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

I-Verapamil iyimithi kadokotela eyingxenye yeqembu lemithi ebizwa ngokuthi ama-calcium channel blockers. Isebenza ngokukhulula imithambo yakho yegazi futhi yehlise izinga lokushaya kwenhliziyo yakho, okusiza ukunciphisa umsebenzi wenhliziyo yakho futhi kuthuthukise ukuhamba kwegazi emzimbeni wakho wonke.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka ukwelapha izimo ezihlukahlukene zenhliziyo nomfutho wegazi. Udokotela wakho angase akubhalele i-verapamil uma ubhekene nomfutho wegazi ophezulu, izinkinga ezithile zesigqi senhliziyo, noma ubuhlungu besifuba obubizwa ngokuthi i-angina.

Isetshenziselwani i-Verapamil?

I-Verapamil isiza ukwelapha izimo eziningana ezihlobene nenhliziyo ngokwenza kube lula ukuthi inhliziyo yakho ipompe igazi ngempumelelo. Le mithi isebenza kahle ikakhulukazi ekuphatheni umfutho wegazi ophezulu nezinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile.

Nazi izimo eziyinhloko i-verapamil engasiza ukuzelapha:

• Umfutho wegazi ophezulu (i-hypertension) - I-Verapamil ikhulula imithambo yakho yegazi, ivumela igazi ukuthi lihambe kalula futhi inciphise ingcindezi ezindongeni zemithambo
• I-Angina (ubuhlungu besifuba) - Ithuthukisa ukuhamba kwegazi emsipheni wakho wenhliziyo, inciphisa izigameko zobuhlungu besifuba ngesikhathi somsebenzi womzimba noma ukucindezeleka
• Izinkinga ezithile zesigqi senhliziyo - Le mithi isiza ukulawula ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ikakhulukazi lezo ezivela emagumbini aphezulu enhliziyo yakho
• I-Supraventricular tachycardia - Lolu uhlobo oluthile lwesigqi senhliziyo esisheshayo i-verapamil engasinciphisa ngempumelelo

Kwezinye izimo, odokotela bangase babhale i-verapamil kwezinye izimo ezinjengokuvimbela i-migraine noma izinhlobo ezithile zekhanda elibuhlungu. Umhlinzeki wakho wezempilo uzoqoka ukuthi i-verapamil ilungile yini esimweni sakho esithile.

Isebenza Kanjani i-Verapamil?

I-Verapamil isebenza ngokuvimba i-calcium ukuthi ingangeni emangqamuzaneni emisipha yenhliziyo yakho nemithambo yegazi. Cabanga nge-calcium njengokhiye ovamela ukutshela le misipha ukuthi iqine futhi iqine.

Uma i-verapamil ivimba le calcium, imithambo yakho yegazi iyakhululeka futhi yande, okwenza kube lula ukuthi igazi ligeleze ngayo. Ngesikhathi esifanayo, inhliziyo yakho akudingeki isebenze kanzima ukuze ipompe igazi, okungasiza ukunciphisa ubuhlungu besifuba nokwehlisa umfutho wegazi.

Lo muthi ubhekwa njengomuthi onamandla ngokulinganisela futhi uvame ukubekezelelwa kahle abantu abaningi. Imiphumela ivamise ukuqala kungakapheli amahora ambalwa ngemva kokuwuthatha, kodwa kungase kuthathe amasonto ambalwa okusetshenziswa njalo ukuze kubonakale izinzuzo eziphelele zokulawula umfutho wegazi.

Kufanele Ngiyithathe Kanjani I-Verapamil?

Thatha i-verapamil ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye noma kabili ngosuku ngokudla noma ubisi. Ukuyithatha ngokudla kusiza ukunciphisa isicanucanu sesisu futhi kungathuthukisa indlela umzimba wakho omunca ngayo umuthi.

Gwinya amaphilisi noma ama-capsule wonke ngaphandle kokuwachoboza, ukuwahlafuna, noma ukuwaqhekeza, ikakhulukazi uma uthatha uhlobo olukhishwa isikhathi eside. Ukuqhekeza la maphilisi akhethekile kungakhipha umuthi omningi ngesikhathi esisodwa, okungaba yingozi.

