Ingabe udokotela wakho uke wakunikeza i-Verapamil ngenxa yomfutho wegazi noma ubuhlungu besifuba sakho? Noma ingabe ukhona emndenini wakho othatha lo muthi? Kubaluleke kakhulu ukwazi kahle ukuthi uyini lo muthi. Ngoba, noma yimuphi umuthi ungabangela izinkinga uma ungasetshenziswa kahle. Ngakho-ke, namuhla sizokhuluma ngalo muthi obizwa ngokuthi ama-Verapamil Sustained-Release Capsules.
Uyini lo muthi? (Ama-Capsules e-Verapamil akhishwa njalo) Imininingwane
Kalula nje, i-Verapamil umuthi osetshenziselwa ukwelapha umfutho wegazi ophakeme nokuvimbela ubuhlungu besifuba, owaziwa nangokuthi i-angina . Into eyinhloko eyenziwa yilo muthi ukusiza inhliziyo yakho ukuthi isebenze kancane. Uyazi ukuthi ukwenza kanjani? Isebenza ngokukhulula imithambo yegazi yakho . Lokhu kunciphisa ukumelana nokugeleza kwegazi futhi kwenza kube lula ngenhliziyo yakho ukupompa igazi.
Lo muthi ungowesigaba semithi ebizwa ngokuthi ama-calcium channel blockers . Okusho ukuthi, ulawula ukungena kwama-calcium ions emaselini ethu. Ukhawulela ngqo ukungena kwe-calcium emaseli emisipha yenhliziyo kanye namaseli emisipha ebushelelezi emithanjeni yegazi. Yilokhu okwenza imithambo yegazi ikhululeke.
Ngezinye izikhathi odokotela bangase bakunike lo muthi nakwezinye izimo zezokwelapha. Ngakho-ke uma uneminye imibuzo mayelana nalokhu, kungcono ukubuza udokotela wakho noma usokhemisi. Lo muthi uyatholakala emakethe ngaphansi kwamagama afana ne-Verelan ne-Verelan PM.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala lo muthi
Ngaphambi kokuthi uqale ukuthatha i-Verapamil, kunezinto ezithile okudingeka uzitshele udokotela wakho. Lolu lwazi luzobasiza ukuthi banqume ukuthi lo muthi ukulungele yini noma cha, nokuthi kufanele unikezwe kanjani.
Cabanga nje, uma unezinye zalezi zimo, kufanele utshele udokotela wakho :
- Uma unesifo sobuthakathaka bemisipha njenge- Duchenne muscular dystrophy .
- Uma unesifo senhliziyo , mhlawumbe ukwehluleka kwenhliziyo.
- Uma unesifo sokushaya kwenhliziyo noma isigqi esingajwayelekile . Lokhu kusho ukuthi izinga lokushaya kwenhliziyo yakho liyashintsha ngendlela engajwayelekile.
- Uma unesifo sesibindi . Ngenxa yokuthi isibindi siguqula imithi, uma isibindi sibuthakathaka, imithi inganqwabelana emzimbeni.
- Uma une-blood pressure ephansi , lo muthi ungase wehlise i-blood pressure yakho kakhulu.
- Uma uke waba nokusabela kokungezwani komzimba ne-verapamil, noma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo.
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma uncelisa .
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lezi zinto ngaphandle kokuzifihla.
Ngingawusebenzisa kanjani lo muthi?
Kubaluleke kakhulu ukusebenzisa lo muthi ngendlela efanele. Kufanele uwuthathe njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanele, nangesilinganiso esifanele.
- Lomuthi kufanele uphuzwe ngomlomo , uphuzwe nengilazi yamanzi.
- Zama ukuphuza umuthi wakho ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela ekuyalele. Ngaleyo ndlela, umuthi uzosebenza kahle.
- Lawa ama-Capsule Akhishwa Ngokuqhubekayo . Lokhu kusho ukuthi i-capsule yenzelwe ukukhulula umuthi kancane kancane, kancane kancane, usuku lonke. Ngakho-ke, ungayiphuli, ungayichobozi, noma uyihlafune i-capsule . Yigwinye yonke. Ngaphandle kwalokho, umuthi ungase umunceke emzimbeni ngokushesha kakhulu, okubangela imiphumela emibi, noma kushintshe indlela umuthi osebenza kahle ngayo.
- Uma ngezinye izikhathi unenkinga yokugwinya i-capsule, khuluma nodokotela wakho. Ezinye izinhlobo zama-capsule zingagwinywa ziphelele ngokuvula i-capsule ngokucophelela, uhlanganise impushana yomuthi nethisipuni elilodwa le-applesauce, bese uyigwinya yonke ngesikhathi esisodwa. Kodwa-ke, kufanele uyigwinye ngokushesha, ungayihlafuni. Ngisho noma uyithatha ne-applesauce, ungayihlafuni impushana yomuthi. Kungcono ukubuza udokotela wakho ukuthi lokhu kungenzeka yini kuzo zonke izinhlobo ze-verapamil.
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ukuthatha umuthi ngokuzumayo, noma ngabe uzizwa ungcono.
