Ake sifunde ngalo muthi womfutho wegazi ophakeme? (Metoprolol, Hydrochlorothiazide / HCTZ)

Wake watshelwa udokotela ukuthi unomfutho wegazi ophakeme? Noma ukhona umuntu omaziyo owake wanikezwa imithi yalesi simo? Ngezinye izikhathi odokotela bahlanganisa imithi emibili ibe yiphilisi elilodwa. Omunye wemithi enjalo esizokhuluma ngayo namuhla inhlanganisela ye-Metoprolol ne -Hydrochlorothiazide , ngezinye izikhathi efushaniswa ngokuthi (HCTZ) . Iyaziwa nangokuthi igama lomkhiqizo (i-Dutoprol) .

Uyini lomuthi? Kalula nje...

Kulungile, ake sibone ukuthi lezi zinhlobo ezimbili zemithi zenzani.

I-Metoprolol ingeyeqembu lemithi ebizwa ngokuthi ama-beta-blockers . Isebenza ngokunciphisa izinga lokushaya kwenhliziyo yakho nokukhulula imithambo yegazi yakho, okwehlisa umfutho wegazi lakho.

I-Hydrochlorothiazide iyi- diuretic . Kalula nje, ifana "nephilisi lamanzi." Isebenza ngokukhipha amanzi amaningi nosawoti emzimbeni ngomchamo. Lokhu kusiza ukulawula umfutho wegazi.

Ngakho-ke, uma le mithi emibili inikezwa ndawonye, ​​ungathola imiphumela engcono ekulawuleni umfutho wegazi ophakeme. Kodwa-ke, odokotela bangase bakunike lo muthi kwezinye izimo zezokwelapha. Ngakho-ke, udokotela wakho kuphela owazi kahle ukuthi kungani unikezwa lo muthi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuthatha lo muthi?

Ngaphambi kokuba uqale ukusebenzisa lo muthi, kubaluleke kakhulu ukutshela udokotela wakho ngesimo sakho sempilo. Lokhu kungenxa yokuthi abantu abanezimo ezithile zezokwelapha kudingeka baqaphele kakhulu lapho bethatha lo muthi. Uma unezinye zezimo ezilandelayo, qiniseka ukuthi utshela udokotela wakho:

• Isifo Sikashukela: Uma unesifo sikashukela, lo muthi ungabangela ushintsho emazingeni kashukela egazini lakho.
• Isifo Senhliziyo: Uma unezinye izifo zenhliziyo.
• Umlando Wokushaya Kwenhliziyo Okungajwayelekile: Uma wake waba nokushaya kwenhliziyo okungajwayelekile esikhathini esidlule.
• Isifo Sezinso: Uma kukhona ubuthakathaka ezinso.
• Isifo Sesibindi: Uma kukhona inkinga ngesibindi.
• Izifo zamaphaphu noma zokuphefumula: Uma unezifo ezihlobene namaphaphu njenge- asthma .
• Isimo se-Lupus: Uma une-lupus.
• Isifo Semithambo Yegazi Engasogwini: Uma unezinkinga ngemithambo yegazi ezithweni zakho.
• I-Pheochromocytoma: Lesi yisimo esingavamile esithinta izindlala ze-adrenal. Uma wazi ukuthi unalesi sifo, tshela udokotela wakho.
• Isifo Se-thyroid:Uma kunenkinga ngokusebenza kwendlala yegilo.
• Ukungezwani komzimba: Uma uke waba nokusabela okungavamile noma okungezwani komzimba nemithi i- Metoprolol , i-Hydrochlorothiazide , i-Sulfonamide, noma yimuphi omunye umuthi, ukudla, udayi, noma isilondolozi.
• Ukukhulelwa: Lokhu kubaluleke kakhulu uma ukhulelwe noma uzama ukukhulelwa .
• Ukuncelisa: Uma ungumama oncelisayo, kufanele ukhulume ngalokho.

Khumbula, ukufihla lolu lwazi kudokotela kuzokulimaza kuphela. Ngakho-ke khuluma ngakho konke obala.

Ngingawusebenzisa kanjani lo muthi?

Lo muthi uza ngesimo sephilisi. Uwuthatha ngomlomo.

• Thatha umthamo ofanele njengoba udokotela wakho ekushilo. Ungawukhulisi noma uwunciphise.
• Zama ukuphuza umuthi ngesikhathi esifanayo nsuku zonke. Lokhu kuzosiza ukugcina izinga elifanayo lokusebenza kahle emzimbeni.
• Ungayeki ukuthatha lo muthi ngaphandle kokuba udokotela wakho ekutshele ukuthi uyeke. Ukuwuyeka kungazelelwe kungabangela izinkinga ezithile.
• Uma unikeza izingane lo muthi, kufanele uqaphele kakhulu. Ngakho-ke khuluma nodokotela wakho ngakho.

