"Nitroglycerin" kubva chii? Side maturo "nitroglycerin"

Pari chemishonga echiShinto chete anobuda iro Vakachengeta nhamba mishonga,. zvinodhaka zvakawanda unogona kuwana, kungova paruoko mushonga wakabudiswa chiremba, asi akawanda zvigadzirwa kubva kuwanda achapiwa kutengeswa pasina kuvapo vakadaro. By pachena kutengeswa mishonga inoshanda "nitroglycerin". Kubva izvo zvinobatsira, tinogona kudzidza kubva pane ino. Pasinei mukurumbira, kubata zvakakodzera kugamuchira nokungwarira.

Information pamusoro gadziriro

Nitroglycerin (nitrates boka) rakakurumidza kuwana kushanda. Chishandisei akatanga mukupera kwezana remakore rechi19, pashure kuwanikwa rokuItari Ascanio Sobrero. Pakutanga, zvakanga kugadzirwa zvinoputika.

Shure refu akataura vashandi vari zvitoro kuti pagadzirwe putika chiremba Merrill akagumisa kuti vakaroorana nitroglycerin simba pamusoro utano hwevanhu.

Papera chinguva, kwakaonekwa kuti fuma inogona kushandiswa kwezvokurapa zvinangwa kuti kurapwa vamwe zvirwere. Somuenzaniso, pashure pokugamuchira spasm zvinobvira kubvisa cardiac midziyo. Kana Kurohwa vaiva yakati madonhedza zvinodhaka shoma kuti vandomusunga.

Sezvo nitroglycerin Zvishoma nezvishoma akatanga kushandiswa mune zvokurapa tsika.

Nhasi, kana ukabvunza munhu pamusoro "nitroglycerin": "Kubva zvinofanira akarishandisa", anenge munhu wose vachati kuti rinokosha kuti chomwoyo. Haisati kukwira nevamwe mishonga kuti zvave nokukurumbidza Unotsigira marwadzo angina.

Release chimiro zvinodhaka

"Nitroglycerin" rinogona kunzi guru pamukova munyika pharmacology, izvo anowanikwa Kazhinji. Panguva kushandiswa kwayo, uye yatova makore anopfuura 100, uye hamuna kutanga mushonga anobudirira kuti "angina pectoris."

Manufacturers kubereka kwayo siyana uye kavha, asi ivo vane basa chirungiso zvakangofanana. Zvino Pharmacies angawana guru-siyana zvakakwana. "Nitroglycerin" anogadzirwa muchimiro mapiritsi kuti vanofanira kuisa pasi rurimi. Ichi chimiro zvinodhaka kusunungurwa wokutanga.

Zvino fashoni rava nitroglycerin chigamba, inova zvakakwana kuomerera ganda kana mucous Kamudzira kuti basa fuma rakatanga rayo basa zvokuporesa. Zvinotonyanya yepamusoro iri "nitroglycerin-pfapfaidzo". Pasinei chokwadi kuti gadziriro izvi zvose zvine chete fuma, mutengo wavo anogona siyana zvikuru zvikuru.

"Nitroglycerin" - mashandiro chiito

Vanhu vakawanda zvichida kuzvibvunza, chii chiri chakavanzika yakadaro Snap-zviito zvinodhaka kuti mwoyo kurwiswa. Mhinduro yose iri musimboti kushanda zvinodhaka. Marwadzo angina pectoris ndiwo mugumisiro kusachengeteka kukuru kuperevedza okisijeni mumwoyo tsandanyama. Bvisa chete nenzira dzakawanda:

1. Wedzerai aibuda okisijeni pamwoyo.
2. Kuderedza kakawanda uye simba mwoyo sunga, kuitira kuderedza yakachena rinodyiwa.

Zvose izvi ndizvo chaizvo inokwanisa kuita "nitroglycerin". Pashure pokugamuchira dzayo kunowedzera kugadzirwa nitric oxide, iyo dilates midziyo ropa, kunyanya mutsinga. Izvi zvinotungamirira ndechokuti mwoyo tsandanyama ipfupi inflow pamusoro venous ropa, uye kakawanda sunga uye simba shoma. Times zvishoma basa, uye zvishoma okisijeni kunodiwa.

Asi mushonga "nitroglycerin" kunowedzerawo nerubatsiro okisijeni mwoyo nokuda pakuwedzera coronary midziyo, uye ichi ndicho chaipo panzvimbo ischemia, iyo inotungamira kuti nokukurumidza rutapudzo pakati angina.

