Yu dɔn bigin fɔ fil wantɛm wantɛm se yu chɛst de bit we yu nɔ ebul fɔ kɔntrol? Ɔ yu at de bit fayn ɛn fil lɛk se i nɔ de bit igen? We yu go na ɔspitul pan imejensi lɛk dis, dɔktɔ dɛn kin yuz spɛshal mɛrɛsin fɔ kɔntrol yu at rit kwik kwik wan. Wan pan dɛn mɛrɛsin dɛn de na Diltiazem. Dɛn kin gi dis as injɛkshɔn insay wan vein. So, tide wi go tok abaut dis Diltiazem Injection.
Us kayn mɛrɛsin na Diltiazem?
Fɔ tɔk am simpul wan, Diltiazem na mɛrɛsin we de mɛn pɔsin we at bit fast ɔ we nɔ de bit ɔltɛm, we na wan sik we dɔktɔ dɛn kɔl aritmia .
Dis de pan wan klas ɔf drɔgs we dɛn kɔl kalsiɔm chanɛl blɔk . Naw yu go de wɔnda wetin na dat. Kalsiɔm impɔtant fɔ mek wi at mɔsul sɛl dɛn kɔntrakt, dat na fɔ bit. diltiazem de wok bay we i de kכntro sכmtεm di kalsiכm we de kam insay di at mכsul sεl dεm εn di bכdi vεsul dεm.
Imajin, we yu at de bit kwik kwik wan, dat min se dis kalsiɔm prɔses de apin kwik kwik wan. We dɛn gi dis mɛrɛsin, da spid de kin slo, di at kin bit fast smɔl, ɛn i kin bigin fɔ apin ɔltɛm bak. Bikɔs ɔf dis, di wok we di at kin du kin ridyus, ɛn di at kin gɛt bɔku rilif. Sɔntɛnde, di dɔktɔ kin yuz dis mɛrɛsin fɔ ɔda rizin dɛn bak.
Tin dɛm wae yu fɔ tɛl yu dɔktɔ bifo yu gi yu dis mɛrɛsin
Dis rili impɔtant. Bifo yu disayd fɔ gi yusɛf dis mɛrɛsin, i impɔtant fɔ tɛl yu dɔktɔ ɔ di mɛdikal tim dɛn tin ya.
Ivin di smɔl tin we yu gi kin rili impɔtant fɔ mek yu sef. So nɔ ayd ɛnitin.
- Ɔda mɛrɛsin sik dɛn we yu gɛt: I impɔtant mɔ fɔ tɔk bɔt if yu dɔn gɛt at atak bifo, ɔda at sik dɛn, ɔda at ritm disɔda, ɔr blɔd prɛshɔn smɔl .
- Alɛji: Tɛl yu dɔktɔ if yu gɛt ɛni alɛji to Diltiazem ɔ ɛni ɔda mɛrɛsin, it, ɔ day.
- Bɛlɛ: If yu gɛt bɛlɛ, yu de tray fɔ gɛt bɛlɛ, ɔ yu gɛt ɛni dawt bɔt am, tɛl yu dɔktɔ bifo yu tek di mɛrɛsin.
- If yu na mama we de gi pikin in bɛlɛ: If yu na mama we de gi pikin in bɛlɛ, yu fɔ rili tɛl yu dɔktɔ.
Aw dis mɛrɛsin kin go insay di bɔdi?
Dis nɔto mɛrɛsin we yu kin kɛr go na os frɔm di famasi. Dis na injɛkshɔn we dɛn kin put insay di bɛlɛ.Dis min se na ɔspitul ɔ klinik nɔmɔ dɛn kin gi am, ɔnda di sɔpɔtishɔn fɔ dɔktɔ ɔ tren nɔs staf. Dɛn go tek tɛm wach yu kɔndishɔn ɛn gi yu dis tritmɛnt.
Wetin fɔ du if yu tek di mɛrɛsin pasmak?
Bikɔs dɛn kin gi dis ɔnda dɔktɔ in sɔpɔtishɔn na ɔspitul, di chans fɔ mek dɛn mis di doz kin rili smɔl. Bɔt if yu tink se dis dɔn apin, tɛl di dɔktɔ dɛn wantɛm wantɛm. If ɛni imejensi, i impɔtant fɔ go na di Imejɛnsi Tritmɛnt Yunit (ETU) . Dɔn bak, if yu tink se yu gɛt pɔyzin bikɔs ɔf mɛrɛsin, yu kin kɔl di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital fɔ gɛt advays.
Dis mɛrɛsin na fɔ yu nɔmɔ fɔ yuz. I rili ban fɔ sheb ɔ yuz am wit ɛni ɔda pɔsin we nɔ de na di ɔspitul.
Us ɔda intarakshɔn kin apin wit di mɛrɛsin?
Sɔm mɛrɛsin, ɛbul mɛrɛsin, ɔ it kin intarakt wit Diltiazem ɛn mek yu gɛt denja sayd ɛfɛkt, so i impɔtant fɔ tɛl yu dɔktɔ bɔt ɔltin we yu de tek.
| Posisibul prɔblɛm (intarakshɔn) wit Diltiazem | |
|---|---|
| Nɔ tek Diltiazem wit: | |
| Cisapride we dɛn kɔl Cisapride | Pimozayd we dɛn kɔl Pimozide |
| Hawthorn (mɛrɛsin we dɛn kin yuz fɔ mɛn animal dɛn) . | Ranolazin we dɛn kɔl Ranolazin |
| Rɛd yist rays | |
| Yu fɔ tek tɛm pasmak we yu de tek Diltiazem wit: | |
| Kabamazɛpin we dɛn kɔl | Simɛtidin we dɛn kɔl |
| Sayklɔspɔrin we dɛn kɔl | Digoxin we dɛn kin yuz |
| Lokal/Jɛnɛral anestetik | Mɛrɛsin fɔ ay blɔd prɛshɔn ɔ ɔda at sik |
Dis list nɔ kɔmplit. So, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn, vaytamɛn dɛn, ɔyl dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek. Mek shɔ se yu tɛl yu dɔktɔ if yu de smok, drink rɔm, ɔ yuz ɔda drɔgs.
