Wednesday, August 22, 2012

There are many dividing taboos of using medicine of glaucoma

There are many dividing taboos of using medicine of glaucoma
There are many dividing taboos of using medicine of glaucoma
The main reason why glaucoma is blind is that higher intraocular pressure can't be controlled, thus cause optic atrophy. It is blind to prevent glaucoma from causing, besides needing to carry on effective lowering the intraocular pressure treatment, also avoiding some will cause the raised situation of the intraocular pressure, if does not use some medicines appropriately, will cause the intraocular pressure to rise sharply, will lose one's sight within short time. Close the angle type glaucoma taboo and use medicine Raised reason the intersection of room and passway that ink discharge under eyes ' Namely front room corner) Very narrow, even stop up. Use any kind will make the intersection of room and the intersection of corner and narrow medicine that aggravate, will make room corner close and the intersection of room and water guide difficult causing intraocular pressure rise, aggravate condition. Resist the intersection of choline and medicine, have atropine and their derivative such as east Hyoscyami alkali, belladonna, foreign beauty, Datura metel L. and bromine propanthaline mainly ' General Ruben is hard) , bromine first amine very much forest( The bromine one is hard) , Guerron bromine ammonium ( Stomach Changning) , fragrant bromine ammonium ' Fit the stomach efficaciously) , ground fifth more amine ' The stomach is fitted) , place moors bromine ammonium ' The stomach is joyous) , hydrochloric acid the intersection of shellfish and that take the place of Qin ' The stomach replies the health) , bromine first atropine( Ulcer of stomach is flat) When. Resist ergamine medicine the intersection of hydrochloride and diphenhydramine, phenergan, chlorine the intersection of benzene and that quick ' Chlorpheniramine) , comparable to the intersection of age and pyridine, cloth, can set up piperazine, American the intersection of Chloe and piperazine, the intersection of benzene and the intersection of indeno and amine,etc., have certain resisting choline function to resist ergamine medicines too, can raise the intraocular pressure, aggravate glaucoma and patient's condition, it is used that should be careful. Resist paralysis agitation and medicine benzene sea to ask for ' Trihexyphenidyl) , it is efficacious to fix (Kmart third ring, open the horse monarch) , first the intersection of sulfonic acid and benzene pitch product of asking ' Benzyl holds products) , stand, publish than the piperazine ' Fit one gram of convulsions) , Buddha's warrior attendant alkane amine ( The intersection of Buddha's warrior attendant and amine) Wait for medicines to have centre that resist choline function too. Expand vascular medicine, have the intersection of nitric acid and ester type such as Nitroglycerin, long-efficiency Nitroglycerin, 4 nitre ester of fifth mainly ' Inferior nitric acid different fifth ester) , different mountain pear ester ' Subdue the regret) When. This kind of medicine is expanding the coronary artery effectively, while it is ischemic to improve the cardiac muscle, also expand the retinal blood vessel, impel water of the room to turn into and increase, increase the intraocular pressure, it is apt to cause the narrow front room corner to close that the blood vessel is expanded in the eyes at the same time. So, close the glaucoma patient of the angle type carefully and use the nitric acid ester medicine. When the coronary heart attack must employ the nitric acid ester medicine, the dosage should not be large, time should not be long to use medicine, and pay attention to the manifestation that observes glaucoma and becomes more serious. Quite a lot of glaucoma patients suffer from the anxious disease, the sleep disorder at night in stable type medicine, need, take medicine, come, relieve nervous and anxious and improving the sleep. The stable type medicine including stable and base stable, easy Lean of derivative nitre is made etc., belong to and resist the anxious type medicine, it is anxious and tense and improving function of sleep,etc. to set the mind at rest, reduce. But there is function of flaccid muscles at the same time in this kind of medicine, will aggravate front room corner narrowly, even stop up, close the glaucoma patient of the angle type to need to forbid or careful and use. Some traditional Chinese medicine substantially as including the belladonna alkaloid belladonna, foreign beauty, henbane seed, at a disturbance of sheep spend and heat join ' Hua ShanCan) , Datura metel L. and the intersection of preparation and heat join stretch, stop, breathe heavily the intersection of fairy and parenteral solution, belladonna tincture ' Slice) , the intersection of heart and treasure, the intersection of coronary artery and Su,etc., have summer and preparation there is no block (eye drops) in summer When resisting choline to act on. Primary to hold horn taboo administration primary to turn on horn glaucoma and close horn different glaucoma glaucoma, the raised reason of the intraocular pressure is not because angle of room is narrow to stop up, the room corner is on condition that open, penetrating but very bad, can't discharge the intersection of room and water, cause intraocular pressure to be unstable smooth, it is sometimes high and sometimes low. A bit so-called " Normal intraocular pressure glaucoma " The patient opens angle type glaucoma too, it seems that the intraocular pressure is normal, in fact the flowability of water of the room is deficient too on the surface, the basic intraocular pressure of the people is on the low side, once the intraocular pressure rises, it is difficult to be found. If use some water of reduction room to list the penetrating medicine, will make the intraocular pressure rise and out of control. The more serious one is, the condition that this kind of medicine causes worsens, patient has not often felt and subjective symptoms, it is very easy to be neglect, until the condition worsens, the optic nerve withers seriously, looking at the function finally is perceived while losing seriously. Often there is so painful an example on clinic, must cause the great attention of medical worker and glaucoma patient. Primary to hold the taboo administration of the glaucoma patient of the angle type to include: It is penetrating that cortical hormone medicine, this kind of medicine, can reduce water of room in the room corner. Cortisone, loose ' Prednisone) , if you can't fill in on rice, loose, splash by dragon on Buddhist nun loose ( Hydrogenate and splash the Buddhist nun loose) Eye drops,etc.. Show according to observing, after using together for 2- 4 weeks, 35% of the patients will bring out glaucoma, so need to control and use. If need long-term user, should check the intraocular pressure regularly. Need to pay attention to, some contain cortical hormone type eye drops, often used in resisting the inflammation treatment of eyes diseases such as conjunctivitis,etc., the result is obvious after using, very comfortable behind an eye, patients are prone to dependence. But because the intersection of medicine and name its tell, contain hormone, turn on corner type glaucoma once long term administration usually, extremely apt to make the condition worsen, the intraocular pressure is out of control. So before dripping and using eye drops, must confirm that does not contain the hormone medicine. In addition, the oral cortical hormone medicine, will cause the intraocular pressure to rise too for a long time. Some are even the not who does not have glaucoma normal people, sensitive to cortical hormone medicine, drip for a long time cortical hormone, behind the medicine, the intraocular pressure can rise too with use all over, produce " hormone glaucoma " . Suffer from catarrhal conjunctivitis, anaphylactic conjunctivitis,etc. to need, use cortical hormone medicine person frequently spring on being clinical, especially cause and highly look out, measure the intraocular pressure regularly, prevent complication from producing. Point out: Glaucoma types are different, medicine kinds avoiding being used are different to some extent too, once the mistake of using medicine, the consequence is very serious. Should report oneself and suffer from glaucoma and present therapeutic situation to the doctor at first while proposing the glaucoma patient needs to use medicine, choose to use medicine with the favourable doctor. The patient should grasp basic general knowledge that some glaucoma administration avoids too by oneself, pay attention to avoiding using the above-mentioned relevant medicine, report the situation of the other medicines used to the oculist recently while going to a doctor in the ophthalmology department at the same time, serious complication that in this way, can avoid the medicine brings.


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