- Kubaluleke kakhulu ukugwema ukuphuza ijusi le-grapefruit ngenkathi uthatha lo muthi. Ijusi le-grapefruit lingathintana nalo muthi futhi lingandisa imiphumela emibi.
- Uma unikeza izingane ezincane lo muthi, kufanele uqaphele kakhulu. Ngakho-ke khuluma nodokotela wakho ngakho.
- Uma ngephutha uthatha umuthi omningi kakhulu (ukudlula umthamo) , iya ekamelweni eliphuthumayo eliseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha.
- Lo muthi ungowakho kuphela. Ungawuniki omunye umuntu, kulungile? Ngoba nje usebenza kuwe, ngeke usebenzele abanye.
Yini okufanele uyenze uma uphuthelwa umthamo wemithi?
Ngezinye izikhathi ungaphuthelwa umthamo wemithi, akunjalo? Uma lokho kwenzeka, ungakhathazeki.
- Lungisa isikhathi osiphuthelwe ngokushesha nje lapho ukhumbula.
- Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, okusho ukuthi uzothatha umthamo wakho olandelayo maduze, ungawuthathi umthamo ophuthelwe, kodwa thatha umthamo olandelayo ngesikhathi esihleliwe.
- Ungalokothi uthathe umuthi ophindwe kabili. Lokhu kungabangela imiphumela emibi.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
I-Verapamil ingasebenzisana neminye imithi, ukudla, kanye nezithasiselo ozithathayo. Lokhu kusho ukuthi ukuzithatha ndawonye kungashintsha indlela i-Verapamil esebenza kahle ngayo noma kwandise imiphumela yayo emibi.
Ungathathi i-Verapamil nalokhu okulandelayo:
- I-Cisapride
- I-Disopyramide
- I-Dofetilide
- Ijusi le-Grapefruit - Lokhu sekushiwo ngaphambili, kubaluleke kakhulu.
- I-Hawthorn - Lesi isitshalo esimnandi.
- I-Pimozide
- Ilayisi lemvubelo ebomvu
Futhi, le mithi ingase ihlangane ne-Verapamil. Ngakho-ke uma uyisebenzisa, tshela udokotela wakho:
- Ama-barbiturates, njenge-phenobarbital, avame ukusetshenziswa ukuvusa ubuthongo nokwelapha isithuthwane.
- I-Cimetidine - umuthi osetshenziselwa i-gastritis.
- I-Cyclosporine - umuthi olawula amasosha omzimba.
- I-Lithium - umuthi wesifo sengqondo.
- Izibulala-zinhlungu zendawo noma izibulala-zinhlungu ezijwayelekile - uma ulaliswa i-anesthesia, njengasekuhlinzweni.
- Imithi yezinkinga zesigqi senhliziyo: Isibonelo, i-amiodarone, i-digoxin, i-flecainide, i-procainamide, i-quinidine.
- Eminye imithi yokwelapha umfutho wegazi ophakeme noma isifo senhliziyo.
- Imithi yokwelapha isifo sokuwa: Isibonelo, i-carbamazepine ne-phenytoin.
- I-Rifampin, i-rifabutin, noma i-rifapentine - Lawa ngama-antibiotic anikezwa ukwelapha isifo sofuba.
- I-Theophylline noma i-aminophylline - umuthi osetshenziselwa ukwelapha i-asthma.
Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela noma ethengwa ngaphandle kwemithi kadokotela), amakhambi, amavithamini, kanye nezithasiselo zokudla, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Lokhu kuzosiza ukuthi akwelaphe ngokuphephile.
Izinto okufanele uziqaphele lapho uthatha lo muthi
Udinga ukunakekela impilo yakho kancane ngenkathi uthatha i-Verapamil.
- Bona udokotela wakho njalo ukuze uhlole isimo sakho. Ngaleyo ndlela, ungabona ukuthi umuthi uyasebenza yini nokuthi umthamo udinga ukushintshwa yini.
- Kala umfutho wegazi lakho njengoba udokotela wakho ekutshela. Thola ukuthi umfutho wegazi lakho kufanele ube yini nokuthi kufanele umshayele nini udokotela wakho uma umfutho wegazi wakho ushintsha.
- Uma uthatha lo muthi,Buza udokotela wakho ngaphambi kokuthatha imithi yokukhwehlela, umkhuhlane, noma yobuhlungu etholakala ngaphandle kwemithi kadokotela. Eminye imithi ingakhuphula umfutho wegazi lakho.
- Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ukugxilisa ingqondo uze wazi kahle ukuthi lomuthi uthinta kanjani wena.
- Ungasukumi noma uhlale phansi ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isiyezi noma ukuquleka. Shintsha izikhundla njalo.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njengayo yonke imithi, i-Verapamil ingabangela imiphumela emibi. Eminye iyingozi, kanti eminye ayibi kakhulu.
Uma uhlangabezana nanoma yimiphi yale miphumela emibi, tshela udokotela wakho ngokushesha okukhulu:
- Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo.
