Chii chinonzi Verapamil (Nzira yeIntravenous): Zvinoshandiswa, Dosage, Migumisiro, nezvimwe

Verapamil inopiwa kuburikidza neIV mushonga wemoyo unoshandiswa mumamiriro ezvinhu ekukurumidzira kukurumidza kudzora marhythm emoyo ane njodzi. Mushonga uyu une simba unoshanda nekudzivisa calcium channels mumoyo mako, uchibatsira kuderedza kukurumidza kwemoyo uye kudzorera rhythm yakajairika kana mamwe marapirwo asiri kushanda nekukurumidza.

Kana vanachiremba vachipa verapamil kuburikidza nemitsi yako, vanogona kudzora chaizvo kuti wakawanda sei waunogamuchira uye kuongorora mhinduro yako zvakanyanya. Iyi fomu yeintravenous inoshanda nekukurumidza kupfuura mapiritsi, zvichiita kuti ive yakakosha kune mamwe mamiriro ekukurumidzira emoyo apo miniti yega yega inoverengwa.

Chii chinonzi Verapamil (Nzira yeIntravenous)?

Intravenous verapamil mushonga wecalcium channel blocker unotumirwa zvakananga muropa rako kuburikidza nemutsipa. Iyo ndeyeboka remishonga inoshanda nekudzivisa calcium kubva kupinda mumasero emoyo wako nemidziyo yeropa.

Iyi fomu yeIV yakagadzirirwa kushandiswa muchipatara kana kukurumidza kudzora rhythm yemoyo kuchidikanwa. Kusiyana nemahwendefa emuromo aunogona kutora kumba, vhezheni yeintravenous inobvumira vanachiremba kuti vawane mazinga ekurapa muropa rako mukati memaminitsi pane maawa.

Mushonga uyu unouya semhinduro yakajeka, isina ruvara iyo nyanzvi dzehutano dzinogadzirira uye dzinopa vachishandisa mitemo yakasimba yekuchengetedza. Iwe unongogamuchira kurapwa uku munzvimbo yekurapa uko rhythm yemoyo wako uye BP inogona kuenderera mberi kuongororwa.

Chii chinonzi Verapamil (Nzira yeIntravenous) inoshandiswa?

IV verapamil inonyanya kushandiswa kurapa supraventricular tachycardia (SVT), mamiriro apo moyo wako unokurumidza zvakanyanya nekuda kwematambudziko emagetsi mumakamuri epamusoro. Mushonga uyu unogona kukurumidza kuderedza chiyero chemoyo wako kudzokera kune yakachengeteka, yakajairika rhythm.

Vanachiremba vanoshandisawo verapamil yemuropa (intravenous) ye atrial fibrillation uye atrial flutter kana makamuri ako epamusoro emoyo achirova zvisina kufanira uye nekukurumidza. Mumamiriro ezvinhu aya, mushonga unobatsira kudzora kumhanya kwemoyo wako apo mamwe marapirwo anogadzirisa dambudziko rekurova kwemoyo.

Dzimwe nguva, zvikwata zvekurapa zvinoshandisa IV verapamil panguva yemamwe maitiro emoyo kuti anonoke kumhanya kwemoyo wako kwenguva pfupi. Izvi zvinoita kuti zvive nyore kuti vanachiremba vaite bvunzo dzakasiyana kana kurapwa kunoda kurova kwemoyo kunonoka, kunodzorwa zvakanyanya.

Muzviitiko zvisingawanzoitiki zvekukurumidzira, vanachiremba vangashandisa verapamil yemuropa ye high blood pressure yakanyanya iyo isingapinduri kune mamwe marapirwo. Zvisinei, kushandiswa uku kunoda kunyatso tarisa nekuti mushonga unogona kukonzera kuti blood pressure idonhe nekukurumidza.

Verapamil (Intravenous Route) Inoshanda Sei?

Verapamil inoshanda nekudzivisa calcium channels mumhasuru dzemoyo wako nemadziro emidziyo yeropa. Funga nezve calcium sechinhu chakakosha chinowanzo vhura mikova mumasero ako emoyo, zvichivabvumira kuti vabatane uye kurova.

Kana verapamil ikadzivisa aya calcium channels, inononoka zviratidzo zvemagetsi zvinoita kuti moyo wako urove. Izvi zvinobatsira kudzorera rhythm yakajairika kana moyo wako uchirova nekukurumidza kana zvisina kufanira nekuda kwematambudziko mumakamuri epamusoro.

