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Quinapril ne hydrochlorothiazide imishonga yekubatanidza yeropa inobatanidza mishonga miviri ine simba kubatsira kudzora ropa rakakwira zvakanyanya kupfuura mushonga mumwe chete. Iyi nzira yekushanda kaviri inobata ropa rakakwira kubva kumativi maviri akasiyana, zvichiita kuti ive sarudzo yakakurumbira kana mishonga imwe chete isiri kuita basa racho. Vanhu vazhinji vanowana iyi musanganiswa inovabatsira kusvika pazvinangwa zvavo zveropa vachitora mapiritsi mashoma pazuva.
Mushonga uyu unosanganisa quinapril, ACE inhibitor, ne hydrochlorothiazide, piritsi remvura kana diuretic. Quinapril ndeyeboka remishonga rinonzi angiotensin-converting enzyme inhibitors, iyo inobatsira kuzorodza tsinga dzeropa nekudzivisa hormone inokonzera kuti dzisungane. Hydrochlorothiazide inoshanda se thiazide diuretic, ichibatsira itsvo dzako kubvisa munyu wakawandisa nemvura kubva mumuviri wako.
Musanganiswa uyu unouya mupiritsi rimwe chete, zvichiita kuti zvive nyore kune vanhu vanoda mhando mbiri dzemishonga. Chiremba wako angakupa mushonga uyu kana uchida mhedzisiro yekudzikisa ropa yeiyo ACE inhibitor uye diuretic. Kubatanidzwa uku kunowanzo shanda zvirinani kupfuura mushonga mumwe chete nekuti vanotarisa nzira dzakasiyana dzinobatsira kune ropa rakakwira.
Iyi mishonga yekubatanidza inonyanya kupihwa kurapa ropa rakakwira, zvakare inozivikanwa se hypertension. Ropa rakakwira rinokanganisa mamiriyoni evanhu uye rinowanzoitika pasina zviratidzo zvinooneka, ndosaka dzimwe nguva richinzi
Mishonga iyi inoshanda kuburikidza nemaitiro maviri anozadzisana kudzikisa BP yako nemazvo. Chikamu che quinapril chinovhara enzyme inonzi ACE, iyo inowanzo kubatsira kugadzira hormone inosimbisa midziyo yeropa. Kana enzyme iyi yakavharwa, midziyo yako yeropa inogona kuzorora uye kuwedzera, ichibvumira ropa kuyerera nyore nyore nekudzvinyirira kushoma.
Panguva imwecheteyo, chikamu che hydrochlorothiazide chinobatsira itsvo dzako kubvisa sodium yakawandisa nemvura kuburikidza nekuwedzera weti. Izvi zvinoderedza huwandu hwemvura mumidziyo yako yeropa, iyo inozodzikisa kudzvinyirira mukati mavo. Funga nezvazvo sekuderedza huwandu hwemvura inoyerera kuburikidza nehose yebindu - huwandu hushoma hunoreva kudzvinyirira kushoma pamadziro.
Musanganiswa uyu unoonekwa sewakati simba uye unowanzo ratidza mhedzisiro mukati memaawa mashoma ekutora. Vanhu vazhinji vanoona mabhenefiti akazara ekudzikisa BP mukati memavhiki 2-4 ekutanga kurapwa. Nzira mbiri iyi inowanzo kupa kutonga kwakanaka kweBP kupfuura mishonga yega yega, kunyanya kune vanhu vane BP yakakwira zvakanyanya.
Tora mushonga uyu sezvinorayirwa nachiremba wako, kazhinji kamwe pazuva mangwanani. Unogona kuitora uine kana usina chikafu, asi edza kuitora panguva imwe chete zuva rega rega kuti uchengetedze mazinga akagadzikana mumuviri wako. Medza piritsi rose negirazi remvura izere - usapwanye, kuputsa, kana kutsenga.
Kutora mangwanani kazhinji kunofarirwa nekuti chikamu che hydrochlorothiazide chinogona kuwedzera kuita weti, izvo zvingakanganisa hope dzako kana zikatorwa gare gare muzuva. Kana ukaona dzungu paunotanga kutora, simuka zvishoma nezvishoma kubva pakugara kana kurara. Izvi zvinoitika nekuti ropa rako rinomanikidzwa richigadzirisa kumushonga.
