Yini i-Nitroglycerin (Indlela ye-Rectal): Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Nitroglycerin rectal ointment iyimithi kadokotela esiza ukuphumuza izicubu zemisipha ebushelelezi futhi ithuthukise ukuhamba kwegazi. Udokotela wakho angase akubhalele le fomu ye-nitroglycerin ngokuqondile ukwelapha ama-anal fissures angapheli, okuyizinyembezi ezincane ezisethubeni elizungeze i-anus yakho ezingabangela ubuhlungu obukhulu futhi zithuthukise ukuphulukiswa.

Le mithi isebenza ngendlela ehlukile kumathebulethi e-nitroglycerin aziwa kakhulu asetshenziselwa izimo zenhliziyo. Ngenkathi kuyisithako esifanayo esisebenzayo, ifomu le-rectal lenzelwe ngokuqondile ukwelapha isimo esithile kakhulu futhi esivame ukuba buhlungu esithinta induduzo yakho yansuku zonke kanye nekhwalithi yempilo.

Yini i-Nitroglycerin Rectal Ointment?

I-Nitroglycerin rectal ointment iyikhilimu elibushelelezi, elimhlophe eliqukethe i-nitroglycerin njengesithako esisebenzayo. Yenzelwe ukuthi isetshenziswe ngokuqondile endaweni ye-anal ukusiza ukuphulukisa ama-anal fissures angapheli ngokuphumuza imisipha nokuthuthukisa ukujikeleza kwegazi ezicutshini ezithintekile.

Umuthi uza ethubeni elincane eline-applicator tip ekhethekile eyenza kube lula ukusebenzisa inani elilungile endaweni efanele. Ngokuvamile, uzothola itholakala njenge-0.4% ointment, okusho ukuthi iqukethe ama-milligram angu-4 e-nitroglycerin ngegramu ye-ointment.

Lokhu akufani namathebulethi e-nitroglycerin noma ama-patches asetshenziselwa izimo zenhliziyo, yize equkethe isithako esifanayo esisebenzayo. Ukwakheka kwe-rectal kwenzelwe ngokuqondile ukusetshenziswa kwendawo kanye nokumuncwa ngesikhumba endaweni ye-anal.

Yini i-Nitroglycerin Rectal Ointment Esetshenziselwa Yona?

I-Nitroglycerin rectal ointment ikakhulukazi ibhalwe ukwelapha ama-anal fissures angapheli kubantu abadala. I-anal fissure yinyembezi encane noma ukuqhekeka ezicutshini ezincane, ezimanzi ezihlanganisa i-anus yakho, futhi ingabangela ubuhlungu obukhulu ngesikhathi nangemva kokuhamba kwamathumbu.

I-anal fissures ezingapheli yilezo eziqhubeke isikhathi esingaphezu kwamasonto angu-6-8 futhi ezingelaphekanga zodwa ngemithi yokwelapha efana nokushintsha ukudla, izithambisi zendle, noma ukugeza ngamanzi afudumele. Lezi fissures eziqhubekayo zivame ukuthuthuka ngoba imisipha ye-anal sphincter ihlala iqina kakhulu, inciphisa ukuhamba kwegazi endaweni futhi ivimbele ukuphola okufanele.

Udokotela wakho angase futhi acabangele lo muthi uma une-anal fissures eziphindaphindayo eziqhubeka zibuya ngemva kokuthi zibonakala ziphilile. Le mafutha asiza ukuqeda lo mjikelezo ngokubhekana nokungezwani kwemisipha okubangela kokubili ukwakheka kokuqala nokuphola okubi kwalezi zinyembezi ezibuhlungu.

Isebenza Kanjani I-Nitroglycerin Rectal Ointment?

I-Nitroglycerin isebenza ngokukhulula imicu yemisipha ebushelelezi ku-anal sphincter yakho, okuyindandatho yemisipha elawula ukuvulwa nokuvalwa kwe-anus yakho. Lapho le misipha iqina kakhulu, inganciphisa ukuhamba kwegazi endaweni futhi ivimbele i-anal fissures ekupholiseni kahle.

Lo muthi uguqula i-nitric oxide emzimbeni wakho, okwenza imisipha ebushelelezi iphumule futhi imithambo yegazi yande. Lokhu kwanda kokuhamba kwegazi kuletha umoya-mpilo omningi kanye nezakhamzimba eziya ezicutshini ezilimele, okudala izimo ezingcono zokuphola ukuthi kwenzeke ngokwemvelo.