Mushonga uyu unozorodzawo mhasuru dzakatsetseka mumidziyo yako yeropa, iyo inogona kubatsira kuderedza blood pressure. Zvisinei, kana ichipiwa intravenously, chinangwa chikuru chinowanzo kuve kudzora rhythm yemoyo panzvimbo yekudzora blood pressure.

Semushonga wakasimba zvine mwero, IV verapamil inoburitsa mhedzisiro mukati me1-5 maminitsi ekutarisira. Mhedzisiro yepamusoro inowanzoitika mukati me10-15 maminitsi, ndosaka vanachiremba vachikwanisa kuona mhedzisiro nekukurumidza uye kugadzirisa kurapwa sezvinodiwa.

Ndingatora Sei Verapamil (Intravenous Route)?

Hauchazotora iwe pachako verapamil yemu intravenous sezvo nyanzvi dzehutano dzakadzidziswa dzichazviisa zvakananga mutsinga yako. Mushonga unopiwa zvishoma nezvishoma kwemaminitsi akati wandei apo vashandi vezvipatara vanonyatso tarisa rhythm yemoyo wako uye ropa.

Usati wapiwa jekiseni, vashandi vezvipatara vachaisa IV mutsipa wako kana ruoko. Vachabatanidza michina yekutarisa kuti vatarise rhythm yemoyo wako, ropa, uye mazinga eokisijeni panguva yekurapa.

Dosi yekutanga inowanzo piwa sekusunda zvishoma nezvishoma kwemaminitsi 2-3, ichiteverwa nekushambidzwa kwemvura yemunyu kuti ive nechokwadi chekuti mishonga yese inopinda muropa rako. Kana rhythm yemoyo wako isingavandudzi mushure memaminitsi 15-30, vanachiremba vanogona kukupa dosi yechipiri.

Panguva yekupa, unozofanira kurara pasi kana kugara munzvimbo yakasununguka. Chikwata chekurapa chichakukumbira kuti utaure chero zviratidzo zvakaita sedzungu, kurwadziwa muchipfuva, kana kufema zvishoma nekukasira.

Sezvo uyu uri mushonga wemamiriro ekukurumidzira, hapana zvinodiwa zvakakosha zvekudya zvisati zvaitika. Zvisinei, kana uri kuziva uye uchikwanisa kutaura, udza chikwata chako chehutano nezve chero mishonga yaunotora kana mamiriro ezvinhu aunawo.

Ndingatora Verapamil (Intravenous Route) Kwenguva Yakareba Sei?

Verapamil yemu intravenous inowanzoita kurapwa kamwe chete kana kupiwa sedosi shoma kwemaawa akati wandei panguva yemamiriro ekukurumidzira. Kusiyana nemishonga yemuromo yaungatora zuva rega rega, IV verapamil inoshandiswa pakukurumidza, kutonga kwenguva pfupi rhythm yemoyo.

Vazhinji varwere vanogamuchira 1-3 dosi ye intravenous verapamil panguva yekugara kwavo muchipatara, zvichienderana nekuti moyo wavo unopindura sei kurapwa. Mhedzisiro yedosi imwe neimwe inogona kugara maawa 2-6, ichipa vanachiremba nguva yekushandisa mamwe marapirwo kana kuona kana mamwe madosi achidiwa.

Mushure mekunge rhythm yemoyo wako yagadziriswa, chiremba wako anogona kukuchinjira kumishonga yemoyo yemuromo kana mamwe marapirwo ekuchengetedza kwenguva refu. Kuchinja kubva kuIV kuenda kumishonga yemuromo kunowanzoitika mukati me24-48 maawa kana mamiriro ako akagadzikana.

Mune dzimwe nguva, vanachiremba vanogona kushandisa continuous IV infusion ye verapamil kwemaawa akati wandei kana uchida kuenderera mberi nekudzora kwemoyo. Iyi nzira inobvumira kuendesa mishonga zvakanyatsonaka uye kugadzirisa nyore kwekushandisa sezvo mamiriro ako achichinja.

Ndezvipi Zvakaipa zveVerapamil (Intravenous Route)?

