Yini i-Guanadrel: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Guanadrel iyimithi kadokotela esetshenziselwa ikakhulukazi ukwelapha umfutho wegazi ophezulu (i-hypertension). Ingaphansi kohlu lwemithi ebizwa ngokuthi ama-ejenti e-sympatholytic, asebenza ngokuvimba izimpawu ezithile zemizwa ezingabangela ukuthi imithambo yegazi iqine. Nakuba ingabhaliwe njalo njengoba kwenza imithi emisha yomfutho wegazi, i-guanadrel ingase isaba yindlela esebenzayo kwabanye abantu uma ezinye izindlela zokwelapha zingasebenzi kahle.

Yini i-Guanadrel?

I-Guanadrel iyimithi yomlomo esiza ukwehlisa umfutho wegazi ngokuthinta uhlelo lwakho lwezinzwa zomzimba. Yilokho odokotela abakubiza ngokuthi umuthi we- "sympatholytic", okusho ukuthi uvimba izimpawu ezithile zemizwa ezingenza imithambo yakho yegazi iqine noma iqine.

Cabanga ngayo njengokusiza imithambo yakho yegazi ukuthi ihlale iphumule kakhulu, ivumele igazi ukuthi ligeleze kalula ngayo. Lokhu kunciphisa umfutho odongeni lwemithambo yakho, okuyilokho esikulinganisayo uma sihlola umfutfo wakho wegazi. Umuthi uza ngesimo samaphilisi futhi uvame ukuthathwa ngomlomo.

I-Guanadrel isineminyaka eminingi ikhona, nakuba ingabhaliwe njalo njengoba kwenza eminye imithi emisha yomfutho wegazi. Udokotela wakho angase ayicabange uma ungazange usabele kahle kwezinye izindlela zokwelapha noma uma unezimo ezithile zezokwelapha ezenza ibe yindlela enhle kuwe.

Isetshenziselwani i-Guanadrel?

I-Guanadrel ikakhulukazi ibhalelwe ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Umfutho wegazi ophezulu uvame ukubizwa ngokuthi "umbulali othule" ngoba ngokuvamile awubangeli izimpawu kuze kube yilapho usuba mkhulu, kodwa ungalimaza inhliziyo yakho, izinso, nezinye izitho ngokuhamba kwesikhathi.

Udokotela wakho angase ancome i-guanadrel uma unomfutho wegazi ophakathi nendawo noma omkhulu ongazange usabele ngokwanele kweminye imithi. Ngezinye izikhathi isetshenziswa njengengxenye yohlelo lokwelapha oluhlanganisiwe kanye neminye imithi yomfutho wegazi ukuze kuzuzwe ukulawula okungcono.

Kwezinye izimo, odokotela bangase banikeze i-guanadrel ezinye izimo ezihlobene nokulawulwa kwemithambo yegazi yohlelo lwezinzwa. Kodwa-ke, ukwelapha umfutho wegazi ophezulu kuhlala kuyona eyinhloso yayo eyinhloko futhi evame kakhulu. Umgomo uhlala ukwehlisa umfutho wakho wegazi ufinyelele ezingeni elinempilo ukuvikela inhliziyo yakho nezinye izitho ezibalulekile.

Isebenza Kanjani I-Guanadrel?

I-Guanadrel isebenza ngokuvimba ukukhululwa kwe-norepinephrine, umlayezo wamakhemikhali ohlelweni lwakho lwezinzwa oluvame ukubangela ukuthi imithambo yegazi iqine noma iqine. Uma lezi zimpawu zemizwa zivaliwe, imithambo yakho yegazi ingakhululeka futhi yande, okwenza kube lula ukuthi igazi ligeleze kuzo.

Lo muthi ubhekwa njengomuthi olinganiselwe oqinile womfutho wegazi. Unamandla kunezindlela ezithile zokwelapha eziyisisekelo kodwa awunqeni njengezinketho ezinamandla kakhulu ezitholakalayo. Umphumela uvame ukwakheka kancane kancane ezinsukwini eziningana kuya emavikini okusetshenziswa njalo.

