Usuvele waqala ukuzwa isifuba sakho sishaya ngokungalawuleki? Noma ingabe inhliziyo yakho ishaya ngokungajwayelekile futhi uzizwe sengathi ishaya ngendlela engajwayelekile? Uma uya esibhedlela esimweni esiphuthumayo esinjengalesi, odokotela basebenzisa umuthi okhethekile ukulawula ngokushesha ukushaya kwenhliziyo yakho. Omunye umuthi onjalo yi-Diltiazem. Lo muthi uvame ukunikezwa njengomjovo emthanjeni. Ngakho-ke, namuhla sizoxoxa ngalo mjovo we-Diltiazem.
Uhlobo luni lomuthi i-Diltiazem?
Kalula nje, i-Diltiazem umuthi olapha ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, isimo esaziwa ngokwezokwelapha ngokuthi i-arrhythmia .
Lokhu kungokwesigaba semithi ebizwa ngokuthi ama-calcium channel blockers . Manje ungase uzibuze ukuthi kuyini lokho. I-calcium ibalulekile ukuze amangqamuzana ethu emisipha yenhliziyo anciphe, okungukuthi, ashaye. I-Diltiazem isebenza ngokulawula kancane ukungena kwe-calcium emaseli emisipha yenhliziyo nasemithanjeni yegazi.
Cabanga nje, ukushaya kwenhliziyo okusheshayo kusho ukuthi le nqubo ye-calcium yenzeka ngokushesha okukhulu. Uma unikezwa lo muthi, leso sivinini siyehliswa, inhliziyo ishaya ngokushesha, futhi iqala ukwenzeka njalo. Ngenxa yalokhu, umsebenzi enhliziyweni uyancishiswa, futhi inhliziyo ithola impumuzo enkulu. Ngezinye izikhathi udokotela angasebenzisa lo muthi ngezinye izizathu.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokukunikeza lo muthi
Lokhu kubaluleke kakhulu. Ngaphambi kokuba unqume ukuzinika lo muthi, kubalulekile ukutshela udokotela wakho noma ithimba lezokwelapha ulwazi olulandelayo.
Ngisho nolwazi oluncane kakhulu olunikezayo lungaba lubaluleke kakhulu ekuphepheni kwakho. Ngakho ungafihli lutho.
- Ezinye izimo zezokwelapha onazo: Kubaluleke kakhulu ukusho uma uke waba nokuhlaselwa yinhliziyo ngaphambili, ezinye izimo zenhliziyo, ezinye izinkinga zesigqi senhliziyo, noma umfutho wegazi ophansi .
- Ukungezwani komzimba: Tshela udokotela wakho uma une-allergies ku-Diltiazem noma eminye imithi, ukudla, noma udayi.
- Ukukhulelwa: Uma ukhulelwe, uzama ukukhulelwa, noma ukungabaza ngakho, tshela udokotela wakho ngaphambi kokuthatha umuthi.
- Uma ungumama oncelisayo: Uma ungumama oncelisayo, kufanele nakanjani utshele udokotela wakho.
Lo muthi ungena kanjani emzimbeni?
Lona akusiwo umuthi ongawuthatha ekhaya usuka ekhemisi. Lona umjovo womjovo ngemithambo yegazi.Lokhu kusho ukuthi inikezwa kuphela esibhedlela noma emtholampilo, ngaphansi kokuqondisa kukadokotela noma abasebenzi abaqeqeshiwe bobuhlengikazi. Bazoqapha ngokucophelela isimo sakho futhi bakunikeze lokhu kwelashwa.
Yini okufanele uyenze uma uphuza ngokweqile?
Njengoba lokhu kunikezwa ngaphansi kokuqashwa kwezokwelapha esibhedlela, amathuba okuthi umthamo ungathathwanga aphansi kakhulu. Kodwa-ke, uma ucabanga ukuthi lokhu kwenzekile, yazisa abasebenzi bezokwelapha ngokushesha. Kunoma yisiphi isimo esiphuthumayo, kubalulekile ukuya e-Emergency Treatment Unit (ETU) . Futhi, uma usola ukuthi kukhona ubuthi obubangelwa umuthi, ungashayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi ungowokusetshenziswa nguwe kuphela. Akuvunyelwe ngokuphelele ukwabelana noma ukusebenzisana nawo nanoma ubani ongaphandle kwesibhedlela.
Yikuphi okunye ukusebenzisana okungenzeka nomuthi?
