Ngaba unoxinzelelo lwegazi oluphezulu? Okanye usengozini yokuba nesifo sohlangothi ngenxa yoxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo? Ugqirha wakho usenokuba ukunike eli yeza. Kukho amagama amabini ale pilisi, akunjalo? Elinye yiLosartan, kwaye elinye yiHydrochlorothiazide. Namhlanje, masithethe ngento eyenzekayo xa usela ipilisi eyenziwe ngokudibanisa la mayeza mabini, kunye nento ekufuneka uyilumkele xa uyisebenzisa.
Kwenzeka ntoni ngokwenene ngale mithi?
Ngamafutshane, le yindibaniselwano yamayeza amabini. Kwilizwe lethu, eli yeza linokufumaneka phantsi kwegama lophawu elithi `Hyzaar`. La mayeza mabini asebenza kunye ukunceda ukulawula uxinzelelo lwegazi lakho ngeendlela ezimbini.
1. ILosartan: Le yeyodidi lwamayeza abizwa ngokuba yi-ARB (Angiotensin Receptor Blocker). Cinga ngemithambo yegazi yakho njengombhobho othwala amanzi. Ukuba le mbhobho ivalekile, uxinzelelo emanzini luyanda, kwaye xa imithambo yegazi yethu incipha, uxinzelelo lwethu lwegazi nalo luyanda. Ngoko ke, into eyenziwa leli yeza elibizwa ngokuba yiLosartan kukwandisa nokukhulula imithambo yegazi yakho. Emva koko, igazi linokuhamba ngokulula ngaphandle kokuphazamiseka, nto leyo ehlisa uxinzelelo lwegazi lakho.
2. I-Hydrochlorothiazide: Olu luhlobo lonyango olubizwa ngokuba yi-'diuretic'. Sidla ngokubiza ezi 'pilisi zamanzi'. Oku kusebenza ngokunceda izintso zakho ukuba zikhuphe amanzi agqithisileyo kunye netyuwa emzimbeni wakho ngomchamo. Xa ubungakanani bolwelo emzimbeni wakho buncipha, uxinzelelo olungaphakathi kwimithambo yegazi yakho nalo luyehla.
Ngenxa yokuba ezi ndlela zimbini zisebenza kunye, eli yeza lisebenza kakuhle kakhulu ekulawuleni uxinzelelo lwegazi oluphezulu. Likwasetyenziselwa ukunciphisa umngcipheko westroke kubantu abanesifo sentliziyo.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Ngaphambi kokuba uqale ukusebenzisa eli yeza, kubalulekile ukuxelela ugqirha wakho ngale ngcaciso ilandelayo, njengoko kufuneka kuthathelwe ingqalelo ekhethekileyo xa usebenzisa eli yeza phantsi kwezi meko.
| Imeko yakho | Kutheni ufanele uxelele ugqirha? |
|---|---|
| Ukuba ukhulelwe okanye uzama ukukhulelwa | Oku kubaluleke kakhulu.Eli yeza linokubangela ingozi enkulu kumntwana ngexesha lokukhulelwa. |
| Ukuba umama uncancisa umntwana wakhe | Kubalulekile ukufuna ingcebiso kagqirha njengoko eli yeza linokudluliselwa ebantwaneni ngobisi lwebele. |
| Isifo seswekile | Ngenxa yokuba eli yeza linokuchaphazela amanqanaba eswekile egazini, umthamo wamayeza eswekile unokufuneka uhlengahlengiswe. |
| Ukuba unesifo sezintso okanye umchamo wakho uphantsi | Xa izintso zingasebenzi kakuhle, indlela eli yeza elichaphazela ngayo umzimba inokutshintsha. |
| Isifo sesibindi | Ukuba ukusebenza kwesibindi kuyaphazamiseka, umthamo weyeza unokufuneka utshintshwe. |
| Izifo zomzimba ezifana ne-lupus | Kubalulekile ukwazisa ugqirha wakho njengoko eli yeza linokwenza i-lupus ibe mandundu ngakumbi. |
| Ukuba utya ukutya okunetyuwa encinci | Kubalulekile ukwazisa ugqirha wakho kuba oku kunokuchaphazela ibhalansi yetyuwa emzimbeni. |
| Ukunganyamezelani kwamanye amayeza, ukutya, okanye idayi | Kunokuba yingozi ukuba une-allergy kweli yeza okanye nakweyiphi na izithako zalo. |
Ndingayisebenzisa njani le mithi?
