Inkinga abantu abaningi abanayo yile 'ngcindezi' noma umfutho wegazi ophakeme. Lapho beya kudokotela bese betshelwa ukuthi, "Kumelwe ngithathe umuthi womfutho wegazi wami," abanye abantu bayesaba kancane. Imibuzo efana nokuthi "Ingabe kuzodingeka ngithathe umuthi impilo yami yonke?" kanye nokuthi "Ingabe lokhu kuzoba nemiphumela emibi?" ifika engqondweni. Kodwa uma unolwazi olufanele ngalezi zinhlobo zemithi, lokho kwesaba kungaqedwa kakhulu. Namuhla sikhuluma nge-Calcium Channel Blockers, uhlobo lomuthi olubaluleke kakhulu olunikezwa abantu abaningi.
Kalula nje, ziyini lezi zivimba ze-Calcium Channel?
Lona umuthi osiza ukwehlisa umfutho wegazi. Cabanga ngamaseli asezinhliziyweni zethu nasemithanjeni yegazi. Lawa maseli 'anesango' elincane elivumela i-calcium yamaminerali ukuthi ingene futhi iphume. Sibiza lawa mashaneli e-calcium.
Imithi ye -Calcium Channel Blocker isebenza ngokuvala amanye alawo 'masango'. Lokhu kunciphisa inani le-calcium elingangena emaseli. Lokhu kwenza izinto ezimbili eziyinhloko:
1. Ukuhlanza igazi: Imisipha esezindongeni zemithambo yegazi iyakhululeka kancane. Lokhu kubangela ukuthi imithambo yegazi ivuleke, okuvumela igazi ukuthi ligeleze kalula. Lokhu kunciphisa umfutho wegazi.
2. Ukulawulwa kokusebenza kwenhliziyo: Uma i-calcium ingena emaseli enhliziyo ilawulwa, izinga lokushaya kwenhliziyo kanye nokuvama kokushaya kwenhliziyo kuyancishiswa. Lokhu kunciphisa umthwalo enhliziyweni futhi kuthuthukise ukusebenza kwayo.
Lo muthi usetshenziselwa ziphi izimo?
Odokotela batusa kakhulu lolu hlobo lomuthi wezifo ezihlobene nenhliziyo nemithambo yegazi. Ngaphezu kwalokho, kunezimo lapho lusetshenziswa khona nakwezinye izifo. Ake sibone ukuthi luyini.
| Isimo | Incazelo elula |
|---|---|
| Umfutho Wegazi Ophakeme | Lesi yisikhathi esivame kakhulu sokunikeza lo muthi. Yilokhu esikubiza ngokuthi 'ukucindezela'. |
| Ukuphazamiseka kwenhliziyo (i-Arrhythmias) | Lo muthi usiza ukulawula ukushaya kwenhliziyo okungajwayelekile. |
| I-Angina (ubuhlungu besifuba) | Lomuthi usiza ukulawula ubuhlungu besifuba obuvela lapho inhliziyo ingatholi igazi elanele. |
| Ukuqina Kwemithambo Yenhliziyo | Lokhu kusiza ukuvimbela imithambo yegazi ehambisa igazi enhliziyweni ukuthi inganciphi ngokuzumayo. |
| Okunye ukusetshenziswa (Okungekho ku-label) | |
| Isenzakalo sikaRaynaud | Isimo lapho imithambo yegazi eminweni nasezinzwaneni iba mfushane futhi iphaphathekile ngenxa yomkhuhlane. |
| Ukuvimbela i-migraine | Lokhu kunconywa kwabanye abantu ukuze kuncishiswe i-migraines. |
| Imifantu Yendunu | Ukukhulula imisipha ezungeze indunu nokusiza ukuthi iphole. |
Kunezinhlobo ezimbili eziyinhloko zama-Calcium Channel Blockers:
Kunezinhlobo ezimbili eziyinhloko zale mithi. Kubalulekile ukwazi ukuthi udokotela wakho ukunikeze uhlobo luni.
1. Ama-Dihydropyridines (DHP): Lolu hlobo luhlasela kakhulu imithambo yegazi yethu. Lokho abakwenzayo ukukhulula nokwandisa imithambo yegazi. Ngakho-ke, asebenza kahle kakhulu ekucindezelweni kwegazi okuphezulu. Imithi evame ukunqunywa njenge-Amlodipine, i-Nifedipine, ne-Felodipine ingeyaleli qembu.
2. Ama-Non-dihydropyridines (Angewona ama-DHP): Lolu hlobo luthinta ngqo imithambo yegazi kanye nemisipha yenhliziyo . Ngakho-ke, asetshenziselwa ukulawula izinto ezifana nokushaya kwenhliziyo kanye nesigqi. Izibonelo zemithi kuleli qembu yi-Verapamil ne-Diltiazem.
Ngidinga ukuthatha lo muthi isikhathi esingakanani?
Lona umbuzo abantu abaningi abanawo. Impendulo yalokhu incike esimweni sezokwelapha onikwa sona lo muthi.
Isibonelo, uma unikezwe lo muthi womfutho wegazi ophakeme, uma ulawula ukudla kwakho, uvivinya umzimba, wehlisa isisindo, futhi ulandela indlela yokuphila enempilo, ungase ukwazi ukunciphisa umthamo womuthi noma uwuyeke ngokuphelele.
Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi akufanele uyeke ukuthatha lo muthi ngokuzumayo. Kufanele ukwenze kancane kancane, ngaphansi kwesiqondiso sikadokotela wakho. Uma uyeka ukuwuthatha ngokuzumayo, umfutho wegazi lakho ungakhuphuka ngokuzumayo.
Kodwa uma unikezwa lo muthi wesimo esifana ne-arrhythmia (ukushaya kwenhliziyo okungajwayelekile), cishe kuzodingeka uwuthathe isikhathi eside lo muthi.
Ziyini izinzuzo nemiphumela emibi?
Njenganoma yimuphi umuthi, lokhu kungaba nezinzuzo kanye nemiphumela emibi emincane.
Izinzuzo eziyinhloko:
- Isebenza kahle kakhulu: Lo muthi usebenza kahle kakhulu ekulawuleni umfutho wegazi ophakeme.
- Ukwelashwa okuqondiwe: Udokotela wakho angakhetha uhlobo lwe-Calcium Channel Blocker olufanelana kahle nesimo sakho.
- Inganikezwa kanye neminye imithi: Ngezinye izikhathi lokhu kuza ngephilisi elilodwa, kuhlanganiswe nemithi ye-cholesterol. Lokho kwenza kube lula ukuthatha imithi.
Imiphumela emibi engaba khona:
Le miphumela emibi ayenzeki kuwo wonke umuntu. Yenzeka kwabanye abantu kuphela. Ngisho nalapho, ivame kakhulu ezigabeni zokuqala zokuthatha imithi.
- Imiphumela emibi ye-Dihydropyridine (njenge-Amlodipine, i-Nifedipine):
- Isiyezi , umuzwa wokungaphilile kahle
- Ukuvuvukala kweqakala nezinyawo
- Ikhanda elibuhlungu
- Ububomvu bobuso, uzizwa ushisa uma uthinta
- Imiphumela emibi yohlobo lwe-non-dihydropyridine (njenge-Verapamil, i-Diltiazem):
- Ukuqunjelwa
- Ukuzizwa ukhathele
- Ukushaya kwenhliziyo okuhamba kancane
Ngaphezu kwalokho, abanye abantu bangase babhekane nokukhula ngokweqile kwezinsini noma ukwanda kwezimpawu ze-gastritis (GERD) ngenxa yalo muthi. Uma uhlangabezana nanoma yikuphi kwalokhu, yazisa udokotela wakho.
Izimo lapho kufanele ubonane nodokotela ngokushesha
Uma uthatha lo muthi futhi uhlangabezana nanoma yiziphi izimpawu ezilandelayo, iya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha noma ubone udokotela wakho.
- Ubunzima bokuphefumula
- Ubuhlungu obukhulu besifuba
- Ukushaya kwenhliziyo (ukushaya kwenhliziyo okungajwayelekile, ukushaya kwenhliziyo okusheshayo, noma umuzwa wokuma)
- Ukuquleka
- Isiyezi esinzima esivame ukwenzeka
- Izimpawu zokungezwani komzimba njengokuvuvukala kobuso, izitho zomzimba, noma ukuqubuka
Wenzani uma uphuthelwa umthamo wemithi?
Lokhu kubaluleke kakhulu. Ungalokothi uthathe imithamo emibili yemithi ngesikhathi esisodwa, ngoba nje ukhohliwe ukuthatha umthamo. Ukwenza kanjalo kungaholela ekweqiseni umthamo, okungabangela ukwehla komfutho wegazi lakho ngendlela eyingozi noma kuthinte ukusebenza kwenhliziyo yakho.
Into evamile okufanele uyenze ukukhohlwa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Kodwa-ke, kungcono ukubuza udokotela wakho ngalokhu bese uthola iseluleko esicacile.
Ingabe zikhona izinkinga ngeminye imithi nokudla?
Yebo. Ama-Calcium Channel Blockers angasebenzisana neminye imithi. Kufanele uqaphele lapho uwasebenzisa kanye neminye imithi eyehlisa umfutho wegazi noma imithi ethinta izinga lokushaya kwenhliziyo.
Kubaluleke kakhulu ukuqaphela ukuthi amanye ama-Calcium Channel Blockers angasebenzisana ne-grapefruit (kufaka phakathi ijusi le-grapefruit). Ngakho-ke, uma uthatha lo muthi, gwema ukudla/ukuphuza i-grapefruit.
Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi imithi yezinye izimo namavithamini). Uzoba umuntu ongcono kakhulu wokukweluleka ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ama-Calcium Channel Blockers uhlobo lomuthi olusebenza kahle kakhulu oluvame ukunqunyelwa umfutho wegazi ophakeme kanye nesifo senhliziyo.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho.
- Uma uphuthelwa umthamo, thatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
- Imiphumela emibi emincane efana nokuvuvukala kweqakala kanye nesiyezi ingase ivele. Yazisa udokotela wakho ngalokhu.
- Uma unezimpawu ezifana nobuhlungu obukhulu besifuba kanye nobunzima bokuphefumula, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo futhi ugweme ukudla i-grapefruit.
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