Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Verapamil we-high blood pressure noma ubuhlungu besifuba (i-angina)? Uma kunjalo, kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uyini, ukuthi uwusebenzisa kanjani, nokuthi ungenzani. Ngoba ukuqonda umuthi lapho uwusebenzisa kuzosiza kakhulu impilo yakho. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.
Uhlobo luni lomuthi? Yini ngempela eyenziwa yi-Verapamil?
Kalula nje, i-Verapamil umuthi ophumuza imithambo yegazi yakho, okunciphisa umthwalo womsebenzi enhliziyweni yakho. Njengoba nje ipayipi lamanzi elivalekile lenza kube nzima ukuthi amanzi ageleze, lapho imithambo yegazi yethu ivalekile, inhliziyo yethu kufanele isebenze kanzima ukupompa igazi. Lo muthi okwenziwa yilo muthi ukwandisa leyo mithambo yegazi nokwenza kube lula ukuthi igazi ligeleze.
Lokhu kunikeza izinzuzo ezimbili eziyinhloko:
1. Ukulawula umfutho wegazi ophakeme: Uma imithambo yegazi ivuleka, umfutho wegazi uyancipha.
2. Ukuvimbela Ubuhlungu Besifuba (i-Angina): Uma ukugeleza kwegazi enhliziyweni kuthuthuka, inhliziyo ithola umoya-mpilo eyidingayo. Lokhu kuvimbela ubuhlungu besifuba (i-angina) obubangelwa ukukhathala emisipheni yenhliziyo.
Kwezokwelapha, leli qembu lemithi silibiza ngokuthi ama-calcium channel blockers .
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuqala lo muthi, kufanele nakanjani ukhulume nodokotela wakho ngalezi zinto. Uma unalezi zimo, udokotela wakho kuzodingeka azi ngazo ukuze anqume umthamo ofanele.
- Uma usuvele unesifo senhliziyo .
- Uma unenhliziyo engajwayelekile.
- Uma une -blood pressure ephansi .
- Uma unesifo sesibindi .
- Uma unesifo semisipha njenge- Duchenne muscular dystrophy .
- Uma ukhulelwe noma uzama ukukhulelwa .
- Uma ungumama oncelisayo .
- Uma uke waba nokusabela kokungezwani komzimba ne-Verapamil noma yimuphi omunye umuthi, ukudla, noma idayi ngaphambilini .
Kubaluleke kakhulu ukuze uphephe ukutshela udokotela lolu lwazi ngaphandle kokulufihla.
Ngiyisebenzisa kanjani ngempela le mithi?
Ukuze uthole okuningi ngemithi, udinga ukuyithatha njengoba uyalelwe.
- Thatha lo muthi kanye nokudla .
- Zijwayeze ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke. Lokhu kuzonciphisa nethuba lokukhohlwa ukuphuza imithi yakho.
- Ngezinye izikhathi leli thebhulethi lingaba nesilinganiso phakathi (ithebhulethi elinganiselwe). Uma ithebhulethi inkulu kakhulu, ungayiphula ngokwesilinganiso bese uyigwinya kabili. Kodwa khumbula, uma uyiphula kanje, udinga ukugwinya zombili izingxenye. Ingxenye eyodwa nje ayanele.
- Kubaluleke kakhulu ukugwema ukuphuza ijusi likaphaphu ngenkathi uthatha lo muthi. Ukuthatha kokubili lokhu kungaba nomthelela ongathandeki ekusebenzeni kahle komuthi.
- Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo.
Yini okufanele uyenze uma uthatha umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi futhi ngokushesha shayela i-National Poisons Information Centre e-Colombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha 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 ukuze ubuyisele umthamo okhohliwe.
