Nitrate: Ntchito, zopangidwa wamba, ndi zambiri zachitetezo

Info Info Nitrate ndi mankhwala a vasodilator omwe amagwira ntchito pochepetsa komanso kutsekula mitsempha ndi mitsempha

Nitrate mndandanda | Kodi nitrate ndi chiyani? | Momwe amagwirira ntchito | Ntchito | Mitundu | Ndani angatenge nitrate? | Chitetezo | Zotsatira zoyipa | Mtengo

Kodi mudamvapo za mawu akuti angina kapena angina pectoris? Awa ndi mawu azachipatala a kupweteka pachifuwa chifukwa cha matenda amtima kapena matenda amtima. Monga tafotokozera ndi American Mtima Association , kupweteka pachifuwa kumachitika pamene mtima sukupeza magazi okwanira, nthawi zambiri chifukwa cha mitsempha yochepetsetsa kapena yotseka (ischemia).

Kupweteka pachifuwa kumatha kumva ngati kupsinjika kosakwanira, kukhuta, kufinya, kapena kupweteka pachifuwa. Ululu ukhozanso kupezeka m'malo ena monga khosi, nsagwada, phewa, kumbuyo, kapena mkono. Ngati muli ndi mitsempha yopapatiza, magazi okwanira amafika pamtima mukakhala pansi kapena kupumula, koma mukamachita khama, monga poyenda kapena ndikutchetcha kapinga, mtima umafuna mpweya wambiri, ndipo mumamva kupweteka pachifuwa. Kuphatikiza pa kuchita masewera olimbitsa thupi, zovuta zina pachifuwa zimatha kuphatikizira kupsinjika, kutentha kapena kuzizira, kudya kwambiri, kapena kusuta.

Kupweteka pachifuwa kumamvanso chimodzimodzi nthawi zonse, kumatenga mphindi zingapo ndipo kumasulidwa ndi kupumula komanso / kapena mankhwala (nitroglycerin). Nitroglycerin imachepetsa mitsempha ndi mitsempha yamagazi kuti zithandizire magazi ambiri kufikira pamtima. Nitroglycerin ndi mankhwala ena a nitrate amapezeka m'njira zosiyanasiyana kuti athetse kapena kupweteka pachifuwa. Pitirizani kuwerenga kuti mudziwe zonse za mankhwala a nitrate.

Mndandanda wa nitrate
Dzina Brand (dzina generic)	Avereji ya ndalama	Kusungidwa kwa SingleCare	Dziwani zambiri
Imdur, Ismo, Isotrate (isosorbide mononitrate)	$ 113 pa 100, mapiritsi a 30 mg	Pezani ma coupon a isosorbide mononitrate	Zambiri za Isosorbide mononitrate
Isordil (isosorbide dinitrate)	$ 59 yama 30, mapiritsi a 30 mg	Pezani ma coupon a isosorbide dinitrate	Zambiri za Isosorbide dinitrate
Minitran (nitroglycerin transdermal chigamba)	$ 66 pa bokosi limodzi la zigamba 30	Pezani nitroglycerin transdermal patch coupons	Zambiri za Nitroglycerin transdermal patch
Nitro-Bid (mafuta a nitroglycerin transdermal)	$ 76 pa 1 chubu (30-gramu kukula)	Pezani ma nitoni a nitroglycerin transdermal	Zambiri zamafuta a Nitroglycerin transdermal
Nitro-Dur (nitroglycerin transdermal chigamba)	$ 66 pa bokosi limodzi la zigamba 30	Pezani nitroglycerin transdermal patch coupons	Zambiri za Nitroglycerin transdermal patch
Nitrolingual (nitroglycerin sublingual pump spray)	$ 322 pa botolo limodzi	Pezani nitroglycerin timapepala tating'onoting'ono tomwe timapopera	Zambiri za nitritlylyin pampu
Nitromist (nitroglycerin) zilankhulo zotsitsi	$ 399 pa botolo limodzi	Pezani ma couponist a Nitromist	Zambiri za Nitromist
Nitrostat (mapiritsi ang'onoang'ono a nitroglycerin)	$ 68 pa bokosi limodzi la mapiritsi 100 (mabotolo 4 a 25)	Pezani mapiritsi amtundu wa nitroglycerin	Mapiritsi a Nitroglycerin okhala ndi mawu ochepa
Nitro-Time (makapisozi apakamwa a nitroglycerin)	$ 65 ya 60, 2.5 mg makapisozi	Pezani ma coupon a Nitro-Time	Zambiri za Nitro-Time
Rectiv (nitroglycerin) mafuta onunkhira	$ 1010 pa chubu chimodzi	Pezani ma coupon a Rectiv	Zambiri za Rectiv

