Iyintoni intsingiselo yesenzo seVerapamil xa ukhulelwa?
I-Verapamil ibhekisela kwiqela elincinci elikhulu lamachiza ebizwa ngokuba yi-calcium antagonists. Ngokuqinisekileyo, i i-i-calcium ions zibaluleke kakhulu ekusebenzeni ngokuqhelekileyo komzimba womntu. Ngokukodwa, zikhuthaza ukusetyenziswa kweenkqubo zeemetrikili kwiiseli. Ngexesha elifanayo, i-calcium engaphezulu iyakhupha iminyango yegazi kunye neengcinezelo ezongezelelweyo zesisu senhliziyo.
Ukuphulwa okunjalo kudla ngokukhokelela kwingcinezelo eyongeziweyo kunye nokubonakala kwe-tachycardia, enokuba yingozi kakhulu kumama ozayo. I-Verapamil kunye nezinye izithintelo ze-calcium zinciphisa inkqubo ye-ions zayo zangena kwiiseli, eziza kunceda ukunciphisa uxinzelelo, ukwandisa iinqanawa ze-coronary, kwaye zifake izinga lomlinganiselo wenhliziyo.
Ukongezelela, ukwehla kwinqanaba le-calcium kunika ukutya okungeziwe kwe potassium, okuphucula umsebenzi wenhliziyo ongayenawo umama kuphela, kodwa kunye nomntwana.
Ziziphi iimeko ezibekwe kwiipilisi ze-verapamil ngexesha lokukhulelwa?
Ngokwemiyalelo yokusetyenziswa, izibonakaliso zokuthatha iVerapamil ngexesha lokukhulelwa zilandelayo:
- isifo senhliziyo yesifo senhliziyo, ukungapheli komgogodla okungapheliyo;
- Uxinzelelo oluphezulu lwegazi, uxinzelelo lwegazi;
- i-hypertrophic cardiomyopathy, i-ideopathic hypertrophic subaortic stenosis;
- angina pectoris;
- unyango kunye nokukhusela i-cardiac arrhymia.
Ngaloo ndlela, eli liyeza lisoloko lichazwe kwabasetyhini abakhulelweyo abanezifo ezahlukeneyo zesimo senhliziyo. Ngomama ngamnye ozayo, ugqirha kufuneka akhethe umthamo ngamnye we-Verapamil ngexesha lokukhulelwa kwaye uchaze ngokucacileyo imigaqo yokuthatha le nkunkuma.
Okwangoku, ngezinye iimeko le mpendulo inokumiselwa ngumjobi wezinyukazana nakwabesifazana abangakaze bahlaselwe zizifo zentliziyo. Ngokuqhelekileyo oku kwenzekayo xa umama olindayo esela uGinipral - isicatshulwa esaziwayo ukukhulula izihlunu kunye nokunciphisa ithoni yesibindi xa sisongelwa ukukhulelwa kwesisu. Ekubeni le nkunkuma ingabachaphazela kakhulu impilo yowesifazane okhulelweyo kwaye uncede ukwandisa izinga lentliziyo lomama kunye nosana oluzayo, isiphumo salo sisoloko "sihlanganiswa" ngoncedo lweVerapamil.
Indlela yokuthatha i-ginipral ne-verapamil ngexesha lokukhulelwa?
Abasetyhini abaninzi abaye bamiselwe i-verapamil, banomdla ukuba le nkunkuma ingozi ngexesha lokukhulelwa. Enyanisweni, akunakwenzeka ukuphendula ngokuchanekileyo lo mbuzo, kuba akukho zifundo zonyango eziye zaqhutyelwa kwimiphumo le myeza inomntwana. Yingakho kunokwenzeka ukuthatha le mpendulo kuphela phantsi kolawulo oluqinileyo loogqirha oya kwintlanganiso kwaye kuphela xa, ngoluvo lugqirha, inzuzo ekulindelekileyo yokuba umama adlulisele umngcipheko kumntwana ozayo.