Yini i-Nitroglycerin Transdermal: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Nitroglycerin transdermal iyikhambi lenhliziyo eliza njenge-patch oyifaka esikhumbeni sakho. Yenzelwe ukuvimbela ubuhlungu besifuba (i-angina) kubantu abanesifo semithambo yenhliziyo ngokuletha umthamo oqhubekayo wemithi ngesikhumba sakho emahoreni angu-12-14. Le ndlela enobumnene, eqhubekayo isiza ukugcina imithambo yenhliziyo yakho iphumule futhi ivulekile, inciphisa amathuba okuba khona kweziqephu ezibuhlungu.

Yini i-Nitroglycerin Transdermal?

I-Nitroglycerin transdermal iyi-patch kadokotela eletha imithi yenhliziyo kancane ngesikhumba sakho. I-patch iqukethe i-nitroglycerin, i-vasodilator enweba imithambo yegazi ukuze ithuthukise ukuhamba kwegazi emsipheni wenhliziyo yakho.

Cabanga ngayo njenge-bandeji encane, enamathelayo esebenza njengesistimu yokukhishwa kwesikhathi. Umuthi udlula esikhumbeni sakho ungene egazini lakho ngesilinganiso esilawulwayo, unikeze ukuvikelwa okuqhubekayo ekubuhlungwini besifuba usuku lonke. Le ndlela inikeza enye indlela elula yokuthatha amaphilisi izikhathi eziningi ngosuku.

I-patch ngokuvamile imise okwesikwele futhi iza ngamandla ahlukene, alinganiswa ngama-milligram ngesikhathi. Udokotela wakho uzonquma amandla afanele ngokuya ngesimo senhliziyo yakho esithile nokuphendula ekwelashweni.

Yini i-Nitroglycerin Transdermal Esetshenziselwa Yona?

Ama-patch e-Nitroglycerin transdermal asetshenziselwa ikakhulukazi ukuvimbela ukuhlaselwa kwe-angina kubantu abanesifo semithambo yenhliziyo. I-Angina ubuhlungu besifuba noma ukungakhululeki okwenzeka lapho imisipha yenhliziyo yakho ingatholi igazi elinokwanele elinothile nge-oxygen.

I-patch isebenza njengesinyathelo sokuvimbela, hhayi njengokwelashwa okuphuthumayo. Uma uzwa ubuhlungu besifuba njengamanje, uzodinga amaphilisi noma isifutho se-nitroglycerin esisebenza ngokushesha, hhayi i-patch. Udokotela wakho angase anqume zombili izinhlobo zokunakekelwa kwenhliziyo okuphelele.

Abanye odokotela baphinda banikeze amaphashi e-nitroglycerin ezigulini ezinenhliziyo ebuthaka ukusiza ukunciphisa umsebenzi wenhliziyo. Ezimweni ezingavamile, ingasetshenziswa kwezinye izinkinga zokujikeleza kwegazi, kodwa lokhu akuvamile futhi kudinga ukugadwa kwezokwelapha ngokucophelela.

Isebenza Kanjani I-Nitroglycerin Transdermal?

I-Nitroglycerin transdermal isebenza ngokukhulula nokwandisa imithambo yakho yegazi, ikakhulukazi imithambo ye-coronary enikeza igazi enhliziyweni yakho. Le nqubo ibizwa ngokuthi i-vasodilation, futhi isiza ukuthuthukisa ukugeleza kwegazi emsipheni wenhliziyo yakho.

Lapho imithambo yakho ye-coronary ibanzi futhi ikhululekile, inhliziyo yakho ithola igazi elinokuningi komoya-mpilo. Lokhu kunciphisa amathuba okuhlaselwa yi-angina futhi kusiza inhliziyo yakho ukuthi isebenze kahle. Umuthi futhi unciphisa kancane inani legazi elibuyela enhliziyweni yakho, okunganciphisa umsebenzi wenhliziyo.

Njengomuthi wenhliziyo onamandla aphakathi, i-nitroglycerin transdermal inikeza imiphumela eqhubekayo, ehlala isikhathi eside. Ayinamandla ngokushesha njengamaphilisi e-nitroglycerin angaphansi kolimi, kodwa inikeza ukuvikelwa okuqhubekayo usuku lonke. Iphashi ngokuvamile lithatha imizuzu engu-30-60 ukuze liqale ukusebenza futhi ligcina imiphumela yalo amahora angu-12-14.

