Umfutho wegazi ophakeme, noma njengoba sonke sazi, "umfutho wegazi," kuyinkinga yezempilo abantu abaningi ezweni lethu ababhekene nayo namuhla. Ungase ukhumbule ukuthi uma uya kudokotela, banikeza izinhlobo ezahlukene zemithi yomfutho wegazi. Namuhla, sizokhuluma ngomunye wemithi esetshenziswa kakhulu futhi ebaluleke kakhulu. Leyo yi-calcium channel blocker.
Kalula nje, iyini le Calcium Channel Blocker?
Kalula nje, le mithi esiza ukulawula noma ukwehlisa umfutho wegazi. Isebenza ngokunciphisa ukungena kweminerali ebizwa ngokuthi i-calcium emaseli enhliziyo yethu kanye nemithambo yegazi.
Manje cishe ucabanga ukuthi, "I-calcium ilungele umzimba, kungani uyeka ukuyithatha?" Indaba ihamba kanje. I-calcium ibalulekile ukuze imisipha esezinhliziyweni zethu kanye nasemithanjeni yegazi inciphe, okungukuthi, iqine. Lapho imithambo yegazi iqina, umfutho wegazi, okungukuthi, umfutho wegazi, uyakhuphuka. Ngakho-ke lokho okwenziwa yilomuthi ukunciphisa inani le-calcium eliya kulawo maseli. Khona-ke imisipha esezindongeni zemithambo yegazi iyaphumula kancane, njengalapho ukhulula into ebiqinile. Lapho imithambo yegazi iphumula, igazi lingageleza kalula, bese umfutho wegazi wehla . Uyaqonda? Leyo inqubo eyisisekelo yalomuthi.
Lo muthi usetshenziselwa ziphi izimo?
Ama-calcium channel blocker yimithi odokotela abayinikezayo ikakhulukazi izinkinga eziningana zenhliziyo nemithambo yegazi. Ngezinye izikhathi asetshenziswa nakwezinye izimo, yize engavunyelwe ngokusemthethweni, ngokusho kokuhlangenwe nakho kodokotela. Ake sibheke ukuthi iyini.
| Ukusetshenziswa | Isimo sezokwelapha |
|---|---|
| Imicimbi esetshenziswa kakhulu |
|
| Ukusetshenziswa okungekho ku-lebula |
|
Ingabe kunezinhlobo eziyinhloko zama-calcium channel blockers?
Yebo, kunezinhlobo ezimbili eziyinhloko. Le mithi ihlukaniswa ngokwehluka okuncane endleleni esebenza ngayo. Imithi udokotela wakho ayinikezile ingaba ngeyodwa yalezi ezimbili.
1. Ama-Dihydropyridines (DHP)
2. Ama-non-dihydropyridines (angewona ama-DHP)
Uyini umehluko phakathi kwalezi zinhlobo ezimbili?
Kalula nje, uhlobo olubizwa nge-DHP luhlasela kakhulu imithambo yegazi . Lokho kusho ukuthi luthinta imithambo yegazi kuphela. Ngakho-ke, lolu hlobo lusebenza kahle kakhulu ekwelapheni umfutho wegazi ophakeme, okungukuthi, umfutho wegazi.
Uhlobo olungeyona i-DHP luthinta imithambo yegazi kanye nemisipha yenhliziyo . Ngakho-ke, lolu hlobo lusiza futhi ekulawuleni izinto ezifana nokushaya kwenhliziyo kanye nesigqi. Lokhu kuvame ukunqunyelwa izimo ezifana nokushaya kwenhliziyo okungajwayelekile (ama-arrhythmia).
Manje ake sibone ukuthi yimiphi imithi evame ukusetshenziswa kakhulu engaphansi kwalezi zigaba. Bheka ukuthi igama lomuthi owusebenzisayo likulolu hlu.
| Uhlobo lomuthi | Izibonelo (amagama emithi) |
|---|---|
| I-Dihydropyridine (DHP) (Isebenza kakhulu emithanjeni yegazi) |
|
| I-Non-dihydropyridine (engeyona i-DHP) (Isebenza emithanjeni yegazi kanye nasenhliziyweni) |
|
Ngidinga ukuthatha lo muthi isikhathi esingakanani?
Lokhu kuncike kakhulu esimweni sakho sezokwelapha.
Ake sithi unomfutho wegazi ophakeme. Uma uvivinya umzimba njalo, ulawula ukudla kwakho, wehlisa isisindo, futhi uphila impilo enempilo, ungase ukwazi ukulawula umfutho wegazi lakho ngaphandle kwemithi. Uma kunjalo, ungase ukwazi ukukhuluma nodokotela wakho futhi, ngokusekelwe eselulekweni sakhe, unciphise noma uyeke imithi.
Kodwa khumbula into eyodwa: Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuba umfutho wegazi lakho ukhuphuke ngokuzumayo, okungaba yingozi.
Kodwa uma unesimo sesikhathi eside njengokushaya kwenhliziyo okungajwayelekile (i-arrhythmia), kungadingeka ukuthi uthathe le mithi impilo yakho yonke. Le mithi ngokuvamile iphephile ukuyisebenzisa isikhathi eside.
Yiziphi izinzuzo kanye nemiphumela engemihle engaba khona yalo muthi?
Njenganoma yimuphi umuthi, ama-calcium channel blockers angaba nezinzuzo kanye nemiphumela emibi emincane.
Ake sixoxe ngezinzuzo kuqala:
- Isebenza kahle kakhulu: Lo muthi usebenza ngempumelelo kubantu banoma yimuphi ubudala. Ungelapha umfutho wegazi kanye nezinye izinkinga ezihlobene nawo.
