Yini i-Nisoldipine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Nisoldipine iyimithi kadokotela eyilungu leqembu 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 emnene kodwa esebenzayo isisize abantu ukuthi balawule umfutho wegazi ophezulu iminyaka eminingi, futhi ukuqonda ukuthi isebenza kanjani kungakusiza uzizwe uqiniseka kakhulu ngohlelo lwakho lokwelashwa.

Yini i-Nisoldipine?

I-Nisoldipine iyi-calcium channel blocker eqondise ngqo iziteshi ze-calcium ezindongeni zemithambo yakho yegazi. Lapho i-calcium ingena kulezi ziteshi, ibangela ukuthi imithambo yakho yegazi iqine futhi inciphe, okunyusa umfutho wegazi lakho.

Le mithi ivimba ukuthi leyo calcium ingangeni, ivumela imithambo yakho yegazi ukuthi ihlale ikhululekile futhi ivulekile. Cabanga ngayo njengokugcina umnyango uvuleke kancane esikhundleni sokuwuvula ngamandla. Lokhu kukhululeka kusiza igazi ukuthi ligeleze kalula emzimbeni wakho, kunciphisa umfutho ezindongeni zakho zemithambo.

I-Nisoldipine iza ngamaphilisi akhishwa kancane, okusho ukuthi imithi ikhishwa kancane emzimbeni wakho ngokuhamba kwesikhathi. Lo mklamo usiza ukugcina ukulawulwa komfutho wegazi okuzinzile usuku lonke ngomthamo owodwa kuphela wansuku zonke.

Yini i-Nisoldipine Esetshenziselwa Yona?

I-Nisoldipine ikakhulukazi inikezwa ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Umfutho wegazi ophezulu uvame ukubizwa ngokuthi “umbulali othule” ngoba akuvamile ukuthi ubangele izimpawu ezibonakalayo kodwa kungaholela ezinkingeni ezinkulu zempilo ngokuhamba kwesikhathi.

Ngokwehlisa umfutho wegazi lakho, i-nisoldipine isiza ukuvikela inhliziyo yakho, izinso, ubuchopho, nezinye izitho ekulimaleni okungenzeka. Uma umfutho wegazi lakho uhlala ngaphakathi kwamabanga anempilo, unciphisa kakhulu ingozi yakho yokuhlaselwa yinhliziyo, ukushaywa unhlangothi, nezinkinga zezinso.

Nisoldipine

Ezinye izinyanga zingase futhi zibhalele i-nisoldipine ezinye izimo zokujikeleza kwegazi, nakuba umfutho wegazi ophezulu usahlala uyinto esetshenziswa kakhulu. Umhlinzeki wakho wezempilo uzonquma ukuthi lo muthi ulungile yini esimweni sakho esithile ngokusekelwe emlandweni wakho wezokwelapha kanye nesimo sakho sempilo samanje.

Isebenza Kanjani I-Nisoldipine?

I-Nisoldipine ithathwa njengomuthi olinganiselwe wokwehlisa umfutho wegazi osebenza ngokugxila eziteshini ezithile ze-calcium ezindongeni zemithambo yakho yegazi. Lezi ziteshi ngokuvamile zivumela i-calcium ukuthi ingene emangqamuzaneni emisipha, okubangela ukuthi anciphise futhi aqinise imithambo yakho yegazi.

Lapho i-nisoldipine ivimba lezi ziteshi ze-calcium, imisipha yakho yemithambo yegazi ihlala iphumule futhi imithambo yakho yegazi ihlala ibanzi. Lokhu kudala ukumelana okuncane ekuhambeni kwegazi, okwehlisa ngokwemvelo umfutho wakho wegazi ngaphandle kokucindezela inhliziyo yakho ukuthi isebenze kanzima.

Umuthi ngokuvamile uqala ukusebenza kungakapheli amahora ambalwa ngemva kokuwuthatha, kodwa ungase ungazizwa imiphumela ephelele izinsuku ezimbalwa noma amasonto. Lesi senzo esihamba kancane empeleni siwusizo ngoba sivumela umzimba wakho ukuthi ujwayele kancane amazinga aphansi omfutho wegazi.

Kufanele Ngiyithathe Kanjani I-Nisoldipine?

Thatha i-nisoldipine ngendlela enembile njengoba udokotela wakho ekunqumele, ngokuvamile kanye ngosuku ekuseni. Amaphilisi akhishwe isikhathi eside kufanele agwinywe wonke ngenkomishi yamanzi egcwele futhi akufanele achotshozwe, ahlunywe, noma aphulwe.

Ungathatha i-nisoldipine nokudla noma ngaphandle kokudla, kodwa zama ukuyithatha ngendlela efanayo nsuku zonke ukuze uthole imiphumela eqhubekayo. Uma ukhetha ukuyithatha nokudla, ukudla okulula noma ukudla okulula kulungile, kodwa gwema ukudla okunamafutha amaningi njengoba kungathinta indlela umzimba wakho oyamukela ngayo umuthi.

Ukuthatha i-nisoldipine ngesikhathi esifanayo nsuku zonke kusiza ukugcina amazinga aqhubekayo egazini lakho. Abantu abaningi bakuthola kuwusizo ukuxhuma ukuthatha imithi yabo nemisebenzi yansuku zonke, njengokuba nekhofi labo lasekuseni noma ukuxubha amazinyo abo.

Uma unzima ukugwinya amaphilisi, khuluma nodokotela wakho ngezindlela ezingenye, kodwa ungalishintshi ithebhulethi ngokwakho. Ukumbozwa okukhishwa isikhathi eside kuklanyelwe ngqo ukuletha imithi kancane usuku lonke.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nisoldipine?

Abantu abaningi abanomfutho wegazi ophezulu badinga ukuthatha i-nisoldipine isikhathi eside, ngokuvamile iminyaka eminingi noma impilo yonke. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlalakhona esidinga ukuphathwa okuqhubekayo kunokulungiswa kwesikhashana.

Udokotela wakho uzoqapha umfutho wakho wegazi njalo futhi angase alungise umthamo wakho noma ashintshe imithi ngokuya ngokuthi usabela kahle kangakanani ekwelashweni. Abanye abantu babona ukuthuthuka okukhulu emasontweni ambalwa, kanti abanye bangase badinge izinyanga eziningana ukuze bathole amazinga abo omfutho wegazi abawahlosile.

Noma ngabe uzizwa ulungile ngokuphelele, kubalulekile ukuqhubeka nokuthatha i-nisoldipine njengoba kunqunyiwe. Umfutho wegazi ophezulu ngokuvamile awubangeli izimpawu, ngakho ukuzizwa ulungile akusho ukuthi ungasimisa ngaphandle kokuphepha imithi yakho.

Ungayeki ukuthatha i-nisoldipine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela umfutho wakho wegazi ukuthi ukhuphuke ngendlela eyingozi, okungenzeka kuholele ezinkingeni ezinzima.

Yiziphi Imiphumela Eceleni Ye-Nisoldipine?

Njengayo yonke imithi, i-nisoldipine ingabangela imiphumela emibi, nakuba abantu abaningi behlangabezana nezinkinga ezimbalwa noma ezingekho. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emithini emasontweni ambalwa okuqala.

Imiphumela emibi evame kakhulu ongase uyithole ihlanganisa isiyezi, ikhanda, nokuvuvukala emaqakaleni akho noma ezinyaweni. Le miphumela yenzeka ngoba imithambo yakho yegazi iyazivumela ukuthi iphumule kakhulu, futhi umzimba wakho uzivumela emazingeni aphansi omfutho wegazi.

Imiphumela Evamile Eceleni

Nansi imiphumela emibi ethinta abanye abantu abathatha i-nisoldipine, cishe ngokuya ngokuqala kokuvamile:

• Ukuphatheka kabi ikhanda noma ukuzizwa unovalo, ikakhulukazi uma usukuma ngokushesha
• Ikhanda elivame ukuthuthuka ngokuhamba kwesikhathi
• Ukuvuvukala emaqakaleni, ezinyaweni, noma emilenzeni engezansi
• Ukubomvu noma ukuzwa ukushisa ebusweni nasentanyeni yakho
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Isicanucanu noma ukuphazamiseka kwesisu okuncane
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile

Le miphumela emibi ivame ukuba yesikhashana futhi ilawuleka. Uma iqhubeka noma ikukhathaza kakhulu, udokotela wakho angavame ukulungisa umthamo wakho noma asikisele izindlela zokuyinciphisa.

Imiphumela emibi engavamile kodwa ebucayi

Nakuba kungavamile, abanye abantu bangase babe nemiphumela emibi ebucayi edinga ukunakekelwa kwezempilo ngokushesha:

• Ukuphatheka kabi ikhanda okukhulu noma ukuquleka
• Ubuhlungu besifuba noma ukucindezela
• Ukuvuvukala okukhulu okudlulela ngale kwezinyawo namaqakala akho
• Ukuphefumula kanzima noma ukuphefumula ngokushesha
• Ukuqubuka kwesikhumba okukhulu noma ukusabela komzimba ngaphandle
• Ukuphuzi kwesikhumba noma amehlo

Uma uhlangabezana nanoma iyiphi yale miphumela emibi ebucayi, xhumana nomhlinzeki wakho wezempilo ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Lezi zimpawu zingase zibonise ukusabela okukhulu okudinga ukwelashwa okusheshayo.

