Chii chinonzi Enalapril ne Hydrochlorothiazide: Zvinoshandiswa, Mishonga, Mativi eMuviri, nezvimwe

Enalapril ne hydrochlorothiazide imishonga inosanganiswa inobatsira kudzora ropa rakakwira nekushandisa nzira mbiri dzakasiyana panguva imwe chete. Mushonga uyu une zviito zviviri unosanganisa ACE inhibitor (enalapril) ne diuretic kana "piritsi remvura" (hydrochlorothiazide) kubatsira moyo wako kupomba nyore uye kuderedza mvura inoungana mumuviri mako.

Vanhu vazhinji vanowana musanganiswa uyu uchishanda zviri nani pane kutora mushonga mumwe chete. Chiremba wako anogona kukupa mushonga uyu kana mishonga imwe chete isina kuderedza ropa rako kusvika padanho rakanaka, kana paunoda kubatsirwa nemhando mbiri dzemishonga dzichishanda pamwe chete.

Chii chinonzi Enalapril ne Hydrochlorothiazide?

Mushonga uyu unosanganisa mishonga miviri inozivikanwa yekuderedza ropa rakakwira mupiritsi rimwe chete riri nyore kutora. Enalapril ndeyeboka rinonzi ACE inhibitors, iro rinobatsira tsinga dzeropa kuti dzizorore uye dzifare. Hydrochlorothiazide i thiazide diuretic inobatsira itsvo dzako kubvisa munyu wakawandisa nemvura kubva mumuviri mako.

Kana mishonga miviri iyi ichishanda pamwe chete, inogadzira timu ine simba kurwisa ropa rakakwira. Enalapril inobatsira tsinga dzako dzeropa kuti dzirambe dzakazorora, nepo hydrochlorothiazide ichideredza huwandu hwemvura inodiwa nemoyo wako kupomba. Nzira iyi yekusanganisa inowanzoshanda zviri nani pane mushonga mumwe chete.

Iwe unowanzoona mushonga uyu uchivapo mumasanganiswa akasiyana esimba, zvichibvumira chiremba wako kuti agadzirise mushonga zvichienderana nezvaunoda. Misanganiswa yakajairika inosanganisira 5mg/12.5mg, 10mg/25mg, uye 20mg/25mg mahwendefa.

Chii chinonzi Enalapril ne Hydrochlorothiazide chinoshandiswa?

Mushonga uyu unosanganiswa unonyanya kushandiswa kurapa ropa rakakwira, iro rinozivikanwawo se hypertension. Ropa rakakwira rinokanganisa mamiriyoni evanhu uye kazhinji harikonzeri zviratidzo zvinooneka, ndosaka dzimwe nguva richinzi "muurayi akanyarara."

Chiremba wako anganyora mushonga uyu kana kuverengwa kweropa rako kuchiramba kuri pamusoro pe140/90 mmHg pasinei nekuchinja kwemararamiro. Chinangwa ndechekuunza nhamba dzako pasi kusvika padanho rine hutano, kazhinji pasi pe130/80 mmHg kune vanhu vazhinji.

Kunze kwekugadzirisa high blood pressure iripo, mushonga uyu unobatsirawo kudzivirira matambudziko akakomba anogona kukura nekufamba kwenguva. Izvi zvinosanganisira kurwisa kwemoyo, sitiroko, matambudziko eitsvo, uye kutadza kwemoyo. Nekuchengeta blood pressure yako ichidzorwa, uri kuchengetedza moyo wako, uropi, itsvo, uye midzi yeropa kubva mukukuvadzwa kwenguva refu.

Vamwe vanachiremba vanogonawo kunyora musanganiswa uyu kune vanhu vane kutadza kwemoyo, kunyangwe izvi zvisingawanzoitiki. Mushonga uyu unogona kubatsira kuderedza basa pamoyo wako uye kuvandudza kuti unopomba sei ropa mumuviri wako.

Enalapril neHydrochlorothiazide Zvinoshanda Sei?

Mushonga uyu unosanganisa unoshanda kuburikidza nzira mbiri dzakasiyana asi dzinowirirana kudzikisa blood pressure yako zvinobudirira. Funga nezvazvo senzira mbiri inobata high blood pressure kubva kumakona akawanda.