Eminye imithi, amakhambi, noma ukudla kungasebenzisana ne-Diltiazem futhi kubangele imiphumela emibi eyingozi, ngakho-ke kubalulekile ukutshela udokotela wakho ngakho konke okuthathayo.
| Izinkinga ezingaba khona (ukusebenzisana) ne-Diltiazem | |
|---|---|
| Ungayithathi i-Diltiazem uma: | |
| I-Cisapride | I-Pimozide |
| I-Hawthorn (umuthi wamakhambi) | I-Ranolazine |
| Ilayisi lemvubelo ebomvu | |
| Kufanele uqaphele kakhulu lapho uthatha i-Diltiazem nge: | |
| I-Carbamazepine | I-Cimetidine |
| I-Cyclosporine | I-Digoxin |
| Izinzwa Zendawo/Ezijwayelekile | Imithi yokucindezeleka kwegazi okuphezulu noma ezinye izifo zenhliziyo |
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Qiniseka ukuthi utshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Yimiphi imiphumela emibi elindelekile?
Njenganoma yimuphi umuthi, i-Diltiazem ingabangela imiphumela emibi. Eminye ivamile, kanti eminye ingaba yingozi.
| Uhlobo lomphumela ongemuhle | Izici |
|---|---|
| Yazisa ithimba lezokwelapha ngokushesha uma kuvela lezi zimpawu: | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Ukwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ukushaya kwenhliziyo okuhamba kancane | Ukuzungeza, ukuquleka, ubunzima bokuphefumula, ubuthakathaka obungavamile. |
| Ukulimala kwesibindi | Ubuhlungu esiswini esingaphezulu kwesokudla, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, kanye nokuphuzi kwesikhumba noma amehlo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ukusabela okukhulu kwesikhumba | Ukubomvu, ukuqubuka, noma ukuxebuka kwesikhumba, kuhlanganise nomlomo. |
| Nakuba ngokuvamile kungekubi kangako, tshela udokotela wakho uma kuqhubeka noma kukhathaza: | |
| Ukuqunjelwa | |
| Ukuhlanza ubuso | |
| Ikhanda elibuhlungu | |
Eminye imiphumela emibi engabhalwanga kulolu hlu ingase ivele, ngakho ungesabi ukubuza udokotela wakho nganoma yini engavamile.
Umlayezo Wokuya Nawe Ekhaya
- I-Diltiazem umuthi okhethekile ofakwa emthanjeni esibhedlela ukulawula ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
- Ngaphambi kokuthatha lo muthi, qiniseka ukuthi utshela udokotela wakho ngazo zonke izimo zakho zezokwelapha, ukungezwani komzimba, eminye imithi oyithathayo, nokuthi ukhulelwe/uyancelisa yini.
- Lokhu ukwelashwa okunikezwa kuphela ngaphansi kokuqondisa kwezokwelapha, futhi akuyona imithi yokusetshenziswa ekhaya.
- Uma kuvela imiphumela emibi kakhulu (ubunzima bokuphefumula, isiyezi esinzima, ukuqubuka kwesikhumba) , yazisa abasebenzi bezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalomuthi, zizwe ukhululekile ukubuza udokotela noma abasebenzi abahlengikazi abakwelaphayo.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Isetshenziselwani i-Diltiazem Injection?
Nakuba lokhu kuyisithiyo sokuvimbela isiteshi se-calcium esilawula umfutho wegazi ophakeme, lo mjovo unikezwa nge-intravenously (IV) esibhedlela (esimeni esiphuthumayo) ukuze kusindiswe isiguli 'ekulahlekelweni ngokuzumayo kwesigqi emakamelweni aphezulu enhliziyo (Atrial Fibrillation/Flutter)', lapho inhliziyo iqala ukushaya ngokushesha okungajwayelekile (ngaphezu kokushaya okungu-150 ngomzuzu), futhi izinga lokufa liyancipha ngemizuzu embalwa.
💬 Lo mjovo (i-Diltiazem) unciphisa kanjani izinga lokushaya kwenhliziyo uma unikezwa ngemithambo yegazi?
Inhliziyo ithumela izimpawu zikagesi ezivela endaweni ebizwa ngokuthi 'i-AV Node / SA Node'. Ukuze lezi zimpawu zehle, 'iCalcium' kumele ingene isuka lapho. Uma lo muthi ungena egazini, 'amasango e-calcium' esikhungweni sokudlulisa ugesi senhliziyo (i-AV Node) avaliwe ngokuphelele (avinjiwe). Bese ijubane ugesi wehla ngalo ngqo futhi izinga lokushaya kwenhliziyo lehla ngokushesha liye emazingeni ajwayelekile.
💬 Ngisho noma ukushaya kwenhliziyo kwehla, iyiphi ingozi eyingozi kakhulu lapho unikeza lo mjovo?
Ingozi enkulu ngalokhu ukuthi yehlisa umfutho wegazi! Kwabanye iziguli, ngokushesha nje lapho lo mjovo unikezwa nge-intravenous (IV), umfutho wegazi wesiguli wehla ngokuzumayo uye ku-zero (Severe Hypotension) bese belahlekelwa ingqondo, noma inhliziyo iba nokuthula kunalokho obekulindelwe futhi inhliziyo iyeke ngokuphelele (Heart block / Bradycardia), okungaba yingozi! (Ngakho-ke, i-EKG kanye nomfutho wegazi kufanele kuqashwe njalo).
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