- Ukwelashwa Okuqondiwe: Udokotela wakho angakhetha umuthi (i-DHP noma ongeyona i-DHP) ofanelana kangcono nesimo sakho.
- Inganikezwa kanye neminye imithi: Ngezinye izikhathi lo muthi uhlanganiswa neminye imithi, njengemithi yokwehlisa i-cholesterol, futhi ufika ngephilisi elilodwa. Ngaleyo ndlela, kulula ukuwuthatha.
Manje ake sibheke imiphumela emibi engaba khona:
Akuwona wonke umuntu obhekana nemiphumela emibi. Abanye abantu bangase babe nemiphumela emibi emincane. Le miphumela emibi nayo ihlukile kancane ezinhlotsheni ezimbili ze-DHP kanye ne-non-DHP esixoxe ngazo ekuqaleni.
| Uhlobo lomuthi | Imiphumela emibi evamile |
|---|---|
| Uhlobo lwe-DHP (isib. i-Amlodipine, i-Nifedipine) |
|
| uhlobo olungeyona i-DHP (isb. i-Diltiazem, i-Verapamil) |
|
Ngaphezu kwalokho, ezinye izinto ezivimba iziteshi ze-calcium zingabangela ukuthi izinsini zikhule zizungeze amazinyo ngokungadingekile . Futhi, uma une-gastritis (GERD), izimpawu ezifana nesilungulela zingase zande.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Kubaluleke kakhulu ukutshela udokotela wakho uma uthola izimpawu ezintsha ngenkathi uthatha lo muthi, ikakhulukazi uma zihlobene nenhliziyo yakho. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, hamba uye egumbini lezimo eziphuthumayo esibhedlela (ETU) ngokushesha.
- Ubunzima bokuphefumula
- Ubuhlungu obukhulu besifuba
- Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia) noma ukushaya kwenhliziyo okungajwayelekile
- Ukuquleka
- isiyezi esivamile
Futhi, uma uhlangabezana nanoma yiziphi izimpawu zokusabela kokungezwani komzimba, njengokuqubuka kwesikhumba, ukuqubuka, noma ukuvuvukala kobuso noma kwezitho zomzimba, funa iseluleko sezokwelapha ngokushesha.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Lona umbuzo abantu abaningi abawubuzayo. Uma ukhohlwa ngokuzumayo ukuthatha umthamo, ungaphuzi amaphilisi amabili ngesikhathi esisodwa nganoma yisiphi isizathu. Uma "ufinyelela" umthamo, ungaphuza ngokweqile futhi ubangele izimo eziyingozi, njengokushaya kwenhliziyo okuphansi ngendlela eyingozi.
Ngokuvamile, kufanele uthathe umthamo ophuthelwe ngokushesha nje lapho ukhumbula bese uthatha umthamo olandelayo ngesikhathi esibekiwe. Kodwa-ke, uma umthamo wakho olandelayo kufanele ufike maduze, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esibekiwe. Uma ungaqiniseki, cela iseluleko kudokotela wakho.
Ingabe bakhona abantu okungafanele basebenzise lo muthi?
Yebo. Le mithi ayifanele abantu abanezimo ezithile zempilo. Ngaphambi kokuba uqale ukuthatha lo muthi , qiniseka ukuthi wazisa udokotela wakho uma unezinye zezimo ezilandelayo:
- Uma une-heart failure
- Uma une-blood pressure ephansi kakhulu
- Uma ukhulelwe noma unethemba lokukhulelwa
- Uma unezinkinga zesibindi
- Uma unezinhlobo ezithile zezinkinga zesigqi senhliziyo
Ingabe kungaba nezinkinga ngeminye imithi nokudla?
Ama-calcium channel blocker ayizinhlobo zemithi engasebenzisana neminye imithi eminingi. Kufanele uqaphele kakhulu lapho uwasebenzisa kanye neminye imithi eyehlisa umfutho wegazi noma ethinta izinga lokushaya kwenhliziyo.
Futhi, into abantu abaningi abangazi ukuthi ijusi le-grapefruit noma ijusi le-grapefruit alilungile kulo muthi. Ikhemikhali eliku-grapefruit lingashintsha indlela umuthi omuncwa ngayo umzimba, okungandisa ukuhlushwa komuthi ngokungadingekile. Ngakho-ke, kungcono ukungasebenzisi i-grapefruit ngenkathi uthatha lo muthi.
Kubaluleke kakhulu ukwazisa udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma imithi yendabuko oyithathayo.
Umlayezo Wokuya Nawe Ekhaya
- Ama-calcium channel blocker awuhlobo lomuthi olusebenza kahle kakhulu oluvame ukusetshenziswa ekwelapheni umfutho wegazi ophakeme kanye nesifo senhliziyo.
- Kubaluleke kakhulu ukuphuza imithi yakho ngesilinganiso esifanele nesikhathi esifanele njengoba kunqunywe udokotela wakho.
- Ungayeki ukuthatha imithi ngokuzumayo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela.
- Khumbula ukuthi imiphumela emibi efana nokuvuvukala kwezinyawo, ikhanda elibuhlungu, kanye nesiyezi ingase ivele. Uma uzwa noma yikuphi ukungakhululeki, yazisa udokotela wakho.
- Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, ubuhlungu besifuba, noma ukuquleka, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo. Futhi, gwema ukudla noma ukuphuza i-grapefruit ngenkathi uthatha lo muthi.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho