Ingabe uzizwa unesizungu noma unamahloni uma usukuma ngokuzumayo uhleli noma uma uvuka embhedeni? Ngezinye izikhathi uzizwa sengathi uzowa. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-orthostatic hypotension. Kalula nje, ukwehla komfutho wegazi uma ushintsha ukuma kwakho. Ngakho-ke, iMidodrine umuthi odokotela abavame ukuwunikeza abantu abanalezi zimpawu. Namuhla, ake sixoxe ngalo muthi ngokucacile nangokulula.
Iyini ngempela iMidodrine?
Kalula nje, iMidodrine umuthi owehlisa umfutho wegazi lakho. Uma usukuma uhleli, amandla adonsela phansi abangela ukuthi igazi lihlangane emilenzeni yakho. Lokhu kubangela ukwehla okuncane kokugeleza kwegazi ebuchosheni bakho, okungabangela isiyezi.
I-Midodrine isebenza ngokuqinisa (ukunciphisa) imithambo yegazi emincane emzimbeni wakho. Njengoba nje ukucindezela ipayipi lamanzi kwenza amanzi ageleze ngokushesha, ukuqinisa imithambo yegazi kubangela ukuthi igazi ligeleze ngomfutho ophezulu. Lokhu kusiza ukuvimbela umfutho wegazi lakho ukuthi ungawi ngokuzumayo uma usukuma. Lo muthi utholakala ngaphansi kwamagama omkhiqizo i-Orvaten noma i-ProAmatine.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuqala lo muthi
I-Midodrine akuyona imithi efanela wonke umuntu. Ngakho-ke, kubaluleke kakhulu ukuthi udokotela wakho azi umlando wakho wezokwelapha ophelele ngaphambi kokukunikeza lo muthi. Qiniseka ukuthi utshela udokotela wakho uma unezinye zezimo ezibalwe ngezansi.
| Ingabe unalesi simo? | Kungani kufanele unikeze ulwazi? |
|---|---|
| Isifo senhliziyo | Ngoba iMidodrine ingathinta izinga lokushaya kwenhliziyo. |
| Umfutho wegazi ophezulu okhona ngaphambilini | Ngoba lo muthi ungakhuphula umfutho wegazi nakakhulu. |
| Isifo sezinso | Ngenxa yokuthi izinso zisusa imithi emzimbeni, imiphumela yomuthi ingashintsha uma izinso zingasebenzi kahle. |
| I-thyroid esebenza ngokweqile | Lesi simo singakhuphula nomfutho wegazi kanye nokushaya kwenhliziyo. |
| Ubunzima bokuchama | I-Midodrine ingenza lesi simo sibe sibi kakhulu. |
| I-Pheochromocytoma | Lesi yisisu esivelela endlaleni ye-adrenal, futhi lo muthi awufaneleki ngoba ungabangela umfutho wegazi ophakeme. |
| Ukukhulelwa noma ukuzama ukukhulelwa | Kufanele uxoxe nodokotela wakho ngemiphumela engaba khona embungwini. |
| Ukuncelisa | Xhumana nodokotela wakho mayelana nokuthi umuthi udlulela enganeni yakho ngobisi lwebele yini. |
| Ukungezwani neminye imithi, ukudla, noma udayi | Kungaba yingozi uma une-allergy emuthini noma ezingxenyeni zawo. |
Umuthi kufanele usetshenziswe ngendlela efanele.
Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo yokuthi ungayisebenzisa kanjani le mithi.
- Thatha lo muthi nengilazi yamanzi.
- Okubaluleke kakhulu: Ungaphuzi umthamo wakho wokugcina womuthi wosuku ngemuva kwesidlo sakusihlwa noma ngaphansi kwamahora ama-4 ngaphambi kokulala.
- Ungalali isikhathi eside ngemva kokuthatha lo muthi. Lokhu kusho ukuthi ungenzi izinto ezifana nokubuka i-TV noma ukufunda incwadi ngenkathi ulele.
Kungani kunjalo?Uma ulele phansi, isenzo seMidodrine singabangela umfutho wegazi wakho ukuba ukhuphuke ngokungadingekile. Lokhu kubizwa ngokuthi i-supine hypertension. Ngakho-ke, kufanele uthathe lo muthi kuphela ngezikhathi zosuku lapho usebenza, uhamba, noma umile.
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.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital . Noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi ungowakho wedwa. Ungalokothi wabelane ngomuthi wakho nabanye.