Zvakanyanya kukonzeresa zveIV verapamil zvine chekuita nemigumisiro yayo pamoyo wako nemidzi yeropa. Izvi zvinokonzeresa zvinowanzoitika nekuti mushonga uri kushanda kuderedza kumhanya kwemoyo wako uye kuzorodza midzi yeropa.

Heano mativi emigumisiro yaunonyanya kuitika, uchifunga kuti vashandi vezvokurapa vachakutarisa zvakanyanya kuti vatore uye vagadzirise chero matambudziko nekukurumidza:

• Kuderera kweropa (hypotension) kunokonzera dzungu kana lightheadedness
• Kumhanya kwemoyo kunonoka (bradycardia) izvo zvinogona kukonzera kuti unzwe usina simba kana kuneta
• Nausea kana dumbu diki
• Musoro kana dzungu diki
• Kutsva kana kudziya kumeso kwako nemutsipa
• Kuvharika kwenguva pfupi

Izvi zvakajairika zvinokonzeresa zvinowanzoita zvinyoro uye zvenguva pfupi, kazhinji zvichivandudza sezvo migumisiro yemishonga ichipera mumaawa mashoma anotevera.

Zvimwe zvinokonzeresa zvakakomba zvinogona kuitika asi hazviwanzoitiki kana mushonga uchipiwa zvakanaka muchipatara. Chikwata chako chekurapa chakadzidziswa kuziva uye kurapa izvi zvinokonzeresa nekukasira:

• Kuderera kwakanyanya kweropa kunokonzera kufenda kana kuvhunduka
• Heart block (kana zviratidzo zvemagetsi zvisingakwanise kufamba zvakajairika nemoyo wako)
• Kuwedzera kukundikana kwemoyo muvarwere vane matambudziko emoyo aripo
• Zvakanyanya allergic reactions nekufema kwakaoma kana kuzvimba
• Kurwadziwa muchipfuva kana kufema

Nekuti uri kugamuchira mushonga uyu muchipatara, vashandi vezvokurapa vanogona kukurumidza kuziva nekurapa chero mhinduro dzakakomba dzinogona kuitika.

Muzviitiko zvisingawanzoitiki, vamwe varwere vanogona kusangana nekuderera kweropa kwenguva refu kana mwero wekurova kwemoyo unoda mamwe mishonga kana rutsigiro. Kazhinji, varwere vanogona kukudziridza matambudziko echiropa kana mhinduro dzakakomba dzekurwara, asi matambudziko aya haawanzoitiki uye anogoneka muchipatara.

Ndiani Asingafaniri Kutora Verapamil (Nzira yeIntravenous)?

Vamwe vanhu havafaniri kugamuchira verapamil yeintravenous nekuti inogona kuwedzera mamiriro avo ezvokurapa kana kuita zvine njodzi nemishonga yavo iripo. Chikwata chako chezvokurapa chichatarisa nhoroondo yako yehutano usati wapiwa mushonga uyu.

Haufaniri kugamuchira IV verapamil kana uine kukundikana kwemoyo kwakanyanya, sezvo mushonga unogona kuwedzera kusimbisa kugona kwemoyo wako kupomba ropa zvinobudirira. Vanhu vane mamwe marudzi ekuvharika kwemoyo havagone zvakare kugamuchira kurapwa uku zvakachengeteka.

Heano mamiriro makuru angakudzivisa kugamuchira intravenous verapamil:

• Kukundikana kwemoyo kwakanyanya kana cardiogenic shock
• Chechipiri kana chechitatu-degree heart block pasina pacemaker
• Kuderera kweropa kwakanyanya (hypotension)
• Kuzivikanwa kweallergy kuverapamil kana mishonga yakafanana
• Wolff-Parkinson-White syndrome ine atrial fibrillation
• Chirwere chechiropa chakanyanya

Chiremba wako achavawo akangwarira kukupa IV verapamil kana uine kukundikana kwemoyo kudiki, matambudziko eitsvo, kana uri kutora mamwe mishonga anogona kuita zvine njodzi.

Vanhu vari kutora beta-blockers (semetoprolol kana atenolol) vanoda kufunga kwakakosha nekuti kusanganisa mishonga iyi neIV verapamil kunogona kukonzera mwero wemoyo wakaderera zvine njodzi kana kuderera kweropa. Saizvozvowo, avo vari pa digoxin vanoda kunyatsoongororwa nekuti verapamil inogona kuwedzera digoxin mazinga muropa rako.

Vakadzi vane pamuviri havafaniri kupiwa verapamil yeIV kunze kwekunge mabhenefiti anogona kunge akakura zvakajeka kupfuura njodzi, sezvo mushonga uyu unogona kuyambuka placenta uye kukanganisa mwana ari kukura.

Mazita eBrand eVerapamil

Verapamil yeIntravenous inowanikwa pasi pemazita akati wandei ebrand, kunyangwe zvipatara zvakawanda zvichishandisa mhando dzemishonga. Zita rebrand rinowanzozivikanwa raungasangana naro iIsoptin, iyo yanga ichishandiswa kwemakumi emakore mumishonga yekukurumidzira.

Mamwe mazita ebrand anosanganisira Calan naVerelan, kunyangwe izvi zvichiwanzowanikwa mumhando dzemuromo pane IV preparations. Zvipatara zvakawanda zvinochengeta generic verapamil injection, iyo ine chinhu chimwe chete chinoshanda uye inoshanda zvakafanana nemhando dzemazita ebrand.

Iyo chaiyo brand kana generic vhezheni yaunogamuchira haizokanganisi kushanda kana kuchengeteka kwemushonga. Chikwata chako chehutano chichashandisa chero fomu riripo panzvimbo yavo, izvo zvese zvinosangana nemhando imwechete yekuchengeteka uye kuchengeteka.

Zvimwe Zvinhu zveVerapamil

Mishonga yakati wandei inogona kurapa matambudziko emoyo akafanana ne intravenous verapamil, kunyangwe sarudzo yakanakisa ichienderana nemamiriro ako chaiwo uye nhoroondo yekurapa. Chiremba wako achasarudza sarudzo yakakodzera zvichienderana nemamiriro ako.

Adenosine inowanzoita sarudzo yekutanga kune mamwe marudzi emoyo anokurumidza (SVT) nekuti inoshanda nekukurumidza uye ine nguva pfupi yekuita. Mushonga uyu unogona kumisa marhythm emoyo asina kujairika mukati memasekondi asi unogona kukonzera kusagadzikana muchipfuva kana kufema kwemhepo.

Mamwe ma calcium channel blockers senge diltiazem (Cardizem) anoshanda zvakafanana ne verapamil uye anogona kushandiswa kana iwe usingakwanise kugamuchira verapamil nechikonzero chimwe. Beta-blockers senge metoprolol kana esmolol inogona zvakare kuderedza kumhanya kwemoyo, kunyangwe vachishanda kuburikidza nemaitiro akasiyana.

Kune varwere vamwe, electrical cardioversion (kushamiswa kwemagetsi kunodzorwa kumoyo) zvingave zvichifarirwa kupfuura mishonga, kunyanya kana mishonga isina kushanda kana kana mamiriro acho ari kuisa hupenyu mungozi pakarepo.

Digoxin dzimwe nguva inoshandiswa kudzora kumhanya kwemoyo kwenguva refu, kunyanya muvarwere vane atrial fibrillation, kunyangwe isingawanzo shandiswa mumamiriro ezvinhu ekukurumidzira seIV verapamil.

Verapamil Ari Nani Kudarika Diltiazem?

Vose verapamil na diltiazem vanodzivirira calcium channel vanoshanda zvakafanana pakudzora rhythm yemoyo, asi vane misiyano inogadzira imwe yakakodzera kupfuura imwe mune mamwe mamiriro. Hapana kana imwe yakanyanya

Verapamil inobaiwa mumutsipa inogona kuva yakachengeteka kuvanhu vane mhando dzechirwere chemoyo, asi inoda kuongororwa zvakanyatsonaka nekutarisa nechikwata chako chekurapa. Kuchengeteka kunoenderana nemhando chaiyo uye kuoma kwehutano hwemoyo wako.

Kune varwere vane chirwere chetsinga dzemoyo (tsinga dzemoyo dzakavharika) asi basa remoyo rakajairika, IV verapamil inowanzo chengeteka uye inogona kushanda zvakanyanya pakurapa matambudziko erhythm. Zvisinei, vanhu vane kukundikana kwemoyo kwakanyanya kana tsandanyama dzemoyo dzakashaya simba (cardiomyopathy) vangave vasiri vakakodzera nekuti mushonga unogona kuderedza zvakare kugona kwemoyo kupomba.