Kubata mishonga inogona kuchengetwa pashure maminitsi mashoma. Just vakakurumidza kuenda nokudzingwa ropa. 40-45 maminitsi Kwapera aenda haazovanzwiri.

zvairatidza

Kune vakawanda zvirwere umo Zvinokurudzirwa "nitroglycerin". Chikumbiro kungada rimwe nguva kana refu. Zvinogona kucherechedzwa pakati zvinotevera zvairatidza:

• Chero Kuratidza angina.
• Coronary vasospasm, izvo zvingaita kuti zviome endovascular tsvakurudzo.
• Myocardial infarction, kunyanya tikafunga neBP.
• Heart kukundikana.

• Tisati neurosurgical akavhiyiwa anogona kushandisa "nitroglycerin". Kushandisa kuti artificially kudzikisa BP.
• Spasm of arteries iri the retina yeziso.
• Dyskinesia zvimwe zvikamu zvomudumbu hurongwa.

Chiremba wenyu ringavakurudzira kushandiswa kupi nokupi. Unogona kusarudza munhu yamunenge kwamuri.

Kana unogona kutora "nitroglycerin"?

Zvakaratidza kuti mushonga inogona kushandiswa kwete bedzi nguva marwadzo, asiwo dzimwe nguva. Somuenzaniso, nokuti kudzivirira kurwiswa, kana uine utano basa kana mupfungwa wagara waziva nezvaro.

Chinowanzoonekwa aendeswa varwere chirwere kuti "angina" kana achikwira masitepisi pamusoro pauriri munhu multistory chivakwa. Zvinokurudzirwa asati kuushandisa mugomo, kunyanya munguva yechando, chena chando uye vhuvhuta ekunze.

Haukwanise kushamiswa kana chiremba iwe panguva yokurwiswa pfungwa nomuviri zvemwana asati, kana biliary colic mishonga "nitroglycerin". Recipe muchiLatin, asi vemishonga mu chemishonga muzvinyorwa yakadaro ainyatsoziva. Kugadzwa kwakadaro kunogona kutsanangurwa ndechokuti mushonga zvakanaka Unotsigira spasm pakati anotsvedzerera tsandanyama ari zvomudumbu turakiti.

Gadzirisa mishonga

Pasinei kuwedzera kukurumbira zvinodhaka ichi, unofanira kurangarira kuti achiri mushonga, saka zvinokosha kuti kutora maererano nemimwe mitemo. Chete nenzira iyi tinogona hunovimbisa kuchengeteka.

Inonyatsobudirira uye inoita nzira yokubatsira ndiyo nzvimbo hwendefa pasi rurimi "nitroglycerin". Sezvo iri mumuromo yakawanda midziyo ropa, mushonga anenge pakarepo wefodya unopinda muropa, uye ikoko kunobva zororo.

Kana ukasarudza kutora piritsi "nitroglycerin", saka zviri nani kuti vagare pasi. Vamwe vanogona kuti musoro wako kuruka, uye mune aakatipa zviitiko kutofenda.

Pakukwegura, mabiko nani kushandisa iri supine chinzvimbo. Panguva kurwiswa Hwendefa vanofanira kuita maminitsi mashoma. Kana marwadzo haugumi, unogona kutora mumwe. Kana pashure maminitsi 15 marwadzo kukapfuurira, unofanira kudana chiremba, kana kuti kuvhara uye myocardial infarction.

Kana wako mushonga cabinet "nitroglycerine" muchimiro samadonhwe, ipapo panguva nokurwadziwa anogona akadonhedza 2-4 anosiya ari shuga kuutio toramba pasi rurimi rwako kusvikira urwa. Vamwe vanokwanisa kuchadonha zvakananga padenga rurimi nanzva kana kunyange chete sefuro sepombi.

Havaregi kuzvidzora kurapwa, kunyange kana uri kuziva zvakanaka "nitroglycerin". Kubva iyo Zvinokurudzirwa kushandisa - munoziva chinhu, asi zvakaipa chipimo chemushonga hwakazara zvakakomba.

Varieties "nitroglycerin"

Munhu wose anoziva kuti zvinodhaka ichi anoita nokukurumidza, asi kwete kwenguva refu. Pari, isu akasika siyana kuti anogona kushanda kwayo kuchirapa zvazviri mumaawa mashomanana. zvinodhaka izvi zvinosanganisira nitroglycerin kuripo, semuenzaniso "Sustak" "Nitrong" "Trinitrolong".

