Kodi mwadzidzidzi mwayamba kumva chifuwa chanu chikugunda mopanda mphamvu? Kapena mtima wanu ukugunda molakwika ndipo umamva ngati ukugunda molakwika? Mukapita kuchipatala mwadzidzidzi ngati ichi, madokotala amagwiritsa ntchito mankhwala apadera kuti azitha kuwongolera kugunda kwa mtima wanu mwachangu. Mankhwala ena otere ndi Diltiazem. Nthawi zambiri amaperekedwa ngati jakisoni mumtsempha. Chifukwa chake, lero tikambirana za jakisoni wa Diltiazem.
Kodi Diltiazem ndi mankhwala otani?
Mwachidule, Diltiazem ndi mankhwala omwe amachiritsa kugunda kwa mtima mofulumira kapena kosasinthasintha, matenda omwe amadziwika kuti arrhythmia .
Izi ndi za gulu la mankhwala otchedwa calcium channel blockers . Tsopano mwina mukudabwa kuti ndi chiyani. Calcium ndi yofunika kwambiri kuti maselo athu a minofu ya mtima azitha kugwedezeka, kutanthauza kuti, azitha kugundana. Diltiazem imagwira ntchito poletsa pang'ono kulowa kwa calcium m'maselo a minofu ya mtima ndi mitsempha yamagazi.
Tangoganizirani, kugunda kwa mtima mwachangu kumatanthauza kuti njira ya calcium iyi ikuchitika mwachangu kwambiri. Mankhwalawa akaperekedwa, liwiro lake limachepa, mtima umagunda mofulumira pang'ono, ndipo amayambanso kuchitika nthawi zonse. Chifukwa cha izi, ntchito ya mtima imachepa, ndipo mtima umapeza mpumulo wambiri. Nthawi zina dokotala angagwiritse ntchito mankhwalawa pazifukwa zina.
Zinthu zomwe muyenera kuuza dokotala wanu musanakupatseni mankhwala awa
Izi ndizofunikira kwambiri. Musanasankhe kupatsa mankhwala awa nokha, ndikofunikira kuuza dokotala wanu kapena gulu lachipatala mfundo zotsatirazi.
Ngakhale chidziwitso chaching'ono kwambiri chomwe mungapereke chingakhale chofunikira kwambiri pa chitetezo chanu. Choncho musabise chilichonse.
- Matenda ena omwe muli nawo: Ndikofunikira kwambiri kutchula ngati mudadwalapo matenda a mtima kale, matenda ena a mtima, matenda ena a mtima, kapena kuthamanga kwa magazi .
- Matenda a ziwengo: Uzani dokotala wanu ngati muli ndi vuto lililonse la ziwengo ku Diltiazem kapena mankhwala ena aliwonse, zakudya, kapena utoto.
- Mimba: Ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira chilichonse, uzani dokotala wanu musanamwe mankhwalawo.
- Ngati ndinu mayi woyamwitsa: Ngati ndinu mayi woyamwitsa, muyenera kuuza dokotala wanu.
Kodi mankhwalawa amalowa bwanji m'thupi?
Iyi si mankhwala omwe mungapite nawo kunyumba kuchokera ku pharmacy. Iyi ndi jakisoni wa mtsempha.Izi zikutanthauza kuti zimaperekedwa kuchipatala kapena ku chipatala chokha, moyang'aniridwa ndi dokotala kapena anamwino ophunzitsidwa bwino. Adzayang'anira bwino vuto lanu ndikupereka chithandizochi.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Popeza izi zimaperekedwa moyang'aniridwa ndi dokotala kuchipatala, mwayi woti munthu asaphonye mlingo ndi wochepa kwambiri. Komabe, ngati mukuganiza kuti izi zachitika, dziwitsani ogwira ntchito zachipatala nthawi yomweyo. Pakagwa mwadzidzidzi, ndikofunikira kwambiri kupita ku Emergency Treatment Unit (ETU) . Komanso, ngati mukuganiza kuti muli ndi poizoni chifukwa cha mankhwala, mutha kuyimbira National Poisons Information Centre ku Colombo National Hospital kuti akupatseni upangiri.
Mankhwalawa ndi anu okha. Ndikoletsedwa kugawana kapena kugwiritsa ntchito ndi wina aliyense kunja kwa chipatala.
Ndi zinthu zina ziti zomwe zingachitike ndi mankhwala?
Mankhwala ena, mankhwala azitsamba, kapena zakudya zimatha kusokonezana ndi Diltiazem ndikuyambitsa zotsatirapo zoopsa, choncho ndikofunikira kuuza dokotala wanu zonse zomwe mukumwa.
| Kuyanjana komwe kungatheke ndi Diltiazem | |
|---|---|
| Musamwe Diltiazem ndi: | |
| Cisapride | Pimozide |
| Hawthorn (mankhwala azitsamba) | Ranolazine |
| Mpunga wofiira wa yisiti | |
| Muyenera kusamala kwambiri mukamagwiritsa ntchito Diltiazem ndi: | |
| Carbamazepine | Cimetidine |
| Cyclosporine | Digoxin |
| Mankhwala oletsa ululu am'deralo/onse | Mankhwala a kuthamanga kwa magazi kapena matenda ena a mtima |
Mndandandawu sunathe. Choncho, uzani dokotala wanu za mankhwala onse, mavitamini, zitsamba, ndi zowonjezera zomwe mukumwa. Onetsetsani kuti mwauza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena osokoneza bongo.
