Ingxaki abantu abaninzi abanayo yile 'pressure' okanye uxinzelelo lwegazi oluphezulu. Xa besiya kugqirha baze baxelelwe ukuba, "Ndimele ndisele amayeza oxinzelelo lwegazi," abanye abantu bayoyika kancinci. Imibuzo efana nethi "Ngaba kuya kufuneka ndisele amayeza ubomi bam bonke?" kunye nethi "Ngaba ezi zinto ziya kuba nemiphumo emibi?" ifika engqondweni. Kodwa ukuba unolwazi olufanelekileyo malunga nezi ntlobo zamayeza, olo loyiko lunokupheliswa kakhulu. Namhlanje sithetha ngeCalcium Channel Blockers, uhlobo olubaluleke kakhulu lwamayeza olunikwa abantu abaninzi.
Ngamafutshane, ziintoni ezi zithinteli zeCalcium Channel?
Eli liyeza elinceda ekunciphiseni uxinzelelo lwegazi. Cinga ngeeseli ezikwintliziyo yethu nakwimithambo yegazi. Ezi seli zine "gates" ezincinci ezivumela i-calcium ukuba ingene iphume. Ezi sizibiza ngokuba ziitshaneli ze-calcium.
Amayeza eCalcium Channel Blocker asebenza ngokuvala amanye ala 'masango'. Oku kunciphisa ubungakanani becalcium enokungena kwiiseli. Oku kwenza izinto ezimbini eziphambili:
1. Ukwahlulwa kwegazi: Izihlunu ezisezindongeni zemithambo yegazi ziyaphumla kancinci. Oku kubangela ukuba imithambo yegazi ivuleke, nto leyo evumela igazi ukuba lihambe lula. Oku kunciphisa uxinzelelo lwegazi.
2. Ulawulo lomsebenzi wentliziyo: Xa i-calcium ingena kwiiseli zentliziyo ilawulwa, izinga lentliziyo kunye nokubetha kwayo rhoqo kuyancitshiswa. Oku kunciphisa umthwalo entliziyweni kwaye kuphucule umsebenzi wayo.
Zeziphi iimeko ezisetyenziswa leli yeza?
Oogqirha bacebisa olu hlobo lweyeza kwizifo ezinxulumene nentliziyo kunye nemithambo yegazi. Ukongeza, kukho iimeko apho zisetyenziswa nakwezinye izifo. Masibone ukuba zeziphi.
| Imeko | Ingcaciso elula |
|---|---|
| Igazi elonyukayo | Eli lelona xesha lixhaphakileyo xa kunikwa eli yeza. Le yinto esiyibiza ngokuba 'yingcinezelo'. |
| Ukungahambi kakuhle kwentliziyo (iiArrhythmias) | Eli yeza linceda ukulawula ukubetha kwentliziyo okungaqhelekanga. |
| I-Angina (iintlungu zesifuba) | Eli yeza linceda ekulawuleni iintlungu zesifuba ezenzeka xa intliziyo ingafumani gazi laneleyo. |
| I-Coronary Artery Spasm | Ezi zinceda ekuthinteleni ukuba imithambo yegazi ehambisa igazi entliziyweni inganciphi ngequbuliso. |
| Ezinye iindlela (ezingekho kwileyibhile) zokusetyenziswa | |
| Isiganeko sikaRaynaud | Imeko apho imithambo yegazi kwiminwe nakwiinzwane ixinwa kwaye iphaphathekile ngenxa yokubanda. |
| Ukuthintela i-migraine | Ezi zicetyiswa kwabanye abantu ukunciphisa iintloko ezibuhlungu. |
| Ii-Anal Fissures | Ukukhulula izihlunu ezijikeleze i-anus nokunceda ukuba iphole. |
Kukho iintlobo ezimbini eziphambili zeCalcium Channel Blockers:
Kukho iintlobo ezimbini eziphambili zala mayeza. Kubalulekile ukwazi ukuba loluphi uhlobo oluchazwe ngugqirha wakho.
1. IiDihydropyridines (DHP): Olu hlobo lujolise kakhulu kwimithambo yegazi yethu. Into abayenzayo kukukhulula nokwandisa imithambo yegazi. Ke ngoko, zisebenza kakhulu kuxinzelelo lwegazi oluphezulu. Amayeza aqhelekileyo anje nge-Amlodipine, iNifedipine, kunye neFelodipine akweli qela.
2. Ii-Non-dihydropyridines (ezingezizo i-DHP): Olu hlobo luchaphazela ngqo imithambo yegazi kunye nemisipha yentliziyo . Ke ngoko, zisetyenziselwa ukulawula izinto ezifana nesantya sentliziyo kunye nesingqisho. Imizekelo yamayeza kweli qela yiVerapamil kunye neDiltiazem.
Kufuneka ndithathe eli yeza ixesha elingakanani?
Lo ngumbuzo abantu abaninzi abanawo. Impendulo yalo mbuzo ixhomekeke kwimeko yempilo onikwa yona eli yeza.
Umzekelo, ukuba unikwe eli yeza loxinzelelo lwegazi oluphezulu, ukuba ulawula ukutya kwakho, uzilolonga, unciphise umzimba, kwaye uphila ubomi obusempilweni, unokukwazi ukunciphisa umthamo weyeza okanye ude uyeke ngokupheleleyo.
