Koj puas tau pib hnov koj lub hauv siab dhia tsis tu ncua? Los yog koj lub plawv dhia tsis xwm yeem thiab zoo li nws dhia tsis sib xws? Thaum koj mus rau tsev kho mob thaum muaj xwm txheej ceev zoo li no, cov kws kho mob siv cov tshuaj tshwj xeeb los tswj koj lub plawv dhia sai sai. Ib qho tshuaj zoo li no yog Diltiazem. Qhov no feem ntau yog muab ua kev txhaj tshuaj rau hauv cov leeg ntshav. Yog li, hnub no peb yuav tham txog Diltiazem Injection no.
Diltiazem yog hom tshuaj dab tsi?
Hais yooj yim xwb, Diltiazem yog ib yam tshuaj uas kho lub plawv dhia ceev lossis tsis xwm yeem, ib yam mob uas hu ua arrhythmia .
Qhov no yog ib hom tshuaj hu ua calcium channel blockers . Tam sim no tej zaum koj yuav xav paub tias qhov ntawd yog dab tsi. Calcium yog qhov tseem ceeb rau peb cov leeg nqaij plawv kom sib zog, uas yog, kom ntaus. Diltiazem ua haujlwm los ntawm kev tswj me ntsis kev nkag ntawm calcium mus rau hauv cov leeg nqaij plawv thiab cov hlab ntsha.
Xav txog seb, lub plawv dhia ceev npaum li cas txhais tau tias cov txheej txheem calcium no tshwm sim sai heev. Thaum muab cov tshuaj no, qhov ceev ntawd yuav qeeb qeeb, lub plawv dhia sai dua me ntsis, thiab nws kuj pib tshwm sim tas li. Vim li no, qhov haujlwm ntawm lub plawv yuav txo qis, thiab lub plawv tau txais kev pab ntau heev. Qee zaum tus kws kho mob yuav siv cov tshuaj no rau lwm yam laj thawj thiab.
Tej yam koj yuav tsum qhia rau koj tus kws kho mob ua ntej muab cov tshuaj no rau koj
Qhov no tseem ceeb heev. Ua ntej koj txiav txim siab muab cov tshuaj no rau koj tus kheej, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob lossis pab pawg kho mob cov ntaub ntawv hauv qab no.
Txawm tias cov ntaub ntawv me me uas koj muab los kuj tseem ceeb heev rau koj txoj kev nyab xeeb. Yog li ntawd, tsis txhob zais dab tsi.
- Lwm yam mob uas koj muaj: Nws yog ib qho tseem ceeb heev uas yuav tsum hais yog tias koj tau muaj mob plawv nres ua ntej, lwm yam mob plawv, lwm yam teeb meem plawv dhia, lossis ntshav siab qis .
- Kev Ua Xua: Qhia rau koj tus kws kho mob yog tias koj muaj kev ua xua rau Diltiazem lossis lwm yam tshuaj, khoom noj, lossis cov xim pleev.
- Cev Xeeb Tub: Yog tias koj cev xeeb tub, tab tom sim cev xeeb tub, lossis muaj kev tsis ntseeg txog nws, qhia rau koj tus kws kho mob ua ntej noj tshuaj.
- Yog tias koj yog niam pub niam mis: Yog tias koj yog niam pub niam mis, koj yuav tsum qhia rau koj tus kws kho mob paub.
Cov tshuaj no nkag mus rau hauv lub cev li cas?
Cov tshuaj no tsis yog cov tshuaj uas koj tuaj yeem nqa mus tsev los ntawm lub tsev muag tshuaj. Cov tshuaj no yog cov tshuaj txhaj rau hauv cov hlab ntsha.Qhov no txhais tau tias tsuas yog muab rau hauv tsev kho mob lossis chaw kho mob xwb, nyob rau hauv kev saib xyuas ntawm tus kws kho mob lossis cov neeg ua haujlwm saib xyuas neeg mob uas tau kawm tiav. Lawv yuav ua tib zoo saib xyuas koj tus mob thiab muab kev kho mob no.