Haufaniri kutora mushonga uyu nemukaka kana chero chikafu chakati, asi kugara uine mvura yakawanda kwakakosha. Chikamu che diuretic dzimwe nguva chinogona kukonzera kupera mvura mumuviri, saka inwa mvura yakawanda zuva rese kunze kwekunge chiremba wako akuraira zvimwe. Dzivisa zvinhu zvinotsiva munyu zvine potassium kunze kwekunge chiremba wako achizvitendera, sezvo mushonga uyu unogona kukanganisa mazinga ako e potassium.
Vanhu vazhinji vanoda kutora mushonga uyu kwenguva refu, kazhinji kwemazuva ese ehupenyu hwavo, kuchengetedza ropa ravo richimanikidzwa pasi pekutonga. High blood pressure inowanzoita mamiriro echronic anoda kurapwa kwenguva refu pane dambudziko renguva pfupi rinopera. Chiremba wako achatarisa mhinduro yako uye anogona kugadzirisa chiyero chako nekufamba kwenguva, asi kumisa mushonga kazhinji kunokonzera kuti ropa rinomanikidzwa riwedzere zvakare.
Unogona kutanga kuona mabhenefiti mukati memazuva mashoma ekutanga, asi zvinogona kutora 2-4 mavhiki kuti uwane mhedzisiro yakazara yekudzikisa ropa. Chiremba wako anogona kutarisa ropa rako rinomanikidzwa nguva dzose mumwedzi yekutanga kuti ave nechokwadi chekuti mushonga uri kushanda zvakanaka kwauri. Kunyangwe iwe uchinzwa zvakanaka, zvakakosha kuti uenderere mberi uchiutora sezvakanyorwa.
Usambomira kutora mushonga uyu kamwechete usati wataura nachiremba wako kutanga. Kumisa kamwechete kunogona kukonzera kuti ropa rako rinomanikidzwa riwedzere zvakanyanya, zvichikonzera matambudziko akakomba. Kana iwe uchida kumisa mushonga kana kuyedza chimwe chinhu chakasiyana, chiremba wako anogona kukubatsira kuchinjira zvakachengeteka kune dzimwe nzira dzekurapa.
Semishonga yese, iyi musanganiswa inogona kukonzera matambudziko, kunyange vanhu vazhinji vachigamuchira zvakanaka. Zvakaipa zvakajairika zvinowanzoita zvishoma uye zvinowanzoita zviri nani muviri wako uchigadzirisa kumushonga. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakavimbika pamusoro pekurapa kwako.
Heano matambudziko anonyanya kuziviswa anokanganisa vanhu vazhinji vanotora mushonga uyu:
Izvi zvakajairika zvinokonzerwa zvinowanzoita zvishoma sezvo muviri wako uchigadzirisa kumushonga. Vanhu vazhinji vanowana kuti vanogona kuenderera mberi nemabasa avo emazuva ese vasina kukanganiswa zvakanyanya.
Vamwe vanhu vanowana zvisingawanzoitiki asi zvakanyanya kukonzeresa matambudziko anoda kutarisirwa kwekurapa. Kunyange izvi zvisingaitike kune vese, zvakakosha kuziva zvekutarisa:
Taura nachiremba wako nekukurumidza kana ukaona chero eaya matambudziko akakomba. Vanogona kuda kugadzirisa chiyero chako kana kukuchinjira kumushonga wakasiyana.
Mhedzisiro isingawanzoitika asi yakakomba inogona kuitika dzimwe nguva, kunyangwe ichikanganisa vanhu vashoma kwazvo vanotora mushonga uyu. Izvi zvinosanganisira maitiro akakomba ekugumbuka, matambudziko eitsvo, nyaya dzechiropa, kana shanduko dzine njodzi mumakemikari eropa. Kunyangwe zvisingawanzoitiki, mamiriro aya anoda kutariswa kwekurapa nekukurumidza. Chiremba wako achakutarisa nekuongororwa kweropa nguva dzose kuti abate chero matambudziko angangovapo nekukurumidza.
Mushonga uyu hauna kukodzera munhu wese, uye mamwe mamiriro ehutano kana mamiriro anoita kuti zvive zvine njodzi. Chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati akuraira iyi musanganiswa kuti ave nechokwadi chekuti yakachengeteka kwauri.
Haufaniri kutora mushonga uyu kana uine chero mamiriro aya kana mamiriro:
Mamiriro aya anogona kuita kuti mushonga uve nenjodzi kana kusashanda, saka mamwe marapirwo angadiwa kuti utarise ropa rako zvakachengeteka.
