Ngaba ugqirha wakho ukunike iyeza loxinzelelo lwegazi oluphezulu, ukungasebenzi kakuhle kwentliziyo, okanye ukudumba okubangelwa ziingxaki zesibindi okanye zezintso? Ukuba iyeza libizwa ngokuba yiSpironolactone, eli nqaku liza kuba libaluleke kakhulu kuwe. Siza kuthetha ngale mithi, indlela esebenza ngayo, amanyathelo okuthintela, kunye nemiphumo emibi ngendlela elula neqondakala lula.
Luhlobo luni lonyango lweSpironolactone?
Ngamafutshane, iSpironolactone liyeza elinceda umzimba ukuba ukhuphe amanzi agqithisileyo kunye netyuwa ngomchamo. Ezi sizibiza ngokuba zii-diuretics . Kodwa kukho into ekhethekileyo ngale. Ngokwesiqhelo, xa uthatha olu hlobo lweyeza, iminerali ebizwa ngokuba yi-potassium, ebalulekileyo emzimbeni, nayo iyalahleka emchameni. Kodwa iSpironolactone ayikwenzi oko. Inceda umzimba ukuba ugcine i-potassium oyifunayo ngelixa ususa amanzi agqithisileyo kunye ne-sodium (ityuwa).
Yingakho eli yeza lisetyenziswa kakhulu kwezi meko zilandelayo:
- Uxinzelelo Lwegazi Oluphezulu: Lunceda ekunciphiseni ukugcinwa kolwelo emzimbeni kwaye lunciphise uxinzelelo kwimithambo yegazi.
- Ukusilela kwentliziyo: Kunceda ekunciphiseni umthwalo womsebenzi wentliziyo nokulawula ukuqokelelwa kolwelo (ukudumba) kwizitho ezifana nentliziyo nemiphunga.
- Ukudumba: Kunceda ukulawula ukudumba emilenzeni, ezingalweni, okanye esiswini okubangelwa sisifo sentliziyo, sezintso, okanye sesibindi.
Ngamanye amaxesha oogqirha banokunika eli yeza kwezinye iimeko zonyango. I-CAROSPIR yenye yeempawu zale yeza.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba uthathe amayeza
Ngaphambi kokuba uqale ukusebenzisa iSpironolactone, kubaluleke kakhulu ukunika ugqirha wakho inkcazo epheleleyo yemeko yakho yempilo. Qiniseka ukuba uyamxelela ukuba unayo nayiphi na kwezi meko zingezantsi.
| Imeko eza kuxelwa | Ingcaciso elula |
|---|---|
| Isifo sika-Addison okanye ukungasebenzi kakuhle kwe-adrenal | Eli yeza lisenokungafaneleki kuba litshintsha amanqanaba eehomoni emzimbeni. |
| Amanqanaba aphezulu e-potassium egazini | I-Spironolactone inokunyusa amanqanaba e-potassium ngakumbi, nto leyo enokuba yingozi. |
| Isifo sezintso okanye sesibindi | Ukuba ukusebenza kwezi zitho kuphazamisekile, ukususwa kunye nokusebenza kwesiyobisi emzimbeni kunokutshintsha. |
| Ukunganyamezelani neSpironolactone okanye ezinye izinto | Sixelele ukuba ukhe waba nayo nayiphi na i-allergies kweli yeza ngaphambili, naluphi na olunye unyango, ukutya, okanye izithinteli. |
| Ukukhulelwa okanye ukuzama ukukhulelwa/ukuncancisa | Ngeli xesha, kufuneka uthethe nogqirha wakho malunga nemiphumo yamayeza. |
Ndingayisebenzisa njani le yeza?
Ekubeni eli liyeza elilulwelo (ukumiswa), cinga ngala manqaku xa ulisebenzisa.
- Shukumisa kakuhle: Shukumisa ibhotile yeyeza kakuhle ngaphambi kokusetyenziswa ngakunye , njengoko umgubo weyeza usenokuhlala ezantsi kwebhotile.
- Umlinganiselo ochanekileyo: Sebenzisa isirinji ekhethekileyo yomlomo, ikomityi yeyeza, okanye idropha enikwe ngugqirha wakho ukulinganisa iyeza. Musa ukusebenzisa iitisipuni zasekhaya okanye iipunipuni , kuba azichanekanga.
- Ixesha eliqhelekileyo: Zama ukusela amayeza akho ngexesha elifanayo yonke imihla. Akunamsebenzi nokuba uwasela ngaphambi okanye emva kokutya, kodwa uwasele ngendlela efanayo yonke imihla (umzekelo, ukuba uwasela emva kwesidlo sakusasa yonke imihla, kwenze ngaloo ndlela).
- Musa ukuyeka: Musa ukuyeka ukuthatha amayeza de ugqirha wakho akuxelele ukuba uyeke.
Inqaku Elikhethekileyo: Ukuba unesikrokro sokuba usele eli yeza kakhulu, fowunela iZiko loLwazi lweeTyhefu zeSizwe kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko. Okanye, yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eli yeza limiselwe wena wedwa. Musa ukunika omnye umntu eli yeza, nokuba baneempawu ezifanayo nezakho.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukuthatha idosi, yithathe kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokuthatha idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Ungaze uthathe idosi ephindwe kabini ukuze ubuyisele idosi oyilibeleyo.
