Izinzuzo nezingozi zeSodium Nitroprusside
I-nitroprusside ye-sodium iyi- anti-hypertension enamandla kakhulu esebenzisa kuphela ezimweni ezithile lapho ukucindezelwa kwegazi kufanele kube khona ngokushesha futhi kunciphise kakhulu. Isibonelo, iziguli ezibhekene nezimo eziphuthumayo eziphezulu noma ukucindezeleka okukhulu kwegazi ngemuva kwenhliziyo noma ukuhlinzwa kwegazi kunganikwa i-nitroprusside ye-sodium, enegama lomsebenzi we-Nitropress.
Ngaphandle kokwelapha umfutho wegazi ophakeme, i-nitroprusside isetshenziselwa ukwelapha ezinye izimo ezifana nokuhluleka kwenhliziyo yokugcoba futhi nokugcina ukucindezeleka kwegazi okuphansi ngesikhathi sokuhlinzwa okuthile.
I-Sodium Nitroprusside Administration
Ngenxa yokuthi ingenziwa kuphela nge-intravenously, ukusetshenziswa kwe-nitroprusside ye-sodium kuvinjelwe kwisilungiselelo esibhedlela. Ngaphezu kwalokho, i-nitroprusside ye-sodium ingabangela ukunciphisa okukhulu kwegazi futhi okusheshayo okudinga ukuqapha ngokucophelela.
Indlela i-Nitroprusside ye-Sodium esebenza ngayo
I-nitroprusside ye-sodium ingokwezigaba zemithi eyaziwa njenge-NO-release of agents ngoba isebenza ngokukhulula i-nitric oxide. Njengazo zonke ezinye izidakamizwa kulesi sigaba, i-nitroprusside ye-sodium isebenza ngokuziphumuza imithwalo yegazi. Kanye emzimbeni, i-nitroprusside ye-sodium isheshe iphule ibe yi-nitric oxide, i-vasodilator enamandla. Le nitric oxide isebenza njenge-vasodilator, okwenza imisipha ehambisana nemithambo yegazi iphumule, ivumela imithwalo yegazi ngokwandisa.
Njengoba izitsha zegazi zanda, ukucindezeleka kwegazi kwehla.
Ukuwohloka kwe-nitroprusside ye-sodium kuya kwe-nitric oxide kwenzeka ngokushesha kakhulu, ngakho-ke akukho neze ukulibala phakathi kokulawulwa kwezidakamizwa nokunciphisa igazi. Kanye nezenzo zayo zokunciphisa igazi, i-nitroprusside ye-sodium ibuye ishintshe iphethini yegazi eligelezayo ezitsheni ezisondeza inhliziyo, okwenza kube usizo ekwelapheni iziguli ezinenkinga yenhliziyo.
Ezinye izidakamizwa ezifana ne-Sodium Nitroprusside
Izidakamizwa eziningi ezise-nitrate zisetshenziselwa ukwelashwa kwegazi eliphezulu nezinkinga zenhliziyo. I-nitrate emibili i-isosorbide dinitrate ne-nitroglycerin. Zonke izidakamizwa ze-nitrate zingasetshenziswa ukuphatha izinkinga zenhliziyo, kanti ezinye, njenge nitroglycerin, zisetshenziselwa kuphela leyo njongo.
I-Sodium Nitroprusside Side Effects
Umphumela omubi kunazo zonke ohlangothini lwe-sodium nitroprusside yi-poisoning ye-cyanide. Ukuguqulwa kwe-nitroprusside ye-sodium ku-nitric oxide kuveza i-cyanide njenge-product. Ngamanani amancane, leli cyanide liphathwa yi-isibindi, eliyishintsha ibe yikhemikhali elincane eliyingozi elixoshwa ngokushesha emcinini. Ezimweni zokusebenzisa isikhathi eside, noma uma isetshenziswa kakhulu ngesikhathi esisodwa, i-cyanide ingadlula isibindi futhi iholele ekushiseni i-cyanide. Ngaleso sizathu, ukuphathwa kufanele kupheliswe uma ingcindezi yegazi ingalawulwa kahle emva kwemizuzu eyi-10 kumthamo omkhulu. Izimpawu zokuxwayisa zifaka:
- Ukudideka
- I-nausea
- Ukukhathala
Ukwelashwa okuyinhloko nje ukumisa i-nitroprusside ye-sodium futhi inikeze ukunakekelwa kuze kube yilapho umzimba uqeda i-cyanide.
Ukukhetha Ukwelapha Ukucindezelwa Kwegazi Eliphakeme
Nguwe kuphela nodokotela wakho onganquma imithi efanele yokwelashwa kwengcindezi ephakeme yegazi.
Qinisekisa ukwazisa udokotela wakho uma ukhulelwe noma ukondla, futhi ukunikeza amagama kwanoma imiphi iminye imithi kanye / noma izithako ozithathayo. Khumbula ukufaka imithi engaphezu kwemithi, njenge-aspirin noma i-Advil (ibuprofen), ne-herbal / supplements yemvelo.