Umfutho wegazi ophakeme, noma njengoba sonke sazi, "umfutho wegazi," kuyisimo sempilo esivamile kubantu abaningi ezweni lethu. Ngakho-ke, udokotela wakho kungenzeka ukuthi ukunike umuthi womfutho wegazi lakho. Phakathi kwabo, ungase ujwayelene negama elithi Nifedipine. Lolu uhlobo lomuthi olusebenza isikhathi eside (olukhululiwe) oluvame ukunikezwa. Ngakho-ke namuhla, ake sixoxe ngalo muthi obizwa ngokuthi iNifedipine, konke ngawo, njengokungathi ukhuluma nomngane.
Iyini ngempela i-Nifedipine?
Kalula nje, i-Nifedipine umuthi osetshenziswa ukulawula umfutho wegazi ophakeme. Ungowesigaba semithi ebizwa ngokuthi 'i-Calcium Channel Blockers'.
Cabanga ngemithambo yegazi emzimbeni wethu njengamapayipi athwala amanzi. Lapho ingcindezi ikhuphuka, kusho ukuthi ingcindezi yegazi eligeleza ngaphakathi kwala mapayipi iyanda. Lokho okwenziwa yilesi sidakamizwa se-Nifedipine 'ukuphumula' nokwandisa leyo mithambo yegazi. Khona-ke ingcindezi engaphakathi kwemithambo yegazi iyancipha. Ngenxa yalokhu, umzamo inhliziyo yethu enawo wokupompa igazi nawo wehla kakhulu. Yilowo msebenzi oyinhloko walesi sidakamizwa.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokukunikeza i-Nifedipine. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi uyamtshela udokotela wakho.
- Uma uke waba nesifo senhliziyo ngaphambili.
- Uma unesinye isifo senhliziyo noma ukwehluleka kwenhliziyo .
- Uma une -blood pressure ephansi .
- Uma unesifo sesibindi .
- Uma unezinkinga zamathumbu noma ukuqunjelwa njalo.
- Uma une -allergies ku-nifedipine noma kunoma yimuphi omunye umuthi, ukudla, noma udayi.
- Uma ukhulelwe, noma ulindele ukukhulelwa maduze .
- Uma ungumama oncelisayo .
Kungokuphepha kwakho ukusho lezi zinto ngaphandle kokuzifihla.
Umuthi kufanele usetshenziswe ngendlela efanele.
Ukuze uthole okuningi kulo muthi, kubalulekile ukuwusebenzisa njengoba kuqondiswe.
- Gwinya kuphela: Njengoba leli kuyiphilisi 'elikhishwa isikhathi eside', ungalokothi uliphule, ulichoboze, noma ulihlafune . Gwinya iphilisi lonke ngamanzi. Ukwehluleka ukwenza kanjalo kungabangela ukuthi umuthi ukhishwe emzimbeni ngokuzumayo futhi kubangele imiphumela emibi.
- Yithathe ngesikhathi:Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Uma udokotela wakho ekutshela ukuthi uyithathe esiswini esingenalutho, yenza kanjalo. Noma uma ekutshela ukuthi uyithathe ngemva kokudla, yenza kanjalo.
- Ungayeki kuze kube yilapho udokotela wakho ekuyala ukuthi: Ngisho noma uzizwa ungcono manje, ungayeki ukuphuza imithi yakho ngaphandle kweseluleko sikadokotela wakho.
- Uma uphuthelwa umthamo: Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Kubaluleke kakhulu: Ungaphuzi ijusi le-grapefruit noma le-grapefruit ngenkathi uthatha lo muthi. I-grapefruit ingashintsha indlela lo muthi osebenza ngayo emzimbeni, okubangela imiphumela emibi eyingozi.
Kuthiwani uma ngengozi ngithatha umuthi omningi kakhulu?
