Umuthi 'nitroglycerin ". imfundo

Nitroglycerine iphathelene nitrate kuyinto vasodilatory ejenti. Umuthi isetshenziswa izifo ezihlobene yisimiso senhliziyo nemithambo yegazi.

Nitroglycerin. ukukhululwa Ifomu

Umuthi iyatholakala ukusetshenziswa ngesimo amathonsi sublingual, aerosol (alinganisiwe), capsule, spray, amaphilisi. Ngaphandle, it akhishwe futhi nitroglycerin wamafutha, ifilimu ukuba kunanyathelwe esifundeni gum, a CONCENTRATE ngokwenza isixazululo ukumnika, amaphilisi, wasekela (nokunwetshiwe) senzo.

Umuthi kuboniswa ngenxa angina (njengoba prophylaxis kanye nokwelashwa), isilethikusebenza (sokulungiswa kabusha). Intravenous kusho "nitroglycerin" imfundo evumela wamaphaphu edema, occlusion of the ephakathi Umthambo ngwengwzi. Ngaphezu kwalokho, imijovo asetshenziselwa acute isilethikusebenza (acute kwesokunxele ukwehluleka ventricular ukugeleza eziyinkimbinkimbi ezihlanganisa) postinfarction, angina engazinzile, hypotension elawulwa phakathi nezinqubo kuhlinzwa ukunciphisa ukopha endaweni yokusebenza.

Nitroglycerin. Umthamo lwemithi

Ukuze esiqoshiwe angina, sublingual (ngaphansi kolimi) Kunconywa ukuthatha capsule eyodwa noma ithebhulethi. Umuthi kugcinwa ukuqedela resorption, ngaphandle kokugwinya. Imithi kufanele kuthathwe ngokushesha ngemva nokuqala kwemihelo-ubuhlungu. Kunconywa 0.5-1 mg ngayinye umthamo owodwa. Isicelo okwengeziwe esibhebheni noma capsule wenziwa emva imizuzu engamashumi amathathu noma engamashumi amane, uma kunesidingo.

Umthamo lwemithi wamafutha akhethiwe Uchwepheshe ngamunye. Ukungabikho inkulumo nomphumela oqabulayo zomuthi isibalo sezikhungo baqashwe ngaphansi kokuqondisa kukadokotela. Kokuqala umthamo nomuthi - 2,5 ikholomu wamafutha.

Nitroglycerin. Imiyalelo. Izimo

Aint enikezwa izidakamizwa ngesikhathi ukusetshenziswa sildenafil futhi hypersensitivity.

Ngokuqapha ezinqunyiwe zonke izinhlobo nomfutho wegazi ophezulu intracranial, oluhambisana unhlangothi, acute isilethikusebenza ngomfutho ongaphakeme ventricular kwesokunxele ukugcwaliswa, igazi kakhulu, ukufiphala kwamehlo (ngenxa ingozi lenyuka ingcindezi intraocular), i-hyperthyroidism, ezingamahlalakhona yisifo senhliziyo ingcindezi ongaphakeme ventricular kwesokunxele ukugcwaliswa, hypotension lwemithambo ongaphakeme systolic blood pressure, hepatic ezinzima, ukwehluleka kwezinso. Ukuphatha i-intravenous kuyadingeka ukuze afeze ngokucophelela iziguli ikhanda ukuhlukumezeka, pericarditis ezakhayo, lapho inhliziyo tamponade, hypovolemia. Isexwayiso e enquma izidakamizwa "nitroglycerin" umyalelo kufanele libukwe futhi kwezinye iziguli ezingaphansi kweminyaka engu-iminyaka eyishumi nesishiyagalombili ubudala, abesifazane abakhulelwe, asebekhulile. Isikali engapheli eyayiqhutshwa amafomu aqokwa ngobumnene at ephakeme peristalsis emathunjini, malabsorption syndrome.

Lapho ebonisa indlela lo izidakamizwa kungaba bekhanda, imfiva, isiyezi, tachycardia, iconsi wegazi. Ezimweni ezingavamile (ngokuvamile, e ukweqisa izidakamizwa) imakwe cyanosis, Orthostatic hypotension.

Ngezinye izikhathi nokukhathazeka kungenzeka retardation, ukusabela zengqondo, ukudideka, pruritus, amawala, contact dermatitis, nemvelo nomzimba, ikhava hyperemia esivuthayo.

Phakathi kokunye, mayelana non ukusabela ezingezinhle uma nithatha izindlela "nitroglycerin" lenkulumo ngokuthi ukuphazamiseka visual (ukuphazamiseka definition), hypothermia, ubuthakathaka.

Uma ukweqisa izidakamizwa kuyinto ukwehla okuphawulekayo wegazi, ukozela, ikhanda elibuhlungu, isicanucanu, imfiva, ukuhlanza, dyspnea. Ukwelashwa nge emthanjeni - umjovo is sinqamukile, transdermal (cutaneous) zisebenzisa - ukususa izinsalela anamathelayo noma amafutha. Isiguli embhedeni ikhanda ekupheleni kwehlisa, imilenze kususwe. Ingcindezi ngokuvamile uhlaliseke imizuzu eyishumi nanhlanu amabili.