Created at:1/13/2025
I-Candesartan ngumuthi wokwehlisa umfutho wegazi osiza inhliziyo yakho ukuthi isebenze kahle ngokukhulula imithambo yakho yegazi. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-ARB (angiotensin receptor blockers), avame ukunqunywa ukulawula umfutho wegazi ophezulu nokuvikela inhliziyo yakho nezinso ekulimaleni kwesikhathi eside.
Lo muthi usebenza ngobumnene emzimbeni wakho, ngokuvamile kuthatha amasonto ambalwa ukukhombisa imiphumela yawo ephelele. Abantu abaningi bathatha i-candesartan nsuku zonke njengengxenye yomkhuba wabo wokunakekela inhliziyo, ngokuvamile kanye nezinye izinguquko zokuphila ezinempilo njengokuzivocavoca njalo nokudla okunomsoco.
I-Candesartan ngumuthi onqunywe ngudokotela ovimba izimpawu ezithile emzimbeni wakho ezibangela ukuthi imithambo yegazi iqine. Lapho le mithambo ikhululeka, igazi ligeleza kalula ngayo, okunciphisa umfutho enhliziyweni yakho nasemithanjeni.
Ungase ucabange ngayo njengokuvula ipayipi lengadi elisongwe - lapho ukusonga kukhululwa, amanzi ageleza ngokushelela ngaphandle kokwakha umfutho. I-Candesartan isebenza ngendlela efanayo ngokusiza imithambo yakho yegazi ukuthi ihlale ivulekile futhi ikhululekile.
Lo muthi ubhekwa njengokwelashwa kwesikhathi eside kunokulungiswa okusheshayo. Yenzelwe ukuthi ithathwe ngokuqhubekayo ukuze kulondolozwe ukulawulwa komfutho wegazi okuzinzile nokuvikela uhlelo lwakho lwe-cardiovascular ngokuhamba kwesikhathi.
I-Candesartan ngokuyinhloko inqunyelwe ukwelapha umfutho wegazi ophezulu (i-hypertension) nokuhluleka kwenhliziyo. Lezi zimo zithinta izigidi zabantu emhlabeni wonke, futhi ukuzilawula kahle kungathuthukisa kakhulu izinga lempilo yakho kanye nombono wezempilo wesikhathi eside.
Ngomfutho wegazi ophezulu, i-candesartan isiza ukuvimbela izinkinga ezinkulu njengokuhlaselwa yinhliziyo, ukushaywa unhlangothi, nezinkinga zezinso. Umfutho wegazi ophezulu ngokuvamile awunawo ama-symptoms, yingakho ngezinye izikhathi ubizwa ngokuthi “umbulali othule,” kodwa ukuwulapha ngempumelelo kungangeza iminyaka empilweni yakho.
Uma kukhulunywa ngokuhluleka kwenhliziyo, i-candesartan isiza inhliziyo yakho ukuba ipompe igazi ngempumelelo enkulu. Lokhu kunganciphisa izimpawu ezinjengokuphefumula kanzima, ukukhathala, nokuvuvukala emilenzeni yakho noma emaqakaleni, kukusize uzizwe ukhululekile ngesikhathi semisebenzi yansuku zonke.
Ngezinye izikhathi odokotela banikeza i-candesartan ukuvikela izinso zakho uma unesifo sikashukela. Ushukela ophezulu wegazi ungalimaza imithambo emincane yegazi ezinso zakho ngokuhamba kwesikhathi, futhi i-candesartan ingasiza ukunciphisa le nqubo.
I-Candesartan ivimba i-hormone ebizwa ngokuthi i-angiotensin II, evame ukutshela imithambo yakho yegazi ukuba icindezeleke. Uma le hormone ivalekile, imithambo yakho yegazi ingakhululeka futhi yande, ivumele igazi ukuba ligeleze ngokukhululeka emzimbeni wakho wonke.
Lo muthi uthathwa njengomuthi olungile futhi osebenzayo kubantu abaningi abanomfutho wegazi ophezulu. Unobungani kuneminye imithi yomfutho wegazi, okusho ukuthi mancane amathuba okuthi uzwe ukwehla okungazelelwe komfutho wegazi okungakwenza uzizwe unesiyezi noma uquleke.
Imiphumela ye-candesartan yakheka kancane kancane ohlelweni lwakho. Ungase ungaboni izinguquko ezinkulu endleleni ozizwa ngayo usuku nosuku, kodwa ukufundwa komfutho wegazi lakho ngokuvamile kuzothuthuka phakathi kwamasonto angu-2-4 ngemuva kokuqala ukwelashwa.
