IVerapamil, iCapsule yomlomo
![Update on Interventional Cardiovascular Therapies 2021 - Hady Lichaa, MD, FACC, FSCAI, FSVM, RPVI](https://i.ytimg.com/vi/gzZOnrbHnjo/hqdefault.jpg)
Umxholo
- Izilumkiso ezibalulekileyo
- Yintoni iverapamil?
- Kutheni isetyenziswa
- Ingaba isebenza kanjani
- Iziphumo ebezingalindelekanga zeVerapamil
- Iziphumo ebezingalindelekanga eziqhelekileyo
- Iziphumo ebezingalindelekanga ezimandundu
- IVerapamil inokusebenzisana namanye amayeza
- Iziyobisi cholesterol
- Iziyobisi sentliziyo
- Ukusilela kwentliziyo kweziyobisi
- Iziyobisi zeMigraine
- I-anesthetics ngokubanzi
- Uxinzelelo lwegazi lokunciphisa iziyobisi
- Ezinye iziyobisi
- Izilumkiso zeVerapamil
- Isilumkiso somzimba
- Ukudibana kokutya
- Ukusebenzisana kotywala
- Izilumkiso zabantu abaneemeko ezithile zempilo
- Izilumkiso kwamanye amaqela
- Ungayithatha njani i-verapamil
- Iifom kunye namandla
- Isisombululo soxinzelelo lwegazi oluphezulu
- Ukuqwalaselwa okhethekileyo
- Thatha njengoko kuyalelwe
- Ukuqwalaselwa okubalulekileyo kokuthatha i-verapamil
- Ngokubanzi
- Ukugcina
- Ukuzalisa kwakhona
- Ukuhamba
- Ukubeka iliso kwezonyango
- Ngaba zikhona ezinye iindlela?
Amagqabantshintshi e-verapamil
- I-Verapamil capsule yomlomo iza ifumaneka njengeziyobisi ezinamagama. Amagama eBrand: PM Verelan (ukhululo olwandisiweyo) kunye Verelan (ukukhutshwa kade). I-capsule yomlomo eyandisiweyo ekhululweyo ikwafumaneka njengechiza elenziwe lafana nelo.
- IVerapamil ikwafumaneka njengamacwecwe omlomo aqhelekileyo kunye negama lophawu (Inkcitho) kunye neepilisi zomlomo ezikhutshwa ixesha elide (ICran SR).
- IVerapamil iyayihlaziya imithambo yegazi, enokunciphisa inani lomsebenzi ekufuneka wenziwe yintliziyo yakho. Isetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu.
Izilumkiso ezibalulekileyo
- Isilumkiso seengxaki zentliziyo: Gwema ukuthatha i-verapamil ukuba unomonakalo omkhulu kwicala lasekhohlo lentliziyo yakho okanye ulungelelanise ukusilela kwentliziyo. Kwakhona, kunqande ukuyithatha ukuba unayo nayiphi na inqanaba lokusilela kwentliziyo kwaye ufumana ichiza le-beta blocker.
- Isilumkiso sesiyezi: I-Verapamil inokubangela ukuba uxinzelelo lwegazi lwakho lwehle ngaphantsi kwenqanaba eliqhelekileyo. Oku kunokubangela ukuba ube nesiyezi.
- Isilumkiso somthamo: Ugqirha wakho uya kumisela idosi efanelekileyo kuwe kwaye unokuyonyusa kancinci kancinci. I-Verapamil ithatha ixesha elide ukophuka emzimbeni wakho, kwaye ngekhe ubone isiphumo kwangoko. Musa ukuthatha ngaphezulu kokumiselweyo. Ukuthatha ngaphezulu komthamo ocetyiswayo akuyi kuyenza isebenze ngcono kuwe.
Yintoni iverapamil?
I-Verapamil yomlomo wepilisi yinyango yamayeza efumanekayo njengechiza-igama leziyobisi Verelan PM (ukhululo olwandisiweyo) kunye Verelan (ukukhutshwa kade). I-capsule yomlomo eyandisiweyo ekhululweyo ikwafumaneka njengechiza elenziwe lafana nelo. Amachiza enziwe afana nalawo aveliswe ngumenzi ahlala enexabiso elincinci. Ngamanye amaxesha, azinakufumaneka kuwo onke amandla okanye kwifom njengophawu.