Yini okufanele uyenze uma uphuza ngokweqile?

Uma lokho kwenzeka, okungukuthi, uma ucabanga ukuthi uphuze umuthi omningi kunalokho obekucabanga, iya eSikhungweni Sokulawula Ubuthi noma egumbini lezimo eziphuthumayo esibhedlela esiseduze ngokushesha. Ungachithi isikhathi.

Lomuthi ungowakho kuphela!

Lokhu kubaluleke kakhulu. Udokotela ukunikeze lo muthi wena wedwa. Ungabelani ngalo muthi nanoma ubani nganoma yisiphi isizathu , noma ngabe unezimpawu ezifanayo nezakho.

Yini okufanele uyenze uma uphuthelwa umthamo wemithi?

Uma uphuthelwa 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 ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungabangela imiphumela emibi.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi?

Yebo, lo muthi ungasebenzisana neminye imithi nokudla. Uma lokhu kwenzeka, ukusebenza kahle kwalo muthi kungashintsha noma imiphumela emibi inganda. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo, kanye nanoma yiziphi izithasiselo nemikhiqizo yamakhambi oyisebenzisayo. Nazi ezinye izinto lo muthi ongase uhlangane nazo ikakhulukazi:

• Utshwala: Utshwala bungandisa isiyezi.
• OkunyeImithi yokucindezeleka kwegazi okuphezulu, imithi yesifo senhliziyo, imithi yokushaya kwenhliziyo okungajwayelekile.
• Eminye imithi ehlisa i-cholesterol: Isibonelo , i-cholestyramine ne -colestipol.
• Eminye imithi yokucindezeleka, ukukhathazeka, noma ezinye izifo zengqondo.
• Eminye imithi esetshenziselwa ukuxhuzula: Isibonelo , i-Phenobarbital.
• I-Lithium.
• Ama-MAOI (ama-Monoamine Oxidase Inhibitors): Lawa uhlobo lwemithi esetshenziselwa ukwelapha ukucindezeleka. Izibonelo: i-Carbex, i-Eldepryl, i-Marplan, i-Nardil, i-Parnate.
• Imithi Yesifo Sikashukela: Umthamo wemithi yesifo sikashukela kungadingeka ushintshwe ngalo muthi.
• Iziphumuli zemisipha zokuhlinzwa.
• Eminye imithi ingena esigabeni sezidakamizwa zobuhlungu.
• I-Norepinephrine.
• Ama-NSAID (Izidakamizwa Ezingavimbeli Ukuvuvukala): Lena imithi esetshenziselwa ukwelapha ubuhlungu nokuvuvukala. Izibonelo: I-Ibuprofen noma i-Naproxen.
• Imithi ye-steroid: Izibonelo: i-Prednisone noma i-Cortisone.

Lolu hlu aluphelele. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo, nokuthi ubhema , uphuza utshwala , noma usebenzisa izidakamizwa ezingekho emthethweni .

Izinto okufanele uziqaphele lapho uthatha lo muthi

Udinga ukuqaphela impilo yakho kancane ngenkathi usebenzisa lo muthi.

• Bona udokotela wakho njalo: Udokotela wakho kuzodingeka akubone njalo ukuze ahlole ukuthi unjani futhi aqinisekise ukuthi umuthi usebenza kahle.
• Kala umfutho wegazi lakho: Kala umfutho wegazi lakho ekhaya njengoba kuqondiswe udokotela wakho. Buza udokotela wakho ukuthi umfutho wegazi lakho kufanele ube yini nokuthi kufanele umazise nini udokotela wakho.
• Ungathathi imithi yezinye izifo wedwa: Ngesikhathi uthatha lo muthi, ungathengi umuthi ekhemisi wezinto ezinjengokukhwehlela, umkhuhlane, noma izinhlungu zomzimba ngaphandle kokubuza udokotela wakho. Izithako kweminye imithi zingakhuphula umfutho wegazi lakho nakakhulu.
• Qaphela ukuphelelwa ngamanzi emzimbeni: Uma unesifo sohudo esibi, isicanucanu, nokuhlanza, noma uma ujuluka kakhulu, ungase ulahlekelwe amanzi amaningi emzimbeni wakho bese uphelelwa amanzi emzimbeni. Uma lokhu kwenzeka, kungaba yingozi ukuphuza lo muthi. Ngakho-ke tshela udokotela wakho uma unezinye zalezi zimo.
• Ukuzungeza kungenzeka:Lomuthi ungakwenza ube nesiyezi noma ulale. Ngakho-ke, ungashayeli, usebenzise imishini, noma wenze noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lomuthi uthinta kanjani wena. Ungavuki ngokuzumayo uhleli noma umile, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isiyezi nokuwa. Ukuphuza utshwala kungenza isiyezi sibe sibi kakhulu.
• Amazinga kashukela egazini: Lo muthi ungase wandise amazinga kashukela egazini lakho. Uma unesifo sikashukela, buza udokotela wakho uma udinga ukwenza izinguquko ekudleni kwakho noma kumthamo wemithi yakho yesifo sikashukela.
• Ingozi yomdlavuza wesikhumba: Khuluma nodokotela wakho mayelana nokuthi ikhona yini ingozi yomdlavuza wesikhumba ngenkathi uthatha lo muthi.
• Ukuzwela kwelanga: Lo muthi ungenza isikhumba sakho sizwele kakhulu elangeni. Ngakho-ke, gwema ukuchayeka elangeni ngangokunokwenzeka. Uma uphuma, gqoka izingubo zokuzivikela, izibuko zelanga, kanye ne-sunscreen. Ungasebenzisi izibani zelanga noma imibhede/amadokodo okushiswa kwelanga.
• Izinguquko zombono: Uma uhlangabezana nanoma yiziphi izinguquko ezingazelelwe embonweni wakho (isib. ukufiphala, ubuhlungu bamehlo), yazisa udokotela wakho ngokushesha.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi. Eminye iyingozi, eminye ayibi yingozi kangako.

