Hydralazine ne-hydrochlorothiazide (indaba yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Apresazide
Mayelana naleli khambi
Ukuhlanganiswa kweHydralazine ne-hydrochlorothiazide kusetshenziswa ukwelapha igazi eliphezulu (hypertension). Igazi eliphezulu liyenezela umsebenzi wenhliziyo nemiphunga. Uma kuqhubeka isikhathi eside, inhliziyo nemiphunga ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. Igazi eliphezulu lingase futhi likhulise ingozi yezifo zenhliziyo. Lezi zinkinga zingase zingabi khona uma igazi lilawulwa. I-Hydralazine isebenza ngokukhulula imithambo yegazi nokwenyusa ukunikezwa kwegazi no-oksijini enhliziyweni ngenkathi kunciphisa umsebenzi wayo. I-hydrochlorothiazide uhlobo lwemiyekezo eyaziwa ngokuthi yi-thiazide diuretic futhi ikusiza ukunciphisa inani lamanzi emzimbeni ngokusebenza emakhizeni ukwandisa ukugeleza kwemithambo. Lolu lwemiyekezo lutholakala kuphela ngesikripthi sedokotela wakho.
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo olukhulu noma ukusabela okungavamile kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela yokuhlanganiswa kwe-hydralazine ne-hydrochlorothiazide kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Imithi eminingi ayifundwanga ngokukhethekile kubantu abadala. Ngakho-kwenzeka kungaziwa ukuthi isebenza ngendlela efanayo njengoba isebenza kubantu abadala abasebancane. Nakuba kungekho ulwazi oluqondile oluqhathanisa ukusetshenziswa kokuhlanganiswa kwe-hydralazine ne-hydrochlorothiazide kubantu abadala nokusetshenziswa kwezinye izigaba zobudala, le mithi ayilindelwe ukubangela imiphumela emibi ehlukile noma izinkinga kubantu abadala kunalokho okwenza kubantu abadala abasebancane. Kodwa-ke, ukukhungatheka noma ukukhanya kwekhanda noma izimpawu zokulahleka okukhulu kwe-potassium kungenzeka kakhulu kubantu abadala, abavamise ukuba nomuzwa omkhulu wemiphumela yale mithi. Futhi, le mithi inganciphisa ukubekezelela kubushushu obuphansi kubantu abadala. Ayikho izifundo ezifanele kwabesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba imithi ethile ingafanele isetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile ngokukhethekile 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 imithi oyithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ingozi eyenyuka yemiphumela emibi ethile, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma kokubili imithi. Imithi ethile akufanele isetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nanoma iyiphi imithi kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ingozi eyenyuka yemiphumela emibi ethile kodwa kungaphepheki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, 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 lingakubangela ukuthi ube nomuzwa ongajwayelekile wokukhathala uma uqala ukuwuthatha. Ungase futhi uqaphele ukwanda kwesamba somchamo noma ukwanda kwenani lokungena esikhathini. Ngemva kokuthatha le mithi isikhathi esithile, le miphumela kufanele iyancipha. Ukuvimbela ukwanda komchamo ekuphazamiseni ubuthongo bakho: Noma kunjalo, kungcono ukuhlela umthamo wakho noma imithamo ngokusho kwesimiso esiyokuthinta kancane imisebenzi yakho yomuntu siqu nobuthongo. Cela ochwepheshe bakho bezempilo bakusize ukuhlela isikhathi esihle sokwenza le mithi. Ngaphezu kokusetshenziswa kwemithi udokotela wakho ayilayile, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokunakekela izinhlobo zokudla okudlayo, ikakhulukazi ukudla okunosadium eningi. Udokotela wakho uyakutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhangele ku dokotela wakho ngaphambi kokushintsha ukudla kwakho. Abaguli abaningi abanegazi eliphezulu ngeke baqaphele noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba kuqondiswe nokuthi ugcine iziqu zakho zokuya kudokotela ngisho noma uzizwa kahle. Khumbula ukuthi le mithi ngeke iphulukise igazi lakho eliphezulu kepha iyasiza ukuyilawula. Ngakho-ke, kufanele uqhubeke uyithathe njengoba kuqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase ube ukudinga ukuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelapheki, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezimbi, isifo sobuchopho, noma isifo somlomo. Ukuze ukukhumbuze ukuthatha imithi yakho, zama ukwenza umkhuba wokuyithatha ngesikhathi esifanayo nsuku zonke. Umthamo wale mithi uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemibhalweni. Ulwazi olulandelayo lufaka kuphela imithamo yale mithi. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondise ukwenza njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo wale mithi, uyithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, susa umthamo ophuthelwe bese ubuyela esimisweni sakho sokuthola imithamo. Ungawandisi imithamo. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayigandisi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Cela ochwepheshe bakho bezempilo ukuthi ungayilahla kanjani imithi oyisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.