Amanye amayeza anokusebenza kunye nale mayeza
Xa usebenzisa i-spironolactone, kubaluleke kakhulu ukuxelela ugqirha wakho malunga nazo zonke ezinye iziyobisi ozisebenzisayo, njengoko ezinye iziyobisi zinokudibana nazo kwaye zibangele iimeko eziyingozi.
| Amayeza angafanele athathwe neSpironolactone | |
|---|---|
| |
| Izinto onokuzisebenzisa ngononophelo kwaye wazise ugqirha wakho ngazo | |
| Izibulali-ntlungu | Ii-NSAID zokunciphisa iintlungu ezifana ne-Aspirin, i-Ibuprofen, ne-Naproxen |
| Amayeza oxinzelelo lwegazi kunye nesifo sentliziyo | Amayeza anjengeBenazepril, iLisinopril, iLosartan, iValsartan |
| Ezinye iziyobisi zomchamo | Amanye amayeza aziwa ngokuba ziipilisi zamanzi |
| Izongezo zePotassium | Iipilisi zePotassium okanye izinto ezithatha indawo yetyuwa |
| Okunye | I-Digoxin, iLithium, iCyclosporine, iTrimethoprim, iCholestyramine, izithibi zegazi (i-heparin, i-enoxaparin), iziphumzi zemisipha zotyando |
Olu luhlu aluphelelanga. Xelela ugqirha wakho malunga nawo onke amayeza, iivithamini, kunye neemveliso zezityalo ozisebenzisayo. Kwakhona, qiniseka ukuba uxelela ugqirha wakho ukuba uyatshaya okanye usela utywala.
Izinto ekufuneka uzilumkele xa usebenzisa amayeza
- Ukuhlolwa rhoqo: Yiya kugqirha wakho ngamaxesha athile uze uzihlole. Uza kuyalela uvavanyo lwegazi ukujonga izinto ezifana namanqanaba e-potassium egazini lakho kunye nokusebenza kwezintso.
- Jonga uxinzelelo lwakho lwegazi: Buza ugqirha wakho ukuba angalulinganisa njani uxinzelelo lwakho lwegazi ekhaya kwaye ukuba lungakanani na umlinganiselo oqhelekileyo.
- Ukuphelelwa ngamanzi emzimbeni: Xelela ugqirha wakho ukuba unesifo sorhudo esinzima, ukuhlanza, okanye ukubila kakhulu. Eli yeza linokuba yingozi ukuba umzimba wakho ulahlekelwa lulwelo oluninzi.
- Amayeza okukhwehlela kunye nomkhuhlane: Musa ukuthenga amayeza okukhwehlela, umkhuhlane, okanye eentlungu kwikhemesti ngaphandle kokubonisana nogqirha. Amanye amayeza anokunyusa uxinzelelo lwegazi.
- Ukudinwa: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke, musa ukuqhuba okanye ukusebenzisa oomatshini ude wazi ukuba eli yeza likuchaphazela njani. Musa ukuma ngequbuliso xa uhleli okanye umile. Lumka ngakumbi ukuba sele ukhulile.
- Utywala: Kuphephe ukusela utywala. Bunokutshintsha imiphumo yamayeza kwaye bunyuse isiyezi.
Zithini iziphumo ebezingalindelekanga ezinokubakho?
Njengayo nayiphi na imithi, iSpironolactone inokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi zinokuba yingozi, ngoko ke kubalulekile ukuba uzazi.
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha ngoko nangoko | |
|---|---|
| Iimpendulo ze-allergy | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe, ulwimi, ubunzima bokuphefumla. |
| Iimpawu zamanqanaba aphezulu e-potassium | Ubuthathaka bemisipha, ukubetha kwentliziyo ngokukhawuleza okanye ngokungangqalanga. |
| Iimpawu zokuthengisa (Ukuphelelwa ngamanzi emzimbeni) | Unxano olugqithisileyo, umlomo owomileyo, ukuquleka, umchamo otyheli okanye omdaka. |
| Iimpawu zomonakalo wezintso | Ukuncipha kokuphuma komchamo, ukudumba kwamaqatha, izandla, neenyawo. |
| Iimpawu zoxinzelelo lwegazi oluphantsi | Ukudinwa, ukuquleka, ukubona izinto ezingaqondakaliyo. |
| Iziphumo ebezingalindelekanga ezihlala zingeyongozi, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Intlungu yebele okanye ukuxinana | Inokwenzeka kubasetyhini nakumadoda. |
| Uphuhliso lwezicubu zebele kumadoda | Oku kubizwa ngokuba yi (Gynecomastia). |
| Umjikelo wenyanga ongaqhelekanga wokuya exesheni | Abafazi banokufumana amabala ngexesha lokuya exesheni. |
| Intloko ebuhlungu, isiyezi | Oku kudla ngokuphela emva kweentsuku ezimbalwa. |
Umyalezo Wokuya Ekhaya
- I-Spironolactone liyeza lokunciphisa i-potassium elisetyenziselwa ukunyanga uxinzelelo lwegazi oluphezulu kunye nokudumba okubangelwa kukugcinwa kolwelo emzimbeni.
- Ngaphambi kokuba uqale amayeza, xelela ugqirha wakho ngazo zonke iimeko zakho zempilo kunye nawo onke amanye amayeza owasebenzisayo.
- Ekubeni eli liyeza elingamanzi, shukumisa kakuhle phambi kokuba ulisebenzise. Sebenzisa umlinganiselo ochanekileyo.
- Ukuba unesizungu esinzima, utshintsho kwisantya sentliziyo, ubuthathaka bemisipha, okanye iimpawu zokunganyamezelani komzimba, xelela ugqirha wakho ngoko nangoko.
- Ukuba usela amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweZityhefu zeSizwe ngoko nangoko okanye uye kwicandelo lezonyango olungxamisekileyo lesibhedlele (ETU) elikufutshane.
- Eli yeza lelakho wedwa. Ungaze wabelane ngalo nabanye.
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