Singayazi yini inhlanganisela yemithi emithathu (i-Amlodipine, i-Valsartan, i-Hydrochlorothiazide/HCTZ) oyithathayo ngenxa yomfutho wegazi lakho?

Ingabe nawe unomfutho wegazi ophakeme, okungukuthi, umfutho wegazi ophakeme? Ngezikhathi ezinjalo, odokotela basinikeza izinhlobo ezahlukene zemithi, akunjalo? Ngezinye izikhathi, lapho kunzima ukulawula umfutho ngomuthi owodwa kuphela, kufanele kunikezwe inhlanganisela yemithi eminingana. Namuhla, sizokhuluma ngenhlanganisela yemithi emithathu enjalo. Lokhu kuqukethe i-Amlodipine, i-Valsartan, ne-Hydrochlorothiazide , ngezinye izikhathi ebizwa ngokuthi i-HCTZ .

Uyini lomuthi? Kalula nje...

Kulungile, ake sibone ukuthi kwenzekani ngokuhlanganiswa kwale mithi emithathu. Kalula nje, lo umuthi we-High Blood Pressure , okungukuthi, umuthi olawula ukucindezeleka kwakho. Kuthiwa kunezinhlobo ezintathu zemithi yalokhu. Yilezi:

1. I-Amlodipine: Lokhu kungokwesigaba semithi ebizwa ngokuthi ama-calcium channel blockers . Isebenza ngokwandisa imithambo yegazi yakho nokusiza ukugeleza kwegazi kalula. Lokhu kuvumela inhliziyo ukuthi ipompe igazi kalula, okwehlisa umfutho wegazi.

2. I-Valsartan: Lona umuthi osekilasini le-Angiotensin II Receptor Blocker . Lokhu kusebenza futhi ngokuvimbela ukuminyana kwemithambo yegazi, ukuyiphumuza nokwehlisa umfutho wegazi.

3. I-Hydrochlorothiazide (HCTZ): Lokhu kuyi- diuretic , okusho ukuthi isebenza ngokukhipha amanzi amaningi nosawoti emzimbeni ngomchamo, ngaleyo ndlela yehlise umfutho wegazi.

Igama lomkhiqizo elidumile lale nhlanganisela yemithi yi- Exforge HCT . Kodwa-ke, udokotela wakho kungenzeka ukuthi ukunike lo muthi ngesinye isizathu. Ngakho-ke uma unemibuzo, buza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa lo muthi, kunezinto okufanele uzitshele udokotela wakho. Ngoba lolo lwazi luzobasiza ukuthi banqume ukuthi lo muthi ukulungele yini noma cha, nokuthi bangakunika malini.

Uma unezinye zalezi zimo, qiniseka ukuthi utshela udokotela wakho :

• Ukwehla kokukhishwa komchamo .
• Uma unesifo sikashukela (i-Diabetes Mellitus) .
• Uma unesifo senhliziyo, usanda kuhlaselwa yinhliziyo, noma unezinye izifo zenhliziyo .
• Uma udla ukudla okukhethekile , isibonelo , ukudla okunosawoti omncane .
• Uma unezinkinga zesimiso somzimba sokuzivikela , isibonelo , i-lupus .
• Uma unesifo sezinso .
• Uma unesifo sesibindi .
• Uma uke waba nokusabela okungavamile kokungezwani komzimba ne-amlodipine, i-valsartan, i-hydrochlorothiazide, imithi ye-sulfa, eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uhlela ukukhulelwa , lokhu kubaluleke kakhulu!
• Uma uncelisa .

Ngokutshela udokotela wakho lezi zinto, unganciphisa ukukhathazeka okuningi okungadingekile.

Uyisebenzisa kanjani le mithi ngendlela efanele?

Kulungile, manje ake sibone ukuthi singawuthatha kanjani lo muthi.

• Lomuthi kufanele uphuzwe ngomlomo .
• Thatha umuthi wakho njengoba nje udokotela wakho ekutshelile, ngesikhathi esifanayo nsuku zonke . Landela imiyalelo eselebula likadokotela ngqo.
• Ungayithatha lokhu nokudla noma ngaphandle kokudla . Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuyithatha nokudla.
• Qhubeka uthatha umuthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungayeki ngokuzumayo.

Uma unikeza izingane lo muthi, kufanele ukhulume nodokotela wakho ngawo futhi uthole iseluleko esikhethekile.

Okubaluleke kakhulu: Uma ucabanga ukuthi uphuze kakhulu lo muthi, shayela isikhungo sokulawula ubuthi noma igumbi lezimo eziphuthumayo ngokushesha. Lokhu akuwona umdlalo.

Okunye: Lomuthi ungowakho kuphela . Ungabaniki abangani bakho noma umndeni wakho lomuthi, noma ngabe banezinkinga ezifanayo nezakho. Umuthi ofanele umuntu ngamunye uhlukile.

