Chii chinonzi Methyldopa: Zvayinoshandiswa, Madosi, Matambudziko, nezvimwe

Methyldopa mushonga unopiwa nachiremba unonyanya kushandiswa kurapa BP yakakwira (hypertension). Ndiwo mumwe wemishonga yekare yekudzikisa BP inoshanda nekukanganisa tsinga dzako kuti dzizorore uye dzifare, zvichiita kuti mwoyo wako uwedzere kubuda ropa mumuviri mako.

Mishonga iyi yakavimbwa nachiremba kwemakumi emakore, kunyanya kuvakadzi vane pamuviri vane BP yakakwira, nekuda kwenhoroondo yayo yakaratidzwa yekuchengeteka. Unogona kuiziva nemazita emhando seAldomet, kunyangwe ichiwanika zvakajairika semushonga wemhando nhasi.

Chii chinonzi Methyldopa chinoshandiswa?

Methyldopa inonyanya kunyorerwa kudzikisa BP yakakwira muvanhu vakuru nevana. Chiremba wako anogona kukurudzira mushonga uyu kana mamwe marapirwo eBP asina kushanda zvakanaka kwauri kana paunoda sarudzo yakapfava ine kushamwaridzana kushoma.

Mishonga iyi inokosha zvikuru kuvakadzi vane pamuviri vanowana BP yakakwira panguva yekuzvitakura. Inoonekwa seimwe yemishonga yakachengeteka yekudzikisa BP panguva yekuzvitakura nekuti haipfuuri placenta mumari inokuvadza kana kukanganisa mwana ari kukura.

Dzimwe nguva vanachiremba vanonyora methyldopa kune mamwe mamiriro apo kudzora BP kwakakosha. Izvi zvinogona kusanganisira matambudziko akati wandei eitsvo kana mamiriro emwoyo uko kuchengetedza BP yakagadzikana, yakaderera kunobatsira kuchengetedza nhengo dzako kubva mukukuvadzwa.

Methyldopa inoshanda sei?

Methyldopa inoshanda nekuita pachinzvimbo chekudzora uropi hwako pakudzora BP. Inotevedzera kemikari yechisikigo yeuropi inonzi norepinephrine, zvichinyengerera tsinga dzako kuti dzifunge kuti hapana chikonzero chekuchengeta BP yakakwira.

Funga sekudzora vhoriyamu pane sisitimu yako yekudzora ropa. Kana methyldopa yasvika muuropi hwako, inoderedza zviratidzo zvinowanzoudza tsinga dzako dzeropa kuti dzirambe dzakabatikana uye moyo wako kuti upombe zvakanyanya.

Iri rinofungidzirwa semushonga wepakati-pakati wekudzvinyirira ropa. Haina simba semamwe mishonga mitsva, asi yakagadzikana uye yakavimbika, ichishanda zvishoma nezvishoma kwemaawa akati wandei kuti ichengetedze kudzvinyirira kweropa zuva rese.

Ndingatora sei Methyldopa?

Tora methyldopa sezvinorayirwa nachiremba wako, kazhinji 2-3 nguva pazuva uine kana pasina chikafu. Unogona kuitora nemukaka, mvura, kana muto - chero zvinoita sekunyaradza dumbu rako.

Zvinobatsira kutora methyldopa panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana muropa rako. Vanhu vazhinji vanozviwana zviri nyore kuyeuka nekuzvibatanidza nekudya kana mamwe maitiro ezuva nezuva sekukwesha mazino.

Kana ukaona dumbu richigumbuka, edza kuitora nechikafu kana mukaka. Vamwe vanhu vanowana kuti kudya chikafu chakareruka vasati vatora mushonga kunobatsira kudzivirira chero kusagadzikana kwekugaya.

Usapwanye kana kutsenga mahwendefa kunze kwekunge chiremba wako akakuudza zvakananga. Vamedze vese nemvura yakawanda kuti uve nechokwadi chekuti vanoshanda nemazvo mumuviri wako.

Ndingatora Methyldopa kwenguva yakareba sei?

Vanhu vazhinji vanotora methyldopa kwemwedzi kana makore sechinhu chinorapwa kwenguva refu yekudzvinyirira ropa. Chiremba wako achasarudza nguva yakakodzera zvichienderana nekuti kudzvinyirira kweropa rako kunopindura sei uye kana ukaona chero mhedzisiro.