Cabanga ngakho njengokunikeza inqubo yokuphulukisa yemvelo yomzimba wakho ukwesekwa okudingayo. Ngokunciphisa ukungezwani kwemisipha nokuthuthukisa ukujikeleza, amafutha asiza ukudala indawo lapho izicubu ezidabukile zingazilungisa ngempumelelo ngaphezu kwalokho ezingakwenza zodwa.

Lokhu kuthathwa njengokwelashwa okunamandla amaphakathi e-anal fissures. Inamandla kunezinyathelo zokwelapha ezifana nokushintsha ukudla kuphela, kodwa ivame ukuzanywa ngaphambi kokucabangela izinketho zokuhlinzwa, okwenza kube yindlela ebalulekile yokwelapha phakathi.

Kufanele Ngiyithathe Kanjani I-Nitroglycerin Rectal Ointment?

Kufanele usebenzise i-nitroglycerin rectal ointment ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile njalo emahoreni angu-12 (kabili ngosuku). Umthamo ovamile cishe yiribhoni le-ointment elingamasentimitha angu-1.27, okulingana cishe namamiligremu angu-375 e-ointment noma cishe amamiligremu angu-1.5 e-nitroglycerin.

Okokuqala, geza izandla zakho kahle ngensipho namanzi. Bese, usebenzisa ithiphu ye-applicator noma umunwe ohlanzekile ohlanganiswe ngegloves elahlayo noma i-finger cot, faka i-ointment ngobumnene emgodini we-anal kanye nangaphakathi nje komsele we-anal. Akudingeki ukuthi uyifake ngokujula - nje ngasemgodini we-anal nangaphakathi kancane kwanele.

Izikhathi ezingcono kakhulu zokufaka i-ointment ngokuvamile ekuseni nakusihlwa, ngokufanelekile ngemuva kokuchama kanye nangemuva kokuhlanza indawo ngobumnene ngamanzi. Abanye abantu bakuthola kuwusizo ukufaka i-ointment ngaphambi kokulala ngoba uzobe ulele, okungasiza umuthi ukuthi uhlale endaweni isikhathi eside.

Akudingeki ukuthi uthathe lo muthi nokudla noma amanzi ngoba ufakwa ngaphandle. Kodwa-ke, ukuba nokuchama okuvamile, okuthambile kuzosiza umuthi ukuthi usebenze ngempumelelo, ngakho-ke ukugcina uketshezi oluhle kanye nokudla okunefayibha kusabalulekile empumelelweni yakho yokwelashwa iyonke.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nitroglycerin Rectal Ointment?

Odokotela abaningi babeka i-nitroglycerin rectal ointment amasonto angu-6-8 ekuqaleni, nakuba abanye abantu kungase kudingeke ukuthi bayisebenzise kuze kube amasonto angu-12. Isikhathi esiqondile sincike ekutheni i-anal fissure yakho isabela kanjani ekwelashweni nokuthi izicubu ziphola ngokushesha kangakanani.

Ngokuvamile uzoqala ukuqaphela ukukhululeka kobuhlungu ngesonto lokuqala noma lesibili lokusebenzisa i-ointment njalo. Ukuphola okuphelele kwe-fissure kuvame ukuthatha amasonto amaningana, futhi udokotela wakho uzofuna ukukubona ukuze ulandelele ama-aphoyintimenti ukuze uqaphele inqubekela phambili yakho.

Ungayeki ukusebenzisa imithi ngokuphazima kweso, ngisho noma uzizwa ungcono, ngaphandle uma udokotela ekutshela ukuthi wenze njalo. Ukuyeka ngokushesha kungaholela ekutheni i-fissure ibuye noma ingelaphi ngokuphelele. Udokotela wakho uzokwehlisa kancane kancane imvamisa yokusebenzisa noma akutshele ukuthi kuphephile nini ukuyeka ngokuphelele.

Uma ungazange ubone ukuthuthuka okukhulu ngemuva kwamasonto angu-8 okusetshenziswa njalo, udokotela wakho angase afune ukuxoxa nawe ezinye izindlela zokwelapha, okuhlanganisa imithi ehlukene noma izindlela zokuhlinza.

Yiziphi Imiphumela Eceleni Ye-Nitroglycerin Rectal Ointment?