Wenzani uma uphuthelwa isikhathi sakho sokuya emtholampilo?

Awu, ukhohliwe yini ukuphuza umuthi wakho? Uma kunjalo, thatha ngokushesha nje lapho ukhumbula . Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa (Ungathathi imithamo ephindwe kabili noma eyengeziwe).

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Eminye imithi, ukudla, noma ezinye izinto ozithathayo zingase "zisebenzisane" nalo muthi. Okusho ukuthi, zingase zithinte indlela osebenza kahle ngayo, futhi zingase zandise nemiphumela emibi. Ngakho-ke, kubaluleke kakhulu ukutshela udokotela wakho ngakho konke okuthathayo.

Nazi ezinye izinto lo muthi ongase uhlangane nazo:

• Utshwala
• Ama-Barbiturates, uhlobo lwe-sedative, njenge -phenobarbital
• I-Carbamazepine (umuthi osetshenziselwa ukwelapha ezinye izinhlobo zesifo sokuwa)
• I-Cidofovir (umuthi wokutheleleka ngegciwane)
• Amanye ama-diuretics , njenge- triamterene, i-spironolactone, noma i-amiloride
• I-Dofetilide (umuthi wokwelapha izinkinga zesigqi senhliziyo)
• I-Lithium ( umuthi wesifo sengqondo)
• Eminye imithi yokwelapha umfutho wegazi
• Imithi yesifo sikashukela
• Ama-NSAID , imithi yobuhlungu kanye nemithi yokulwa nokuvuvukala, njenge- ibuprofen noma i-naproxen
• Usawoti we-potassium noma izithasiselo ze-potassium
• Imithi yobuhlungu enikezwa ngodokotela
• Iziphumuli zemisipha yamathambo , isibonelo , i-Tubocurarine
• Eminye imithi yokwehlisa i-cholesterol , isibonelo , i-cholestyramine noma i-colestipol
• Imithi ye-steroid , njenge- Prednisolone noma i-Cortisone
• I-Tranylcypromine (umuthi wokucindezeleka)

Lolu hlu lungase lungafaki konke. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (imithi kadokotela, ethengiswa ngaphandle kwemithi kadokotela, imithi yamakhambi, amavithamini, noma izithasiselo zokudla), kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nalo muthi.

Izinto okufanele uziqaphele lapho uthatha lo muthi

Ukuze uqinisekise ukuphepha kwakho futhi uthole okuningi ngemithi ngenkathi uthatha lo muthi, kunezinto ezimbalwa okufanele uzazi.

• Bona udokotela wakho njalo: Yiya emtholampilo nodokotela wakho ngezinsuku ezihleliwe ukuze uhlole intuthuko yakho. Hlola umfutho wegazi lakho njalo . Buza ukuthi umfutho wegazi lakho kufanele ube yini nokuthi kufanele ukhulume nini nodokotela wakho .
• Phuza amanzi amaningi futhi ugweme ukuphelelwa amanzi emzimbeni: Buza udokotela wakho ukuthi kufanele uphuze amanzi angakanani nsuku zonke. Khuluma nodokotela wakho uma unesifo sohudo esibi, isicanucanu, ukuhlanza, noma ukujuluka ngokweqile . Kungaba yingozi ukuphuza lo muthi uma uphelelwa amanzi emzimbeni kakhulu.
• Abesifazane abakhulelwe nalabo abazama ukukhulelwa: Uma ukhulelwe noma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha . Lo muthi ungaba nemiphumela emibi kakhulu enganeni yakho engakazalwa.Ungakwazi. Buza udokotela wakho noma usokhemisi ukuze uthole ulwazi olwengeziwe ngalokhu.
• Ukozela noma isiyezi: Ungase uzizwe ulele noma unesiyezi lapho uthatha lo muthi. Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lo muthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile . Lokhu kuzonciphisa ingozi yokuba nesiyezi nokuwa.
• Utshwala: Utshwala bungaphazamisa ukusebenza kwalomuthi. Ngakho-ke, gwema ukuphuza utshwala .
• Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini lakho . Uma unesifo sikashukela, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini.
• Izinto ezithatha usawoti: Ungasebenzisi izinto ezithatha usawoti ngaphandle kokuthi uqondiswe udokotela noma umhlinzeki wezempilo.
• Ingozi yomdlavuza wesikhumba: Khuluma nodokotela wakho ngengozi yakho yomdlavuza wesikhumba. Le ngozi inganda kancane ngenkathi uthatha lo muthi.
• Ukuzwela elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni . Ngakho-ke gwema ukuchayeka elangeni ngangokunokwenzeka. Uma kufanele uphume elangeni, gqoka izingubo zokuzivikela, izibuko zelanga, kanye ne-sunscreen . Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Umuthi wokukhwehlela, umkhuhlane, noma ubuhlungu: Buza udokotela wakho noma usokhemisi ngaphambi kokuthatha noma yimuphi omunye umuthi wokukhwehlela, umkhuhlane, noma ubuhlungu ngenkathi uthatha lo muthi. Eminye imithi ingakhuphula umfutho wegazi lakho.
• Ukuhlinzwa noma i-Dialysis: Uma uzohlinzwa noma i-dialysis , tshela udokotela wakho ukuthi uthatha lo muthi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi. Eminye iyingozi futhi kufanele ibikwe kudokotela wakho ngokushesha. Eminye ayibi kakhulu kangako, kodwa uma iqhubeka futhi iba yinkinga, kufanele utshele udokotela wakho .