Yuav ua li cas yog tias koj overdose?
Vim tias qhov no yog muab rau hauv qab kev saib xyuas ntawm kws kho mob hauv tsev kho mob, qhov muaj feem yuav tsis nco qab noj tshuaj yog qhov tsawg heev. Txawm li cas los xij, yog tias koj xav tias qhov no tau tshwm sim, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd. Thaum muaj xwm txheej ceev, nws yog ib qho tseem ceeb uas yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) . Tsis tas li ntawd, yog tias koj xav tias muaj kev lom vim yog tshuaj, koj tuaj yeem hu rau Lub Chaw Qhia Txog Tshuaj Lom Hauv Tebchaws ntawm Tsev Kho Mob Colombo National kom tau txais lus qhia.
Cov tshuaj no tsuas yog rau koj siv xwb. Txwv tsis pub muab faib lossis siv nrog lwm tus neeg sab nraum tsev kho mob.
Lwm yam kev sib cuam tshuam dab tsi tuaj yeem tshwm sim nrog cov tshuaj?
Qee cov tshuaj, tshuaj ntsuab, lossis cov khoom noj tuaj yeem cuam tshuam nrog Diltiazem thiab ua rau muaj kev phiv tshuaj txaus ntshai, yog li nws tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob txog txhua yam koj noj.
| Tej zaum yuav muaj teeb meem (kev sib cuam tshuam) nrog Diltiazem | |
|---|---|
| Tsis txhob noj Diltiazem nrog: | |
| Cisapride tshuaj | Pimozide |
| Hawthorn (tshuaj ntsuab) | Ranolazine |
| Mov paj liab | |
| Koj yuav tsum ceev faj ntxiv thaum noj Diltiazem nrog: | |
| Carbamazepine | Cimetidine |
| Cyclosporine | Digoxin |
| Cov tshuaj loog hauv zos / dav dav | Cov tshuaj rau ntshav siab lossis lwm yam mob plawv |
Daim ntawv teev npe no tsis tiav. Yog li ntawd, qhia rau koj tus kws kho mob txog txhua yam tshuaj, cov vitamins, cov tshuaj ntsuab, thiab cov tshuaj ntxiv uas koj noj. Nco ntsoov qhia rau koj tus kws kho mob yog tias koj haus luam yeeb, haus cawv, lossis siv lwm yam tshuaj.
Cov kev mob tshwm sim uas xav tias yuav muaj yog dab tsi?
Ib yam li lwm yam tshuaj, Diltiazem tuaj yeem ua rau muaj qee yam kev mob tshwm sim. Qee qhov yog ib txwm muaj, thaum lwm tus tuaj yeem ua rau mob hnyav.
| Hom kev phiv tshuaj | Cov yam ntxwv |
|---|---|
| Qhia rau pab pawg kho mob tam sim ntawd yog tias cov tsos mob no tshwm sim: | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj, tus nplaig lossis caj pas. |
| Lub plawv tsis ua haujlwm | Ua pa nyuaj, o ntawm pob luj taws, taw lossis tes, hnyav nce sai sai, qaug zog heev. |
| Lub plawv dhia qeeb | Kiv taub hau, tsaus muag, ua pa nyuaj, tsis muaj zog txawv txawv. |
| Kev raug mob siab | Mob hauv plab sab xis saum toj, tsis xav noj mov, xeev siab, quav xim dawb, zis daj tsaus lossis xim av, thiab tawv nqaij lossis qhov muag daj. |
| Ntshav siab qis | Kiv taub hau, tsaus muag, pom kev tsis meej. |
| Kev tsis haum tshuaj loj heev rau daim tawv nqaij | Tawv nqaij liab, ua pob khaus, lossis tev tawv, suav nrog hauv qhov ncauj. |
| Txawm hais tias feem ntau tsis loj heev, qhia rau koj tus kws kho mob yog tias lawv tseem muaj lossis ua rau koj ntxhov siab: | |
| Kab mob cem quav | |
| Kev kub hnyiab ntawm lub ntsej muag | |
| Mob taub hau | |
Tej zaum yuav muaj lwm yam kev phiv uas tsis tau teev nyob rau hauv daim ntawv teev npe no, yog li ntawd tsis txhob ntshai nug koj tus kws kho mob yog tias koj pom muaj dab tsi txawv txawv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Diltiazem yog ib yam tshuaj tshwj xeeb uas raug txhaj rau hauv cov leeg ntshav hauv tsev kho mob kom tswj tau lub plawv dhia ceev lossis tsis xwm yeem.
