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

I-Isradipine iyimithi kadokotela eyingxenye yeqembu lemithi ebizwa ngokuthi ama-calcium channel blockers. Isebenza ngokukhulula imisipha ezindongeni zemithambo yakho yegazi, okusiza ukwehlisa umfutho wegazi lakho futhi kwenze kube lula ukuthi inhliziyo yakho ipompe igazi emzimbeni wakho wonke.

Le mithi isize abantu ukulawula umfutho wegazi ophezulu iminyaka eminingi. Udokotela wakho angase ayinikeze uma eminye imithi yomfutho wegazi ingasebenzi kahle ngokwanele, noma njengengxenye yohlelo lokwelapha oluhlanganisiwe olwenzelwe izidingo zakho ngqo.

Isetshenziselwani i-Isradipine?

I-Isradipine ikakhulukazi inikezelwa ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Uma umfutho wegazi lakho uhlala uphakeme njalo, ubeka ingcindezi eyengeziwe enhliziyweni yakho nasemithanjeni yegazi, okungaholela ezinkingeni ezinkulu zempilo ngokuhamba kwesikhathi.

Le mithi isiza ukwehlisa umfutho wegazi lakho ufinyelele ebangeni elinempilo ngokuvumela imithambo yakho yegazi ukuthi ikhululeke futhi yande. Ngezinye izikhathi odokotela bayinikeza futhi ngezinhlobo ezithile zobuhlungu besifuba obubizwa ngokuthi i-angina, nakuba lokhu kungavamile kunokusetshenziswa kwayo ukulawula umfutho wegazi.

Umhlinzeki wakho wezempilo uzoqoka ukuthi i-isradipine ilungele yini isimo sakho esithile ngokusekelwe emlandweni wakho wezokwelapha, isimo sempilo yakho yamanje, nokuthi ezinye izindlela zokwelapha zikusebenzele kahle kangakanani.

Isebenza Kanjani i-Isradipine?

I-Isradipine isebenza ngokuvimba i-calcium ukuthi ingangeni emangqamuzaneni emisipha ezindongeni zemithambo yakho yegazi. Cabanga nge-calcium njengokhiye ovamela ukutshela le misipha ukuthi iqine futhi iqine.

Lapho i-isradipine ivimba le calcium, imisipha yakho yemithambo yegazi ihlala ikhululekile esikhundleni sokuqina. Lokhu kuvumela imithambo yakho yegazi ukuthi yande, idale isikhala esiningi segazi ukuthi ligeleze ngomfutho omncane odongeni lwemithambo.

Lo muthi uthathwa njengomuthi olawula umfutho wegazi olunamandla amaphakathi. Ngokuvamile uqala ukusebenza kungakapheli amahora ambalwa ngemva kokuwuthatha, kodwa ungase ungazizwa izinzuzo eziphelele amasonto ambalwa njengoba umzimba wakho ujwayela ukwelashwa.

Kufanele Ngiyithathe Kanjani I-Isradipine?

Thatha i-isradipine ngendlela eqondile udokotela wakho ayikuyala ngayo, ngokuvamile kanye noma kabili ngosuku. Ungayithatha nokudla noma ngaphandle kokudla, kodwa zama ukuyithatha ngendlela efanayo ngaso sonke isikhathi ukuze ugcine amazinga aqhubekayo emzimbeni wakho.

Gwinya amaphilisi wonke ngamanzi agcwele ingilazi. Ungawachobozi, uwahlafune, noma uvule amaphilisi, ngoba lokhu kungakhipha umuthi omningi ngesikhathi esisodwa futhi kungase kubangele imiphumela emibi.

Uma uthatha inguqulo yezikhathi ezimbili ngosuku, hlukanisa imithamo yakho ngamahora acishe abe ngu-12. Ukuyithatha ngezikhathi ezifanayo nsuku zonke kusiza ukugcina amazinga aqhubekayo omuthi ohlelweni lwakho, okusebenza kangcono ekulawuleni umfutho wegazi lakho.

Akudingeki ukuthi ugweme noma yikuphi ukudla okuthile ngenkathi uthatha i-isradipine, kodwa ukukhawulela usawoti nokugcina ukudla okunempilo yenhliziyo kungasiza umuthi ukuthi usebenze ngempumelelo.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Isradipine?

Abantu abaningi badinga ukuthatha i-isradipine isikhathi eside ukuze bagcine umfutho wegazi labo ulawulwa. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlala-khona esidinga ukuqhubeka nokulawulwa kunokulungiswa kwesikhashana.

Udokotela wakho uzoqapha ukuthi umuthi usebenza kahle kangakanani ngokuhlola umfutho wegazi njalo futhi angase alungise umthamo wakho ngokuhamba kwesikhathi. Abanye abantu babona umfutho wegazi labo uthuthuka emasontweni ambalwa okuqala, kanti abanye bangase badinge izinyanga eziningana ukuze bafinyelele emazingeni abo abaqondiwe.