Chikamu cheenalapril chinovhara enzyme inonzi ACE (angiotensin-converting enzyme) mumuviri wako. Iyi enzyme inowanzo batsira kugadzira hormone inosimbisa midzi yeropa uye inokwidza blood pressure. Nekuvhara enzyme iyi, enalapril inobvumira midzi yeropa yako kuti izorore uye iwedzere, zvichiita kuti ropa riyerere zviri nyore kuburikidza nazvo.

Panguva imwecheteyo, hydrochlorothiazide inoshanda muitsvo dzako kubatsira kubvisa munyu wakawandisa nemvura kubva mumuviri wako kuburikidza nekuwedzera kuita weti. Kana paine mvura shoma mumidzi yeropa rako, pane kudzvinyirira kushoma pamadziro emidzi. Izvi zvinogadzira mutoro wakajeka wemoyo wako kuti upombe.

Pamwe chete, zviito zviviri izvi zvinogadzira kuderedzwa kukuru kweblood pressure kupfuura chero mushonga waigona kuita wega. Musanganiswa uyu unoonekwa seune simba zvine mwero uye unowanzo nyorwa kana mishonga imwe chete isina kubudirira zvakakwana.

Ndingatora Sei Enalapril ne Hydrochlorothiazide?

Tora mushonga uyu sezvaunorairwa nachiremba wako, kazhinji kamwe chete pazuva mangwanani. Unogona kuutora uine chikafu kana usina, asi kuutora uine chikafu kungabatsira kuderedza kusagadzikana mudumbu kana ukawana chero.

Momedza piritsi rose nemvura yakazara girazi. Usapwanye, utaune, kana kuputsa piritsi kunze kwekunge chiremba wako akakuudza zvakananga kuti uite kudaro. Kuitora panguva imwe chete zuva rega rega kunobatsira kuchengetedza mazinga akagadzikana emushonga mumuviri wako.

Sezvo mushonga uyu uine diuretic, kuutora mangwanani kazhinji ndiko kwakanaka. Nguva iyi inobatsira kudzivirira kuwanda kweweti usiku izvo zvingakanganisa kurara kwako. Kana uchida kuutora kaviri pazuva, chiremba wako anowanzo kurudzira madosi emangwanani nemasikati ekutanga.

Zvakakosha kuti uenderere mberi nekutora mushonga uyu kunyangwe ukanzwa zvakanaka. High blood pressure kazhinji haikonzeri zviratidzo, saka unogona kusanzwa wakasiyana kana ropa rako richinge rakakwira. Usamira kutora mushonga usati wataura nachiremba wako kutanga, sezvo kumira kamwe kamwe kunogona kukonzera kuti ropa rako rikwire zvakanyanya.

Ndingatora Kwenguva Yakareba Sei Enalapril ne Hydrochlorothiazide?

Vanhu vazhinji vanoda kutora mushonga uyu kwenguva refu kuti vachengetedze ropa ravo richidzorwa. High blood pressure inowanzoita mamiriro echronic anoda kurapwa kwenguva refu pane kurapwa kwenguva pfupi.

Chiremba wako achatarisa mhinduro yako kumushonga kuburikidza nekuongororwa kweropa nguva dzose uye bvunzo dzeropa. Misangano iyi inobatsira kuona kana mushonga uri kushanda nemazvo uye kana chero kugadziridzwa kwemadosi kuchidiwa. Vanhu vazhinji vanotanga kuona kuvandudzwa kweropa mukati mevhiki 2-4 vakatanga kurapwa.

Vamwe vanhu vanogona kuderedza mushonga wavo kana kuchinjira kune imwe nzira yekurapa kana ropa ravo rikadzora zvakanaka uye vachichinja mararamiro avo zvakanyanya. Zvisinei, sarudzo iyi inofanira kugara ichiitwa nekutungamirirwa nachiremba wako uye nekucherechedza zvakanyanya.

Usambofa wakarega kutora mushonga uyu kamwe kamwe, kunyange kana kuverengwa kweropa rako kwakavandudzika. Kumira kamwe kamwe kunogona kukonzera mhedzisiro ine njodzi yekudzoka uko ropa rako rinokwira kupfuura zvarakanga riri pamberi pekurapa. Kana uchida kumisa mushonga, chiremba wako achaderedza zvishoma nezvishoma muyero wako nekufamba kwenguva.

Ndezvipi Zvinokonzera Enalapril ne Hydrochlorothiazide?

