Verapamil (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Calan, Calan SR, Covera-HS, Isoptin SR, Verelan, Verelan PM
Mayelana naleli khambi
I-Verapamil isetshenziswa yodwa noma ngokubambisana nezinye izidakamizwa zokwelapha izinkinga zokubetha kwenhliziyo, ubuhlungu obukhulu besifuba (angina), noma ukucindezeleka kwegazi okuphezulu (hypertension). Ukucindezeleka kwegazi okuphezulu kwandisa umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. Ukucindezeleka kwegazi okuphezulu kungase futhi kukhulise ingozi yezifo zenhliziyo. Lezi zinkinga zingase zingabi khona uma ukucindezeleka kwegazi kulawulwa. I-Verapamil iyilokhi yomthambo wecalcium. Isebenza ngokuthinta ukunyakaza kwe-calcium emagumbini enhliziyo nasemisipha yegazi. Ngenxa yalokho, i-verapamil iphumula imisipha yegazi futhi ikhulise ukunikezwa kwegazi no-oksijini enhliziyweni ngenkathi inciphisa umsebenzi wayo. Lolu dokotela lutholakala kuphela ngomyalo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlwempu noma oluhambelanayo nalesi simithi noma amanye amayeza. Tshela futhi ochwepheshe bezempilo uma unanoma yiluphi olunye uhlobo lwezifo ezingalawuleki, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ka-verapamil kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kwe-verapamil kubantu abadala. Noma kunjalo, abantu abadala banamathuba amaningi okuba nezinkinga zenhliziyo, isibindi, noma izinso ezihlobene nobudala ezingadinga ukulungiswa komthamo kubantu abamukela i-verapamil. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le miyeza ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le miyeza ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le miyeza, kubalulekile ukuthi ochwepheshe bezempilo bakwazi uma uthatha noma yimiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le miyeza nanoma yimiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale miyeza noma ashintshe amanye amayeza owathathayo. Ukusebenzisa le miyeza nanoma yimiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le miyeza nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihambisana, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le miyeza nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungagwenyeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le miyeza, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukusebenzisa le miyeza nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihambisana kodwa kungagwenyeki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani le miyeza, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale miyeza. Qiniseka ukuthi utshela udokotela wakho uma unanoma yiziphi ezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Ngaphezu kokusebenzisa le miyeke, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo kanye nokuchuma kwezinye zezinhlobo zokudla ozidlayo, ikakhulukazi ukudla okune-sodium eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele uqale ukhulume nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abantu abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba uyalelwe futhi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le miyeke ngeke iphulukise igazi lakho eliphezulu, kodwa iyasiza ukuyilawula. Kufanele uqhubeke uyithathe njengoba uyalelwe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase ube nesidingo sokuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sezinso. Gwinya ithebulethi yokukhulula okwandisiwe yonke ngeglasi eligcwele lamanzi. Ungayaphula, uyiqheke, noma uyigaye. Kungcono ukuthatha le miyeke ngokudla. Uma ungakwazi ukugwinya amakhaphu e-verapamil extended-release, ungawavula bese usakaza ama-pellets asele ekhaphini esipuni esisodwa se-applesauce. Lo mxube kufanele ugwinywe ngokushesha ngeglasi lamanzi abandayo. I-applesauce akufanele ibe yishushu futhi kufanele ibe mthambile ngokwanele ukuba igwinywe ngaphandle kokugaya. Ungagayi noma uqheke ama-pellets. Uma uthatha amathebulethi okukhulula okwandisiwe, ngezinye izikhathi ungase ubone okufana nethebulethi emathunjini akho. Lona yinkuni yethebulethi engenalutho esele emva kokuba imithi ithathiwe. Inani lemiyeke lizoba lehlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela amanani aphakathi ale miyeke. Uma inani lakho lehlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani lemiyeke oyithatha lixhomeke emandleni emiyeke. Futhi, inani lezingxenye ozithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezingxenye, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwe yingxenye yale miyeke, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sokuthatha ingxenye yakho elandelayo, susa ingxenye ephuthelwe bese ubuyela esikhathini sakho sokuthatha imithi. Ungawandisi amanani. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayigandisi. Gcina ingafinyeleleki ezinganeni. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahule kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.