Ngokungafani neminye imithi yomfutho wegazi esebenza ngokushesha kodwa iphele ngokushesha, i-candesartan inikeza ukulawulwa okuqhubekayo, kwamahora angu-24 komfutho wegazi ngomthamo owodwa nje wansuku zonke.
Thatha i-candesartan ngendlela udokotela wakho ayichazile ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ungayithatha nokudla noma ngaphandle kokudla - noma yini ezizwa ikhululekile esiswini sakho futhi ehambisana kahle nomsebenzi wakho wansuku zonke.
Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uyihlafune, noma uyiphule ithebhulethi, ngoba lokhu kungathinta indlela umuthi ogxiliswa ngayo emzimbeni wakho.
Abantu abaningi bakuthola kuwusizo ukuthatha i-candesartan ngesikhathi esifanayo nalapho benza omunye umsebenzi wansuku zonke, njengokuxubha amazinyo noma ukudla kwasekuseni. Lo mkhuba ungasiza ukukhumbula ukuthatha imithi yakho njalo.
Uma udla ukudla okukhulu noma okunamafutha amaningi, ngeke kuthinte ngendlela enkulu ukuthi i-candesartan isebenza kanjani, kodwa ukuyithatha nokudla kungasiza uma uhlangabezana nanoma yikuphi ukuphazamiseka kwesisu. Abanye abantu bakhetha ukuyithatha ekuseni, kanti abanye bayithatha ngesikhathi sokulala - xoxa ngesikhathi nodokotela wakho ukuze uthole okusebenzela wena.
Abantu abaningi badinga ukuthatha i-candesartan isikhathi eside ukuze bagcine ukulawulwa kwengcindezi yegazi okunempilo. Ingcindezi yegazi ephezulu nokuhluleka kwenhliziyo yizimo ezingapheli ezidinga ukuqhubeka nokuphathwa kunokwelashwa kwesikhashana.
Udokotela wakho uzoqapha ukusabela kwakho emuthini ngokuhlolwa njalo kanye nokulinganisa ingcindezi yegazi. Lokhu kuvakasha kusiza ukuqinisekisa ukuthi imithi isebenza ngempumelelo futhi ivumele noma yiziphi izilungiso ezidingekayo kumthamo wakho.
Ungayeki ukuthatha i-candesartan ngokuzumayo, ngisho noma uzizwa ungcono noma ukufundwa kwengcindezi yegazi lakho kuthuthuka. Ukuyeka kungazelelwe kungabangela ukuthi ingcindezi yakho yegazi ikhuphuke, okungaba yingozi enhliziyweni yakho nemithanjeni yegazi.
Abanye abantu bangase bakwazi ukunciphisa umthamo wabo ngokuhamba kwesikhathi uma benza izinguquko ezinkulu zokuphila njengokunciphisa isisindo, ukuzivocavoca njalo, noma ukunciphisa ukudla kwe-sodium. Kodwa-ke, noma yiziphi izinguquko emithini yakho kufanele zihlale zixoxwa futhi zivunywe ngumhlinzeki wakho wezempilo.
Abantu abaningi bayayibekezelela kahle i-candesartan, kodwa njengayo yonke imithi, ingabangela imiphumela emibi kwabanye abantu. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe uqiniseka ngokuphathwa kwakho futhi wazi ukuthi ungaxhumana nini nodokotela wakho.
Imiphumela emibi evame kakhulu ngokuvamile ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi:
Le miphumela emibi ejwayelekile ivame ukuba ngaphansi kakhulu ngaphakathi emasontweni ambalwa okuqala kokwelashwa. Uma ziqhubeka noma ziba yinkinga, udokotela wakho angavame ukulungisa umthamo wakho noma asikisela izindlela zokuphatha zona.
Imiphumela emibi engajwayelekile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Ngenkathi lokhu kwenzeka ngesilinganiso esincane sabantu, kubalulekile ukuyazi:
Imiphumela emibi engavamile kodwa ebucayi ihlanganisa ukungezwani komzimba okukhulu kanye nezinguquko ezinkulu ekusebenzeni kwezinso noma ekhemistri yegazi. Udokotela wakho uzoqapha lokhu ngokuhlolwa kwegazi okuvamile, ikakhulukazi uma uqala ukuthatha i-candesartan.
I-Candesartan ayifanele wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Izimo nezimo ezithile zenza lo muthi ungaba yingozi noma ungasebenzi kahle.
