Ingaba eli liyeza loxinzelelo lwegazi kunye nentliziyo yakho? (Eplerenone) Masifunde ngeepilisi!

Ngaba ugqirha wakho ukunike ipilisi ebizwa ngokuba yi-`(Eplerenone)` yoxinzelelo lwakho lwegazi okanye isifo sentliziyo? Okanye ngaba kukho umntu kusapho lwakho osebenzisa eli yeza? Mhlawumbi ungathanda ukwazi okungakumbi ngeli yeza. Ngoko ke, namhlanje siza kuthetha ngeli yeza elibizwa ngokuba yi-`(Eplerenone)` ngendlela elula onokuyiqonda.

Loluphi uhlobo lonyango olu `(Eplerenone)`?

Ngamafutshane, `(Eplerenone)` liyeza elisetyenziselwa ukunyanga iimeko ezinje ngoxinzelelo lwegazi oluphezulu kunye nokusilela kwentliziyo . Ngamanye amaxesha likwasetyenziselwa ukuthintela umonakalo ongakumbi entliziyweni emva kohlaselo lwentliziyo.

Oku kunceda kakhulu izintso zakho ukuba zikhuphe amanzi angaphezulu kunye netyuwa emzimbeni wakho ngomchamo . Nangona kunjalo, into ekhethekileyo ngale nto kukuba xa ukhupha la manzi kunye netyuwa , iyawuthintela umzimba ekulahlekelweni yiminerali eninzi yepotassium, ebaluleke kakhulu emzimbeni wethu. Yiyo loo nto ikwabizwa ngokuba yi-"potassium-sparing diuretic". Eli yeza likwiqela le-"diuretics", oko kuthetha ukuba luhlobo lonyango olulawula amanqanaba olwelo emzimbeni kwaye lukwenze uchame ngakumbi.

Lisetyenziswa nini eli yeza?

Oogqirha badla ngokucebisa eli yeza xa:

• Ukuba une- high blood pressure .
• Ukuba unesifo sentliziyo , oko kuthetha ukuba amandla okumpompa kwentliziyo yakho abuthathaka.
• Ikwasetyenziselwa ukukhusela intliziyo ekulimaleni okungakumbi emva kokuhlaselwa yintliziyo .

Nangona kunjalo, ugqirha wakho angakunika eli yeza nakwezinye iimeko zonyango. Ngoko ke ukuba unemibuzo, kungcono ubuze ugqirha wakho okanye ingcali yezonyango.

Zeziphi izinto ekufuneka uzixelele ugqirha ngaphambi kokuba uqale ukusebenzisa la mayeza?

Ngaphambi kokuba uqale ukusebenzisa i-`(Eplerenone)`, kukho izinto ezibalulekileyo ekufuneka uzixelele ugqirha wakho. Oku kungenxa yokuba eli yeza lisenokungafaneleki kubantu abaneengxaki ezithile zempilo, okanye linokufuneka lisetyenziswe ngononophelo olukhethekileyo.

Nazi ezinye zeemeko ezinjalo:

• Ukuba unesifo sika-Addison okanye umsebenzi wakho we-adrenal gland uphantsi.
• Ukuba unesifo seswekile (iDiabetes Mellitus) .
• Ukuba amanqanaba e-potassium egazini lakho sele ephezulu .
• Ukuba utya ukutya okukhethekileyo , umzekelo, ukutya okunetyuwa encinci, okanye ukuba usebenzisa izinto ezithatha indawo yetyuwa yokutya, oku kubalulekile kuba ezi zinto zithatha indawo yetyuwa zinokuba ne-potassium.
• Unesifo sezintso.Ukuba ikhona.
• Ukuba unesifo sesibindi .
• Ukuba ukhe waba ne-allergy kwi-Eplerenone, naluphi na olunye unyango, ukutya, idayi, okanye izithinteli.
• Ukuba ukhulelwe okanye uzama ukukhulelwa .
• Ukuba ungumama oncancisayo .

Ukuba unento efana nale, ungalibali ukuxelela ugqirha ngaphambi kokuba uqale amayeza, kulungile?

Kulungile, ngoku masibone ukuba eli yeza lifanele lisetyenziswe njani kanye kanye?

Eli yeza liza njengepilisi yokulisela ngomlomo. Kubaluleke kakhulu ukulisela idosi emiselweyo, ngexesha elifanayo yonke imihla, njengoko ugqirha wakho ekuxelele.

• Ungayithatha le nto nokuba utya okanye ungenalo . Nangona kunjalo, ukuba uziva ungakhululekanga esiswini, kungcono ukuyithatha nokuba utya.
• Ufanele uqhubeke nokusela eli yeza de ugqirha wakho akuxelele ukuba uyeke. Musa ukuliyeka ngokubona kwakho.
• Kubaluleke kakhulu ukuba ungaseli ijusi yegrapefruit ngelixa usela eli yeza, kuba ijusi yegrapefruit inokuchaphazela indlela elifunxwa ngayo iyeza.

Ngaba eli yeza linokunikwa abantwana?

Kufuneka kuqatshelwe ngokukodwa xa kunikwa abantwana eli yeza. Ngoko ke, ukuba unika umntwana wakho eli yeza, thetha nogqirha wakho ngalo uze ufumane ingcebiso.

Yintoni omawuyenze ukuba usela kakhulu? (Ukusebenzisa idosi egqithisileyo)

Ukuba ucinga ukuba usele kakhulu eli yeza, yiya kwigumbi likaxakeka lesibhedlele esikufutshane okanye utsalele umnxeba kwiziko lokulawula ityhefu ngokukhawuleza. Kubaluleke kakhulu ukwenza ngokukhawuleza.

Eli yeza limiselwe wena wedwa. Musa ukulinika omnye umntu, nokuba uneempawu ezifanayo nezakho.

Owu, wenza ntoni ukuba uphoswe yidosi?

Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lomthamo wakho olandelayo, yeka umthamo ophoswe ngawo uze uthathe umthamo wakho olandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele umthamo ophoswe ngawo. Ukwenza njalo kunokunyusa inani lamayeza owaselayo.

Zeziphi ezinye izinto ezinokusebenzisana nale mithi? `(Iindlela ezisebenzisana ngayo)`

Ewe, kukho amanye amayeza nokutya okunokubangela iingxaki xa kusetyenziswa i-Eplerenone, okanye okunokuchaphazela indlela esebenza ngayo iyeza. Ngoko ke, ukuba usebenzisa amanye amayeza, kubalulekile ukuxelela ugqirha wakho ngawo onke.

La mayeza alandelayo akufuneki asetyenziswe kunye ne-`(Eplerenone):`

• `(I-Boceprevir)`
• `(Ceritinib)`
• Ezinye iintlobo zee-antibiotics: umzekelo, i-chloramphenicol, i-clarithromycin, i-dalfopristin; i-quinupristin, i-telithromycin
• Ezinye ii-diuretics: Umzekelo, i-amiloride, i-spironolactone, kunye ne-triamterene (ezi zikwangamayeza okugcina i-potassium, ngoko ke xa zithathwa kunye ne-eplerenone, amanqanaba e-potassium anokunyuka ngendlela eyingozi)
• Amanye amayeza osulelo lwefungus: Umzekelo, i-itraconazole, i-ketoconazole, i-posaconazole, kunye ne-voriconazole.
• Amanye amayeza e-HIV okanye i-AIDS: Umzekelo `(atazanavir)`, `(cobicistat)`, `(darunavir)`, `(delavirdine)`, `(fosamprenavir)`, `(indinavir)`, `(nelfinavir)`, `(ritonavir)`, `(saquinavir eyongeziweyo nge-ritonavir)`, `(tipranavir)`
• Ijusi yegrapefruit kunye negrapefruit
• `(Ibritumomab tiuxetan)`
• `(Idelalisib)`
• `(Lonafarnib)`
• `(Mifepristone)`
• `(Nefazodone)`
• Iityuwa zePotassium okanye izongezo
• `(I-Ribociclib)`
• `(Tucatinib)`

Kwakhona, la mayeza alandelayo anokusebenzisana ne-`(Eplerenone)`. Ngoko ke, kufuneka ulumke ngokukodwa ukuba usebenzisa la mayeza:

• Amanye amayeza oxinzelelo lwegazi oluphezulu: Umzekelo, ii-ACE inhibitors okanye ii-ARB, ezifana ne-enalapril, i-candesartan, i-lisinopril, kunye ne-valsartan.
• `(Erythromycin)` (i-antibiotic)
• `(Fluconazole)` (iyeza lokulwa nentsholongwane)
• `(Lithium)` (iyeza lesifo sengqondo)
• `(NSAIDs)` - Ezi ziziyobisi ezithintela iintlungu kunye neziyobisi ezilwa nokuvuvukala: umzekelo `(ibuprofen)` okanye `(naproxen)`.
• I-Verapamil (iyeza loxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo)

Olu luhlu aluphelelanga. Xelela ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka lawo achazwe ngugqirha wakho, lawo uwathengayo kwikhemesti, amayeza esintu, iimveliso zezityalo, iivithamini). Kwakhona, xelela ugqirha wakho ukuba uyatshaya, usela utywala, okanye usebenzisa ezinye iziyobisi. Ezinye zezi zinto zinokudibana nalo mayeza.

Zeziphi izinto ekufuneka uzilumkele xa usebenzisa eli yeza?

Kufuneka ulumke ngakumbi ngempilo yakho xa uthatha i-`(Eplerenone)`.

• Bona ugqirha wakho rhoqo ukuze ujonge imeko yakho. Hlola uxinzelelo lwakho lwegazi njengoko ugqirha wakho ekuxelela. Buza ugqirha wakho ukuba uxinzelelo lwakho lwegazi lufanele lube yintoni kwaye wenze ntoni ukuba lutshintsha. Usenokuyalela iimvavanyo zokujonga amanqanaba akho e-potassium.
• Xa usela eli yeza, buza ugqirha wakho ngaphambi kokuba uthathe naliphi na iyeza lokukhwehlela, umkhuhlane, okanye ezinye iintlungu. Amanye amayeza anokunyusa uxinzelelo lwegazi.
• Eya kuweXelela ugqirha wakho ukuba unesifo sorhudo esinzima, isicaphucaphu, ukuhlanza, okanye ubila kakhulu. Oku kungenxa yokuba kunokuba yingozi ukusela eli yeza ukuba ulahlekelwa ngamanzi amaninzi emzimbeni wakho.
• Ungacelwa ukuba ulandele ukutya okukhethekileyo . Buza ugqirha wakho ngale nto. Kwakhona, buza ukuba usele amanzi angakanani ngosuku.
• Eli yeza lingakwenza uzive ulele okanye unesizungu . Ngoko ke, kuphephe ukuqhuba, ukusebenzisa oomatshini, okanye ukwenza nantoni na efuna ukugxininiswa ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma okanye ukuhlala ngequbuliso, ingakumbi ukuba sele ukhulile. Ukwenza njalo kunokubangela isizungu kwaye uwe.
• Kuphephe ukusela utywala. Utywala bunokuphazamisa ukusebenza kakuhle kwale mithi.
• Ngaphandle kokuba ugqirha wakho ekuxelele ngokuthe ngqo, musa ukusebenzisa izinto ezithatha indawo yetyuwa. Izinto ezininzi ezithatha indawo yetyuwa zine-potassium. Ekubeni eli yeza ligcina i-potassium, linokubangela ukuba amanqanaba akho e-potassium anyuke ngokungeyomfuneko.

Zithini iziphumo ebezingalindelekanga ezinokubakho zale yeza?

Njengayo nayiphi na iyeza, i-Eplerenone inokubangela ezinye iziphumo ebezingalindelekanga. Asinguye wonke umntu ozifumanayo, kodwa abanye abantu bayazifumana.

Ukuba ufumana naziphi na kwezi mpawu, kufuneka uxelele ugqirha wakho ngokukhawuleza:

• Iimpendulo ze-allergy: Ukurhawuzelela kwesikhumba, ukurhawuzelela, amaqhuqhuva, ukudumba kobuso, imilebe, ulwimi, nomqala.
• Inqanaba eliphezulu le-potassium egazini: Iimpawu ziquka ubuthathaka bemisipha, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga. Oku kunokuba yingozi.
• Ukulimala kwezintso: Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo.

Iziphumo ebezingalindelekanga ezingezantsi azinabungozi, kodwa ukuba ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho:

• Intlungu okanye ukuthamba kwamabele.
• Utshintsho kwinkanuko okanye kwindlela asebenza ngayo ngokwesondo.
• Isiyezi.
• Intloko ebuhlungu .
• Ukuya exesheni okungaqhelekanga okanye ukubonakala kwamabala kubafazi.
• Ukukhula kwezicubu zebele okungalindelekanga kumadoda.

Olu luhlu alubandakanyi zonke iziphumo ebezingalindelekanga. Ukuba ufumana naziphi na iimpawu ezingaqhelekanga, nceda udibane nogqirha wakho.

Ungayigcina njani amayeza ngokukhuselekileyo? `(Ukugcina)`

• Gcina eli yeza kude nabantwana kunye nezilwanyana zasekhaya .
• Gcina kubushushu begumbi (malunga nama-25 degrees Celsius / ama-77 degrees Fahrenheit).
• Musa ukusebenzisa amayeza aphelelwe lixesha. Walahle.

Ulahla njani amayeza angasetyenziswanga?

Akuyongcinga ilungileyo ukulahla amayeza kwinkunkuma okanye ukuwalahla ethoyilethi.

• Ukuba kunokwenzeka, nika amayeza "kwinkqubo yokubuyisela amayeza." Ungafumana ulwazi ngeendawo ezinjalo kwikhemesti yakho okanye emapoliseni.
• Ukuba akunjalo, jonga ipakethi yamayeza okanye incwadana engaphakathi kuyo ukuze ubone ukuba inemiyalelo yokuba ungayilahla njani iyeza enkunkuma okanye kwindlu yangasese. Ukuba awuqinisekanga, buza ugqirha wakho okanye ikhemisti.
• Ukuba ithi kukhuselekile ukulahla inkunkuma, khupha iyeza kwiphakheji, ulixube nenkunkuma yekati, umhlaba, ikofu egayiweyo, okanye ezinye izinto ezingenatyhefu, lifake kwibhegi okanye kwisikhongozeli esivalekayo, uze ulilahle kwinkunkuma.

Okokugqibela, kukho izinto ezibalulekileyo ekufuneka uzikhumbule:

I-Eplerenone liyeza elibaluleke kakhulu loxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo. Inceda ekulawuleni amanqanaba amanzi netyuwa emzimbeni wakho, ngelixa ikwanceda ekugcineni amanqanaba e-potassium.

Khumbula, xa usebenzisa eli yeza, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo, ukutsho into ekufuneka uyithethe ngaphandle kokuyifihla, kwaye uqaphele iziphumo ebezingalindelekanga.

Ukuba unemibuzo engaphezulu malunga nale yeza, nceda ungathandabuzi ukubuza ugqirha wakho, ikhemisti, okanye omnye umboneleli wezempilo. Impilo yakho ibalulekile!

I- Eplerenone, uxinzelelo lwegazi oluphezulu, isifo sentliziyo, i-diuretics, i-potassium, ukusebenzisana kwamayeza, iziphumo ebezingalindelekanga