Ubani Ongafanele Athatha i-Nisoldipine?

I-Nisoldipine ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezokwelapha noma izimo zingase zikwenze kungafaneleki kuwe. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Abantu abanezifo zesibindi ezinzima akufanele bathathe i-nisoldipine ngoba imizimba yabo ayikwazi ukucubungula umuthi ngendlela efanele. Lokhu kungaholela emazingeni ayingozi omuthi owakheka ohlelweni lwabo.

Uma unezimo ezithile zenhliziyo, njengokuhluleka kwenhliziyo okukhulu noma umfutho wegazi ophansi kakhulu, i-nisoldipine ingase ingakulungele. Imiphumela yokwehlisa umfutho wegazi yomuthi ingase iqhubekisele phambili lezi zimo.

Abesifazane abakhulelwe kufanele bagweme i-nisoldipine ngaphandle uma izinzuzo zicacile ukuthi zidlula izingozi. Uma uhlela ukukhulelwa noma uthola ukuthi ukhulelwe ngenkathi usebenzisa lo muthi, xoxa ngezindlela ezingezinye nodokotela wakho ngokushesha.

Abantu abasebenzisa eminye imithi ethile, ikakhulukazi ezinye izibulala-magciwane noma imithi elwa nesikhunta, bangase badinge ukugwema i-nisoldipine ngenxa yokusebenzisana okungaba yingozi. Njalo yazisa udokotela wakho ngayo yonke imithi kanye nezithasiselo ozithathayo.

Amagama Omkhiqizo we-Nisoldipine

I-Nisoldipine itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Sular iyona evame ukunqunywa e-United States. Le nguqulo yegama lomkhiqizo iqukethe isithako esisebenzayo esifanayo ne-nisoldipine ejwayelekile kodwa ingase ibe nezithako ezingasebenzi ezihlukene.

Amanye amagama omkhiqizo ongahlangana nawo afaka i-Syscor, nakuba lokhu kungavamile emakethe yase-US. Ezinye izindawo zingase zibe namagama omkhiqizo engeziwe e-nisoldipine, ngakho-ke kubalulekile ukwazi kokubili amagama ajwayelekile nawomkhiqizo lapho uhamba noma ugcwalisa imiyalelo.

I-nisoldipine ejwayelekile ivamise ukuba ibize ngaphansi kunezinguqulo zamagama omkhiqizo futhi isebenza ngempumelelo. Ikhemisi lakho lingase lithathe indawo yenguqulo ejwayelekile ngaphandle uma udokotela wakho efuna ngqo igama lomkhiqizo.

Ezinye izindlela ze-Nisoldipine

Uma i-nisoldipine ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, imithi eminingi ehlukile ingelapha umfutho wegazi ophezulu ngempumelelo. Udokotela wakho angase aphakamise ezinye izithiyo zesiteshi se-calcium njenge-amlodipine, nifedipine, noma felodipine.

Izithiyo ze-ACE ezifana ne-lisinopril noma i-enalapril zisebenza ngendlela ehlukile ngokuvimba ama-enzyme aqinisa imithambo yegazi. Le mithi ivame ukubekezeleleka kahle futhi ingase ilungele kangcono abantu abanezimo ezithile zezokwelapha.

Ama-ARBs (ama-angiotensin receptor blockers) afana ne-losartan noma i-valsartan anikeza enye inketho esebenzayo enendlela ehlukile yokusebenza. Ama-beta-blockers afana ne-metoprolol noma i-atenolol angase akhethwe kubantu abanezimo ezithile zenhliziyo.

Ama-Diuretics, avame ukubizwa ngokuthi

Ngokungafani neminye imithi yokwehlisa umfutho wegazi, ama-calcium channel blockers afana ne-nisoldipine awaphazamisi ikhono lomzimba wakho lokubona izimpawu zikashukela ophansi. Lokhu kubenza bakhetheke kubantu abadinga ukuqapha i-glucose yabo yegazi ngokucophelela.

Udokotela wakho uzoqapha kokubili umfutho wegazi lakho kanye namazinga kashukela egazini njalo ukuze aqinisekise ukuthi zombili lezi zimo zilawulwa kahle. Ukulawulwa okuhle komfutho wegazi kungasiza ngempela ukuvikela izinso zakho futhi kunciphise izinkinga ezihlobene nesifo sikashukela ngokuhamba kwesikhathi.

Kufanele Ngenzeni Uma Ngithatha I-Nisoldipine Engaphezu Kwemithi Ngengozi?

Uma ngengozi uthatha i-nisoldipine eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kungabangela umfutho wegazi ophansi oyingozi, okungenzeka kungabangeli zimpawu kuze kube yilapho kuba nzima.

