Umfutho wegazi ophakeme, noma "umfutho wegazi" njengoba sonke sazi, kuyinkinga yezempilo abantu abaningi ezweni lethu ababhekene nayo njengamanje. Ngakho-ke, udokotela wakho kungenzeka ukuthi ukunike umuthi wokulawula umfutho wegazi lakho. Ngezinye izikhathi, esikhundleni somuthi owodwa, unganikwa iphilisi elihlanganisiwe elihlanganisa imithi emibili. Namuhla, sizokhuluma ngomuthi owodwa onjalo, inhlanganisela yemithi emibili ebizwa ngokuthi i-Hydrochlorothiazide kanye ne-Methyldopa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lokhu kuyinhlanganisela yemithi emibili esetshenziselwa ukulawula umfutho wegazi ophakeme.
1. I-Hydrochlorothiazide: Lolu uhlobo lomuthi esivame ukuwubiza ngokuthi “iphilisi lamanzi.” Ngokwezokwelapha, “luyi-diuretic.” Lusebenza ngokususa amanzi amaningi nosawoti emzimbeni ngomchamo. Lokhu kunciphisa ingcindezi ngaphakathi kwemithambo yegazi.
2. I-Methyldopa: Lo muthi usebenza ngokuthinta ubuchopho bakho kanye nohlelo lwakho lwezinzwa. Uphumuza imithambo yegazi, unciphise ukumelana nokugeleza kwegazi. Lokhu kusiza futhi ukulawula umfutho wegazi.
Uma le mithi emibili ihlanganiswa, imiphumela engcono ingatholakala ekulawuleni umfutho wegazi ophakeme.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala imithi
Ngaphambi kokukunikeza lo muthi, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezempilo ophelele. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezibalwe ngezansi.
| Isimo sakho sempilo | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo sesibindi noma sezinso | Njengoba le mithi isuswa emzimbeni ngalezi zitho zomzimba, uma ukusebenza kwayo kuphazamiseka, umthamo womuthi kungadingeka ushintshwe. |
| Isifo sikashukela | Lo muthi ungakhuphula kancane amazinga kashukela egazini, ngakho-ke ungathinta ukulawulwa kwesifo sikashukela. |
| I-Gout | I-Hydrochlorothiazide, equkethwe kulo muthi, ingakhuphula amazinga e-uric acid futhi ibhebhethekise i-gout. |
| I-anemia | I-Methyldopa ngezinye izikhathi ingathinta amangqamuzana abomvu egazi. |
| Izifo zesimiso somzimba sokuzivikela (isib. i-lupus) | Kunethuba elincane lokuthi lo muthi uzozilimaza kakhulu izimo ezinjalo. |
| Ukungezwani nemithi ye-sulfa, eminye imithi, noma ukudla. | I-Hydrochlorothiazide iyisidakamizwa se-sulfa, ngakho-ke ingabangela ukungezwani komzimba. |
| Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa. | Kubalulekile ukukhuluma nodokotela wakho mayelana nokuphepha kwalomuthi phakathi nalezi zikhathi. |
| Uma uke wathatha umuthi we-MAOI ezinsukwini ezingu-14 ezedlule. | Lena imithi yokucindezeleka. Ukuyithatha ndawonye kungaba yingozi kakhulu. |
Ngingawusebenzisa kanjani lo muthi?
- Lo muthi uyiphilisi eliphuzwayo. Thatha nsuku zonke, ngesikhathi esinqunyiwe, njengoba kunqunywe udokotela wakho.
- Uma uzwa ubuhlungu besisu, thatha kanye nokudla.
- Ungayeki ukuthatha imithi ngokuzumayo ngaphandle kweseluleko sikadokotela. Umfutho wegazi lakho ungase ukhuphuke ngokuzumayo.
- Izingane zingadinga ukunakekelwa okukhethekile lapho zithatha lo muthi. Khuluma nodokotela wakho ngalokhu.
Okubalulekile: Uma usola ngisho nokuncane ukuthi uphuze umuthi omningi kunalokho ocabanga, hamba uye esibhedlela esiseduze i-ETU (i-Emergency Treatment Unit) ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital .
Lo muthi unikezwe wena kuphela.Ungalokothi unike omunye umuntu umuthi wakho, noma ngabe ucabanga ukuthi lowo muntu unesifo esifana nesakho.
Kuthiwani uma ngiphuthelwa umthamo wemithi?
Uma ukhohlwa ukuthatha umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili.
Ezinye izinto ezingase zihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, hhayi nje imithi kadokotela, kodwa nemithi ethengiswa ngaphandle kwemithi kadokotela, amavithamini, imithi yendabuko, nakho konke okunye okusebenzisayo. Ngoba ezinye izinto zingase zihlangane nale mithi.
| Izinto okungafanele zithathwe ndawonye | |
|---|---|
| Umuthi wohlobo lwe-MAOI | (Isibonelo: I-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate). Ukuthatha lokhu ndawonye kungabangela ukwenyuka okuyingozi komfutho wegazi. |
| Izinto okufanele uzisebenzise ngokucophelela kanye nokusebenzisana okungenzeka | |
| Utshwala | Kungashintsha imiphumela yemithi futhi kwandise isiyezi kanye nokozela. |
| Ama-Painkiller (NSAIDS) | (Isib: i-Ibuprofen, i-Naproxen). Lokhu kunganciphisa ukusebenza kahle kwemithi yomfutho wegazi. |
| Usawoti wensimbi | I-iron ivimbela umzimba ekumunceni i-methyldopa (lokhu kuchazwe ngezansi). |
| Eminye imithi yokucindezela kwegazi kanye nemithi yokukhipha isisu | Ingcindezi ingaba phansi kakhulu. Uma udokotela ekwazi lokho, akukho nkinga. |
| I-Lithium | Amazinga e-lithium emzimbeni angaba phezulu kakhulu. |
| Ama-Barbiturates, ama-anesthetics asetshenziswa ngesikhathi sokuhlinzwa, ama-steroid | Lezi zingasebenzisana nalomuthi. |
Izinto okufanele uzikhumbule lapho uthatha imithi
Ukozela kanye nesiyezi
Ungase uzizwe ulele noma unesizungu lapho uqala ukuthatha lo muthi. Gwema ukushayela noma ukusebenzisa imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ikakhulukazi uma usukhulile, sukuma kancane uma uvuka endaweni yokuhlala noma uphuma embhedeni. Lokhu kungakwenza unesizungu futhi uwe. Gwema ukuphuza utshwala, njengoba kungenza lesi simo sibe sibi kakhulu.
Okuqukethwe kwamanzi emzimbeni
Uma unesifo sohudo esiqhubekayo, ukuhlanza, noma ukujuluka ngokweqile, ungase ulahlekelwe amanzi amaningi emzimbeni wakho bese uphelelwa amanzi emzimbeni. Kulesi simo, kungaba yingozi ukusebenzisa lo muthi. Buza udokotela wakho ukuthi wenzeni esimweni esinjalo.
Isikhumba nokukhanya kwelanga
Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Lokhu kusho ukuthi ungasha futhi ube bomvu kalula. Ngakho-ke hlala kude nelanga ngangokunokwenzeka. Uma uphuma, gqoka izingubo ezimboza isikhumba sakho, gqoka izibuko zelanga, bese usebenzisa isivikelo selanga. Khuluma nodokotela wakho ngengozi yakho yokuba nomdlavuza wesikhumba ngenkathi uthatha lo muthi.
Qaphela kakhulu uma uthatha amaphilisi ensimbi.
Lokhu kubaluleke kakhulu uma uthatha amaphilisi ensimbi ngenxa yento efana ne-anemia. I-Iron ivimbela umzimba ekumunceni ingxenye ye-Methyldopa kulo muthi. Ngakho-ke, ungawathathi amaphilisi ensimbi kanye nalo muthi womfutho wegazi ngesikhathi esisodwa. Indlela engcono kakhulu ukuthatha iphilisi lensimbi emahoreni ama-2 ngaphambi noma emahoreni ayisithupha ngemva kokuthatha umuthi womfutho wegazi.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lokhu kungabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo.
| Imiphumela emibi okufanele uyibike kudokotela wakho ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa okukhulu, ukuvuvukala kobuso, izindebe noma ulimi. |
| Ubunzima bokuphefumula, ubuhlungu besifuba | Lezi kungaba izimpawu ezinkulu. |
| Ukuphuzi kwamehlo, ukuphuzi kwesikhumba, umchamo onombala omnyama, indle enombala okhanyayo | Lokhu kungaba izimpawu zenkinga yesibindi. |
| Isiyezi esikhulu, izinguquko zombono, ubuhlungu bamehlo | Kungaba uphawu lokucindezeleka okukhulu, ikakhulukazi emehlweni. |
| Ukuphuka okungachazeki, ukopha, umkhuhlane, izinhlungu zomzimba | Amaseli egazi kungenzeka ukuthi athintekile. |
| Ukuvuvukala kwemilenze noma amaqakala, ukwehla kokukhishwa komchamo | Lokhu kungaba izimpawu zenkinga yezinso noma yenhliziyo. |
| Imiphumela emibi okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Umlomo owomile | Thola impumuzo ngokuhlafuna itshungama, amaswidi, noma ukuphuza amanzi angenashukela. |
| Ukozela, isifo sohudo | Lokhu kungase kunciphe njengoba umzimba ujwayela imithi. |
| Isimo sengqondo sokucindezeleka | Kubalulekile ukwazisa udokotela ngalokhu. |
| Ushintsho esifisweni noma emsebenzini wobulili | Lokhu futhi kuyimiphumela emibi evamile. |
| Ukukhulisa ibele noma ukukhishwa kobisi kwabesilisa nabesifazane | Lokhu kungase kube ngenxa yemiphumela ye-methyldopa. |
Umlayezo Wokuya Nawe Ekhaya
- Lokhu kuyinhlanganisela yemithi emibili enikezwa ukulawula umfutho wegazi ophakeme.
- Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekutshelile. Ungayeki ukuwuthatha ngokuthanda kwakho.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izifo onazo.
- Uma uthatha umuthi, qaphela izinto ezifana nokozela, isiyezi, kanye nokuzwela ukukhanya kwelanga.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu, njengokusabela okukhulu kokungezwani komzimba, ubuhlungu besifuba, noma ukuphuzi kwamehlo nesikhumba, funa iseluleko sezokwelapha ngokushesha.
- Uma uthatha amaphilisi ensimbi, ungawasebenzisi kanye nalomuthi. Gcina igebe lamahora amaningana phakathi kwawo.
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