Kufanele Ngiyithathe Kanjani I-Nitroglycerin Transdermal?

Faka iphashi lakho le-nitroglycerin esikhumbeni esihlanzekile, esomile, esingenazinketho esifubeni sakho, emhlane, noma engalweni engenhla. Khetha indawo ehlukile nsuku zonke ukuvimbela ukucasuka kwesikhumba futhi uqinisekise ukuthi umuthi umunca kahle.

Nansi indlela yokufaka iphashi lakho ngendlela efanele:

1. Geza izandla zakho kahle ngaphambi kokubamba iphashi
2. Hlanza indawo yokufaka ngensipho namanzi, bese womisa ngokuphelele
3. Susa iphashi ekuphaketheni lalo elivikelayo
4. Khipha ingemuva elisobala bese ufaka uhlangothi olunamathelayo esikhumbeni sakho
5. Cindezela ngokuqinile imizuzwana engu-10-15 ukuze uqinisekise ukuxhumana okuhle
6. Geza izandla zakho futhi ngemva kokufaka

Akudingeki ukuthi usebenzise lo muthi ngokudla noma ngamanzi ngoba umuncwa ngesikhumba sakho. Kodwa-ke, gwema ukusebenzisa isiqeshana ngemuva nje kokugeza noma ukubhukuda, ngoba umswakama ungalithinta indlela esinamathela ngayo esikhumbeni sakho.

Abantu abaningi basebenzisa isiqeshana sabo ekuseni bese besisusa ngesikhathi sokulala. Lolu hlelo lusiza ekuvikeleni umzimba wakho ukuthi ungaqali ukujwayela umuthi, okunganciphisa ukusebenza kwawo ngokuhamba kwesikhathi.

Kufanele Ngithathe Isikhathi Esingakanani I-Nitroglycerin Transdermal?

Ubude besikhathi sokwelashwa nge-nitroglycerin transdermal buxhomeke esimweni sakho senhliziyo kanye nendlela ozwela ngayo emuthini. Abantu abaningi abane-angina engapheli basebenzisa lawa ma-patch isikhathi eside njengengxenye yohlelo lwabo oluqhubekayo lokunakekelwa kwenhliziyo.

Udkt wakho ngokuvamile uzoqala ngesikhathi sokuhlola ukuze abone ukuthi ama-patch asebenza kahle kangakanani kuwe. Phakathi namasonto ambalwa okuqala, uzoba nokuhlolwa njalo ukuze uqaphele ukusabela kwakho futhi ulungise umthamo uma kudingeka. Abanye abantu babona ngcono ezinsukwini ezimbalwa, kanti abanye bangase badinge amasonto amaningana ukuze bathole izinzuzo eziphelele.

Kubantu abaningi abanesifo semithambo yenhliziyo ezinzile, ama-patch e-nitroglycerin aba yingxenye yamasu okwelashwa isikhathi eside. Kodwa-ke, udkt wakho angase alungise noma amise umuthi uma isimo senhliziyo yakho sishintsha noma uma uthola imiphumela engemihle edlula izinzuzo.

Yiziphi Imiphumela Emiqoka Ye-Nitroglycerin Transdermal?

I-Nitroglycerin transdermal ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma imizimba yabo isijwayele umuthi. Imiphumela emibi evame kakhulu ihlobene nemiphumela yokwandisa imithambo yegazi yomuthi.

Nawa imiphumela emibi evame kakhulu ongase uyithole:

• Ukukhathazeka kwekhanda (ngokuvamile umphumela wokuqala, ngokuvamile kulungile ngokuhamba kwesikhathi)
• Ukuphatheka kabi ikhanda noma ukuzizwa unovalo, ikakhulukazi uma usukuma
• Ukubomvu kwesikhumba noma ukucasuka lapho kufakwe khona isiqeshana
• Isicanucanu noma isisu esibuhlungu
• Ukuzizwa ukhathele noma ubuthakathaka
• Ukubomvu noma ukushisa ebusweni nasentanyeni yakho

Iningi lale miphumela emibi imnene futhi ivame ukwehla njengoba umzimba wakho ujwayela umuthi. Ukukhathazeka kwekhanda, ngenkathi kungakhululekile, kuvame ukuthuthuka ngemuva kwesonto lokuqala lokwelashwa.

