Yini i-Nicardipine (Indlela Yokungenisa Ngemithambo): Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Nicardipine intravenous iyimithi esiza ukwehlisa umfutho wegazi ngokushesha uma inikezwa ngomthambo. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-calcium channel blockers, asebenza ngokuphumuza imithambo yegazi ukuze kuthuthukiswe ukugeleza kwegazi. Lolu hlobo lwe-IV luvame ukusetshenziswa ezindaweni zase-hospital lapho umfutho wegazi udinga ukulawulwa ngokushesha nangokunembile.

Yini i-Nicardipine?

I-Nicardipine iyi-calcium channel blocker eqondiswe ngqo enhliziyweni nasemithanjeni yegazi. Uma inikezwa ngomthambo, isebenza ngokushesha kunezinhlobo zamaphilisi futhi ivumela odokotela ukuthi balungise umthamo ngokunembile. Umuthi usiza imithambo yakho yegazi ukuthi iphumule futhi yande, okunciphisa umfutho ngaphakathi kwazo.

Lolu hlobo lwe-IV lubhekwa njengomuthi oqinile ngokulinganisela womfutho wegazi. Yenzelwe izimo lapho ukuncishiswa komfutho wegazi okusheshayo, okulawulekayo kudingeka. Abahlinzeki bezempilo bangawulungisa kalula umthamo ngokuya ngendlela umzimba wakho osabela ngayo, okwenza kube yindlela yokwelapha eguquguqukayo.

Isetshenziselwani i-Nicardipine?

I-Nicardipine IV isetshenziswa ikakhulukazi ukwelapha umfutho wegazi ophezulu kakhulu ezindaweni zase-hospital. Ilusizo ikakhulukazi lapho umfutho wegazi udinga ukwehla ngokushesha kodwa ngokuphepha. Udokotela wakho angase asebenzise lo muthi uma uhlangabezana nesimo esiphuthumayo noma ubunzima bomfutho wegazi ophezulu.

Umuthi usetshenziswa futhi ngesikhathi nangemva kokuhlinzwa okuthile ukulawula umfutho wegazi. Abanye odokotela bayawusebenzisa lapho iziguli zingakwazi ukuthatha imithi yomlomo noma lapho izinhlobo zamaphilisi zingasebenzi ngokushesha okwanele. Ilusizo ikakhulukazi emayunithi okunakekelwa okukhulu lapho ukuqapha okuseduze kungenzeka.

Kwezinye izimo, i-nicardipine IV ingase isetshenziselwe ukuphatha umfutho wegazi ngesikhathi senqubo yenhliziyo noma lapho ezinye izimo zenza ukulawulwa komfutho wegazi kubaluleke kakhulu. Ithimba lakho lezempilo lizinqumela ukuthi lo muthi ulungele isimo sakho esithile.

Isebenza kanjani i-Nicardipine?

I-Nicardipine isebenza ngokuvimba iziteshi ze-calcium ezindongeni zemithambo yakho yegazi kanye nomqulu wenhliziyo. Cabanga nge-calcium njengokhiye ovame ukusiza imithambo yegazi ukuthi iqine futhi iqine. Ngokuvimba lezi ziteshi ze-calcium, i-nicardipine ivimbela lokhu kuqina ukuthi kungenzeki.

Uma imithambo yakho yegazi ingakwazi ukuziqinisa kakhulu, ngokwemvelo iyakhululeka futhi yande. Lokhu kwenza isikhala esiningi sokuthi igazi ligeleze, okunciphisa ingcindezi odongeni lwemithambo. Umphumela ukwehla kwengcindezi yegazi nokuthuthukiswa kokugeleza kwegazi ezingxenyeni zomzimba wakho.

Ifomu le-IV lisebenza ngemizuzu ngemva kokunikezwa, yingakho liwusizo ezimweni eziphuthumayo. Ngokungafani namaphilisi okudingeka agaywe kuqala, umuthi uqondiswa ngqo emgudwini wakho wegazi. Lokhu kuvumela ukuqala okusheshayo nokulawulwa okunembile kwamazinga okucindezela kwegazi.

Kufanele Ngiyithathe Kanjani I-Nicardipine?

I-Nicardipine IV inikezwa kuphela ochwepheshe bezempilo esibhedlela noma ekliniki. Ngeke uthathe lo muthi wena ekhaya. Umuthi unikezwa ngeshubhu elincane elifakwe emthanjeni wakho, ngokuvamile engalweni yakho noma esandleni sakho.

