Ingabe nawe unomfutho wegazi ophakeme, noma "umfutho wegazi" njengoba sonke sazi? Uma kunjalo, udokotela wakho kungenzeka ukuthi ukunike imithi engaphezu kweyodwa. Namuhla sizokhuluma ngomuthi okhethekile owenziwa ngokuhlanganisa imithi emibili enjalo futhi osetshenziselwa ukulawula umfutho wegazi. Kuyinhlanganisela ebizwa ngokuthi i-Nebivolol ne-Valsartan. Uma nawe uke wanikezwa lo muthi, lesi sihloko sizoba sibaluleke kakhulu kuwe.
Luhlobo luni lomuthi lolu?
Kalula nje, lokhu kuyinhlanganisela yezinhlobo ezimbili zemithi.
1. I-Nebivolol: Lona umuthi osesigabeni semithi ebizwa ngokuthi "ama-beta-blockers." Usebenza ngokulawula ukushaya kwenhliziyo yakho kancane nokusiza imithambo yegazi yakho ukuba iphumule futhi ingacindezeli. Kufana nokunikeza umgijimi isikhathi esengeziwe sokululama.
2. I-Valsartan: Lokhu kungokwesigaba semithi ebizwa ngokuthi ama-angiotensin II antagonists. Kukhona ikhemikhali emzimbeni wethu ebangela ukuba imithambo yegazi inciphe, okungukuthi, ibe mincane. Lo muthi usebenza ngokumisa ukusebenza kwaleyo khemikhali. Ngemuva kwalokho imithambo yegazi ivuleka kahle futhi igazi lingageleza ngaphandle kokuvinjelwa.
Le mithi emibili isebenza ndawonye ukulawula umfutho wegazi wakho ophezulu. Ngezinye izikhathi lo muthi ungasetshenziswa nakwezinye izinto. Uma unemibuzo ngawo, buza udokotela wakho.
Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthatha imithi
Ngaphambi kokuqala lo muthi, kubalulekile ukutshela udokotela wakho uma unezinye zezimo ezilandelayo. Lokhu kubaluleke kakhulu ekuphepheni kwakho.
| Yazisa udokotela wakho uma unalezi zimo. |
|---|
| - Isifo sikashukela |
| - Uma unesifo senhliziyo noma ukuhlaselwa yinhliziyo |
| - Isifo sezinso |
| - Isifo sesibindi |
| - Izifo zamaphaphu noma zokuphefumula ezifana ne-asthma |
| - Isimo esibizwa ngokuthi i-Pheochromocytoma |
| - Isifo se-thyroid |
| - Uma une-allergy ku-Nebivolol, i-Valsartan noma yimuphi omunye umuthi, ukudla, noma idayi |
| - Uma ukhulelwe noma uzama ukukhulelwa |
| - Uma ungumama oncelisayo |
Ngingawusebenzisa kanjani lo muthi?
Kubaluleke kakhulu ukwazi kahle ukuthi lo muthi uwusebenzisa kanjani.
- Thatha lo muthi ngomlomo nengilazi yamanzi. Landela imiyalelo enikezwe udokotela wakho njengoba nje eyalelwe.
- Ungakuthatha lokhu ngaphambi noma ngemva kokudla. Kodwa-ke, uma uzizwa unesisu esibuhlungu noma ungakhululekile, kungcono ukukuthatha kanye nokudla.
- Phuza imithi yakho ngesikhathi esifanele, ngezikhathi ezifanele. Ungathathi okungaphezu kwalokho udokotela akutshele khona.
- Into ebaluleke kakhulu ukuthi, ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kweseluleko sikadokotela wakho. Ukwenza kanjalo kungabangela ukuthi umfutho wegazi wakho ukhuphuke ngokuzumayo futhi kube nezinye izinkinga.
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 ephindwe kabili.
Kuthiwani uma ngiphuza umuthi omningi kakhulu?
Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, ungesabi. Shayela ngokushesha iNational Poisons Information Centre eColombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Lo muthi unikezwe wena kuphela. Ungawunikezi omunye umuntu, noma ngabe izimpawu zakho zifana nezakho.
