Olmesartan, amlodipine, uye hydrochlorothiazide (inwiwa nemumuromo)
Mhando dzinowanikwa
Tribenzor
Nezve mushonga uyu
Olmesartan, amlodipine, uye hydrochlorothiazide mishonga inosanganiswa inogona kushandiswa ichimiririra kana nemamwe mishonga ekurapa kweropa rakakwirira (hypertension). Ropa rakakwirira rinowedzera basa remoyo nemidziyero yeropa. Kana ikaramba kwenguva yakareba, moyo nemidziyero yeropa zvinogona kusashanda zvakanaka. Izvi zvinogona kukuvadza midziyero yeropa yemuuropi, moyo, neitsvo, zvichiguma nekuvhunduka, kupera simba kwemoyo, kana kupera simba kwemitsvo. Kudzikisa kweropa kunogona kuderedza njodzi yekuvhunduka nekurwara kwemoyo. Olmesartan ndiyo angiotensin II receptor blocker (ARB). Inoshanda nekudzivirira chinhu mumuviri chinoita kuti midziyero yeropa iome. Olmesartan inosunungura midziyero yeropa uye inodzikisa ropa. Ropa rakadzikira richawedzera kugovera kweropa neoksijeni kumoto. Amlodipine ndiyo calcium channel blocker (CCB). Inokanganisa kufamba kwe calcium kuenda kumasero emoyo nemidziyero yeropa. Amlodipine inosunungura midziyero yeropa uye inodzikisa ropa. Hydrochlorothiazide ndiyo thiazide diuretic (piritsi remvura). Inoderedza huwandu hwemvura mumuviri nekuwedzera kuyerera kwemukaka. Izvi zvinobatsira kudzikisa ropa. Uyu mushonga unowanikwa chete neyechiremba wako. Iyi chigadzirwa inowanikwa mumafomu anotevera ekurapa:
Usati washandisa mushonga uyu
Pakusarudza kushandisa mushonga, njodzi dzekutora mushonga unofanirwa kuyerwa nemabhenefiti aunoita. Iyi sarudzo iwe nechikamu chako muchaita. Kune mushonga uyu, zvinotevera zvinofanirwa kufungwa: Udza chiremba wako kana wakambonzwa chero mhinduro isingawanzoitika kana kupindwa nemhepo kune mushonga uyu kana mimwe mishonga. Udzawo nyanzvi yako yehutano kana uine mamwe marudzi eallergies, senge zvekudya, dyes, preservatives, kana mhuka. Kune zvigadzirwa zvisinganyorwi, verenga zvinyorwa zvepakiti kana zvinosanganiswa zvakanaka. Ongororo dzakakodzera hadzina kuitwa pane hukama hwezera kune migumisiro ye olmesartan, amlodipine, uye hydrochlorothiazide musanganiswa mune vechidiki. Kwakachengeteka uye kushanda hazvina kusimbiswa. Ongororo dzakakodzera dzakaitwa kusvika pari zvino hadzina kuratidza matambudziko chaiwo emakore ekukwegura aizoita kuti kushandiswa kwe olmesartan, amlodipine, uye hydrochlorothiazide musanganiswa muvakuru. Hapana ongororo dzakakwana muvakadzi dzekuona njodzi yemwana pakushandisa mushonga uyu panguva yekuyamwisa. Yera mabhenefiti anogona kuitika pamwe nenjodzi dzinogona kuitika usati watora mushonga uyu panguva yekuyamwisa. Kunyangwe mimwe mishonga isingafanirwe kushandiswa pamwe chete, mune mamwe mamiriro mishonga miviri yakasiyana inogona kushandiswa pamwe chete kunyangwe paine kuwirirana kunogona kuitika. Mune izvi, chiremba wako angada kuchinja chiyero, kana mamwe matanho angave achifanirwa. Paunenge uchitora mushonga uyu, zvakakosha kuti nyanzvi yako yehutano izive kana uri kutora chero mishonga iri pazasi. Kuwirirana kunotevera kwakasarudzwa zvichienderana nekuwanda kwavo uye hazvisi zvese zvinosanganisirwa. Kushandisa mushonga uyu nechero mishonga inotevera hakusimudzirwi. Chiremba wako angasarudza kusakubata nemushonga uyu kana kuchinja mimwe mishonga yaunotora. Kushandisa mushonga uyu nechero mishonga inotevera kazhinji hakusi kusimudzirwa, asi kunogona kudiwa mune zvimwe zviitiko. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti ungashandisa sei imwe kana ese mishonga. Kushandisa mushonga uyu nechero mishonga inotevera kunogona kukonzera njodzi yakawedzera yemigumisiro yakatarwa, asi kushandisa mishonga yese kunogona kunge kuri kurapwa kwakanakira iwe. Kana mishonga yese ikanyorwa pamwe chete, chiremba wako angachinja chiyero kana kuti ungashandisa sei imwe kana ese mishonga. Mimwe mishonga haifanirwe kushandiswa panguva kana pedyo nekutadya kana kudya marudzi akati wandei ezvokudya sezvo kuwirirana kunogona kuitika. Kushandisa doro kana fodya nemimwe mishonga kunogona zvakare kukonzera kuwirirana kuitika. Kurukura nehutano hwako hwehutano kushandiswa kwemushonga wako nezvokudya, doro, kana fodya. Kuvapo kwemamwe matambudziko ehutano kunogona kukanganisa kushandiswa kwemushonga uyu. Ita shuwa kuti unoudza chiremba wako kana uine mamwe matambudziko ehutano, kunyanya:
Mashandisirwo aungaita mushonga uyu
Tora mushonga uyu chete sezvakarayirwa nachiremba wako. Usatore zvakawanda, usatore kazhinji, uye usatore kwenguva yakareba kupfuura yakarayirwa nachiremba wako. Mushonga uyu unouya nemashoko ekushandisa anomiririra murwere. Verenga utevedzere mirairo iri mumashoko aya nekungwarira. Bvunza chiremba wako kana uine mibvunzo. Kuwedzera pakushandisa mushonga uyu, kurapwa kweropa rako rakakwirira kunogona kusanganisira kudzora uremu uye kuchinja marudzi ezvokudya zvaunodya, kunyanya zvokudya zvine sodium (munyu) yakawanda. Chiremba wako achakudzidzisa kuti ndeapi akakosha kwauri. Unofanira kubvunza chiremba wako usati wachenjera kudya kwako. Yeuka kuti mushonga uyu hauzorapi ropa rako rakakwirira, asi unobatsira kurirambidza. Unofanira kuramba uchitora sezvakarayirwa kana uchitarisira kudzikisa ropa rako rakakwirira uye kuichengeta pasi. Ungada kutora mushonga wekumanikidza ropa kwoupenyu hwako hwese. Kana ropa rakakwirira risina kurapwa, rinogona kukonzera matambudziko akakomba akadai sekukundikana kwemoyo, chirwere chemidziyo yeropa, kurova, kana chirwere cheitsvo. Dya piritsi rose. Usaputsa, usapwanyisa, kana kucheka. Unogona kutora mushonga uyu nechikafu kana usina. Kana uri kushandisawo colesevelam (Welchol®), tora mushonga uyu maawa anenge 4 mushure mekutora Tribenzor®. Doses yemushonga uyu ichava yakasiyana kune varwere vakasiyana. Tevedzera mirairo yechiremba wako kana mirairo iri parinenge. Mashoko anotevera anosanganisira chete avhareji doses yemushonga uyu. Kana dose yako yakasiyana, usachinje kunze kwekunge chiremba wako akakuudza kudaro. Huwandu hwemushonga waunotora hunotsamira pakusimba kwemushonga. Uyewo, nhamba ye doses yaunotora zuva rega rega, nguva inobvumirwa pakati pe doses, uye nguva yaunotora mushonga zvinoenderana nedambudziko rehutano rauri kushandisa mushonga. Kana wakanganwa dose yemushonga uyu, tora nekukurumidza sezvinobvira. Zvisinei, kana iri nguva yekutora dose yako inotevera, siya dose yakanganwika uye dzokera kune yako dosing schedule. Usatore doses mbiri panguva imwe chete. Chengetedza mushonga mubhodhoro rakavharwa pane tembiricha yekamuri, kure nekupisa, hunyoro, uye chiedza chakananga. Chengetedza kuti urege kuomarara. Chengetedza kure nevana. Usachengetere mushonga wakapfuura zuva rake kana mushonga usingachadiwi. Bvunza nyanzvi yehutano kuti ungakanda sei mushonga wese usingashandise.