Uyezve, mamwe mamiriro ehutano anoda kungwarira kwakanyanya uye kutariswa kwepedyo kana iwe uchitora mushonga uyu. Chiremba wako angangodaro achiri kukuraira asi achakutarisa zvakanyanya:
Kana uine chimwe chezvinhu izvi, chiremba wako anogona kutanga nemushonga mudiki uye achatarisa mhinduro yako zvakanyanya. Vanogonawo kuraira bvunzo dzeropa dzenguva dzose kuti vaongorore kushanda kwematsvo ako uye mazinga e electrolyte.
Mishonga iyi yakasanganiswa inowanikwa pasi pemazita akati wandei ebrand, neAccuretic ndiyo vhezheni inonyanya kurairwa. Mamwe mazita ebrand anosanganisira Quinaretic, kunyangwe kuwanikwa kungasiyana zvichienderana nenzvimbo yako uye pharmacy. Iyo generic vhezheni, inongonzi quinapril-hydrochlorothiazide, inowanikwawo zvakanyanya uye inoshanda zvakafanana nevhezheni dzemazita ebrand.
Mavhezheni ese emushonga uyu ane zvinhu zvakafanana zvinoshanda mumasimba akafanana, saka fomu re generic rinoshanda zvakanyanya sema brand-name options. Vanhu vazhinji vanosarudza vhezheni ye generic nekuti inowanzoita mari shoma ichipa mabhenefiti akafanana. Murapi wako wemishonga anogona kukubatsira kunzwisisa kuti ndeipi vhezheni inofukidza inshuwarisi yako zvakanaka.
Kana iyi musanganiswa isingashande zvakanaka kwauri kana kukonzera matambudziko, mishonga yakati wandei inogona kurapa zvakanaka high blood pressure. Chiremba wako angakurudzira mamwe masanganiswa eACE inhibitor, senge lisinopril ine hydrochlorothiazide kana enalapril ine hydrochlorothiazide, iyo inoshanda zvakafanana asi inogona kushivirirwa zviri nani.
ARB combinations inopa imwe sarudzo, ichibatanidza mishonga yakaita se losartan, valsartan, kana telmisartan ine hydrochlorothiazide. Izvi zvinoshanda zvakafanana neACE inhibitors asi hazviite kuti uve nekukosora kwakaoma kunonetsa vamwe vanhu. Calcium channel blocker combinations, senge amlodipine ine hydrochlorothiazide, inopa imwe nzira yekudzora dual blood pressure.
Kune vanhu vasingakwanisi kutora diuretics, mibatanidzwa isina hydrochlorothiazide inogona kushanda zviri nani. Zvingasarudzwa zvinosanganisira ACE inhibitors yakabatana ne calcium channel blockers, kana ARBs yakabatana ne calcium channel blockers. Chiremba wako anogona kubatsira kuona kuti ndeipi imwe nzira ingashanda zvakanaka zvichienderana nemamiriro ako ehutano uye maitiro ako kumushonga uyu.
Zvese quinapril-hydrochlorothiazide uye lisinopril-hydrochlorothiazide mishonga inoshanda pamwechete inoshanda zvakafanana kudzikisa ropa. Vese vanobatanidza ACE inhibitor ne diuretic imwechete, saka kushanda kwavo kwese kwakaenzaniswa. Zvidzidzo zvakawanda zvinoratidza kusave nemusiyano mukuru mukuti vanodzora sei ropa kana kudzivirira matambudziko emoyo.
Misiyano mikuru iri mukuti unofanirwa kuzvitora kakawanda sei uye kuti anogadziriswa sei nemuviri wako. Lisinopril inowanzo gara kwenguva refu mumuviri wako, saka inowanzo torwa kamwe chete pazuva, nepo quinapril inogona kuda kupimwa kaviri pazuva mune dzimwe nguva. Vamwe vanhu vanotsungirira imwe zviri nani pane imwe, asi izvi zvinosiyana kubva kumunhu nemunhu.
Sarudzo yachiremba wako pakati pemishonga iyi inowanzoenderana nemamiriro ako ehutano, mamwe mishonga yauri kutora, uye maitiro ako kumishonga yakafanana munguva yakapfuura. Zvese zviri zvingasarudzwa zvakanaka pakurapa high blood pressure, uye hapana imwe iri yese
Mushonga uyu unogona kushandiswa zvakachengeteka nevakawanda vane chirwere cheshuga, asi zvinoda kunyatsoongororwa. Chikamu che quinapril chingangobatsira kuchengetedza itsvo dzako kubva mukukuvadzwa kunokonzerwa nechirwere cheshuga, icho chiri chakanakira chikuru. Zvisinei, chikamu che hydrochlorothiazide dzimwe nguva chinogona kukanganisa mazinga eshuga yeropa, zvichigona kuita kuti akwire zvishoma.
