Ngaba ngequbuliso ukhe waqala ukuziva isifuba sakho sibetha ngokungalawulekiyo? Okanye ingaba intliziyo yakho ibetha ngendlela engaqhelekanga kwaye uzive ngathi ayiqhubeki kakuhle? Xa usiya esibhedlele kwimeko engxamisekileyo efana nale, oogqirha basebenzisa iyeza elikhethekileyo ukulawula ngokukhawuleza izinga lentliziyo yakho. Elinye lamayeza anjalo yiDiltiazem. Eli lidla ngokunikezelwa njengenaliti emthanjeni. Ngoko ke, namhlanje siza kuthetha ngale Diltiazem Injection.
Luhlobo luni lweyeza iDiltiazem?
Ngamafutshane, iDiltiazem liyeza elinyanga ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo, imeko eyaziwa ngokwezonyango njenge- arrhythmia .
Le yinxalenye yodidi lwamayeza abizwa ngokuba zii-calcium channel blockers . Ngoku usenokuba uyazibuza ukuba yintoni leyo. I-calcium ibalulekile kwiiseli zethu zemisipha yentliziyo ukuze zinciphe, oko kukuthi, zibethe. I-Diltiazem isebenza ngokulawula kancinci ukungena kwe-calcium kwiiseli zemisipha yentliziyo kunye nemithambo yegazi.
Khawucinge nje, ukubetha kwentliziyo ngokukhawuleza kuthetha ukuba le nkqubo ye-calcium yenzeka ngokukhawuleza kakhulu. Xa eli yeza linikwa, elo santya liyacotha, intliziyo ibetha ngokukhawuleza, kwaye liqala ukwenzeka rhoqo. Ngenxa yoku, umthwalo womsebenzi entliziyweni uyancitshiswa, kwaye intliziyo ifumana isiqabu esikhulu. Ngamanye amaxesha ugqirha angalisebenzisa eli yeza ngezinye izizathu.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba ukunike eli yeza
Oku kubaluleke kakhulu. Ngaphambi kokuba ugqibe ekubeni uzinike eli yeza, kubalulekile ukuxelela ugqirha wakho okanye iqela lezonyango ulwazi olulandelayo.
Nokuba ulwazi oluncinci olunika lona lunokuba lubaluleke kakhulu kukhuseleko lwakho. Ngoko ke musa ukufihla nantoni na.
- Ezinye iimeko zempilo onazo: Kubaluleke kakhulu ukukhankanya ukuba ukhe wahlaselwa yintliziyo ngaphambili, ezinye iimeko zentliziyo, ezinye iingxaki zesingqisho sentliziyo, okanye uxinzelelo lwegazi oluphantsi .
- Ii-Allergies: Xelela ugqirha wakho ukuba une-allergies kwiDiltiazem okanye nakweyiphi na eminye imithi, ukutya, okanye idayi.
- Ukukhulelwa: Ukuba ukhulelwe, uzama ukukhulelwa, okanye unamathandabuzo ngayo, xelela ugqirha wakho ngaphambi kokuba usebenzise iyeza.
- Ukuba ungumama oncancisayo: Ukuba ungumama oncancisayo, ngokuqinisekileyo kufuneka umxelele ugqirha wakho.
Eli yeza lingena njani emzimbeni?
Eli asiloyeza onokulithatha ekhaya usuka ekhemesti. Eli liyeza lokujova ngemithambo yegazi.Oku kuthetha ukuba inikwa kuphela esibhedlele okanye eklinikhi, phantsi kweliso likagqirha okanye abasebenzi abaqeqeshiweyo bobuhlengikazi. Baza kuyijonga ngononophelo imeko yakho baze bakunike olu nyango.
Yintoni omawuyenze ukuba ugqithisile?
Ekubeni oku kunikwa phantsi kweliso lezonyango esibhedlele, amathuba okuba uphoswe yidosi aphantsi kakhulu. Nangona kunjalo, ukuba ucinga ukuba oku kwenzekile, yazisa abasebenzi bezonyango ngoko nangoko. Nakweyiphi na imeko engxamisekileyo, kubaluleke kakhulu ukuya kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) . Kwakhona, ukuba ukrokrela ukuba kukho ityhefu ngenxa yeyeza, ungatsalela umnxeba iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Eli yeza lenzelwe wena kuphela. Akuvumelekanga ngokupheleleyo ukwabelana ngalo okanye ukulisebenzisa nabanye abantu abangaphandle kwesibhedlele.
Ziziphi ezinye iindlela ezinokwenzeka ngayo ezi ziyobisi?
Amanye amayeza, amayeza esintu, okanye ukutya kunokuchaphazela iDiltiazem kwaye kubangele iziphumo ebezingalindelekanga eziyingozi, ngoko ke kubalulekile ukuxelela ugqirha wakho ngayo yonke into oyithathayo.
| Ukusebenzisana okunokwenzeka neDiltiazem | |
|---|---|
| Musa ukuthatha iDiltiazem kunye: | |
| I-Cisapride | I-Pimozide |
| I-Hawthorn (amayeza esintu) | I-Ranolazine |
| Irayisi yemvubelo ebomvu | |
| Kufuneka ulumke ngakumbi xa usebenzisa iDiltiazem kunye nezinye izinto ezilandelayo: | |
| I-Carbamazepine | I-Cimetidine |
| I-Cyclosporine | I-Digoxin |
| Ii-anesthetics zasekuhlaleni/ngokubanzi | Amayeza oxinzelelo lwegazi oluphezulu okanye ezinye izifo zentliziyo |
Olu luhlu aluphelelanga. Ngoko ke, xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, imifuno, kunye nezongezo ozithathayo. Qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Zithini iziphumo ebezingalindelekanga?
