Ake sifunde ngamaphilisi e-Moexipril kanye ne-Hydrochlorothiazide okucindezela kwegazi lakho.

Ingabe udokotela ukutshelile ukuthi une-high blood pressure, noma "high blood pressure"? Noma ingabe othile emndenini wakho unalesi simo? Uma kunjalo, kungenzeka ukuthi uke wezwa ngale nhlanganisela yemithi ebizwa ngokuthi `(Moexipril; Hydrochlorothiazide)`. Itholakala futhi emakethe ngaphansi kwegama lomkhiqizo elithi `(Uniretic)`. Ngakho-ke, namuhla sizoxoxa ngokuthi iyini le mithi, ukuthi ithinta kanjani umzimba, nokuthi yini okufanele siyiqaphele kakhulu lapho siyisebenzisa.

Luhlobo luni lomuthi? Usebenza kanjani?

Kalula nje, i-Moexipril kanye ne-Hydrochlorothiazide (Moexipril; Hydrochlorothiazide) umuthi osetshenziselwa ukulawula umfutho wegazi ophakeme. Empeleni uyinhlanganisela yemithi emibili.

1. I-Moexipril: Lokhu kungokwesigaba semithi ebizwa ngokuthi ama-ACE inhibitors. Cabanga ngemithambo yegazi emzimbeni wakho njengamapayipi athwala amanzi. Ngezinye izikhathi lawa mapayipi angaba mancane futhi avale kancane. Bese kuba nzima ukuthi igazi ligeleze kuwo, bese ingcindezi iyanda. I-ACE inhibitor isebenza ngokukhulula leyo mithambo yegazi. Khona-ke igazi lingageleza kuwo kalula, okwehlisa ingcindezi yegazi lakho.

2. I-Hydrochlorothiazide: Lolu uhlobo lomuthi olubizwa ngokuthi i-diuretic. Kalula nje, lufana "nephilisi lamanzi." Lusebenza ngokusiza izinso zakho ukuthi zikhiphe amanzi amaningi nosawoti emzimbeni wakho njengomchamo. Lapho amazinga amanzi emzimbeni wakho ehla, umfutho wegazi lakho nawo uyehla.

Ngakho-ke le mithi emibili isebenza ndawonye ukusiza ukugcina umfutho wegazi lakho usezingeni elifanele. Udokotela wakho angasebenzisa lo muthi nakwezinye izinto. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka ngizitshele udokotela ngaphambi kokuqala lo muthi?

Ngaphambi kokukunikeza lo muthi, udokotela wakho uzokubuza imibuzo ethile. Kubaluleke kakhulu ukuthi ukhulume iqiniso ngaphandle kokufihla lutho. Lokhu kungenxa yokuthi lo muthi ungase ungafaneleki kubantu abanezifo ezithile noma ezinye izimo. Ngakho-ke, uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho:

• Isifo somnkantsha: Uma unesifo esinjalo.
• Ukwehla kokukhishwa komchamo: Uma ungachami njengokujwayelekile.
• Isifo Sikashukela: Uma unesifo sikashukela.
• Isifo senhliziyo noma semithambo yegazi: Uma kukhona inkinga ngenhliziyo noma imithambo yegazi.
• Uma udla ukudla okukhethekile: Isibonelo, ukudla ukudla okunosawoti omncane.
• Ubuthakathaka ohlelweni lokuzivikela komzimba: Isibonelo, izimo ezifana ne-`(Lupus)`.
• Isifo sezinso:Uma kukhona inkinga ngezinso.
• Isifo sesibindi: Uma kukhona inkinga ngesibindi.
• Umfutho wegazi ophansi: Uma umfutho wegazi usuphansi kakade.
• Uma wake waba nesimo esikhathini esidlule lapho ulimi lwakho, ubuso, noma izindebe zakho zivuvukala, okubangela ubunzima bokuphefumula noma ukugwinya, ushintsho ezwini lakho, noma ukuqina komphimbo wakho, lokhu kungaba yisimo esibizwa ngokuthi "i-Angioedema".
• Uma usanda kuba nokuhlaselwa yinhliziyo noma isifo sohlangothi.
• Uma une-allergy ku-moexipril, i-hydrochlorothiazide, imithi ye-sulfa, eminye imithi, ukulunywa yizinambuzane, ukudla, imibala yokwenziwa, noma izilondolozi.
• Uma unethemba lokukhulelwa, noma uma usuvele ucabanga ukuthi ukhulelwe.
• Uma ungumama oncelisayo.

Ukukhuluma ngokukhululekile nodokotela wakho ngalezi zinto kubaluleke kakhulu ekuphepheni kwakho nasekuphumeleleni kokwelashwa kwakho.

Ngingawusebenzisa kanjani lo muthi?

Lo muthi kufanele uphuzwe ngomlomo. Kungcono ukuwuthatha ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekutshelile. Ngokuvamile uphuzwa okungenani ihora ngaphambi kokudla, esiswini esingenalutho. Kufanele uqhubeke uwuthatha kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Akuwona umqondo omuhle ukuyeka ukuwuthatha ngokuthanda kwakho.