IVerapamil ikwafumaneka njengepilisi eyandisiweyo yokukhululwa komlomo (ICarl SR) kunye nethebhulethi yomlomo ekhutshwa kwangoko (Calan). Zombini ezi fom zala macwecwe ziyafumaneka njengeziyobisi eziqhelekileyo.
Kutheni isetyenziswa
Iifom zokukhupha ezandisiweyo zeVerapamil zisetyenziselwa ukunciphisa uxinzelelo lwegazi.
Ingaba isebenza kanjani
I-Verapamil ibhlokhi yecalcium blocker. Isebenza ukukhulula imithambo yegazi kunye nokuphucula ukuhamba kwegazi, okunceda ukunciphisa uxinzelelo lwegazi.
Eli yeza lichaphazela inani le-calcium efumaneka entliziyweni nakwiiseli zemisipha. Oku kuyayithoba imithambo yegazi, enokunciphisa inani lomsebenzi ekufuneka wenziwe yintliziyo yakho.
Iziphumo ebezingalindelekanga zeVerapamil
I-Verapamil capsule yomlomo inokukwenza ube nesiyezi okanye uzele. Musa ukuqhuba, sebenzisa oomatshini abanzima, okanye wenze nantoni na efuna ukuphapha kwengqondo de ube uyazi indlela ekuchaphazela ngayo. Inokubangela ezinye iziphumo ebezingalindelekanga.
Iziphumo ebezingalindelekanga eziqhelekileyo
Iziphumo eziqhelekileyo ezichaphazelekayo ezenzeka nge-verapamil ziquka:
- ukuqhina
- ukugungxula ubuso
- intloko ebuhlungu
- isicaphucaphu nokugabha
- iingxaki zesondo, ezinje ngokungasebenzi kakuhle emzimbeni
- ubuthathaka okanye ukudinwa
Iziphumo ebezingalindelekanga ezimandundu
Ukuba ufumana nayiphi na le miphumo emibi, biza ugqirha wakho ngokukhawuleza. Ukuba iimpawu zakho zisongela ubomi, okanye ukuba ucinga ukuba ufumana imeko yongxamiseko kwezonyango, tsalela umnxeba ku-911.
- ubunzima bokuphefumla
- isiyezi okanye ukukhanya entlokweni
- isiqaqa
- ukubetha kwentliziyo okukhawulezayo, ukubetha kwentliziyo, ukubetha kwentliziyo okungaqhelekanga, okanye iintlungu zesifuba
- irhashalala
- ukubetha kwentliziyo kancinci
- ukudumba kwemilenze yakho okanye amaqatha
Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu lwazi lubandakanya zonke iziphumo ebezingalindelekanga ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uxoxa ngeziphumo ebezingalindelekanga ezinokwenzeka kunye nomboneleli wezempilo oyaziyo imbali yakho yezonyango.
IVerapamil inokusebenzisana namanye amayeza
I-Verapamil yomlomo wepilisi inokusebenzisana namanye amayeza, iivithamini, okanye imifuno onokuthi uyithathe. Unxibelelwano kuxa into isitshintsha indlela esebenza ngayo iyeza. Oku kunokuba yingozi okanye kuthintele ichiza ekusebenzeni kakuhle.
Ukukunceda ukunqanda ukusebenzisana, ugqirha wakho kufuneka alawule onke amayeza ngononophelo. Qiniseka ukuba uxelela ugqirha wakho ngawo onke amayeza, iivithamini, okanye imifuno oyithathayo. Ukufumanisa ukuba eli chiza linokusebenzisana njani nenye into oyithathayo, thetha nogqirha wakho okanye usokhemesti.
Imizekelo yeziyobisi ezinokubangela ukusebenzisana ne-verapamil zidweliswe apha ngezantsi.
Iziyobisi cholesterol
Ukudibanisa iziyobisi ezithile ze-cholesterol kunye ne-verapamil kunokubangela ukuba ube namanqanaba okwanda kwesiyobisi se-cholesterol emzimbeni wakho. Oku kunokukhokelela kwiziphumo ebezingalindelekanga, ezinjengeentlungu ezibuhlungu zemisipha.