Imiphumela emibi kakhulu ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungabandakanya isiyezi esikhulu esiholela ekuqulekeni, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, noma izimpawu zokungezwani komzimba nezinto ezithile njengokuqubuka, ukuvuvukala, noma ubunzima bokuphefumula.

Ngokuvamile, abanye abantu bangase babe nemiphumela emibi engavamile njengombono ongacacile, ukudideka, noma ukusabela okukhulu kwesikhumba endaweni yesiqeshana. Uma uqaphela noma yiziphi izimpawu ezikhathazayo, xhumana nomhlinzeki wakho wezempilo ngokushesha.

Ubani Ongafanele Athathwe I-Nitroglycerin Transdermal?

Abantu abathile kufanele bagweme iziqeshana ze-nitroglycerin transdermal ngenxa yokukhathazeka ngokuphepha noma izinkinga ezingase zibe khona. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele usebenzise i-nitroglycerin transdermal uma unezimo ezilandelayo:

• I-anemia enkulu (inani eliphansi lamangqamuzana abomvu egazi)
• Ukucindezela okukhulu ekhakhayini lakho (ingcindezi ye-intracranial)
• Umfutho wegazi ophansi kakhulu (hypotension)
• Ukungezwani komzimba nezinto ezithile ku-nitroglycerin noma iziqeshana ezinamathelayo
• Izinhlobo ezithile zezinkinga ze-valve yenhliziyo
• Ukwehluleka kwenhliziyo okukhulu okungazinzile

Ukuqapha okukhethekile kuyadingeka uma unomfutho wegazi ophansi, izinkinga zezinso, noma isifo sesibindi. Udokotela wakho angase akuqale ngomthamo ophansi noma akuqaphe eduze uma unezimo lezi.

Umuthi ungase futhi uhlangane neminye imithi, ikakhulukazi leyo esetshenziselwa ukungasebenzi kahle kwesitho sobulili njenge-sildenafil (Viagra). Lokhu kuhlanganiswa kungabangela ukwehla okuyingozi kwengcindezi yegazi, ngakho-ke kubalulekile ukutshela udokotela wakho ngayo yonke imithi oyithathayo.

Abesifazane abakhulelwe noma abancelisa ngamabele kufanele baxoxe ngezingozi nezinzuzo nomhlinzeki wabo wezempilo, njengoba ukuphepha kwe-nitroglycerin transdermal ngesikhathi sokukhulelwa kungaqinisekiswanga ngokugcwele.

Amagama Omkhiqizo we-Nitroglycerin Transdermal

Izithambiso ze-nitroglycerin transdermal zitholakala ngaphansi kwamagama amaningi omkhiqizo, okujwayelekile kakhulu yi-Nitro-Dur ne-Minitran. Le mikhiqizo iqukethe isithako esifanayo esisebenzayo kodwa ingase ibe nomehluko omncane ekwakhiweni kwesithambiso noma izakhiwo zokunamathela.

Amanye amagama omkhiqizo afaka i-Transderm Nitro kanye nezinhlobo ezivamile ezibhalwe ngokuthi "nitroglycerin transdermal system." Ikhemisi lakho lingase lithathe enye inkampani esikhundleni senye ngaphandle kokuthi udokotela wakho acacise umkhiqizo othile, futhi lokhu kuvamile ukuthi kuphephile futhi kuyasebenza.

Umehluko omkhulu phakathi kwemikhiqizo uvame ukuba ngosayizi wesithambiso, ukuma, noma ukuthi zenzelwe ukunamathela isikhathi esingakanani esikhumbeni sakho. Yonke imikhiqizo evunyelwe iletha umuthi ngempumelelo, ngakho-ke gxila ekusebenziseni noma iyiphi inkampani udokotela wakho ayincomayo noma umshwalense wakho owukhokhelayo.