Ithimba lakho lezempilo lizoqala ngomthamo ophansi futhi lilungise kancane kancane ngokusekelwe ekuphenduleni kwakho ingcindezi yegazi. Bazokuqapha eduze ngaso sonke isikhathi sokwelashwa, behlola ingcindezi yakho yegazi njalo. Umuthi uvame ukunikezwa njengokuthontsa okuqhubekayo kunokuba umjovo owodwa.

Ngesikhathi sokwelashwa, uzodinga ukuhlala embhedeni noma uhlale esihlalweni lapho abasebenzi bengakuqapha kalula. Umugqa we-IV uzovikelwa ngokucophelela ukuze uvimbele ukuthi unganyakazi noma ungakhishwa. Abantu abaningi bathola lo muthi belele ukuze bavimbele isiyezi ngenxa yezinguquko zengcindezi yegazi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nicardipine?

Isikhathi sokwelashwa nge-nicardipine IV siyahluka kakhulu kuye ngesimo sakho nokuphendula kwakho. Abanye abantu bangase bayidinge amahora ambalwa nje, kanti abanye bangase bayidinge izinsuku eziningana. Udokotela wakho uzoqoka ubude obufanele bokwelashwa ngokusekelwe ekulawuleni kwakho umfutho wegazi.

Iziguli eziningi zishintshela emithini yomfutho wegazi yomlomo uma isimo sazo sizinzile. Ifomu le-IV livame ukusetshenziswa njengesixazululo sesikhashana ngenkathi odokotela besebenza ukuthola uhlelo olungcono lokwelashwa isikhathi eside. Ithimba lakho lokunakekelwa kwezempilo lizokwehlisa kancane kancane umthamo we-IV ngenkathi liqala imithi yomlomo.

Umgomo ngokuvamile ukulawula umfutho wakho wegazi bese ushintshela emithini ongayithatha ekhaya. Udokotela wakho uzoqinisekisa ukuthi umfutho wakho wegazi uhlala uzinzile ngaphambi kokuyeka ifomu le-IV. Le nqubo yokushintsha isiza ekuvikeleni ukukhuphuka okungazelelwe komfutho wegazi.

Yiziphi Imiphumela Eceleni ye-Nicardipine?

Njengayo yonke imithi, i-nicardipine IV ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ihlobene nezinguquko zomfutho wegazi nokuthi umzimba wakho uzivumela kanjani emithini.

Nawa amanye amiphumela emibi evamile ongase uyithole ngenkathi uthola i-nicardipine IV:

• Ikhanda elibuhlungu, elivame ukuthuthuka njengoba umzimba wakho uzivumela emithini
• Isiyezi noma ukukhathala, ikakhulukazi lapho ushintsha izikhundla
• Ukucasuka noma isisu esibuhlungu
• Ukubomvu noma ukuzwa ufudumele
• Ukuvuvukala emilenzeni yakho, emaqakaleni, noma ezinyaweni
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukukhathala noma ukuzwa ukhathele

Le miphumela emibi evamile ivame ukuba milde futhi yesikhashana. Ithimba lakho lokunakekelwa kwezempilo lizokuqapha eduze futhi lingashintsha umthamo wakho uma kudingeka ukunciphisa ukungakhululeki.

Abanye abantu bangase babe nemiphumela emibi engathi sína edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ukwehla okukhulu kwengcindezi yegazi okubangela ukuquleka noma ukudideka
• Ubuhlungu besifuba noma izinkinga zesigqi senhliziyo
• Ukuphendula okukhulu komzimba okubangela ukuqubuka, ukuvuvukala, noma ubunzima bokuphefumula
• Izimpawu zokuhluleka kwenhliziyo njengokuphefumula kanzima kakhulu noma ukukhuluphala ngokushesha
• Izinkinga zesibindi, nakuba lokhu kungavamile uma kusetshenziswa i-IV

Ithimba lakho lezokwelapha liqeqeshwe ukubona nokuphatha lezi zinkinga ezingathi sína ngokushesha. Njengoba uzoqashwa eduze ngesikhathi sokwelashwa, noma yiziphi izimpawu ezikhathazayo zingaxazululwa ngokushesha.

Ubani Ongafanele Athathwe I-Nicardipine?