- Landela imiyalelo kagqirha wakho: Sela idosi echanekileyo kanye njengoko ugqirha wakho ekuyalele. Zama ukuyithatha ngexesha elifanayo yonke imihla .
- Nokuba utya okanye awutyanga: Le pilisi ingathathwa ngaphambi okanye emva kokutya. Nangona kunjalo, ukuba uziva uphazamisekile esiswini, kungcono ukuyithatha kunye nokutya.
- Musa ukuyeka:Qhubeka usela amayeza logama nje ugqirha wakho ekuxelele. Musa ukuyeka ngequbuliso, nokuba uzive ungcono.
- Ukuba uphoswe yidosi: Ukuba ulibele ukusela idosi, yisele kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha ledosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
- Ukuba usela kakhulu: Ukuba ngempazamo usele iipilisi ezininzi kakhulu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele esikufutshane ngoko nangoko. Okanye utsalele umnxeba iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ukuze ufumane ingcebiso.
Eli yeza limiselwe wena wedwa. Ungaze ulinike omnye umntu, nokuba uneempawu ezifanayo nezakho.
Amanye amayeza anokusebenza kunye nale mayeza
Kubaluleke kakhulu ukuxelela ugqirha wakho ngamanye amayeza, iivithamini, okanye amayeza esintu owasebenzisayo, njengoko amanye amayeza enokuthi adibane nalo.
| Amayeza angafanele athathwe kunye nale yeza | |
|---|---|
| I-Cidofovir | I-Dofetilide |
| I-Tranylcypromine | |
| Amanye amayeza anokusebenza kunye nale mayeza | |
| Amanye amayeza oxinzelelo lwegazi oluphezulu | Iipilisi zokubulala iintlungu (ii-NSAID) - umz.: i-Ibuprofen, i-Naproxen, i-Celecoxib |
| Amayeza eswekile | I-Lithium |
| Ezinye iiDiuretics (iipilisi zamanzi) - umz.: iTriamterene, iSpironolactone | Izongezo zePotassium |
| IiBarbiturates (umz. iPhenobarbital) | IiSteroids - umz. iPrednisone, iCortisone |
| Amayeza okwehlisa i-cholesterol - umz. iCholestyramine, iColestipol | I-Rifampin |
Olu luhlu aluphelelanga, ngoko xelela ugqirha wakho ngayo yonke into oyithathayo.
Izinto ekufuneka uzikhumbule xa usebenzisa amayeza
- Jonga uxinzelelo lwakho lwegazi: Hlola uxinzelelo lwakho lwegazi rhoqo. Buza ugqirha wakho ukuba uxinzelelo lwakho lwegazi oluqhelekileyo lufanele lube yintoni. Kwakhona, bhala amanani ephepheni ukuze kube lula ukubonisa ugqirha wakho.
- Kuphephe ukuphelelwa ngamanzi emzimbeni: Eli yeza linyusa umlinganiselo wamanzi alahlekayo ngumzimba wakho. Ngoko ke, ukuba ugula kakhulu, uhlanza, okanye ubila kakhulu , unokulahlekelwa lulwelo oluninzi emzimbeni wakho kwaye uphelelwe ngamanzi emzimbeni. Oku kunokuba yingozi. Ngoko ke sela amanzi aneleyo imini yonke. Ukuba uziva ungaphilanga kakuhle, fowunela ugqirha wakho ukuze akunike ingcebiso.
