Yini i-Diltiazem: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Diltiazem ngumuthi wenhliziyo ongaphansi kweqembu elibizwa ngokuthi ama-calcium channel blockers. Isebenza ngokukhulula imithambo yakho yegazi futhi yehlise izinga lokushaya kwenhliziyo yakho, okusiza ukwehlisa umfutho wegazi futhi kwenze kube lula ukuthi inhliziyo yakho ipompe igazi emzimbeni wakho wonke.

Lo muthi usetshenziswe ngokuphepha amashumi eminyaka ukwelapha izimo ezihlukahlukene zenhliziyo. Udokotela wakho angase akuqoke uma ubhekene nomfutho wegazi ophezulu, ubuhlungu besifuba, noma izinkinga ezithile zokushaya kwenhliziyo. Cabanga ngayo njengomsizi omnene onika uhlelo lwakho lwe-cardiovascular ukwesekwa oludingayo ukuze lusebenze kahle.

Yini i-Diltiazem Esetshenziselwa Yona?

I-Diltiazem iphatha izimo eziningana ezihlobene nenhliziyo ngokusiza uhlelo lwakho lwe-cardiovascular ukuthi lusebenze kahle. Isizathu esivame kakhulu sokuthi odokotela baqoke lo muthi ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension.

Uma unomfutho wegazi ophezulu, inhliziyo yakho kufanele isebenze kanzima ukuze ipompe igazi ngemithambo yegazi eqinile. I-Diltiazem iyasiza ngokukhulula le mithambo, ivumela igazi ukuthi ligeleze kalula futhi yehlise ukucindezeleka enhliziyweni yakho.

Lo muthi futhi uphatha ngempumelelo i-angina, okuyibuhlungu besifuba obubangelwa ukuncipha kokugeleza kwegazi emsipheni wakho wenhliziyo. Uma uzwa ukungakhululeki esifubeni ngesikhathi sokuzivocavoca noma ukucindezeleka, i-diltiazem ingasiza ekuvikeleni lezi ziqephu ngokuthuthukisa ukugeleza kwegazi enhliziyweni yakho.

Ngaphezu kwalokho, ngezinye izikhathi odokotela baqoka i-diltiazem ngezinkinga ezithile zokushaya kwenhliziyo, ikakhulukazi lapho inhliziyo yakho ishaya ngokushesha kakhulu noma ngokungajwayelekile. Umuthi usiza ukubuyisela isigqi esijwayelekile, esiqinile ngokuthinta amasignali kagesi enhliziyweni yakho.

Isebenza Kanjani i-Diltiazem?

I-Diltiazem isebenza ngokuvimbela i-calcium ukuthi ingangeni emangqamuzaneni athile enhliziyweni yakho nasemithanjeni yegazi. I-Calcium ngokuvamile isiza la maseli ukuthi anciphe futhi aqine, ngakho-ke lapho i-diltiazem iyivimba, imithambo yakho yegazi iyakhululeka futhi yande.

Lo mphumela wokuthula unciphisa ingcindezi ngaphakathi kwemithambo yakho yegazi, yingakho umfutho wegazi lakho wehla. Ngesikhathi esifanayo, inhliziyo yakho akudingeki isebenze kanzima ukuze ipompe igazi ngale mithambo esikhululekile manje.

Lo muthi futhi uthinta uhlelo lukagesi lwenhliziyo yakho, olulawula ukushaya kwenhliziyo yakho. Ngokuthonya lezi zimpawu zikagesi, i-diltiazem inganciphisa izinga lenhliziyo elisheshayo futhi isize ukushaya okungajwayelekile kube okuzinzile.

I-Diltiazem ithathwa njengomuthi onamandla aphakathi nendawo onikeza imiphumela eqhubekayo nethembekile. Ayinqeni njengeminye imithi yenhliziyo, okwenza kube yindlela enhle kubantu abaningi abadinga ukusekelwa kwenhliziyo nemithambo yegazi okumnene kodwa okuphumelelayo.

Kufanele Ngiyithathe Kanjani I-Diltiazem?

Thatha i-diltiazem ngendlela eqondile udokotela wakho ayale ngayo, ngokuvamile kanye noma kabili ngosuku kuye ngohlobo onikezwe lona. Ungayithatha nokudla noma ngaphandle kokudla, kodwa ukuyithatha nokudla kungasiza ukunciphisa noma yikuphi ukuphazamiseka kwesisu.