Ezinye izindlela ze-Nitroglycerin Transdermal

Uma izithambiso ze-nitroglycerin transdermal zingasebenzi kahle kuwe, ukwelashwa okuhlukahlukene okuhlukile kungasiza ekuvikeleni i-angina. Udokotela wakho angase asikisele ukushintshela kwenye indlela ye-nitroglycerin noma azame olunye uhlobo oluhlukile lomuthi wenhliziyo.

Ezinye izinketho ze-nitroglycerin zifaka amaphilisi noma amaphilisi asebenza isikhathi eside athathwa ngomlomo, anikeza izinzuzo ezifanayo kodwa asebenza ngohlelo lwakho lokugaya ukudla esikhundleni sokusebenza ngesikhumba sakho. Abanye abantu bakuthola kulula kakhulu lokhu, kanti abanye bakhetha ukulethwa okuqhubekayo kwezithambiso.

Izinhlobo ezahlukene zemithi yenhliziyo nazo zingavimbela i-angina ngempumelelo. Ama-beta-blockers afana ne-metoprolol anciphisa izinga lokushaya kwenhliziyo yakho futhi anciphise umsebenzi wayo. Ama-calcium channel blockers afana ne-amlodipine aphumuza imithambo yegazi ngendlela ehlukile kune-nitroglycerin.

Kwabanye abantu, izinguquko zokuphila ezihlanganiswe neminye imithi zisebenza kangcono kunezithambiso ze-nitroglycerin. Udokotela wakho angase ancome ukulungiswa kwenhliziyo, izinguquko ekudleni, noma amasu okulawula ukucindezeleka njengengxenye yohlelo lwakho lokwelapha olujwayelekile.

Ingabe i-Nitroglycerin Transdermal Ingcono Kune-Sublingual Nitroglycerin?

I-Nitroglycerin transdermal kanye ne-sublingual nitroglycerin zisebenzela izinjongo ezihlukene, ngakho ukuqhathanisa akukhona ukuthi iyiphi

I-Nitroglycerin transdermal ngokuvamile iphephile kubantu abanesifo sikashukela, kodwa idinga ukuqashwa ngokucophelela. Umuthi ngokwawo awuthinti ngqo amazinga kashukela egazini, kodwa ungasebenzisana nezinye izinkinga zesifo sikashukela.

Uma une-diabetic neuropathy (ukulimala kwemizwa okuvela esifweni sikashukela), ungase uzwe kalula imiphumela yokwehla kwengcindezi yegazi ye-nitroglycerin. Udokotela wakho angase akuqale ngomthamo ophansi futhi akuqaphele eduze ukuze abone isiyezi noma ukuquleka.

Abantu abanesifo sikashukela futhi badinga ukuqapha ngokwengeziwe ukunakekelwa kwesikhumba lapho kufakwa khona isiqeshana. Isikhumba esinesifo sikashukela singaba lula ukucasuka futhi silule ukululama, ngakho kubalulekile ukushintshanisa izindawo zesiqeshana futhi uqaphele noma yiziphi izimpawu zezinkinga zesikhumba.

Kufanele ngenzeni uma ngisebenzisa i-Nitroglycerin Transdermal eningi ngengozi?

Uma ngengozi ufaka isiqeshana esingaphezu kwesisodwa noma usebenzisa amandla aphezulu kunalawo abekiwe, susa isiqeshana esengeziwe ngokushesha bese uthintana nodokotela wakho noma isikhungo sokulawula ubuthi. Ungazami ukuthi "ukulinda" wedwa.

Izimpawu ze-nitroglycerin eningi zihlanganisa ikhanda elibuhlungu elibukhali, isiyezi, isicanucanu, ukuhlanza, noma ukuzizwa sengathi ungaquleka. Uma uhlangabezana nalezi zimpawu ngemuva kokufaka isiqeshana sakho, sisuse futhi ufune ukwelashwa ngokushesha.

Ngesikhathi ulindele usizo lwezokwelapha, lala phansi ngezinyawo zakho ziphakanyisiwe futhi ugweme ukunyakaza okungazelelwe. Ungaziqhubi wena esibhedlela uma uzizwa unesiyezi noma ungazizwa kahle. Imiphumela ye-nitroglycerin eyeqile ivamise ukunyamalala emahoreni ambalwa, kodwa ukuqashwa kwezokwelapha kubalulekile ukuqinisekisa ukuphepha kwakho.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Nitroglycerin Transdermal?

