Ingabe unomfutho wegazi ophakeme? Noma usengozini yokushaywa yisifo sohlangothi ngenxa yomfutho wegazi ophakeme kanye nesifo senhliziyo? Udokotela wakho kungenzeka ukuthi ukunike lo muthi. Kunamagama amabili aleli philisi, akunjalo? Elinye yiLosartan, kanti elinye yiHydrochlorothiazide. Namuhla, ake sixoxe ngalokho okwenzekayo ngempela uma uphuza iphilisi elenziwe ngokuhlanganisa le mithi emibili, nokuthi yini okudingeka uyiqaphele lapho ulisebenzisa.
Kwenzekani ngempela ngalo muthi?
Kalula nje, lokhu kuyinhlanganisela yemithi emibili. Ezweni lakithi, lo muthi ungatholakala ngaphansi kwegama lomkhiqizo elithi `Hyzaar`. Le mithi emibili isebenza ndawonye ukusiza ukulawula umfutho wegazi lakho ngezindlela ezimbili.
1. I-Losartan: Lokhu kungokwesigaba semithi ebizwa ngokuthi i-ARB (i-Angiotensin Receptor Blocker). Cabanga ngemithambo yegazi yakho njengepayipi elithwala amanzi. Uma le payipi ivaleka, ingcindezi emanzini iyanda, futhi lapho imithambo yegazi yethu incipha, ingcindezi yegazi yethu nayo iyanda. Ngakho-ke, lokho okwenziwa yilo muthi obizwa ngokuthi i-Losartan ukunweba nokukhulula imithambo yegazi yakho. Ngemuva kwalokho, igazi lingageleza kalula kuyo ngaphandle kokuvinjelwa, okwehlisa ingcindezi yegazi lakho.
2. I-Hydrochlorothiazide: Lolu uhlobo lomuthi olubizwa ngokuthi i-'diuretic'. Sivame ukuwubiza ngokuthi "iphilisi lamanzi." Isebenza ngokusiza izinso zakho ukuthi zikhiphe amanzi amaningi nosawoti emzimbeni wakho ngomchamo. Lapho inani loketshezi emzimbeni wakho lehla, ingcindezi engaphakathi kwemithambo yegazi yakho nayo iyancipha.
Ngenxa yokuthi lezi zindlela ezimbili zisebenza ndawonye, lo muthi usebenza kahle kakhulu ekulawuleni umfutho wegazi ophakeme. Uphinde usetshenziswe ukunciphisa ingozi yokushaywa unhlangothi kubantu abanesifo senhliziyo.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Ngaphambi kokuba uqale ukuthatha lo muthi, kubalulekile ukutshela udokotela wakho ngolwazi olulandelayo, njengoba kufanele kuqashelwe ngokukhethekile lapho unikeza lo muthi ngaphansi kwalezi zimo.
| Isimo sakho | Kungani kufanele utshele udokotela? |
|---|---|
| Uma ukhulelwe noma uzama ukukhulelwa | Lokhu kubaluleke kakhulu.Lo muthi ungalimaza kakhulu ingane ngesikhathi sokukhulelwa. |
| Uma umama encelisa ingane yakhe | Kubalulekile ukufuna iseluleko sezokwelapha njengoba lo muthi ungadlulela enganeni ngobisi lwebele. |
| Isifo sikashukela | Ngenxa yokuthi lo muthi ungathinta amazinga kashukela egazini, umthamo wemithi yesifo sikashukela kungadingeka ulungiswe. |
| Uma unesifo sezinso noma umchamo wakho uphansi | Uma izinso zingasebenzi kahle, indlela lo muthi othinta ngayo umzimba ingashintsha. |
| Isifo sesibindi | Uma ukusebenza kwesibindi kuphazamiseka, umthamo womuthi kungadingeka ushintshwe. |
| Izifo zamasosha omzimba ezifana ne-lupus | Kubalulekile ukwazisa udokotela wakho njengoba lo muthi ungase ube mubi kakhulu kune-lupus. |
| Uma udla ukudla okunosawoti omncane | Kubalulekile ukwazisa udokotela wakho ngoba lokhu kungathinta ibhalansi kasawoti emzimbeni. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Kungaba yingozi uma une-allergy kulo muthi noma kunoma yiziphi izithako zawo. |
Ngingawusebenzisa kanjani umuthi?
- Landela imiyalelo kadokotela wakho: Thatha umthamo ofanele njengoba udokotela wakho ekuyalele. Zama ukuwuthatha ngesikhathi esifanayo nsuku zonke .
- Ngokudla noma ngaphandle kokudla: Leli philisi lingathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzwa ubuhlungu besisu, kungcono ukulithatha kanye nokudla.
- Ungayeki:Qhubeka uthatha umuthi uma nje udokotela wakho ekutshelile. Ungayeki ngokuzumayo, noma ngabe uzizwa ungcono.
- Uma uphuthelwa umthamo: 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 imithamo emibili ngesikhathi esisodwa.
- Uma uphuza ngokweqile: Uma uphuza amaphilisi amaningi kakhulu ngengozi, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela i-National Poisons Information Centre e-Colombo National Hospital ukuze uthole iseluleko.
Lo muthi unikezwe wena wedwa. Ungalokothi uwunike omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.
Eminye imithi engase ihlangane nalo muthi
Kubaluleke kakhulu ukutshela udokotela wakho nganoma yimiphi eminye imithi, amavithamini, noma imithi yamakhambi oyithathayo, njengoba eminye imithi ingase ihlangane nalena.
| Imithi okungafanele ithathwe nalo muthi | |
|---|---|
| I-Cidofovir | I-Dofetilide |
| I-Tranylcypromine | |
| Eminye imithi engase ihlangane nalo muthi | |
| Eminye imithi yokucindezeleka kwegazi okuphezulu | Ama-Painkiller (ama-NSAID) - isib: i-Ibuprofen, i-Naproxen, i-Celecoxib |
| Imithi yesifo sikashukela | I-Lithium |
| Amanye ama-Diuretics (amaphilisi amanzi) - isib: i-Triamterene, i-Spironolactone | Izithako ze-Potassium |
| Ama-Barbiturates (isib. i-Phenobarbital) | Ama-steroid - isib. i-Prednisone, i-Cortisone |
| Imithi yokwehlisa i-cholesterol - isib. i-Cholestyramine, i-Colestipol | I-Rifampin |
Lolu hlu aluphelele, ngakho tshela udokotela wakho ngakho konke okuthathayo.
Izinto okufanele uzikhumbule lapho uthatha imithi
- Hlola umfutho wegazi lakho: Hlola umfutho wegazi lakho njalo. Buza udokotela wakho ukuthi umfutho wegazi wakho ojwayelekile kufanele ube yini. Futhi, bhala phansi izinombolo ephepheni ukuze kube lula ukumbonisa udokotela wakho.
- Gwema ukuphelelwa amanzi emzimbeni: Lo muthi wandisa inani lamanzi umzimba wakho olahlekelwa yiwo. Ngakho-ke uma ugula kakhulu, uhlanza, noma ujuluka kakhulu , ungase ulahlekelwe uketshezi oluningi emzimbeni wakho bese uphelelwa amanzi emzimbeni. Lokhu kungaba yingozi. Ngakho-ke phuza amanzi anele usuku lonke. Uma uzizwa ungaphilile, shayela udokotela wakho ukuze akunike iseluleko.
- Ukujuluka nokuquleka: Lo muthi ungakwenza uzizwe unesizungu, ikakhulukazi uma uvuka endaweni yokuhlala. Ngakho-ke , vuka kancane uma uvuka endaweni yokuhlala noma yokulala. Ungashayeli noma usebenzise imishini uze wazi ukuthi lo muthi uthinta kanjani wena. Ukuphuza utshwala kungenza lesi simo sibe sibi kakhulu.
- Zivikele elangeni: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, nciphisa ukuchayeka kwakho elangeni ngangokunokwenzeka. Uma uphuma, gqoka izingubo zokuzivikela futhi usebenzise isivikelo selanga. Gwema ukusebenzisa izibani zelanga kanye nemibhede yokushiswa kwesikhumba. Khuluma nodokotela wakho ngengozi yakho yokuba nomdlavuza wesikhumba.
- Izinto ezithatha usawoti: Ungasebenzisi izinto ezithatha usawoti (ezine-potassium eningi) ngaphandle kokuthi udokotela wakho akutshele ukuthi wenze kanjalo.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi, lokhu kungabangela imiphumela emibi kwabanye abantu.
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi noma umphimbo. |
| Izimpawu zokuphelelwa ngamanzi emzimbeni | Ukoma ngokweqile, umlomo owomile, ukuquleka, umchamo ophuzi omnyama noma onsundu. |
| Ukulimala kwezinso | Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo. |
| Ukwehla ngokweqile komfutho wegazi | Ukuzizwa unesizungu, ukuquleka, ukubona okufiphele. |
| Amazinga e-potassium anciphile | Ubuhlungu noma ukuqina kwemisipha, ubuthakathaka obungavamile, ukushaya kwenhliziyo okungajwayelekile. |
| Ubuhlungu bamehlo noma izinguquko zombono | Ubuhlungu bamehlo obungazelelwe, ukubona okufiphele, ukubona indandatho ezizungeze izibani. |
| I-Gout | Ubuhlungu obukhulu, ukubomvu, kanye nokuvuvukala, ikakhulukazi emalungeni afana nozwane olukhulu. |
| Imiphumela emibi evame ukungabi mibi kakhulu (kodwa tshela udokotela wakho uma iqhubeka) | |
| Isiyezi | Ikhanda elibuhlungu |
| Isisu esibuhlungu | Ukuminyana kwamakhala noma impumulo egobhozayo |
| Ushintsho esifisweni noma emsebenzini wobulili | |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingavamile ezingashiwongo kulolu hlu, sicela utshele udokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- Lo muthi uyinhlanganisela yezinhlobo ezimbili zemithi (i-losartan ne-hydrochlorothiazide) esetshenziselwa ukulawula umfutho wegazi ophakeme.
- Thatha umuthi wakho ngesikhathi esifanayo nsuku zonke, njengoba nje udokotela wakho ekutshelile. Ungalokothi ushintshe noma uyeke umthamo wena ngokwakho.
- Tshela udokotela wakho ngayo yonke eminye imithi, amavithamini, kanye nemikhiqizo yamakhambi oyithathayo.
- Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, qiniseka ukuthi utshela udokotela wakho ngaphambi kokuqala lo muthi.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nemiphumela emibi efana nokuzumeka, ukuquleka, uhudo olubi, ukuhlanza, noma ukuqubuka kwesikhumba.
- Gcina lo muthi kude nezingane nezilwane ezifuywayo, ekushiseni kwegumbi, futhi kude nokukhanya.
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