Njengalo naliphi na iyeza, iDiltiazem inokubangela ezinye iziphumo ebezingalindelekanga. Ezinye ziqhelekile, ngelixa ezinye zinokuba yingozi.
| Uhlobo lwesiphumo esibi | Iimpawu |
|---|---|
| Yazisa iqela lezonyango ngoko nangoko ukuba ezi mpawu ziyavela: | |
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Ukumelwa yintliziyo | Ubunzima bokuphefumla, ukudumba kwamaqatha, iinyawo okanye izandla, ukunyuka kobunzima ngequbuliso, ukudinwa kakhulu. |
| Ukubetha kwentliziyo okucothayo | Ukudinwa, ukuquleka, ubunzima bokuphefumla, ubuthathaka obungaqhelekanga. |
| Ukulimala kwesibindi | Intlungu esiswini esingaphezulu ngasekunene, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle enombala okhanyayo, umchamo otyheli okanye omdaka omnyama, kunye nokutyheli kolusu okanye amehlo. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Iimpendulo ezinzulu zesikhumba | Ubomvu, ukudumba, okanye ukuxobuka kwesikhumba, kuquka nomlomo. |
| Nangona ingaqhelekanga ukuba yingozi, xelela ugqirha wakho ukuba iyaqhubeka okanye iyakukhathaza: | |
| Ukuqhinwa | |
| Ukuhlamba ubuso | |
| Intloko ebuhlungu | |
Ezinye iziphumo ebezingalindelekanga ezingadweliswanga kolu luhlu zinokwenzeka, ngoko ungoyiki ukubuza ugqirha wakho ngayo nayiphi na into engaqhelekanga.
Umyalezo Wokuya Ekhaya
- I-Diltiazem liyeza elikhethekileyo elifakwa emthanjeni esibhedlele ukulawula ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo.
- Ngaphambi kokuba usebenzise eli yeza, qiniseka ukuba uxelela ugqirha wakho ngazo zonke iimeko zakho zempilo, ii-allergies, amanye amayeza owasebenzisayo, kunye nokuba ukhulelwe/uyancancisa na.
- Olu lunyango olunikwa kuphela phantsi kweliso likagqirha, kwaye alulonyango lokusetyenziswa ekhaya.
- Ukuba kuvela iziphumo ebezingalindelekanga ezinzulu (ubunzima bokuphefumla, isiyezi esinzima, ukudumba kolusu), yazisa abasebenzi bezonyango ngoko nangoko.
- Ukuba unemibuzo malunga nale yeza, zive ukhululekile ukubuza ugqirha okanye abasebenzi bonyango abakunyangayo.
👩🏽⚕️ Imibuzo eyongezelelweyo (Ii-FAQ)
💬 Isetyenziselwa ntoni iDiltiazem Injection?
Nangona esi sisixhobo sokuthintela i-calcium channel esilawula uxinzelelo lwegazi oluphezulu, esi sitofu sinikwa nge-intravenously (IV) esibhedlele (kwicandelo likaxakeka) ukusindisa isigulana 'ekulahlekelweni ngequbuliso kwe-rhythm kwiindawo eziphezulu zentliziyo (Atrial Fibrillation/Flutter)', xa intliziyo iqala ukubetha ngokukhawuleza okungaqhelekanga (ngaphezulu kwe-150 beats ngomzuzu), kwaye izinga lokufa liyancitshiswa kwimizuzu embalwa.
💬 Le injection (Diltiazem) inciphisa njani isantya sentliziyo xa inikwa ngemithambo yegazi?
Intliziyo ithumela imiqondiso yombane esuka kwindawo ebizwa ngokuba yi-'AV Node / SA Node'. Ukuze le miqondiso yehle, kufuneka 'iCalcium' ingene ukusuka apho. Xa eli yeza lingena egazini, 'amasango ecalcium' kwiziko lokuhambisa umbane wentliziyo (i-AV Node) avalwa ngokupheleleyo (avalwe). Emva koko isantya sombane sehla ngokuthe ngqo kwaye isantya sentliziyo sehla ngoko nangoko siye kumanqanaba aqhelekileyo.
💬 Nokuba isantya sentliziyo siyehla, yeyiphi ingozi eyingozi xa ufaka olu tyando?
Eyona ngozi inkulu ngale nto kukuba yehlisa uxinzelelo lwegazi! Kwabanye abaguli, kwangoko nje ukuba olu hlaselo lufakwe ngemithambo yegazi (IV), uxinzelelo lwegazi lomguli luyehla ngequbuliso luye kwi-zero (Severe Hypotension) baze balahlekelwe zingqondo, okanye intliziyo ithule kunokuba bekulindelwe kwaye intliziyo iyeke ngokupheleleyo (Heart block / Bradycardia), nto leyo enokuba yingozi! (Ke ngoko, i-EKG kunye noxinzelelo lwegazi kufuneka zihlale zijongiwe).
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