Semishonga yese, iyi musanganiswa inogona kukonzera mhedzisiro, kunyange vanhu vazhinji vachizvitsungirira zvakanaka. Kunzwisisa zvekutarisira kunogona kukubatsira kuti unzwe wakagadzirira uye kuziva nguva yekubata chiremba wako.

Mhedzisiro yakajairika yaungasangana nayo inowanzoita nyoro uye inowanzoita nani sezvo muviri wako uchigadzirisa kumushonga:

• Dizziness kana lightheadedness, kunyanya kana uchimira nekukurumidza
• Kukosora kwakaoma kusingaite sekunge kunopera
• Kuwedzera kuita weti, kunyanya mumavhiki mashoma ekutanga
• Kuneta kana kunzwa kuneta kupfuura zvakajairika
• Kutemwa nemusoro
• Nausea kana dumbu rakatsamwa
• Muscle cramps kana kusimba

Izvi zvinowanzoitika zvinowanzoita zvishoma zvinonetsa sezvo muviri wako uchigadzirisa kumushonga. Kana vakapfuurira kana kuva nenhamo, taura nachiremba wako nezvekugadzirisa kunogoneka.

Mhedzisiro yakakomba haina kujairika asi inoda kutarisirwa kwekurapa nekukurumidza. Izvi zvinogona kusanganisira:

• Kutenderera kwakanyanya kana kufenda
• Kurova kwemoyo kusingaite zvakanaka kana kurwadziwa muchipfuva
• Kuzvimba kwechiso chako, miromo, rurimi, kana pahuro
• Meno akanyanya paganda kana kukwenya
• Kutadza kufema kana kumedza
• Nyemba dzakanyanya, kurutsa, kana manyoka
• Zviratidzo zvematambudziko eitsvo sekuderera kwemvura yeweti kana kuzvimba mumakumbo

Kazhinji, vamwe vanhu vanogona kusangana nemigumisiro isingawanzoitiki senge shanduko mukuravira, kurasikirwa nevhudzi, kana kunzwa kune chiedza chezuva. Izvi zvinowanzoitika zvinodzorereka kana mushonga wamiswa, asi unofanirwa kukurukura chero zviratidzo zvinonetesa nachiremba wako.

Ndiani Asingafaniri Kutora Enalapril uye Hydrochlorothiazide?

Mushonga uyu hauna kukodzera munhu wese, uye chiremba wako achanyatsoongorora nhoroondo yako yekurapa asati wanyora. Mamiriro akati wandei uye mamiriro anoita kuti musanganiswa uyu uve nenjodzi kana kuti usashande zvakanaka.

Haufaniri kutora mushonga uyu kana wakazvitakura kana kuronga kuva nepamuviri. Zvese zvikamu zvinogona kukuvadza mwana ari kukura, kunyanya panguva yechipiri neyechitatu. Kana ukava nepamuviri uchitora mushonga uyu, taura nachiremba wako nekukasika kuti ukurukure dzimwe nzira dzakachengeteka.

Vanhu vane mamiriro ekurapa akati wandei vanofanirwa kudzivisa musanganiswa uyu kana kuushandisa nekuchenjerera kukuru:

• Chirwere cheitsvo chakanyanya kana kutadza kweitsvo
• Chirwere chechiropa kana cirrhosis
• Nhoroondo yeangioedema (kuzvimba kwakanyanya kwechiso, miromo, kana pahuro)
• Kutadza kwemoyo kwakanyanya
• Chirwere cheshuga chine matambudziko eitsvo
• Lupus kana mamwe mamiriro eautoimmune
• Gout kana mazinga epamusoro e uric acid

Chiremba wako achafungawo nezvemamwe mishonga yaunotora, sezvo mamwe anogona kuita zvine njodzi nemusanganiswa uyu. Ita shuwa kuti unoudza chiremba wako nezve mishonga yese yakanyorwa, mishonga isingatengwi, uye zvinowedzerwa zvaunoshandisa.

Kana uine chirwere cheshuga, chirwere cheitsvo, kana matambudziko emoyo, chiremba wako angaramba achikupa mushonga uyu asi achakutarisa zvakanyanya nemiedzo yeropa yenguva dzose uye kuongororwa.

Mazita eBrand eEnalapril neHydrochlorothiazide

Mishonga iyi yakasanganiswa inowanikwa pasi pemazita akati wandei ebrand, neVaseretic ndiyo inonyanya kuzivikanwa. Mamwe mazita ebrand anosanganisira Prinzide, kunyangwe kuwanikwa kungasiyana zvichienderana nenzvimbo yako uye pharmacy.

Unogona zvakare kuwana mhando dzemishonga iyi yakasanganiswa, iyo ine zvinhu zvakafanana zvinoshanda asi kazhinji inodhura. Mishonga yakajairika inofanirwa kusangana nematanho akafanana ekuchengetedza uye kushanda semishonga yemazita ebrand, saka yakavimbika zvakafanana pakurapa mamiriro ako.

Paunotora mushonga wako, unogona kuona mapiritsi achitaridzika akasiyana kubva kumwedzi nemwedzi kana pharmacy yako ikachinja pakati pevagadziri vakasiyana. Izvi zvakajairika uye hazvikanganisi kushanda kwemushonga. Zvinhu zvinoshanda zvinoramba zvakafanana zvisinei nemugadziri.

Zvimwe Zvingashandiswa Panzvimbo peEnalapril neHydrochlorothiazide

Kana iyi musanganiswa isingashande zvakanaka kwauri kana kukonzera mhedzisiro inonetsa, dzimwe nzira dziripo. Chiremba wako angakurudzira misanganiswa yakasiyana kana kukuchinjira kumapoka akasiyana emishonga yeropa.

Mamwe maACE inhibitor anosanganisira lisinopril ine hydrochlorothiazide kana benazepril ine hydrochlorothiazide. Izvi zvinoshanda zvakafanana asi zvinogona kushandiswa zviri nani nevamwe vanhu. ARB (angiotensin receptor blocker) misanganiswa yakaita se losartan ine hydrochlorothiazide inopa imwe sarudzo ine zvishoma zvinogona kukonzera mhedzisiro.

Vamwe vanhu vanoita zviri nani nemacalcium channel blockers akasanganiswa nemadiuretics, senge amlodipine ine hydrochlorothiazide. Beta-blockers yakasanganiswa nemadiuretics inomiririra imwe nzira yekudzora ropa.

Kune vanhu vasingakwanise kushandisa diuretics, chiremba wako anganyora ACE inhibitor ine calcium channel blocker panzvimbo. Chinhu chakakosha ndechokuwana musanganiswa wakanaka unodzora ropa rako zvakanaka uchideredza mhedzisiro.

Enalapril ne Hydrochlorothiazide Zviri Nani Kudarika Lisinopril Here?

Ese ari maviri enalapril/hydrochlorothiazide uye lisinopril ndeechirimwa chimwe chete chemishonga uye anoshanda zvakafanana kudzora ropa. Sarudzo pakati pavo inowanzouya pasi kune zvinhu zvakaita semunhu mumwe nemumwe sekuti unotsungirira sei mushonga wega wega uye zvaunoda kuhutano hwako.

Lisinopril yoga inowanzonyorwa semushonga wekutanga wekurapa high blood pressure, nepo musanganiswa we enalapril/hydrochlorothiazide uchishandiswa kana mishonga imwe chete isina kushanda zvakakwana. Musanganiswa uyu ungave wakakodzera kana iwe uchida kubatsirwa kwe diuretic.

Vamwe vanhu vanowana kuti vanotsungirira imwe ACE inhibitor zviri nani pane imwe, kunyangwe vachishanda zvakafanana. Semuenzaniso, kana lisinopril ichikonzera kukosora kunoramba kuripo, chiremba wako angakuchinjira ku enalapril, iyo inogona kunge isingakonzere mhedzisiro iyi kune vamwe vanhu.

Sarudzo

Asi, chikamu che hydrochlorothiazide dzimwe nguva chinogona kukanganisa mazinga eshuga yeropa, zvichigona kuita kuti akwire zvishoma. Chiremba wako achatarisa shuga yeropa rako zvakanyanya paunotanga mushonga uyu uye anogona kuda kugadzirisa mishonga yako yechirwere cheshuga zvinoenderana nazvo.

Vanhu vane chirwere cheshuga uye chirwere cheitsvo vanoda kutariswa zvakanyanya, sezvo zvese zvirwere zvinogona kukanganisa nzira iyo muviri wako unogadzirisa nayo mushonga uyu. Kuongororwa kweropa nguva dzose kunobatsira kuona kuti mushonga uri kushanda zvakachengeteka uye nemazvo.

Ndingaita Sei Kana Ndikashandisa Zvakawandisa Enalapril uye Hydrochlorothiazide Netsaona?

Kana ukatora zvakawanda kupfuura chiyero chawakanyorerwa, taura nachiremba wako kana nzvimbo yekudzora chepfu nekukasira. Kutora zvakawanda kunogona kukonzera kudonha kunotyisa kweropa, zvichikonzera dzungu, kufenda, kana mamwe matambudziko akakomba.

Zviratidzo zvekuwandisa zvinogona kusanganisira dzungu rakanyanya, kuneta kwakanyanya, kusvotwa, kurutsa, kana kunzwa sekunge unogona kufenda. Usamirira kuti uone kana zviratidzo zvichikura - tsvaga rubatsiro rwekurapa nekukasira kana wakatora zvakawanda.

Paunenge uchimirira rubatsiro rwekurapa, gara kana kurara pasi kudzivirira kuwira kana ukanzwa dzungu. Usaedze kuzviita kurutsa kunze kwekunge wakanzi zvakananga naane hutano. Chengeta bhodhoro remushonga newe kuti uratidze vashandi vezvokurapa chaizvo zvawakatora uye zvakawanda sei.

Ndingaita Sei Kana Ndikakanganwa Dose yeEnalapril uye Hydrochlorothiazide?

Kana ukakanganwa dose, itore paunorangarira, kunze kwekunge yava nguva yechiyero chako chinotevera. Muchiitiko ichocho, siya dose yakakanganwa uye uenderere mberi nechirongwa chako chetsika. Usambofa wakatora zviyero zviviri panguva imwe chete kuti ugadzirise dose yakakanganwa.

Kukanganwa dose dzimwe nguva hakuzokonzera kukuvadza nekukasira, asi edza kutora mushonga wako nguva dzose kuti uwane kutonga kwakanaka kweropa. Kana iwe uchikanganwa dose kazhinji, funga kumisa alarm yefoni kana kushandisa chirongwa chemapiritsi kuti ikubatsire kurangarira.

Kana ukasiiwa mishonga nguva zhinji, taura nachiremba wako nezve nzira dzekuvandudza kutevedzera mishonga. Dzimwe nguva kuchinja kune imwe nguva yekushandisa kana fomu remishonga kunogona kubatsira kuti zvive nyore kuyeuka.

Ndingamira Rini Kutora Enalapril uye Hydrochlorothiazide?

Usambomira kutora mushonga uyu usina gwara rechiremba wako, kunyangwe ukanzwa zvakanaka kana kuverengwa kweropa rako kwavandudzwa. High blood pressure inowanzoita mamiriro ehupenyu hwese anoda kurapwa nguva dzose.

Chiremba wako angangofunga kuderedza chiyero chako kana kuchinja mishonga kana ropa rako rave richidzora zvakanaka kwenguva yakareba uye wakaita shanduko huru dzemararamiro. Zvisinei, sarudzo iyi inoda kunyatso tarisa uye haifaniri kuitwa wega.

Kana uchida kumisa mushonga nekuda kwemigumisiro kana dzimwe nyaya dzehutano, chiremba wako achaderedza zvishoma nezvishoma chiyero chako nekufamba kwenguva. Izvi zvinodzivirira kuwedzera kweropa kunotyisa kunogona kuitika kana kumira kamwe kamwe.

Ndinganwa Doro Ndiri Kutora Enalapril uye Hydrochlorothiazide?

Unogona kunwa doro zvine mwero uchitora mushonga uyu, asi chenjerera zvakanyanya nezve mhedzisiro yakabatanidzwa. Zvese doro nemushonga uyu zvinogona kudzikisa ropa, saka kunwa kungawedzera njodzi yako yekutemwa nemusoro kana kufenda.

Tanga nezvinhu zvidiki zvedoro kupfuura zvakajairika kuti uone kuti muviri wako unoita sei. Chikamu che diuretic chinogona zvakare kuwedzera njodzi yekushaya mvura mumuviri, iyo doro rinogona kuwedzera. Ita shuwa kuti unonwa mvura yakawanda kana ukasarudza kuva nedoro.

Kana ukaona kuwedzera kwemusoro, kutemwa nemusoro, kana zvimwe zviratidzo zvinonetsa paunenge uchidya, zviri nani kudzivisa doro kana kukurukura miganho yakachengeteka nachiremba wako. Vamwe vanhu vanowana kuti vanofanira kudzivisa doro zvachose vachitora mushonga uyu.