Rapovets V. A the RVRACH-cardiologist Stenokardija is suddenly arising attack of a warm pain. To remove it, primenjajut nitroglycerine. The medical industry lets out nitroglycerine in forme the tablets containing on 0,0005г. (0,5мг) nitroglycerine; 1 percent spirtovogo a nitroglycerine solution, 3 which drops correspond 0,5мг nitroglitserina, the prisoner in one to the pill* a 1 percent oil solution nitroglitserina in the capsules containing 0,5 mg or 1,0 mg nitroglitserina. Nitroglitserin are well soaked up through an oral cavity mucous membrane, therefore ego accept as follows. A nitroglycerine tablet place under language and uderzhivajut it there, within 40-60 seconds before full dissolution. Nitroglycerine vsasyvaetsja in blood also appears anaesthetising effect. One, two, three drops / a r1 percent solution of nitroglycerine too put under language or on small kusochek sahara. Obezbolivajushchy the effect of nitroglycerine at a stenocardia attack is caused fast i by the expressed expansion of small vessels of a skin, muscles, bodies of a belly cavity, soprovozhdajushchimsja a congestion in them blood, reduction of its inflow to heart, in rezultate that job of heart decreases and the requirement of a myocardium in kislorode Simultaneously nitroglycerine decreases removes a spasm of coronary arteries and uvelichivaet blood inflow to a myocardium. All it promotes fast vosstanovleniju the broken balance between requirement of a cardiac muscle in kislorode and to its inflows on coronary arteries and by that liquidates an ischemia miokarda. Odnako sometimes at preparation reception there are by-effects. Are observed and sluchai the raised individual sensitivity of patients to nitroglycerine. Poetomu treatment by nitroglycerine of attacks of a stenocardia is spent on strictly opredelennym pravilam. Pervonachalnaja a single dose of nitroglycerine should make 1/2 tablets or 1-2 drops of a 1 percent solution of nitroglycerine. The first reception of nitroglycerine luchshe to make out of an attack in the presence of the doctor who will define individual chuvstvitelnost the patient to a preparation, indicators of decrease arterial davlenija and increase pulsa. Pri occurrence of an attack of a stenocardia of the patient should stop physical nagruzku. There are people who try to overcome a pain and to continue the affairs, Etogo to do it is impossible. At pain occurrence it is necessary to sit down or lay down. If thus bol does not disappear, it is necessary to accept nitroglycerine. Why nitroglycerine it is necessary prinimat only sitting or laying? As it was specified above, nitroglycerine sharply rasshirjaet vessels and calls a congestion in them blood that can be accompanied rezkim decrease in arterial pressure, decrease in inflow of blood to a brain i occurrence of symptoms of a faint When the person sits, lays, are created blagoprijatnye conditions for increase in return of blood from peripheral vessels to serdtsu and to increase in volume of the blood which is thrown out by heart in an aorta, that preduprezhdaet obmoroka. Nitroglitserin it is possible to accept sharp decrease in arterial pressure and occurrence each five minutes - will not stop yet painful pristup, but no more than three tablets for 15 minutes. Nitroglycerine action prodolzhaetsja is short-term, only 10-15 minutes. Therefore it can be accepted in techenie days many times. Cases of reception of 40 tablets of nitroglycerine in den, though its recommended daily dose of 6 tablets are described. Pri nitroglycerine reception often enough there is a headache, noise in ears, golovokruzhenie. These symptoms do not represent danger to the patient. On this prichine patients sometimes refuse reception effective and safe sredstva the self-help. It is not necessary to do, reduce or prevent it pojavlenie a headache and other unpleasant sensations it is possible by selection minimalnoj a therapeutic dose preparata. Umenshenie doses of a preparation of Nitroglycerine can eliminate by-effects, sohraniv its therapeutic action. Try to pass to reception of 1/2 tablets preparata or on treatment by a nitroglycerine solution. Reception of two or one drop / a r1 percent spirit solution of nitroglycerine on a sugar slice can prervat a stenocardia attack, not calling thus headaches and others pobochnyh symptoms. If also this dose of a preparation calls headaches, nachinajut the combined application of a 1 percent solution of nitroglycerine and / a r3 percent spirit solution of menthol in different proportions. As have shown issledovanija B.E. Votchala, menthol simultaneously serves as solvent and strengthens dejstvie nitroglycerine. Thus, such medical dose nitroglitserina which interrupts a stenocardia attack steals up, but does not call head bolej. Minsk. 9.9.2003