Ma nitrate ena

Mankhwala ena omwe ali ndi nitrate omwe simungagule ku pharmacy ndi awa:

• Nitropress (sodium nitroprusside): mankhwala amphamvu operekedwa ngati kulowetsedwa m'mitsempha. Nitropress nthawi yomweyo imachepetsa kuthamanga kwa magazi pamavuto oopsa. Mankhwalawa amapezeka kwambiri muzipatala.
• Amyl nitrite, butyl nitrite: Ngakhale ndizosaloledwa komanso kuzunzidwa, awa amatchedwa opopera ndipo amatha kuyanjana koopsa ndi mankhwala ena monga mankhwala osokoneza bongo a erectile Zotsatira . Ngakhale izi ndizosaloledwa, ndipo sizipezeka ku pharmacy iliyonse, ndikofunikira kudziwa kuti ali ndi nitrate.

Kodi nitrate ndi chiyani?

Nitrate amadziwika kuti mankhwala a vasodilator. Amakulitsa mitsempha yamagazi, kulola magazi ambiri kufikira pamtima. Nitrate amachiza kupweteka pachifuwa ndi zizindikilo za kulephera kwa mtima. Ma nitrate amapezeka m'njira zosiyanasiyana kuti athetse kapena kupweteka pachifuwa.

Kodi nitrate imagwira ntchito bwanji?

Nitrate amasangalala ndikutulutsa mitsempha ndi mitsempha, kuphatikiza mitsempha yamatenda. Njirayi imathandizira kuchepa, imathandizira kukonza magazi, komanso imathandizira kukonza zizindikilo za kupweteka pachifuwa. Ma nitrate amapezeka munjira zingapo, monga tafotokozera pansipa.

Kodi nitrate amagwiritsidwa ntchito bwanji?

Ma nitrate ena amagwiritsidwa ntchito kupewa angina pectoris chifukwa cha matenda amtima (matenda amitsempha yamagazi). Izi zimaphatikizapo nitrate yayifupi komanso yotenga nthawi yayitali ngati mapiritsi am'kamwa ndi makapisozi, komanso ma transdermal (zigamba), ndi mafuta opaka m'mutu omwe ali ndi nitroglycerin. Zogulitsazi sizigwira ntchito mwachangu mokwanira kuti zilepheretse kupweteka pachifuwa, chifukwa chake zimagwiritsidwa ntchito popewa kupweteka pachifuwa.

Mankhwala ena a nitrate amavomerezedwa ndi a FDA (U.S. Food and Drug Administration) ndipo amagwiritsidwa ntchito pampumulo waukulu wa kuukira kapena koopsa kwa angina pectoris chifukwa cha matenda amitsempha yamitsempha. Izi zimaphatikizapo mapiritsi a nitroglycerin, Nitrolingual spray, ndi Nitromist. Amagwira ntchito mwachangu kuti athetse kupweteka pachifuwa, kapena atha kugwiritsidwa ntchito asanayesetse kupewa kupweteka pachifuwa.

Rectiv ndi mafuta a nitroglycerin omwe amagwiritsidwa ntchito mobwerezabwereza kuti azitha kupweteka pang'ono chifukwa cha zotupa zamatako.

Mitundu ya nitrate

Nitrate akhoza kukhala kugawidwa ndi momwe amagwiritsidwira ntchito.

Zolemba zingapo za nitroglycerin

Mankhwala osokoneza bongo ndi mankhwala omwe amagwiritsidwa ntchito pansi pa lilime. Mitundu iwiri ya nitroglycerin imagwiritsidwa ntchito pochiza mwadzidzidzi kupweteka pachifuwa kapena kupewa kupweteka pachifuwa pochita zinthu zomwe zingayambitse kupweteka pachifuwa, monga kuchita masewera olimbitsa thupi.

Fomu yamapiritsiyo ndi mankhwala omwe amagwiritsidwa ntchito kwambiri pamitundu ingapo. Pomwe wodwala amakhala pansi, piritsi limodzi limayikidwa pansi pa lilime ndipo limayamba kugwira ntchito mphindi zochepa. Mlingowo ukhoza kubwerezedwa mpaka kawiri (kupatula mphindi zisanu) ngati kupweteka pachifuwa sikutha. Pambuyo pa mphindi 15, ngati ululu sukuchoka, itanani 911.