Kodwa eyona nto ibalulekileyo ekufuneka uyikhumbule kukuba akufuneki uyeke ukuthatha eli yeza ngequbuliso. Kufuneka uyenze kancinci kancinci, phantsi kwesikhokelo sikagqirha wakho. Ukuba uyeka ukulithatha ngequbuliso, uxinzelelo lwakho lwegazi lunokunyuka ngequbuliso.
Kodwa ukuba unikwa eli yeza kwimeko efana ne-arrhythmia (ukubetha kwentliziyo okungaqhelekanga), kuya kufuneka ulisebenzise eli yeza ixesha elide.
Zithini iingenelo kunye neziphumo ebezingalindelekanga?
Njengayo nayiphi na imithi, ezi zinokuba neengenelo kunye nemiphumo emibi emincinci.
Iingenelo eziphambili:
- Isebenza kakuhle kakhulu: Eli yeza lisebenza kakuhle kakhulu ekulawuleni uxinzelelo lwegazi oluphezulu.
- Unyango olujoliswe kulo: Ugqirha wakho unokukhetha uhlobo lweCalcium Channel Blocker olufanela imeko yakho.
- Inganikwa kunye namanye amayeza: Ngamanye amaxesha la mayeza eza kwipilisi enye, edibene namayeza e-cholesterol. Oko kwenza kube lula ukuwasela la mayeza.
Iziphumo ebezingalindelekanga ezinokubakho:
Ezi ziphumo ebezingalindelekanga azenzeki kuwo wonke umntu. Zenzeka kwabanye abantu kuphela. Kwaye nangona kunjalo, zihlala zixhaphakile kwizigaba zokuqala zokuthatha amayeza.
- Imiphumo emibi yeDihydropyridine (njenge-Amlodipine, iNifedipine):
- Isiyezi , ukuziva ungaphilanga kakuhle
- Ukudumba kweqatha neenyawo
- Intloko ebuhlungu
- Ububomvu bobuso, ukuziva ushushu xa uchukunyiswa
- Imiphumo emibi ye-non-dihydropyridine (njengeVerapamil, Diltiazem):
- Ukuqhinwa
- Ndiziva ndidiniwe
- Ukubetha kwentliziyo okucothayo
Ukongeza, abanye abantu banokufumana ukukhula kakhulu kweentsini okanye ukwanda kweempawu ze-gastritis (GERD) ngenxa yale mayeza. Ukuba ufumana nayiphi na kwezi, yazisa ugqirha wakho.
Iimeko apho kufuneka ubone ugqirha ngoko nangoko
Ukuba usebenzisa la mayeza kwaye ufumana naziphi na iimpawu ezilandelayo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko okanye ubone ugqirha wakho.
- Ubunzima bokuphefumla
- Intlungu ebuhlungu esifubeni
- Ukubetha kwentliziyo (ukubetha kwentliziyo okungaqhelekanga, ukubetha kwentliziyo ngokukhawuleza, okanye ukuziva umile)
- Ukuquleka
- Ukudinwa okuqatha rhoqo
- Iimpawu ze-allergy ezifana nokudumba kobuso, amalungu, okanye ukurhawuzelela
Wenza ntoni ukuba uphoswe yidosi yeyeza?
Oku kubaluleke kakhulu. Ungaze uthathe amayeza amabini ngaxeshanye, kuba nje ulibele ukuthatha idosi. Ukwenza njalo kunokukhokelela ekugqithiseni amayeza, nto leyo enokubangela ukuba uxinzelelo lwegazi lwakho lwehle ngendlela eyingozi okanye ichaphazele ukusebenza kwentliziyo yakho.
Into eqhelekileyo omawuyenze kukulibala idosi ephosiweyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Nangona kunjalo, kungcono ukubuza ugqirha wakho ngale nto uze ufumane ingcebiso ecacileyo.
Ngaba kukho naziphi na iingxaki ngamanye amayeza nokutya?
Ewe. IiCalcium Channel Blockers zinokusebenzisana nezinye iziyobisi. Kufuneka ulumke xa uzisebenzisa kunye nezinye iziyobisi ezinciphisa uxinzelelo lwegazi okanye amayeza achaphazela izinga lokubetha kwentliziyo.
Kubaluleke kakhulu ukuqaphela ukuba ezinye iiCalcium Channel Blockers zinokusebenzisana negrapefruit (kuquka nejusi yegrapefruit). Ngoko ke, ukuba uthatha eli yeza, kuphephe ukutya/ukusela igrapefruit.
Xelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka amayeza ezinye izifo kunye neevithamini). Nguye oza kuba ngumntu ofanelekileyo ukukunika ingcebiso ngale nto.
Umyalezo Wokuya Ekhaya
- IiCalcium Channel Blockers luhlobo olusebenzayo kakhulu lwamayeza adla ngokunikwa abantu abanesifo soxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo.
- Ungaze uyeke ukuthatha eli yeza ngequbuliso ngaphandle kwengcebiso kagqirha wakho.
- Ukuba uphoswe yidosi, thatha idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngexesha elinye.
- Iziphumo ebezingalindelekanga ezincinci ezifana nokudumba kweqatha kunye nesiyezi zinokwenzeka. Yazisa ugqirha wakho ngale nto.
- Ukuba uneempawu ezifana nentlungu eqatha esifubeni kunye nobunzima bokuphefumla, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kwaye ungatyi i-grapefruit.
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