Zama ukuthatha i-verapamil ngesikhathi esifanayo nsuku zonke ukuze ikusize ukhumbule futhi ugcine amazinga aqhubekayo omuthi ohlelweni lwakho. Uma uyithatha kabili ngosuku, hlukanisa imithamo ngamahora angu-12.

Gwema ukuphuza ijusi yama-grapefruit noma ukudla ama-grapefruit ngenkathi uthatha i-verapamil, ngoba lokhu kungakhuphula inani lomuthi egazini lakho futhi kuholele emiphumeleni engathandeki.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Verapamil?

Ubude besikhathi ozodinga ukuthatha ngaso i-verapamil busekelwe esimweni sakho esithile nokuthi usabela kanjani ekwelashweni. Ngomfutho wegazi ophezulu, lokhu ngokuvamile kuwumuthi wesikhathi eside okungenzeka udinge ukuwuthatha iminyaka noma ngisho kuze kube phakade.

Ngezinkinga zokushaya kwenhliziyo, udokotela wakho angase anikeze i-verapamil isikhathi esincane, kuye ngokuthi yini ebangela ukushaya kwenhliziyo okungajwayelekile nokuthi iphendula kahle kangakanani ekwelashweni.

Ungayeki ukuthatha i-verapamil ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokuphazima kungabangela ukuthi umfutho wegazi lakho ukhuphuke noma kubangele ubuhlungu besifuba. Uma udinga ukuyeka umuthi, udokotela wakho uzokwehlisa kancane kancane umthamo wakho ngokuhamba kwesikhathi.

Noma ngabe uzizwa ungcono, qhubeka nokuthatha i-verapamil njengoba kunqunyiwe. Umfutho wegazi ophezulu nezinkinga zokushaya kwenhliziyo ngokuvamile azibangeli izimpawu ezisobala, ngakho-ke ungazizwa ulungile noma ngabe lezi zimo azilawulwa ngokugcwele.

Yiziphi Imiphumela Eceleni ye-Verapamil?

Njengayo yonke imithi, i-verapamil ingabangela imiphumela emibi, yize abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini emasontweni ambalwa okuqala.

Nawa amanye imiphumela emibi ejwayelekile ongase uyithole:

• Ukuqunjelwa - Lena imiphumela emibi evame kakhulu, ethinta kufika ku-40% yabantu abathatha i-verapamil
• Isiyezi noma ukukhathala - Ngokuvamile kwenzeka lapho usukuma ngokushesha njengoba umfutho wegazi lakho ulungiswa
• Ikhanda - Ngokuvamile limnene futhi lesikhashana, ngokuvamile lithuthuka ezinsukwini ezimbalwa
• Ukukhathala noma ubuthakathaka - Umzimba wakho ungazizwa ukhathele njengoba uzivumela emiphumeleni yomuthi
• Isicanucanu noma isisu esicasukile - Ukuthatha i-verapamil nokudla kungasiza ekunciphiseni lezi zimpawu
• Ukuvuvukala emaqakaleni noma ezinyaweni - Lokhu kwenzeka ngoba i-verapamil ingabangela ukugcinwa koketshezi oluthile

Imiphumela emibi engavamile kodwa ebucayi ihlanganisa ukushaya kwenhliziyo okuhamba kancane kakhulu, isiyezi esibi, ukuquleka, noma ubunzima bokuphefumula. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi zalezi zimpawu.

Imiphumela emibi kodwa ebucayi ingabandakanya ukusabela okukhulu komzimba, izinkinga zesibindi, noma izinguquko ezinkulu esigqi senhliziyo. Nakuba lokhu kungavamile, kubalulekile ukukwazi futhi ufune ukwelashwa ngokushesha uma kwenzeka.

Ubani Ongafanele Athathwe I-Verapamil?

I-Verapamil ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo zingenza kube yingozi ukuyisebenzisa. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-verapamil uma une:

• Ukwehluleka kwenhliziyo okukhulu - I-Verapamil ingenza izimpawu zokwehluleka kwenhliziyo zibe zimbi ngokunciphisa ikhono lenhliziyo lokumpompa
• Umfutho wegazi ophansi kakhulu - Umuthi ungenza umfutho wegazi wehle ngendlela eyingozi
• Izinkinga ezithile zesigqi senhliziyo - Kuhlanganisa i-sick sinus syndrome noma i-heart block enkulu ngaphandle kwe-pacemaker
• Isifo sesibindi esibi kakhulu - Isibindi sakho sicubungula i-verapamil, ngakho izinkinga zesibindi ezinzima zingabangela ukuthi umuthi wakheke emazingeni ayingozi

Xhumana nodokotela wakho uma unezifo zezinso, ukwehluleka kwenhliziyo okuncane kuya kokulingene, noma uma uthatha eminye imithi yenhliziyo. Lezi zimo zingase zidinge ukulungiswa kwemithamo noma ukuqapha okwengeziwe ngenkathi uthatha i-verapamil.

