Candesartan ne-hydrochlorothiazide (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Atacand HCT
Mayelana naleli khambi
Ukuhlanganiswa kweCandesartan ne-hydrochlorothiazide kusetshenziswa ekwelapheni ukuphakama kokucindezela kwegazi (hypertension). Ukuphakama kokucindezela kwegazi kwandisa umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase isebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. Ukuncipha kokucindezela kwegazi kunciphisa ingozi ye-stroke nokushaya kwenhliziyo. ICandesartan iyilokhu okuvimba i-angiotensin II receptor (ARB). Isebenza ngokuvimba isenzo sesigaba emzimbeni esibangela ukuba imithambo yegazi iqinise. Ngenxa yalokho, i-candesartan iphumula imithambo yegazi. Lokhu kunciphisa ukucindezela kwegazi futhi kwandisa ukunikezwa kwegazi no-oksijini enhliziyweni. I-Hydrochlorothiazide iyi-thiazide diuretic (ipilisi lamanzi). Incipha inani lamanzi emzimbeni ngokwandisa ukugeleza komchamo, okusisiza ekuphuculeni ukucindezela kwegazi. Lolu dokotela lutholakala kuphela ngesikripthi sedokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engaqondakali noma ebangelwa uketshezi kule mithi noma kwezinye izidakamizwa. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela yokuhlanganiswa kwe-candesartan ne-hydrochlorothiazide kubantu abancane. Ukuphepha nokusebenza kahle akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawuleli ukusebenzisa okuhlanganisiwe kwe-candesartan ne-hydrochlorothiazide kubantu abadala. Noma kunjalo, abantu abadala banamathuba amaningi okuba nezinkinga zezinkalankala ezihlobene nobudala, okungadinga ukuqapha nokulungiswa komthamo kubantu abamukela okuhlanganisiwe kwe-candesartan ne-hydrochlorothiazide. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo izidakamizwa ezimbili ezahlukene zingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akusikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili izidakamizwa ziyalelwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uzisebenzisa kangakanani enye noma zombili izidakamizwa. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili izidakamizwa ziyalelwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uzisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nanoma iyiphi imithi kungabangela ukuhlangana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Leli lemithi akufanele kube yilona mithi yokuqala oyisebenzisayo ekwelapheni isimo sakho. Kuhloswe ukuba lisetshenziswe kuphela ngemva kokuba uzama ezinye izimithi ezingazange zisebenze noma ezibeka imiphumela emibi. Ngaphezu kokusetshenziswa kwale mithi, ukwelashwa kwegazi eliphezulu kungafaka ukulawula isisindo nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okunosadimu (usawoti) oluphezulu. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhulumisane nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abaguli abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba kuqondiswe nokuthi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le mithi ngeke iphulukise igazi eliphezulu kodwa iyasiza ukuyilawula. Ngakho-ke, kufanele uqhubeke uyithathe njengoba kuqondiswe uma ulindele ukunciphisa igazi eliphezulu futhi uligcine liphansi. Ungase udinga ukuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbazo zegazi, isifo sobuchopho, noma isifo sempintsha. Ginya ithebulethi yonke. Ungayiqhekeza, uyicindezele, noma uyigaye. Le mithi ingathintwa ngokudla noma ngaphandle kokudla. Umthamo wale mithi uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela imithamo yale mithi. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo wale mithi, uyithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, skip umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola imithi. Ungawandisi imithamo. Gcina imithi esitsheni esivaliwe ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayivumeli ukuba iqhube. Gcina ingafinyeleleki kubantwana. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongayisebenzisi.