva nematambudziko ekufema, fonera masevhisi ekukurumidzira nekukasika.

Mubvunzo 3. Ndingaita Sei Kana Ndikakanganwa Dose yeIsosorbide Dinitrate?

Kana ukakanganwa dose, itore paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dose yakakanganwa.

Kana uchikanganwa madosi kazhinji, funga nezvekuisa zviyeuchidzo zvefoni kana kushandisa chirongwa chemapiritsi. Kudya nguva dzose kwakakosha kudzivirira zviitiko zvekutambudzika muchipfuva zvinobudirira.

Mubvunzo 4. Ndingamira Rini Kutora Isosorbide Dinitrate?

Mira chete kutora isosorbide dinitrate kana chiremba wako akuudza kuti zvakachengeteka kuita kudaro. Kunyangwe ukanzwa zviri nani, mamiriro ako emoyo ari pasi anogona kunge achiri kuda kurapwa.

Chiremba wako anogona kuderedza zvishoma nezvishoma dose yako usati wamira zvachose kudzivirira chero kurwadziwa muchipfuva. Kugara uchienda kunoona chiremba kunobatsira kuona nguva yakakodzera yekugadzirisa kana kumisa mushonga wako.

Mubvunzo 5. Ndinganwa Doro Ndiri Kutora Isosorbide Dinitrate?

Unofanira kuderedza kunwa doro uchitora isosorbide dinitrate, sezvo zvese zviri zviviri zvinogona kudzikisa ropa rako. Kunwa doro kunogona kuwedzera njodzi yako yedzungu, kufenda, uye kuwira.

Kana ukasarudza kunwa, ita zvishoma uye chenjerera zvikuru paunomuka kana kuchinja nzvimbo. Taura nachiremba wako nezvehuwandu hwe doro, kana huripo, hwakachengeteka kwauri.