Abesifazane abakhulelwe nabancelisayo kufanele baxoxe ngezingozi nezinzuzo nomhlinzeki wabo wezempilo, njengoba i-verapamil ingadlulela enganeni ngobisi lwebele noma iwele i-placenta.

Amagama Omkhiqizo we-Verapamil

I-Verapamil itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile isebenza kahle njengemithi yegama lomkhiqizo. Amagama omkhiqizo ajwayelekile afaka i-Calan, i-Isoptin, ne-Verelan.

Amafomula akhishwe isikhathi eside atholakala njenge-Calan SR, Isoptin SR, ne-Verelan PM. Lezi zinguqulo ezisebenza isikhathi eside zikuvumela ukuthi uthathe umuthi kaningi, ngokuvamile kanye ngosuku.

Ikhambi lakho lingashintsha phakathi kwezinhlobo ezivamile nezegama lomkhiqizo, kodwa zonke ziqukethe isithako esifanayo esisebenzayo. Uma unokukhathazeka ngokushintsha phakathi kwabakhiqizi abahlukene, xoxa lokhu nosokhemisi wakho noma udokotela.

Ezinye Izindlela Zokwelapha I-Verapamil

Uma i-verapamil ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, udokotela wakho unezinye izinketho eziningana okufanele azicabangele. Ukukhetha kuncike esimweni sakho esithile kanye nokuphendula komuntu ngamunye emithini ehlukene.

Ezinye izithiyo zesiteshi se-calcium zihlanganisa i-amlodipine, i-nifedipine, ne-diltiazem. Lezi zisebenza ngendlela efanayo ne-verapamil kodwa zingase zibe nemiphumela ehlukene noma amashejuli okulinganisa.

Ngomfutho wegazi ophezulu, ezinye izindlela zokwelapha zihlanganisa izithiyo ze-ACE ezifana ne-lisinopril, ama-ARB afana ne-losartan, noma ama-beta-blockers afana ne-metoprolol. Isigaba ngasinye somuthi sisebenza ngendlela ehlukile futhi singase silungele kangcono isimo sakho esithile.

Ngezinkinga zesigqi senhliziyo, udokotela wakho angase acabangele ama-beta-blockers, eminye imithi elwa nokungahambisani, noma ngisho nokwelashwa okungekona okwemithi kuye ngohlobo oluthile lokuphazamiseka kwesigqi onalo.

Ingabe i-Verapamil Ingcono Kune-Amlodipine?

Kokubili i-verapamil ne-amlodipine ziyizithiyo zesiteshi se-calcium eziphumelelayo, kodwa zisebenza kancane ngendlela ehlukile futhi zinamandla ahlukene. Akukho noyedwa ongcono kunomunye - ukukhetha okungcono kuncike ezidingweni zakho zempilo ezithile nokuthi usabela kanjani emithini ngayinye.

I-Verapamil ilungele ikakhulukazi izinkinga zesigqi senhliziyo futhi ingase ithandwe uma unomfutho wegazi ophezulu nezinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile. Futhi ivame ukubangela ukuvuvukala okuncane kwamaqakala uma kuqhathaniswa ne-amlodipine.

I-Amlodipine, ngakolunye uhlangothi, ivame ukubekezelelwa kangcono ngabantu abanenhliziyo ehlulekayo futhi ngokuvamile ibangela ukuqunjelwa okuncane. Iphinde ithathwe kanye ngosuku, okutholakala abanye abantu kulula.

Udokotela wakho uzocabangela izinto ezifana nezinye izimo zakho zempilo, imithi yamanje, kanye nokuhlangenwe nakho kwangaphambilini ngemithi yokwehlisa umfutho wegazi lapho ekhetha phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Verapamil

Ingabe i-Verapamil iphephile kubantu abanesifo sikashukela?

