Umfutho wegazi ophakeme, noma njengoba sonke sazi, "umfutho wegazi" uyinkinga evamile yezempilo phakathi kwabantu abaningi ezweni lethu namuhla. Ngakho-ke, udokotela wakho ukunikeze umuthi wokulawula lesi simo. Namuhla sizokhuluma ngomuthi okhethekile onikezwa umfutho onjalo, owakhiwe yinhlanganisela yemithi emibili. Lokho kuyinhlanganisela yemithi emibili ebizwa ngokuthi i-Azilsartan ne-Chlorthalidone.
Uhlobo luni lomuthi? Kwenzekani ngempela?
Kalula nje, lokhu kusiza ukulawula umfutho wegazi wakho ngezindlela ezimbili. Kunezinto ezimbili ezahlukene eziqukethwe kuleli philisi.
1. I-Azilsartan (lolu uhlobo lomuthi i-ARB): Lokhu kusebenza ngokwandisa nokukhulula imithambo yegazi (amashubhu athwala igazi) emzimbeni wakho. Cabanga ukuthi lapho ipayipi lamanzi livalekile, amanzi ageleza ngamandla kakhulu, okungukuthi, ngomfutho ophezulu. Njengoba nje uma wenza ipayipi libe likhulu kancane, umfutho wamanzi uyancipha, lapho imithambo yegazi ikhula, igazi lingageleza ngaphandle kokuvaleka, ngomfutho ophansi. Lokhu kwehlisa umfutho wegazi lakho.
2. I-Chlorthalidone (i-diuretic): Lo muthi usebenza ngokukhombisa izinso zakho ukuthi zikhiphe amanzi nosawoti omningi ngomchamo. Uma umzimba wakho ulahlekelwa uketshezi, umthamo wegazi emithanjeni yakho yegazi nawo uyancipha. Lesi esinye isizathu esikhulu somfutho wegazi ophansi.
Ngakho-ke ngenxa yokuthi zombili lezi zindlela zisebenza ndawonye, lo muthi usebenza kahle kakhulu ekulawuleni umfutho wegazi ophakeme.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokukunikeza lo muthi, kubalulekile ukuthi udokotela wakho azi ngesimo sakho sempilo esiphelele. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
| Isimo okufanele sikhathazeke ngaso | Kungani kufanele unikeze ulwazi? |
|---|---|
| Ukukhulelwa, ukuzama ukukhulelwa, noma ukuncelisa | Lokhu kubaluleke kakhulu. Lo muthi ungalimaza kakhulu ingane engakazalwa. |
| Isifo sezinso noma sesibindi | Njengoba lo muthi ukhishwa emzimbeni ngezinso nesibindi, kubalulekile ukuqaphela umsebenzi walezi zitho. |
| I-Gout | I-chlorthalidone equkethwe kulo muthi ingakhuphula amazinga e-uric acid egazini futhi ikhulise i-gout. |
| Ukuphelelwa amanzi emzimbeni | Uma umzimba usuvele uphelelwe amanzi emzimbeni, lo muthi ungenza isimo sibe sibi kakhulu. |
| Amazinga aphansi kasawoti njenge-sodium ne-potassium egazini | Ngenxa yokuthi lokhu kuyisidakamizwa sokukhipha isisu, kunganciphisa amazinga kasawoti aphansi kakade. |
| Ukungezwani neminye imithi, ukudla, noma izinto ezithile | Ukuthola ukuthi une-allergy yini kulo muthi noma kunoma yiziphi izithako zawo. |
Ngingawusebenzisa kanjani umuthi?
Ukusetshenziswa okulungile
Thatha lo muthi nengilazi yamanzi. Into ebaluleke kakhulu ukuwuthatha ngesikhathi esifanayo nsuku zonke . Uma ukwenza lokhu kube umkhuba, cishe ngeke ukhohlwe ukuphuza umuthi wakho. Ungawuthatha ngaphambi noma ngemva kokudla. Kodwa-ke, abanye abantu bangase babe nokuphazamiseka kwesisu kancane ngemva kokuthatha lo muthi. Uma lokhu kwenzeka, thatha umuthi kanye nokudla. Qhubeka uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Ungakhathazeki. Thatha umuthi wakho ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo (isb., amahora ambalwa), yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ngephutha uthatha umthamo ongaphezu kobekiwe, ungawuthathi kalula. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uzicabangele lapho uthatha imithi
Isaziso esikhethekile komama abakhulelwe kanye nalabo abanethemba lokukhulelwa:Lo muthi ungalimaza kakhulu ingane engakazalwa uma uthathwa ngesikhathi sokukhulelwa. Uma ukhulelwe, noma uhlela ukukhulelwa maduze, yazisa udokotela wakho ngokushesha bese ucela enye indlela yokwelapha.
