Esikhathini esiningi, lapho udokotela wakho ekubhalela imithi yomfutho wegazi ophakeme, ungase ujwayelene negama elithi Diltiazem phakathi kwaleyo mithi. Noma mhlawumbe uke wezwa leli gama phakathi kwemithi enikezwa ubuhlungu besifuba (i-angina). Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-Diltiazem, ukuthi yenzani, nokuthi yini okudingeka siyiqaphele lapho sisebenzisa lo muthi.
Iyini le Diltiazem?
Kalula nje, i-Diltiazem umuthi osetshenziselwa ukulawula umfutho wegazi ophakeme nokuvimbela ubuhlungu besifuba (i-angina) . Cabanga ngemithambo yegazi emzimbeni wethu njengamapayipi athwala amanzi. Umfutho wegazi ophakeme usho umfutho wegazi ophakeme ngaphakathi kwala mapayipi. Lo muthi okwenziwa yilo muthi 'ukuphumuza' imithambo yegazi yethu kancane bese uyinweba. Ngemuva kwalokho igazi livunyelwe ukugeleza kalula ngaphandle kokubhajwa. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni, okusho inani lomsebenzi inhliziyo okufanele iwenze.
Ngokwezokwelapha, lesi isidakamizwa esingaphansi kwesigaba semithi ebizwa ngokuthi ama-calcium channel blockers . Lokhu kusho ukuthi le nqubo yenzeka ngokulawula ukungena kwe-calcium emaseli enhliziyo nasemithanjeni yegazi.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokunikeza i-Diltiazem umuthi, kubalulekile ukuthi udokotela wakho azi kahle isimo sakho sempilo. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo okudingeka usibike | Kungani kufanele ukhathazeke? |
|---|---|
| Ukuhlaselwa yinhliziyo noma esinye isifo senhliziyo | Ngenxa yokuthi i-diltiazem ithinta ukusebenza kwenhliziyo, kudingeka ukunakekelwa okukhethekile uma usuvele unesifo senhliziyo. |
| Ukushaya kwenhliziyo okungajwayelekile | Lo muthi unganciphisa ukushaya kwenhliziyo, ngakho-ke uma sekukhona inkinga kakade, kufanele ibikwe. |
| Umfutho wegazi ophansi | Lokhu kunganciphisa kakhulu umfutho wegazi, ngakho udokotela kufanele akuqaphele. |
| Ukungezwani komzimba | Qiniseka ukuthi utshela udokotela wakho uma une-allergies ku-Diltiazem noma kunoma yimuphi omunye umuthi, ukudla, noma udayi. |
| Uma ukhulelwe noma uzama ukukhulelwa | Kufanele ukhulume nodokotela wakho mayelana nokuphepha kwalomuthi ngesikhathi sokukhulelwa. |
| Uma umama encelisa ingane yakhe | Njengoba umuthi ungadlulela enganeni ngobisi lwebele, kubalulekile ukwazisa udokotela ngakho. |
Ngingawusebenzisa kanjani umuthi?
Lokhu kulula kakhulu. Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngomthamo ofanele, ngesikhathi esifanele. Zenze umkhuba ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke. Ngaleyo ndlela, cishe ngeke ukhohlwe ukuphuza umuthi wakho. Qhubeka uwuthatha kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ukuwuthatha ngokuzumayo, noma ngabe uzizwa ungcono.
Okubalulekile: Uma ngephutha uthatha lo muthi omningi kakhulu, okungukuthi, uma uphuza ngokweqile, shayela ngokushesha iNational Poison Information Centre eColombo National Hospital. Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze. Lokhu kuyinto okungafanele ihlehliswe ngisho nakancane.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ongawusebenzisi bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo okhohliwe.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukwazisa udokotela wakho ngayo yonke imithi oyithathayo, okuhlanganisa imithi yezinye izimo, amavithamini, ngisho nemithi yendabuko, njengoba eminye imithi ingase ihlangane ne-Diltiazem.