Imizekelo yile:
- simvastatin
- eyoyinatin
Iziyobisi sentliziyo
- Dofetilide. Ukuthatha i-verapamil kunye ne-dofetilide kunye kunokunyusa inani le-dofetilide emzimbeni wakho ngesixa esikhulu. Le ndibaniselwano inokubangela imeko yentliziyo embi ebizwa ngokuba yi-torsade de pointes. Sukuthatha la mayeza kunye.
- I-Disopyramide. Ukudibanisa eli chiza kunye ne-verapamil kunokuphazamisa i-ventricle yakho yasekhohlo. Gwema ukuthatha i-disopyramide iiyure ezingama-48 ngaphambi okanye iiyure ezingama-24 emva kokuba uthathe i-verapamil.
- Iiflecide. Ukudibanisa i-verapamil kunye ne-flecainide kunokubangela iziphumo ezongezelelekileyo kwisivumelwano kunye nesingqisho sentliziyo yakho.
- Iquinidine. Kwizigulana ezithile, ukudibanisa iquinidine kunye ne-verapamil kunokubangela uxinzelelo lwegazi olusezantsi kakhulu. Musa ukusebenzisa la mayeza kunye.
- Amiodarone. Ukudibanisa i-amiodarone kunye ne-verapamil kunokutshintsha indlela izivumelwano zentliziyo yakho ezisebenza ngayo. Oku kunokubangela ukubetha kwentliziyo kancinci, iingxaki zentliziyo, okanye ukunciphisa ukuhamba kwegazi. Uya kudinga ukubekwa esweni kakhulu ukuba ukule indibanisela.
- I-Digoxin. Ukusetyenziswa kwexesha elide kwe-verapamil kunokunyusa inani le-digoxin emzimbeni wakho ukuya kumanqanaba anobuthi. Ukuba uthatha naluphi na uhlobo lwe-digoxin, idosi yakho ye-digoxin ingafuna ukwehliswa, kwaye kuya kufuneka ujongwe ngokusondeleyo.
- Beta-iibhlokhi. Ukudibanisa i-verapamil kunye ne-beta-blockers, enjenge-metoprolol okanye ipropranolol, kunokubangela iziphumo ezibi kwizinga lokubetha kwentliziyo, isingqi sentliziyo, kunye nokuchana kwentliziyo yakho. Ugqirha wakho uya kukujonga ngokusondeleyo ukuba umisela i-verapamil nge-beta-blocker.
Ukusilela kwentliziyo kweziyobisi
- ivabradine
Ukuthatha i-verapamil kunye ne-ivabradine kunye kunokunyusa inani le-ivabradine emzimbeni wakho. Oku kuphakamisa umngcipheko weengxaki zesingqisho sentliziyo. Musa ukuthatha la mayeza kunye.
Iziyobisi zeMigraine
- eletriptan
Musa ukuthatha i-eletriptan nge-verapamil. I-Verapamil inokunyusa inani le-eletriptan emzimbeni wakho ukuya kumaxesha ama-3. Oku kunokukhokelela kwiziphumo eziyityhefu. Musa ukuthatha i-eletriptan okungenani iiyure ezingama-72 emva kokuba uthathe i-verapamil.
I-anesthetics ngokubanzi
I-Verapamil inokunciphisa ukubanakho kwentliziyo yakho ekusebenzeni nge-anesthesia ngokubanzi. Iidosi ze-verapamil kunye ne-anesthetics ngokubanzi ziya kuthi zombini zilungelelaniswe ngononophelo olukhulu xa zisetyenziswa kunye.
Uxinzelelo lwegazi lokunciphisa iziyobisi
- ii-angiotensin-converting enzyme (ACE) inhibitors ezinje nge-captopril okanye i-lisinopril
- i-diuretics (iipilisi zamanzi)
- ii-beta-blockers ezinje nge-metoprolol okanye ipropranolol
Ukudibanisa uxinzelelo lwegazi-ukunciphisa iziyobisi kunye ne-verapamil kunokunciphisa uxinzelelo lwegazi lwakho kwinqanaba eliyingozi. Ukuba ugqirha wakho ukumisela la machiza nge-verapamil, baya kujonga uxinzelelo lwegazi kufutshane.
Ezinye iziyobisi
IVerapamil inokunyusa okanye yehle amanqanaba ala machiza alandelayo emzimbeni wakho:
- lithium
- icarbazazepine
- cyclosporine
- mzobozi
Ugqirha wakho uya kubeka esweni amanqanaba akho ala machiza ukuba unikwe i-verapamil. La machiza alandelayo anokunciphisa amanqanaba e-verapamil emzimbeni wakho:
- rifampin
- ifumanobarbital
Ugqirha wakho uya kukubeka esweni ngokusondeleyo ukuba ufumana la machiza ngokudibanisa ne-verapamil.
Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zinxibelelana ngokwahlukileyo kumntu ngamnye, asinakuqinisekisa ukuba olu lwazi lubandakanya lonke unxibelelwano olunokwenzeka. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nomboneleli wakho wezempilo malunga nokunxibelelana okunokubakho nawo onke amayeza amiselweyo, iivithamini, amayeza kunye nezongezo, kunye namayeza owathethayo.
Izilumkiso zeVerapamil
I-Verapamil capsule yomlomo iza nezilumkiso ezininzi.
Isilumkiso somzimba
I-Verapamil inokubangela ukusabela okubi kakhulu. Iimpawu zingabandakanya:
- ingxaki yokuphefumla
- ukudumba komqala okanye ulwimi lwakho
- urhwebo
- irhashalala okanye ukurhawuzelela
- ulusu ludumbile okanye luxobukile
- ifiva
- ukuqina kwesifuba
- ukudumba komlomo wakho, ubuso, okanye imilebe
Sukuphinda ulithathe eli chiza ukuba ukhe waba negazi kulo. Ukuyithatha kwakhona kunokuba yingozi.
Ukudibana kokutya
Ijusi yamagilebhisi: Ijusi yamagilebhisi inokunyusa inani le-verapamil emzimbeni wakho. Oku kunokukhokelela kwiziphumo ebezingalindelekanga ezandisiweyo. Gwema ukusela ijusi yamagilebhisi ngelixa uthatha i-verapamil.
Ukusebenzisana kotywala
I-Verapamil inokunyusa inani lotywala egazini lakho kwaye yenza iziphumo zotywala ziqhubeke ixesha elide. Utywala bunokwenza iziphumo ze-verapamil zomelele. Oku kunokubangela ukuba uxinzelelo lwegazi lube sezantsi kakhulu.
Izilumkiso zabantu abaneemeko ezithile zempilo
Kubantu abaneengxaki zentliziyo: Oku kubandakanya ukungasebenzi kakuhle kwe-ventricle enkulu kunye nokusilela kwentliziyo. Gwema ukuthatha i-verapamil ukuba unomonakalo omkhulu kwicala lasekhohlo lentliziyo yakho okanye ulungelelanise ukusilela kwentliziyo. Kwakhona, kunqande ukuyithatha ukuba unayo nayiphi na inqanaba lokusilela kwentliziyo kwaye ufumana ichiza le-beta blocker.
Kubantu abanoxinzelelo lwegazi oluphantsi: Musa ukuthatha i-verapamil ukuba unengcinezelo yegazi ephantsi (uxinzelelo lwe-systolic ngaphantsi kwe-90 mm Hg). I-Verapamil inokunciphisa uxinzelelo lwegazi kakhulu, olunokubangela ukuba ube nesiyezi.
Kubantu abanesingqisho sentliziyo ukuphazamiseka: Oku kubandakanya ukugula kwesinus syndrome, ii-ventricular arrhythmias, iWolff-Parkinson-White syndrome,nd okanye 3rd isidanga se-atrioventricular (AV), okanye iLown-Ganong-Levine syndrome. Ukuba unayo nayiphi na kwezi meko, i-verapamil inokubangela ukuba i-ventricular fibrillation okanye ibhloko ye-atrioventricular block.
Kubantu abanezintso okanye isifo sesibindi: Isibindi kunye nesifo sezintso sinokuchaphazela indlela oqhuba kakuhle ngayo umzimba wakho kwaye ucoca eli chiza. Ukuncitshiswa kwezintso okanye ukusebenza kwesibindi kunokubangela ukuba iyeza lakheke, elinokunyusa iziphumo ebezingalindelekanga. Umthamo wakho unokufuna uhlengahlengiso.
Izilumkiso kwamanye amaqela
Abafazi abakhulelweyo: IVerapamil luluhlu C lokukhulelwa iziyobisi. Oko kuthetha izinto ezimbini:
- Uphando kwizilwanyana lubonakalise iziphumo ezingalunganga kwimveku xa umama ethatha iyeza.
- Khange kubekho zifundo zaneleyo zenziweyo ebantwini ukuze baqiniseke ukuba ichiza linokuluchaphazela njani usana olungekazalwa.
Sebenzisa i-verapamil ngexesha lokukhulelwa kunokubangela iziphumo ezingalunganga kwimveku enje ngezinga eliphantsi lentliziyo, uxinzelelo lwegazi oluphantsi, kunye nesingqisho sentliziyo esingaqhelekanga. Tshela ugqirha wakho ukuba ukhulelwe okanye ucwangcise ukukhulelwa. IVerapamil kufuneka isetyenziswe ngexesha lokukhulelwa kuphela ukuba isibonelelo esinokubakho siqinisekisa ubungozi obunokubakho emntwaneni.
Kubafazi abancancisayo: UVerapamil udlula kubisi lwebele. Ingabangela iziphumo ezingalunganga kusana lokuncancisa. Thetha nogqirha wakho ngaphambi kokuncancisa ngelixa uthatha la mayeza.
Kubantwana: Ukhuseleko kunye nokusebenza kwe-verapamil akuzange kusekwe kubantu abangaphantsi kweminyaka eli-18 ubudala.
Ungayithatha njani i-verapamil
Olu lwazi lolawulo lwee-capsules zomlomo ze-verapamil kunye neepilisi zomlomo. Zonke iidosi ezikhoyo kunye neefom azinakufakwa apha. Idosi yakho, ifom, kunye nokuba uyithatha kangaphi kuya kuxhomekeka:
- iminyaka yakho
- imeko inyangwa
- imbi kangakanani imeko yakho
- ezinye iimeko zonyango onazo
- usabela njani kwidosi yokuqala
Iifom kunye namandla
Ngokwesiqhelo: mzantsi
- Ifom: ithebhulethi yokukhupha eyandisiweyo
- Amandla: 120 mg, 180 mg, 240 mg
- Ifom: I-capsule ekhululwe ngomlomo
- Amandla: 100 mg, 120 mg, 180 mg, 200 mg, 240 mg, 300 mg
- Ifom: ithebhulethi ekhutshwa kwangoko ngomlomo
- Amandla: 40 mg, 80 mg, 120 mg
Igama lebrand: Verelan
- Ifom: I-capsule ekhululwe ngomlomo
- Amandla: 120 mg, 180 mg, 240 mg, 360 mg
Igama lebrand: Verelan PM
- Ifom: I-capsule ekhululwe ngomlomo
- Amandla: 100 mg, 200 mg, 300 mg
Igama lebrand: Calan
- Ifom: ithebhulethi ekhutshwa kwangoko ngomlomo
- Amandla: 80 mg, 120 mg
Igama lebrand: ICarl SR
- Ifom: ithebhulethi yokukhupha eyandisiweyo
- Amandla: 120 mg, 240 mg
Isisombululo soxinzelelo lwegazi oluphezulu
Umthamo wabantu abadala (abaneminyaka eli-18 nangaphezulu)
Ithebhulethi yokukhululwa kwangoko (Calan):
- Idosi yokuqala yi-80 mg ithathwa kathathu ngemini (240 mg / ngosuku).
- Ukuba awunayo impendulo efanelekileyo kwi-240 mg / ngosuku, ugqirha wakho unokunyusa umthamo wakho kwi-360-480 mg / ngosuku. Nangona kunjalo, iidosi eziphezulu kune-360 mg / ngosuku ngokubanzi aziboneleli sibonelelo.
Ithebhulethi yokukhupha eyandisiweyo (Calan SR):
- Umthamo wokuqala yi-180 mg ethathwa rhoqo kusasa.
- Ukuba awunampendulo ilungileyo kwi-180 mg, ugqirha wakho unokunyusa idosi yakho kancinci ngolu hlobo lulandelayo:
- I-240 mg ithathwa rhoqo kusasa
- I-180 mg ithathwa rhoqo kusasa kwaye i-180 mg ithathwa rhoqo ngokuhlwa okanye i-240 mg ithathwa rhoqo kusasa kunye ne-120 mg ithathwa rhoqo ngokuhlwa
- I-240 mg ithathwa rhoqo kwiiyure ezili-12
Iphilisi ekhutshiweyo eyandisiweyo (Verelan):
- Umthamo wokuqala yi-120 mg ethathwe kanye ngemini kusasa.
- Idosi yesondlo yi-240 mg ethathwa kanye ngemini kusasa.
- Ukuba awunampendulo ilungileyo kwi-120 mg, idosi yakho inokunyuswa iye kwi-180 mg, 240 mg, 360 mg, okanye 480 mg.
Iphilisi ekhutshiweyo eyandisiweyo (Verelan PM):
- Idosi yokuqala yi-200 mg ethathwe kube kanye ngemini ngexesha lokulala.
- Ukuba awunampendulo ilungileyo kwi-200 mg, idosi yakho inokunyuswa iye kwi-300 mg okanye kwi-400 mg (ezimbini zeepilisi ze-200 mg)
Umthamo omkhulu (iminyaka eyi-65 nangaphezulu)
Ugqirha wakho unokuqala ngethamo esezantsi kwaye andise idosi yakho kancinci ukuba ungaphezulu kweminyaka engama-65.
Ukuqwalaselwa okhethekileyo
Ukuba unesimo se-neuromuscular ezifana ne-Duchenne muscular dystrophy okanye i-myasthenia gravis, ugqirha wakho unokunciphisa umthamo wakho we-verapamil.
Iphepha elichazayo ukuba awusenanto oyifunayo: Injongo yethu kukukunika olona lwazi lufanelekileyo nolukhoyo ngoku. Nangona kunjalo, ngenxa yokuba iziyobisi zichaphazela umntu ngamnye ngokwahlukileyo, asinakuqinisekisa ukuba olu luhlu lubandakanya zonke iidosi ezinokubakho. Olu lwazi aluthathi ndawo yengcebiso yezonyango. Soloko uthetha nogqirha okanye usokhemesti malunga needosi ezikulungeleyo.
Thatha njengoko kuyalelwe
I-Verapamil capsule yomlomo isetyenziselwa unyango lwexesha elide. Kuza neengozi ukuba awuyithathi njengoko kumiselwe.
Ukuba awuyithathi kwaphela: Ukuba awuyithathi i-verapamil kwaphela, ubeka emngciphekweni ukwanda koxinzelelo lwegazi. Oku kunokukhokelela ekulalisweni esibhedlele nasekufeni.
Ukuba uthatha kakhulu: Unokufumana uxinzelelo lwegazi oluyingozi, ukubetha kwentliziyo, okanye ukucothisa ukugaya. Ukuba ucinga ukuba uthathe kakhulu, yiya kwigumbi elikufutshane likaxakeka, okanye utsalele iziko lolawulo lweetyhefu. Kuya kufuneka uhlale okungenani iiyure ezingama-48 esibhedlele ukuze ujonge kwaye unakekele.
Yintoni omele uyenze xa uphosa idosi: Ukuba uphosa idosi, yithabathe ngokukhawuleza. Nangona kunjalo, ukuba ngaba ziiyure nje ezimbalwa kude kufike idosi yakho elandelayo, linda kwaye uthathe idosi elandelayo kuphela. Ungaze uzame ukubamba ngokuthatha iidosi ezimbini ngaxeshanye. Oku kunokubangela iziphumo ebezingalindelekanga eziyityhefu.
Ungaxela njani ukuba ichiza liyasebenza: Unokuba noxinzelelo lwegazi oluyingozi, ukubetha kwentliziyo, okanye ukucothisa ukugaya. Ukuba ucinga ukuba uthathe kakhulu, yiya kwigumbi elikufutshane likaxakeka, okanye utsalele iziko lolawulo lweetyhefu. Kuya kufuneka uhlale okungenani iiyure ezingama-48 esibhedlele ukuze ujonge kwaye unakekele.
Ukuqwalaselwa okubalulekileyo kokuthatha i-verapamil
Gcina ezi ngqondweni engqondweni ukuba ugqirha wakho ukumisela i-verapamil yomlomo wee-capsules.
