Uxinzelelo lwegazi oluphezulu, okanye njengoko sonke sisazi, "uxinzelelo," yimeko eqhelekileyo yempilo phakathi kwabantu abaninzi kwilizwe lethu. Ngamanye amaxesha kunzima ukulawula uxinzelelo ngeyeza elinye kuphela. Kwiimeko ezinjalo, ugqirha wakho unokukunika indibaniselwano yamayeza amabini okanye ngaphezulu. Namhlanje, siza kuthetha ngenye indibaniselwano esetyenziswa rhoqo yamayeza amabini, iTelmisartan kunye neAmlodipine.
Kalula nje, loluphi uhlobo lonyango olu?
Ndithe le yindibaniselwano yeentlobo ezimbini zamayeza. Makhe sijonge ukuba zeziphi ezo ntlobo zimbini kunye nendlela eziwuchaphazela ngayo umzimba.
1. I-Telmisartan: Le yiklasi yamayeza abizwa ngokuba yi-"Angiotensin II receptor blockers". Ngamafutshane, ikhemikhali ebizwa ngokuba yi-angiotensin II emzimbeni wethu ibangela ukuba imithambo yegazi yethu (imithambo yegazi) inciphe. Njengokuba ukucinezela umbhobho wamanzi kwenza amanzi ahambe ngokukhawuleza, xa imithambo yegazi incipha, uxinzelelo lwegazi oluhamba ngayo luyanda. Eli yeza elibizwa ngokuba yi-telmisartan liyayimisa loo khemikhali ukuba ingasebenzi. Emva koko imithambo yegazi ikhululekile kwaye iphumle, ukuze igazi likwazi ukuhamba ngokulula. Oku kunciphisa uxinzelelo.
2. I-Amlodipine: Le yinxalenye yeqela elibizwa ngokuba yi-"Calcium channel blocker". Oku kusebenza nangokuphumza imithambo yegazi, kodwa ngendlela eyahlukileyo. Eli yeza lithintela ukungena kwe-calcium kwiindonga zemithambo yegazi nakwimisipha yentliziyo. Xa i-calcium inciphile, ukufinyela kwemisipha nako kuyancipha. Oku kubangela ukuba imithambo yegazi iphumle ngakumbi, okuvumela intliziyo ukuba ipompe igazi ngokulula.
Ngoko ke xa la mayeza mabini edityanisiwe, iziphumo ezilungileyo zihlala zifumaneka kuba zilawula uxinzelelo lwegazi ngeendlela zombini. Eli yeza likwafumaneka kwimarike phantsi kwegama le-Twynsta.
Izinto ekufuneka uzixelele ugqirha wakho ngaphambi kokuba usebenzise eli yeza
Kubalulekile ukuba ugqirha wakho ayazi kakuhle imbali yakho yempilo ngaphambi kokuba akunike eli yeza. Qiniseka ukuba umxelele ngayo nayiphi na kwezi meko zilandelayo, ingakumbi ukuba unayo:
- Isifo sentliziyo: Ukuba ukhe wahlaselwa yintliziyo ngaphambili, wakha wamelwa yintliziyo, okanye wakha wanesinye isifo sentliziyo.
- Isifo sezintso: Ukuba unesifo sezintso.
- Isifo sesibindi: Ukuba unesifo okanye ubuthathaka besibindi, kuba isibindi sidlala indima ebalulekileyo ekususeni eli yeza emzimbeni.
- Iingxaki zokunganyamezelani komzimba:Sixelele ukuba unayo nayiphi na i-allergies kula mayeza mabini (iTelmisartan, iAmlodipine), amanye amayeza, ukutya, okanye izithinteli.
- Ukukhulelwa: Oku kubaluleke kakhulu ukuba ukhulelwe, uzama ukukhulelwa, okanye ukrokrela ukuba ukhulelwe . Eli yeza linokubangela ingozi enkulu kusana olungekazalwa.
- Ukuba ungumama oncancisayo: Kwazise nogqirha ukuba ungumama oncancisayo.
Ndingayisebenzisa njani le mithi?
- Umlinganiselo ochanekileyo: Sebenzisa umthamo ochanekileyo njengoko ugqirha wakho ewuchazile. Ungaze unciphise, wandise, okanye uyeke umthamo nangaliphi na ixesha.
- Ixesha eliqhelekileyo: Ziqhelise ukusela amayeza akho ngexesha elifanayo yonke imihla. Oku kuya kwenza kube lula ukuba ulibale ukuwasela amayeza akho kwaye kuya kunceda ukugcina amanqanaba afanayo amayeza emzimbeni wakho.
- Nokuba utya okanye awutyanga: Eli yeza lingasetyenziswa ngaphambi okanye emva kokutya. Nangona kunjalo, abanye abantu banokufumana ukungakhululeki esiswini xa besitya kunye nokutya.
- Ukuba ulibele: Ukuba ulibele ukusela ipilisi, yisele kwangoko xa ukhumbula. Nangona kunjalo, ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo. Musa ukuthatha iipilisi ezimbini ngaxeshanye (idosi ephindwe kabini) nangasiphi na isizathu.
- I-Overdose: Ukuba ucinga ukuba uthathe amayeza amaninzi kakhulu, fowunela iZiko loLwazi lweePoisons kwiSibhedlele sikaZwelonke saseColombo ngoko nangoko, okanye uye kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane.
Eyona nto ibalulekileyo kukuba eli yeza limiselwe wena wedwa. Musa ukunika eli yeza nabani na oneempawu ezifana nezakho.