Ungayeki ukuthatha i-isradipine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela umfutho wegazi lakho ukuthi ukhuphuke ngendlela eyingozi, okungaholela ezinkingeni ezinzima njengokuhlaselwa yinhliziyo noma unhlangothi.

Yiziphi Imiphumela Emibi Ye-Isradipine?

Njengazo zonke izidakamizwa, i-isradipine ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda okulindelekile kungakusiza ukuthi uzizwe uqiniseka kakhulu ngomuthi wakho.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa:

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ikhanda elivame ukuthuthuka njengoba umzimba wakho ujwayela
• Ukubomvu noma ukuzwa ufudumele ebusweni nasentanyeni yakho
• Ukuvuvukala emaqakaleni akho, ezinyaweni, noma emilenzeni engezansi
• Ukukhathala noma ukuzizwa ukhathele kakhulu kunokujwayelekile
• Isicanucanu noma isisu esibuhlungu

Le miphumela emibi ivame ukuba milde futhi ithambekele ekuthuthukiseni phakathi namasonto ambalwa okuqala okwelashwa. Uma ziqhubeka noma ziba yinkinga, khuluma nodokotela wakho mayelana nokulungiswa okungenzeka emthini wakho.

Abanye abantu bathola imiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezokwelapha:

• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Isiyezi esikhulu noma ukuquleka
• Ukuphefumula kanzima noma ukuphefumula kanzima
• Ukuvuvukala okukhulu emilenzeni yakho, emaqakaleni, noma ezinyaweni
• Ukwanda kwesisindo ngokushesha ngenxa yokugcinwa kwamanzi

Lezi zimpawu azivamile kodwa akufanele zinganakwa. Xhumana nomhlinzeki wakho wezempilo uma uthola noma iyiphi yale miphumela.

Ezimweni ezingavamile, abanye abantu bangase bathuthukise ukusabela okukhulu komzimba noma izinkinga zesibindi. Izimpawu okufanele ziqashelwe zihlanganisa ukuphuzi kwesikhumba sakho noma amehlo, ubuhlungu obukhulu besisu, noma ukuqubuka kwesikhumba okune-fever.

Ubani Ongafanele Athathwe I-Isradipine?

I-Isradipine ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo nezimo ezithile zenza lo muthi ungafaneleki noma uyingozi.

Akufanele uthathe i-isradipine uma:

• Ukwazi ukungezwani komzimba ne-isradipine noma ezinye izinto ezivimbela amashaneli e-calcium
• Ukuba nokuhluleka kwenhliziyo okukhulu noma izinkinga ezithile zesigqi senhliziyo
• Ukuba nomfutho wegazi ophansi kakhulu (i-hypotension)
• Ukhulelwe noma uhlela ukukhulelwa
• Ukuba nesifo sesibindi esibi kakhulu

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe uma unezinkinga zenhliziyo eziphakathi nendawo, isifo sezinso, noma uneminyaka engaphezu kwengama-65 ubudala. Lezi zimo azikuvimbeli ngempela ukuthatha i-isradipine, kodwa zingadinga ukulungiswa komthamo noma ukuqapha okuseduze.

Xhumana nodokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa nemithi etholakala ngaphandle kwe-oda kanye nezithasiselo. Eminye imithi ingasebenzisana ne-isradipine futhi ikhulise imiphumela emibi noma inciphise ukusebenza kwayo.

Amagama Omkhiqizo we-Isradipine

I-Isradipine itholakala ngaphansi kwegama lomkhiqizo elithi DynaCirc kanye ne-DynaCirc CR (ukukhishwa okulawulwayo). Inguqulo ye-CR yakhelwe ukukhulula imithi kancane kancane ngokuhamba kwesikhathi, okuvumela ukulinganisa kanye ngosuku ezimweni eziningi.

Izinhlobo ezivamile ze-isradipine nazo ziyatholakala futhi zisebenza ngempumelelo njengezinhlobo zegama lomkhiqizo. Ikhemisi lakho lingase lithathe indawo yenguqulo ejwayelekile ngaphandle kokuthi udokotela wakho acele ngokuqondile igama lomkhiqizo.

Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, isithako esisebenzayo nokusebenza ngempumelelo kuhlala kufana. Umehluko omkhulu uvame ukuba ezithakweni ezingasebenzi, ukupakisha, nezindleko.

Ezinye izindlela ze-Isradipine

Uma i-isradipine ingasebenzi kahle kuwe noma ibangela imiphumela emibi ekhathazayo, imithi eminingi yomfutho wegazi iyatholakala. Udokotela wakho angakusiza ukuthi uthole enye indlela engcono kakhulu esekelwe ezidingweni zakho ezithile.

Ezinye izinto ezivimbela amashaneli e-calcium ezisebenza ngendlela efanayo ne-isradipine zihlanganisa i-amlodipine, i-nifedipine, ne-felodipine. Le mithi inamaphrofayili emiphumela emibi ehlukile kanye namashadi okulinganisa, angasebenza kangcono kwabanye abantu.

Udktela wakho angase futhi acabangele ezinye izinhlobo zemithi yokwehlisa umfutho wegazi, njenge-ACE inhibitors, ARBs (angiotensin receptor blockers), noma ama-diuretics. Ngezinye izikhathi ukuhlanganisa izinhlobo ezahlukene zemithi kusebenza kangcono kunokusebenzisa eyodwa kuphela.

Okubalulekile ukuthola umuthi ofanele noma inhlanganisela elawula ngempumelelo umfutho wegazi lakho ngenkathi kunciphisa imiphumela engemihle ephazamisa impilo yakho yansuku zonke.

Ingabe i-Isradipine ingcono kune-Amlodipine?

Kokubili i-isradipine ne-amlodipine ziyizithiyo ze-calcium channel ezisebenzayo zokwelapha umfutho wegazi ophezulu, kodwa zinezinye izinto ezingase zenze enye ifaneleke kakhulu kuwe kunenye.

I-Amlodipine ithathwa kanye ngosuku futhi ivame ukubangela isiyezi esincane, kodwa ingase ibangele ukuvuvukala okwengeziwe emaqakaleni. I-Isradipine ivame ukuthathwa kabili ngosuku futhi ingase ibangele isiyezi esiningi ekuqaleni, kodwa ivame ukubangela ukuvuvukala okuncane emilenzeni nasenyawo.

Akukho muthi owodwa ovamile ukuthi “ungcono” kunomunye. Ukukhetha okungcono kuncike ekuphenduleni kwakho ngakunye, okuthandayo ngendlela yokuphila, nokuthi yimiphi imiphumela engemihle ongase ukwazi ukuyibekezelela kahle.

Udktela wakho uzocabangela izinto ezinjengomsebenzi wakho wansuku zonke, ezinye izimo zempilo, kanye nokuhlangenwe nakho kwangaphambilini ngemithi yokwehlisa umfutho wegazi lapho enquma phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Isradipine

Ingabe i-Isradipine iphephile ku-Diabetes?

Yebo, i-isradipine ngokuvamile iphephile kubantu abanesifo sikashukela futhi ayithinti amazinga kashukela egazini. Eqinisweni, izithiyo ze-calcium channel njenge-isradipine zivame ukukhethwa kubantu abanesifo sikashukela ngoba aziphazamisi ukusebenza kwe-insulin noma zifihle izimpawu zikashukela ophansi.

Ezinye izifundo zikhomba ukuthi ukulawulwa okuhle komfutho wegazi ngemithi enjenge-isradipine kungase ngempela kusize ukuvikela izinso zakho namehlo ezinkingeni ezihlobene nesifo sikashukela. Nokho, uzodinga ukuqapha njalo umfutho wegazi lakho namazinga kashukela egazini.

Kufanele Ngenzeni Uma Ngiphuzile Kakhulu I-Isradipine Ngengozi?

Uma uphuza i-isradipine eningi ngengozi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuphuza okuningi kungabangela ukwehla kwengcindezi yegazi okuyingozi, okungase kukwenze uzizwe unesiyezi, ubuthakathaka, noma kukwenze uquleke.

Ungazami ukulinganisa umthamo owengeziwe ngokuqaqa umthamo wakho olandelayo ohleliwe. Kunalokho, funa isiqondiso sezokwelapha ukuqinisekisa ukuphepha kwakho futhi unqume inkambo engcono kakhulu yokwenza.

Kufanele Ngenzeni Uma Ngeqa Umthamo We-Isradipine?

Uma weqa umthamo we-isradipine, yithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuyisikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo oqashiwe bese uqhubeka nohlelo lwakho olujwayelekile lokulinganisa.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oqashiwe, ngoba lokhu kungabangela ukuthi ingcindezi yakho yegazi yehle kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi ukukusiza ukuthi uhlale emgqeni.

Ngingayeka Nini Ukuthatha I-Isradipine?

Kufanele uyeke kuphela ukuthatha i-isradipine ngaphansi kokuqondisa kukadokotela wakho. Abantu abaningi abanomfutho wegazi ophezulu badinga ukuqhubeka nokuthatha imithi isikhathi eside ukuze bagcine amazinga empilo yegazi.

Udokotela wakho angase acabange ukunciphisa noma ukuyeka imithi uma ingcindezi yakho yegazi ibilawulwa kahle isikhathi eside futhi wenze izinguquko ezinkulu zokuphila njengokuncipha kwesisindo, ukuzivocavoca njalo, nokuthuthukiswa kokudla. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi kanye nomhlinzeki wakho wezempilo.

Ngingakwazi Yini Ukuphuza Utshwala Ngenkathi Ngithatha I-Isradipine?

Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-isradipine, kodwa qaphela ukuthi utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi yomuthi. Lokhu kungase kukwenze uzizwe unesizungu noma unesiyezi kunokujwayelekile.

Qala ngamanani amancane otshwala kunalawo ovame ukuwaphuza ukuze ubone ukuthi umzimba wakho usabela kanjani. Uma uqaphela isiyezi esikhulu noma eminye imiphumela emibi, kungase kudingeke ukuthi ukhawulele noma ukugweme utshwala ngenkathi usebenzisa lo muthi.