Akufanele uthathe i-candesartan uma ukhulelwe noma uhlela ukukhulelwa. Lo muthi ungalimaza izingane ezisakhula, ikakhulukazi ngesikhathi sesibili nesesithathu, okungenzeka ukuthi kuthinte ukukhula kwezinso nezinye izitho ezibalulekile.
Abantu abanezifo ezinzima zezinso noma labo abakwi-dialysis kungenzeka bangabi ngabantu abafanelekayo ku-candesartan. Umuthi ucubungulwa ngezinso zakho, futhi ukungasebenzi kahle kwezinso kungaholela ekwakhekeni okuyingozi komuthi emzimbeni wakho.
Uma unomlando wokungezwani komzimba okukhulu emithini ye-ARB noma yiziphi izithako ku-candesartan, kufanele ukugweme lo muthi. Udokotela wakho angase ancome ezinye izindlela zokwelapha ezingase zikusebenzele kangcono.
Izimo ezithile zezokwelapha zidinga ukuqapha okwengeziwe uma kucatshangelwa i-candesartan:
Udokotela wakho uzohlola izinzuzo nezingozi zesimo sakho esithile futhi angase ancome ukuqala ngomthamo ophansi noma ukukhetha omunye umuthi uma i-candesartan ingafaneleki kuwe.
I-Candesartan itholakala ngaphansi kwamagama amaningi ebhrendi, i-Atacand iyona eyaziwa kakhulu. Ikhemisi lakho lingase lithwale inguqulo ejwayelekile (ebizwa nje ngokuthi i-candesartan) noma enye yezinguqulo zegama lebhrendi.
Amanye amagama ebhrendi afaka i-Atacand HCT (ehlanganisa i-candesartan ne-diuretic), i-Ratacand, ne-Blopress, kuye ngendawo yakho nekhemisi. Isithako esisebenzayo sihlala sifana kungakhathaliseki igama lebhrendi.
I-Candesartan ejwayelekile iqukethe isithako esisebenzayo esifanayo nezinguqulo zegama lebhrendi futhi isebenza ngempumelelo. Izinhlelo eziningi zomshuwalense zikhetha imithi ejwayelekile ngoba ibiza kancane, kodwa ukukhetha phakathi kwegama elijwayelekile nelibhrendi kuvame ukususelwa ekuhlinzekweni komshuwalense wakho nakuzintandokazi zakho.
Uma i-candesartan ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, imithi eminingi ehlukile ingaphatha ngempumelelo umfutho wegazi ophezulu nokuhluleka kwenhliziyo. Udokotela wakho angakusiza ukuthi uthole okukulungele izidingo zakho ezithile.
Eminye imithi ye-ARB isebenza ngendlela efana ne-candesartan futhi ingase itholeke kangcono. Lokhu kufaka phakathi i-losartan (Cozaar), i-valsartan (Diovan), ne-irbesartan (Avapro). Ngamunye unezici ezihlukile kancane ezingenza enye ikufanele kangcono kunenye.
Ama-ACE inhibitors afana ne-lisinopril (Prinivil, Zestril) noma i-enalapril (Vasotec) asebenza ohlelweni olufanayo lwe-hormone njenge-candesartan kodwa ngendlela ehlukile. Abanye abantu bayawamukela kangcono ama-ACE inhibitors, kanti abanye benza kangcono nge-ARBs efana ne-candesartan.
Ezinye izigaba zemithi yomfutho wegazi zifaka ama-calcium channel blockers, ama-beta-blockers, kanye nama-diuretics. Udokotela wakho angase ancome enye yalezi ezinye izindlela noma asikisela ukuhlanganisa i-candesartan neminye imithi ukuze kulawulwe kangcono umfutho wegazi.
Kokubili i-candesartan ne-lisinopril ziyimithi emihle kakhulu yokwelapha umfutho wegazi ophezulu nokuhluleka kwenhliziyo, kodwa zisebenza ngezindlela ezihlukile kancane. Akukho noyedwa
Ucwaningo lubonisa ukuthi imithi yomibili isebenza ngokulinganayo ekwehliseni umfutho wegazi nokuvikela inhliziyo yakho nezinso. Udokotela wakho uzocabangela umlando wakho wezokwelapha, eminye imithi oyithathayo, nanoma yimaphi imiphumela emibi oyitholayo ukuze anqume ukuthi iyiphi engcono esimweni sakho esithile.
