An yi imanin cewa ta amfani da miyagun ƙwayoyi Verapamil, ana iya warkewa da nau'in 1 na cutar sukari. Har zuwa wannan ana iya hasashe, amma ingantacciyar tasirin warkewarta a cikin maganin cututtukan cututtukan zuciya yana tabbatar da bincike da yawa.
Verapamil magani ne wanda aka yi amfani dashi yayin jiyya da rigakafin rikicewar zuciya. Ta yaya yake shafi glucose a cikin masu ciwon sukari?
Bari muyi kokarin gano wannan.
Babban bayanin magunguna
Verapamil magani ne, antiarrhythmic da antianginal magani. Ya kasance ga rukuni na jinkirin tashar alli mai amfani.
Ayyukan miyagun ƙwayoyi shine don toshe tasirin alli da rage haɓakar alli na yanzu.
An samar da shi a cikin irin waɗannan nau'ikan sashi: allunan, dragees, mafita don jiko da allura.
Ana iya tsara magani ta hanyar jiyya ko hana irin waɗannan cututtukan:
- zuciya tashin hankali;
- atrial fibrillation da flutter;
- karin extrasystole;
- paroxysmal supraventricular ticardia;
- hawan jini;
- na kullum barga ko rashin tsaro angina;
- vasospastic angina pectoris (bambance bambancen da Prinzmetal).
Rikicin antiarrhythmic na Verapamil ana bayar dashi ta hanyar raguwa da raguwa a cikin rikicewar zuciya, raguwa a cikin ƙwaƙwalwar ƙwaƙwalwar zuciya, kazalika da rauni na sinoatrial da aikin atrioventricular. Sakamakon bayyanar cutar, ƙwayoyin jijiyoyin zuciya suna haɓaka, sakamakon abin da ke gudana daga jijiyoyin jini. Bugu da kari, ana bukatar rage iskar oxygen a zuciya.
Wasu suna da'awar cewa verapamil yana hana abubuwan da ke haifar da ciwon sukari irin 1. Magungunan yana kawar da yawan faɗakarwa na furotin TXNIP, yana kare sel beta daga cutarwa na tsarin rigakafi. Saboda haka, verapamil yana haifar da raguwa a cikin sukari na jini.
A cikin shekarar 2015, an gudanar da bincike kan illolin da kwayar cutar ta kamu da ciwon sukari na 1. Kafin wannan, sakamakon gwaji a cikin beraye sun tabbatar da cewa Verapamil yana hana mutuwar kwayoyin beta.
Sakamakon da aka buga ya nuna cewa a cikin marasa lafiya da ke shan miyagun ƙwayoyi, matakin C-peptides ya karu a kan lokaci, wanda ke nuna raguwar sukarin jini.
Umarnin don amfani da miyagun ƙwayoyi
Don siyan wannan magani, abu na farko da zaku buƙaci shine tuntuɓar likitan ku, wanda zai rubuta takardar sayan magani. Bayan sayan Verapamil, mai haƙuri ya kamata a karanta umarnin da aka makala a hankali. Idan kuna da wasu tambayoyi game da amfani da maganin, ya kamata ku nemi likita.
Ana ɗaukar Verapamil a cikin allunan ko dragees a baki yayin ko bayan abinci tare da karamin adadin ruwa. Likita ya kayyade lokacin jinkiri da tsawon lokacin yin jiyya, la'akari da dalilai kamar tsananin cutar, yanayin mai haƙuri da halayensa na mutum.
Don hana ci gaban arrhythmias, angina pectoris da hauhawar jijiya, Verapamil yana amfani da tsofaffin 40-80 mg 3 ko sau 4 a rana. Bayan wani lokaci, za a iya ƙara yawan zuwa 120-160 MG kowace rana. Mafi girman magani shine 480 MG.
Tunda an cire verapamil daga jikin mai haƙuri tare da dysfunction hanta na tsawon lokaci, magani yana farawa da ƙarancin allurai. Matsakaicin adadin yau da kullun kada ya wuce 120 MG.
Ya kamata a adana miyagun ƙwayoyi daga ƙananan yara a wuri mai kariya daga danshi.
Yanayin zafin jiki kada yayi sama da 25 digiri Celsius, kuma rayuwar shiryayye shine shekaru 3.
Contraindications da yiwu cutar
Abin takaici, babu magunguna marasa cutarwa. Wannan ya shafi maganin Verapamil.
Kada mai haƙuri ya hana komai daga likitan halartar. Dole ne ya kasance yana lura da duk cututtukan da ke tattare da juna don guje wa mummunan tasirin maganin.
An haramta amfani da maganin verapamil idan mai haƙuri ya sha fama da cututtuka da dama.
Cututtukan da aka haramta amfani da miyagun ƙwayoyi:
- Ciwon zuciya mai rauni (matakai 2-3).
- Mai tsananin bradycardia (nakasar sinus rauni).
- An dakatar da aikin siliki.
- Ciwon mara lafiya.
- Cardiogenic rawar jiki (banda ya haifar da arrhythmia).
- Katange AV na digiri 2 da 3 (sai dai marasa lafiya tare da na'urar bugun zuciya).
- Rashin lafiyar zuciya.
- Wolff-Parkinson-White Syndrome da Morgagni-Adams-Stokes.
Bugu da ƙari, ba za a iya amfani da miyagun ƙwayoyi ba a ƙuruciya (har zuwa shekaru 18), tare da rashin ƙarfi da amfani da rikice-rikice na beta-blockers. Ana amfani da Verapamil tare da taka tsantsan yayin haɗarin rashin hanta.
Amfani da miyagun ƙwayoyi zai iya haifar da ci gaban halayen masu illa:
- alamun rashin karfin zuciya;
- karuwa cikin karfin jini;
- haɓaka AV hanawa;
- mai ƙarfi bradycardia;
- raunin narkewa;
- haɓaka ayyukan hepatic transaminases;
- fata da ƙaiƙayi da fata;
- ci gaban puffiness na yanki;
- tsananin fushi da ciwon kai;
- amai da damuwa;
- increasedara yawan tashin hankali.
Sakamakon yawan yawan zubar da ciki, mai haƙuri na iya rasa hankalin mutum. Bugu da kari, yana iya fuskantar sinus bradycardia, hauhawar jini, da asystole. Har ila yau, haɗarin haɓaka ƙarancin AV yana ƙaruwa.
Don kawar da alamun cutar hauhawar jini ko kuma hanawar AV, dopamine, isoproterenol, norepinephrine, da alli gluconate ana gudanar dasu ne a cikin hanji.
Haka kuma, hanyar hemodialysis a wannan yanayin ba shi da tasiri.
Sakamakon nau'in ciwon sukari na 1
Nau'in na 1 na ciwon sukari mellitus yana haɓaka sakamakon rikicewar autoimmune a jikin mutum. A lokaci guda, ana kiranta cutar da yara, saboda yawanci yakan faru ne a farkon haihuwa. Ci gaban ilimin cututtukan cuta yana haifar da mutuwar beta sel na kayan islet da kuma dakatar da samar da insulin. A sakamakon haka, matakin jinin mai haƙuri ya tashi.
Babban halin da ake ciki don ingantaccen magani ga masu ciwon sukari na 1 shine maganin insulin. Har zuwa yau, maganin zamani bai sami damar haɓaka maganin da ke kawar da wannan cutar ba gaba ɗaya. Bugu da kari, don rage yawan glucose, ya zama dole a ci abinci da motsa jiki yadda yakamata a kamu da nau'in ciwon sukari.
Tabbas, idan mai ciwon sukari yana da raunin zuciya, zai iya ɗaukar Verapamil lafiya, tun da farko ya yarda da likita. A yau, masana kimiyya da likitoci suna tambaya game da tasiri na ƙwayar don rage sukarin jini.
A halin yanzu, ana ci gaba da nazarin wasu abubuwa masu nasaba da maganin warkewar cutar. Sunyi kokarin tabbatar ko musantawa wadannan imani:
- Verapamil yana iya warkar da ciwon sukari na 1.
- Magungunan na kare kwakwalwa daga tsufa.
- Verapamil yana kare gidajen abinci.
- Magungunan yana hana ci gaban kansa.
Gaskiya ya kasance cewa mai haƙuri da ciwon sukari na 1 ba zai sami damar rage matakan sukari na jini ta amfani da magunguna masu rage sukari ba.
Injections na insulin shine kadai hanya don kawar da cututtukan hyperglycemia.
Kudin, sake dubawa da kuma analogues
Verapamil yana biyun da jijiyoyin jini daban-daban na tsarin zuciya. Ko yaya, amfani da ita don kawar da alamun cututtukan type 1 ciwon sukari ya kasance batun rikice-rikice.
A kowane hali, magani kansa ba shi da daraja, kuna buƙatar likitan ku su kula dashi.
Mai ciwon sukari dole ya tuna cewa cin nasara da rashin lafiya na iya yin amfani da shi ta hanyar insulin far, abinci mai kyau, rayuwa mai aiki, da kuma sarrafa glycemic na yau da kullun.
Ana iya siyan Verapamil a kowane kantin magani.
Farashin miyagun ƙwayoyi Verapamil ya dogara da nau'in saki. Kudin samfurin magani, dangane da irin sakin, sune:
- Allunan (40 MG 30 guda) daga 38 zuwa 57 rubles;
- dragees (40 mg 30 guda) daga 47 zuwa 53 rubles;
- ampoules (2.5mg / ml 2ml 10 guda 10) daga 66 zuwa 78 rubles.
Kowane mutum na iya yin sayan kaya, tunda farashin magungunan ke ƙasa. Nazarin marasa lafiya da yawa suna nuna ingancin maganin. Wasu har ma sun lura da raguwar sukari na jini, kodayake gaskiyar wannan ba a san shi sosai ba. An tsara shi sau da yawa ga mata masu juna biyu tare da Genipral. An tsara shi don hauhawar mahaifa kuma yana haifar da saurin bugun zuciya, wanda aka cire godiya ga Verapamil.
A wasu halaye, haramun amfani da miyagun ƙwayoyi. Sannan likita ya tsara irin wannan magani wanda yake da tasirin warkewa iri ɗaya. A kasuwar magunguna, Verapamil yana wakilta a ƙarƙashin sunayen cinikayya daban-daban, alal misali, Verpamil, Verogalid, Lekoptin, Isoptin, Vero-Verapamil, Verogalid da sauransu.
Don rage abubuwan glucose a cikin nau'in 1 na ciwon sukari, zaku iya amfani da Allunan kamar Metformin 850 ko 1000. Koyaya, kafin amfani, ana buƙatar shawarar kwararrun likita.
A cikin bidiyon a cikin wannan labarin, Elena Malysheva zai ci gaba da bayyana taken Verapamil.