Uma uthatha inguqulo yokukhishwa okweluliwe, gwinya ikhaphule noma ithebhulethi yonke ngaphandle kokuyichoboza, ukuyihlafuna, noma ukuyiphula. Lezi zindlela ezikhethekile zenzelwe ukukhipha umuthi kancane kancane usuku lonke, futhi ukuziphula kungabangela ukuthi umuthi omningi ukhishwe ngesikhathi esisodwa.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Abantu abaningi bakuthola kuwusizo ukuxhumanisa ukuthatha i-diltiazem yabo nomkhuba wansuku zonke, njengokudla kwasekuseni noma ukuxubha amazinyo.

Ungayeki ukuthatha i-diltiazem ngokuzumayo, ngisho noma uzizwa ungcono. Umzimba wakho udinga isikhathi sokuzivumelanisa nezinguquko kulo muthi, futhi ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke noma ubuhlungu besifuba bubuye.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Diltiazem?

Abantu abaningi badinga ukuthatha i-diltiazem izinyanga noma iminyaka, futhi abanye bangase bayidinge impilo yabo yonke. Umfutho wegazi ophezulu nezimo zenhliziyo ngokuvamile ziyizinkinga zempilo eziqhubekayo ezidinga ukuphathwa okuqhubekayo kunokwelashwa kwesikhashana.

Udktela wakho uzoqapha ukuthi umuthi usebenza kahle kangakanani kuwe futhi angase alungise umthamo wakho noma isikhathi sokuwusebenzisa ngokuya ngempendulo yakho. Abanye abantu babona ngcono ekucindezelweni kwegazi labo emasontweni ambalwa, kanti abanye bangase badinge izinyanga eziningana ukuze bathole izinzuzo eziphelele.

Uma uthatha i-diltiazem ngenxa yobuhlungu besifuba, ungase uqaphele izigameko ezimbalwa ngokushesha, ngokuvamile emasontweni ambalwa okuqala kokwelashwa. Kodwa-ke, kubalulekile ukuqhubeka nokuyithatha njengoba kunqunywe ukugcina le miphumela yokuvikela.

Ungalokothi unqume ukuyeka ukuthatha i-diltiazem ngokwakho. Udokotela wakho uzosebenza nawe ukunquma uhlelo olufanele lwesimo sakho esithile futhi uzokuqondisa kunoma yiziphi izinguquko ohlelweni lwakho lokwelashwa.

Yiziphi Imiphumela Eceleni ye-Diltiazem?

Njengayo yonke imithi, i-diltiazem ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi.

Nansi imiphumela emibi ongase uyithole, iqala ngaleyo evame kakhulu:

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukuvuvukala emaqakaleni akho, izinyawo, noma izandla
• Ikhanda
• Ukukhathala noma ubuthakathaka
• Isicanucanu noma isisu esibuhlungu
• Ukuqunjelwa
• Ukuqubuka kwesikhumba noma ukubomvu

Le miphumela emibi ejwayelekile ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma zikuphazamisa, khuluma nodokotela wakho mayelana nokulungiswa okungenzeka.

Abanye abantu bangase babe nemiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezempilo. Lokhu kuhlanganisa izinga lokushaya kwenhliziyo elihamba kancane kakhulu, isiyezi esibi noma ukuquleka, ukuphefumula okungavamile, noma ukuvuvukala okukhulu okungathuthuki.

Imiphumela emibi engavamile kodwa ebucayi ingabandakanya ukusabela okukhulu kwesikhumba, izinkinga zesibindi, noma izinguquko zesigqi senhliziyo. Nakuba lokhu kungavamile, kubalulekile ukuxhumana nodokotela wakho ngokushesha uma uhlangabezana nokuphuzi kwesikhumba sakho noma amehlo, ubuhlungu obukhulu besisu, noma izinguquko ezingakhathazi endleleni ozizwa ngayo.

Ubani Ongafanele Athathwe i-Diltiazem?

I-Diltiazem ayifanele wonke umuntu, futhi izimo ezithile zezempilo zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyala lo muthi.

Akufanele uthathe i-diltiazem uma unezimo ezithile zenhliziyo, ikakhulukazi uma unesilinganiso senhliziyo esinensayo, izinhlobo ezithile zokuvinjwa kwenhliziyo, noma ukwehluleka kwenhliziyo okukhulu. Umuthi ungenza lezi zimo zibe zimbi ngokwengeziwe ngokunciphisa ngokuqhubekayo izinga lenhliziyo yakho.

Abantu abanomfutho wegazi ophansi kakhulu kufanele futhi bagweme i-diltiazem, njengoba inganciphisa umfutho wegazi ngokuqhubekayo futhi ibangele ukwehla okuyingozi okuholela ekuqulekeni noma ezinye izinkinga.