Okubalulekile: Uma unikeza izingane ezincane lo muthi, kufanele nakanjani ukhulume nodokotela wakho ngawo. Zingase zidinge ukunakekelwa okukhethekile.

Kuthiwani uma ngiphuza umuthi omningi kakhulu?

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi. Ungachithi isikhathi.

Okunye futhi: Lomuthi ungowakho kuphela. Ngisho noma umngane wakho enesifo esifana nesakho, ungamniki lo muthi. Ungaba yingozi.

Yini okufanele uyenze uma uphuthelwa 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.

Yiziphi ezinye izinto ezingangqubuzana nalo muthi?

Eminye imithi, ukudla, noma ezinye izinto ozithathayo zingabangela izinkinga uma zihlanganiswa nalo muthi (i-Moexipril; i-Hydrochlorothiazide). Lokhu kubizwa ngokuthi "ukusebenzisana kwezidakamizwa."

Ungawuthathi lo muthi kanye nemithi elandelayo:

• `I-Diazoxide`
• `Sacubitril; valsartan`

Futhi, okulandelayo kungathintana nalo muthi. Ngakho-ke, kufanele utshele udokotela wakho uma uthatha noma yikuphi kwalokhu:

• Ama-Barbiturates (isb. i-phenobarbital)
• Eminye imithi yokwehlisa umfutho wegazi
• Ama-Corticosteroids (isb. i-prednisone)
• Imithi yesifo sikashukela
• Ezinye izidakamizwa zokukhipha isisu, ikakhulukazi i-triamterene, i-spironolactone, noma i-amiloride
• I-Lithium
• Ama-NSAID (imithi yobuhlungu nokuvuvukala, isib. i-ibuprofen noma i-naproxen)
• Usawoti we-potassium noma izithasiselo ze-potassium
• Ama-painkiller anqunywe udokotela
• Ezinye izinto zokuphumula imisipha yamathambo (isib. i-tubocurarine)
• Eminye imithi yokwehlisa i-cholesterol (isib., `cholestyramine` noma `colestipol`)

Lolu hlu aluphelele. Kungase kube neminye. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (eyalelwe udokotela wakho, imithi yokunciphisa izinhlungu ethengiswa ngaphandle kwemithi kadokotela, amavithamini, ngisho nemithi ye-Ayurvedic), imikhiqizo yamakhambi oyisebenzisayo, izithasiselo zokudla ozithathayo, nokuthi ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Lokhu kuzosiza ukuthi akwelaphe ngokuphephile.

Yini enye okufanele siyiqaphele lapho sithatha lo muthi?

Kunezinto ezimbalwa okufanele uziqaphele uma usebenzisa lo muthi:

• Bona udokotela wakho njalo: Qiniseka ukuthi uya kuma-aphoyintimenti kadokotela wakho ukuze uhlole intuthuko yakho futhi uqinisekise ukuthi imithi isebenza kahle. Uma udokotela wakho ekutshela ukuthi uhlole umfutho wegazi lakho ekhaya, yenza kanjalo. Mbuze ukuthi umfutho wegazi lakho kufanele ube yini nokuthi kufanele umazise nini. Tshela nodokotela wakho uma ukushaya kwenhliziyo yakho kushintsha noma kushaya ngokushesha.
• Phuza amanzi amaningi futhi ugweme ukuphelelwa amanzi emzimbeni: Lo muthi ungabangela ukuphelelwa amanzi emzimbeni, ngakho buza udokotela wakho ukuthi kufanele uphuze amanzi angakanani nsuku zonke. Tshela udokotela wakho ngokushesha uma unesifo sohudo, ukuhlanza okukhulu, noma ukujuluka ngokweqile. Lo muthi ungaba yingozi uma ulahlekelwa amanzi amaningi emzimbeni wakho.
• Abesifazane abakhulelwe nabesifazane abazama ukukhulelwa: Uma ukhulelwe, noma ucabanga ukuthi ukhulelwe, tshela udokotela wakho ngokushesha. Lo muthi ungabangela imiphumela emibi kakhulu enganeni yakho engakazalwa. Buza udokotela wakho noma usokhemisi ukuthola ulwazi olwengeziwe.
• Ukozela, isiyezi:Abanye abantu bangase bazizwe belele noma benesiyezi ngemva kokuthatha lo muthi. Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza eminye imisebenzi edinga ukugxila uze wazi ukuthi lo muthi uthinta kanjani wena. Qaphela lapho uvuka noma uhlala phansi ngokuzumayo, ikakhulukazi uma usukhulile. Lokhu kungakwenza ube sengozini enkulu yokuwa. Ukuphuza utshwala kungenza lokhu kukozela kanye nesiyezi kube kubi kakhulu. Ngakho-ke gwema utshwala.
• Amazinga kashukela egazini: Uma unesifo sikashukela, lo muthi ungase ukhuphule kancane amazinga kashukela egazini lakho. Ngakho-ke, buza udokotela wakho uma udinga ukwenza noma yiziphi izinguquko ekudleni kwakho noma emithini yesifo sikashukela.
• Izinto ezithatha usawoti: Ungazisebenzisi izinto ezithatha usawoti ngaphandle kokuthi udokotela wakho akutshele ukuthi uzithathe. Zingaba ne-potassium eningi.
• Ukuzwela kwelanga: Isikhumba sakho singase sibe nomuzwa omncane elangeni ngenkathi uthatha lo muthi. Lokhu kusho ukuthi isikhumba sakho singase sishise futhi sibe bomvu ngokushesha kunangaphambili. Nciphisa ukuchayeka elangeni ngangokunokwenzeka. Uma kufanele uphume, gqoka izingubo ezimboza umzimba wakho kahle bese usebenzisa isivikelo selanga. Uma usebenzisa izibani zelanga, azilungile kuwe ngalesi sikhathi.
• Imithi yokukhwehlela, umkhuhlane, kanye nemithi yobuhlungu: Buza udokotela wakho ngaphambi kokuthatha noma yimiphi eminye imithi yokukhwehlela, umkhuhlane, noma yobuhlungu ngenkathi uthatha lo muthi. Eminye imithi ingase inyuse umfutho wegazi ngenxa yezithako ezikuyo.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njengayo yonke imithi, lo ungaba nemiphumela emibi. Kodwa akuwona wonke umuntu oyitholayo. Eminye iyingozi futhi kufanele utshele udokotela wakho ngokushesha. Eminye ayibi kakhulu kangako, kodwa kufanele utshele udokotela wakho uma iqhubeka.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

