Nisoldipine ni iki: Ibikoresho, Uburyo bwo Gukoresha, Ingaruka Zishobora Kugaragara n'ibindi

Nisoldipine ni umuti wandikirwa na muganga ugwa mu itsinda ry'imiti yitwa calcium channel blockers. Ukora ukurura imitsi yo mu nkuta z'imitsi y'amaraso, ibyo bigafasha kugabanya umuvuduko w'amaraso kandi bigatuma umutima wawe woroherwa no gusukira amaraso mu mubiri wawe. Uyu muti woroshye ariko ufite akamaro umaze imyaka myinshi ufasha abantu gucunga umuvuduko mwinshi w'amaraso, kandi gusobanukirwa uko ukora bishobora kugufasha kumva ufite icyizere cyinshi ku buryo uvura.

Nisoldipine ni iki?

Nisoldipine ni calcium channel blocker yibanda by'umwihariko ku miyoboro ya calcium yo mu nkuta z'imitsi y'amaraso yawe. Iyo calcium yinjira muri iyi miyoboro, bituma imitsi yawe y'amaraso ifunga kandi igabanuka, ibyo bikazamura umuvuduko w'amaraso yawe.

Uyu muti ubuza iyo calcium kwinjira, bigatuma imitsi yawe y'amaraso iguma yoroshye kandi ifunguye. Tekereza nk'ugumisha urugi ruriho gato aho kurufunga rwose. Iyi myoroshye ifasha amaraso gutembera byoroshye mu mubiri wawe, igabanya umuvuduko ku nkuta z'imitsi yawe.

Nisoldipine iza mu buryo bw'ibinini birekura buhoro buhoro, bivuze ko umuti urekurwa buhoro buhoro mu mubiri wawe uko igihe kigenda. Iyi myandikire ifasha kugenzura umuvuduko w'amaraso buri gihe umunsi wose hamwe n'urugero rumwe gusa ku munsi.

Nisoldipine ikoreshwa mu iki?

Nisoldipine ikoreshwa cyane mu kuvura umuvuduko mwinshi w'amaraso, uzwi kandi nka hypertension. Umuvuduko mwinshi w'amaraso akenshi witwa “umwicanyi utavuga” kuko akenshi ntutera ibimenyetso bigaragara ariko bishobora gutera ibibazo bikomeye by'ubuzima uko igihe kigenda.

Mugukingura umuvuduko w'amaraso yawe, nisoldipine ifasha kurengera umutima wawe, impyiko, ubwonko, n'izindi ngingo zitandukanye zishobora kwangirika. Iyo umuvuduko w'amaraso yawe ugumye mu rugero rwiza, ugabanya cyane ibyago byo guhura n'indwara z'umutima, sitiroki, n'ibibazo by'impyiko.

Abaganga bamwe bashobora no kwandika nisoldipine kubera izindi ndwara zifitanye isano n'imitsi y'amaraso, nubwo umuvuduko ukabije w'amaraso ukomeza kuba ari wo ukoreshwa cyane. Muganga wawe azagena niba uyu muti ukwiriye kuri wowe bitewe n'amateka yawe y'ubuzima n'uko ubuzima bwawe buhagaze ubu.

Nisoldipine ikora ite?

Nisoldipine ifatwa nk'umuti wo kugabanya umuvuduko w'amaraso ukora ku rugero ruringaniye, ukora ugamije imiyoboro ya kalisiyumu yihariye mu nkuta z'imitsi y'amaraso yawe. Iyi miyoboro isanzwe yemerera kalisiyumu kwinjira mu ngirangingo z'imitsi, bigatuma zikwega kandi zigafunga imitsi yawe y'amaraso.

Iyo nisoldipine yugarije iyi miyoboro ya kalisiyumu, imitsi y'amaraso yawe iguma irekuye kandi imitsi yawe ikomeza kuba migari. Ibi bituma habaho ubushake buke bw'amaraso, bigabanya umuvuduko w'amaraso yawe mu buryo busanzwe hatabayeho guhatira umutima wawe gukora cyane.

