Prinivil, Qbrelis, Zestril
Lisinopril ikoreshwa yonyine cyangwa hamwe n'imiti indi mu kuvura umuvuduko ukabije w'amaraso (hypertension). Umuvuduko ukabije w'amaraso wongeyeho akazi ku mutima n'imitsi y'amaraso. Niba ikomeje igihe kirekire, umutima n'imitsi y'amaraso bishobora kutakorana neza. Ibi bishobora kwangiza imiyoboro y'amaraso mu bwonko, mu mutima no mu mpyiko bigatuma haba impanuka y'ubwonko, gucika intege kw'umutima cyangwa gucika intege kw'impyiko. Kugabanya umuvuduko w'amaraso bishobora kugabanya ibyago byo kugira impanuka y'ubwonko n'izindi ndwara z'umutima. Lisinopril ikora ikumirana ikintu kiri mu mubiri gitera imitsi y'amaraso gukomera. Ibyo bituma lisinopril ituma imitsi y'amaraso yoroha. Ibi bigabanya umuvuduko w'amaraso kandi bikongera umusaruro w'amaraso n'umwuka ugera ku mutima. Lisinopril kandi ikoreshwa mu gufasha kuvura gucika intege kw'umutima. Ikoreshwa kandi kuri bamwe mu barwayi nyuma yo kugira ikibazo cy'umutima. Nyuma yo kugira ikibazo cy'umutima, igice cy'umutima kiba cyangiritse kandi kigacika intege. Umusarani w'umutima ushobora gukomeza kugenda ucika intege uko iminsi igenda. Ibi bituma bigorana ku mutima gutuma amaraso agenda. Lisinopril ishobora gutangira gukoreshwa mu masaha 24 nyuma yo kugira ikibazo cy'umutima kugira ngo yongere ibyago byo kubaho. Uyu muti uboneka gusa ufite ibaruwa y'umuganga. Iyi miti iboneka mu buryo bukurikira bwo kuyipima:
Mu gihe cyemeza gukoresha imiti, ibyago byo gufata imiti bigomba kupimirwa ugereranyije n'akamaro izagira. Iki ni cyemezo wowe na muganga wawe muzafatanya gufata. Kuri iyi miti, ibi bikurikira bigomba kwitabwaho: Bwira muganga wawe niba warigeze ugira uburwayi butunguranye cyangwa ubwo kwangirika kw'umubiri buterwa n'iyi miti cyangwa izindi miti. Nanone, bwira umuhanga mu by'ubuzima ufite andi moko y'uburwayi, nko ku biribwa, amabara, ibintu byongera ubuzima, cyangwa inyamaswa. Ku bicuruzwa bitagomba kwandikwa, soma witonze ibikoresho biri ku gipfunyika cyangwa ku kimenyetso. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abana byabuza ikoreshwa rya lisinopril mu kuvura indwara y'amaraso muri abana bafite imyaka 6 kugeza kuri 16. Ariko kandi, umutekano n'ingaruka ntabwo byaragaragajwe mu bana bari munsi y'imyaka 6. Ubushakashatsi bukwiye bwakozwe kugeza ubu ntabwo bwagaragaje ibibazo byihariye by'abakuze byabuza ikoreshwa rya lisinopril mu bakuze. Ariko kandi, abarwayi bakuze bafite ibyago byinshi byo kugira ibibazo by'impyiko bifitanye isano n'imyaka, bishobora gusaba ubwitonzi no guhindura umwanya ku barwayi bafata lisinopril. Nta bushakashatsi buhagije ku bagore bwo kumenya ibyago by'uruhinja mu gihe bakoresha iyi miti mu gihe cyo konsa. Pima inyungu zishoboka ugereranyije n'ibyago bishoboka mbere yo gufata iyi miti mu gihe cyo konsa. Nubwo imiti imwe n'imwe idakwiye gukoreshwa hamwe na gato, mu bindi bihe imiti ibiri itandukanye ishobora gukoreshwa hamwe nubwo hariho ishobora kubaho. Muri uru rubanza, muganga wawe ashobora kwifuza guhindura umwanya, cyangwa izindi ngamba zishobora kuba ngombwa. Iyo ufashe iyi miti, ni ngombwa cyane ko umuhanga mu by'ubuzima azi niba ufashe imiti iri kuri uru rutonde. Ibi bikurikira byatoranijwe hashingiwe ku kamaro kabyo kandi si ngombwa ko ari byose. Gukoresha iyi miti hamwe n'imiti iri kuri uru rutonde ntibyemerwa. Muganga wawe ashobora gufata icyemezo cyo kutakugirira iyi miti cyangwa guhindura imiti imwe mu yindi ufashe. Gukoresha iyi miti hamwe n'imiti iri kuri uru rutonde ntibisanzwe byemewe, ariko bishobora gusabwa mu