Chiremba wako achanyatsoongorora shuga yako yeropa paunotanga mushonga uyu, kunyanya mumwedzi mishoma yekutanga. Ungangoda kugadzirisa mishonga yako yeshuga kana kutarisa shuga yako yeropa kakawanda. Vanhu vazhinji vane chirwere cheshuga vanogona kutora musanganiswa uyu zvakabudirira, asi kiyi ndeyekushanda pedyo nechikwata chako chehutano kuti uve nechokwadi chekuti ropa rako uye shuga yeropa zvinoramba zvichidzoreka zvakanaka.
Kana ukatora zvakawanda kupfuura chiyero chawakanyorerwa netsaona, taura nachiremba wako kana nzvimbo yekudzora muchetura nekukasira, kunyangwe ukanzwa zvakanaka. Kutora zvakawanda kunogona kukonzera kudzikira kweropa, zvichikonzera dzungu, kufenda, kana matambudziko akakomba. Usamirira kuti uone kana zviratidzo zvichioneka - zviri nani kutsvaga rubatsiro nekukasira.
Paunenge wakamirira mazano ekurapa, rara pasi netsoka dzako dzakakwidzwa uye dzivisa kumira nekukurumidza. Ita kuti mumwe munhu agare newe kana zvichibvira, sezvo ungave nedzungu kana kufenda. Usaedze kuzviita kuti urutse kunze kwekunge wakanzi nehunyanzvi hwehutano. Chengeta bhodhoro remushonga newe kuitira kuti vashandi vezvokurapa vagone kuona chaizvo zvawakatora uye zvakawanda sei.
Kana ukakanganwa dose, itore paunorangarira, kunze kwekunge yava nguva yechiyero chako chinotevera. Muchiitiko ichocho, skip dose yakakanganwa uye uenderere mberi nechirongwa chako chese. Usambofa wakatora zviyero zviviri panguva imwe chete kuti ugadzirise imwe yakakanganwa, sezvo izvi zvinogona kukonzera kuti ropa rako ridzikire zvakanyanya.
Kukanganwa mushonga dzimwe nguva hakuzokonzeri matambudziko akakomba, asi edza kuchengetedza kuenderana kuti uwane kutonga kwakanaka kweropa. Kana iwe uchikanganwa mishonga kazhinji, funga kumisa alarm yezuva nezuva kana kushandisa chirongwa chemishonga. Vamwe vanhu vanoona zvichibatsira kutora mishonga yavo panguva imwe chete neimwe tsika yezuva nezuva, senge kukwesha mazino avo kana kudya kwemangwanani.
Unofanira kungomira kutora mushonga uyu pasi pekutariswa kwachiremba wako, sezvo ropa repamusoro rinowanzoita kuti utariswe kwenguva refu. Kunyangwe kana kuverenga kweropa rako kwave kwakajairika, izvi zvinowanzoita kuti mushonga uri kushanda, kwete kuti hauchadi. Kumira kamwe kamwe kunogona kukonzera kuti ropa rako rikwire zvakanyanya.
Chiremba wako angangofunga kuderedza mushonga wako kana kuchinja mishonga kana wakaita shanduko huru muhupenyu hwako, wakarasikirwa nehuremu, kana kana ropa rako rave richitongwa zvakanaka kwenguva yakareba. Zvisinei, vanhu vazhinji vane ropa repamusoro vanoda imwe mhando yemishonga kwenguva isingagumi. Nguva dzose kurukura chero chido chekumira kana kuchinja mishonga yako nechiremba wako wehutano kutanga.
Unogona kuva nedoro zvine mwero uchitora mushonga uyu, asi chenjerera zvakanyanya nezvekuti unonwa zvakadii. Doro nemushonga uyu zvinogona kuderedza ropa rako, saka kuvabatanidza zvinogona kukonzera kuti unzwe dzungu kana musoro. Mhedzisiro yekunyudza yemvura yedoro inogonawo kuwedzera kurasikirwa kwemvura kunokonzerwa nechikamu che hydrochlorothiazide.
Kana ukasarudza kunwa, tanga nezvinhu zvidiki kuti uone kuti muviri wako unopindura sei. Ita shuwa kuti unochengetedza mvura yakawanda nekunwa mvura yakawanda, uye dzivisa kunwa doro kana wakatove uchinzwa dzungu kana kusanzwa zvakanaka. Taura nachiremba wako nezvehuwandu hwedoro, kana paine, hwakachengeteka kune mamiriro ako chaiwo, kunyanya kana uine mamwe mamiriro ehutano.