Uma kwenzeka into enjalo, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Ezinye izinto ezingase zihlangane nalo muthi
I-Nifedipine umuthi ongasebenzisana neminye imithi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (ngisho namavithamini, imithi yendabuko, kanye nezithasiselo zokudla okunempilo).
| Isigaba sezidakamizwa | Izinto okufanele uziqaphele kakhulu |
|---|---|
| Gwema ngokuphelele | Eminye imithi yesifo sokuwa (isib. iCarbamazepine, iPhenobarbital, iPhenytoin), imithi yesifo sofuba efana neRifampin, kanye nemithi yamakhambi efana neSt. John's Wort. |
| Eminye imithi engabangela izinkinga | Eminye imithi yokucindezeleka kwegazi, imithi ye-HIV/AIDS, eminye imithi yesifo sikashukela, imithi yokutheleleka kwesikhunta (isib. i-Ketoconazole), imithi yokuphazamiseka kwesigqi senhliziyo (isib. i-Flecainide), imithi yokuvimbela ukujiya kwegazi (isib. i-Warfarin), i-Digoxin, i-Erythromycin, eminye imithi yokucindezeleka (isib. i-Fluoxetine), imithi yokulawula i-asidi yesisu (isib. i-Omeprazole, i-Ranitidine). |
| Ukudla neziphuzo | Ijusi noma izithelo zegrapefruit. Buza nodokotela wakho mayelana nokusetshenziswa kotshwala. |
Lolu hlu aluphelele, ngakho-ke sicela wazise udokotela wakho nganoma yini oyithathayo.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Vakashela udokotela wakho emtholampilo ngesikhathi sokuqokwa kwakho okuhleliwe ukuze uhlolwe isimo sakho. Uma uhlola umfutho wegazi lakho ekhaya, buza udokotela wakho ukuthi umfutho wegazi wakho ojwayelekile kufanele ube yini.
- Ukuzungeza kanye nokozela: Abanye abantu bangase bazizwe belele kancane noma benesiyezi lapho bethatha lo muthi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi ukuthinta kanjani. Ikakhulukazi uma ungumuntu osekhulile, sukuma kancane lapho uvuka endaweni yokuhlala noma uvuka embhedeni.
- Ukukhwehlela, umkhuhlane: Uma ukhwehlela noma umkhuhlane, buza udokotela wakho ngaphambi kokuthatha imithi ethengiswa ngaphandle kwemithi kadokotela. Eminye imithi ingakhuphula umfutho wegazi lakho.
- Ukukhishwa kwegobolondo lethebhulethi esitulweni: Lokhu kuyinto abantu abaningi abayesabayo, kodwa asikho isizathu sokwesaba. Igobolondo langaphandle (igobolondo lethebhulethi) lezinhlobo ezithile zamaphilisi e-Nifedipine alincibiliki emzimbeni. Ngemva kokuba ingxenye yomuthi yezokwelapha imuncwe umzimba, igobolondo elingenalutho likhishwa ngokuphelele esitulweni. Uma ubona lokhu, cabanga ukuthi kuyinto evamile.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, i-Nifedipine ingabangela imiphumela emibi. Eminye yayo iyingozi kakhulu, kanti eminye ivamile.
| Uma uhlangabezana nalezi zimpawu, bona udokotela noma uye esibhedlela ngokushesha. | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokuhlaselwa yinhliziyo | Ubuhlungu noma ukuqina esifubeni, ehlombe, engalweni, noma emhlathini, isicanucanu, ubunzima bokuphefumula, kanye nokuzizwa ubanda. |
| Ukwehluleka Kwenhliziyo | Ubunzima bokuphefumula, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, ukukhathala okungavamile. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ubuhlungu besifuba obandayo (i-Angina) | Ubuhlungu noma ukuqina okwandayo esifubeni, entanyeni, emhlane, noma ezingalweni. |
| Izimpawu ezivame ukungabi zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
Ikhanda elibuhlungu, ukuqunjelwa, isiyezi, ukuhlanza, isicanucanu, ubuhlungu besisu, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (ukushaya kwenhliziyo). | |
Umlayezo Wokuya Nawe Ekhaya
- Thatha umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba udokotela wakho ekutshelile.
- Ungaliphuli, ulichoboze, noma ulihlafune iphilisi le-Nifedipine Extended-Release. Ligwinye lonke.
- Gwema ngokuphelele ijusi noma izithelo zamagilebhisi ngenkathi uthatha lo muthi.
- Yazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, ngisho namakhambi owasebenzisayo.
- Kuvamile ukubona isembozo sephilisi siphuma nendle, ungakhathazeki.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nobuhlungu besifuba, ubunzima bokuphefumula, noma ukuvuvukala okukhulu.
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