Chiremba wako achatarisa bvunzo dzako dzichangoburwa dzemoyo, kusanganisira echocardiograms kana mhedzisiro yekatheterization yemoyo, asati asarudza kana IV verapamil yakakodzera kwauri. Vachafungawo nezve mishonga yako yazvino uye hutano hwako hwese.

Q2. Ndingaita Sei Kana Ndikagamuchira Verapamil Yakawandisa Netsaona?

Sezvo verapamil inobaiwa mumutsipa ichingopiwa nevashandi vehutano munzvimbo dzekurapa, overdose netsaona haisi kazhinji. Zvisinei, kana mushonga wakawandisa ukapiwa, vashandi vezvokurapa vakadzidziswa kuziva nekukurumidza uye kurapa mamiriro aya.

Zviratidzo zveverapamil overdose zvinosanganisira kudzvinyirirwa kweropa kwakaderera zvakanyanya, mwero wemoyo unononoka zvakanyanya, kuoma kufema, uye kurasikirwa nekuziva. Kana zviratidzo izvi zvikaitika, chikwata chako chekurapa chichapa kutarisirwa kwekukurumidza, izvo zvinogona kusanganisira IV fluids, mishonga yekukwidza kudzvinyirirwa kweropa, uye pamwe pacing yenguva pfupi yemoyo wako.

Chipatara chine antidotes uye nzira dzekukurumidzira dzakanyatsogadzirirwa calcium channel blocker overdose, kusanganisira calcium administration uye zvimwe zviyero zvekutsigira. Nekuti iwe wakatove uchitariswa zvakanyanya, chero matambudziko angabatwa uye kurapwa nekukurumidza.

Q3. Ndingaita Sei Kana Ndikakanganwa Dose yeVerapamil?

Mubvunzo uyu haushandi kune intravenous verapamil sezvo ichipiwa seimwe-nguva yekurapa kana akatevedzana mapiritsi emishonga muchipatara. Iwe hauzove nemhosva yekutora kana kupotsa madosi emushonga uyu.

Kana iwe ukachinjirwa ku oral verapamil mushure mekupera kwako muchipatara, chiremba wako achakupa mirairo chaiyo nezve madosi ekuronga uye zvekuti chii chekuita kana iwe ukapotsa dose yemushonga wemuromo.

Fomu re IV rinotungamirirwa zvizere nenyanzvi dzekurapa sechikamu chekurapa kwako kwechimbichimbi, saka hapana kunetseka nezve kupotsa madosi mune tsika yechinyakare.

Q4. Ndingamira Rini Kutora Verapamil?

Intravenous verapamil inogumira kushanda yega mukati memaawa akati wandei mushure mekutarisirwa, saka hapana chikonzero chekuita kuti "kumisa" mushonga uyu. Mhedzisiro yacho inopera zvakasikwa sezvo muviri wako uchigadzirisa uye kubvisa mushonga.

Chiremba wako achasarudza kana iwe uchida mamwe madosi zvichibva pakuti rhythm yemoyo wako inopindura sei kurapa. Kana rhythm yemoyo wako yakagadzikana, vanozokuchinjisa kumishonga yemuromo kana mamwe marapirwo ekurapa kuri kuenderera mberi.

Kana iwe ukanyorerwa oral verapamil mushure mekupera kwako muchipatara, usambomira kuitora kamwechete usina kutaura nachiremba wako kutanga, sezvo izvi zvinogona kukonzera matambudziko ako erhythm yemoyo kudzoka.

Q5. Ndingatyaira Mushure meKugamuchira Intravenous Verapamil?

Iwe haufanirwe kutyaira kwemaawa makumi maviri nemana mushure mekutambira intravenous verapamil, sezvo mushonga unogona kukonzera dzungu, kuderera kweropa, uye zvimwe zvinogona kukanganisa kugona kwako kutyaira zvakachengeteka.

Sezvo iwe uchizove muchipatara paunogamuchira IV verapamil, kutyaira hakuzove kunetseka kwepedyo. Zvisinei, paunoburitswa, gadzirisa mumwe munhu kuti akutyairire kumba uye dzivisa kutyaira kusvikira wanzwa zvakajairika uye chiremba wako akukubvumira kuti uite mabasa enguva dzose.

Mishonga iyi inogona kukonzera shanduko yeropa uye kurova kwemoyo kwemaawa akati wandei, zvichikonzera dzungu kana kusava nesimba izvo zvinogona kuva nengozi kana uchityaira.