Ingabe udokotela wakho ukunike umuthi obizwa ngokuthi i-Verapamil we-high blood pressure, ubuhlungu besifuba, noma ukushaya kwenhliziyo okungajwayelekile? Uma kunjalo, lesi sihloko sizobaluleka kakhulu kuwe. Ake sixoxe ngalo muthi, ukuthi usebenza kanjani, okufanele uqaphele ngawo lapho uwuthatha, nakho konke okunye, ngendlela elula kakhulu nenobungane.
Kuyini i-Verapamil?
Kalula nje, i-Verapamil umuthi osetshenziselwa ukwelapha izimo ezifana nomfutho wegazi ophakeme kanye nobuhlungu besifuba (i-angina). Ngezinye izikhathi isetshenziselwa ukwelapha ukushaya kwenhliziyo okusheshayo noma okungajwayelekile (i-arrhythmia).
Manje ake sibone ukuthi lokhu kusebenza kanjani ngaphakathi emzimbeni. Cabanga ngemithambo yegazi yethu njengamapayipi amancane. Lapho imisipha esezindongeni zala mapayipi iqina, isikhala lapho igazi ligeleza khona siba sincane. Khona-ke inhliziyo kufanele isebenze kanzima ukupompa igazi. Yilokhu esikubiza ngokuthi umfutho wegazi ophezulu.
I-Verapamil ingelinye lamaqembu emithi abizwa ngokuthi ama-calcium channel blockers . Lo muthi usebenza ngokulawula ukungena kwe-calcium emaseli emisipha emithanjeni yegazi nasenhliziyweni. Uma amazinga e-calcium ephansi, imisipha eqinile iyakhululeka kancane. Imithambo yegazi ibe ivuleka, ivumela igazi ukuthi ligeleze ngaphandle kokuvinjelwa. Lokhu kunciphisa umthwalo womsebenzi enhliziyweni futhi kusiza ukulawula umfutho wegazi. Ubuhlungu besifuba (i-angina) buvela lapho inhliziyo ingatholi umoya-mpilo owanele. Lapho imithambo yegazi ivuleka, inhliziyo ithola igazi eliningi, okunciphisa ubuhlungu.
Odokotela bangase bakunike lo muthi kwezinye izimo, ngakho-ke uma unemibuzo, buza udokotela wakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokuthi uqale ukusebenzisa i-Verapamil, kubaluleke kakhulu ukutshela udokotela wakho ngomlando wakho wezokwelapha. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezilandelayo:
- I-Duchenne Muscular Dystrophy: Lesi yisifo esibangelwa ufuzo esibangela ubuthakathaka bemisipha. Uma unalesi simo, yazisa udokotela wakho.
- Isifo senhliziyo: Uma uke waba nesifo senhliziyo ngaphambili noma uke watholakala ukuthi unesifo senhliziyo, kufanele utshele udokotela wakho ngakho.
- Ukushaya kwenhliziyo okungajwayelekile noma isigqi: Uma unenhliziyo eshaya kancane kakhulu (i-bradycardia) noma ezinye izindlela ezingajwayelekile, yazisa udokotela wakho ngaphambi kokuthatha lo muthi.
- Isifo sesibindi: Uma ukusebenza kwesibindi sakho kuphazamiseka, udokotela wakho kungadingeka alungise umthamo wakho ngoba kuthatha isikhathi eside ukuthi umuthi uphume emzimbeni wakho.
- Umfutho wegazi ophansi:Uma ungumuntu ovame ukuba nomfutho wegazi ophansi, khuluma nangalokho.
- Ukungezwani komzimba: Qiniseka ukuthi utshela udokotela wakho uma une-allergies ku-verapamil noma kunoma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo.
- Ukukhulelwa noma ukuzama ukukhulelwa: Uma ukhulelwe noma ulindele umntwana maduze, khuluma nodokotela wakho ngakho.
- Ukuncelisa: Uma ungumama oncelisayo, funa iseluleko sezokwelapha njengoba lo muthi ungadluliselwa enganeni yakho ngobisi lwebele.
Ngiyisebenzisa kanjani ngempela le mithi?
Khumbula la maphuzu uma usebenzisa lo muthi.
1. Thatha umuthi wakho njengoba nje udokotela wakho ekutshela: Thatha umuthi wakho njengoba nje kuqondiswe kulebula, ngesikhathi esifanayo nsuku zonke, futhi ungayeki ukuthatha umuthi wakho kuze kube yilapho udokotela wakho ekutshela ukuthi wenze kanjalo.
2. Ngokudla noma ngaphandle kokudla: Leli philisi lingathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukulithatha kanye nokudla.
3. Ungayisebenzisi nejusi likagrapefruit: Lokhu kubaluleke kakhulu . Gwema ukuphuza ijusi likagrapefruit noma likagrapefruit ngenkathi uthatha i-verapamil. Ijusi likagrapefruit lingandisa inani lomuthi emzimbeni wakho ngokungadingekile, okungandisa ingozi yemiphumela emibi.
4. Ezinganeni: Uma unikeza izingane lo muthi, kungase kudingeke ukunakekelwa okukhethekile. Ngakho-ke landela imiyalelo kadokotela.
Yini okufanele uyenze uma uphuza ngokweqile?
Uma ucabanga ukuthi uthathe umuthi omningi kunalokho ocabanga ukuthi ungakwenza, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha . Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Into ebaluleke kakhulu ukuthi lo muthi unikezwe wena kuphela. Ungalokothi wabelane ngomuthi wakho nabanye.