Uyu muti ubusanzwe utangira gukora mu masaha make nyuma yo kuwufata, ariko ushobora kutumva ingaruka zose mu minsi mike cyangwa mu byumweru. Iyi ngaruka igenda buhoro ni nziza kuko yemerera umubiri wawe guhinduka buhoro buhoro ukurikije urwego rwo hasi rw'umuvuduko w'amaraso.

Nkwiriye gufata nisoldipine nte?

Fata nisoldipine nk'uko muganga wawe yabikwandikiye, ubusanzwe rimwe ku munsi mu gitondo. Ibinini birekura umuti buhoro buhoro bikwiriye kumirwa byose hamwe n'ikirahure cyuzuye cy'amazi kandi ntibikwiriye gukubitwa, kuribwa, cyangwa gucagagurwa.

Ushobora gufata nisoldipine ufite cyangwa udafite ibiryo, ariko gerageza kuyifata mu buryo bumwe buri munsi kugirango ugere ku ngaruka zihamye. Niba uhisemo kuyifata hamwe n'ibiryo, ifunguro rito cyangwa ifunguro ryoroshye birakwiriye, ariko irinde amafunguro arimo amavuta menshi kuko ashobora kugira ingaruka ku buryo umubiri wawe wakira umuti.

Gufata nisoldipine ku gihe kimwe buri munsi bifasha kugumana urwego rwo hejuru mu maraso yawe. Abantu benshi basanga bifasha guhuza gufata imiti yabo n'akamenyero ka buri munsi, nko kunywa ikawa ya mugitondo cyangwa kumesa amenyo yabo.

Niba ugira ikibazo cyo kumira ibinini, ganira na muganga wawe ku bindi bisubizo, ariko ntuzigere uhindura ikinini wenyine. Icyuma cyo gusohora umuti cyagenewe gutanga umuti buhoro buhoro umunsi wose.

Nzakoresha Nisoldipine igihe kingana iki?

Abantu benshi bafite umuvuduko ukabije w'amaraso bakeneye gufata nisoldipine igihe kirekire, akenshi imyaka myinshi cyangwa ndetse ubuzima bwose. Umuvuduko ukabije w'amaraso mubisanzwe ni indwara idakira isaba gukomeza kuyivura aho gukoresha umuti w'igihe gito.

Muganga wawe azagenzura umuvuduko w'amaraso yawe buri gihe kandi ashobora guhindura urugero rw'umuti cyangwa guhindura imiti bitewe n'uko witwara neza ku miti. Abantu bamwe babona impinduka zigaragara mu byumweru bike, mu gihe abandi bashobora gukenera amezi menshi kugirango bagere ku rwego rw'umuvuduko w'amaraso bifuza.

N'iyo wumva umeze neza rwose, ni ngombwa gukomeza gufata nisoldipine nk'uko byategetswe. Umuvuduko ukabije w'amaraso mubisanzwe ntutera ibimenyetso, bityo kumva umeze neza ntibisobanura ko ushobora guhagarika imiti yawe mu buryo bwizewe.

Ntuzigere uhagarika gufata nisoldipine ako kanya utabanje kuvugana na muganga wawe. Guhagarara ako kanya bishobora gutuma umuvuduko w'amaraso yawe uzamuka cyane, bishobora gutera ibibazo bikomeye.

Ni izihe ngaruka ziterwa na Nisoldipine?

Kimwe n'indi miti yose, nisoldipine irashobora gutera ingaruka, nubwo abantu benshi bahura n'ibibazo bike cyangwa nta bibazo. Ingaruka nyinshi ziba zoroshye kandi akenshi zikagenda uko umubiri wawe wimenyereza umuti mu byumweru bike bya mbere.

Ingaruka zisanzwe ushobora guhura nazo zirimo isereri, kuribwa umutwe, no kubyimba mu birenge cyangwa mu birenge. Izi ngaruka zibaho kuko imitsi yawe y'amaraso yimenyereza kuba yoroshye, kandi umubiri wawe wimenyereza urwego rwo hasi rw'umuvuduko w'amaraso.