bihe bimwe na bimwe. Niba imiti yombi yanditswe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Gukoresha iyi miti hamwe n'imiti iri kuri uru rutonde bishobora gutera ibyago byiyongereye by'ingaruka zimwe na zimwe, ariko gukoresha imiti yombi bishobora kuba ubuvuzi bwiza kuri wowe. Niba imiti yombi yanditswe hamwe, muganga wawe ashobora guhindura umwanya cyangwa uko uyikoresha rimwe cyangwa imiti yombi. Imiti imwe n'imwe ntigomba gukoreshwa mu gihe cyo kurya cyangwa hafi yacyo cyangwa kurya imirire imwe n'imwe kuko ishobora kubaho. Gukoresha inzoga cyangwa itabi hamwe n'imiti imwe nabyo bishobora gutera ishobora kubaho. Muganire n'umuhanga mu by'ubuzima ku ikoreshwa ry'imiti yawe hamwe n'ibiribwa, inzoga cyangwa itabi. Kuba hari ibindi bibazo by'ubuzima bishobora kugira ingaruka ku ikoreshwa ry'iyi miti. Menya neza kubwira muganga wawe niba ufite ibindi bibazo by'ubuzima, cyane cyane:
Uruhande rw'imiti ikoreshwa, kuvura umuvuduko ukabije w'amaraso bishobora kuba birimo no kugabanya ibiro no guhindura ubwoko bw'ibiribwa urya, cyane cyane ibiryo birimo umunyu mwinshi (umunyu wa sodium). Muganga wawe azakubwira ibyo ari byo by'ingenzi kuri wowe. Ugomba kubaza muganga wawe mbere yo guhindura imirire yawe. Abarwayi benshi bafite umuvuduko ukabije w'amaraso ntibabona ibimenyetso by'icyo kibazo. Mu by'ukuri, benshi bashobora kumva bameze neza. Ni ngombwa cyane ko ufata imiti yawe ukurikije amabwiriza kandi ko ugomba kujya kubona muganga wawe nubwo waba umeze neza. Ibuka ko iyi miti itazakiza umuvuduko ukabije w'amaraso ariko ifasha kuwugabanya. Bityo, ugomba gukomeza kuyifata ukurikije amabwiriza niba wifuza kugabanya umuvuduko w'amaraso no kuwugumisha hasi. Ushobora kuzaba ugomba gufata imiti y'umuvuduko ukabije w'amaraso ubuzima bwawe bwose. Niba umuvuduko ukabije w'amaraso utavuwe, ushobora gutera ibibazo bikomeye nko kunanirwa kw'umutima, indwara z'imitsi y'amaraso, umwijima, cyangwa indwara z'impyiko. Pima neza umuti ushushe ukoresheje ikiyiko cyapimwe kigaragara mu rupapuro rw'imiti. Koga ikiyiko cyapimwe amazi nyuma yo kukoresha buri gihe. Niba umwana wawe adashobora kumenya gutwara imiti, ashobora guhabwa umuti ushushe. Komanga umuti ushushe neza mbere yo kuwukoresha buri gihe. Baza muganga wawe cyangwa umuganga w'imiti ibyo. Igipimo cy'iyi miti kizaba kitandukanye ku barwayi batandukanye. Kurikiza amabwiriza y'abaganga bawe cyangwa amabwiriza ari ku kinywano. Amakuru akurikira arimo gusa ibipimo bisanzwe by'iyi miti. Niba igipimo cyawe kitandukanye, ntukiguhindura keretse muganga wawe akubwiye kubikora. Ingano y'imiti ufata iterwa n'imbaraga z'imiti. Nanone, umubare w'ibipimo ufata buri munsi, igihe cyemererwa hagati y'ibipimo, n'igihe ufata imiti biterwa n'ikibazo cy'ubuzima uri kuvura. Niba ubuze igipimo cy'iyi miti, gifate vuba bishoboka. Ariko, niba hafi igihe cyo gufata igipimo gikurikira, sipa igipimo wabuze kandi usubire ku gahunda yawe isanzwe yo gufata imiti. Ntukarebe ibipimo bibiri icyarimwe. Gabanya abana. Ntukagumane imiti ishaje cyangwa imiti idakenewe ukundi. Baza umwuga wita ku buzima uburyo wakwirukana imiti utabikoresha. Ububike imiti mu kibindi gifunze ku bushyuhe bw'icyumba, kure y'ubushyuhe, ubushuhe, n'izuba ry'izuba. Gabanya gukonjesha. Ububike umuti ushushe wavangiwe ku bushyuhe bw'icyumba cyangwa hasi yaho ibyumweru 4.
Umuhakana: Kanama ni urubuga rw'amakuru y'ubuzima kandi ibisubizo byayo ntibigize inama z'ubuvuzi. Jya ubona umuganga ufite uruhushya rwo gukorera hafi yawe mbere yo gukora impinduka izo ari zo zose.