Eminye imithi engase ihlangane nalo muthi
Uma uthatha lo muthi, eminye imithi ingabangela izinkinga. Ngakho-ke, kufanele utshele udokotela wakho ngayo yonke imithi oyithathayo.
| Isexwayiso esikhethekile seziguli ezinesifo sikashukela | |
|---|---|
| Umuthi okungafanele uthathwe | I-Aliskiren |
| Eminye imithi engabangela izinkinga | |
| Amanye ama-beta-blocker | Isibonelo: iMetoprolol, iPropranolol |
| Eminye imithi yokucindezeleka kwegazi | Isibonelo: iBenazepril, iCaptopril, iLisinopril |
| Ama-diuretics (amaphilisi amanzi) | Isibonelo: i-Amiloride, i-Spironolactone |
| Ama-Painkiller (NSAIDS) | Isibonelo: i-Ibuprofen, i-Naproxen |
| Izithako ze-Potassium | |
| Eminye imithi | I-Digoxin, i-Diltiazem, i-Lithium, i-Fluoxetine, i-Paroxetine, i-Verapamil, i-Clonidine, i-Heparin |
Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi, amavithamini, amakhambi, kanye nezithasiselo ozithathayo. Futhi, tshela udokotela wakho uma ubhema noma uphuza utshwala.
Yiziphi izinto okufanele uzicabangele lapho uthatha umuthi?
- Hamba uyohlolwa njalo:Bona udokotela wakho njalo ukuze uhlole isimo sakho. Uma uhlola umfutho wegazi lakho ekhaya, thola iseluleko mayelana namazinga okufanele uwalindele nokuthi kufanele umshayele nini ucingo udokotela wakho.
- Ukozela kanye nesiyezi: Lo muthi ungakwenza uzizwe ulele futhi unesiyezi. Ngakho-ke , ungashayeli noma usebenzise imishini uze wazi ukuthi kukuthinta kanjani. Ungavuki ngokuzumayo uhleli, ikakhulukazi uma usukhulile. Vuka kancane. Lokhu kuzonciphisa ingozi yokuba nesiyezi nokuwa.
- Utshwala: Ukuphuza utshwala kungandisa ukozela kanye nesiyezi. Ngakho-ke, gwema ukuphuza utshwala ngenkathi uthatha lo muthi.
- Ukukhulelwa: Leli iphuzu elibaluleke kakhulu.
- Isifo Sikashukela: 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.
- Eminye imithi: Njalo thintana nodokotela wakho ngaphambi kokuthatha noma yimiphi imithi etholakala ngaphandle kwemithi kadokotela yokukhwehlela, umkhuhlane, noma ubuhlungu ngenkathi uthatha lo muthi. Eminye imithi ingakhuphula umfutho wegazi lakho.
- I-Nebivolol ne-Valsartan ziyinhlanganisela yemithi emibili elawula umfutho wegazi ophakeme.
- Thatha umuthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele. Ungayeki ukuthatha umuthi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi ezinye izimo zezokwelapha onazo (ikakhulukazi isifo sikashukela, izinso, noma isifo sesibindi).
- Qaphela ukozela kanye nesiyezi okungenzeka ngemva kokuthatha umuthi. Gwema ukushayela uze wazi ukuthi kukuthinta kanjani.
- Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, qiniseka ukuthi wazisa udokotela wakho ngaphambi kokuqala lo muthi.
- Uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kobuso, ubunzima bokuphefumula, noma isiyezi esinzima, funa iseluleko sezokwelapha ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Kubalulekile ukuthi abesifazane abakhulelwe noma labo abahlela ukukhulelwa bazise udokotela wabo ngalokhu. Ikakhulukazi phakathi nezinyanga zesibili nezesithathu zokukhulelwa, kungalimaza kakhulu ingane engakazalwa.
Yimiphi imiphumela emibi engingayithola?
Njenganoma yimuphi umuthi, lo ungabangela imiphumela emibi. Eminye yayo iyingozi, eminye yayo ivamile.
| Imiphumela emibi okufanele ibikwe kudokotela ngokushesha | |
|---|---|
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe, ulimi |
| Ubunzima bokuphefumula | Ubunzima bokuphefumula |
| Izimpawu zokulimala kwesibindi | Umchamo ophuzi noma onsundu omnyama, ukuphuzi kwamehlo noma isikhumba, ubuhlungu engxenyeni engenhla kwesokudla yesisu, umkhuhlane, isicanucanu |
| Izimpawu zokulimala kwezinso | Ubunzima bokuchama, ushintsho enanini lomchamo okhiqizwayo |
| Izimpawu zomfutho wegazi ophansi kakhulu | Ukuzizwa unesizungu kakhulu, ukuquleka, ukuwa, ukukhathala okukhulu |
| Ezinye izimpawu ezinkulu | Ukopha noma ukuphuka okungavamile, ubuhlungu besifuba, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile |
| Tshela udokotela wakho uma kuqhubeka noma kuyakhathaza. | |
| Ikhanda elibuhlungu, ukuhlanza, ukungasebenzi kahle kocansi | |
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