Umphumela ovamile ongase uwuthole yikhanda elibuhlungu, elenzeka cishe kuma-20-30% abantu abasebenzisa lo muthi. Lawa makhanda abuhlungu enzeka ngoba i-nitroglycerin ingabangela imithambo yegazi emzimbeni wakho ukuthi yande, hhayi nje endaweni ye-anal.

Nansi imiphumela engase ikuthinte, iqala ngalezo ezivamile kakhulu:

• Amakhanda abuhlungu (ngokuvamile alula kuya esimweni esiphakathi nendawo futhi angase athuthuke njengoba umzimba wakho uzivumela)
• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukubomvu noma ukuzwa ufudumele ebusweni nasentanyeni yakho
• Ukuluma kwe-anal noma ukuzwa ukusha endaweni yokusebenzisa
• Isicanucanu noma ukuzwa ukugula
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile

Le miphumela evamile eceleni ivame ukungabonakali njengoba umzimba wakho ujwayela imithi ngesonto lokuqala noma amabili lokwelashwa.

Imiphumela engavamile kodwa ebucayi ingahlanganisa isiyezi esikhulu, ukuquleka, noma izimpawu zokungezwani komzimba njengokuqubuka, ukuvuvukala, noma ubunzima bokuphefumula. Uma uhlangabezana nanoma yikuphi kwalokhu, kufanele uthinte udokotela wakho ngokushesha noma ufune ukwelashwa ngokushesha.

Abanye abantu futhi bathola ukwanda okwesikhashana kobuhlungu be-anal noma ukungakhululeki lapho beqala ukusebenzisa i-ointment. Lokhu kuvame ukuthuthuka ezinsukwini ezimbalwa njengoba inqubo yokuphulukisa iqala.

Ubani Ongafanele Athathwe I-Nitroglycerin Rectal Ointment?

Akufanele usebenzise i-nitroglycerin rectal ointment uma unenkinga yokungezwani komzimba ne-nitroglycerin noma yiziphi izithako ezingasebenzi ku-ointment. Kufanele futhi ugweme lo muthi uma une-anemia enkulu, ingcindezi eyengeziwe ekhanda lakho, noma uma usanda kulimala ekhanda.

Abantu abathatha imithi ethile yokungasebenzi kahle kwesitho sangasese sowesilisa (njenge-sildenafil, tadalafil, noma vardenafil) akufanele basebenzise i-nitroglycerin ngoba le nhlanganisela ingabangela ukwehla okuyingozi kwengcindezi yegazi. Njalo tshela udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwemvume kadokotela kanye nezithasiselo.

Uma unengcindezi ephansi yegazi, izinkinga zenhliziyo, noma ama-migraines, udokotela wakho uzodinga ukucabangela ngokucophelela ukuthi lo muthi ukulungele yini. Bangase bafune ukukuqapha eduze noma balungise uhlelo lwakho lokwelashwa.

Abesifazane abakhulelwe nabancelisayo kufanele baxoxe ngezingozi nezinzuzo nodokotela wabo, njengoba kunolwazi olulinganiselwe mayelana nokuphepha kwalo muthi ngesikhathi sokukhulelwa nokuncelisa.

Amagama Omkhiqizo we-Nitroglycerin Rectal Ointment

I-Nitroglycerin rectal ointment itholakala ngaphansi kwamagama amaningana omkhiqizo, i-Rectiv iyona brand evame ukunqunywa e-United States. Lo mkhiqizo ngokukhethekile uqukethe i-0.4% nitroglycerin futhi uza ne-applicator ekhethekile eyenzelwe ukusetshenziswa kwe-rectal.

Amanye amakhemisi angase futhi athwale izinguqulo ezivamile ze-nitroglycerin rectal ointment, equkethe isithako esifanayo esisebenzayo kodwa angase abe nezithako ezingasebenzi ezihlukile kancane. Izinguqulo ezivamile zisebenza ngempumelelo njengenguqulo yegama lomkhiqizo.

Udokotela wakho uzocacisa ukuthi iyiphi inguqulo yegama lomkhiqizo noma ejwayelekile abafuna ukuthi uyisebenzise, ​​futhi usokhemisi wakho angakusiza ukuthi uqonde noma yiziphi izinto ezingafani phakathi kwezinketho ezitholakala kuwe.

Ezinye izindlela ze-Nitroglycerin Rectal Ointment

Uma i-nitroglycerin rectal ointment ingasebenzi kuwe noma idala imiphumela eminingi, ezinye izindlela ziyatholakala. I-Diltiazem ointment ngomunye umuthi osetshenziswa ngaphandle ousebenza ngendlela efanayo ngokuphumuza imisipha ye-anal sphincter futhi uvame ukucatshangelwa uma i-nitroglycerin ingafanele.

