Umfutho wegazi ophakeme, noma njengoba sonke sazi, "umfutho wegazi," kuyisimo sempilo esivamile kubantu abaningi ezweni lethu. Ngezinye izikhathi kunzima ukulawula umfutho ngomuthi owodwa nje. Ezimweni ezinjalo, udokotela wakho angase akunikeze inhlanganisela yemithi emibili noma ngaphezulu. Namuhla, sizokhuluma ngenhlanganisela eyodwa evame ukusetshenziswa yemithi emibili, i-Telmisartan ne-Amlodipine.
Kalula nje, hlobo luni lomuthi?
Ngithe lokhu kuyinhlanganisela yezinhlobo ezimbili zemithi. Ake sibheke ukuthi ziyini lezo zinhlobo ezimbili nokuthi ziwuthinta kanjani umzimba.
1. I-Telmisartan: Lokhu kungokwesigaba semithi ebizwa ngokuthi ``Angiotensin II receptor blockers''. Kalula nje, ikhemikhali ebizwa ngokuthi i-angiotensin II emzimbeni wethu ibangela ukuba imithambo yegazi yethu (imithambo yegazi) inciphe. Njengoba nje ukucindezela ipayipi lamanzi kwenza amanzi ageleze ngokushesha, lapho imithambo yegazi incipha, ingcindezi yegazi eligeleza kuyo iyanda. Lo muthi obizwa ngokuthi i-telmisartan uvimba leyo khemikhali ukuthi isebenze. Khona-ke imithambo yegazi ikhululekile futhi iphumule, ukuze igazi likwazi ukuhamba kalula. Lokhu kunciphisa ingcindezi.
2. I-Amlodipine: Lokhu kungokweqembu elibizwa ngokuthi ``i-Calcium channel blocker''. Lokhu kusebenza futhi ngokukhulula imithambo yegazi, kodwa ngendlela ehlukile. Lo muthi ukhawulela ukungena kwe-calcium ezindongeni zemithambo yegazi nasemisipheni yenhliziyo. Lapho i-calcium incishisiwe, ukufinyela kwemisipha nakho kuyancipha. Lokhu kubangela ukuthi imithambo yegazi iphumule kakhulu, okuvumela inhliziyo ukuthi ipompe igazi kalula.
Ngakho-ke uma le mithi emibili ihlanganiswa, imiphumela emihle ingatholakala kaningi ngoba ilawula umfutho wegazi ngazo zombili izindlela. Lo muthi uyatholakala futhi emakethe ngaphansi kwegama lomkhiqizo iTwynsta.
Izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi
Kubalulekile ukuthi udokotela wakho aqaphele ngokugcwele umlando wakho wezempilo ngaphambi kokukunikeza lo muthi. Qiniseka ukuthi umtshela nganoma yiziphi izimo ezilandelayo, ikakhulukazi:
- Isifo senhliziyo: Uma uke waba nesifo senhliziyo ngaphambili, waba nokwehluleka kwenhliziyo, noma unesinye isifo senhliziyo.
- Isifo sezinso: Uma unesifo sezinso.
- Isifo sesibindi: Uma unesifo noma ubuthakathaka besibindi, ngoba isibindi sidlala indima ebalulekile ekususeni lo muthi emzimbeni.
- Ukungezwani komzimba:Sitshele uma une-allergies kule mithi emibili (i-Telmisartan, i-Amlodipine), eminye imithi, ukudla, noma izithasiselo.
- Ukukhulelwa: Lokhu kubaluleke kakhulu uma ukhulelwe, uzama ukukhulelwa, noma usola ukuthi ukhulelwe . Lo muthi ungabangela umonakalo omkhulu enganeni engakazalwa.
- Uma ungumama oncelisayo: Yazisa nodokotela uma ungumama oncelisayo.
Ngingawusebenzisa kanjani umuthi?
- Isilinganiso esifanele: Sebenzisa isilinganiso esifanele njengoba kunqunywe udokotela wakho. Ungalokothi wehlise, wandise, noma uyeke isilinganiso nganoma yisiphi isikhathi.
- Isikhathi esivamile: Yenza umkhuba wokuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke. Lokhu kuzokwenza kube lula ukuthi ukhohlwe ukuthatha umuthi wakho futhi kuzosiza ukugcina amazinga afanayo omuthi emzimbeni wakho.
- Ngokudla noma ngaphandle kokudla: Lo muthi ungathathwa ngaphambi noma ngemva kokudla. Kodwa-ke, abanye abantu bangase bazizwe bengakhululekile esiswini uma bethathwa kanye nokudla.
- Uma ukhohlwa: Uma ukhohlwa ukuphuza iphilisi, lithathe ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungaphuzi amaphilisi amabili ngesikhathi esisodwa (isilinganiso esiphindwe kabili) nganoma yisiphi isizathu.