Izimpawu zokweqisa zingabandakanya isiyezi esikhulu, ukuquleka, ukushaya kwenhliziyo okusheshayo, noma ukukhathala okukhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo eziphuthumayo ngokushesha.

Ngenkathi ulinde usizo lwezokwelapha, lala phansi ngezinyawo zakho ziphakanyisiwe futhi gwema ukuvuka ngokushesha. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ukuthi wenze kanjalo ngumhlinzeki wezempilo.

Ukuvimbela ukweqisa ngengozi, cabanga ukusebenzisa umhleli wamaphilisi noma ukusetha izikhumbuzi zocingo ukukusiza ukuthi ukhumbule ukuthi ngabe usuyithathile yini umthamo wakho wansuku zonke.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Nisoldipine?

Uma udlula umthamo we-nisoldipine, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo odlulisiwe bese uqhubeka nohlelo lwakho olujwayelekile lokulinganisa.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo odlulisiwe, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu. Ukuthatha imithamo ephindwe kabili kungaholela emiphumeleni emibi eyingozi njengesiyezi esikhulu noma ukuquleka.

Uma uvame ukukhohlwa imithamo, zama ukusetha ama-alamu nsuku zonke ocingweni lwakho noma usebenzise umhleli wamaphilisi onezindawo zosuku ngalunye lweviki. Ukuthatha imithamo nsuku zonke ngokuqhubekayo kubalulekile ekulawuleni umfutho wegazi ozinzile.

Ukuphuthelwa imithamo ngezikhathi ezithile ngokuvamile ngeke kubangele izinkinga ezinkulu, kodwa zama ukugcina isimiso esivamile ukuze uthole imiphumela engcono kakhulu. Uma uphuthelwa imithamo kaningi, khuluma nodokotela wakho ngamasu okuthuthukisa ukunamathela kwakho emithini.

Ngingayeka nini ukuthatha i-Nisoldipine?

Kufanele uyeke kuphela ukuthatha i-nisoldipine uma udokotela wakho ekutshela ukuthi kuphephile ukwenza kanjalo. Abantu abaningi abanomfutho wegazi ophezulu badinga ukwelashwa impilo yabo yonke, futhi ukuyeka imithi kungabangela umfutho wegazi ukuthi ubuyele emazingeni ayingozi.

Udokotela wakho angase acabange ukunciphisa noma ukuyeka i-nisoldipine uma wenze izinguquko ezinkulu zokuphila eziye zathuthukisa umfutho wegazi lakho ngokwemvelo. Lokhu kungabandakanya ukuncipha okukhulu kwesisindo, ukuzivocavoca njalo, noma ukuthuthukiswa okukhulu kokudla.

Noma ngabe ukufundwa komfutho wegazi lakho bekuhle kakhulu, lokhu kungenzeka ngenxa yokuthi imithi iyasebenza, hhayi ngoba awusayidingi. Udokotela wakho uzoqapha ngokucophelela umfutho wegazi lakho uma kucatshangelwa noma yiziphi izinguquko ekwelashweni kwakho.

Uma ukhathazekile ngokuthatha imithi isikhathi eside, xoxa ngemizwa yakho nodokotela wakho. Bangakusiza ukuthi uqonde izinzuzo nezingozi zokuqhubeka nokwelashwa uma kuqhathaniswa nokuyeka, ngokuya ngesimo sakho sempilo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Nisoldipine?

Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-nisoldipine, kodwa kubalulekile ukuqaphela ngoba kokubili utshwala ne-nisoldipine kunganciphisa umfutho wegazi lakho. Uma kuhlanganiswe, kungase kubangele ukwehla okukhulu komfutho wegazi okuholela ekuzizweni unesiyezi noma ukuquleka.

Uma ukhetha ukuphuza utshwala, qala ngamanani amancane kunokujwayelekile ukuze ubone ukuthi umzimba wakho usabela kanjani. Gwema ukuphuza amanani amakhulu ngokushesha, futhi ngaso sonke isikhathi udle ukudla uma uphuza utshwala ukusiza ukulinganisela imiphumela yabo.

Naka ukuthi uzizwa kanjani uma usukuma ngemuva kokuphuza, njengoba inhlanganisela yotshwala ne-nisoldipine ingakwenza ukuthi uthambekele ekubeni nekhanda elilula. Uma uzwa isiyezi esikhulu, hlala phansi noma ulale phansi ngokushesha.

Xoxa nodokotela wakho mayelana nemikhuba yakho yokuphuza utshwala ukuze bakwazi ukukunikeza iseluleko esiqondene nawe ngokusekelwe empilweni yakho yonke kanye nohlelo lwemithi. Abanye abantu bangase badinge ukukhawulela utshwala ngaphezu kwabanye kuye ngokuthi basabela kanjani ngabanye.