Ngaba uziva unesizungu okanye unesizungu xa uphakama ngequbuliso uhleli okanye xa uphuma ebhedini? Ngamanye amaxesha uziva ngathi uza kuwa. Ngokwezonyango, oku kubizwa ngokuba yi-orthostatic hypotension. Ngamafutshane, kukwehla koxinzelelo lwegazi xa utshintsha indawo ohlala kuyo. Ngoko ke, iMidodrine liyeza elidla ngokunikwa oogqirha kubantu abanezi mpawu. Namhlanje, masithethe ngeli yeza ngokucacileyo nangokulula.
Yintoni kanye kanye iMidodrine?
Ngamafutshane, iMidodrine liyeza elinciphisa uxinzelelo lwegazi. Xa umi uhleli, amandla adonsela phantsi abangela ukuba igazi lihlangane emilenzeni yakho. Oku kubangela ukwehla kancinci kokuhamba kwegazi ukuya engqondweni yakho, nto leyo enokubangela isiyezi.
IMidodrine isebenza ngokuqinisa (ukunciphisa) imithambo yegazi emincinci emzimbeni wakho. Njengokuba ukucinezela umbhobho wamanzi kwenza amanzi ahambe ngokukhawuleza, ukuqinisa imithambo yegazi kubangela ukuba igazi lihambe ngoxinzelelo oluphezulu. Oku kunceda ukugcina uxinzelelo lwakho lwegazi lungohli ngequbuliso xa umi ngenyawo. Eli yeza lifumaneka phantsi kwegama le-Orvaten okanye i-ProAmatine.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uqale eli yeza
IMidodrine ayiloyeza elifanele wonke umntu. Kungoko ke, kubaluleke kakhulu ukuba ugqirha wakho ayazi imbali yakho epheleleyo yezonyango ngaphambi kokuba akunike eli yeza. Qiniseka ukuba uxelela ugqirha wakho ukuba unezinye zezi meko zidweliswe ngezantsi.
| Ngaba unale meko? | Kutheni ufanele uxelele? |
|---|---|
| Isifo sentliziyo | Kuba iMidodrine inokuchaphazela izinga lokubetha kwentliziyo. |
| Uxinzelelo lwegazi oluphezulu olukhoyo ngaphambili | Kuba eli yeza linokunyusa uxinzelelo lwegazi nangakumbi. |
| Isifo sezintso | Ngenxa yokuba izintso zisusa amayeza emzimbeni, iziphumo zamayeza zinokutshintsha ukuba izintso azisebenzi kakuhle. |
| I-thyroid esebenza kakhulu | Le meko inokunyusa uxinzelelo lwegazi kunye nesantya sentliziyo. |
| Ubunzima bokuchama | IMidodrine ingayenza ibe mandundu le meko. |
| I-Pheochromocytoma | Eli lithumba elivela kwi-adrenal gland, kwaye eli yeza alifanelekanga kuba linokubangela uxinzelelo lwegazi oluphezulu. |
| Ukukhulelwa okanye ukuzama ukukhulelwa | Ufanele uxoxe nogqirha wakho ngemiphumo enokubakho kwimveku engekazalwa. |
| Ukuncancisa | Buza ugqirha wakho malunga nokuba iyeza lidluliselwa na kumntwana wakho ngobisi lwebele. |
| Ukunganyamezelani kwamanye amayeza, ukutya, okanye idayi | Kunokuba yingozi ukuba une-allergy kwiyeza okanye izithako zalo. |
Iyeza lifanele lisetyenziswe ngendlela eyiyo.
Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngqo malunga nendlela yokusebenzisa eli yeza.
- Sela eli yeza neglasi yamanzi.
- Okubaluleke kakhulu: Musa ukuthatha idosi yakho yokugqibela yamayeza ngosuku emva kwesidlo sangokuhlwa okanye ngaphantsi kweeyure ezi-4 ngaphambi kokulala.
- Musa ukulala phantsi ixesha elide emva kokusela eli yeza. Oku kuthetha ukuba musa ukubukela iTV okanye ukufunda incwadi ngelixa uhleli phantsi.
kutheni kunjalo?Xa ulele phantsi, isenzo seMidodrine sinokubangela ukuba uxinzelelo lwakho lwegazi lunyuke ngokungeyomfuneko. Oku kubizwa ngokuba yi-supine hypertension. Ngoko ke, kufuneka uthathe eli yeza kuphela ngamaxesha osuku xa usebenza, uhamba, okanye umi.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba uphoswe yidosi, yithathe ngokukhawuleza xa ukhumbula. Nangona kunjalo, ukuba sele kuza kufuneka uyithathe idosi elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe iidosi ezimbini ngaxeshanye.
Kuthekani ukuba ndithatha amayeza amaninzi kakhulu?
Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoison kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli yeza lelakho wedwa. Ungaze wabelane ngeyeza lakho nabanye abantu.