• Ukusabela kokungezwani komzimba noma i-angioedema: Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, amehlo, izindebe, ulimi, izandla noma izinyawo, ubunzima bokugwinya noma ukuphefumula.
• Ukuphelelwa amanzi emzimbeni: Ukoma ngokweqile, umlomo owomile, ukuquleka, isiyezi, ikhanda elibuhlungu, umchamo ophuzi omnyama noma onsundu.
• I-Gout: Ubuhlungu obukhulu, ukubomvu, ukufudumala, noma ukuvuvukala emalungeni, ikakhulukazi uzwane olukhulu.
• Amazinga aphezulu e-potassium egazini: Ubuthakathaka bemisipha, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile.
• Ukulimala kwezinso: Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo.
• Ukulimala kwesibindi: Ubuhlungu engxenyeni engenhla kwesokudla yesisu, ukulahlekelwa yisifiso sokudla, isicanucanu, indle ekhanyayo, umchamo ophuzi noma onsundu omnyama, ukuphuzi kwesikhumba noma amehlo, kanye nokukhathala okungavamile.
• Umfutho wegazi ophansi: Isiyezi, ukuquleka, ukubona okufiphele.
• Izinga eliphansi le-potassium egazini:Ubuhlungu noma ukuqina kwemisipha, ubuthakathaka noma ukukhathala okungavamile, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, ukuqunjelwa.
• Ubuhlungu noma ukushintsha kwamehlo ngokuzumayo: ukubona okufiphele, ukubona indandatho eduze kokukhanya, noma ukulahlekelwa umbono.

Uma ubona noma yiziphi zalezi zimpawu, xhumana nodokotela ngokushesha.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

• Ushintsho esifisweni noma emsebenzini wobulili
• Ukukhwehlela
• Isiyezi
• Ukukhathala
• Ikhanda elibuhlungu
• Isisu esibuhlungu (isib. isicanucanu, ukuhlanza)

Ungase ubhekane neminye imiphumela emibi engabhalwanga lapha. Uma ubona noma yini engavamile, khuluma nodokotela wakho ngayo.

Ngingawugcina kanjani lo muthi?

Lomuthi kufanele ugcinwe kude nezingane nezilwane ezifuywayo.

Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25, phakathi kwama-degree Fahrenheit angu-68 no-77). Vikela emswakama. Gcina ibhodlela/iphakethe lomuthi livaliwe kahle. Lahla noma yimuphi umuthi osele ngemva kosuku lokuphelelwa yisikhathi.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sibheke ezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule kulokho esikhulume ngakho:

• Lo muthi ungowomfutho wegazi ophakeme. Thatha njengoba nje udokotela ekutshela, ngesikhathi esifanele, ngenani elifanele.
• Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izifo onazo.
• Ungase uzizwe ulele futhi unesizungu ngenkathi uthatha umuthi. Ngakho-ke qaphela. Ungaphuzi utshwala.
• Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, tshela udokotela wakho ngokushesha.
• Uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu , bona udokotela ngokushesha.
• Uma unemibuzo noma ukungabaza, ungesabi ukubuza udokotela wakho noma usokhemisi.

Lokhu kumane nje kuyisifinyezo salokho esixoxe ngakho ngalo muthi. Kungase kube nemininingwane eminingi kunale. Ngakho-ke, landela njalo iseluleko sezokwelapha lapho wenza izinqumo ngempilo yakho.

I- Moexipril, i-Hydrochlorothiazide, i-Moexipril, i-Hydrochlorothiazide, umfutho wegazi ophakeme, imithi yokucindezela, i-ACE inhibitor, i-diuretic, imiphumela emibi