Ngokungafani nemithi ethile yomfutho wegazi esebenza ngqo enhliziyweni yakho, i-guanadrel igxila emithanjeni yegazi esemaceleni emzimbeni wakho wonke. Lokhu kungasiza ikakhulukazi kubantu abanomfutho wegazi ophezulu obangelwa ikakhulukazi ukuqina kwemithambo yegazi kunokuba nezinkinga ezihlobene nenhliziyo.

Kufanele Ngiyithathe Kanjani I-Guanadrel?

I-Guanadrel ivame ukuthathwa kabili ngosuku, ngokuvamile ekuseni nakusihlwa. Udokotela wakho uzoqala ngomthamo ophansi futhi angase awunyuse kancane kancane ngokusekelwe ekutheni umfutho wakho wegazi usabela kahle kangakanani nokuthi uyawuthwala kanjani umuthi.

Ungayithatha i-guanadrel ngaphandle noma ngaphandle kokudla, nakuba ukuyithatha nokudla kungasiza ukunciphisa isisu uma kwenzeka. Kungcono ukuyithatha ngezikhathi ezifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo ohlelweni lwakho. Khetha izikhathi ezihambisana nomsebenzi wakho wansuku zonke ukuze ungakhohlwa imithamo.

Gwinya amaphilisi wonke ngamanzi agcwele ingilazi. Ungawachobozi, uwahlafune, noma uwahlukanise ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Uma unzima ukugwinya amaphilisi, khuluma nomhlinzeki wakho wezempilo mayelana nezinye izindlela noma amasu angase akusize.

Ngemva kokusho lokho, ukuqina kubalulekile ngalo muthi. Zama ukuwuthatha ngezikhathi ezifanayo nsuku zonke, futhi ungeqi imithamo ngisho noma uzizwa kahle. Umfutho wegazi ophezulu ngokuvamile awubangeli izimpawu, ngakho ungase uzizwe ulungile ngisho nalapho umfutho wegazi lakho uphakeme.

Kufanele Ngithathe I-Guanadrel Isikhathi Eside Kangakanani?

Abantu abaningi abanomfutho wegazi ophezulu badinga ukuthatha imithi isikhathi eside, ngokuvamile impilo yonke. I-Guanadrel ngokuvamile inikezwa njengokwelashwa kwesikhathi eside ngoba umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlala-khona esidinga ukuphathwa okuqhubekayo.

Udokotela wakho uzoqapha umfutho wegazi lakho njalo ukuze abone ukuthi imithi isebenza kahle kangakanani. Bangase balungise umthamo wakho noma bakushintshele kwenye imithi uma kudingeka. Abanye abantu bathola ukuthi izinguquko zokuphila njengokudla, ukuzivivinya, nokunciphisa umzimba kungasiza ukunciphisa izidingo zabo zemithi ngokuhamba kwesikhathi.

Kubalulekile ukuthi ungalokothi uyeke ukuthatha i-guanadrel ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka imithi yomfutho wegazi ngokuzumayo kungabangela umfutho wegazi lakho ukuthi ukhuphuke ngendlela eyingozi, okungaholela ezinkingeni ezinzima njengokuhlaselwa yinhliziyo noma unhlangothi.

Umhlinzeki wakho wezempilo uzosebenza nawe ukuze anqume uhlelo olungcono kakhulu lwesikhathi eside lokuphatha umfutho wegazi lakho. Lokhu kungase kuhlanganise ukuhlala emthamo ofanayo, ukuwulungisa, noma ekugcineni ukushintshela kweminye imithi njengoba izidingo zakho zempilo zishintsha.

Yiziphi Imiphumela Eceleni Ye-Guanadrel?

Njengayo yonke imithi, i-guanadrel ingabangela imiphumela emibi, nakuba kungewona wonke umuntu oyitholayo. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumelanisa nemithi emasontweni ambalwa okuqala.