Eminye imithi engase ihlangane nalo muthi
I-Midodrine iyisidakamizwa esingasebenzisana neminye imithi, ngakho-ke kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
| Ungayithathi iMidodrine kanye nalomuthi. | |
|---|---|
| I-MAOI (uhlobo lwemithi esetshenziswa ukwelapha isifo sengqondo) | Ama-alkaloid e-Ergot (imithi esetshenziselwa ukwelapha i-migraines) |
| Eminye imithi yokwelapha umkhuhlane nobunzima bokuphefumula | Eminye imithi yokwehlisa isisindo |
| Uma uthatha lo muthi, khuluma nodokotela wakho. | |
| I-Digoxin, i-Flecainide (yesifo senhliziyo) | I-Fludrocortisone (umuthi wama-hormone) |
| I-Metformin (yesifo sikashukela) | Ama-Alpha-blockers (imithi yesifo se-prostate kanye nomfutho wegazi ophakeme) |
| I-Cimetidine, i-Ranitidine (ye-gastritis) | Imithi eminingi kakhulu... |
Lolu hlu aluphelele. Ngakho-ke , kubaluleke kakhulu ukutshela udokotela wakho ngayo yonke imithi oyithathayo, nokuthi uyabhema noma uphuza utshwala .
Izinto okufanele uziqaphele lapho uthatha umuthi
- Ukuhlolwa okuvamile: Bona udokotela wakho ngezinsuku ezihleliwe ukuze ahlole intuthuko yakho. Angahlola umfutho wegazi lakho bese enquma ukuthi umthamo wemithi yakho udinga ukulungiswa yini.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke, ungenzi noma yini edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi umuthi uthinta kanjani wena.
- Ungavuki ngokushesha: Ungasukumi noma uhlale phansi ngokuzumayo. Ikakhulukazi uma usukhulile, shintsha izikhundla kancane kancane. Lokhu kuzonciphisa ingozi yokuba nesiyezi nokuwa.
- Umlomo owomile: Umlomo wakho ungase uzizwe womile. Ukuhlafuna itshungama engenashukela nokuphuza amanzi amaningi kungasiza.
- Ukuthatha imithi yezinye izifo: Ungathathi imithi yokukhwehlela, yomkhuhlane, noma yezinhlungu ngaphandle kokubonisana nodokotela wakho. Eminye yale mithi ingase inyuse umfutho wegazi lakho.
Yimiphi imiphumela emibi engaba khona yomuthi?
Njenganoma yimuphi umuthi, iMidodrine ingabangela imiphumela emibi. Eminye yayo iyingozi, eminye ayibi kakhulu.
| Uma uhlangabezana nalezi zimpawu, tshela udokotela wakho ngokushesha. | |
|---|---|
| Ikhanda elibuhlungu kakhulu, elikhala ezindlebeni | Ukushaya kwenhliziyo okusheshayo, okungajwayelekile, noma ubuhlungu besifuba |
| Umbono ofiphele | Ukuqhuma kwesikhumba, amaqhubu |
| Uma lezi zimpawu ziqhubeka noma zikhathaza, tshela udokotela wakho. | |
| Amaqhubu e-goose | Umuzwa wokucasuka esikhumbeni noma esikhumbeni |
| Isikhumba esilumayo | Isidingo sokuphuza njalo |
| Ukubanda komzimba (Ukugodola) | Ubuhlungu besisu |
Uma uhlangabezana nanoma yiziphi ezinye izimpawu ezingashiwongo kulolu hlu, khuluma nodokotela wakho ngazo.
Ngingawugcina kanjani umuthi?
Ukugcina imithi ngendlela efanele nakho kubaluleke kakhulu.
- Gcina kude nezingane.
- Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-15-30). Vikela ekushiseni okukhulu kanye nomswakama.
- Lahla umuthi ophelelwe yisikhathi.
Umlayezo Wokuya Nawe Ekhaya
- I-Midodrine umuthi osetshenziselwa ukulawula isiyezi (i-orthostatic hypotension) owenzeka uma usukuma uhleli.
- Umthetho oyinhloko nobaluleke kakhulu ngalo muthi ukuthi ungalali phansi isikhathi eside ngemva kokuwuthatha. Thatha umthamo wokugcina wosuku okungenani amahora amane ngaphambi kokulala.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izifo onazo.
- Uma uzwa izimpawu ezifana nekhanda elibuhlungu kakhulu kanye nobuhlungu besifuba, lezi zingase zibe izimpawu zomfutho wegazi ophakeme. Uma lokhu kwenzeka, funa iseluleko sezokwelapha ngokushesha.
- Landela imiyalelo kadokotela wakho ngqo ngaso sonke isikhathi. Ungayeki ukuthatha imithi yakho noma ushintshe umthamo ngokwakho.
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