Ngaba ugqirha wakho ukunike iyeza elibizwa ngokuba yiVerapamil loxinzelelo lwegazi oluphezulu, iintlungu zesifuba, okanye ukubetha kwentliziyo okungacwangciswanga? Ukuba kunjalo, eli nqaku liza kuba luncedo kakhulu kuwe. Masithethe ngale mithi, indlela esebenza ngayo, into ekufuneka uyilumkele xa uyithatha, kunye nayo yonke enye into, ngendlela elula neyobuhlobo.
Yintoni iVerapamil?
Ngamafutshane, iVerapamil liyeza elisetyenziselwa ukunyanga iimeko ezifana noxinzelelo lwegazi oluphezulu kunye nentlungu yesifuba (i-angina). Ngamanye amaxesha ikwasetyenziselwa ukunyanga ukubetha kwentliziyo okukhawulezayo okanye okungahambelaniyo (i-arrhythmia).
Ngoku masibone ukuba oku kusebenza njani ngaphakathi emzimbeni. Cinga ngemithambo yegazi yethu njengeetyhubhu ezincinci. Xa izihlunu ezikwiindonga zezi tyhubhu ziqina, indawo apho igazi lihamba khona iba mxinwa. Emva koko intliziyo kufuneka isebenze nzima ukupompa igazi. Oku sikubiza ngokuba luxinzelelo lwegazi oluphezulu.
I-Verapamil ikwiqela lamayeza abizwa ngokuba zii-calcium channel blockers . Eli yeza lisebenza ngokulawula ukungena kwe-calcium kwiiseli zemisipha kwimithambo yegazi nakwintliziyo. Xa amanqanaba e-calcium ephantsi, izihlunu eziqinileyo ziyaphumla kancinci. Imithambo yegazi emva koko iyanda, ivumela igazi ukuba lidlule ngaphandle kokuphazanyiswa. Oku kunciphisa umthwalo womsebenzi entliziyweni kwaye kunceda ukulawula uxinzelelo lwegazi. Intlungu yesifuba (i-angina) yenzeka xa intliziyo ingafumani ioksijini eyaneleyo. Xa imithambo yegazi iyanda, intliziyo ifumana igazi elingakumbi, nto leyo enciphisa intlungu.
Oogqirha banokukunika eli yeza nakwezinye iimeko, ngoko ke ukuba unemibuzo, buza ugqirha wakho.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale amayeza
Ngaphambi kokuba uqale ukusebenzisa iVerapamil, kubaluleke kakhulu ukuxelela ugqirha wakho ngembali yakho yezonyango. Qiniseka ukuba uxelela ugqirha wakho ukuba unenye yezi meko zilandelayo:
- I-Duchenne Muscular Dystrophy: Esi sisifo semfuza esibangela ubuthathaka bemisipha. Ukuba unale meko, yazisa ugqirha wakho.
- Isifo sentliziyo: Ukuba ukhe wahlaselwa yintliziyo ngaphambili okanye wafunyaniswa ukuba unesifo sentliziyo, kufuneka uxelele ugqirha wakho ngaso.
- Ukubetha kwentliziyo okanye isingqisho esingavumelekanga: Ukuba ukubetha kwentliziyo okucothayo kakhulu (i-bradycardia) okanye ezinye iindlela ezingaqhelekanga, yazisa ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
- Isifo sesibindi: Ukuba ukusebenza kwesibindi sakho akulunganga, ugqirha wakho unokufuna ukulungisa umthamo wakho kuba kuthatha ixesha elide ukuba iyeza liphume emzimbeni wakho.
- Uxinzelelo lwegazi oluphantsi:Ukuba ungumntu ohlala ene-blood pressure ephantsi, khankanya loo nto.
- Ii-Allergy: Qiniseka ukuba uxelela ugqirha wakho ukuba une-allergies kwi-verapamil okanye naliphi na elinye iyeza, ukutya, iidayi, okanye izithinteli.
- Ukukhulelwa okanye ukuzama ukukhulelwa: Ukuba ukhulelwe okanye ulindele umntwana kungekudala, thetha nogqirha wakho ngaloo nto.
- Ukuncancisa: Ukuba ungumama oncancisayo, funa ingcebiso kagqirha kuba eli yeza linokudluliselwa kumntwana wakho ngobisi lwebele.
Ndingayisebenzisa njani kanye kanye le yeza?
Gcina ezi ngongoma engqondweni xa usebenzisa eli yeza.
1. Sela amayeza akho kanye njengoko ugqirha wakho ekuxelela: Sela amayeza akho kanye njengoko kuyalelwe kwileyibhile, ngexesha elifanayo yonke imihla, kwaye ungayeki ukuwasela amayeza akho de ugqirha wakho akuxelele ukuba wenjenjalo.
2. Nokuba utya okanye awutyanga: Le pilisi ingathathwa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukuyithatha kunye nokutya.
3. Musa ukuyisebenzisa nejusi yegrapefruit: Oku kubaluleke kakhulu . Kuphephe ukusela ijusi yegrapefruit okanye yegrapefruit ngelixa uthatha iverapamil. Ijusi yegrapefruit inokunyusa ubungakanani beyeza emzimbeni wakho ngokungeyomfuneko, nto leyo enokunyusa umngcipheko weziphumo ebezingalindelekanga.
4. Kubantwana: Ukuba unika abantwana eli yeza, kufuneka unyamekeleke ngokukodwa. Ngoko ke landela imiyalelo kagqirha.
Yintoni omawuyenze ukuba ugqithisile?
Ukuba ucinga ukuba uthathe amayeza amaninzi kunokuba ucinga, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko . Okanye utsalele umnxeba iZiko loLwazi lweeTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Eyona nto ibalulekileyo kukuba eli yeza limiselwe wena wedwa. Ungaze wabelane nabanye ngamayeza akho.
Yintoni omawuyenze ukuba uphoswe yidosi?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uthathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye ukuze ubuyisele idosi oyiphosileyo.
Ezinye izinto ezinokubangela ukungasebenzi kakuhle kweVerapamil
I-Verapamil liyeza elinokusebenzisana namanye amayeza, ukutya, kunye neemveliso zemifuno. Oku kuthetha ukuba ukuyithatha nezinye izinto kunokutshintsha indlela esebenza ngayo i-Verapamil okanye konyuse iziphumo zayo ezingalindelekanga. Ngoko ke lumka kakhulu ngezi zinto zilandelayo.
| Izinto ongafanele uzithathe ngeVerapamil | |
|---|---|
| I-Cisapride | Iyeza lokudumba kwesisu |
| I-Disopyramide | Iyeza elibangela ukubetha kwentliziyo okungaqhelekanga |
| I-Dofetilide | Iyeza elibangela ukubetha kwentliziyo okungaqhelekanga |
| Ijusi yegrapefruit | Oku kwandisa uxinano lweziyobisi emzimbeni. |
| I-Hawthorn | Imveliso yezityalo |
| I-Pimozide | Iyeza lokugula ngengqondo |
| Irayisi yemvubelo ebomvu | Isongezelelo sokunciphisa i-cholesterol |
| Ukuba uthatha ezi, yazisa ugqirha wakho. | |
|---|---|
| IiBarbiturates (umz. i-phenobarbital) | Amayeza okulala kunye nesifo sokuwa |
| I-Cimetidine | Iyeza le-gastritis |
| I-Cyclosporine | Iyeza elithintela amajoni omzimba |
| I-Lithium | Iyeza lokugula ngengqondo |
| Amanye amayeza okunyanga isigqi sentliziyo | Umzekelo: i-amiodarone, i-digoxin, i-flecainide |
| Amanye amayeza oxinzelelo lwegazi oluphezulu | Ezinye iipilisi zoxinzelelo |
| Amayeza okunyanga isifo sokuwa | Umzekelo: i-carbamazepine, i-phenytoin |
| Amayeza esifo sephepha | Umzekelo: iRifampin, iRifabutin |
| Amayeza e-asthma | Umzekelo: I-Theophylline, i-aminophylline |
Olu luhlu aluphelelanga. Ngoko ke nika ugqirha wakho uluhlu lwamayeza owasebenzisayo (kuquka iivithamini kunye neemveliso zezityalo) . Kwakhona, qiniseka ukuba uyamxelela ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi.
