Chiremba wako akakunyorerera mushonga unonzi Verapamil weBP yakakwira, kurwadziwa kwechipfuva, kana kurova kwemoyo kusina kurongeka here? Kana zvakadaro, chinyorwa chino chichava chakakosha kwauri. Ngatitaure nezvemushonga uyu, mashandiro awo, zvekungwarira paunenge uchiutora, nezvimwe zvese, nenzira iri nyore uye ine hushamwari.
Chii chinonzi Verapamil?
Zvichitaurwa zviri nyore, Verapamil mushonga unoshandiswa kurapa zvirwere zvakaita seBP yakakwira uye kurwadziwa kwechipfuva (angina). Dzimwe nguva unoshandiswawo kurapa kurova kwemoyo nekukurumidza kana kusina kurongeka (arrhythmia).
Zvino ngationei kuti izvi zvinoshanda sei mumuviri. Funga nezvetsinga dzedu dzeropa semachubhu madiki. Kana tsandanyama dziri mumadziro emachubhu aya dzaoma, nzvimbo inoyerera ropa inova diki. Ipapo mwoyo unofanirwa kushanda nesimba kupomba ropa. Izvi ndizvo zvatinodaidza kuti BP yakakwira.
Verapamil iri muboka remishonga inonzi calcium channel blockers . Mushonga uyu unoshanda nekudzora kupinda kwecalcium mumasero emhasuru mutsinga dzeropa nemoyo. Kana huwandu hwecalcium hwaderera, tsandanyama dzakasimba dzinozorora zvishoma. Mitsinga yeropa inobva yakura, zvichiita kuti ropa rifambe pasina chipingamupinyi. Izvi zvinoderedza basa remoyo uye zvinobatsira kudzora BP. Kurwadziwa kwechipfuva (angina) kunoitika kana moyo usingawani oxygen yakakwana. Kana mitsinga yeropa yakura, moyo unowana ropa rakawanda, izvo zvinoderedza kurwadziwa.
Vanachiremba vanogonawo kunyora mushonga uyu kune zvimwe zvirwere, saka kana muine mibvunzo, bvunzai chiremba wenyu.
Zvinhu zvekuudza chiremba wako usati watanga mushonga
Usati watanga kushandisa Verapamil, zvakakosha kuudza chiremba wako nezvenhoroondo yako yezvekurapa. Iva nechokwadi chekuudza chiremba wako kana uine chimwe chezvirwere zvinotevera:
- Duchenne Muscular Dystrophy: Ichi chirwere chinokonzerwa nemajini chinokonzera kushaya simba kwetsandanyama. Kana uine chirwere ichi, zivisa chiremba wako.
- Chirwere chemwoyo: Kana wakamborwara nemoyo kare kana kuti wakamboonekwa kuti une chirwere chemwoyo, unofanira kuudza chiremba wako nezvazvo.
- Kurova kwemoyo kusina kurongeka kana kuti mutinhimira: Kana uine kurova kwemoyo kunonoka (bradycardia) kana mamwe maitiro asina kurongeka, zivisa chiremba wako usati watora mushonga uyu.
- Chirwere chechiropa: Kana kushanda kwechiropa chako kusina kunaka, chiremba wako angangoda kugadzirisa mushonga wako nekuti zvinotora nguva yakareba kuti mushonga wacho ubve mumuviri wako.
- Kuderera kweropa:Kana uri munhu anowanzova neBP yakaderera, taura izvozvo zvakare.
- Kurwara: Iva nechokwadi chekuudza chiremba wako kana uine allergies kune verapamil kana chero imwe mishonga, chikafu, dhayi, kana zvinochengetedza.
- Kubata pamuviri kana kuedza kubata pamuviri: Kana uine pamuviri kana kuti uchitarisira mwana munguva pfupi iri kutevera, taura nachiremba wako nezvazvo.
- Kuyamwisa: Kana uri amai vanoyamwisa, tsvaga rubatsiro kubva kuna chiremba sezvo mushonga uyu unogona kupfuudzwa kumwana wako kuburikidza nemukaka wemuzamu.
Ndingashandisa sei mushonga uyu chaizvo?
Rangarira pfungwa idzi paunenge uchishandisa mushonga uyu.
1. Inwa mushonga wako sezvawaudzwa nachiremba wako: Inwa mushonga wako sezvakarairwa papepa, panguva imwe chete zuva nezuva, uye usarega kutora mushonga wako kusvika chiremba wako akuudza kuti uite.
2. Kana muchidya kana musina: Piritsi iri rinogona kunwiwa musati madya kana mushure mekudya. Zvisinei, kana muine dambudziko remudumbu, zvakanaka kurinwa muchidya.
3. Usatore pamwe chete nemuto wegrapefruit: Izvi zvakakosha zvikuru . Dzivisa kunwa muto wegrapefruit kana grapefruit paunenge uchitora verapamil. Muto wegrapefruit unogona kuwedzera huwandu hwemushonga mumuviri wako zvisina kufanira, izvo zvinogona kuwedzera njodzi yemigumisiro yakaipa.
4. Kune vana: Kana uri kupa vana mushonga uyu, kutarisirwa kwakakosha kungadiwa. Saka tevera mirairo yachiremba.
Chii chaunofanira kuita kana ukanwa doro zvakanyanya?
Kana uchifunga kuti watora mushonga wakawanda kupfuura zvaunofunga, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika . Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Chinhu chinonyanya kukosha ndechekuti mushonga uyu unyorerwe iwe chete. Usambofa wakagovana mushonga wako nevamwe.
Chii chaunofanira kuita kana ukarasikirwa nedosi?
Kana ukakanganwa kutora mushonga, tora mushonga nekukurumidza sezvaunoyeuka. Zvisinei, kana yava nguva yekuti mushonga wako unotevera usvike, svetuka mushonga wawakarasikirwa nawo wotora mushonga wako unotevera panguva yakatarwa. Usambofa wakatora mishonga miviri panguva imwe chete kuti udzorere mushonga wawakarasikirwa nawo.
Zvimwe zvinhu zvinogona kukanganisa kushandiswa kweVerapamil
Verapamil mushonga unogona kusanganiswa nemimwe mishonga, chikafu, uye zvigadzirwa zvemiti. Izvi zvinoreva kuti kuutora pamwe chete nezvimwe zvinhu kunogona kuchinja mashandiro anoita Verapamil kana kuwedzera mhedzisiro yayo. Saka chenjerera zvakanyanya nezvezvinhu zvinotevera.
| Zvinhu zvausingafaniri kutora neVerapamil | |
|---|---|
| Cisapride | Mushonga wekuzvimba kwemudumbu |
| Disopyramide | Mushonga unokonzera kurova kwemoyo zvisina kurongeka |
| Dofetilide | Mushonga unokonzera kurova kwemoyo zvisina kurongeka |
| Muto weGrapefruit | Izvi zvinowedzera huwandu hwemushonga mumuviri. |
| Hawthorn | Zvigadzirwa zvemiti |
| Pimozide | Mushonga wezvirwere zvepfungwa |
| Mupunga wembiriso tsvuku | Chinowedzera chekuderedza cholesterol |
| Kana uri kutora mishonga iyi, zivisa chiremba wako. | |
|---|---|
| Mabarbiturates (semuenzaniso phenobarbital) | Mishonga yekurara nepfari |
| Cimetidine | Mushonga we gastritis |
| Cyclosporine | Mushonga unodzvinyirira masoja emuviri |
| Lithium | Mushonga wezvirwere zvepfungwa |
| Mimwe mishonga yekurapa kurova kwemoyo | Mienzaniso: amiodarone, digoxin, flecainide |
| Mimwe mishonga yekurapa BP yakakwira | Mamwe mapiritsi ekumanikidza |
| Mishonga yekurapa pfari | Semuenzaniso: carbamazepine, phenytoin |
| Mishonga yeTB | Semuenzaniso: Rifampin, rifabutin |
| Mishonga yeasthma | Semuenzaniso: Theophylline, aminophylline |
Rondedzero iyi haina kukwana. Saka ipa chiremba wako runyoro rwemishonga yese yaunotora (kusanganisira mavhitamini nezvimwe zvinogadzirwa nemiti) . Uyewo, iva nechokwadi chekuvaudza kana uchisvuta, uchinwa doro, kana kushandisa mimwe mishonga.
Zvinhu zvekungwarira paunenge uchitora mushonga
- Kuongororwa nachiremba nguva dzose: Shanyirai chiremba wenyu panguva dzekuongororwa nguva dzose kuti muone mamiriro enyu ezvinhu.
- Yera BP yako: Yera BP yako uri kumba, sezvinokurudzirwa nachiremba wako. Ziva kuti BP yako yakajairika inofanira kunge yakaita sei, uye zvekuita kana ikakwira kana kudzikira.
- Chenjerera paunenge uchitora mimwe mishonga:Kana uri kutora mushonga wekukosora, dzihwa, kana wekurwadziwa usingatengeswi nechiremba paunenge uchitora Verapamil, tanga wabvunza chiremba wako. Mimwe mishonga inogona kuwedzera BP yako.
- Musoro nedzungu: Mushonga uyu unogona kuita kuti unzwe hope uye dzungu. Saka, usatyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei.
- Simuka zvishoma nezvishoma: Paunomuka kubva panzvimbo yawakagara kana kuti wakarara, usamuka kamwe kamwe asi zvishoma nezvishoma. Izvi zvinogona kubatsira kudzivirira dzungu uye kupera simba.
- Doro: Kunwa doro uchitora mushonga uyu kunogona kuwedzera migumisiro yakadai sedzungu.
Ndezvipi zvimwe zvinhu zvinogona kundikanganisa?
Kufanana nemushonga upi zvawo, Verapamil inogona kukonzera mimwe migumisiro yakaipa. Zvisinei, havasi vese vanoiwana. Ngationei kuti chii.
| Migumisiro inofanira kuziviswa kuna chiremba nekukasika | |
|---|---|
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo, rurimi kana pahuro. |
| Kukundikana kwemoyo | Kutadza kufema zvakanaka, kuzvimba kwezvitsitsinho, tsoka kana maoko, kuwedzera uremu kamwe kamwe, kuneta zvakanyanya. |
| Kurova kwemoyo kunononoka | Dzungu, kupera simba, kufema zvakaoma, kuneta zvakanyanya. |
| Kukuvara kwechiropa | Kurwadziwa mudumbu, kushaya chido chekudya, kuda kurutsa, tsvina ine ruvara rwakajeka, weti yero kana yero, uye ganda kana maziso zvakatsvuka. |
| Kuderera kweropa | Dzungu, kupera simba, kuona zvisipo. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo: | |
| Kuzvimba | Dumbu rakaoma. |
| Dzungu | Kunzwa dzungu. |
| Musoro | Musoro. |
| Kusvotwa | Kunzwa kuda kurutsa. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukaona zviratidzo zvisingawanzoitiki, ndapota taura nachiremba wako kuti akupe mazano.
Nzira yekuchengetedza mushonga sei?
- Chengeta kure nevana nezvipfuyo.
- Chengeta patembiricha yemukamuri (pakati pe20 ne25 degrees Celsius) kure nechiedza.
- Rasa mushonga wese wasara mushure mezuva rekupera kwekushandiswa.
Mharidzo Yekuenda Nayo Kumba
- Verapamil mushonga unoshandiswa kurapa BP yakakwira, kurwadziwa kwechipfuva, uye kurova kwemoyo kusina kurongeka.
- Inwa mushonga wako zuva nezuva, panguva yakakodzera, sezvakarairwa nachiremba wako. Usarega kutora mushonga kamwe kamwe.
- Udza chiremba wako nezvemimwe mishonga yose yauri kutora (kusanganisira mavhitamini).
- Usanwe muto wegrapefruit zvachose paunenge uchitora mushonga uyu.
- Ngwarira paunenge uchityaira kana kushandisa michina nekuti dzungu uye kufenda zvinogona kuitika.
- Kana ukasangana nematambudziko akakomba akadai sekuoma kwekufema, kuzvimba kwemakumbo, kuneta zvakanyanya, kana kuti kuita yero yeganda, tsvaga rubatsiro rwechiremba nekukasika.
- Kana muine mibvunzo nezvemushonga uyu, taurai nachiremba wenyu nezvazvo.
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