- Ua ntej noj cov tshuaj no, nco ntsoov qhia rau koj tus kws kho mob txog koj tej mob, kev ua xua, lwm yam tshuaj uas koj noj, thiab seb koj puas cev xeeb tub/pub niam mis.
- Qhov no yog kev kho mob uas tsuas yog muab rau hauv qab kev saib xyuas ntawm kws kho mob xwb, thiab tsis yog tshuaj rau siv hauv tsev.
- Yog tias muaj cov kev mob tshwm sim loj heev (ua pa nyuaj, kiv taub hau hnyav, tawv nqaij ua pob liab), qhia rau cov neeg ua haujlwm kho mob tam sim ntawd.
- Yog koj muaj lus nug txog cov tshuaj no, thov nug tus kws kho mob lossis cov neeg ua haujlwm tu mob uas kho koj.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Tshuaj Diltiazem siv rau dab tsi?
Txawm hais tias qhov no yog cov tshuaj calcium channel blocker uas tswj cov ntshav siab, cov tshuaj txhaj no raug muab rau hauv cov hlab ntsha (IV) hauv tsev kho mob (chav kho mob thaum muaj xwm txheej ceev) los cawm tus neeg mob ntawm 'kev poob siab ntawm lub plawv dhia tam sim ntawd hauv cov chav sab saud ntawm lub plawv (Atrial Fibrillation / Flutter)', thaum lub plawv pib dhia ceev ceev (ntau dua 150 lub suab ib feeb), thiab tus nqi tuag tau txo qis hauv ob peb feeb.
💬 Cov tshuaj txhaj no (Diltiazem) ua li cas thiaj ua rau lub plawv dhia qeeb thaum muab txhaj rau hauv cov hlab ntsha?
Lub plawv xa cov teeb liab hluav taws xob los ntawm qhov chaw hu ua 'AV Node / SA Node'. Yuav kom cov teeb liab no mus qis, 'Calcium' yuav tsum nkag los ntawm qhov ntawd. Thaum cov tshuaj no nkag mus rau hauv cov ntshav, 'calcium gates' hauv lub plawv lub chaw xa hluav taws xob (AV Node) raug kaw tag nrho (blocked). Tom qab ntawd qhov ceev uas hluav taws xob mus qis ncaj qha thiab lub plawv dhia poob qis tam sim ntawd mus rau qib ib txwm.
💬 Txawm tias lub plawv dhia qeeb zuj zus los xij, qhov txaus ntshai tshaj plaws thaum txhaj tshuaj no yog dab tsi?
Qhov txaus ntshai tshaj plaws nrog qhov no yog tias nws txo cov ntshav siab! Rau qee tus neeg mob, thaum cov tshuaj txhaj no raug txhaj rau hauv cov hlab ntsha (IV), tus neeg mob cov ntshav siab poob qis mus rau xoom (Hnyav Hypotension) thiab lawv tsis nco qab, lossis lub plawv ntsiag to dua li qhov xav tau thiab lub plawv nres tag nrho (Lub plawv thaiv / Bradycardia), uas muaj peev xwm txaus ntshai! (Yog li ntawd, EKG thiab ntshav siab yuav tsum tau saib xyuas tas li).
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