Ake siqale ngemiphumela eseceleni evame kakhulu ongase uyibone, evame ukulawuleka futhi ivame ukuba yesikhashana:

• Isiyezi noma ukuzizwa unovalo, ikakhulukazi uma usukuma ngokushesha
• Ukukhathala noma ukuzizwa ukhathele ngokungavamile
• Ikhanda elibuhlungu
• Isicanucanu noma isisu esibuhlungu
• Ubuthakathaka noma ukuzizwa ungaqinile kunokujwayelekile
• Ubunzima bokulala noma izinguquko emaphethini okulala
• Umlomo owomile

Le miphumela eseceleni ejwayelekile ivame ukuba ngaphansi kokukhathaza njengoba umzimba wakho ujwayela imithi. Uma ziqhubeka noma ziba nenkinga, udokotela wakho uvame ukulungisa umthamo wakho noma asikisele izindlela zokuzilawula.

Okulandelayo, kunemiphumela ethile engavamile kodwa ebucayi kakhulu edinga ukunakekelwa kwezokwelapha. Nakuba lokhu kungenzeki kubantu abaningi, kubalulekile ukuyazi:

• Isiyezi esikhulu noma ukuquleka
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukuphefumula okunzima kakhulu
• Ukuvuvukala emilenzeni yakho, emaqakaleni, noma ezinyaweni
• Ikhanda elibuhlungu elingathuthuki
• Ukudideka noma izinkinga zenkumbulo
• Ubuhlungu besisu obukhulu noma ukuhlanza okuqhubekayo

Uma uhlangabezana nanoma iyiphi yale miphumela eseceleni ebucayi kakhulu, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangase badinge ukulungisa imithi yakho noma bahlole ezinye izinkinga ezingaphansi.

Okokugcina, kunemiphumela ethile engavamile kodwa engaba yingozi edinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu akuvamile, kodwa ukukwazi kungakusiza ukuthi ufune usizo ngokushesha uma kudingeka:

• Ukungezwani komzimba okukhulu nokuphefumula okunzima, ukuvuvukala kobuso noma umphimbo
• Ukwehla okukhulu kwengcindezi yegazi okubangela ukuquleka noma ukuwa
• Izimpawu zezinkinga zezinso njengokushintsha ekuchameni noma ukuvuvukala
• Ukucindezeleka okukhulu noma imicabango yokuzilimaza
• Ubuthakathaka bemisipha obukhulu noma ukukhubazeka

Khumbula ukuthi udokotela wakho unqume lo muthi ngoba bakholelwa ukuthi izinzuzo zidlula izingozi zesimo sakho esithile. Abantu abaningi bayakwazi ukumelana ne-guanadrel kahle, futhi imiphumela emibi engathí sina ayivamile.

Ubani Ongafanele Athathe I-Guanadrel?

I-Guanadrel ayifanele wonke umuntu, futhi zikhona izimo ezithile lapho ingafanele isetshenziswe khona. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokunquma lo muthi.

Okokuqala, masikhulume ngezimo ezibaluleke kakhulu ezivame ukuvimbela umuntu ukuthi athathe i-guanadrel ngokuphepha:

• Ukuhluleka kwenhliziyo okukhulu noma izinhlobo ezithile zesifo senhliziyo
• Isifo sezinso esibi noma ukuhluleka kwezinso
• Izinhlobo ezithile zokushaya kwenhliziyo okungajwayelekile
• I-Pheochromocytoma (ithumba elingavamile le-adrenal gland)
• Ukungezwani okwaziwayo ne-guanadrel noma imithi efanayo
• Isifo sesibindi esibi

Lezi zimo zingenza i-guanadrel ibe yingozi noma ingasebenzi, ngakho-ke udokotela wakho ngokuvamile uzokhetha omunye umuthi uma unenkinga ethile yalezi.

Ngaphezu kwalokho, zikhona izimo lapho i-guanadrel idinga ukuqapha okwengeziwe noma ingase ingabi yindlela engcono kakhulu. Udokotela wakho uzohlola izingozi nezinzuzo ngokucophelela uma une:

• Izinkinga zezinso noma zesibindi eziphakathi nendawo
• Umlando wokucindezeleka noma ezinye izimo zempilo yengqondo
• Isifo sikashukela (umuthi ungathinta ushukela wegazi)
• Isifuba somoya noma ezinye izinkinga zokuphefumula
• Umlando wokuquleka noma isiyezi esibi
• Ukuhlinzwa okuzayo (ungase udinge ukuyeka umuthi okwesikhashana)

Ukukhulelwa nokuncelisa nazo zidinga ukucatshangelwa okukhethekile. Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, qiniseka ukuthi uxoxa ngalokhu nodokotela wakho ngaphambi kokuqala i-guanadrel.