- Ukudinwa nokuquleka: Eli yeza linokukwenza uzive unesizungu, ingakumbi xa uvuka kwindawo ohleli kuyo. Ngoko ke , vuka kancinci xa uvuka kwindawo ohleli kuyo okanye olele kuyo. Musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Ukusela utywala kunokuyenza mandundu le meko.
- Zikhusele elangeni: Eli yeza lingenza ulusu lwakho lube buthathaka kancinci elangeni. Ngoko ke, nciphisa ukuvezwa kwakho elangeni kangangoko unako. Ukuba uyaphuma, nxiba impahla yokuzikhusela kwaye usebenzise i-sunscreen. Kuphephe ukusebenzisa izibane zelanga kunye neebhedi zokutshisa ilanga. Thetha nogqirha wakho malunga nomngcipheko wakho wokuba nomhlaza wesikhumba.
- Izinto ezithatha indawo yetyuwa: Musa ukusebenzisa izinto ezithatha indawo yetyuwa (ezine potassium eninzi) ngaphandle kokuba ugqirha wakho ekucebisa ukuba wenze njalo.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na iyeza, oku kunokubangela iziphumo ebezingalindelekanga kwabanye abantu.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Ii-aleji | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi okanye umqala. |
| Iimpawu zokuphelelwa ngamanzi emzimbeni | Unxano olugqithisileyo, umlomo owomileyo, ukuquleka, umchamo otyheli okanye omdaka. |
| Umonakalo wezintso | Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, okanye iinyawo. |
| Ukuncipha kakhulu koxinzelelo lwegazi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Amanqanaba e-potassium anciphileyo | Intlungu okanye ukuqina kwemisipha, ubuthathaka obungaqhelekanga, ukubetha kwentliziyo okungaqhelekanga. |
| Intlungu yamehlo okanye utshintsho lombono | Intlungu yamehlo ngequbuliso, ukubona okufipheleyo, ukubona imisesane ejikeleze izibane. |
| Igawuthi | Intlungu ebuhlungu, ukubomvu, kunye nokudumba, ingakumbi kumalungu afana nobhontsi omkhulu. |
| Iziphumo ebezingalindelekanga ezingezizo ezinzulu (kodwa xelela ugqirha wakho ukuba ziyaqhubeka) | |
| Isiyezi | Intloko ebuhlungu |
| Isisu esibuhlungu | Ukuxinana kwempumlo okanye impumlo egobhozayo |
| Utshintsho kwiminqweno okanye umsebenzi wesondo | |
Ukuba ufumana naziphi na ezinye iimpawu ezingaqhelekanga ezingakhankanywanga kolu luhlu, nceda uxelele ugqirha wakho ngazo.
Umyalezo Wokuya Ekhaya
- Eli yeza lidibaniso lweentlobo ezimbini zamayeza (i-losartan kunye ne-hydrochlorothiazide) asetyenziselwa ukulawula uxinzelelo lwegazi oluphezulu.
- Sela amayeza akho ngexesha elifanayo yonke imihla, kanye njengoko ugqirha wakho ekuxelela. Ungaze utshintshe okanye uyeke umthamo ngokwakho.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi, iivithamini, kunye neemveliso zezityalo ozisebenzisayo.
- Ukuba ukhulelwe, uceba ukukhulelwa, okanye uncancisa, qiniseka ukuba uxelele ugqirha wakho ngaphambi kokuba uqale eli yeza.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana iziphumo ebezingalindelekanga ezinzulu ezifana nesiyezi, ukuquleka, urhudo oluqatha, ukuhlanza, okanye ukurhawuzelela kolusu.
- Gcina eli yeza kude nokufikelela kwabantwana nezilwanyana zasekhaya, kubushushu begumbi, kwaye kude nokukhanya.
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