Ngezinye izikhathi odokotela badinga ukukunikeza ikhambi elisheshayo lokulawula umfutho wegazi lakho. Ikakhulukazi esibhedlela, kukhona umjovo okhethekile obizwa ngokuthi i-Enalaprilat osetshenziswa ngezikhathi ezinjengalezi. Ungase ube nemibuzo ehlukahlukene ngalo muthi. "Kungani unikezwa lokhu?", "Kuzokwenzekani kulokhu?", "Ingabe kufanele ngikhathazeke?" Izinto ezinjengalezo cishe zisengqondweni yakho. Ngakho-ke namuhla, ake sixoxe ngalo mjovo we-Enalaprilat, njengokungathi ukhuluma nomngane.
Uhlobo luni lomuthi i-Enalaprilat?
Kalula nje, i-Enalaprilat umuthi osetshenziselwa ukwelapha umfutho wegazi ophakeme. Akuyona iphilisi, umjovo.
Cabanga ngemithambo yegazi emzimbeni wakho njengamapayipi athwala amanzi. Lapho umfutho wegazi ukhuphuka, umfutho wegazi ngaphakathi kwala mapayipi uyanda. I-Enalaprilat isebenza ngokukhulula nokwandisa le mithambo yegazi. Lokhu kunciphisa umthwalo womsebenzi wenhliziyo wokupompa igazi. Lokhu kusiza ukulawula umfutho wegazi. Ngokwezokwelapha, lo muthi ungowesigaba semithi ebizwa ngokuthi ama-ACE inhibitors .
Izinto okudingeka uzitshele udokotela
Kubaluleke kakhulu ukuthi udokotela wakho azi kahle ngesimo sakho sempilo ngaphambi kokukunikeza lo muthi wokugomela. Ngoba lolo lwazi luzonquma ukuthi lo muthi ukufanele yini noma cha. Ngakho-ke, uma unezinye zezimo ezibalwe ngezansi, qiniseka ukuthi utshela udokotela wakho ngaphandle kokufihla lutho .
| Ulwazi / Isimo Sempilo | Okufanele ukutshele udokotela wakho |
|---|---|
| Ukukhulelwa nokuncelisa | Kungakhathaliseki ukuthi ukhulelwe, uzama ukukhulelwa, noma uncelisa. Lokhu kubaluleke kakhulu . |
| Ukungezwani komzimba | Wake waba nokusabela kokungezwani komzimba ne-Enalapril noma omunye umuthi wokuvimbela i-ACE? Ingabe kukhona ukungezwani komzimba neminye imithi, ukudla, noma ukulunywa yizinambuzane? |
| Ukuvuvukala okukhona kakade (i-Angioedema) | Wake waba nokuvuvukala kolimi, ubuso, noma izindebe, okwabangela ubunzima bokuphefumula, ukugwinya, noma ukusha? |
| Isifo sezinso noma sesibindi | Unesifo sezinso noma sesibindi? |
| Isifo senhliziyo | Zikhona yini ezinye izifo zenhliziyo noma zemithambo yegazi? |
| Ezinye izimo zezokwelapha | Izimo ezifana nezifo zesimiso sokuzivikela komzimba (isib. i-lupus), isifo somnkantsha wamathambo, noma umfutho wegazi ophansi. |
| Amaphethini okudla akhethekile | Ingabe udla ukudla okukhethekile, njengokudla okunosawoti omningi? |
Uyisebenzisa kanjani le mithi?
Lona akuwona umuthi ongawuthatha ekhaya. I-Enalaprilat inikezwa ngomjovo we-intravenous . Inikezwa kuphela udokotela noma umhlengikazi oqeqeshiwe esibhedlela noma emtholampilo. Ngakho akudingeki ukhathazeke ngokulahlekelwa umthamo noma ukuphuza kakhulu. Abasebenzi bezokwelapha bazonakekela konke.
Into ebaluleke kakhulu ukuthi lo muthi ungowakho wedwa. Ungawabelani nabanye abantu noma ungawuncomeli omunye umuntu.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Njengoba lokhu kunikezwa esibhedlela, amathuba okuba lokhu kwenzeke mancane kakhulu. Kodwa-ke, uma kukhona ukusolakala kokusebenzisa ngokweqile, abasebenzi bezokwelapha bazothatha isinyathelo ngokushesha. Njengomthetho jikelele, isinyathelo esingcono kakhulu ukwazisa i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko noma ukuya e -Emergency Treatment Unit (ETU) eseduze.
Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)
Eminye imithi oyithathayo ingathinta indlela esebenza ngayo le mithi yokujova i-Enalaprilat. Ngakho-ke, kufaneleKubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi, amavithamini, imithi yendabuko, kanye nezithasiselo zokudla ozithathayo .
| Ungayithathi imithi yokugomela i-Enalaprilat kanye nalezi. | |
|---|---|
| I-Sacubitril; imithi equkethe i-valsartan | |
| Qaphela kakhulu njengoba kungase kube nokuxhumana nalokhu | |
| Imithi yokuhlanza | Imithi ebizwa ngokuthi "amaphilisi amanzi". |
| I-Lithium | Umuthi wokugula ngengqondo. |
| Eminye imithi yokucindezeleka kwegazi okuphezulu | Eminye imithi yomfutho wegazi osuvele uyisebenzisa. |
| Ama-NSAID | Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala efana ne-Ibuprofen ne-Naproxen. |
| I-Potassium | Usawoti oqukethe i-potassium noma izithasiselo zokudla. |
Izinto okufanele uzikhumbule ngesikhathi sokwelashwa
- Isaziso Esikhethekile Sabesifazane Abakhulelwe: Abesifazane abakhulelwe nabesifazane abazama ukukhulelwa kufanele baqaphele kakhulu . Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa. Ngakho-ke, uma ukhulelwe noma uzama ukukhulelwa, yazisa udokotela wakho ngokushesha.