Ezinye izinto ezinokusebenzisana nale mithi
Kubalulekile ukuxelela ugqirha wakho ukuba usebenzisa amanye amayeza, iivithamini, okanye iimveliso zezityalo (ezifana namayeza e-Ayurvedic, ii-decoctions) ngelixa usebenzisa eli yeza. Ezinye izinto zinokudibana neli yeza kwaye zibangele iziphumo ezibi.
| Izinto ezinokubangela iingxaki | Ingcaciso elula |
|---|---|
| Izongezo zePotassium | Eli yeza linokunyusa amanqanaba e-potassium emzimbeni. Ukuthatha i-potassium kwimithombo yangaphandle kunokunyusa loo manqanaba ngendlela eyingozi. |
| Izinto ezithatha indawo yetyuwa | Izinto ezininzi ezithatha indawo yetyuwa zine-potassium chloride, ngoko ke ziphephe ezi. |
| Ezinye iziyobisi zomchamo | Ezinye ii-diuretics, ezaziwa ngokuba 'ziipilisi zamanzi', zinokuchaphazela amanqanaba e-potassium. |
| Amanye amayeza oxinzelelo lwegazi | Ukuyisebenzisa kunye neminye imithi yoxinzelelo lwegazi kunokubangela ukuba uxinzelelo lwegazi lwakho lwehle kakhulu. |
| Izinto ezifana neRifampin, iSt. John's Wort | Ezi zinto zinokunciphisa ukusebenza kweTelmisartan/Amlodipine. |
Iziphumo ebezingalindelekanga ezinokubakho xa uthatha iyeza
Njengalo naliphi na iyeza, eli yeza linokubangela iziphumo ebezingalindelekanga kwabanye abantu. Ezinye zezi azibalulekanga kangako, kodwa ezinye zifuna ingqalelo ekhawulezileyo.
| Imiphumela | Inkcazo |
|---|---|
| Iziphumo ebezingalindelekanga ezinzulu ekufuneka zixelwe kugqirha wakho ngoko nangoko | |
| Ukwaliwa kakhulu | Ukurhawuzelela kwesikhumba, ukurhawuzelela, ukudumba kobuso, imilebe okanye ulwimi, ubunzima bokuphefumla. |
| Isiyezi/isiyezi | Amehlo aluhlaza okwesibhakabhaka, isiyezi, kunye nokuquleka (ingakumbi xa uvuka). |
| Iintlungu zesifuba | Intlungu yesifuba entsha okanye eyandayo. |
| Ukudumba | Ukudumba kwezandla, amaqatha, okanye iinyawo. |
| Utshintsho kwisantya sentliziyo | Ukuziva ngathi intliziyo yakho ibetha ngokukhawuleza okanye ngendlela engaqhelekanga. |
| Utshintsho ekuchameni | Ubunzima bokuchama okanye ukuncipha kokuphuma komchamo. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga, kodwa kufuneka zixelwe kugqirha ukuba ziyaqhubeka | |
| Ukukhwehlela | Abanye abantu banokuba nokukhwehlela okomileyo. |
| Intloko ebuhlungu | Inokwenzeka kwangethuba xa iyeza lisetyenziswa. |
| Ukungonwabi kwesisu | Igesi , ukudumba, isicaphucaphu. |
| Ukudinwa/ukudinwa | Ukuziva ungonwabanga emzimbeni. |
Ezinye izinto ekufuneka uziqwalasele xa usebenzisa iyeza
- Ukudinwa: Eli yeza linokukwenza uzive ulele okanye unesizungu. Ngoko ke, ziphephe izinto ezifuna ulumke, njengokuqhuba okanye ukusebenzisa oomatshini, ude wazi ukuba eli yeza likuchaphazela njani. Sukuma kancinci, ingakumbi ukuba ukhulile, xa uvuka ebhedini okanye esitulweni.
- Utywala: Ukusela utywala kunokunyusa isiyezi esibangelwa yile mithi kwaye kubangele ukwehla okungeyomfuneko koxinzelelo lwegazi. Ngoko ke, bubulumko ukuphepha utywala.
- Utyando: Ukuba uza kwenza naluphi na utyando, qiniseka ukuba wazisa ugqirha kunye nogqirha we-anesthesiologist ukuba usebenzisa la mayeza.
Umyalezo Wokuya Ekhaya
- Thatha eli yeza kanye njengoko ugqirha wakho ekuyalele, ngexesha elifanelekileyo, nangedosi efanelekileyo.
- Ungaze uyeke ukuthatha amayeza okanye utshintshe umthamo ngaphandle kwengcebiso kagqirha.
- Xelela ugqirha wakho ngazo zonke ezinye iziyobisi ozisebenzisayo (kuquka ne-Ayurvedic) kunye nazo naziphi na iingxaki zempilo onazo.
- Ukuba ukhulelwe, uzama ukukhulelwa, okanye uncancisa, kubalulekile ukwazisa ugqirha wakho ngaphambi kokuba usebenzise eli yeza.
- Funa uncedo lwezonyango ngokukhawuleza ukuba ufumana naziphi na iziphumo ebezingalindelekanga ezinje ngokudumba kobuso, amalungu omzimba, iintlungu zesifuba, okanye isiyezi esigqithisileyo.
- Linganisa uxinzelelo lwakho lwegazi ekhaya kwaye uhlale unxibelelana rhoqo nogqirha wakho.
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