Yebo, i-verapamil ngokuvamile iphephile kubantu abanesifo sikashukela futhi ngokuvamile ayithinti amazinga kashukela egazini. Ngokungafani neminye imithi yokwehlisa umfutho wegazi, i-verapamil ayiphazamisi ikhono lomzimba wakho lokubona noma ukusabela kushukela ophansi.

Eqinisweni, ezinye izifundo zikhomba ukuthi i-verapamil ingase ibe nemiphumela emincane yokuvikela emangqamuzaneni akhiqiza i-insulin. Kodwa-ke, kufanele uqhubeke nokuhlola ushukela wakho njalo njengoba uqondiswa ithimba lakho lezempilo, ikakhulu lapho uqala noma iyiphi imithi emisha.

Ngingenzani uma ngiphuzile i-Verapamil eningi ngengozi?

Uma ngengozi uphuze i-verapamil eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kungabangela umfutho wegazi ophansi kakhulu, izinga lokushaya kwenhliziyo elihamba kancane kakhulu, noma ezinye izinkinga ezinkulu.

Izimpawu ze-verapamil eningi zingabandakanya isiyezi esikhulu, ukuquleka, ukudideka, noma ubunzima bokuphefumula. Ungalindi ukuthi izimpawu zivele - funa ukwelashwa ngokushesha uma uphuze okuningi.

Gcina ibhodlela lemithi nawe lapho ufuna usizo ukuze abahlinzeki bezempilo bazi kahle ukuthi yini nokuthi ungakanani oyiphuzile. Ungalokothi uzame "ukulinganisa" ukweqisa ngokweqa imithamo yesikhathi esizayo.

Ngingenzani uma ngiphuthelwe umthamo we-Verapamil?

Uma uphuthelwe umthamo we-verapamil, yithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ongawuthathanga, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu noma wehlise izinga lokushaya kwenhliziyo yakho ngendlela eyingozi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha izikhumbuzi zocingo noma ukusebenzisa umhleli wamaphilisi.

Uma uphuthelwa imithamo njalo, umuthi ngeke usebenze kahle ukulawula umfutho wegazi lakho noma isigqi senhliziyo. Khuluma nodokotela wakho noma usokhemisi mayelana namaqhinga okukusiza ukuthi ukhumbule ukuthatha imithi yakho njalo.

Ngingayeka nini ukuthatha i-Verapamil?

Ungalokothi uyeke ukuthatha i-verapamil ngokuzumayo ngaphandle kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono. Ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke ngendlela eyingozi noma kubangele ubuhlungu besifuba nezinkinga zesigqi senhliziyo.

Udokotela wakho uzoqoka ukuthi kuphephile nini ukuyeka i-verapamil ngokusekelwe esimweni sakho, ukuthi silawulwa kahle kangakanani, nokuthi wenza ezinye izinguquko yini njengokuguqula indlela yokuphila noma ukushintshela kweminye imithi.

Uma udinga ukuyeka i-verapamil, udokotela wakho uzokwehlisa kancane umthamo wakho ezinsukwini ezimbalwa noma emasontweni ambalwa. Lokhu kunika umzimba wakho isikhathi sokuzivumelanisa futhi kuvimbela imiphumela eyingozi.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Verapamil?

Kungcono ukukhawulela ukusetshenziswa kotshwala ngenkathi uthatha i-verapamil, njengoba kokubili kunganciphisa umfutho wegazi lakho. Ukuphuza utshwala nge-verapamil kungabangela ukwehla okukhulu komfutho wegazi, okuholela esizungwini, ukuquleka, noma ukuwa.

Uma ukhetha ukuphuza, yenza kanjalo ngokulinganisela futhi uqaphele ukuthi uzizwa kanjani. Qala kancane futhi unake noma yisiphi isiyezi esingavamile noma ukukhanya ekhanda, ikakhulukazi lapho usukuma.

Xoxa nodokotela wakho mayelana nokuthi yiliphi izinga lokusetshenziswa kotshwala, uma likhona, eliphephile kuwe ngenkathi uthatha i-verapamil. Bangakunikeza isiqondiso esiqondene nawe ngokusekelwe empilweni yakho yonke neminye imithi ongase uyithathe.