An ovhadhozi pamusoro nitroglycerin: kwemigumisiro, rwekutanga, inouraya dose

Chii chaigona takatarisana ovhadhozi kuti nitroglycerin? Migumisiro dzisingadzorwi kutora zvinodhaka izvi zvichakurukurwa pazasi. Uchadzidzawo pamusoro chinangwa uyo mushonga inoshandiswa, uye kana ane marwadzo.

chikuru mashoko

Sezvo pane imwe ovhadhozi? Nitroglycerine chinhu yakaoma chinodhaka ine chinenge ose musha mushonga cabinet. Vanhu vakawanda vane mwoyo chirwere kuzvitora zvisingadzoreki. Somugumisiro, vanotambura kunyanya, ive ovhadhozi kunoitika.

Nitroglycerin rudzi rwekutanga, izvo zvinokosha kuti mwoyo yedu ive mhepo. No kupamhidzira kutaura kuti mishonga iyi akaponesa vanopfuura mumwe upenyu. Munhu wose anoziva kuti pashure ingesting anenge pakarepo wazorodzwa. Asi zvinosuwisa, zvose hazvina vari kufunga pamusoro pezvingazoitika kuti achamuka shure nokunyanyisa kushandisa mishonga iyi.

Nyanzvi dzinoti zvimwe zvinhu zvokukurumidzira zvinoda kushandiswa akadzokorora zvinodhaka. Pasinei, muchiitiko ichi, kuva ovhadhozi? Nitroglycerin, vakagamuchirwa akawanda, anoita kukonzera zvakakomba matambudziko. Uyezve, dzimwe nguva mushonga kwakadaro unotungidzwa kunyange kurufu.

Nokuti chinangwa anoshandiswa?

Chii nitroglycerin? Mirayiridzo dzokushandisa (mahwendefa pamwe chete zita inotengeswa drugstores zvose) anoti kuti zvikuru nevakawanda mushonga rwevharanda boka vasodilators, kureva zvinhu kuti dilates nemidziyo ropa. Zvinonzi achishingaira kushandiswa cardiology tsika uye dzimwe nguva gastroenterology. Saka chii mushonga mabasa ari mubvunzo?

mashandiro chiito

Nitroglycerin chakanaka chaizvo mwoyo. It anokwanisa kuwedzera pangagara, asi kunowedzerawo chekubuda okisijeni. Ndicho chikonzero chokushandisa ichi rinowanzoshandiswa angina, kureva, chirwere, iyo inozivikanwa nokuva chitarisiko kurwadziwa mwoyo tsandanyama nokuda kwokushayiwa mhepo. Kuti izvi zvingaratidza nyaya ovhadhozi? Nitroglycerin inogona kukupinda muropa. Saka, nokufamba kwenguva murwere muviri zvinoenderana kune basa dose, uye mushonga une kutora ari makuru mari. Izvi zvinowanzoita kuti kukura yematambudziko.

Under chii chimwe kunobatsira vaitire zvirwere mushonga? Nyanzvi dzinoti chokushandisa ichi rinowanzoshandiswa zvirwere biliary turakiti, sezvo zvakanaka relaxes tsandanyama nemudumbu.

Zvinofanira kucherechedzwa kuti dzimwe nguva inoshandiswa nitroglycerin embolism (i.e. occlusion) ari nechepakati tsinga kuti the retina pamusoro optic muviri.

njodzi dose

In chii chipimo chemushonga uchatorei nitroglycerin? A inouraya dose zvinodhaka riri pasi apa. Panyaya mureza chipimo chemushonga mishonga, iyo inogara ichikurudzirwa varwere, ndiyo 1-2 mahwendefa pazuva. Kana chivako ichi vakanga yakatengwa muna mhinduro chimiro, zvino unoita mari 4 madonhwe pazuva.

Mune dose kuti nitroglycerin haikuvadzi. Asi zvinokosha kuwedzera uwandu husingakuvadzi kuti murwere zvishoma - uye mushonga pakarepo hunoita kuti kukura nemishonga.

Uyewo zvinofanira kucherechedzwa kuti dzinonetsa wevasungwa pamusoro achishandisa pakarepo kukonzera nomuchetura. Kazhinji, richiwanika kare pedyo vanenge 25-50 MG yacho fuma.

Tinofanira kuonawo kuti nitroglycerin chose nyore kunyura kuburikidza ganda. Naizvozvo, kana kuti netsaona kuonana muviri wayo chepfu kushanda anooneka nokukurumidza.

Nitroglycerine: inouraya dose

Agamuchira chipimo chemushonga zvinodhaka kungaita kuti rufu? Nyanzvi dzinoti inouraya dose of fuma kunosiyana-siyana mukati 100-150 MG pa 1 kg nokushivirira uremu.