Imijovo ye-Botulinum toxin imele enye inketho yezinduna ze-anal ezingapheli ezingasabeli ekwelashweni okusebenzisa ngaphandle. Le mijovo iphuca imisipha ye-anal sphincter okwesikhashana, ivumela i-fissure ukuthi iphole, nakuba idinga inqubo ehhovisi likadokotela wakho.

Kwabanye abantu, ukwelashwa okungagxili kakhulu njengokudla okunefayibha ephezulu, izithambisi zendle, izigezo ezifudumele ze-sitz, kanye nokhilimu wokuthulisa ngaphandle kungase kwanele. Udokotela wakho angase ancome ukuzama lezi zindlela kuqala, ikakhulukazi kuma-fissures amasha noma angathí sina kakhulu.

Ezimweni lapho ukwelashwa kwezokwelapha kungasebenzi, izinketho zokuhlinzwa njenge-lateral internal sphincterotomy zingase zicatshangelwe. Lena inqubo encane yokuhlinzwa ebandakanya ukwenza ukusikeka okuncane emsipheni we-anal sphincter ukunciphisa ukungezwani unomphela.

Ingabe i-Nitroglycerin Rectal Ointment Ingcono Kune-Diltiazem?

Zombili i-nitroglycerin kanye ne-diltiazem rectal ointments ziyizindlela zokwelapha ezisebenzayo zama-fissures e-anal ezingapheli, kodwa zisebenza ngezindlela ezihlukene kancane. I-Nitroglycerin ivame ukusebenza ngokushesha, nabantu abaningi bezwa ukukhululeka kobuhlungu ngesonto lokuqala, kuyilapho i-diltiazem ingase ithathe isikhathi eside ukukhombisa imiphumela ephelele.

Inzuzo enkulu ye-nitroglycerin ukushesha kwayo ukusebenza kanye nomlando oqinile wokwelapha ama-fissures e-anal. Kodwa-ke, ivame ukubangela ikhanda eliningi nemiphumela esemzimbeni wonke ngoba ithinta imithambo yegazi emzimbeni wakho wonke.

Ngakolunye uhlangothi, i-Diltiazem ingase ibangele ikhanda elincane nemiphumela emibi emzimbeni kwabanye abantu, okuyenza ibe enye indlela enhle uma ungakwazi ukubekezelela i-nitroglycerin. Ezinye izifundo zikhomba ukuthi i-diltiazem ingase ibe namazinga okuphulukisa angcono kancane esikhathini eside, nakuba zombili lezi zithako zisebenza kahle.

Udokotela wakho uzocabangela isimo sakho esithile, umlando wakho wezokwelapha, neminye imithi oyithathayo lapho enquma ukuthi iyiphi inketho engcono kuwe. Ngezinye izikhathi, uma enye ingasebenzi noma ibangele imiphumela eminingi emibi, ukushintshela kwenye kungaphumelela kakhulu.

Imibuzo Evame Ukubuzwa Mayelana Ne-Nitroglycerin Rectal Ointment

Q1. Ingabe i-Nitroglycerin Rectal Ointment iphephile kubantu abanezifo zenhliziyo?

I-Nitroglycerin rectal ointment ingasetshenziswa ngabantu abanezifo zenhliziyo, kodwa idinga ukuqashwa ngokucophelela ngudokotela wakho. Njengoba i-nitroglycerin ithinta imithambo yegazi emzimbeni wakho wonke, ingasebenzisana nemithi yenhliziyo futhi yehlise umfutho wegazi lakho.

Uma unesifo senhliziyo, udokotela wakho cishe uzoqala ngomthamo ophansi futhi aqaphele umfutho wegazi lakho nesilinganiso senhliziyo ngokusondela. Bazobuye babuyekeze yonke imithi yakho yenhliziyo ukuze baqinisekise ukuthi ngeke kube khona ukusebenzisana okuyingozi, ikakhulukazi ngemithi yokungasebenzi kahle kwesitho sangasese sowesilisa noma ezinye izidakamizwa zomfutho wegazi.

Inani le-nitroglycerin elithathwa kusuka ku-rectal ointment ngokuvamile lincane kakhulu kunalelo elisetshenziselwa izimo zenhliziyo, ngakho-ke abantu abaningi abanezifo zenhliziyo bangayisebenzisa ngokuphepha ngaphansi kokuqashwa okufanele kwezokwelapha.