Amagama Omkhiqizo we-Guanadrel

I-Guanadrel iyatholakala ngaphansi kwegama lomkhiqizo elithi Hylorel kwamanye amazwe, nakuba kungenzeka ingatholakali kakhulu kuzo zonke izimakethe. Umuthi ukhona amashumi eminyaka, futhi izinhlobo ezivamile zivame ukutholakala lapho umuthi uqokiwe.

E-United States, i-guanadrel ayiqokiwe njengoba yayinjalo, futhi ukutholakala kungahluka. Ikhemisi lakho lingakusiza ukuthi uthole ukuthi yiziphi izindlela zokwakheka ezitholakala endaweni yakho.

Uma udokotela wakho eqoka i-guanadrel futhi ingatholakali kalula ekhemisi lakho, bangase bakwazi ukuyi-odalele wena noma baphakamise omunye umuthi onemiphumela efanayo. Unganqikazi ukubuza usokhemisi wakho ngokutholakala kanye nezinketho.

Ezinye izindlela ze-Guanadrel

Uma i-guanadrel ingakulungele noma ingatholakali, ziningi ezinye izindlela zokwelapha umfutho wegazi ezingase zicatshangelwe udokotela wakho. Ukwelashwa kwamanje komfutho wegazi kunikeza izinketho eziningi ezinendlela ehlukile yokusebenza.

Ezinye izindlela ezivamile zihlanganisa ama-ACE inhibitors afana ne-lisinopril noma i-enalapril, esebenza ngokuvimba i-enzyme eqinisa imithambo yegazi. Ama-ARBs (angiotensin receptor blockers) afana ne-losartan noma i-valsartan asebenza ngendlela efanayo kodwa ngendlela ehlukile.

Ama-calcium channel blockers afana ne-amlodipine noma i-nifedipine asiza ukukhulula imithambo yegazi ngokuthinta ukunyakaza kwe-calcium ezindongeni zemithambo. Ama-beta-blockers afana ne-metoprolol noma i-atenolol anciphisa izinga lokushaya kwenhliziyo yakho futhi anciphise amandla okushaya kwenhliziyo.

Ama-diuretics noma

I-Guanadrel akuyona ngempela engcono noma embi kunezinye izidakamizwa zokwehlisa umfutho wegazi - imane nje yahlukile. Umuthi othi “ungcono kakhulu” wokwehlisa umfutho wegazi uyahluka kumuntu nomuntu ngokuya ngezinto ezithinta impilo yomuntu ngamunye, ezinye izimo, nokuthi umuntu uzithola kanjani izidakamizwa ezihlukene.

Uma iqhathaniswa nemithi emisha yokwehlisa umfutho wegazi, i-guanadrel ithathwa njengenketho endala. Odokotela abaningi manje bakhetha ama-ACE inhibitors, ama-ARB, noma ama-calcium channel blockers njengemithi yokuqala ngoba bavame ukuba nemiphumela emincane futhi kukhona ucwaningo oluningi olusekela izinzuzo zabo zesikhathi eside.

Nokho, i-guanadrel ingaba yindlela enhle kubantu abathile, ikakhulukazi labo abangazange basabele kahle emithini ethile noma abanezimo ezithile zezokwelapha eziyenza ifaneleke kakhulu. Abanye abantu bathola ukuthi bayayibekezelela i-guanadrel kangcono kunezinye izinketho.

Udokotela wakho uzocabangela isithombe sakho sonke sezokwelapha lapho ekhetha umuthi ongcono kakhulu wokwehlisa umfutho wegazi kuwe. Lokhu kuhlanganisa ezinye izimo zakho zempilo, imithi yamanje, izinto eziphathelene nendlela yokuphila, nezintandokazi zomuntu siqu mayelana nemvamisa yokulinganisa nemiphumela engaba khona.

