Ingabe nawe unomfutho wegazi ophakeme, noma "umfutho wegazi ophakeme" njengoba sonke sazi? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike imithi. Ngezinye izikhathi, ukuze ulawule kangcono umfutho wegazi lakho, odokotela batusa inhlanganisela yemithi engaphezu kweyodwa. Namuhla, sizokhuluma ngenhlanganisela yemithi emibili enjalo. Lona uqukethe imithi emibili ebizwa ngokuthi i-Bendroflumethiazide kanye ne-Nadolol. Ungase uwazi ngegama lomkhiqizo elithi `(Corzide)`.
Kwenzekani ngempela ngale nhlanganisela yemithi?
Kulula kakhulu ukukuqonda lokhu. Izinhlobo ezimbili zemithi ekulokhu zisiza ukulawula umfutho wegazi lakho ngezindlela ezimbili.
1. I-Bendroflumethiazide: Lokhu kungokweqembu lemithi ebizwa ngokuthi ama-diuretics. Ngokuvamile sibiza lawa ngokuthi “amaphilisi amanzi.” Kalula nje, lo muthi usebenza ngokusheshisa ukukhishwa kwamanzi amaningi kanye nosawoti emzimbeni wakho ngomchamo. Njengoba nje inani lamanzi epayipini lamanzi landa, ingcindezi ekuwo iyanda, nenani loketshezi emithanjeni yethu yegazi liyakhula. Ngakho-ke, ngokunciphisa inani loketshezi oluningi, lo muthi unciphisa ingcindezi emithanjeni yegazi.
2. I-Nadolol: Lokhu kungokwesigaba semithi ebizwa ngokuthi ama-beta-blockers. Isebenza ngokunciphisa ijubane lokushaya kwenhliziyo nokunciphisa umthwalo womsebenzi enhliziyweni. Lokhu kusho ukuthi inhliziyo akudingeki isebenze kanzima ukuze ipompe igazi. Uma inhliziyo isebenza ngokuthula, ingcindezi emithanjeni yegazi nayo iyancipha.
Ngakho-ke, uma lezi zindlela ezimbili zihlanganiswa, zingaba usizo olukhulu ekulawuleni umfutho wegazi ophakeme.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuqala lo muthi, kubaluleke kakhulu ukunikeza udokotela wakho incazelo ephelele yesimo sakho sempilo. Qiniseka ukuthi uyamtshela uma unezinye zezimo ezilandelayo:
| Isimo sakho sempilo | Kungani kubalulekile ukwazisa ngakho? |
|---|---|
| Isifo sikashukela | Lo muthi ungathinta amazinga kashukela egazini futhi ungafihla izimpawu zoshukela ophansi egazini (hypoglycemia). |
| Isifo senhliziyo, umlando wokuhlaselwa yinhliziyo, noma ukushaya kwenhliziyo | Ama-beta-blocker angenza ukushaya kwenhliziyo kube buthakathaka kakhulu, okungase kube kubi kakhulu ezimweni ezikhona. |
| Izifo zamaphaphu ezifana ne-asthma | Lo muthi ngezinye izikhathi unganciphisa imigudu yokuphefumula futhi wenze i-asthma ibe yimbi kakhulu. |
| Isifo sezinso noma sesibindi | Ngenxa yokuthi lezi zitho zihilelekile enqubweni yokukhipha izidakamizwa emzimbeni, uma ukusebenza kwazo kuphazamiseka, umthamo womuthi kungadingeka ushintshwe. |
| Izifo ze-thyroid | Lo muthi ungase ufihle ezinye izimpawu ze-hormone ye-thyroid esebenza ngokweqile (i-hyperthyroidism). |
| Ukungezwani nemithi ye-sulfa, eminye imithi, noma ukudla | Ngenxa yokuthi i-Bendroflumethiazide iyisidakamizwa esihlobene neqembu le-sulfa, kunengozi yokusabela kokungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa | Ngenxa yokuthi lo muthi ungathinta ingane, kubalulekile ukuxoxa ngawo nodokotela. |
Ngiyisebenzisa kanjani ngempela le mithi?
- Zama ukuphuza umthamo owunikeziwe ngesikhathi esifanayo nsuku zonke , njengoba nje udokotela wakho ekuyalile. Uma ukwenza lokhu kube umkhuba, cishe ngeke ukhohlwe ukuphuza umuthi wakho.
- Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu noma ukungakhululeki, kungcono ukuwuthatha kanye nokudla.
- Gwinya iphilisi ngengilazi yamanzi.
Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha lo muthi wedwa ngaphandle kokuthi udokotela wakho akutshele ukuthi uyeke. Uma uyeka ukuthatha lo muthi ngokuzumayo, umfutho wegazi lakho ungakhuphuka ngokuzumayo futhi ungase ubhekane nezimo eziyingozi njengobuhlungu besifuba.
Kuthiwani uma uphuza umuthi omningi kakhulu? (Ukweqisa umthamo)
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Kuthiwani uma ngiphuthelwa umthamo?
Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma kusele amahora ambalwa ngaphambi komthamo wakho olandelayo lapho ukhumbula, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungathathi imithamo emibili ngesikhathi esisodwa nganoma yisiphi isizathu.
Izinto okufanele uzicabangele lapho uthatha imithi
- Hlola njalo: Bona udokotela wakho ngezinsuku ezijwayelekile ukuze uhlole intuthuko yakho. Uma une-blood pressure monitor ekhaya, kala bese uqopha umfutho wegazi lakho njengoba udokotela wakho ekutshela.