Q2. Kufanele ngenzeni uma ngingahlosi ukusebenzisa i-Nitroglycerin Rectal Ointment eningi kakhulu?

Uma ngengozi usebenzisa amafutha amaningi kunalokho okubekiwe, ungangeni ekuvalweni. Imiphumela engenzeka kakhulu kungaba ithuba elikhulu lemiphumela emibi efana nekhanda, isiyezi, noma ukukhanya. Sula ngobumnene noma yimaphi amafutha amaningi ngamanzi nendwangu ethambile.

Hlala phansi noma ulale uma uzizwa unesiyezi noma ukhathele, futhi uphuze amanzi amaningi. Uma uba nesiyezi esikhulu, ukuquleka, noma uzizwa ungaphilile kahle, xhumana nodokotela wakho noma funa usizo lwezokwelapha ngokushesha.

Ngesilinganiso sakho esilandelayo, buyela ekusebenziseni inani elinqunyiwe. Ungazami ukweqa imithamo ukuze "ulungise" ukusebenzisa okuningi, ngoba lokhu kungaphazamisa inqubo yokuphulukisa futhi kwenze izimpawu zakho zibe zimbi kakhulu.

Q3. Kufanele Ngenzeni Uma Ngeqa Umthamo We-Nitroglycerin Rectal Ointment?

Uma weqa umthamo, sebenzisa amafutha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kuleso simo, weqa umthamo oweqiwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi usebenzise umthamo ophindwe kabili ukuze ulungise oweqiwe, ngoba lokhu kungandisa ingozi yakho yemiphumela emibi ngaphandle kokuthuthukisa inqubo yokuphulukisa. Ukuqina kubaluleke kakhulu kunokuphelela uma kukhulunywa ngokuphulukisa ama-anal fissures.

Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi ocingweni lwakho noma usebenzise amafutha ngezikhathi ezifanayo nsuku zonke njengengxenye yomsebenzi wakho wansuku zonke, njengemva kwemisebenzi yakho yasekuseni nakusihlwa.

Q4. Ngingayeka Nini Ukuthatha I-Nitroglycerin Rectal Ointment?

Kufanele uyeke ukusebenzisa i-nitroglycerin rectal ointment kuphela uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Lokhu kuvame ukwenzeka lapho i-anal fissure yakho iphole ngokuphelele futhi ungabi nobuhlungu amasonto amaningana.

Abantu abaningi basebenzisa amafutha amasonto angu-6-8, kodwa abanye bangase bawadinge kuze kube amasonto angu-12 kuye ngokuthi i-fissure yabo iphola kanjani. Udokotela wakho uzokuhlola ngesikhathi sokuqokwa okulandelayo ukuze anqume ukuthi i-fissure iphole nini ngokwanele.

Ukuyeka ngaphambi kwesikhathi, ngisho noma uzizwa ungcono, kungaholela ekutheni i-fissure ibuye noma ingapholi ngokuphelele. Udokotela wakho angase anciphise kancane ukuthi usebenzisa kangaki amafutha ngaphambi kokuwayeka ngokuphelele ukuze aqinisekise ukuthi ukuphulukisa kuhlala kuzinzile.

Q5. Ngingayisebenzisa I-Nitroglycerin Rectal Ointment Ngesikhathi Sokukhulelwa?

I-Nitroglycerin rectal ointment ihlukaniswa njengemithi ye-Category C yokukhulelwa, okusho ukuthi akukho cwaningo olwanele lokwazi ngokuqinisekile ukuthi iphephile yini ngesikhathi sokukhulelwa. Udokotela wakho uzodinga ukukala izinzuzo ezingaba khona ngokumelene nanoma yiziphi izingozi ezingenzeka.

Uma ukhulelwe noma uhlela ukukhulelwa, tshela udokotela wakho ngokushesha. Bangase bafune ukuzama ezinye izindlela zokwelapha kuqala noma bakuqaphele eduze uma benquma ukuthi amafutha adingekile esimweni sakho.

Inani lemithi emuncwa egazini lakho evela kuma-rectal ointment mancane kakhulu, kodwa udokotela wakho uzocabangela isimo sakho esithile nobukhulu be-anal fissure yakho lapho enza izincomo zokwelashwa ngesikhathi sokukhulelwa.