Wonke umuntu wezwa nge-nitroglycerin, kodwa akubona bonke abawazi kahle ukuthi yiluphi uhlobo lwethuluzi, kusuka kulokho (noma luni) olunikezwayo, ukuthi lusebenza kanjani nokuthi yini edingekayo ngokujwayelekile. Ngokwenza njalo, i-nitroglycerin inezinkomba ezinqunyiwe ezincane zokusetshenziswa. Mayelana nabo, kanye nezinye izici nezici zesidakamizwa esaziwayo - ngezansi kulesi sihloko.
I-Nitroglycerin - Izici nezicelo
Nakuba ukutholakala kwemithi yesimanje kuye kwashukumisela kude, i-nitroglycerin ende endala isisidakamizwa esidumile. Lesi yisidakamizwa esivela ku-nitrate. Ekubunjweni kwe-nitroglycerin kukhona izakhi ezinomphumela wokuphumula nokuphumula. Kungenxa yalezi zakhiwo ukuthi i-nitroglycerin inezinkomba ezilandelayo zokusetshenziswa:
- Ngokuvamile, i-nitroglycerin inqunywe odokotela ukuze kutholakale ukuhlaselwa kwe-angina. Leli thuluzi linokusheshisa, futhi okubaluleke kakhulu, isenzo esiqinisekisiwe.
- I-nitrolycerin ibuye isebenze ekuhlukumezeni kwe-myocardial nokuhluleka kwenhliziyo .
- Ngesikhathi abahlinzayo abahlinzayo basebenzisa i-nitroglycerin ukulawula ukuphikisana kwamagciwane.
Ngaphezu kwalokho, ngezinye izikhathi le mithi isetshenziselwa i-colic biliary futhi njenge-agent evikelayo ekwelapheni izifo zesimiso senhliziyo.
Njenganoma imuphi omunye umkhiqizo wezokwelapha, i-nitroglycerin ayikwazi ukuthathwa ngokungemthetho. Ngisho noma udokotela usuvele ememezele le mithi kuwe ngaphambili, kungcono ukubonisana futhi ngaphambi kokuqokwa okulandelayo. Uma isimo sesiguli sinzima, ukusetshenziswa okuzimele kwe-nitroglycerin kwezokwelapha akukhuthazwa ngokweqile. Lokhu kunganciphisa isithombe esiphezulu sombuso ngaphambi kokufika kwe-ambulensi.
Ukusetshenziswa okungalawulwa kwe-nitroglycerin kungabangela ukulutha komuthi, futhi lokhu kuzokwenza ukuthi kunciphise umphumela wokwelapha.
Amafomu okukhiqizwa kanye nenqubo yesicelo se-nitroglycerin
Indlela evelele kakhulu yokukhululwa kwe-nitroglycerin yiziphilisi, ezifanayo ezifakwa ngaphansi kolimi ngesikhathi sokuhlaselwa. Ungathola umkhiqizo wephebulethi kunoma iyiphi ikhemisi. Amagama angeziwe amaphilisi:
- I-Nitrocore;
- I-Nitrocardin nabanye.
Olunye uhlobo odumile lokukhululwa kwe-nitroglycerin yisisombululo, esetshenziselwa amajojo. Kukhona nezinhlobo zanamuhla kakhulu zemithi eyaziwayo - izipulisi kanye nama-aerosol, angahluma ngaphansi kolimi. Ngokuvame ukusetshenziselwa izindlela ezinjalo:
- I-Nitrospray;
- I-Nitrolingival nabanye.
Yiqiniso, ayikho i-capsules, noma i-sprays, noma i-aerosols, noma amaphilisi we-nitroglycerin angasetshenziswa ngaphandle kokumisela udokotela, nakuba ungathenga zonke izidakamizwa ezibalulwe ngenhla ngaphandle kwemithi kunoma iyiphi ikhemisi.
Ukuphikisana okuyinhloko kokusetshenziswa kwe-nitroglycerin
I-nitrolycerin imithi, okusho ukuthi kanye nezinkomba zokusetshenziswa, nayo inezinkambiso ezithile, nehlu okudingeka ukuba wazi ngayo ngaphambi kokuthatha imithi.
Izinkomba eziyinhloko zazicatshangwe ngenhla, manje sizochaza ukuphikisana kokusetshenziswa kwe-nitroglycerin:
- Ungabeki i-nitroglycerin ezinganeni ezingaphansi kweminyaka eyisishiyagalombili.
Umzimba wabo awukakulungeli ukuthola imithi enjalo. - Kuvinjelwe ukuthatha imithi nganoma yiluphi uhlobo kubantu abanokuzwela okukhulu ku-nitrate nokungahambisani nalokhu.
- Kuyingozi ukusebenzisa i-nitroglycerin kwabesifazane abakhulelwe nabamantombazane abasencane.
- Okunye ukuphikisana nokusetshenziswa kwesidakamizwa esibuzwayo yi-hypotension (umfutho wegazi ophansi).
- Ngenkinga yokunyuka kwengcindezi, kuyingozi kakhulu ukusebenzisa i-nitroglycerin.