I-Nicardipine IV ayifanele wonke umuntu, futhi udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Abantu abanezimo ezithile zenhliziyo kungenzeka bangabi ngabantu abafanelekayo kulo muthi. Ithimba lakho lezempilo lizocabangela zonke izici zakho zempilo ngaphambi kokuqala ukwelashwa.

Kufanele wazise udokotela wakho uma unanoma yiziphi zalezi zimo, njengoba zingase zithinte ukuthi i-nicardipine iphephile yini kuwe:

• Ukuhluleka kwenhliziyo okuthuthukile noma ubuthakathaka obukhulu bemisipha yenhliziyo
• I-aortic stenosis enkulu (ukuncipha kwe-valve enkulu yenhliziyo)
• Ukungezwani okwaziwayo ne-nicardipine noma ama-calcium channel blockers afanayo
• Isifo sesibindi esibi kakhulu
• Ukwehla okukhulu kwengcindezi yegazi (i-hypotension)
• Izinhlobo ezithile zokuphazamiseka kwesigqi senhliziyo

Ukukhulelwa nokuncelisa kudinga ukucatshangelwa okukhethekile nge-nicardipine IV. Udokotela wakho uzolinganisela izinzuzo nezingozi ezingaba khona uma ukhulelwe noma uncelisa. Umuthi ungangena esithweni somzimba futhi ungene obisini lwebele, ngakho ukwelashwa okuhlukile kungase kukhethwe.

Abantu abadala bangase babe nobuzwela obengeziwe emiphumeleni ye-nicardipine, ikakhulukazi izinguquko zengcindezi yegazi. Udokotela wakho angase aqale ngemithamo ephansi futhi akuqaphele eduze uma usumdala. Izinguquko ezineminyaka ezinjengokuguga ezinso noma esibindini zingathinta indlela umzimba wakho oqhubula ngayo umuthi.

Amagama e-Nicardipine Brand

I-Nicardipine IV itholakala ngaphansi kwegama lomkhiqizo elithi Cardene IV emazweni amaningi. Leli yigama lomkhiqizo elivame ukwaziwa kakhulu leli fomu lomuthi elinikezwa ngemithambo. Ezinye izibhedlela zingase zisebenzise izinguqulo ezivamile eziqulathe isithako esifanayo esisebenzayo.

Abahlinzeki bakho bezempilo bazokwazi ukuthi yiluphi uhlobo oluqondile abalusebenzisayo, kungakhathaliseki ukuthi yigama lomkhiqizo noma inguqulo ejwayelekile. Zombili lezi zinhlobo zisebenza ngendlela efanayo futhi zinomphumela ofanayo. Ukukhetha kuvame ukuncika kulokho isibhedlela sakho noma umtholampilo onakho.

Ezinye izindlela ze-Nicardipine

Eminye imithi eminingi ye-IV ingasetshenziswa esikhundleni se-nicardipine ukuze kulawulwe umfutho wegazi. Udokotela wakho angase akhethe omunye umuthi ngokusekelwe esimweni sakho esithile, ezinye izinkinga zempilo, noma indlela ozosabela ngayo ekwelashweni.

Ezinye izindlela ezivamile zihlanganisa ezinye izithiyo zesiteshi se-calcium ezifana ne-clevidipine, esisebenza ngendlela efanayo kodwa sinesikhathi esifushane sokusebenza. Ama-beta-blockers afana ne-esmolol noma i-labetalol angase asetshenziswe, ikakhulukazi uma unezinkinga zokushaya kwenhliziyo. Ama-ACE inhibitors afana ne-enalaprilat anikeza enye inketho ezigulini ezithile.

Ukukhetha enye indlela kuncike ezintweni ezifana nokusebenza kwenhliziyo yakho, impilo yezinso, nesizathu esithile sokwelashwa komfutho wegazi. Ithimba lakho lezokwelapha lizokhetha inketho efanele kakhulu ngokusekelwe ezidingweni zakho ngazinye kanye nomlando wakho wezokwelapha.

Ingabe i-Nicardipine ingcono kune-Clevidipine?

Kokubili i-nicardipine ne-clevidipine ziyizithiyo zesiteshi se-calcium eziphumelelayo zokulawula umfutho wegazi we-IV, kodwa zinezici ezihlukene. I-Clevidipine inesikhathi esifushane sokusebenza, okusho ukuthi imiphumela yayo iyaphela ngokushesha uma iyekisiwe. Lokhu kungaba yinzuzo lapho ukulawula okunembile, kwesikhashana kudingeka.