Kutariswa kweropa kunowanzo kuve kuzvipira kwehupenyu hwese, saka usashamiswe kana chiremba wako achikurudzira kuenderera mberi ne methyldopa zvachose. Izvi hazvireve kuti chimwe chinhu hachina kunaka - zvinongoreva kuti muviri wako unowana kubatsirwa nerutsigiro ruri kuenderera mberi runopiwa nemushonga uyu.

Chiremba wako achatarisa ropa rako nguva dzose uye anogona kugadzirisa mushonga wako kana kuchinja mishonga kana zvichidikanwa. Usambofa wakamira kutora methyldopa kamwe kamwe usati wataura nachiremba wako kutanga, nekuti izvi zvinogona kukonzera kuti ropa rako rikwire zvakanyanya.

Ndezvipi Zvipingamupinyi zveMethyldopa?

Semishonga yese, methyldopa inogona kukonzera zvipingamupinyi, kunyangwe vanhu vazhinji vasingaone matambudziko mashoma kana asipo. Zvipingamupinyi zvakajairika zvinowanzoita zvinyoro uye zvinowanzoita nani muviri wako uchigadzirisa kumushonga.

Heano zvipingamupinyi zvaungangove uchiwana, kunyanya mumavhiki ako ekutanga ekurapa:

• Kuvhiringidzika kana kunzwa kuneta masikati
• Dizziness, kunyanya kana uchimira nekukurumidza
• Muromo wakaoma kana kunzwa nyota
• Musoro unowanzoita nani nekufamba kwenguva
• Nausea kana dumbu diki rinogumbuka
• Mhino yakavharika kana kuzara
• Kushaya simba kana kunzwa usina simba kupfuura zvakajairika

Izvi zvipingamupinyi zvakajairika zvinowanzoita zvishoma sezvo muviri wako uchijaira mushonga, kazhinji mukati memavhiki 2-4.

Vamwe vanhu vanowana zvipingamupinyi zvisingawanzoitiki asi zvichiri kutarisika zvingangoda kutariswa nachiremba wako:

• Kuchinja mumaitiro ekurara kana zviroto zvakajeka
• Kuderera kwekufarira zvepabonde
• Kushushikana kudiki kana shanduko dzemafungiro
• Kuzvimba mumakumbo ako kana zvitsitsinho
• Kuwedzera uremu kubva pakuchengetwa kwemvura
• Kutapira mazamu kana kuwedzera
• Kurwadziwa kwemhasuru kana kuoma kwemajoini

Nepo izvi zvinogona kunetsa, kazhinji hazvina njodzi uye zvinogona kuvandudza nekugadzirisa dosi.

Zvisingawanzoitiki asi zvakakomba zvipingamupinyi zvinoda kutariswa kwekurapa nekukurumidza, kunyangwe zvichikanganisa vanhu vashoma kwazvo vachitora methyldopa:

• Matambudziko makuru echiropa (kushanduka kweganda kana maziso kuita yero, weti yakasviba, kuneta kukuru)
• Matambudziko eropa anokonzera kupwanya kana kubuda ropa zvisina kujairika
• Maitiro makuru ekuita allergic ane rash, kuzvimba, kana kuoma kufema
• Kushungurudzika kukuru kana pfungwa dzekuzvikuvadza
• Kurwadziwa muchipfuva kana kurova kwemoyo kusingaite zvakanaka
• Dizziness yakanyanya kana fainting spells

Kana ukaona chero zviratidzo izvi zvakakomba, taura nachiremba wako nekukasira kana kutsvaga rubatsiro rwekukurumidza. Rangarira, izvi zvinokanganisa zvakakomba hazviwanzoitiki, asi zvakakosha kuziva zvekutarisa.

Ndiani Asingafaniri Kutora Methyldopa?

Methyldopa haikodzeri munhu wese, uye chiremba wako achatarisa hutano hwako hwese asati akuraira. Zvimwe zvirwere zvinoita kuti mushonga uyu uve nenjodzi kana kushanda zvishoma.

Haufaniri kutora methyldopa kana uine chirwere chechiropa chiri kushanda kana nhoroondo yematambudziko echiropa akakonzerwa nemethyldopa munguva yakapfuura. Chiropa chako chinogadzirisa mushonga uyu, saka kushanda kwechiropa kwakanaka kwakakosha pakushandisa zvakachengeteka.

Vanhu vane kushungurudzika kukuru kana avo vari kutora mamwe maantidepressants anonzi MAO inhibitors vanofanira kudzivisa methyldopa. Musanganiswa unogona kuwedzera kushungurudzika kana kukonzera kusangana kwengozi nemimwe mishonga.