Yebo, i-candesartan ngokuvamile iphephile futhi ivame ukuzuzisa abantu abanesifo sikashukela. Eqinisweni, ivame ukunqunywa ngqo ngoba ingasiza ukuvikela izinso zakho ekulimaleni okuhlobene nesifo sikashukela.
Isifo sikashukela singabangela amazinga kashukela aphezulu egazini alimaze imithambo emincane yegazi ezinso zakho ngokuhamba kwesikhathi. I-Candesartan isiza ukunciphisa le nqubo ngokunciphisa ingcindezi kule mithambo ebuthaka nokuthuthukisa ukuhamba kwegazi.
Lo muthi awuthinti ngqo amazinga akho kashukela egazini, ngakho ngeke uphazamise ukuphathwa kwakho kwesifo sikashukela. Kodwa-ke, kufanele uqhubeke nokubheka ushukela wakho njengenjwayelo futhi wazise udokotela wakho uma ubona noma yiziphi izinguquko.
Uma ngengozi uthatha i-candesartan eningi kunaleyo enqunywe, ungesabi, kodwa kuyithathe ngokungathí sina. Xhumana nodokotela wakho, usokhemisi, noma isikhungo sokulawula ubuthi ngokushesha ukuze uthole isiqondiso sokuthi wenzeni okulandelayo.
Ukuthatha i-candesartan eningi kakhulu kungabangela ukuthi umfutho wakho wegazi wehle ngendlela eyingozi, okuholela ekuzizweni unesiyezi, ukuquleka, noma ukuzizwa ubuthakathaka kakhulu. Uma uhlangabezana nalezi zimpawu, hlala phansi noma ulale phansi ngokushesha futhi ufune ukwelashwa.
Ungazami ukulungisa isimo ngokweqa umthamo wakho olandelayo noma ukuthatha umuthi omncane kusasa. Lokhu kungabangela ukuguquguquka okuyingozi kumfutho wakho wegazi okunzima ukuwulawula kunokweqisa okukodwa.
Uma uphuthelwa umthamo we-candesartan, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe. Esimeni esinjalo, weqa umthamo ophuthelwe bese uqhubeka nohlelo lwakho olujwayelekile.
Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe. Lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu futhi kukwenze uzizwe unesiyezi noma ungazizwa kahle.
Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kubangele izinkinga ngokushesha, kodwa zama ukuthatha imithi yakho ngokuqhubekayo ukuze uthole ukulawulwa okungcono komfutho wegazi. Cabangela ukusetha isikhumbuzi sefoni noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule.
Kufanele uyeke kuphela ukuthatha i-candesartan ngaphansi kokuqondisa kukadokotela wakho. Umfutho wegazi ophezulu nokuhluleka kwenhliziyo kuyizimo ezingapheli ezivame ukudinga ukuphathwa kwemithi yesikhathi eside ukuvimbela izinkinga ezinzima.
Abanye abantu bangase bakwazi ukunciphisa umthamo wabo noma bayeke imithi uma benza izinguquko ezinkulu zokuphila njengokulahlekelwa isisindo esikhulu, ukuzivocavoca njalo, noma ukuthuthukisa kakhulu ukudla kwabo. Kodwa-ke, lezi zinguquko zidinga ukuthi ziqhubeke ngokuhamba kwesikhathi.
Udokotela wakho uzoqapha umfutho wegazi lakho nempilo yonke ukuze anqume ukuthi kungaba ngcono yini ukulungisa imithi yakho nokuthi nini. Ungalokothi uyeke ukuthatha i-candesartan ngokuzumayo, ngoba lokhu kungabangela ukukhuphuka okuyingozi komfutho wegazi.
Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-candesartan, kodwa kubalulekile ukuqapha. Kokubili utshwala ne-candesartan kunganciphisa umfutho wegazi lakho, ngakho ukukuhlanganisa kungase kukwenze uzizwe unesiyezi noma unomuzwa wokukhathala.
Qala ngezilinganiso ezincane zotshwala ukuze ubone ukuthi umzimba wakho usabela kanjani. Uma uzizwa unesiyezi, ubuthakathaka, noma ungazinzile, kungcono ukugwema utshwala noma ukulinciphisa libe mancane kakhulu.
Ukuphuza kakhulu kungaphazamisa ukulawulwa kwengcindezi yakho yegazi futhi kunganciphisa ukusebenza kahle kwe-candesartan. Kuhlale kungcono ukuxoxa ngokusebenzisa kwakho utshwala nodokotela wakho ukuqinisekisa ukuthi kuphephile nezimo zakho zempilo nemithi.