Imiphumela emibi okufanele ibikwe kudokotela ngokushesha:

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho ngokushesha:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, noma ulimi.
• Izinkinga zokuphefumula.
• Izinguquko embonweni.
• Isimo sengqondo esicindezelekile.
• Ubuhlungu bamehlo.
• Ukuzizwa ubuthakathaka noma unekhanda elibuthakathaka, uyawa.
• Ukubomvu, ukuqubuka, kanye nokuqhekeka kwesikhumba (lokhu kungenzeka nangaphakathi emlonyeni).
• Izimpawu zoshukela ophezulu egazini: ukuzizwa womile kakhulu kunokujwayelekile, ukuzizwa ulambile, ukudinga ukuchama kaningi, nokuzizwa ukhathele kakhulu noma ukubona kalufifi.
• Ukuvuvukala kwamaqakala, izinyawo, izandla.
• Izimpawu ze-gout: Ubuhlungu obukhulu kanye nokuvuvukala emalungeni.
• Ukuqubuka kwesikhumba okungavamile noma ukuklwebheka.
• Ukushaya kwenhliziyo okuhamba kancane ngendlela engavamile.
• Umzimba obuthakathaka ngendlela engavamile.

Ngokuvamile akudingi iseluleko sezokwelapha (kodwa uma kuqhubeka noma kukhathazaUdinga ukutshela udokotela wakho ) Imiphumela emibi:

Lokhu kuvame ukuphela ezinsukwini ezimbalwa, kodwa uma kuqhubeka noma kukukhathaza, tshela udokotela wakho.

• Izinguquko ekuthandweni noma ekusebenzeni kocansi.
• Uhudo.
• Isiyezi.
• Ukuzizwa ugula okuvamile noma izimpawu ezifana nomkhuhlane.
• Isicanucanu.
• Ukukhathala.

Lolu hlu aluyona yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngakho.

Ngingawugcina kanjani lo muthi?

• Gcina kude nezingane nezilwane ezifuywayo.
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15 no-30 / 59 no-86 degrees Fahrenheit).
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi lokho esikhulume ngakho kukusizile ukukhumbula amanye amaphuzu abaluleke kakhulu.

• Thatha umuthi njengoba nje udokotela wakho ekutshelile. Ungashintshi umthamo noma uyeke ukuwuthatha ngokuzumayo.
• Qiniseka ukuthi utshela udokotela wakho nganoma yiziphi ezinye izifo onazo, noma yimiphi eminye imithi oyithathayo, kanye nanoma yikuphi ukungezwani komzimba onakho.
• Uma uhlangabezana nanoma yiziphi izimpawu ezintsha noma imiphumela emibi ngenkathi usebenzisa umuthi, tshela udokotela wakho ngokushesha.
• Lomuthi ungowakho wedwa, ungawuniki omunye umuntu.
• Vakashela udokotela ngesikhathi esibekiwe bese uhlola umfutho wegazi lakho.
• Qaphela izinto ezifana nesiyezi kanye nokozela , ikakhulukazi uma ushayela.
• Qaphela uma uphuma elangeni.

Umfutho wegazi ophakeme uyisitha esingabonakali. Kodwa ngemithi efanele kanye nezinguquko zendlela yokuphila, ungawulawula futhi uhlale uphilile. Uma unemibuzo, ungangabazi ukubuza udokotela wakho noma usokhemisi.

I- Metoprolol, i-Hydrochlorothiazide, i-HCTZ, Umfutho Wegazi Ophakeme, i-Beta Blocker, i-Diuretic, Imithi, Imiphumela Engemihle