Yini okufanele uyenze uma uphuthelwa umthamo?
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 imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Ezinye izinto ezingase zihlangane ne-Verapamil
I-Verapamil umuthi ongasebenzisana neminye imithi, ukudla, kanye nemikhiqizo yamakhambi. Lokhu kusho ukuthi ukuwuthatha nezinye izinto kungashintsha indlela i-Verapamil esebenza kahle ngayo noma kwandise imiphumela yayo emibi. Ngakho-ke qaphela kakhulu ngezinto ezilandelayo.
| Izinto okungafanele uzithathe nge-Verapamil | |
|---|---|
| I-Cisapride | Umuthi wokuvuvukala kwesisu |
| I-Disopyramide | Umuthi obangela ukushaya kwenhliziyo okungajwayelekile |
| I-Dofetilide | Umuthi obangela ukushaya kwenhliziyo okungajwayelekile |
| Ijusi le-Grapefruit | Lokhu kwandisa ukuhlushwa komuthi emzimbeni. |
| I-Hawthorn | Umkhiqizo wezitshalo |
| I-Pimozide | Umuthi wokugula ngengqondo |
| Ilayisi lemvubelo ebomvu | Isengezo sokwehlisa i-cholesterol |
| Uma uthatha lezi zidakamizwa, yazisa udokotela wakho. | |
|---|---|
| Ama-Barbiturates (isb. i-phenobarbital) | Imithi yokulala kanye nesifo sokuwa |
| I-Cimetidine | Umuthi we-gastritis |
| I-Cyclosporine | Umuthi ocindezela amasosha omzimba |
| I-Lithium | Umuthi wokugula ngengqondo |
| Eminye imithi yokushaya kwenhliziyo | Isibonelo: i-amiodarone, i-digoxin, i-flecainide |
| Eminye imithi yokwelapha umfutho wegazi ophakeme | Amanye amaphilisi okucindezela |
| Imithi yokwelapha isithuthwane | Isibonelo: i-carbamazepine, i-phenytoin |
| Imithi yokwelapha isifo sofuba | Isibonelo: i-Rifampin, i-rifabutin |
| Imithi ye-asthma | Isibonelo: I-Theophylline, i-aminophylline |
Lolu hlu aluphelele. Ngakho-ke nikeza udokotela wakho uhlu lwazo zonke izidakamizwa ozithathayo (kufaka phakathi amavithamini nemikhiqizo yamakhambi) . Futhi, qiniseka ukuthi uyabatshela uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa njalo kwezokwelapha: Vakashela udokotela wakho lapho uhlolwa njalo ukuze uhlole isimo sakho.
- Kala umfutho wegazi lakho: Kala umfutho wegazi lakho ekhaya, njengoba udokotela wakho encoma. Yazi ukuthi umfutho wegazi wakho ojwayelekile kufanele ube yini, nokuthi yini okufanele uyenze uma wenyuka noma wehla.
- Qaphela lapho uthatha eminye imithi:Uma uphuza imithi yokukhwehlela, yomkhuhlane, noma yobuhlungu ngaphandle kwemithi kadokotela ngenkathi uphuza i-Verapamil, hlola nodokotela wakho kuqala. Eminye imithi ingakhuphula umfutho wegazi lakho.
- Ikhanda elibuhlungu kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Vuka kancane: Uma uvuka uhleli noma ulele, ungavuki ngokuzumayo kodwa kancane kancane. Lokhu kungasiza ekuvimbeleni isiyezi nokuquleka.
- Utshwala: Ukuphuza utshwala ngenkathi uthatha lo muthi kungandisa imiphumela emibi njengesiyezi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, i-Verapamil ingabangela imiphumela emibi. Kodwa-ke, akuwona wonke umuntu oyitholayo. Ake sibheke ukuthi iyini.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| 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 | Ukuzizwa unesizungu, ukuquleka, ubunzima bokuphefumula, ukukhathala okukhulu. |
| Ukulimala 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. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka: | |
| Ukuqunjelwa | Isisu esomile. |
| Isiyezi | Ukuzizwa unesizungu. |
| Ikhanda elibuhlungu | Ikhanda elibuhlungu. |
| Isicanucanu | Ukuzizwa sengathi uhlanza. |
Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, sicela uxhumane nodokotela wakho ukuze uthole iseluleko.
Ungagcina kanjani imithi?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina endaweni yokushisa yegumbi (phakathi kwama-degree Celsius angu-20 no-25) kude nokukhanya.
- Lahla noma yimuphi umuthi osele ngemuva kosuku lokuphelelwa yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Verapamil umuthi osetshenziselwa ukwelapha umfutho wegazi ophakeme, ubuhlungu besifuba, kanye nokushaya kwenhliziyo okungajwayelekile.
- Thatha umuthi wakho nsuku zonke, ngesikhathi esifanele, njengoba udokotela wakho ekuyalele. Ungayeki ukuwuthatha ngokuzumayo.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini).
- Gwema ukuphuza ijusi yamagilebhisi ngokuphelele ngenkathi uthatha lo muthi.
- Qaphela lapho ushayela noma usebenzisa imishini ngoba kungase kube nesiyezi kanye nokuquleka.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nobunzima bokuphefumula, ukuvuvukala kwemilenze, ukukhathala okukhulu, noma ukuphuzi kwesikhumba, funa iseluleko sezokwelapha ngokushesha.
- Uma unemibuzo mayelana nalomuthi, khuluma nodokotela wakho ngawo.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment