Magnesia ngenhliziyo

I-Magnesia (i-magnesium sulfate) iyisidakamizwa esitholakalayo njengesisombululo se-injection yangaphakathi ne-intravenous, kanye nesimo se-powder sokulungiselela ukumiswa ngomlomo. Isidakamizwa sinalo i-vasodilator, i-spasmolytic (ene-analgesic effect), i-anticonvulsant, i-antiarrhythmic, i-hypotonic, i-tocolytic (izimbangela zokuphumula kwezibeletho ezibushelelezi zesisu), izakhiwo ezibuthakathaka, izidakamizwa nezinyathelo zokuphumula.

Umphumela othize walesi sikhungo uncike kumthamo kanye nemodi yokuphatha.

UMagnesia usetshenziswe nini?

Izinkomba zokusungulwa kweMagnesia ngokweqile:

• Inkinga enkulu;
• i-edema yobuchopho ;
• ukukhathazeka;
• i-eclampsia;
• usongo lokuzalwa ngaphambi kwesikhathi (ikakhulukazi ngenxa yokuntuleka kwe-magnesium);
• ukuntuleka kwe-magnesium egazini;
• isithuthwane;
• i-arramthmia noma i-tachycardia;
• kwanda umsebenzi wengqondo nokwesaba;
• ukuxuba.

Isidakamizwa asisetshenzisiwe ku-trimester yokuqala yokukhulelwa nangaphambi kokuzalwa. Futhi, i-magnesium sulfate iphikisana lapho:

• umfutho wegazi ophansi;
• i-bradycardia;
• i-atrioventricular blockade;
• Izikhungo zokuphefumula;
• ukwehluleka kwenqunu;
• ukuvimbela emathunjini;
• ukuphelelwa amandla kwamanzi .

Awukwazi ukuqhubeka ukuphuza imithi uma kwenzeka umuntu aphendule.

Imiphumela emibi yokusetshenziswa kwe-Magnesia

Ukwethulwa kwesidakamizwa kungenziwa:

• ubomvu buso;
• ukuthuthumela;
• i-bradycardia;
• umbono ongenakwenzeka;
• ikhanda.

Uma kwenzeka ukudlula ngokweqile kungenzeka ukuba ucindezele umsebenzi wenhliziyo nesistimu yezinzwa. Njengoba i-magnesium ephakeme kakhulu (ngokuphathwa okusheshayo kwesidakamizwa), kungenzeka ukuthi:

• isicasuli;
• ukuhlanza;
• isifo sohudo;
• polyuria (ukwandiswa komchamo wamanzi).

Indlela yokuphatha i-Magnesia ngenhlonipho?

Ukuze kusetshenziswe ama-injection yangaphakathi ne-intravenous, isisombululo se-25% se-magnesia ku-ampoules sisetshenzisiwe. Ngoba ukuphathwa okusheshayo kwesidakamizwa kungabangela izinkinga eziningana, ngoba isicelo se-Magnesia singenwe yisisombululo saline noma isisombululo se-5% seglucose futhi sijojowe ngamaconsi. Uma kwenzeka imiphumela emibi njengesizungu, ikhanda, inhliziyo encane, isiguli kufanele sikhulume ngokushesha kumhlengikazi. Ngesikhathi ukwethulwa kwe-magnesia kungabonakala kuvutha emvinini, ngokuvamile uvame lapho izinga lokuphathwa kwezidakamizwa liyehla.

Umthamo owodwa wesidakamizwa uvame ukutholakala nesisombululo se-25% se-25%, ezimweni ezinzima kuvunyelwe ukuthi ukwandise umthamo ube ngu-40 ml. Kuye ngezibonakaliso nesimo sesiguli, i-Magnesia ingasetshenziswa kabili ngosuku. Ekuhlulekeni okungapheli komuthi, isidakamizwa kufanele sisetshenziswe ngokucophelela nangesilinganiso esincane.