Wetin na di sayd ɛfɛkt dɛm we dɛn kin ɛkspɛkt?
Lɛk ɛni mɛrɛsin, Diltiazem kin mek sɔm sayd ɛfɛkt. Sɔm kin kɔmɔn, ɛn ɔda wan dɛn kin siriɔs.
| Tayp fɔ di sayd ɛfɛkt | Karakta |
|---|---|
| Notis di mɛdikal tim wantɛm wantɛm if dɛn sik ya apin: | |
| Alɛji we pɔsin kin gɛt | Skin rash, it, swel na di fes, lip, tong ɔ trot. |
| At we nɔ de wok fayn | I nɔ izi fɔ blo, yu anklɛ, yu fut ɔ yu an kin swel, yu bɔdi kin gɛt bɔku bɔku wet wantɛm wantɛm, yu kin taya pasmak. |
| Di at we de bit sloslo | Diziz, fɔdɔm, i nɔ kin izi fɔ blo, wikɛd we nɔ kɔmɔn. |
| Liva injuri | Pen na di ɔp rayt bɛlɛ, yu nɔ de want fɔ it, yu nɔ de fil fayn, yu de stɔl we gɛt layt kɔlɔ, yu urine we gɛt dak yɔlɔ ɔ brawn, ɛn yu skin ɔ yu yay de yɔlɔ. |
| Lɔw blɔd prɛshɔn | Diziz, faint, blurred vishɔn. |
| Siriɔs riakshɔn dɛn na di skin | Rɛd, blista, ɔ pil pan di skin, ivin na di mɔt. |
| Pan ɔl we bɔku tɛm i nɔ kin siriɔs, tɛl yu dɔktɔ if dɛn kɔntinyu fɔ du am ɔ if dɛn de mɔna yu: | |
| Banbɛlɛ | |
| Fes we de flash | |
| Ed de at | |
Ɔda sayd ɛfɛkt dɛn we nɔ de na dis list kin apin, so nɔ fred fɔ aks yu dɔktɔ if yu notis ɛnitin we nɔ kɔmɔn.
Mɛsej we dɛn kin kɛr go na os
- Diltiazem na spɛshal mɛrɛsin we dɛn kin injɛkt insay wan vein na ɔspitul fɔ kɔntrol di at bit fast ɔ i nɔ de bit ɔltɛm.
- Bifo yu tek dis mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ bɔt ɔl yu mɛrɛsin, alɛji, ɔda mɛrɛsin dɛn we yu de tek, ɛn if yu gɛt bɛlɛ/de gi pikin bɔbi.
- Dis na tritmɛnt we dɛn kin gi ɔnda dɔktɔ in sɔpɔtishɔn nɔmɔ, ɛn nɔto mɛrɛsin fɔ yuz na os.
- If siriɔs sayd ɛfɛkt (di at fɔ blo, bad bad diziz, skin blist) apin, tɛl di dɔktɔ dɛn wantɛm wantɛm.
- If yu gɛt ɛni kwɛstyɔn bɔt dis mɛrɛsin, nɔ fred fɔ aks di dɔktɔ ɔ di nɔs wokman dɛn we de trit yu.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Wetin dɛn de yuz Diltiazem Injɛkshɔn fɔ?
pan ɔl we dis na kalsiɔm chanɛl blɔk we de kɔntrol ay blɔd prɛshɔn, dɛn kin gi dis injɛkshɔn insay di bɛlɛ (IV) na ɔspitul (imejɛnsi dipatmɛnt) fɔ sev di sikman frɔm ‘sudɛn lɔs ritm na di ɔpa chɛmba dɛn na di at (Atrial Fibrillation/Flutter)’, we di at bigin fɔ bit abnɔmal fast (mɔ pas 150 bit pan minit), ɛn di fatal rit de ridyus insay sɔm minit dɛn.
💬 Aw dis injεkshכn (Diltiazem) de slo di at rεt we dεn gi am insay di bכdi?
di at de sεnd ilektrikal signal frכm wan ples we dεn kכl 'AV Node / SA Node'. Fɔ mek dɛn signal ya go dɔŋ, ‘Calcium’ fɔ kam insay frɔm de. we dis dכg go insay di bכdi, di ‘kalsiכm get dεm' we de na di at in ilektrikal transmishכn sεnta (AV Node) de kכmplit (bכk). Dɔn di spid we di ilɛktrishɔn de go dɔŋ dairekt wan ɛn di at rit de drɔp wantɛm wantɛm to di nɔmal lɛvɛl.
💬 Ivin if di hat rit slo, wetin na di risk we denja pas ɔl we yu gi dis injɛkshɔn?
Di big denja wit dis na dat i de mek blɔd prɛshɔn go dɔŋ! Insay sɔm sik pipul dɛn, jɔs lɛk aw dɛn gi dis injɛkshɔn insay di bɛlɛ (IV), di pɔsin in blɔd prɛshɔn kin go dɔŋ wantɛm wantɛm to ziro (Severe Hypotension) ɛn dɛn kin lɔs kɔnshɛns, ɔ di at kin kwayɛt pas aw dɛn bin de tink ɛn di at kin stɔp kpatakpata (Hat blɔk / Bradycardia), we kin mek i denja! (So, dɛn fɔ kɔntinyu fɔ wach di EKG ɛn blɔd prɛshɔn).
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