Kodi zotsatirapo zake zomwe zimayembekezeredwa ndi ziti?
Monga mankhwala ena aliwonse, Diltiazem ingayambitse zotsatira zina zoyipa. Zina zimakhala zofala, pomwe zina zimakhala zoopsa.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Dziwitsani gulu lachipatala nthawi yomweyo ngati zizindikiro izi zikuwonekera: | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Kugunda pang'onopang'ono kwa mtima | Chizungulire, kukomoka, kupuma movutikira, kufooka kosazolowereka. |
| Kuvulala kwa chiwindi | Kupweteka m'mimba yakumanja, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso khungu kapena maso achikasu. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Matenda aakulu a khungu | Kufiira, kutupa, kapena kutsekeka kwa khungu, kuphatikizapo mkamwa. |
| Ngakhale kuti nthawi zambiri sizikhala zoopsa, uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani: | |
| Kudzimbidwa | |
| Kutsuka nkhope | |
| Mutu | |
Zotsatira zina zomwe sizinatchulidwe pamndandandawu zitha kuchitika, choncho musaope kufunsa dokotala wanu za chilichonse chachilendo.
Uthenga Wopita Nawo Kunyumba
- Diltiazem ndi mankhwala apadera omwe amabayidwa mumtsempha kuchipatala kuti athetse kugunda kwa mtima mofulumira kapena kosasinthasintha.
- Musanamwe mankhwalawa, onetsetsani kuti mwauza dokotala wanu za matenda anu onse, ziwengo, mankhwala ena omwe mukumwa, komanso ngati muli ndi pakati/mukuyamwitsa.
- Uwu ndi mankhwala omwe amaperekedwa motsogozedwa ndi dokotala, ndipo si mankhwala ogwiritsidwa ntchito kunyumba.
- Ngati pali zotsatirapo zoyipa (kuvutika kupuma, chizungulire chachikulu, kutupa kwa khungu), dziwitsani ogwira ntchito zachipatala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, musazengereze kufunsa dokotala kapena namwino amene akukuthandizani.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Diltiazem Injection imagwiritsidwa ntchito pa chiyani?
Ngakhale kuti iyi ndi njira yoletsa kuthamanga kwa magazi yomwe imaletsa kuthamanga kwa magazi, jakisoniyu amaperekedwa kudzera m'mitsempha (IV) kuchipatala (dipatimenti yothandiza anthu odwala mwadzidzidzi) kuti apulumutse wodwalayo ku 'kutaya kwadzidzidzi kwa rhythm m'zipinda zapamwamba za mtima (Atrial Fibrillation/Flutter)', pamene mtima umayamba kugunda mofulumira kwambiri (kupitirira kugunda 150 pamphindi), ndipo chiŵerengero cha imfa chimachepa mkati mwa mphindi zochepa.
💬 Kodi jakisoni uyu (Diltiazem) amachepetsa bwanji kugunda kwa mtima akaperekedwa kudzera m'mitsempha?
Mtima umatumiza zizindikiro zamagetsi kuchokera kumalo otchedwa 'AV Node / SA Node'. Kuti zizindikirozi zitsike, 'Calcium' iyenera kulowa kuchokera pamenepo. Mankhwalawa akalowa m'magazi, 'zipata za calcium' zomwe zili m'malo olumikizira magetsi a mtima (AV Node) zimatsekedwa kwathunthu (zimatsekedwa). Kenako liwiro lomwe magetsi amatsika mwachindunji ndipo kugunda kwa mtima kumatsika nthawi yomweyo kufika pamlingo wabwinobwino.
💬 Ngakhale kugunda kwa mtima kuchepe, kodi chiopsezo chachikulu ndi chiti mukalandira jakisoni?
Choopsa chachikulu ndi ichi ndichakuti chimachepetsa kuthamanga kwa magazi! Kwa odwala ena, jakisoni uyu akangoperekedwa kudzera m'mitsempha (IV), kuthamanga kwa magazi kwa wodwalayo kumatsika mwadzidzidzi kufika pa zero (Severe Hypotension) ndipo amataya chidziwitso, kapena mtima umakhala chete kuposa momwe amayembekezera ndipo mtima umasiya kugwira ntchito (Heart block / Bradycardia), zomwe zingakhale zoopsa! (Chifukwa chake, EKG ndi kuthamanga kwa magazi ziyenera kuyang'aniridwa nthawi zonse).
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