Kodi dokotala wanu wakupatsani mankhwala otchedwa Verapamil a kuthamanga kwa magazi, kupweteka pachifuwa, kapena kugunda kwa mtima kosakhazikika? Ngati ndi choncho, nkhaniyi idzakhala yofunika kwambiri kwa inu. Tiyeni tikambirane za mankhwalawa, momwe amagwirira ntchito, zomwe muyenera kusamala nazo mukamamwa, ndi zina zonse, m'njira yosavuta komanso yochezeka.
Kodi Verapamil ndi chiyani?
Mwachidule, Verapamil ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kuthamanga kwa magazi ndi kupweteka pachifuwa (angina). Nthawi zina amagwiritsidwanso ntchito pochiza kugunda kwa mtima mofulumira kapena kosakhazikika (arrhythmia).
Tsopano tiyeni tiwone momwe izi zimagwirira ntchito mkati mwa thupi. Taganizirani mitsempha yathu yamagazi ngati machubu ang'onoang'ono. Minofu yomwe ili m'makoma a machubu awa ikalimba, malo omwe magazi amadutsamo amakhala ochepa. Kenako mtima umayenera kugwira ntchito molimbika kuti upompe magazi. Ichi ndi chomwe timachitcha kuthamanga kwa magazi.
Verapamil ndi ya gulu la mankhwala otchedwa calcium channel blockers . Mankhwalawa amagwira ntchito poletsa kulowa kwa calcium m'maselo a minofu m'mitsempha yamagazi ndi mtima. Pamene calcium ili yochepa, minofu yolimba imamasuka pang'ono. Mitsempha yamagazi imakula, zomwe zimathandiza kuti magazi aziyenda popanda chopinga chilichonse. Izi zimachepetsa ntchito pamtima ndipo zimathandiza kuwongolera kuthamanga kwa magazi. Kupweteka pachifuwa (angina) kumachitika pamene mtima sulandira mpweya wokwanira. Mitsempha yamagazi ikakula, mtima umalandira magazi ambiri, zomwe zimachepetsa ululu.
Madokotala angaperekenso mankhwala awa pa matenda ena, choncho ngati muli ndi mafunso, funsani dokotala wanu.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwala
Musanayambe kugwiritsa ntchito Verapamil, ndikofunikira kwambiri kuuza dokotala wanu za mbiri yanu yachipatala. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Duchenne Muscular Dystrophy: Iyi ndi matenda a majini omwe amayambitsa kufooka kwa minofu. Ngati muli ndi vutoli, dziwitsani dokotala wanu.
- Matenda a mtima: Ngati munadwalapo matenda a mtima kale kapena munapezeka ndi vuto la mtima, muyenera kuuza dokotala wanu za vutoli.
- Kugunda kwa mtima kosakhazikika kapena kayimbidwe kake: Ngati muli ndi kugunda kwa mtima pang'onopang'ono (bradycardia) kapena machitidwe ena osakhazikika, dziwitsani dokotala wanu musanamwe mankhwalawa.
- Matenda a chiwindi: Ngati chiwindi chanu chalephera kugwira ntchito bwino, dokotala wanu angafunike kusintha mlingo wanu chifukwa zimatenga nthawi yayitali kuti mankhwala achoke m'thupi lanu.
- Kuthamanga kwa magazi kotsika:Ngati ndinu munthu amene nthawi zambiri amakhala ndi kuthamanga kwa magazi kotsika, tchulaninso zimenezo.
- Matenda a ziwengo: Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la ziwengo ku verapamil kapena mankhwala ena aliwonse, chakudya, utoto, kapena zotetezera.
- Mimba kapena kuyesera kutenga mimba: Ngati muli ndi pakati kapena mukuyembekezera mwana posachedwa, lankhulani ndi dokotala wanu za nkhaniyi.
- Kuyamwitsa: Ngati ndinu mayi woyamwitsa, funsani upangiri kwa dokotala chifukwa mankhwalawa amatha kupita kwa mwana wanu kudzera mu mkaka wa m'mawere.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Kumbukirani mfundo izi mukamagwiritsa ntchito mankhwalawa.
1. Imwani mankhwala anu monga momwe dokotala wanu wanenera: Imwani mankhwala anu monga momwe mwalangizidwira pa chizindikirocho, nthawi yomweyo tsiku lililonse, ndipo musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani.
2. Ndi chakudya kapena ayi: Piritsi ili likhoza kumwedwa musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kulimwa pamodzi ndi chakudya.
3. Musamwe ndi madzi a mphesa: Izi ndizofunikira kwambiri . Pewani kumwa madzi a mphesa kapena mphesa mukamagwiritsa ntchito verapamil. Madzi a mphesa amatha kuwonjezera kuchuluka kwa mankhwala m'thupi mwanu mosafunikira, zomwe zingawonjezere chiopsezo cha zotsatirapo zoyipa.
4. Kwa ana: Ngati mukupereka mankhwala awa kwa ana, chisamaliro chapadera chingafunike. Choncho tsatirani malangizo a dokotala.
Kodi mungachite chiyani ngati mwamwa mopitirira muyeso?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Chofunika kwambiri ndichakuti mankhwalawa alembedwe kwa inu nokha. Musagawane mankhwala anu ndi ena.