Uma unesifo sesibindi, udokotela wakho uzodinga ukuqapha kakhulu mayelana nokuyala i-diltiazem noma angakhetha omunye umuthi ngokuphelele. Isibindi sakho sisebenzisa lo muthi, futhi ukungasebenzi kahle kwesibindi kungabangela ukuthi sakhe emazingeni ayingozi ohlelweni lwakho.

Ngaphezu kwalokho, i-diltiazem ingasebenzisana neminye imithi eminingi, ngakho tshela udokotela wakho ngakho konke okuthathayo, okuhlanganisa imithi etholakala ngaphandle kwe-oda, izithasiselo, kanye nemithi yezitshalo.

Amagama e-Diltiazem Brand

I-Diltiazem itholakala ngaphansi kwamagama amaningi ebhrendi, nakuba inguqulo ejwayelekile isebenza ngempumelelo. Amagama ebhrendi avamile kakhulu afaka i-Cardizem, Cartia, Dilacor, kanye ne-Tiazac.

Amabhrendi ahlukene angase abe nezakhiwo ezihlukene kancane, ikakhulukazi endleleni akhulula ngayo umuthi usuku lonke. Ezinye zenzelwe ukulinganiswa kanye ngosuku, kanti ezinye zingathathwa kabili ngosuku.

Usokhemisi wakho angashintsha amanye amabhrendi e-diltiazem ngaphandle uma udokotela wakho ecela ngqo elinye elithile. Lokhu kuvamile ukuthi kulunge, kodwa uma uqaphela noma yiziphi izinguquko endleleni ozizwa ngayo ngemva kokushintsha amabhrendi, yazisa udokotela wakho.

Noma ngabe uthatha igama lomkhiqizo noma inguqulo ejwayelekile, isithako esisebenzayo siyafana, futhi kokubili kuyasebenza ngokulinganayo ekwelapheni isimo sakho.

Ezinye izindlela zokwelapha i-Diltiazem

Uma i-diltiazem ingasebenzi kahle kuwe noma idala imiphumela emibi, udokotela wakho unezinye izinketho eziningana okufanele azicabangele. Ezinye izivimbeli zesiteshi se-calcium ezifana ne-amlodipine noma i-nifedipine zisebenza ngendlela efanayo kodwa zingase zibekezelelwe kangcono ngabanye abantu.

Ngomfutho wegazi ophezulu, udokotela wakho angase acebise ama-ACE inhibitors afana ne-lisinopril noma ama-ARB afana ne-losartan. Le mithi isebenza ngendlela ehlukile kune-diltiazem kodwa ingasebenza ngokulinganayo ekuphatheni umfutho wegazi.

Ama-beta-blockers afana ne-metoprolol enye indlela, ikakhulukazi uma futhi unezinkinga zesigqi senhliziyo. Le mithi yehlisa izinga lokushaya kwenhliziyo yakho futhi yehlise umfutho wegazi ngendlela ehlukile kune-calcium channel blockers.

Enye indlela engcono kakhulu incike ezimweni zakho zempilo ezithile, eminye imithi oyithathayo, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene. Udokotela wakho uzosebenza nawe ukuthola inketho efaneleka kakhulu uma i-diltiazem ingakulungele.

Ingabe i-Diltiazem ingcono kune-Amlodipine?

Kokubili i-diltiazem ne-amlodipine ziyizivimbeli zesiteshi se-calcium ezisebenzayo, kodwa zisebenza kancane kancane futhi zingase zifaneleke kangcono kubantu abahlukene. Akukho noyedwa “ongcono” kunomunye.

I-Diltiazem ithinta kokubili izinga lokushaya kwenhliziyo yakho nemithambo yegazi, okwenza kube usizo ikakhulukazi uma unomfutho wegazi ophezulu nezinkinga zesigqi senhliziyo. I-Amlodipine ikakhulukazi ithinta imithambo yegazi futhi ayisheshi kangako izinga lokushaya kwenhliziyo yakho.

Abanye abantu bayakwazi ukumelana ne-diltiazem kangcono ngoba mancane amathuba okuthi ibangele ukuvuvukala kwamaqakala okungase kwenzeke nge-amlodipine. Kodwa-ke, abanye bakhetha i-amlodipine ngoba ivame ukuthathwa kanye ngosuku futhi ingase ibangele isiyezi esincane.

