Verapamil mu mimba

Mu nthawi yakudikirira mwana, kumwa mankhwala aliwonse osasangalatsa. Ngakhale zili choncho, amayi ambiri amtsogolo ayenera kumwa mankhwala osiyanasiyana ngati ali ndi zizindikiro zosasangalatsa. Kotero, imodzi mwa mankhwala otchuka kwambiri omwe dokotala angapereke kwa mayi pamene ali ndi pakati ndi Verapamil. Za zomwe mankhwalawa amaimira, muzochitika zotani, ndi momwe tingazitengere, tidzakuuzani m'nkhani yathu.

Kodi tanthauzo la Verapamil mukutenga ndikutanthauza chiyani?

Verapamil amatanthauza gulu lalikulu la mankhwala lotchedwa anti-calcium. Ndithudi, ioni zamchere ndizofunikira kwambiri kuti thupi likhale logwirizana. Makamaka, amalimbikitsa kuyambitsa kayendedwe ka kagayidwe ka maselo m'maselo. Pa nthawi yomweyi, kashiamu yochulukirapo ingapangitse kuti mitsempha yambiri ikhale yopapatiza komanso zowonjezereka za mitsempha ya mtima.

Kuphwanya koteroko kumabweretsa mavuto owonjezereka komanso maonekedwe a tachycardia, omwe angakhale owopsa kwa mayi wamtsogolo. Verapamil ndi otsutsa ena a calcium amachititsa kuti ayoni alowe m'maselo, omwe amathandiza kuchepetsa kupanikizika, kuonjezera zotengera zowonongeka, ndi kuimitsa chiwombankhanga cha mtima.

Kuwonjezera apo, kuchepa kwa kalisiyamu kumaphatikizapo kudya kwambiri kwa potaziyamu, komwe kumapangitsa ntchito ya mtima ya amayi okhawo, komanso fetus.

Kodi ndi zifukwa ziti zomwe zimapatsidwa mapiritsi a verapamil pa nthawi ya mimba?

Malinga ndi malangizo ogwiritsira ntchito, zizindikiro zogwiritsa ntchito Verapamil pa nthawi ya mimba ndi izi:

• matenda a mtima ischemic, matenda osadziwika;
• Kuthamanga kwambiri kwa magazi, kuthamanga kwa magazi;
• hypertrophic cardiomyopathy, ideopathic hypertrophic subaortic stenosis;
• angina pectoris;
• mankhwala ndi kupewa mtima wamagetsi.

Choncho, mankhwalawa amaperekedwa kwa amayi apakati omwe amadwala matenda osiyanasiyana a mtima. Kwa mayi aliyense wamtsogolo, dokotala ayenera kusankha mlingo wa Verapamil pa nthawi yomwe ali ndi mimba ndi kufotokozera mwatsatanetsatane malamulo a kumwa mankhwalawa.

Pakalipano, nthawi zina mankhwalawa angapangidwe ndi azimayi ngakhale omwe sanayambe akudwala matenda a mtima. Kaŵirikaŵiri izi zimachitika pamene mayi woyembekezera amamwa Ginipral - mankhwala odziwika bwino kuti athetse minofu ndi kuchepetsa kamvekedwe ka chiberekero poopsezedwa ndi kuperewera kwa mayi. Popeza mankhwalawa akhoza kusokoneza thanzi la mayi wapakati ndikuthandizira kuwonjezeka kwa mtima wamayi ndi mwana wamtsogolo, zotsatira zake zimakhala "zitaphimbidwa" mothandizidwa ndi Verapamil.

Kodi mungatani kuti mutenge mimba ndi mchere mukakhala ndi pakati?

Mlingo wonse ndi njira yogwiritsira ntchito iliyonse ya mankhwala nthawi zonse imaperekedwa ndi dokotala payekha. Pakalipano, nthawi zambiri, kumwa nawo mankhwala pamodzi ndi motere - choyamba, pamene akudya, amayi akuyembekezera ayenera kutenga tebulo limodzi la Verapamil, ndiyeno, pafupi theka la ola, mlingo woyenera wa Ginipral.

Amayi ambiri omwe atchulidwa verapamil, amafunitsitsa kudziwa kuti mankhwalawa ndi owopsa pa nthawi ya mimba. Ndipotu, sizingatheke kuti tiyankhe molondola funso ili, chifukwa palibe maphunziro a kachipatala omwe apangidwa chifukwa cha mankhwalawa pa fetus. Ndicho chifukwa chake n'zotheka kutenga mankhwalawa pokhapokha kuyang'aniridwa mosamalitsa kwa dokotala yemwe akupezekapo ndipo pokhapokha, malinga ndi lingaliro la adotolo, zomwe zimapindulitsa mayiyo kupitirira chiopsezo kwa mwana wamtsogolo.