Kana uine pheochromocytoma (tumur yechinyanya ye adrenal gland), methyldopa inogona kukonzera kukwira kwengozi muropa. Chiremba wako achayedza mamiriro aya kana paine chero kufungidzira.

Zvimwe zvirwere zvinoda kufunga zvakanyanya uye kuongororwa pedyo kana iwe uchitora methyldopa:

• Chirwere cheitsvo kana kuderedzwa kwekuita kweitsvo
• Nhoroondo ye stroke kana cerebrovascular disease
• Chirwere cheParkinson kana matambudziko ekufamba
• Chirwere chemoyo chakakomba kana kukundikana kwemoyo
• Nhoroondo yematambudziko eropa kana anemia
• Mamiriro eAutoimmune senge lupus

Chiremba wako achayerera zvakanakira pamwe nenjodzi dzinogona kuitika uye anogona kusarudza mamwe marapirwo kana methyldopa isiri iyo yakakunakira.

Mazita eMethyldopa Brand

Methyldopa inowanikwa pasi pemazita akati wandei emhando, kunyangwe vanhu vazhinji vachishandisa vhezheni ye generic. Zita rinowanzozivikanwa rebrand ndeye Aldomet, iyo yaive yekutanga fomu apo mushonga uyu wakatanga kuziviswa.

Mamwe mazita emhando yaungasangana nawo anosanganisira Aldoril (musanganiswa ne hydrochlorothiazide) uye akasiyana siyana evhezheni dze generic vagadziri. Fomu re generic rinoshanda zvakanyanya sezvazvinoita vhezheni dzemhando uye kazhinji rinodhura zvakanyanya.

Kunyangwe iwe ukashandisa zita remhando kana generic methyldopa, chinhu chinoshanda uye kushanda kwacho kunoramba kwakafanana. Murapi wako wemishonga anogona kukubatsira kunzwisisa chero misiyano mukuonekwa kana zvisiri zvinoshanda zvinoshandiswa kana iwe ukachinja pakati pevagadziri.

Methyldopa Alternatives

Kana methyldopa isingashande zvakanaka kwauri kana kukonzera mhedzisiro inonetsa, chiremba wako ane mamwe mishonga yakawanda yeropa rekumanikidzwa yekusarudza kubva. Rudzi rumwe nerumwe runoshanda zvakasiyana uye runogona kunge rwakakunakira zvaunoda.

ACE inhibitors senge lisinopril kana enalapril kazhinji ndiyo yekutanga-sarudzo dzimwe nzira. Vanoshanda nekuzorodza tsinga dzeropa uye vanowanzo shivirirwa zvakanaka nemhedzisiro shoma pane methyldopa.

Calcium channel blockers senge amlodipine kana nifedipine inopa imwe sarudzo. Mishonga iyi inodzivirira calcium kubva pakupinda mumoyo wako uye maseru etsinga dzeropa, ichivabatsira kuzorora uye kudzikisa ropa rekumanikidzwa.

Beta-blockers senge metoprolol kana atenolol inononoka kurova kwemoyo wako uye kuderedza simba rekurova kwemoyo wako. Vanobatsira kunyanya kana iwe uinewo matambudziko emoyo kana wambove nekurwisa kwemoyo.

Diuretics (mapiritsi emvura) senge hydrochlorothiazide anobatsira itsvo dzako kubvisa mvura yakawandisa nemunyu mumuviri mako. Vanowanzo sanganiswa nemamwe mishonga yeropa rekumanikidzwa kuti vawane kutonga kuri nani.

Chiremba wako achafunga nezve zera rako, mamwe mamiriro ehutano, uye maitiro ako kumishonga yakasiyana paanenge achisarudza imwe nzira yakanakira iwe.

Ko Methyldopa Ari Nani Pane Lisinopril?

Kana methyldopa iri nani pane lisinopril zvinoenderana nemamiriro ako ehutano uye maitiro ako kumushonga wega wega. Zvese zviri zviviri mishonga inoshanda yekudzikisa BP, asi inoshanda nenzira dzakasiyana uye ine mhedzisiro yakasiyana.

Lisinopril inowanzo sarudzwa sechinhu chekutanga chekurapa nekuti inowanzoita mhedzisiro shoma uye haina kukonzera kurara kunogona kuitwa nemethyldopa. Inotorwa kamwe chete pazuva, izvo vanhu vazhinji vanowana zviri nyore.

Zvisinei, methyldopa ine zvayakanakira mune dzimwe nguva. Yakachengeteka zvakanyanya panguva yekuzvitakura, zvichiita kuti ive sarudzo inosarudzwa kuvakadzi vane pamuviri vane BP yakakwira. Yakashandiswawo kwenguva refu uye ine rekodhi yakakura yekuchengetedza.

