Indlela yokuphumla iindonga zeetriyri: i-block block ye-calcium

Ezinye iziyobisi ziyakwazi ukuphatha lonke iklasi yezifo, kuba zichaphazela zonke iinkqubo zoluhlobo olulodwa emzimbeni. Ewe, ngokuqhelekileyo ugqirha unika loo mayeza ngokulumkisa, kuba le nkunkuma ifakiwe kwinani elikhulu lolawulo. Konke oko kuyinyaniso yeklasi yezilwanyana "i-calcium channel blockers". Kukho inani leempawu.

Ngoko, yintoni i-block block calcium kunye nendlela abachaphazela ngayo isifo?

Ukuze ukupompa igazi, intliziyo ifuna i-oxygen. Eyona nto inzima intliziyo isebenza, i-oksijini engakumbi uyenayo. I-Angina pectoris ivela xa ukunikezelwa kwe-oksijini kwintliziyo ye-muscle ayinelanga ukwenzela ukunyuka kwayo. I-block block ye-calcium yenza ukuba iindonga zeerrix ziphume, kwaye ngenxa yoko, uxinzelelo lwegazi lungahle lutyeke kakhulu. Intliziyo iba lula ukupompa igazi, umthwalo unciphisa, imfuno ye-oxygen-nayo.

Ziziphi izifo ezithathwa nge-block calcium channel blockers?

Ukulungiselelwa kolu hlobo kuphathwa:

• Arrhythmia (i-fibrillation ye-atrial, i - paroxysmal supraventricular tachycardia) ;
• I-Post-infarction ithi (kwabo bangenako ukunyamezela i-beta-blockers);
• I-Angina pectoris
• Uxinzelelo lwe-arterial (kunye nezifo ezininzi ezinxulumene);
• I-pululary hypertension (ukunyuka kwengcinezelo ye-pulmonary);
• Isifo sikaReynaud (ubunzima obunzima beminwe) ;
• I-Cardiomyopathy (ukwanda kwe-ventricle ekhohlo);
• Ukuphazamiseka kwendawo kwindawo ephantsi komhlaba.

Ngaba kukho ukungafani phakathi kweziyobisi zale klasi yeziyobisi?

Iimpawu zecala ye-calcium zihluke ngexesha lempembelelo, indlela eso sigxina esikhishwe ngayo emzimbeni. Kwaye, ngokubaluleke kakhulu, ukukwazi ukuthintela ubukhulu kunye namandla okuthengisa intliziyo. Ngokomzekelo, i-blockum ye-calcium ye-calloum channel block ayinomphumo omncinci kwixesha kunye nobukhulu bokuqhekeza, okuvumela ukuba isetyenziswe ekuphatheni izigulane ezinokunciphisa imizimba yezilonda (ezinye iziyobisi zingenobungozi kakhulu kule meko), kunye nezigulane emva kokuhlaselwa kwintliziyo, ngokuqhelekileyo ayikwazi ukuncitshiswa Amandla okuqhawulwa kwe-myocardium. I-Kardizem kunye ne-verapamil inefuthe elincinci lokunciphisa amandla kunye nentliziyo yesantya, ngoko bafanelekile ukuxhatshazwa kwe-tachycardia.

Kuthiwani ngemiphumo emibi?

Zikhoyo kwaye zingamnandi, kodwa kungekhona kuwo wonke umntu omele asebenzise le klasi yeziyobisi. Uninzi oluqhelekileyo:

• Ukutyunjwa (ngokuba ezi ziyobisi azichaphazeli nje kuphela iintliziyo zentliziyo, kodwa kunye nezihlunu zendlela yokutya);
• Intloko (ingqondo ingenayo igazi elaneleyo);
• Rash;
• Ukuvuvuka kwemilenze;
• Uxinzelelo oluncitshiswayo;
• Ukulala nokusila.

Ngamanye amaxesha, umsebenzi wesibindi uphazamiseka. Ngamanye amaxesha, iigums ziyanda. Emva kwesifo senhliziyo, ezinye iziyobisi ("iVerapamil", "iKarzemzem") ayikwazi ukusetyenziswa. Le miyeza enzulu kakhulu, ngoko ke ngaphandle kokuba kuqeshwe ugqirha, ayinakusetyenziswa, ngaphandle koko ukuphulwa kakubi kakhulu kunakuphepheka. Njengawaphi na iziyobisi ezichaphazela uxinzelelo, ezi zi yobisi zingenza umphumo ongekho kumpembelelo. Nangona kunjalo, izigulane kaninzi azikho ezinye iindlela, kuba izibonakaliso zokusebenzisa ezi ziyobisi zidla kakhulu.

Ukusebenzisana nezinye izinto:

Uqaphele ngokukodwa kufuneka ube ne-verapamil kunye ne-kardizem, kuba bayathintela kakhulu isibindi. Ngako oko, ezinye iziyobisi zingase ziqale ukungahambi kakuhle, kwaye oku kubangela ukuba ubuthi babo. Abahlanganisi ne-lovastatin kunye ne-carabamazepine.

Umphumo othakazelisayo usempileni yamagilebhisi. Iphucula umphumo wale klasi yeziyobisi, ngoko awukwazi ukusela iseroji okanye iidipefruit ngokwezi-4 iiyure ngaphambi nangemva kokuthatha amayeza. Qaphela. Ezi ziyobisi zifuna ukuba isigulane sibe sisilumkiso kwimpawu zomzimba wakhe.