- Qaphela ukuphelelwa amanzi emzimbeni: Uma unesifo sohudo, ukuhlanza, noma ukujuluka ngokweqile, ungase ulahlekelwe uketshezi oluningi emzimbeni wakho. Kungaba yingozi ukuthatha lo muthi ngalesi sikhathi. Ngakho-ke, uma ubhekene nesimo esinjalo, shayela udokotela wakho ukuze akunike iseluleko.
- Ukozela kanye nesiyezi: Lo muthi ungenza abanye abantu bazizwe belele noma benesiyezi. Gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma ungumuntu osekhulile, sukuma kancane uma uvuka endaweni yokuhlala noma uma uvuka embhedeni. Lokhu kunganciphisa ingozi yokuba nesiyezi kanye nokuwa.
- Gwema utshwala: Utshwala bungakwenza uzizwe unesizungu futhi ulele, futhi buyalimaza nomfutho wegazi lakho.
- Qaphela lapho uphuma elangeni: Lo muthi ungenza isikhumba sabanye abantu sizwele elangeni. Ngakho-ke, kuwumqondo omuhle ukugqoka isigqoko, izingubo ezinemikhono emide, kanye ne-sunscreen uma uphuma elangeni.
- Imithi yezinye izifo: Ngaphambi kokuba uthenge imithi yokukhwehlela, umkhuhlane, noma ubuhlungu etholakala ngaphandle kwemithi kadokotela ngenkathi uthatha lo muthi, qiniseka ukuthi ubuza udokotela wakho . Ngoba eminye imithi iqukethe izithako ezingakhuphula umfutho wegazi lakho.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi kwabanye abantu. Eminye yayo iyingozi, eminye ivamile.
| Imiphumela emibi kakhulu okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Izimpawu zokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kwezindebe/ulimi/ubuso |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula, ukuqina kwesifuba |
| Izinguquko ekushayeni kwenhliziyo | Ukushaya kwenhliziyo okungajwayelekile, ubuhlungu besifuba |
| Izinkinga zokujikeleza kwegazi | Izandla nezinyawo ezibandayo, eziluhlaza okwesibhakabhaka, noma ezingenamandla |
| Ezinye izimpawu ezinkulu | Ukuphuzi kwamehlo noma isikhumba, ukudikiza kwemisipha ngokweqile, ubunzima bokukhuluma, ubuthakathaka obukhulu |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Uhlelo lokugaya ukudla | Uhudo, isicanucanu |
| Imiphumela yengqondo | Ukucindezeleka, ukukhathala okukhulu |
| Okunye | Ukukhwehlela, izinguquko emsebenzini wobulili |
Umlayezo Wokuya Nawe Ekhaya
- Thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesikhathi osinqunyiwe. Ungayeki ukuwuthatha wedwa umuthi nganoma yisiphi isizathu.
- Ngaphambi kokuqala umuthi, tshela udokotela wakho ngazo zonke ezinye izifo onazo kanye nayo yonke eminye imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi ye-Ayurvedic).
- Qaphela lapho ushayela futhi wenza imisebenzi eyingozi, njengoba kungase kube nesiyezi kanye nokozela lapho uthatha umuthi.
- Qaphela imiphumela emibi engathi sína (ubuhlungu besifuba, ubunzima bokuphefumula, ukusabela okukhulu kokungezwani komzimba). Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
- Ungaphuthelwa ukubona udokotela wakho ngezikhathi zakho ezihleliwe kanye nokuhlolwa komfutho wegazi lakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Isetshenziselwani i-Bendroflumethiazide ne-Nadolol?
Leli iphilisi lokwelapha elihlanganisiwe elisebenza kahle kakhulu elihlanganisa imithi emibili esebenza ngezindlela ezimbili ezahlukene ukulawula umfutho wegazi ophakeme. Esikhundleni sokuthatha amaphilisi amabili ahlukene, leli philisi elilodwa linikeza umzimba imithi enamandla ebizwa ngokuthi i-Bendroflumethiazide (iphilisi lamanzi) kanye ne-Nadolol (i-beta-blocker). Lisetshenziselwa abantu abamfutho wegazi wabo ungancishiswa ngamaphilisi avamile.
💬 Ukuhlanganiswa kwale mithi emibili kungawunciphisa kanjani ngempumelelo umfutho wegazi?
Kufana nokucima umlilo ngokuwuthela amanzi, kodwa futhi kunciphisa umoya-mpilo oya emlilweni! Okokuqala, i-'Bendroflumethiazide' isusa usawoti/i-sodium kanye namanzi amaningi (i-Fluid Volume) emzimbeni wakho ngomchamo (ukwehlisa umfutho wegazi). Ngemuva kwalokho, i-'Nadolol (i-Beta-blocker)' ivimba ama-adrenaline receptors enhliziyweni yakho, yehlisa izinga lokushaya kwenhliziyo yakho futhi yenze isebenze kalula.
💬 Yiziphi izinyathelo zokuphepha/imiphumela emibi okufanele uyiqaphele lapho uthatha la maphilisi (i-Bendroflumethiazide; i-Nadolol)?
Inkinga enkulu yiNadolol! Lokhu kunganciphisa imigudu yokuphefumula emaphashini. Ngakho-ke, 'abantu abane-asthma/ukuphefumula kanzima/i-COPD bangase bacinywe umoya futhi bafe uma bethatha lokhu! (Kuyaphikisana)'. Futhi, i-Bendroflumethiazide ibangela ukuthi umzimba ulahlekelwe yi-potassium uma ikhishwa emchameni, okungabangela ukuqaqamba kwemisipha/ukulahlekelwa izinwele kanye nokukhathala (i-Hypokalemia) (ingakhuphula noshukela egazini kubantu abanesifo sikashukela).
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