Zvinokurudzirwa kushandisa pachine, vanokwanisa kudzivisa chidzoke vaizorwiswa kwemaawa anoverengeka. The rinoita fuma - nitroglycerin - kutanga iyerere kupinda ropa, saka mishonga izvi kwenguva ya chiito vari kupfuura yaro yepakutanga "mukoma."

Kuwedzera zvinobatsira ichi, vachiri muduku kumhanya chiito, uye ichi zvakakosha chaizvo panguva kurwiswa. Izvi imhaka yokuti havana akaisa pasi rurimi akandoshamba pasi nemvura ukuwo, pane imwe nguva kuti mushonga zvazvichanyungudutswa uye wefodya unopinda muropa.

Naizvozvo, kana kurwisa akabatwa tisingambofungiri, haugoni kuita pasina zvatinosiita "nitroglycerin" muchimiro sublingual mahwendefa.

nemishonga

Chero mushonga anogona nguva dzose kuwana nenjodzi. Ivo akanyorwa Musumo kuti zvinodhaka. Izvi Chokwadi, hazvirevi kuti imwe kushanda zvinoratidzwa pakati penyu, asi iwe unofanira kuziva nezvazvo.

Side chaizvoizvo "nitroglycerin" zvinogona kutsanangurwa nenzira yokuti dilates midziyo ropa. Zvinosanganisira zvinotevera rwakafanana sadikanwa Migumisiro:

1. Chiso Flushing uye kunzwa inopisa.
2. Headache, nekuti midziyo uropi zvinoshamisa rokuwedzera uye pulsate, kuti dzimwe nguva chinokurwadzai marwadzo simba.
3. inodonha BP.
4. Tinnitus.
5. Ane simba ovhadhozi anogona kuitika dhirika, kusvikira kufenda.
6. Svoto uye kurutsa kungava kunyange kurwadza nechigaro.
7. Dermatitis.

Long-nokuita mhando dzose zvinodhaka kungaita yakafanana nemishonga. Zvinokosha kucherechedza kuti vari kurapwa kwenguva yakareba kwavari anotanga kubudisa muropa, saka marwadzo "nitroglycerin" uye nezvimiro zvayo iri yekudyidzana wakaderedzwa kana kunyange kunyangarika.

The kakawanda dosing

varwere vaya vanotambura mwoyo kurwiswa kazhinji vanoedza kutsungirira marwadzo uye regai kutora "nitroglycerin". Asi hazvina kubatsira mumamiriro ezvinhu aya. Kana Kurwisa hakusi kurega, kurwadziwa kungawedzera, ipapo kubvisa zvingaoma zvikuru.

In Muzviitiko zvakaipisisa, vamwe varwere mukati rimwe zuva anogona kutora mapiritsi anopfuura 50. Doctors funga dose ezvinhu zvikuru kunzwisisa.

masayendisiti Most vari kutsvakurudza zvinodhaka ichi, zvinofungidzirwa kuti dzose kurishandisa kungaita kuti vanetsane - enhancement kuti nepfari maitikiro uye simba.

Saka, mubvunzo kana tinogona kutora "nitroglycerin", mhinduro yacho iri pachena chete akanaka, asi zvakadaro regai kuita pasina chiremba yokurumbidza uye makuru mishonga.

Contraindications

Mumwe chigadzirwa nguva dzose ine mazita contraindications, saka regai kukurumidza kuenda chemishonga uye kutenga mishonga pasina mushonga.

"Nitroglycerin" chero wawo zirokwazvo contraindicated zvinotevera zvirwere:

• Low BP.
• Kupererwa neropa.
• Chenjera myocardial infarction.
• Kweropa matambudziko.
• Pulmonary edema.
• Yemaziso.
• Alcohol kudhaka.
• Nevanga.
• Heart kuremara.
• Pregnancy.
• Thyroid matambudziko.
• Itsvo uye chiropa kukundikana.

Musatora "nitroglycerine" iri chiitiko kuti uri kubatwa zvinodhaka "sildenafil".

Kana zvikaitika yomwoyo, uye kana nhoroondo yako kugamuchirwa "nitroglycerin" contraindicated, zvinokurudzirwa kukurukura nachiremba wako chii mishonga unogona kutora iyi.