- Izimpawu zokwehluleka kwenhliziyo: ukuphelelwa umoya, ukuvuvukala kwamaqakala, izinyawo, noma izandla, ukukhuluphala ngokuzumayo, ubuthakathaka noma ukukhathala okungavamile.
- Izimpawu zokushaya kwenhliziyo okuhamba kancane: isiyezi, ukuzizwa ubuthakathaka noma ubuthakathaka, ukuphefumula kanzima, ukuzizwa ukhathele noma ubuthakathaka ngendlela engajwayelekile.
- Izimpawu zokulimala kwesibindi: ubuhlungu esiswini esingenhla kwesokudla, ukuphelelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi noma onsundu omnyama, isikhumba noma amehlo aphuzi, ukuzizwa ukhathele noma ubuthakathaka ngendlela engajwayelekile.
- Izimpawu zomfutho wegazi ophansi: isiyezi, ukuquleka, ukubona okufiphele.
Le miphumela emibi ngokuvamile ayidingi ukunakekelwa kwezokwelapha. Kodwa-ke, uma iqhubeka noma ikukhathaza, tshela udokotela wakho:
- Ukuqunjelwa
- Isiyezi
- Ikhanda elibuhlungu
- Isicanucanu
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo.
Kufanele uwugcine kanjani umuthi wakho?
Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa yegumbi. Okungukuthi, phakathi kwama-degree Celsius angu-20 no-25 (20 no-25 degrees Celsius), noma phakathi kwama-degree Fahrenheit angu-68 no-77 (68 no-77 degrees F).
- Vikela emswakama. Gcina ibhodlela lomuthi noma iphakethe livaliwe kahle.
- Ungagcini ezindaweni ezivezwe ekushiseni okukhulu.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.
Into ebaluleke kakhulu okufanele uyikhumbule ukuthi
I-Verapamil umuthi obalulekile osiza ukulawula umfutho wegazi ophakeme kanye ne-angina. Kodwa-ke, ukuze uthole okuningi kuwo, udinga ukukhumbula lezi zinto:
Thatha umthamo onqunyiwe ngesikhathi esinqunyiwe, njengoba nje udokotela wakho ekutshelile. Ungalokothi uwuphule, uwuchoboze, noma uwuhlafune umuthi (ngoba umuthi okhishwa njalo). Ungawuthathi kanye nejusi likaphaphu. Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo nangazo zonke izifo zakho. Uma uhlangabezana nanoma yimiphi imiphumela emibi, ungangabazi ukutshela udokotela wakho. Lo muthi ungowakho kuphela, ungawabelani nabanye.
Uma ulandela le miyalelo ngokucophelela, uzokwazi ukuthuthukisa impilo yakho nge-Verapamil. Uma uneminye imibuzo, ungangabazi ukubuza udokotela wakho noma usokhemisi.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Isetshenziselwani i-Verapamil Sustained-Release / Calan SR?
Lona umuthi osebenza kahle kakhulu (i-Calcium Channel Blocker) osetshenziswa kakhulu ukulawula njalo 'umfutho wegazi ophezulu', ubuhlungu besifuba (i-Angina - ubuhlungu obubangelwa ukuntuleka kokugeleza kwegazi enhliziyweni), kanye nokushintsha kwesigqi senhliziyo (i-Arrhythmia)! Ngenxa yokukhululwa isikhathi eside, umuthi ukhishwa amahora angama-24 ngemuva kokuwuthatha, okugcina umfutho wegazi usezingeni elifanayo.
💬 Lo muthi (i-Verapamil) usebenza kanjani enhliziyweni nasemithanjeni yegazi?
Lokhu kwenziwa ngokuvala ngokuphelele (ukuvimba) amasango lapho i-'Calcium' ingena khona emisipheni yenhliziyo yethu kanye nemithambo yegazi. Njengokupholisa umshini, lapho i-calcium ilahleka, imithambo yegazi yethu iyaphumula futhi ivuleke (i-Vasodilation), futhi ngesikhathi esifanayo izinga lokushaya kwenhliziyo/izinga lokushaya kwenhliziyo liyehla (i-Negative inotropic). Khona-ke inhliziyo ingapompa igazi ngaphandle kokulahlekelwa/ukukhathala okukhulu.
💬 Yimiphi imiphumela emibi ecasulayo kakhulu engenzeka uma uthatha la ma-capsule (i-Verapamil SR)?
Ukuphazamiseka okukhulu 'ukuqunjelwa okukhulu'. Lokhu kubangela ukuqunjelwa okungaphezu kwamaphilisi ensimbi. Enye inkinga (ingozi), ngoba lokhu kunciphisa izinga lokushaya kwenhliziyo, abanye abantu bangase babe ne-bradycardia / ukuvinjelwa kwenhliziyo kanye nesiyezi kanye nokuquleka. Uma uthatha lo muthi, ungalokothi udle noma uphuze 'ijusi le-grapefruit'! (Lo muthi unobuthi).
I - Verapamil, Ama-Capsule Akhishwa Ngokuqhubekayo e-Verapamil, Umfutho Wegazi Ophakeme, I-Angina, Ubuhlungu Besifuba, Isivimbeli Se-Calcium Channel, Imithi, Imiphumela Engemihle
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