Zvinozivikanwa kuti nitroglycerine kakawanda kutora vakwegura. Izvi imhaka yokuti muchikwata ichi wevarwere vachinyunyuta tichinzwa kurwadziwa mwoyo, uyewo kutambura nomusoro vanotaura. Ndokusaka zvinodhaka ovhadhozi zvinowanzoitika somugumisiro kutyorwa vakachengeteka mitemo uye banal chepuraimari kukanganwa, kunyanya kana nefuma kwave vawana muchimiro ane nomumukanwa mhinduro.

Contraindications kugamuchira

Mune zvimwe zviitiko, haugoni basa nitroglycerin? Mirayiridzo kushandiswa (mahwendefa uye dzaiita madonhwe ndiwo chete inorambidza) inoti zvinotevera contraindications:

• rikakura intracranial kumanikidzwa;
• myocardial infarction (rikwanise nguva);
• yemaziso;
• BP;
• chepfungwa atherosclerosis (akaratidza);
• pamuviri, mucheche uye lactation.

Side migumisiro nitroglycerin ovhadhozi

Chii nemishonga inogona kuva pashure Kunwa vaiona mishonga? Nyanzvi dzinoti zvinotevera nenjodzi:

• akaratidza mukuru simba;
• madzerere;
• dzungu;
• zvakakomba nemusoro, kunyanya mumazuva rubvumo okutanga;
• chisimbwa, akaratidza sezvo urticaria;
• kugwinha (mu kwazvo nyaya);
• rakapinza kuderera BP;
• akatsvuka ganda.

migumisiro ovhadhozi

Hazvina chakavanzika guru mishonga zvinodhaka munhu asina kuenda kubatsirwa. Uye nitroglycerin hapana anosara. Kana ukapiwa vazhinji divi zvinodhaka anokonzerwa hazvizovi kutora nguva kumirira. Kazhinji, vari kuratidzwa sezvinotevera:

• miromo zvitema, maoko uye chipikiri ndiro;
• kuda kurutsa, muromo yakaoma uye kurutsa;
• dzungu, kurasikirwa pfungwa, zvikuru simba uye kupfupika mweya;
• kuwedzera muviri tembiricha, pave kugwinha, yakawedzera intracranial kumanikidzwa ;
• Orthostatic hypotension.

Zvinouraya ovhadhozi pashure nitroglycerin kunoitika mukati 2 maminitsi pashure kwokubatsira mushonga ari chipimo chemushonga pakati 210 MG / makirogiramu.

rwekutanga

Zvakadini kana murwere akatora mukuru dose zvinodhaka ndiko nitroglycerin? Help ane ovhadhozi anofanira yakapiwa pakarepo. Kana musingadi kurarama nemigumisiro dzisingadzorwi wokukundwa kurapwa mune ramangwana, izvozvo zvingaita kuti zviome kana kuti kunyange rufu.

Saka zvokuita nomunhu ovhadhozi kuti nitroglycerin? Kuti izvi zvidaro, nyanzvi dzinokurudzira kuti vanoomerera mitemo zvinotevera:

• Zvinofanira pakarepo regedza kuwana mushonga kupinda murwere.
• Kana mhinduro iri randomly yarova paganda, vanofanira Chiso chinopenya pakarepo.
• Kana muchetura zvokuudzwa mahwendefa vanofanira kuuya wacho kuti chinjikira nechinzvimbo uye kusimudza makumbo ake.
• Nechinyoreso ovhadhozi kuti nitroglycerin zvakafanira nechokwadi kuwana reokisijeni kuti murume. Pakadaro, kana ari munhu stuffy kamuri, zvinofanira warinozokwidzwa mumugwagwa.
• Vasati vasvika amburenzi akabvumira nomudumbu geza kukanganiswa kushandisa sesaline kana mvura inodziya.
• Mushonga kubva nitroglycerin vasipo. Kudzivisa kungoerekana kumanikidzwa inodonha zvine caffeine raitongwa kumurwere. Uyewo, muchipatara uye rinoshandiswa plazmozameschayuschie methylene rwebhuruu mhinduro.

To muchidimbu

Zvino munoziva kuti nitroglycerin haasi chete kunobatsira murwere, asi anogona kumukuvadza. Zvakawanikwa dose mishonga iyi chinangwa kana netsaona kazhinji kunoguma rwepanyama panowanikwa mapundu paganda, uyewo zvinouraya. Uyezve, nokuda unopinza rutapudzo kuti akamanikidzwa murwere anogona kuramba itsvo. Panyaya iyi, chimwezve kudzora yakarurama negashiro nitroglycerine haana unotema.