I-Verapamil isilwanyana esinikezelwe kwi-calcium yesithintelo sokukhusela, ukuba kuyimfuneko. Isilwanyana saseVerapamil sinempawu ezininzi zokusetyenziswa. Ngokuncedwa kwalo, unokwenza i-prophylaxis yokuhlasela kwe-angina, kunye ne- Prinzmetal angina pectoris .
Isenzo sesilwanyana seVerapamil
Iipropati eziphambili zephemokhrasi zale nkunkuma zibangelwa ubuchule bayo obukhulu bokungavumeli i-calcium ions ukuba zifake iiseli ezihamba kakuhle zeendonga zeenqanawa kunye ne-cardiomyocytes. Into esebenzayo yeziyobisi iyanciphisa imfuno ye-myocardium e-O2 (oksijini), ukunciphisa ukuthengiswa kwe-myocardial kunye nokuncipha kwenhliziyo.
Ukongezelela, i-verapamil inako ukwandisa iirriyari ze-coronary, ngaloo ndlela, yandisa ukuhamba kwegazi. Ukunciphisa ithoni yeenqanawa ezihamba kakuhle zeenqanawa zomhlaba, iVerapamil inefuthe elichanekileyo. Ngama-arrhythmias angaphezulu, uvelisa i-antiarrhym effect, ekuveliseni izinga lentliziyo eliqhelekileyo.
Iyiphi i-Verapamil?
Esi sidakamizwa sibonisiwe:
- angina pectoris;
- i-supranventicular, i-ciliary kunye ne- tachycardia ye-sinus ;
- ngxinzelelo lwegazi.
Izibonakaliso zokusetyenziswa kwe-verapamil yinkxwaleko yexinzelelo, isondlo soxinzelelo oluphambili kwisangqa esincinci segazi.
Kwakhona ifanelekile kunyango kunye nokuthintela izigaba ezahlukeneyo zengqungquthela:
- i-extrasystole;
- tachycardias
- i-flutter kunye ne-fibrillation ye-atrial.
Emva kokungcinywa, isilwanyana sithathwa ngu-90%, kwaye ukufumaneka kwayo ku-20-35% xa kuqala kudlule isibindi. Ngokungena kwexesha elide kunye namaqondo aphezulu, esi sibonakaliso sanda.
Ukusetyenziswa kunye nokuchasene kweziyobisi iVerapamil
Ugqirha kufuneka anike i-regimen kunye nomyinge ngamnye. Njengomthetho, kubantu abadala, i-dose yokuqala ivela kumashumi amane ukuya kwamashumi asibhozo iimilligram kathathu ngosuku. Umthamo omkhulu wemihla ngemihla ungama 480 mg.
Ukuphindaphindwa kwesicelo kuthatha amaxesha amathathu ukuya kwesine ngosuku. Thatha amayeza ngexesha lokutya okanye emva kokutya, ngaphandle kokulibala ukusela isincinci samanzi.
Ukungqinelana nokusetyenziswa kweVerapamil kubantu abane:
- tshutshiswa kwemizimba;
- bradycardia;
- i-hypotension;
- isifo sobuthathaka kwesodi yesono;
- I-AV ivaliwe kwi-degree yesi-2-3;
- ukuhluleka kwentliziyo engapheliyo yesigaba se-2-3;
- I-Wolff-Parkinson-White syndrome;
- ukuhluleka kwentliziyo;
- i-hypersensitive to the composition of the drug.
Isiza esinemiphumo emibi esichaphazela iinkqubo zomzimba eziphambili:
1. I-cardiovascular system:
- ukunciphisa okukhulu ukucinezelwa kwegazi;
- bradycardia;
- ukuhlakula nokuphuhliswa kwentliziyo;
- i-arrhythmia;
- ukuwa.
Inkqubo ye-nervous system kunye ne-CNS:
- intloko;
- ukungcola;
- kutyhafa;
- uxhalaba;
- ukhathala okwandisiweyo;
- ukudandatheka;
- kulala;
- ukulibala;
- ukuthuthumela kweminwe;
- ataxia;
- ukugubha;
- ubunzima bokugwinya.
3. Inkqubo yokutya:
- ukuqothulwa;
- isicefe
- ukuphuma kunye nokuvuvukala kweentsini;
- ukwandisa ukutya.
4. Ukuphendulwa komzimba:
- ukubetha;
- ukukhawuleza;
- erythema;
- i-hyperemia yesikhumba sombuso.
Imiphumo emibi yokuthatha le nkunkuma kukuba:
- inzuzo;
- ukulahleka kwexesha elide lombono;
- i-edema yepommonari;
- arthritis;
- i-edema yedatha.
I-Verapamil isilumkiso esinqunyelwe ukuba isigulane:
- umsebenzi wesibindi;
- kwakukho i-infyoction ye-myocardial.
Kwakungathandeki ukuthatha imithi ngabantu ababandakanyekayo kwimisebenzi enobungozi, efuna ukunyuselwa kwenyuka kunye nokuphendula kwangoku kwangoko, oomama abakhulelweyo nabancinci.