I-Nicardipine ivame ukuba nomphumela ohlala isikhathi eside, okungenzeka ukuthi kungcono ekulawuleni umfutho wegazi oqhubekayo. Iphinde yatholakala isikhathi eside futhi inocwaningo oluningi olusekela ukusetshenziswa kwayo. Odokotela abathile bakhetha i-nicardipine ezinhlotsheni ezithile zeziguli noma izimo.

Ukukhetha phakathi kwale mithi kuvame ukuncika esimweni sakho esithile sezokwelapha. Udokotela wakho uzocabangela izinto ezinjengokuthi badinga ukuthi bakwazi ukuguqula imiphumela yomuthi ngokushesha kangakanani, ezinye izimo zakho zempilo, kanye nezintandokazi zesibhedlela. Zombili zithathwa njengezisebenza kahle futhi ziphephile uma zisetshenziswa ngendlela efanele.

Imibuzo Evame Ukubuzwa Mayelana ne-Nicardipine

Q1. Ingabe i-Nicardipine iphephile kubantu abanezifo zenhliziyo?

I-Nicardipine ingaphepha kubantu abaningi abanezifo zenhliziyo, kodwa idinga ukuhlolwa ngokucophelela ngudokotela wakho. Umuthi empeleni ungasiza ezinye izimo zenhliziyo ngokuthuthukisa ukugeleza kwegazi nokunciphisa umsebenzi wenhliziyo. Kodwa-ke, abantu abanenhliziyo ehlulekayo noma izinkinga ezithile zamavalvu kungenzeka bangabi ngabantu abafanelekayo.

Udokotela wakho wenhliziyo uzobuyekeza uhlobo lwakho oluthile lwesifo senhliziyo nomsebenzi wenhliziyo wonke ngaphambi kokuncoma i-nicardipine. Bangase bayalele izivivinyo ezinjenge-echocardiogram ukuhlola ikhono lenhliziyo yakho lokumpompa. Ukuqapha eduze ngesikhathi sokwelashwa kusiza ukuqinisekisa ukuthi umuthi uyasiza kunokubangela izinkinga.

Q2. Kufanele ngenzeni uma ngithola i-Nicardipine eningi ngengozi?

Njengoba i-nicardipine IV inikezwa ochwepheshe bezempilo endaweni elawulwayo, ukweqisa ngengozi akuvamile. Kodwa-ke, uma uhlangabezana nezimpawu ezinjengokugcwala isiyezi okukhulu, ukuquleka, noma ukuzizwa ungaphilile kakhulu, yazisa umhlengikazi wakho ngokushesha. Ithimba lezokwelapha liqeqeshwe ukubona nokwelapha ukweqisa kwemithi ngokushesha.

Abahlinzeki bakho bezempilo bazobheka izimpawu zakho ezibalulekile ngokuqhubekayo futhi bangashintsha noma bayeke umuthi ngokushesha uma kudingeka. Bangase bakunikeze uketshezi lwe-IV noma eminye imithi yokulwa nanoma yimaphi imiphumela eyeqile. Izindaba ezinhle ukuthi imiphumela ye-nicardipine ngokuvamile iyabuyiseka ngokunakekelwa okufanele kwezokwelapha.

Q3. Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Nicardipine?

Nge-nicardipine IV, akukho

Ikhono lakho lokudla nokuphuza ngesikhathi sokwelashwa nge-nicardipine lincike esimweni sakho sempilo jikelele kunemithi uqobo. Uma uqaphele futhi ukwazi ukugwinya ngokuphephile, ngokuvamile ungenza ukudla okuvamile neziphuzo. Kodwa-ke, ithimba lakho lezokwelapha lingase libe nemikhawulo ethile yokudla ngokusekelwe esimweni sakho.

Odokotela abathile batusa ukugwema ukudla okukhulu okungase kuthinte umfutho wegazi, futhi kungase kudingeke ukuthi ukhawulele i-caffeine noma utshwala. Ithimba lakho lezempilo lizohlinzeka ngesiqondiso esithile mayelana nokuthi yini ongayidla ngesikhathi sokwelashwa. Bazophinde baqinisekise ukuthi uhlala unamanzi kahle, okubalulekile ekuphathweni komfutho wegazi.