- Ukweqisa umthamo: Uma ucabanga ukuthi uthathe umuthi omningi kakhulu, shayela ngokushesha i-National Poisons Information Centre e-Colombo National Hospital , noma uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
Into ebaluleke kakhulu ukuthi lo muthi unikezwe wena kuphela. Unganiki lo muthi kunoma ubani onezimpawu ezifana nezakho.
Ezinye izinto ezingase zihlangane nalo muthi
Kubalulekile ukutshela udokotela wakho uma uthatha eminye imithi, amavithamini, noma imikhiqizo yamakhambi (njengemithi ye-Ayurvedic, ama-decoction) ngenkathi uthatha lo muthi. Ezinye izinto zingathintana nalo muthi futhi zibangele imiphumela emibi.
| Izinto ezingadala izinkinga | Incazelo elula |
|---|---|
| Izithako ze-Potassium | Lo muthi ungandisa amazinga e-potassium emzimbeni. Ukuthatha i-potassium emithonjeni yangaphandle kungandisa lawo mazinga ngendlela eyingozi. |
| Izinto ezithatha indawo kasawoti | Izinto eziningi ezithatha indawo kasawoti ziqukethe i-potassium chloride, ngakho-ke gwema lokhu. |
| Amanye ama-diuretics | Amanye ama-diuretics, aziwa ngokuthi 'amaphilisi amanzi', angathinta amazinga e-potassium. |
| Eminye imithi yokucindezeleka kwegazi | Ukuyithatha kanye neminye imithi yomfutho wegazi kungabangela ukuthi umfutho wegazi wakho wehle kakhulu. |
| Izinto ezifana ne-Rifampin, i-St. John's Wort | Lokhu kunganciphisa ukusebenza kahle kweTelmisartan/Amlodipine. |
Imiphumela emibi engaba khona lapho uthatha umuthi
Njenganoma yimuphi umuthi, lo muthi ungabangela imiphumela emibi kwabanye abantu. Eminye yale miphumela ayimibi kangako, kodwa eminye idinga ukunakekelwa okusheshayo.
| Umphumela ongemuhle | Incazelo |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukungezwani komzimba okukhulu | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi, ubunzima bokuphefumula. |
| Isiyezi/isizungu | Amehlo aluhlaza okwesibhakabhaka, isiyezi, kanye nokuquleka (ikakhulukazi uma uvuka). |
| Ubuhlungu besifuba | Ubuhlungu besifuba obusha noma obuya buba bubi. |
| Ukuvuvukala | Ukuvuvukala kwezandla, amaqakala, noma izinyawo. |
| Izinguquko ekushayeni kwenhliziyo | Ukuzizwa sengathi inhliziyo yakho ishaya ngokushesha noma ngokungajwayelekile. |
| Ushintsho ekuchameni | Ubunzima bokuchama noma ukwehla kokukhishwa komchamo. |
| Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela uma iqhubeka | |
| Ukukhwehlela | Abanye abantu bangase babe nokukhwehlela okomile. |
| Ikhanda elibuhlungu | Kungase kwenzeke ekuqaleni kwemithi. |
| Ukungakhululeki kwesisu | Igesi , ukuqunjelwa, isicanucanu. |
| Ukukhathala/ukukhathala | Ukuzizwa ungakhululekile emzimbeni. |
Ezinye izinto okufanele uzicabangele lapho uthatha umuthi
- Isiyezi: Lo muthi ungakwenza uzizwe ulele noma unesiyezi. Ngakho-ke, gwema imisebenzi edinga ukuqapha, njengokushayela noma ukusebenzisa imishini, uze wazi ukuthi lo muthi uthinta kanjani wena. Vuka kancane, ikakhulukazi uma usukhulile, lapho uvuka embhedeni noma esihlalweni.
- Utshwala: Ukuphuza utshwala kungandisa isiyezi esibangelwa yilo muthi futhi kubangele ukwehla okungadingekile komfutho wegazi. Ngakho-ke, kuwukuhlakanipha ukugwema utshwala.
- Ukuhlinzwa: Uma uzohlinzwa, qiniseka ukuthi wazisa udokotela ohlinzayo kanye nodokotela obulala izinzwa ukuthi uthatha lo muthi.
Umlayezo Wokuya Nawe Ekhaya
- Thatha lo muthi njengoba nje udokotela wakho ekuyalele, ngesikhathi esifanele, nangesilinganiso esifanele.
- Ungalokothi uyeke ukuthatha imithi noma ushintshe umthamo ngaphandle kweseluleko sikadokotela.
- Tshela udokotela wakho ngayo yonke eminye imithi oyithathayo (kufaka phakathi i-Ayurvedic) kanye nanoma yiziphi izimo zezokwelapha onazo.
- Uma ukhulelwe, uzama ukukhulelwa, noma uncelisa, kubalulekile ukwazisa udokotela wakho ngaphambi kokuthatha lo muthi.
- Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi efana nokuvuvukala kobuso, izitho zomzimba, ubuhlungu besifuba, noma isiyezi esikhulu.
- Kala umfutho wegazi lakho ekhaya futhi uhlale uxhumana nodokotela wakho njalo.
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