Uma ukhohlwa ukufaka isiqeshana sakho se-nitroglycerin, sifake ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Ungaphindi ngokufaka iziqeshana ezimbili ukuze ulungise eyodwa ephuthelwe.

Uma uqaphela ukuthi uphuthelwe isiqeshana sakho sasekuseni sekwephuzile emini, sisisebenzise uma ukhumbula kodwa lungisa uhlelo lwakho ngokufanele. Ngokwesibonelo, uma uvame ukusisebenzisa ngo-8 AM futhi usisuse ngo-8 PM, kodwa awukhumbuli kuze kube ngu-2 PM, ungase usisebenzise ngaleso sikhathi futhi usisuse ngo-2 AM.

Ukuphuthelwa umthamo ngezikhathi ezithile akuyingozi, kodwa zama ukugcina isimiso esiqhubekayo ukuze uvimbele kahle ukuhlaselwa kwe-angina. Cabangela ukusetha isikhumbuzi sefoni noma ukugcina iziqeshana zakho endaweni ebonakalayo ukuze zikusize ukhumbule.

Ngingayeka nini ukuthatha i-Nitroglycerin Transdermal?

Ungayeki ukusebenzisa iziqeshana ze-nitroglycerin transdermal kungazelelwe ngaphandle kokukhuluma nodokotela wakho kuqala. Noma ngabe zifakwa esikhumbeni sakho, ukuyeka kungazelelwe kungaholela ku-rebound angina, lapho ubuhlungu bakho besifuba buba bubi kakhulu kunangaphambi kokuthi uqale ukwelashwa.

Udokotela wakho angase anqume ukuyeka iziqeshana uma isimo senhliziyo yakho sithuthuka kakhulu, uma uba nemiphumela emibi, noma uma ezinye izindlela zokwelapha zibonakala zisebenza kahle. Uma sekuyisikhathi sokuyeka, ngokuvamile bazokwehlisa umthamo kancane kancane ezinsukwini eziningana noma emasontweni.

Abanye abantu bangagcina beyeka ukusebenzisa iziqeshana ze-nitroglycerin ngemva kwemisebenzi yenhliziyo ephumelelayo efana ne-angioplasty noma ukuhlinzwa kwe-bypass, kodwa lesi sinqumo kufanele senziwe ngaphansi kokuqondiswa kwezokwelapha. Abanye bangase badinge ukuqhubeka neziqeshana isikhathi eside njengengxenye yohlelo lwabo lokunakekelwa kwenhliziyo oluqhubekayo.

Ngingakwazi yini ukuzivocavoca ngenkathi ngisebenzisa i-Nitroglycerin Transdermal?

Ukuvivinya umzimba kuvame ukukhuthazwa ngenkathi usebenzisa i-nitroglycerin transdermal, njengoba umsebenzi womzimba ovamile unenzuzo empilweni yenhliziyo yakho. Kodwa-ke, isiqeshana singase sithinte indlela ozizwa ngayo ngesikhathi sokuzivocavoca, ikakhulukazi uma uqala ukusisebenzisa.

Qala kancane futhi unake indlela umzimba wakho osabela ngayo. Ungase uzizwe ukhathele kunokujwayelekile noma uzwe isiyezi emasontweni ambalwa okuqala okwelashwa. Kancane kancane wandise izinga lomsebenzi wakho njengoba umzimba wakho ujwayela umuthi.

Isiqeshana kufanele sihlale endaweni yaso ngesikhathi sokuzivivinya okuvamile nokujuluka, kodwa gwema imisebenzi engase yenze ukuthi siwe. Uma wenza imidlalo yamanzi noma ukuzivivinya okukhulu kakhulu, ungase udinge ukusebenzisa itheyiphu yezokwelapha emaphethelweni ukuze uyigcine iphephile. Hlala uphethe amaphilisi akho okuhlenga e-nitroglycerin uma uzivivinya, uma nje uwadinga.