| UNGAYITHATHI NGE-Diltiazem | |
|---|---|
| I-Cisapride | I-Pimozide |
| I-Hawthorn (isitshalo esithathwe ngamakhambi) | I-Ranolazine |
| Ilayisi lemvubelo ebomvu | |
| Eminye imithi engabangela izinkinga (Ingase Iphinde Isebenzisane Nayo) | |
| I-Buspirone, i-Midazolam (imithi yokuphumula kwengqondo) | I-Carbamazepine (umuthi wesifo sokuwa) |
| I-Cimetidine, i-Cyclosporine, i-Digoxin | I-Lovastatin (umuthi wokwehlisa i-cholesterol) |
| I-Quinidine | I-Rifampin, i-Rifabutin (imithi yokwelapha isifo sofuba) |
| Eminye imithi yokwelapha umfutho wegazi noma isifo senhliziyo | Imithi yokubulala izinzwa |
Izinto okufanele uzikhumbule lapho uthatha imithi
- Bona udokotela wakho njalo: Yiya emtholampilo ngezinsuku ezihleliwe ukuze uqaphe intuthuko yakho. Futhi, hlola umfutho wegazi lakho ekhaya njengoba udokotela wakho ekutshela.
- Uma uthatha imithi yezinye izifo:Uma ukhwehlela, umkhuhlane, noma ubuhlungu bomzimba, buza udokotela wakho ngaphambi kokuthatha imithi ethengiswa ngaphandle kwemithi kadokotela. Eminye imithi yokwelapha izinhlungu kanye nemithi yomkhuhlane ingakhuphula umfutho wegazi lakho.
- Izinguquko zesikhumba: Lo muthi ngezinye izikhathi ungabangela ukusabela okukhulu kwesikhumba. Lokhu kungenzeka emavikini ambalwa ngemuva kokuqala ukuthatha umuthi. Uma uthola ukuqubuka kanye nezimpawu ezifana nomkhuhlane noma ukubanda, bheka udokotela wakho ngokushesha. Ukuqubuka kungase kube bomvu noma kube nsomi, bese kuba amabala futhi kuqhekeke. Noma kungase kuhambisane nokuvuvukala kobuso noma kwezindebe.
- Ukuzungeza kanye nokozela: Abanye abantu bangase bazizwe bezungeza noma belele ngenkathi bethatha lo muthi. Ngakho-ke, gwema ukwenza imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo endaweni ohleli kuyo noma uphume embhedeni. Vuka kancane.
Yimiphi imiphumela emibi engingayilindela?
Njenganoma yimuphi umuthi, i-Diltiazem ingaba nemiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Eminye iyingozi kakhulu, kanti eminye imnene.
| Imiphumela emibi edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokwehluleka kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okukhulu. |
| Ukushaya kwenhliziyo okuhamba kancane | Ukuzizwa unesizungu, ukuphelelwa yithemba, nobunzima bokuphefumula. |
| Izimpawu zokulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, 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. |
| Ukuqhekeka kwesikhumba noma ukuqhakaza | Ukubomvu, ukuqubuka, noma ukuxebuka kwesikhumba, kuhlanganise nomlomo. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Ukuqunjelwa | |
| Ukuhlanza ubuso | |
| Ikhanda elibuhlungu | |
Ingabe lo muthi ungadala ukukhuluphala?
Ngokuvamile akunjalo. Kodwa-ke, abanye abantu bangase bavuvuke ezandleni zabo, ezinyaweni, noma emaqakaleni ngenxa yalo muthi. Ngokwezokwelapha, lokhu sikubiza ngokuthi i-edema . Uma lokhu kubangelwa ukugcinwa koketshezi emzimbeni, kungase kuzwakale njengokukhuluphala. Uma ukuqaphela lokhu, tshela udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Diltiazem iyisidakamizwa esibalulekile sokwelapha umfutho wegazi ophakeme kanye nobuhlungu besifuba (i-angina).
- Thatha umuthi njengoba nje udokotela ekutshela, ngesikhathi esifanele. Ungayeki ukuwuthatha nganoma yisiphi isizathu.
- Yazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
- Tshela udokotela wakho ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi emisha, ikakhulukazi ukuqubuka kwesikhumba, isiyezi esinzima, noma ukuvuvukala.
- Gcina umuthi endaweni ephephile kude nezingane.
- Uma unemibuzo mayelana nalomuthi, ungesabi ukubuza udokotela wakho. Into ebaluleke kakhulu ukunakekela impilo yakho.
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