Izinto ekufuneka uzilumkele xa usebenzisa iyeza
- Ukuhlolwa rhoqo kwezonyango: Ndwendwela ugqirha wakho rhoqo xa uhlolwa ukuze ujonge imeko yakho.
- Linganisa uxinzelelo lwakho lwegazi: Linganisa uxinzelelo lwakho lwegazi ekhaya, njengoko ugqirha wakho ekucebisa. Yazi ukuba uxinzelelo lwakho lwegazi oluqhelekileyo lufanele lube njani, kwaye wenze ntoni ukuba luyenyuka okanye luyehla.
- Lumka xa usebenzisa amanye amayeza:Ukuba usela amayeza okukhwehlela, umkhuhlane, okanye eentlungu ngaphandle kwemvume kagqirha ngelixa usela iVerapamil, jongana nogqirha wakho kuqala. Amanye amayeza anokunyusa uxinzelelo lwegazi.
- Intloko ebuhlungu kunye nesiyezi: Eli yeza linokukwenza uzive ulele kancinci kwaye unesiyezi. Ngoko ke, kuphephe ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani.
- Vuka kancinci: Xa uvuka uhleli okanye ulele, musa ukuvuka ngequbuliso kodwa kancinci. Oku kunokunceda ukuthintela isiyezi kunye nokuquleka.
- Utywala: Ukusela utywala ngelixa usebenzisa eli yeza kunokunyusa iziphumo ebezingalindelekanga ezifana nesiyezi.
Zeziphi iziphumo ebezingalindelekanga endinokuzifumana?
Njengalo naliphi na iyeza, iVerapamil inokubangela ezinye iziphumo ebezingalindelekanga. Nangona kunjalo, ayinguye wonke umntu ozifumanayo. Makhe sijonge ukuba ziyintoni na.
| Iziphumo ebezingalindelekanga ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| 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, ukudinwa kakhulu. |
| Ukulimala kwesibindi | Intlungu kwicala eliphezulu lasekunene lesisu, ukuphelelwa ngumdla wokutya, isicaphucaphu, indle ekhanyayo, umchamo otyheli okanye omdaka omnyama, kunye nokutyheli kolusu okanye amehlo. |
| Uxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Iziphumo ebezingalindelekanga ezingezizo ezinzulu, kodwa ezifanele zixelwe kugqirha ukuba ziyaqhubeka: | |
| Ukuqhinwa | Isisu esomileyo. |
| Isiyezi | Ndiziva ndinesizungu. |
| Intloko ebuhlungu | Intloko ebuhlungu. |
| Isicaphucaphu | Ukuziva ngathi uhlanza. |
Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, nceda unxibelelane nogqirha wakho ukuze akunike ingcebiso.
Ungayigcina njani imithi?
- Gcina kude nabantwana kunye nezilwanyana zasekhaya.
- Gcina kubushushu begumbi (phakathi kwama-20 nama-25 degrees Celsius) kude nokukhanya.
- Lahla naliphi na iyeza elishiyekileyo emva komhla wokuphelelwa.
Umyalezo Wokuya Ekhaya
- I-Verapamil liyeza elisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu, iintlungu zesifuba, kunye nokubetha kwentliziyo okungaqhelekanga.
- Sela amayeza akho yonke imihla, ngexesha elifanelekileyo, njengoko ugqirha wakho ekuyalele. Musa ukuyeka ukuwasela ngequbuliso.
- Xelela ugqirha wakho ngazo zonke ezinye iindlela ozisebenzisayo (kuquka neevithamini).
- Musa ukusela ijusi yegrapefruit ngokupheleleyo ngelixa usebenzisa eli yeza.
- Lumka xa uqhuba okanye usebenzisa oomatshini kuba kusenokubakho isiyezi kunye nokuquleka.
- Ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngobunzima bokuphefumla, ukudumba kwemilenze, ukudinwa kakhulu, okanye ukuba tyheli kolusu, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba unemibuzo malunga nale yeza, thetha nogqirha wakho ngayo.
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