Havaratidzi akashivirira "nitroglycerin"

Vamwe mishonga paakaudzwa unopinza anzwe nemusoro, dzungu, uye vanotanga kudavira kuti havana kukodzera chezvinodhaka. Asi ichi imhaka vasodilating kwayo chiito. Akadzokorora dose ichi kurege kuitika, kana kuti zviratidzo vacharatidza pachavo zvakawanda zvinyoronyoro.

Kana nguva dzose mabiko unonzwa kurwara, kutarisana kurwadziwa ari musoro, iwe unofanira kukurukura nachiremba wacho feasibility kushandisa chokushandisa ichi.

With kakawanda yokurwiswa angina pectoris mushonga woga kunogona kukuponesa panguva yakaoma nguva, saka musaita nezviratidzo nemishonga yokutanga pakarepo kupa naro. Edza kuderedza uwandu husingakuvadzi uye kukurukura mamiriro nachiremba wako.

chengetedzo mamiriro

Pashure kutenga chero mushonga zvakafanira kwete chete kutora maererano nemirayiridzo kana vanorumbidza ari chiremba, asi kuchengetera pasi zvimwe ezvinhu. "Nitroglycerin" haigoni akaguma chiedza. By chiito chake, pakarepo anotanga kuputsa, chinhu chimwe chinoitika noushamwari nzvimbo.

Kuti izvi zvisaitike, mushonga zvinofanira kuchengetwerwa mufiriji. Kana uri chiremba waakaudzwa "nitroglycerin" (yokuwana muchiLatin), uchava zvakakwana pamusoro mirayiridzo vakauya naro. Ipapo unogona kuverenga pamusoro okuchengetera zvinodiwa zvose.

Mirayiridzo inogona kuonekwa chinhu chakadai kuti rinokurudzira kuti urambe "nitroglycerin" kuti pasuru, izvo akatengesa. Izvi zvinogona kutsanangurwa ndechokuti sefuro nemvere kubatwa chaiyo sezvamunoita, iyo inobatsira kuchengetedza zvivako zvinodhaka.

Kamwe iwe uncork kavha, "nitroglycerin" uye uchiwirirana yose ezvinhu ose okuchengetera haagoni kuramba yayo somushonga unhu kwenguva refu. Nechekare pashure vaviri mwedzi waro kunyatsoshanda anodonhedza kusvika 30%. Panyaya iyi, mumwe yakatsiga zvikuru Kamudzira.

Kana uri kushandisa zvinodhaka izvi kakawanda, zviri zvikuru zvakakodzera hwendefa, uye kana kashoma, zvakanakisisa kutenga pfapfaidzo kuti ane refu pasherufu upenyu.

Kana usingade kuenda kutora mumugwagwa ane chinu kana kavha mahwendefa, uye ukasarudza mashoma zvidimbu wakaputirwa napkin akaiisa handbag yako, haugoni vanotoedza, mushure nezvifambiso mishonga haangaiti kukubatsira.

Tips uye zvakapesana mutambo

Pasinei chokwadi kuti vakawanda vedu tinoziva kuti "nitroglycerin", izvo zvinobatsira kuva ngozi kamwe zvakare kuyeuchidza zvikurukuru kushandiswa kwayo:

1. Regai kutya zvikuru nemusoro pashure kutora mushonga, zvinonzi kuti mushonga yakatanga basa rayo. A shoma nzira manzwiro akadaro asisiri anokukanganisa here.
2. Kana iwe achitambura angina, ari "nitroglycerin" vanofanira kugara nyore.
3. Kana mwoyo kurwiswa anodiwa kwete kushandisa capsules dzine mafuta mhinduro iyo yakareba kunyura.
4. Kana iwe tora mushonga kwenguva refu, migumisiro riri zvinoshamisa ipfupi, saka unofanira kutora rimwe zororo.
5. In pamberi nezvirwere ziso kutora "nitroglycerin" inomirira pamwe chakazara kutarisirwa.
6. Kana akaderedza kumanikidzwa kunwa mushonga uyu nani kuti kunonoka, zvikasadaro nayo angawa zvikuru, uye munhu anorasikirwa kuziva.

Kunoshamisa mugumisiro "nitroglycerin" hapana mubvunzo, hazvishamisi kuti kwemakore anopfuura 100, masayendisiti kugona wekuvamba munhu anobudirira mushonga nokuda angina pectoris. Asi pasinei izvi zvose, achitora muviri chinofanira kunoparirwa zano chiremba pamwe mishonga yose, kuti arege kukuvadza utano hwavo.