Ingaruka zisanzwe

Hano hari ingaruka zigira ingaruka ku bantu bamwe bafata nisoldipine, hafi mu buryo bukurikira:

• Kugira isereri cyangwa kumva umutwe, cyane cyane iyo uhagurutse vuba
• Umutwe ukunda kuvura ariko ukagenda ukira
• Kubyimba mu birenge, ibirenge, cyangwa amaguru yo hasi
• Kugira umubiri ushyushye cyangwa kumva ushyushye mu maso no mu ijosi
• Kugira umunaniro cyangwa kumva warushye kurusha uko bisanzwe
• Urugimbu cyangwa kurwara inda gato
• Umutima utera cyane cyangwa mu buryo butajegajega

Izi ngaruka zikunda kuba iz'igihe gito kandi zigashoboka. Niba zikomeje cyangwa zikakubangamira cyane, muganga wawe ashobora guhindura urugero rw'umuti ukoresha cyangwa akakugira inama z'uburyo wagabanya izo ngaruka.

Ingaruka zidakunze kubaho ariko zikomeye

Nubwo bitaba kenshi, abantu bamwe bashobora kugira ingaruka zikomeye zisaba ubufasha bwihutirwa bw'abaganga:

• Kugira isereri rikomeye cyangwa kuruka
• Kubabara mu gituza cyangwa kumva gihinyagurika
• Kubyimba bikomeye bikwira hanze y'ibirenge n'ibibero
• Kugorwa no guhumeka cyangwa guhumeka bigufi
• Uruhu rurwara cyane cyangwa ibimenyetso byo kwibasirwa n'umubiri
• Uruhu cyangwa amaso y'umuhondo

Niba ubonye izi ngaruka zikomeye, vugana n'umuganga wawe ako kanya cyangwa ushake ubufasha bwihutirwa bw'ubuvuzi. Ibi bimenyetso bishobora kwerekana igikorwa gikomeye gikeneye kuvurwa vuba.

Ninde utagomba gufata Nisoldipine?

Nisoldipine ntirinzwe kuri buri wese, kandi ibibazo by'ubuzima runaka cyangwa ibihe bishobora gutuma bitakugirira akamaro. Muganga wawe azasuzuma neza amateka yawe y'ubuzima mbere yo kugutera uyu muti.

Abantu barwaye indwara ikomeye y'umwijima ntibagomba gufata nisoldipine kuko imibiri yabo idashobora gutunganya neza uwo muti. Ibi bishobora gutuma urugero rw'umuti rugera ku rwego ruteje akaga mu mubiri wabo.

Niba ufite indwara zimwe na zimwe z'umutima, nko kunanirwa gukora cyane k'umutima cyangwa umuvuduko w'amaraso muke cyane, nisoldipine ntishobora kukugirira akamaro. Ingaruka zo kugabanya umuvuduko w'amaraso z'uyu muti zishobora gutuma izi ndwara zirushaho kuba mbi.

Abagore batwite bagomba kwirinda nisoldipine keretse inyungu ziruta cyane ibyago. Niba uteganya gutwita cyangwa ukamenya ko utwite ukoresha uyu muti, ganira n'umuganga wawe ako kanya ku bijyanye n'izindi nzira.

Abantu bakoresha indi miti imwe n'imwe, cyane cyane imiti imwe ya antibiyotike cyangwa imiti irwanya imyungu, bashobora gukenera kwirinda nisoldipine kubera imikoranire ishobora kuba iteje akaga. Buri gihe menyesha umuganga wawe ku miti yose n'ibyongerera imiti ukoresha.

Amazina y'ubwoko bwa Nisoldipine

Nisoldipine iboneka mu mazina y'ubwoko butandukanye, Sular ikaba ari yo ikoreshwa cyane muri Leta Zunze Ubumwe z'Amerika. Ubu bwoko burimo ibintu bikora kimwe nka nisoldipine rusange ariko bushobora kuba bufite ibindi bintu bitagira akamaro.