Kodi mungachite chiyani ngati mwaphonya mlingo?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo umodzi nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Zinthu zina zomwe zingagwirizane ndi Verapamil
Verapamil ndi mankhwala omwe amatha kuyanjana ndi mankhwala ena, zakudya, ndi zitsamba. Izi zikutanthauza kuti kumwa ndi zinthu zina kumasintha momwe Verapamil imagwirira ntchito kapena kuwonjezera zotsatira zake. Choncho samalani kwambiri ndi zinthu zotsatirazi.
| Zinthu zomwe simuyenera kumwa ndi Verapamil | |
|---|---|
| Cisapride | Mankhwala ochizira kutupa m'mimba |
| Disopyramide | Mankhwala omwe amayambitsa kugunda kwa mtima kosasinthasintha |
| Dofetilide | Mankhwala omwe amayambitsa kugunda kwa mtima kosasinthasintha |
| Madzi a mphesa | Izi zimawonjezera kuchuluka kwa mankhwala m'thupi. |
| Hawthorn | Zogulitsa zitsamba |
| Pimozide | Mankhwala a matenda amisala |
| Mpunga wofiira wa yisiti | Chowonjezera chochepetsa cholesterol |
| Ngati mukumwa izi, dziwitsani dokotala wanu. | |
|---|---|
| Ma Barbiturates (monga phenobarbital) | Mankhwala a tulo ndi khunyu |
| Cimetidine | Mankhwala a gastritis |
| Cyclosporine | Mankhwala oletsa chitetezo chamthupi |
| Lithiamu | Mankhwala a matenda amisala |
| Mankhwala ena a kugunda kwa mtima | Mwachitsanzo: amiodarone, digoxin, flecainide |
| Mankhwala ena a kuthamanga kwa magazi | Mapiritsi ena oletsa kupanikizika |
| Mankhwala a khunyu | Mwachitsanzo: carbamazepine, phenytoin |
| Mankhwala a chifuwa chachikulu | Mwachitsanzo: Rifampin, rifabutin |
| Mankhwala a mphumu | Mwachitsanzo: Theophylline, aminophylline |
Mndandandawu sunathe. Choncho perekani dokotala wanu mndandanda wa mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba) . Komanso, onetsetsani kuti mwawauza ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.
Zinthu zofunika kusamala nazo mukamamwa mankhwala
- Kuyezetsa matenda nthawi zonse: Pitani kwa dokotala nthawi zonse kuti mukayeze matenda anu.
- Yesani kuthamanga kwa magazi anu: Yesani kuthamanga kwa magazi anu kunyumba, monga momwe dokotala wanu akulangizirani. Dziwani momwe kuthamanga kwa magazi anu kuyenera kukhalira, komanso choti muchite ngati kukwera kapena kutsika.
- Samalani mukamamwa mankhwala ena:Ngati mukumwa mankhwala oletsa chifuwa, chimfine, kapena ochepetsa ululu omwe mukumwa mukamamwa Verapamil, funsani dokotala wanu kaye. Mankhwala ena amatha kukweza kuthamanga kwa magazi.
- Mutu ndi chizungulire: Mankhwalawa angakupangitseni kugona pang'ono komanso chizungulire. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- Dzukani pang'onopang'ono: Mukadzuka kuchokera pamene mutakhala kapena kugona, musadzuke mwadzidzidzi koma pang'onopang'ono. Izi zingathandize kupewa chizungulire ndi kukomoka.
- Mowa: Kumwa mowa pamene mukumwa mankhwalawa kungapangitse kuti munthu ayambe kudwala matenda ena monga chizungulire.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Verapamil ingayambitse zotsatira zina zoyipa. Komabe, si aliyense amene amalandira. Tiyeni tiwone zomwe zili.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| 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 | Kuzunguzika mutu, kukomoka, kupuma movutikira, kutopa kwambiri. |
| Kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, 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. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira: | |
| Kudzimbidwa | Mimba youma. |
| Chizungulire | Kumva chizungulire. |
| Mutu | Mutu. |
| Kusanza | Kumva ngati kusanza. |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, chonde funsani dokotala wanu kuti akupatseni upangiri.
Kodi mungasunge bwanji mankhwala?
- Sungani kutali ndi ana ndi ziweto.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius) kutali ndi kuwala.
- Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
Uthenga Wopita Nawo Kunyumba
- Verapamil ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi, kupweteka pachifuwa, komanso kugunda kwa mtima kosakhazikika.
- Imwani mankhwala anu tsiku lililonse, panthawi yoyenera, monga momwe dokotala wanu wanenera. Musasiye kumwa mankhwala mwadzidzidzi.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini).
- Pewani kumwa madzi a mphesa kotheratu pamene mukumwa mankhwalawa.
- Samalani mukayendetsa galimoto kapena kugwiritsa ntchito makina chifukwa chizungulire ndi kukomoka zimatha kuchitika.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kutupa kwa miyendo, kutopa kwambiri, kapena kusintha khungu kukhala lachikasu, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati muli ndi mafunso okhudza mankhwalawa, lankhulani ndi dokotala wanu za mankhwalawa.
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