Mitundu ingapo ya nitroglycerin imapezekanso mu mawonekedwe a kutsitsi, omwe sakhala odziwika bwino kuposa mawonekedwe am'ma piritsi. Zitsanzo za zilankhulo zingapo za nitroglycerin zimaphatikizapo mapiritsi a Nitrostat, kutsitsi kwa Nitrolingual, ndi kutsitsi kwa Nitromist.

Nitrate wamlomo

Nitrate wamlomo amagwiritsidwa ntchito popewa ndikuwongolera angina, koma osachita zoopsa. Nitrate wamlomo amaphatikizira isosorbide dinitrate ndi isosorbide mononitrate (kutulutsidwa mwachangu kapena kutulutsa kwina).

Transdermal nitroglycerin

Zotulutsa za Transdermal nitroglycerin zimaphatikizira zigamba monga Minitran, Nitro-Dur, ndi generic nitroglycerin transdermal patches. Zigawozi zimapereka mlingo wa nitroglycerin wokhazikika. Chigambacho chiyenera kuchotsedwa tsiku lililonse kuti pakhale nthawi yopanda nitrate malinga ndi kukhazikitsidwa ndi woyikirayo. Mwachitsanzo, anthu ena amapaka chigamba m'mawa ndikuchotsa nthawi yogona, pomwe ena amathira chigamba usiku ndikuchotsa m'mawa.

Ndani angatenge nitrate?

Kodi amuna amatha kutenga nitrate?

Amuna akulu amatha kumwa ma nitrate, bola ngati asagwere m'gulu lazoletsa pansipa. Komanso, amuna achikulire sangathe kutenga nitrate kuphatikiza Kulephera kwa erectile mankhwala monga Viagra kapena mankhwala ena omwe atha kugwiritsidwa ntchito ndi ma nitrate.

Kodi amayi amatha kumwa nitrate?

Amayi achikulire amatha kumwa ma nitrate, bola ngati sakugwera mgulu lazoletsa zomwe zili pansipa, ndipo ngati samwa mankhwala aliwonse omwe amagwirizana ndi nitrate. Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, funsani akatswiri azachipatala kuti akupatseni malangizo okhudzana ndi mankhwala a nitrate.

Kodi ana angatenge nitrate?

Nitroglycerin sinawerengedwe kuti ndi yotetezeka kwa ana.

Kodi achikulire amatha kutenga nitrate?

Pulogalamu ya kupereka chidziwitso Kwa nitrate imati mwa achikulire, kusankha kwa mlingo kuyenera kusamala, kuyambira kutsika mpaka kuwerengetsa kuchepa kwa chiwindi, impso, kapena mtima. Dokotala wanu amatha kudziwa mlingo woyenera ngati pakufunika kusintha.

Kodi nitrate ndi otetezeka?

Nitrate akukumbukira

Palibe zokumbukira pakadali pano.

Nitrate zoletsa

Nitrate ali ndi zotsutsana zingapo (zochitika zomwe siziyenera kugwiritsidwa ntchito) mwa anthu ena. Musatenge nitrate ngati:

• Mukutenga PDE-5 (phosphodiesterase type 5) inhibitor ngati alireza , avanafil, tadalafil , kapena vardenafil -Kuphatikizako kungayambitse kuthamanga kwa magazi (hypotension) ndikukomoka.
• Mumatenga guanylate cyclase stimulator ngati riociguat-kuphatikiza kungayambitse kuthamanga kwa magazi.
• Muli ndi kuchepa kwa magazi m'thupi kwambiri.
• Mwachulukitsa kupanikizika kosagwirizana.
• Matupi anu sagwirizana ndi nitroglycerin kapena nitrate.
• Mukulephera kuzungulira magazi kapena kudodometsedwa.

Zisamaliro zina:

• Kugwiritsa ntchito kwambiri nitrate kumatha kubweretsa kulolerana. Funsani dokotala wanu, yemwe angakuuzeni mlingo woyenera wa mankhwala ndi ndandanda yoletsera kulolerana.
• Nitrate imatha kukulitsa kupweteka pachifuwa komwe kumachitika chifukwa cha hypertrophic cardiomyopathy (vuto lomwe minofu yamtima imakhala yayikulu kwambiri).
• Ma nitrate amatha kupweteka mutu, makamaka mukayamba kumwa mankhwala a nitrate. Kupweteka kumatha kukhala koopsa koma nthawi zambiri kumatha pakapita nthawi. Funsani akatswiri azachipatala anu kuti akupatseni upangiri wokhudza kupweteka kwa mutu ngati kuli kofunikira.
• Ngati mukugwiritsa ntchito mapiritsi ang'onoang'ono a nitroglycerin, sungani mu firiji mu chidebe choyambirira chamagalasi ndikutsekera mwamphamvu mutagwiritsa ntchito. Funsani wamankhwala wanu za tsiku lomaliza ndi zofunikira zina zosungira.
• Kuthamanga kwambiri kwa magazi kumatha kuchitika, makamaka kwa odwala omwe ali ndi vuto linalake la mtima, kutaya madzi m'thupi, kapena omwe ali ndi vuto lotsika magazi. Izi zitha kuchitika ngakhale ndi miyezo yabwinobwino. Zizindikiro monga kunyansidwa, kusanza, kapena kukomoka kumatha kuchitika.
• Kuthamanga kwa magazi kumawonekeranso kwambiri mukakhala pansi kapena mutakhala pansi. Odwala ena amatha kukomoka chifukwa cha izi. Chiwopsezo chochitika chimakhala chachikulu mukamamwa mankhwala ena omwe amachepetsa kuthamanga kwa magazi kapena ngati wodwalayo alibe madzi.
• Mankhwala ogwiritsidwa ntchito Kulephera kwa erectile , monga Viagra, Cialis, Levitra, kapena Stendra, sayenera kugwiritsidwa ntchito limodzi ndi mankhwala a nitrate. Kuphatikizana kungayambitse kuchepa kwa magazi.
• Ma nitrate amathanso kuyanjana ndi mankhwala ena, monga kuthamanga kwa magazi (mankhwala a matenda oopsa), kuphatikiza calcium channel blockers, beta blockers, ACE inhibitors, ndi ena. Nitrate amathanso kulumikizana ndi mankhwala ena amtima, migraine, mankhwala ena opatsirana, komanso chifuwa cha OTC ndi mankhwala ozizira.
• Pewani mowa mukamamwa mankhwala a nitrate, chifukwa amatha kuchepetsa kuthamanga kwa magazi.
• Funsani dokotala wanu za madzi okwanira kuti muteteze kutaya madzi m'thupi.
• Uzani dokotala wanu za matenda omwe muli nawo komanso mankhwala onse omwe mumamwa, kuphatikizapo mankhwala, pa-counter, ndi mavitamini, kuti athe kudziwa ngati nitrate ndi yabwino kwa inu.

Kodi mungamwe nitrate mukakhala ndi pakati kapena mukuyamwitsa?

Funsani dokotala wanu ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena mukuyamwitsa. Pali zambiri zochepa pazogwiritsa ntchito nitrate mwa amayi apakati ndi oyamwitsa. Dokotala wanu akhoza kukupatsani upangiri wokhudza zamankhwala a nitrate mukakhala ndi pakati kapena poyamwitsa.

Kodi nitrate amayang'aniridwa ndi zinthu?

Ayi, nitrate sali zinthu zolamulidwa .

Zotsatira zoyipa za nitrate

Zotsatira zoyipa kwambiri za mankhwala a nitrate ndi monga:

• Kupweteka mutu
• Mutu wopepuka kapena chizungulire (okalamba amakhala pachiwopsezo chachikulu ndipo ayenera kusamala nyengo yotentha), zomwe zitha kuwonetsa kuchepa kwa madzi m'thupi
• Kuthamanga
• Kuchuluka kwa kugunda kwa mtima (tachycardia)
• Kuthamanga kwa magazi

Zotsatira zina zimatha kukhala kufooka, kugundagunda, kunyansidwa, kusanza, kutuluka thukuta, kukomoka, kukomoka, kupumula, kusawona bwino, kapena khungu.

Zotsatira zina zimatha kuchitika. Lankhulani ndi zamankhwala za zovuta zomwe mungayembekezere komanso momwe mungazithetsere.

Kodi nitrate amawononga ndalama zingati?

Mtengo wa mankhwala anu a nitrate umadalira kapangidwe kake, kuchuluka kwake, kuchuluka kwake, ndi kupezeka kwa mtundu kapena mawonekedwe achibadwa. Funsani dokotala wanu ngati mankhwala omwe akufuna kuti akupatseni amapezeka motere.

Mutha kugwiritsa ntchito mfulu nthawi zonse Khadi la SingleCare kusunga mpaka 80% kuchotsera mankhwala anu a nitrate ndikubwezeretsanso. Ndi khadi lathu laulere la SingleCare ndi ma coupon, mutha kulipira ndalama zosakwana $ 10 pamitundu ina ya nitrate yomwe imapezeka mu generic form.