Amanye amayeza anokusebenza kunye nale mayeza
IMidodrine liyeza elinokusebenzisana namanye amayeza, ngoko ke kufuneka uxelele ugqirha wakho ngawo onke amayeza owasebenzisayo (kuquka iivithamini kunye namayeza esintu).
| Musa ukuthatha iMidodrine kunye nale yeza. | |
|---|---|
| Ii-MAOI (udidi lwamayeza asetyenziselwa ukunyanga isifo sengqondo) | Ii-alkaloids ze-Ergot (amayeza asetyenziselwa ukunyanga iintloko ezibuhlungu) |
| Amanye amayeza omkhuhlane kunye nobunzima bokuphefumla | Amanye amayeza okunciphisa umzimba |
| Ukuba usebenzisa la mayeza, thetha nogqirha wakho. | |
| I-Digoxin, i-Flecainide (yesifo sentliziyo) | I-Fludrocortisone (iyeza lehomoni) |
| I-Metformin (yesifo seswekile) | Ii-Alpha-blockers (amayeza esifo se-prostate kunye noxinzelelo lwegazi oluphezulu) |
| I-Cimetidine, iRanitidine (yesifo se-gastritis) | Amanye amayeza amaninzi... |
Olu luhlu aluphelelanga. Kungoko ke , kubaluleke kakhulu ukuxelela ugqirha wakho malunga nawo onke amayeza owasebenzisayo, nokuba uyatshaya okanye usela utywala .
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Bona ugqirha wakho ngemihla emiselweyo ukuze ajonge inkqubela yakho. Uyakwazi ukujonga uxinzelelo lwakho lwegazi aze agqibe kwelokuba kufuneka kulungiswe na umthamo wamayeza akho.
- Ukozela kunye nesiyezi: Eli yeza linokukwenza uzive ulele kwaye unesiyezi. Ngoko ke, musa ukwenza nantoni na efuna ukuphaphama, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba iyeza likuchaphazela njani.
- Musa ukuvuka ngokukhawuleza: Musa ukuma okanye ukuhlala phantsi ngequbuliso. Ingakumbi ukuba ukhulile, tshintsha indlela ohlala ngayo kancinci kancinci. Oku kuya kunciphisa umngcipheko wokuba nesiyezi kunye nokuwa.
- Umlomo owomileyo: Umlomo wakho ungavakala ngathi womile. Ukuhlafuna itshungama engenaswekile nokusela amanzi amaninzi kunokunceda.
- Ukusela amayeza kwezinye izifo: Musa ukusela amayeza okukhwehlela, umkhuhlane, okanye eentlungu ngaphandle kwemvume kagqirha wakho. Amanye ala mayeza anokunyusa uxinzelelo lwegazi.
Zithini iziphumo ebezingalindelekanga ezinokubakho zeyeza?
Njengayo nayiphi na imithi, iMidodrine inokubangela iziphumo ebezingalindelekanga. Ezinye zazo zimbi kakhulu, ezinye azimbi kangako.
| Ukuba ufumana ezi mpawu, xelela ugqirha wakho ngoko nangoko. | |
|---|---|
| Intloko ebuhlungu kakhulu, ikhala ezindlebeni | Ukubetha kwentliziyo okukhawulezayo, okungaqhelekanga, okanye iintlungu zesifuba |
| Umbono ofipheleyo | Ukuqhambuka kwesikhumba, amaqhuqhuva |
| Ukuba ezi mpawu ziyaqhubeka okanye ziyakukhathaza, xelela ugqirha wakho. | |
| Amaqhubu eehagu | Ukurhawuzelela entlokweni okanye eluswini |
| Ulusu olurhawuzelelayo | Ukudinga rhoqo ukuchama |
| Ukubanda komzimba (Ukugodola) | Intlungu yesisu |
Ukuba ufumana naziphi na ezinye iimpawu ezingakhankanywanga kolu luhlu, thetha nogqirha wakho ngazo.
Ndingaligcina njani iyeza?
Ukugcina amayeza ngokufanelekileyo nako kubaluleke kakhulu.
- Gcina kude nabantwana.
- Gcina kubushushu begumbi (phakathi kwe-15-30 degrees Celsius). Khusela kubushushu obugqithisileyo kunye nokufuma.
- Lahla amayeza aphelelwe lixesha.
Umyalezo Wokuya Ekhaya
- IMidodrine liyeza elisetyenziselwa ukulawula isiyezi (i-orthostatic hypotension) eyenzeka xa umi uhleli.
- Umthetho oyintloko nobaluleke kakhulu ngale mithi kukuba ungalali ixesha elide emva kokuyisela. Thatha idosi yokugqibela yosuku ubuncinane iiyure ezi-4 ngaphambi kokulala.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo kunye nazo naziphi na izifo onazo.
- Ukuba ufumana iimpawu ezifana neentloko ezibuhlungu kakhulu kunye nentlungu yesifuba, ezi zinokuba ziimpawu zoxinzelelo lwegazi oluphezulu. Ukuba oku kuyenzeka, funa ingcebiso kagqirha ngokukhawuleza.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo rhoqo. Musa ukuyeka ukuthatha amayeza akho okanye utshintshe umthamo ngokwakho.
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