Ezinye izinto ezingase zihlangane nalo muthi
I-Verapamil ingasebenzisana neminye imithi, ukudla, kanye namakhambi. Lokhu kusho ukuthi ukuyithatha kanye nalezi zinto kungashintsha indlela esebenza ngayo i-Verapamil noma kwandise imiphumela yayo emibi.
| Uhlobo lwezidakamizwa/izidakamizwa | Izibonelo |
|---|---|
| Ungazithathi lezi zinto nanoma yini. | |
| Ijusi le-Grapefruit | Kuthinta ngqo isenzo somuthi. |
| Eminye imithi | I-Cisapride, i-Disopyramide, i-Dofetilide, i-Pimozide |
| Amanye amakhambi | I-Hawthorn, ilayisi lemvubelo ebomvu |
| Ukuxhumana kungase kwenzeke nalokhu (kuphela ngeseluleko sezokwelapha) | |
| Ezinye izifo zenhliziyo kanye nemithi yomfutho wegazi ophakeme | Imithi yokwelapha izinkinga zesigqi senhliziyo njenge-Amiodarone, i-Digoxin, ne-Flecainide. |
| Imithi yokwelapha ukuxhuzula | I-Carbamazepine, i-Phenytoin |
| Amanye ama-antibiotic kanye nama-antifungal | I-Rifampin |
| Eminye imithi | I-Cyclosporine, i-Lithium, i-Theophylline, i-Cimetidine |
Lolu hlu aluphelele. Ngakho-ke tshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo zamakhambi ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Yimiphi imiphumela emibi engaba khona yokuphuza umuthi?
Njenganoma yimuphi umuthi, i-Verapamil ingabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela iyingozi, kanti eminye ivamile. Into ebalulekile ukuqaphela lokhu.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Izinto okufanele uzibike kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| 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 ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, umchamo ophuzi/onsundu omnyama, i-jaundice, ukuphuzi kwesikhumba noma amehlo. |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Ngokuvamile akuyona into engathi sína, kodwa tshela udokotela wakho uma iqhubeka. | |
| Ukuqunjelwa | Ukuze ugweme lesi simo, phuza amanzi amaningi futhi udle ukudla okune-fiber eningi. |
| Ikhanda elibuhlungu | Ngokuvamile kuyaphela zingakapheli izinsuku ezimbalwa. |
| Isiyezi, Isicanucanu | Lokhu kungancishiswa ngokuthatha umuthi kanye nokudla. |
Ezinye izinto okufanele uziqaphele lapho uthatha imithi
- Ukuhlolwa njalo kwezokwelapha: Yiya emitholampilo ngezikhathi ezihleliwe njengoba kunqunywe udokotela wakho bese uhlola isimo sakho.
- Ukukala umfutho wegazi: Uma kungenzeka, gcina umshini wokuqapha umfutho wegazi ekhaya bese ukala futhi uqopha umfutho wegazi lakho ngezikhathi ezithile zosuku njengoba kuqondiswe udokotela wakho.
- Eminye imithi: Uma ukhwehlela, umkhuhlane, noma ubuhlungu bomzimba, ungayi ekhemisi uyothenga umuthi ngokwakho. Eminye imithi yokwelapha izinhlungu kanye nemithi yokulwa nokuvuvukala ingakhuphula umfutho wegazi. Ngakho buza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
- Ukozela kanye nokuphaphama: Ungase uzizwe ulele noma unesizungu. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki ngokuzumayo. Zama ukuhlala phansi ume umile. Lokhu kuzonciphisa ingozi yokuba nesizungu nokuwa.
Ugcina kanjani imithi?
Gcina lo muthi kude nezingane nezilwane ezifuywayo . Gcina ibhodlela livaliwe kahle ezingeni lokushisa legumbi (20-25 degrees Celsius), kude nokukhanya nomswakama. Lahla noma yimuphi umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Verapamil umuthi obalulekile womfutho wegazi ophakeme kanye nobuhlungu besifuba. Yithathe njalo, ngesikhathi esifanele, futhi njengoba udokotela wakho ekuyalele.
- Gwema ukuphuza ijusi yamagilebhisi ngokuphelele ngenkathi uthatha lo muthi.
- Kubalulekile ukwazisa udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuzungeza, ubunzima bokuphefumula, noma ukuphuzi kwesikhumba, funa iseluleko sezokwelapha ngokushesha.
- Lo muthi ungowakho wedwa. Ungalokothi wabelane ngomuthi wakho nabanye.
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