Andi mazina y'ubwoko ushobora guhura nayo harimo Syscor, nubwo ibi bidakunze kuboneka ku isoko rya Amerika. Ibihugu bimwe na bimwe bishobora kugira andi mazina y'ubwoko bwa nisoldipine, bityo ni ngombwa kumenya amazina rusange n'ay'ubwoko iyo ugenda cyangwa wuzuza imiti.

Nisoldipine rusange akenshi ihendutse kurusha ubwoko bw'amazina kandi ikora neza. Farumasi yawe ishobora gusimbuza ubwoko rusange keretse umuganga wawe asabye by'umwihariko izina ry'ubwoko.

Izindi nzira za Nisoldipine

Niba nisoldipine itagukundiye cyangwa ikagutera ingaruka zikomeye, imiti myinshi yindi ishobora kuvura umuvuduko mwinshi w'amaraso. Umuganga wawe ashobora gutanga izindi nzira zikoresha calcium channel blockers nka amlodipine, nifedipine, cyangwa felodipine.

Abahagarika ACE nka lisinopril cyangwa enalapril bakora mu buryo butandukanye bahagarika enzymes zikaza imitsi y'amaraso. Iyi miti akenshi yihanganirwa neza kandi ishobora kuba ikwiriye kurushaho abantu bafite indwara zimwe na zimwe.

ARBs (ibituma imitsi idakora neza) nka losartan cyangwa valsartan bitanga ubundi buryo bwiza bufite uburyo butandukanye bwo gukora. Ibiyobyabwenge bya Beta nka metoprolol cyangwa atenolol bishobora gukundwa nabantu bafite indwara zimwe na zimwe z'umutima.

Imiti ituma umubiri uvamo amazi, akenshi yitwa

Bitandukanye n'imiti imwe ivura umuvuduko w'amaraso, imiti ifunga imiyoboro ya kalisiyumu nka nisoldipine ntibangamira ubushobozi bw'umubiri wawe bwo kumenya ibimenyetso by'isukari iri hasi mu maraso. Ibi bituma iba ihitamo ryiza ku bantu bakeneye gukurikiranira hafi urugero rw'isukari mu maraso yabo.

Muganga wawe azajya akurikirana umuvuduko w'amaraso yawe n'urugero rw'isukari mu maraso yawe buri gihe kugira ngo yemeze ko ibibazo byombi bigenda neza. Kugenzura neza umuvuduko w'amaraso bishobora gufasha kurinda impyiko zawe no kugabanya ingaruka ziterwa na diyabete uko igihe kigenda.

Nkwiriye gukora iki niba nanyoye nisoldipine nyinshi ku buryo butunguranye?

Niba unyoye nisoldipine nyinshi ku buryo butunguranye kuruta uko byategetswe, vugana na muganga wawe cyangwa ikigo gishinzwe kurwanya ubumara ako kanya, kabone n'iyo wumva umeze neza. Kunywa nyinshi bishobora gutera umuvuduko w'amaraso uri hasi cyane, bishobora kutagaragaza ibimenyetso kugeza igihe bibaye bikomeye.

Ibimenyetso byo kunywa doze nyinshi birimo isereri rikomeye, guta ubwenge, umutima utera cyane, cyangwa umunaniro ukabije. Niba ubonye kimwe muri ibi bimenyetso, shaka ubufasha bwihutirwa bw'abaganga ako kanya.

Mu gihe utegereje ubufasha bw'abaganga, uryame amaguru yawe azamuye kandi wirinde guhaguruka vuba. Ntukagerageze kwivugisha umuriro keretse niba wabitegetswe na umuganga.

Kugira ngo wirinde kunywa doze nyinshi ku buryo butunguranye, tekereza gukoresha agasanduku k'imiti cyangwa gushyiraho ibyibutso kuri terefone yawe kugira ngo bigufashe kwibuka niba umaze kunywa doze yawe ya buri munsi.

Nkwiriye gukora iki niba nirengagije kunywa doze ya nisoldipine?