- Isiyezi kanye nokozela:Lomuthi ungakwenza uzizwe ulele noma unesizungu. Ngakho-ke, ungashayeli noma usebenzise imishini uze wazi ukuthi lomuthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, ungavuki embhedeni noma ume ngokuzumayo. Sukuma kancane ngemva kwesikhashana. Lokhu kuzonciphisa ingozi yokuba nesizungu nokuwa.
- Amazinga oketshezi emzimbeni: Tshela udokotela wakho noma umhlengikazi uma unesifo sohudo esibi, ukuhlanza, noma ukujuluka ngokweqile. Lokhu kungenxa yokuthi ukuphelelwa amanzi emzimbeni kungenza kube yingozi ukusebenzisa lo muthi.
- Eminye imithi: Ungayithathi imithi ethengiswa ngaphandle kwemvume kadokotela yomkhuhlane, ukukhwehlela, noma ubuhlungu ngaphandle kokubheka udokotela wakho kuqala. Eminye imithi iqukethe izithako ezingakhuphula umfutho wegazi lakho.
- Usawoti: Buza udokotela wakho ngaphambi kokusebenzisa izinto ezithatha indawo kasawoti. Zingase zibe ne-potassium eningi.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu, kodwa akubona bonke abantu abayitholayo. Eminye yale miphumela iyingozi, kanti eminye imnene.
| Imiphumela emibi okufanele uyibike kudokotela wakho noma kumhlengikazi ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba / i-Angioedema | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula. |
| Izinga eliphezulu le-potassium | Ubuthakathaka bemisipha, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukulimala kwesibindi | Ubuhlungu ohlangothini olungaphezulu kwesokudla lwesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle enombala okhanyayo, umchamo ophuzi/onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, kanye nokukhathala okukhulu. |
| Umfutho wegazi ophansi | Isiyezi esikhulu, ukuquleka, umbono ofiphele. |
| Ngokuvamile akuyona into embi kangako, kodwa tshela udokotela wakho uma iqhubeka noma iyakhathaza. | |
| Ukukhwehlela | (Ikakhulukazi ukukhwehlela okomile) |
| Isiyezi | |
| Ikhanda elibuhlungu | |
| Isicanucanu | |
Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, sicela wazise abasebenzi bezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-Enalaprilat iwumjovo ofakwa emthanjeni esibhedlela ukuze welaphe umfutho wegazi ophakeme.
- Ngaphambi kokuqala lokhu kwelashwa, tshela udokotela wakho ngomlando wakho wezempilo ophelele (ikakhulukazi ukungezwani komzimba, isifo sezinso, kanye nokukhulelwa).
- Gwema ukuthatha lo muthi uma ukhulelwe noma uzama ukukhulelwa. Kungaba yingozi enganeni engakazalwa.
- Qaphela izimpawu zokuzizwa unesizungu, ukuvuvukala, noma ukuphelelwa amanzi emzimbeni ngenkathi uthatha umuthi.
- Khuluma nodokotela wakho nganoma yimiphi eminye imithi oyithathayo.
- Uma unemibuzo noma ukukhathazeka, ungesabi ukubuza udokotela wakho noma umhlengikazi.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 I-Nevirapine / Viramune iyiphilisi yesifo esinjani?
Lona umuthi wokwelapha omdala, kodwa onamandla (umuthi we-NNRTI) onikezwa iziguli 'ze-HIV / AIDS'! Lona umuthi we-HIV wesizukulwane sokuqala (awunikezwa wodwa, uhlala unikezwa kanye neminye imithi). Usasetshenziswa kabanzi emhlabeni (ikakhulukazi e-Afrika) namuhla, ikakhulukazi 'ukuvimbela ukudluliselwa kwe-HIV kusuka komama abakhulelwe kuya ezinganeni zabo (ukudluliselwa kusuka kumama kuya enganeni)'.
💬 Lo muthi (i-Nevirapine) uvimbela kanjani ukusabalala kwegciwane lesandulela ngculaza emizimbeni yethu?
Uma igciwane le-HIV lingena egazini, isikhali salo esiyinhloko 'umshini (i-Reverse Transcriptase Enzyme)' oguqula i-RNA yalo ibe yi-DNA yomzimba wethu! Lo muthi we-Nevirapine uya ngqo esondweni lalowo mshini bese uwuvala! Ngemuva kwalokho igciwane alikwazi ukuzala futhi libhujiswa khona lapho.
💬 Yimiphi imiphumela emibi ebulalayo yokuphuza la maphilisi (i-Nevirapine)?
Lo muthi uyingozi kakhulu ngenxa yemiphumela emibi onayo (Isexwayiso Sebhokisi Elimnyama)! Okokuqala ukuthi ungabangela 'i-Severe Hepatotoxicity' okungaba yingozi (ikakhulukazi kwabesifazane). Okwesibili ukuthi kunengozi enkulu ye-Stevens-Johnson Syndrome (SJS), ukusabela kwesikhumba okubulalayo okubangela ukuba isikhumba siqhekeke, sibe amabhamuza, futhi sibe amabhamuza phakathi kwamasonto okuqala ayisithupha okusebenzisa lo muthi! (Yingakho kudingeka ukunakwa okujulile ekuhlolweni kwegazi kanye nezinguquko zesikhumba).
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