Umfutho wegazi ophakeme, noma njengoba sonke sazi, "umfutho wegazi," kuyinkinga yezempilo ethinta abantu abaningi ezweni lakithi. Mhlawumbe udokotela wakho ukunike umuthi walesi simo. Ingabe uke wathola iphilisi eliqukethe inhlanganisela yemithi emibili ebizwa ngokuthi i-Enalapril ne-Hydrochlorothiazide? Uma kunjalo, lesi sihloko sizoba sibaluleke kakhulu kuwe. Namuhla, sizoxoxa ngalo muthi, ukuthi usebenza kanjani, okufanele uqaphele uma uwusebenzisa, kanye nemiphumela emibi engaba khona.
Kalula nje, uyini lo muthi?
Empeleni lokhu kuyinhlanganisela yemithi emibili. Uma ihlangene, le mithi emibili isiza ukulawula umfutho wegazi lakho.
1. I-Enalapril: Lokhu kungokwesigaba semithi ebizwa ngokuthi i-ACE inhibitors . Cabanga ngemithambo yegazi emzimbeni wakho njengamapayipi athwala amanzi. Uma la mapayipi eba mancane, kudingeka ingcindezi eyengeziwe ukuze kushukunyiswe amanzi, akunjalo? Ngokufanayo, lapho imithambo yegazi iba mincane, inhliziyo kufanele isebenze kanzima ukuze ishukumise igazi, yingakho ingcindezi ikhuphuka. I-Enalapril isebenza ngokwandisa nokukhulula imithambo yegazi. Ngemuva kwalokho igazi lingageleza kalula ngaphandle kokuvaleka. Lokhu kwehlisa ingcindezi yegazi.
2. I-Hydrochlorothiazide: Lokhu kungokweqembu lemithi ebizwa ngokuthi ama-diuretics . Lawa avame ukubizwa ngokuthi "amaphilisi amanzi." Asebenza ngokukhombisa izinso ukuthi zikhiphe amanzi amaningi nosawoti omningi ngomchamo. Lapho amazinga oketshezi emzimbeni ehla, ingcindezi engaphakathi kwemithambo yegazi nayo iyancipha.
Uma le mithi emibili ihlanganiswa, lokhu kuyindlela yokwelapha ephumelela kakhulu ngoba ilawula umfutho wegazi ngazo zombili izindlela.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukwazisa udokotela wakho ngomlando wakho wezempilo ophelele. Lokhu kungenxa yokuthi uma unezimo ezithile zezokwelapha, lo muthi akufanele usetshenziswe, noma kufanele usetshenziswe ngokucophelela okukhulu.
Khumbula, ungalokothi ufihle lutho kudokotela wakho. Kungokuphepha kwakho ukumtshela ngisho nenkinga encane kakhulu yezempilo onayo.
Uma unezinye zezimo ezingezansi, qiniseka ukuthi utshela udokotela wakho ngakho.
| Isimo sempilo noma iqiniso | Kungani kufanele wazise udokotela? |
|---|---|
| Uma ukhulelwe noma uzama ukukhulelwa | Lokhu kubaluleke kakhulu . Lo muthi ungabangela umonakalo omkhulu enganeni esibelethweni. |
| Uma umama encelisa ingane yakhe | Izithako zomuthi zingadluliselwa enganeni ngobisi lwebele, ngakho-ke kubalulekile ukwazisa udokotela ngalokhu. |
| Isifo sezinso noma sesibindi | Lomuthi ukhishwa emzimbeni ngezinso nesibindi. Uma ukusebenza kwalezi zitho kuphazamiseka, umthamo womuthi kungadingeka ulungiswe. |
| Isifo sikashukela | Lo muthi ungathinta amazinga kashukela egazini, ngakho-ke abantu abanesifo sikashukela kufanele baqaphele kakhulu. |
| Isifo senhliziyo noma ukuhlaselwa yinhliziyo/uhlangothi kwakamuva | Umphumela womuthi ungahluka kuye ngesimo senhliziyo yakho. |
| Izifo ezizenzakalelayo njenge-lupus | Izimpendulo emithini zingashintsha kulezi zimo. |
| Izimo zokungezwani komzimba | Qiniseka ukuthi utshela udokotela wakho uma uke waba nokusabela kokungezwani komzimba ne-Enalapril, i-Hydrochlorothiazide, imithi ye-sulfa, noma yini enye. |
| Amacala angaphambilini okuvuvukala kobuso, izindebe, noma ulimi | Uma umuthi wake wabangela lolu hlobo lokuvuvukala (i-angioedema) ngaphambilini, kunengozi yokuthi uphinde uvele. |
Ungayisebenzisa kanjani imithi ngendlela efanele?
- Yithathe ngesikhathi: Yenza umkhuba ukuphuza imithi yakho ngesikhathi esifanayo nsuku zonke , njengoba udokotela wakho ekuyalele. Ekuseni, njalo ekuseni. Lokhu kuzosiza ukugcina izinga elifanayo lomuthi emzimbeni wakho.
- Ngaphambi noma ngemva kokudla?: Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukuwuthatha kanye nokudla.
- Ungayeki: Ungayeki ukuphuza imithi yakho kuze kube yilapho udokotela wakho ekuyala ukuba uyeke. Ngisho noma uzizwa ungcono, umfutho wegazi lakho ungase ulawulwe yimithi. Ukuyiyeka ngokuzumayo kungabangela ukuthi umfutho wegazi lakho uphinde ukhuphuke ngendlela eyingozi.
Kuthiwani uma ngiphuthelwa imithi yami?
Lokho kungase kwenzeke. Ungakhathazeki. Thatha umthamo ophuthelwe ngokushesha nje lapho ukhumbula. Kodwa uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo ophuthelwe.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ngephutha uthatha umuthi omningi kakhulu, ungalibali. Lokhu kungaba yingozi. Uma uzizwa unesizungu kakhulu noma uphelelwa amandla, hamba nothile uye eMnyangweni Wezimo Eziphuthumayo (ETU) esibhedlela esiseduze ngokushesha. Kubalulekile futhi ukushayela ucingo iNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Izinto okufanele uzikhumbule lapho uthatha lo muthi
Kuzodingeka uqaphele kakhudlwana ngezinye izici zendlela yakho yokuphila ngenkathi usebenzisa lo muthi.
- Bona udokotela wakho njalo: Yiya kudokotela wakho ngezikhathi ezithile bese uzihlola. Hlola umfutho wegazi lakho. Ngezinye izikhathi, uzophinde acele ukuhlolwa kwegazi ukuze kuhlolwe izinto ezifana namazinga akho e-potassium.
- Qaphela isiyezi: Ungase uzizwe unesiyezi noma unekhanda elibuhlungu, ikakhulukazi uma uqala ukuthatha lo muthi. Ngakho-ke, vuka kancane uhleli noma ulele. Ungavuki ngokuzumayo. Kungcono ukugwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena.
- Gwema utshwala: Ukuphuza utshwala kungandisa isiyezi kanye nobuthakathaka. Kubi futhi nomfutho wegazi lakho. Ngakho-ke, kungcono ukunciphisa noma ukuyeka ngokuphelele ukuphuza utshwala.
- Ungathathi imithi ethengiswa ngaphandle kwemithi kadokotela: Uma ukhwehlela, umkhuhlane, noma ubuhlungu bomzimba, ungayi ekhemisi bese uthatha imithi ethengiswa ngaphandle kwemithi kadokotela. Eminye imithi yokuqeda ubuhlungu (isib. i-Ibuprofen, i-Naproxen) kanye nemithi yomkhuhlane ingasebenzisana nalo muthi futhi inyuse umfutho wegazi lakho. Buza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi.
- Qaphela ukuphelelwa amanzi emzimbeni:Uma ujuluka kakhulu, uhlanza, noma uhudo, ungase ulahlekelwe uketshezi oluningi emzimbeni wakho bese uphelelwa amanzi emzimbeni. Kulesi simo, ukuthatha lo muthi kungaba yingozi. Cela iseluleko kudokotela wakho mayelana nokuthi wenzeni esimweni esinjalo.
- Zivikele elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu ekukhanyeni kwelanga. Lokhu kusho ukuthi isikhumba sakho singasha futhi sibe bomvu ngokushesha. Ngakho-ke, uma uzoba selangeni, sebenzisa isithambisi selanga, gqoka izingubo ezimboza umzimba wakho, bese ugqoka isigqoko.
Imiphumela emibi yomuthi
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu, kodwa akuwona wonke umuntu oyitholayo. Qaphela izimpawu ezingezansi.
| Imiphumela emibi kakhulu edinga usizo lwezokwelapha ngokushesha | |
|---|---|
| Ukusabela Kokungezwani Nomzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi, umphimbo, ubunzima bokuphefumula noma ukugwinya. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukulimala kwesibindi | Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, ukuphuzi kwamehlo noma isikhumba, umchamo omnyama. |
| Ukuzumeka okukhulu noma ukulahlekelwa ukwazi | Kungaba uphawu lomfutho wegazi ophansi kakhulu. |
| Izinguquko emazingeni e-potassium | Ukushaya kwenhliziyo okungajwayelekile, ukudikiza kwemisipha noma ubuhlungu, ukukhathala okukhulu. |
| Izinto ezingavamile ukuba zimbi kakhulu, kodwa okufanele zibikwe kudokotela uma ziqhubeka | |
| Ukukhwehlela okomile | Lona umphumela ovamile wemithi yokuvimbela i-ACE. Uma kukukhathaza, tshela udokotela wakho. |
| Ikhanda elibuhlungu kanye nesiyezi | Lokhu kungenzeka ezinsukwini ezimbalwa zokuqala kuze kube yilapho umzimba usujwayele umuthi. |
| Isisu esibuhlungu | Kungase kube nesicanucanu. |
Ugcina kanjani imithi yakho iphephile?
- Gcina kude nezingane nezilwane ezifuywayo.
- Gcina ekamelweni lokushisa endaweni eyomile. Ungagcini imithi ezindaweni ezinomswakama ophezulu, njengasendlini yokugezela.
- Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle ngendlela efanele. Uma ungaqiniseki ngokuthi ungayilahla kanjani, buza udokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Sebenzisa lo muthi njengoba unqunywe udokotela wakho, ngesikhathi esinqunyiwe, isikhathi esinqunyiwe.
- Ngisho noma uzizwa ungcono, gwema ukuyeka imithi ngaphandle kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nezithasiselo ozithathayo.
- Qaphela ukuthi kungenzeka ube nesiyezi lapho uqala umuthi. Vuka kancane.
- Uma uzama ukukhulelwa noma usola ukuthi ukhulelwe, yazisa udokotela wakho ngokushesha .
- Uma uhlangabezana nemiphumela emibi kakhulu, njengokuvuvukala kobuso noma ubunzima bokuphefumula, funa usizo lwezokwelapha ngokushesha.
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