Niba wirengagije kunywa doze ya nisoldipine, yinywe ako kanya wibuka, keretse igihe cyo kunywa doze yawe ikurikira kigeze. Muri icyo gihe, reka doze wirengagije hanyuma ukomeze gahunda yawe isanzwe yo kunywa imiti.

Ntuzigere unywa doze ebyiri icyarimwe kugira ngo usimbure doze wirengagije, kuko ibi bishobora gutera umuvuduko w'amaraso yawe kugabanuka cyane. Kunywa doze ebyiri bishobora gutera ingaruka ziteje akaga nk'isereri rikomeye cyangwa guta ubwenge.

Niba ukunda kwibagirwa imiti, gerageza gushyiraho alarme ya buri munsi kuri telefone yawe cyangwa ukoreshe agasanduku gafite ibice byo gushyiramo imiti ya burimunsi mu cyumweru. Gufata imiti buri munsi ni ingenzi kugira ngo ugumane umuvuduko w'amaraso ugenda neza.

Kutafata imiti rimwe na rimwe mubisanzwe ntizatera ibibazo bikomeye, ariko gerageza kugumana gahunda isanzwe kugira ngo ubone ibisubizo byiza. Niba ukunda kutafata imiti kenshi, ganira na muganga wawe ku bijyanye n'uburyo bwo kunoza imikoreshereze yawe y'imiti.

Ni ryari nshobora kureka gufata Nisoldipine?

Ugomba kureka gufata nisoldipine gusa igihe muganga wawe akubwiye ko byemewe. Abantu benshi bafite umuvuduko w'amaraso uri hejuru bakeneye kuvurwa ubuzima bwabo bwose, kandi kureka imiti bishobora gutuma umuvuduko w'amaraso usubira ku rwego ruteje akaga.

Muganga wawe ashobora gutekereza kugabanya cyangwa kureka nisoldipine niba wakoze impinduka zikomeye mu mibereho yawe zatumye umuvuduko w'amaraso yawe ugenda neza mu buryo busanzwe. Ibi bishobora kuba birimo kugabanya ibiro byinshi, gukora imyitozo ngororamubiri buri gihe, cyangwa kunoza cyane imirire yawe.

N'ubwo umuvuduko w'amaraso yawe waba umeze neza cyane, birashoboka ko ari uko umuti ukora, atari uko utawukeneye. Muganga wawe azagenzura neza umuvuduko w'amaraso yawe niba hari impinduka zikozwe ku miti yawe.

Niba ufite impungenge zo gufata imiti igihe kirekire, ganira n'umuganga wawe ku byiyumvo byawe. Bashobora kugufasha gusobanukirwa inyungu n'ibibazo byo gukomeza kuvurwa ugereranyije no kureka, bitewe n'ubuzima bwawe bwite.

Nshobora kunywa inzoga nkanwa Nisoldipine?

Ushobora kunywa inzoga mu rugero ruto ukoresha nisoldipine, ariko ni ingenzi kwitonda kuko inzoga na nisoldipine byombi bishobora kugabanya umuvuduko w'amaraso yawe. Iyo byombi byavanzwe, bishobora gutera umuvuduko w'amaraso ugabanuka cyane bigatuma uribwa umutwe cyangwa ugata umutwe.

Niba uhisemo kunywa inzoga, tangira unywa duke ugereranije nuko wasanzwe unywa kugirango urebe uko umubiri wawe witwara. Irinde kunywa inzoga nyinshi mu gihe gito, kandi buri gihe ujye urya ibiryo igihe unywa inzoga kugirango bigufashe kugabanya ingaruka zayo.

Witondere uko wumva umerewe igihe uhagurutse nyuma yo kunywa, kuko guhuza inzoga na nisoldipine bishobora gutuma wumva uruka. Niba wumva isereri ryinshi, icara cyangwa uryame ako kanya.

Ganira na muganga wawe ku bijyanye n'imigenzo yawe yo kunywa inzoga kugirango baguhe inama zihariye zishingiye ku buzima bwawe muri rusange no ku miti ufata. Abantu bamwe bashobora gukenera kugabanya inzoga kurusha abandi bitewe n'uburyo umuntu ku giti cye abyitwaramo.