- Isiyezi: Ungase uzizwe unesiyezi kancane ezinsukwini ezimbalwa zokuqala ngemva kokuqala lo muthi. Ngakho-ke, kuwukuhlakanipha ukugwema imisebenzi edinga ukuqaphela, njengokushayela, ukusebenza ezindaweni eziphakeme, noma ukusebenzisa imishini, kuze kube yilapho umzimba wakho ujwayela lo muthi. Ikakhulukazi uma ungumuntu osekhulile, sukuma kancane uma uvuka endaweni yokuhlala noma uma uvuka embhedeni. Lokhu kuzonciphisa amathuba okuba nesiyezi nokuwa.
- Utshwala: Ukuphuza utshwala kungandisa isiyezi, ngakho-ke kungcono ukunciphisa noma ukuyeka ngokuphelele ukuphuza utshwala ngenkathi uthatha lo muthi.
- Qaphela elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni kunokujwayelekile (photosensitivity). Ngakho-ke, uma uphuma emini, gqoka izingubo ezimboza isikhumba sakho, gqoka isigqoko, bese usebenzisa umuthi wokuvikela ilanga.
- Amanye amaphilisi okudambisa izinhlungu: Uma udinga ukuthatha umuthi wokukhwehlela, umkhuhlane, noma obunye ubuhlungu, ungawuthathi umuthi ngaphandle kokubonisana nodokotela wakho kuqala. Amanye amaphilisi okudambisa izinhlungu (ikakhulukazi ama-'NSAID' afana ne-Ibuprofen ne-Diclofenac) kanye neminye imithi yokudambisa izinhlungu ingakhuphula umfutho wegazi lakho.
- Izinto Ezithatha Usawoti: Ungasebenzisi izinto ezithatha usawoti ezitholakala emakethe ngaphandle kokubonisana nodokotela wakho. Zingase zibe namazinga aphezulu e-potassium, angase ahlangane nalo muthi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela iyingozi, eminye ivamile. Into ebalulekile ukuqaphela lokhu futhi uthathe isinyathelo ngokushesha uma kuvela izimpawu ezingathi sína.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo, ubunzima bokuphefumula. |
| Ukwehla ngokweqile kwengcindezi | Ukuzungeza okukhulu, ukuzizwa ubuthakathaka, umbono ofiphele. |
| Umphumela ezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Izinguquko emazingeni e-potassium | Ukuqhaqhazela kwemisipha, ukukhathala okungavamile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Ukuvuvukala kwe-Gout | Ubuhlungu obukhulu, ukubomvu, kanye nokuvuvukala, ikakhulukazi emalungeni njengozwane olukhulu. |
| Izinkinga zamehlo | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, noma ukubona indandatho eduze kwezibani. |
| Ngokuvamile akuyona into embi kangako (kodwa tshela udokotela wakho uma iqhubeka) | |
| Imiphumela emibi emincane | Isiyezi, ikhanda elibuhlungu, ukukhathala, isisu esibuhlungu, uhudo. |
Umlayezo Wokuya Nawe Ekhaya
- I-Azilsartan ne-Chlorthalidone ziyinhlanganisela yemithi emibili elawula umfutho wegazi ophakeme.
- Thatha lo muthi ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekuyalele.
- Qiniseka ukuthi utshela udokotela wakho uma ukhulelwe, ucabanga ngokukhulelwa, noma unezinye izimo zezokwelapha (ikakhulukazi isifo sezinso noma sesibindi).
- Isiyezi singase senzeke ngesikhathi sokuqala kokuthatha umuthi, ngakho-ke qaphela lapho wenza imisebenzi edinga ukunakwa.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kobuso, ubunzima bokuphefumula, noma ubuhlungu obukhulu bamalunga.
- Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokubuza udokotela wakho.
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