Imiphumela emibi okufanele uyitshele udokotela wakho ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, xhumana nodokotela ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba - ukuqubuka kwesikhumba, ukulunywa noma ukuqhuma, ukuvuvukala kobuso, izindebe, noma ulimi
• Izinkinga zokuphefumula
• Izinguquko embonweni
• Ubuhlungu besifuba
• Ukudideka
• Umchamo omnyama
• Ubuhlungu bamehlo
• Ukushaya kwenhliziyo okusheshayo, okungajwayelekile
• Ukuzizwa ubuthakathaka noma unekhanda elibuthakathaka, uyawa
• Umfutho wegazi ophansi (isiyezi, ikhanda elincane)
• Ukuqaqamba kwemisipha
• Ukubomvu, ukuqubuka, ukuxebuka noma ukukhululeka kwesikhumba, kufaka phakathi nangaphakathi komlomo - nakho kungavela ngaphakathi komlomo.
• Izimpawu zoshukela ophezulu egazini - ukuzizwa womile noma ulambile kakhulu kunokujwayelekile, udinga ukuchama kaningi. Ungase uzizwe ukhathele kakhulu noma ungaboni kahle.
• Ubuhlungu besisu
• Ukuvuvukala kwezandla, amaqakala, noma izinyawo
• Ubunzima bokuchama noma ukushintsha inani lomchamo
• Ubuhlungu obandayo be-gout
• Ukuphuzi kwamehlo noma isikhumba (i-Jaundice)

Imiphumela emibi ongayidingi ukutshela udokotela wakho (kodwa uma iqhubeka futhi ikhathaza, mtshele):

Lezi zivame ukuphela ezinsukwini ezimbalwa. Kodwa uma ziqhubeka, noma uma zikukhathaza kakhulu, tshela udokotela wakho :

• Ushintsho ekuthandweni kobulili noma ekusebenzeni
• Ukukhwehlela ( ngezinye izikhathi kungase kube nokukhwehlela okomile)
• Uhudo
• Ukuhlanzeka kobuso, isikhumba (nomuzwa wokufudumala)
• Ikhanda elibuhlungu
• Isicanucanu, ukuhlanza
• Igesi yesisu, ubuhlungu
• Ubuthakathaka noma ukukhathala

Akuzona zonke imiphumela emibi ebhalwe kulolu hlu engenzeka. Uma uhlangabezana nanoma yini engavamile ngaphezu kwalokhu, khuluma nodokotela wakho ngalokho futhi.

Ngingawugcina kuphi lo muthi?

Kubaluleke kakhulu futhi ukugcina imithi yakho ngendlela efanele.

• Yigcine kude nezingane nezilwane ezifuywayo. Lokhu kubaluleke kakhulu!
• Gcina endaweni yokushisa yegumbi , okungukuthi, phakathi kwama-degree Celsius angu-20 no-25 (68 no-77 Fahrenheit).
• Vikela umswakama. Lokho kusho ukuthi ungayigcini ezindaweni ezimanzi njengendlu yokugezela.
• Gcina ibhodlela/iphakethe lemithi livaliwe kahle.
• Lahla umuthi ophelelwe yisikhathi. Ungawusebenzisi.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

Sithemba ukuthi uzothola lokho esikuxoxile kuwusizo. Le nhlanganisela yemithi , i-Amlodipine, i-Valsartan, kanye ne-Hydrochlorothiazide (HCTZ), isiza ukulawula umfutho wegazi ophakeme.

Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo lapho usebenzisa lo muthi, ukutshela udokotela wakho nganoma yiziphi ezinye izifo onazo, noma yimiphi eminye imithi oyiphuzayo, nokwazisa udokotela wakho uma uhlangabezana nanoma yimiphi imiphumela emibi.

Lesi sihloko siyisifinyezo nje. Uma uneminye imibuzo mayelana nalo muthi, sicela ungangabazi ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Impilo yakho ibalulekile!

I- Amlodipine, i-Valsartan, i-Hydrochlorothiazide, i-HCTZ, Umfutho Wegazi Ophakeme, Imithi Yomfutho Wegazi, i-Exforge HCT