Imibuzo Evame Ukubuzwa Mayelana ne-Guanadrel

Ingabe i-Guanadrel iphephile kubantu abanesifo sikashukela?

I-Guanadrel ingasetshenziswa kubantu abanesifo sikashukela, kodwa idinga ukuqapha ngokucophelela. Umuthi ngezinye izikhathi ungathinta amazinga kashukela egazini, nakuba lokhu kungenzeki kuwo wonke umuntu. Udokotela wakho uzofuna ukuqapha i-glucose yakho yegazi eduze lapho uqala ukuthatha i-guanadrel.

Uma unesifo sikashukela, qiniseka ukuthi uqhubeka nokuhlola ushukela wakho wegazi njalo futhi ubike noma yiziphi izinguquko ezingavamile kumhlinzeki wakho wezempilo. Bangase badinge ukulungisa imithi yakho yesifo sikashukela noma umthamo we-guanadrel ukuze kugcinwe ukulawula okuhle kwazo zombili izimo.

Ngingenzani uma ngiphuthelwa ngithatha i-Guanadrel eningi kakhulu?

Uma ngabe uthatha i-guanadrel eningi kunaleyo oyinikiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungadala ukwehla okuyingozi komfutho wegazi, isiyezi esikhulu, ukuquleka, noma ezinye izimpawu ezinzima.

Ungalindi ukubona ukuthi uzizwa ulungile yini - thola iseluleko sezokwelapha ngokushesha. Uma uhlangabezana nezimpawu ezinzima njengobunzima bokuphefumula, ubuhlungu besifuba, noma ukulahlekelwa ukwazi, shayela izinsiza eziphuthumayo ngokushesha. Gcina ibhodlela lemithi nawe ukuze ochwepheshe bezokwelapha bazi kahle ukuthi uthatheni nokuthi uthathe kangakanani.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Guanadrel?

Uma uphuthelwa umthamo we-guanadrel, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.

Uma uvame ukukhohlwa imithamo, zama ukusetha izikhumbuzi zocingo noma usebenzise umhleli wamaphilisi. Ukuthatha imithamo ngokuqhubekayo kubalulekile ekulawuleni umfutho wegazi ngokuqhubekayo, ngakho-ke ukuthola uhlelo olukusebenzelayo kubalulekile empilweni yakho.

Ngingayeka nini ukuthatha i-Guanadrel?

Kufanele uyeke kuphela ukuthatha i-guanadrel ngaphansi kokuqondisa kukadokotela wakho. Umfutho wegazi ophezulu ngokuvamile uyisimo sesikhathi eside esidinga ukwelashwa okuqhubekayo, ngakho-ke ukuyeka imithi kuvame ukuholela ekutheni umfutho wegazi ubuyele emazingeni aphezulu.

Uma ufuna ukunciphisa noma ukuyeka imithi yakho, sebenzisana nodokotela wakho ukuze udale uhlelo oluphephile. Lokhu kungabandakanya izinguquko zokuphila, ukuncishiswa komthamo kancane kancane, noma ukushintshela kwenye imithi. Ungalokothi uyeke kungazelelwe, ngoba lokhu kungadala ukukhuphuka okuyingozi komfutho wegazi.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Guanadrel?

Kungcono ukukhawulela ukusetshenziswa kotshwala ngenkathi uthatha i-guanadrel, njengoba utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi futhi kwandise ingozi yakho yesiyezi noma ukuquleka. Uma ukhetha ukuphuza, kwenze ngokulinganisela futhi uqaphele kakhulu lapho usukuma noma ushintsha izikhundla.

Xoxa nodokotela wakho mayelana nokuthi izinga lokusetshenziswa kotshwala elingase liphephe kuwe. Bangakunikeza iseluleko esiqondene nawe ngokusekelwe empilweni yakho yonke, eminye imithi, nokuthi ukumelana kwakho ne-guanadrel kuhamba kahle kangakanani.