Ngokubanzi
- Ungathatha i-capsule ekhutshiweyo kunye okanye ngaphandle kokutya. (Umenzi weziyobisi akabonakalisi ukuba kuya kufuneka uthathe ipilisi ekhupha kwangoko kunye okanye ngaphandle kokutya.)
- Unokusika ithebhulethi ekhulisiweyo, kodwa ungayiqhekezi. Ukuba ufuna njalo, unokusika icwecwe ngesiqingatha. Gcwalisa iziqwenga zombini.
- Musa ukusika, ukutyumza, okanye ukwahlula iifomsile zokukhululwa ezandisiweyo. Nangona kunjalo, ukuba uthatha i-Verelan okanye i-Verelan PM, ungavula i-capsule kwaye ufefe imixholo kwi-appleauce. Gwinya oku kwangoko ngaphandle kokuhlafuna kwaye usele iglasi yamanzi apholileyo ukuqinisekisa ukuba yonke imixholo yecapsule iginyiwe. Iapilesauce akufuneki ishushu.
Ukugcina
Gcina kumaqondo obushushu ukusuka kuma-59-77 ° F (15-25 ° C).
Khusela amayeza ekukhanyeni.
Ukuzalisa kwakhona
Imigqaliselo yolu nyango iyahlaziywa. Akunyanzelekanga ukuba ufune iyeza elitsha ukuze eli gciwane lizaliswe kwakhona. Ugqirha wakho uza kubhala inani lezinto ezigcwalisiweyo kugunyaziswe ngugqirha wakho.
Ukuhamba
Xa uhamba namayeza akho:
- Soloko uphatha kunye nawe okanye kwibhegi yakho yokuphatha.
- Musa ukuzikhathaza ngoomatshini beX-ray kwisikhululo seenqwelo-moya. Abakwazi ukulimaza eli yeza.
- Kusenokufuneka ubonise ileyibhile eprintiweyo yekhemesti yakho ukuze uchonge amayeza. Gcina ibhokisi yeleyibheli ebhalwe kwangaphambili xa useluhambeni.
Ukubeka iliso kwezonyango
Ukubona ukuba lisebenza njani eli chiza, ugqirha wakho uya kujonga umsebenzi wentliziyo kunye noxinzelelo lwegazi. Banokusebenzisa i-electrocardiogram (ECG) ukubeka esweni umsebenzi wentliziyo yakho. Ugqirha wakho unokukuyalela ngendlela yokujonga ukubetha kwentliziyo yakho kunye noxinzelelo lwegazi ekhaya ngesixhobo esifanelekileyo sokujonga. Ugqirha wakho unokuvavanya amaxesha ngamaxesha ukusebenza kwesibindi ngovavanyo lwegazi.
Ngaba zikhona ezinye iindlela?
Kukho ezinye iziyobisi ezikhoyo ukunyanga imeko yakho. Ezinye zinokukulungela ngakumbi kunezinye. Thetha nogqirha wakho malunga nezinye iindlela ezinokwenzeka.
Iphepha elichazayo ukuba awusenanto oyifunayo: I-Healthline yenze yonke imizamo yokuqinisekisa ukuba lonke ulwazi luchanekile, lubanzi kwaye luhlaziyiwe. Nangona kunjalo, eli nqaku akufuneki lisetyenziswe endaweni yolwazi kunye nobuchule bengcali yezempilo enelayisensi. Kuya kufuneka usoloko uqhagamshelana nogqirha wakho okanye nolunye uqeqesho kwezonyango ngaphambi kokuba uthathe nawaphi na amayeza. Ulwazi lweziyobisi oluqulethwe apha luyakwazi ukutshintsha kwaye alujoliswanga ekusetyenzisweni konke okunokwenzeka, imikhombandlela, izilumkiso, izilumkiso, ukuhlangana kweziyobisi, ukungahambelani komzimba, okanye iziphumo ezibi. Ukungabikho kwezilumkiso okanye olunye ulwazi ngesiyobisi esinikiweyo akubonisi ukuba indibaniselwano yeziyobisi ikhuselekile, iyasebenza, okanye ifanelekile kuzo zonke izigulana okanye konke ukusetyenziswa okuthile.