Udokotela wakho uzocabangela izimpawu zakho ezithile, ezinye izimo zempilo, nokuthi usabela kanjani emithini ngayinye lapho enquma ukuthi iyiphi engcono kuwe. Zombili ziyizindlela zokwelapha eziqinisekisiwe, eziphephile, nezisebenzayo zezimo zenhliziyo nemithambo yegazi.

Imibuzo Evame Ukubuzwa Nge-Diltiazem

Ingabe i-Diltiazem Iphephile Ezigulini Zezinso?

I-Diltiazem ingasetshenziswa ngokuphepha kubantu abanezifo zezinso, kodwa udokotela wakho uzokuqapha eduze. Ngokungafani neminye imithi yokwehlisa umfutho wegazi, i-diltiazem ayinayo imiphumela emikhulu emisebenzini yezinso kubantu abaningi.

Kodwa-ke, uma unezifo ezinzima zezinso, udokotela wakho kungadingeka alungise umthamo wakho noma akhethe omunye umuthi. Izinso zisiza ekucubunguleni i-diltiazem, ngakho ukuncipha komsebenzi wezinso ngezinye izikhathi kungathinta indlela umuthi osebenza ngayo emzimbeni wakho.

Ukuhlolwa kwegazi okuvamile kuzosiza udokotela wakho ukuthi aqinisekise ukuthi umuthi usebenza ngokuphepha kuwe uma unanoma yiliphi izinga lokukhubazeka kwezinso.

Ngingenzani Uma Ngithatha I-Diltiazem Eningi Ngengozi?

Uma ngengozi uthatha i-diltiazem eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungabangela umfutho wegazi ophansi ngokuyingozi, izinga lokushaya kwenhliziyo elihamba kancane kakhulu, noma ukuquleka.

Ungalindi ukubona ukuthi uzizwa ulungile yini. Noma ngabe awuzwa zimpawu ngokushesha, ukweqisa kungabangela imiphumela elibazisekile engase ibe yingozi.

Shayela izinsiza eziphuthumayo uma uzizwa unesiyezi, uquleka, unobunzima bokuphefumula, noma uzwa ubuhlungu besifuba ngemuva kokuthatha umuthi owengeziwe. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga futhi kuqinisekise ukuphepha kwakho.

Ngingenzani Uma Ngiphuthelwa Umthamo We-Diltiazem?

Uma uphuthelwa umthamo we-diltiazem, yithathe ngokushesha nje lapho ukhumbula, ngaphandle kokuthi sekuseduze nesikhathi somthamo wakho olandelayo. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise lowo ophuthelwe.

Uma sekudlule amahora angaphezu kwayi-12 kusukela ngesikhathi obekufanele uthathe umthamo wakho, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho evamile. Ukuthatha imithamo eseduze kakhulu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu.

Zama ukusetha isikhumbuzi sansuku zonke ocingweni lwakho noma usebenzise umhleli wamaphilisi ukukusiza ukhumbule imithi yakho. Ukuqina kubalulekile ekulawuleni umfutho wegazi oqhubekayo.

Ngingayeka nini ukuthatha i-Diltiazem?

Yeka kuphela ukuthatha i-diltiazem uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Noma ngabe uzizwa ungcono ngokuphelele, ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke noma ubuhlungu besifuba bubuye.

Udokotela wakho ngokuvamile uzonciphisa umthamo wakho kancane kancane ezinsukwini ezimbalwa noma amasonto kunokuthi awuyeke wonke ngesikhathi esisodwa. Lokhu kunika umzimba wakho isikhathi sokuzivumelanisa futhi kuvimbela imiphumela yokubuyela emuva.

Uma uhlangabezana nemiphumela emibi ekwenza ufune ukuyeka umuthi, khuluma nodokotela wakho kuqala. Bangase bakwazi ukulungisa umthamo wakho noma bakushintshele komunye umuthi ozowuthanda kangcono.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Diltiazem?

Ungathatha amanani amancane otshwala ngenkathi uthatha i-diltiazem, kodwa qaphela njengoba kokubili kunganciphisa umfutho wegazi lakho. Ukuphuza utshwala obuningi ngenkathi usebenzisa lo muthi kungabangela isiyezi esiningi noma ukuquleka.

Qala ngotshwala obuncane kunalobo obuvamile ukuphuza bese ubona ukuthi uzizwa kanjani. Uma uqaphela isiyezi esandayo, ukukhathala, noma uzizwa ungaqinile, gwema utshwala ngenkathi uthatha lo muthi.

Xhumana nodokotela wakho mayelana nokuthi yiluphi inani lotshwala, uma likhona, eliphephile kuwe ngokusekelwe ezimweni zakho zempilo ezithile kanye neminye imithi ongase uyithathe.