Methyldopa ingave iri nani kwauri kana uine chirwere cheitsvo, sezvo ichigadziriswa zvakasiyana ne lisinopril. Vamwe vanhu vanotambirawo methyldopa zviri nani kana vakave nematambudziko neACE inhibitors se lisinopril ichikonzera kukosora kunoramba kuripo.

Chiremba wako achafunga nezve nhoroondo yako yezvokurapa, mamwe mishonga yaunotora, uye zvaunofarira iwe pachako paunenge uchisarudza kuti ndechipi mushonga wakanakira iwe.

Mibvunzo Inowanzo Bvunzwa Nezve Methyldopa

Methyldopa Yakachengeteka Here Kuti Chirwere Chemoyo?

Hongu, methyldopa inowanzo chengeteka kune vanhu vane chirwere chemoyo uye inogona kubatsira kuchengetedza moyo wako nekudzikisa BP. BP yakakwira inoita kuti moyo wako ushande zvakanyanya, saka kuudzora nemethyldopa kunogona kuderedza kushushikana pamoyo wako.

Zvisinei, chiremba wako achakutarisa zvakanyanya kana uine chirwere chemoyo. Methyldopa dzimwe nguva inogona kukonzera kuchengetwa kwemvura kana kukanganisa rhythm yemoyo, saka kuongororwa nguva dzose kunobatsira kuona kuti iri kushanda zvakanaka kwauri pasina kukonzera matambudziko.

Ndingaita Sei Kana Ndakatora Methyldopa Yakawandisa Netsaona?

Kana ukatora methyldopa yakawandisa netsaona, fonera chiremba wako kana nzvimbo inobata chepfu nekukasika, kunyangwe ukaita zvakanaka. Kutora yakawandisa kunogona kukonzera kudzikira kweropa kunotyisa, kurara zvakanyanya, kana kusava nesimba.

Usaedze "kugadzirisa" overdose nekusvetuka mushonga wako unotevera. Pane kudaro, tsvaga rubatsiro rwekurapa nekukasika. Kana uri kusangana nezviratidzo zvakakomba sekufema zvakaoma, kurwadziwa muchipfuva, kana kurasikirwa nekuziva, fonera masevhisi ekukurumidzira nekukasika.

Ndingaita Sei Kana Ndakakanganwa Dose yeMethyldopa?

Kana ukakanganwa dose ye methyldopa, itore paunorangarira, kunze kwekunge yava nguva yechikamu chako chinotevera. Muchiitiko ichocho, svetuka dose yakakanganwa uye uenderere mberi nechikamu chako chesevhisi.

Usambofa wakatora madosi maviri panguva imwe chete kuti ugadzirise dose yakakanganwa, sezvo izvi zvinogona kukonzera kuti ropa rako ridzikire zvakanyanya. Kana iwe uchikanganwa madosi kazhinji, funga nezvekuseta zviyeuchidzo zvefoni kana kushandisa chirongwa chemapiritsi kuti zvikubatsire kuti urambe uri munzira.

Ndingamira Rini Kutora Methyldopa?

Unofanira kungomira kutora methyldopa pasi pekutariswa kwechiremba wako. Kunyangwe ukaita zvakanaka uye ropa rako richitaridzika zvakajairika, kumira kamwe kamwe kunogona kukonzera mhedzisiro inotyisa apo ropa rako rinokwira zvakanyanya kupfuura kare.

Chiremba wako achaderedza zvishoma nezvishoma dose yako kwemavhiki akati wandei kana vakasarudza kuti hauchadi methyldopa. Iyi nzira yekudzikisa inobatsira muviri wako kuti uchinje zvakachengeteka uye inodzivirira matambudziko kubva pakuchinja kamwe kamwe kweropa.

Ndinganwa Doro Ndiri Kutora Methyldopa?

Zvakanaka kuderedza kunwa doro uchitora methyldopa, sezvo zvese zviri zviviri zvinogona kudzikisa ropa rako uye kukonzera dzungu kana kurara. Kuzvibatanidza kunogona kuwedzera njodzi yako yekuwa kana tsaona.

Kana ukasarudza kunwa dzimwe nguva, ita izvozvo zvine mwero uye teerera kuti unonzwa sei. Tangira nedoro shoma pane zvawaizojaira kuona kuti muviri wako unoita sei, uye dzivisa kunwa kana wakatotanga kunzwa dzungu kana kuneta nemishonga.