Created at:1/13/2025
I-Hydralazine injection iyimithi yokwehlisa umfutho wegazi enikezwa ngqo emthanjeni wakho noma emisipheni lapho udinga ukwelashwa okusheshayo komfutho wegazi ophezulu ngokuyingozi. Lolu hlobo olujovwayo lusebenza ngokushesha kakhulu kunezibhebhe, okwenza kube yithuluzi elibalulekile emagumbini eziphuthumayo esibhedlela nakumayunithi okunakekelwa okukhulu.
Ngokuvamile uzothola lo muthi lapho umfutho wakho wegazi ukhuphuke waya emazingeni ayingozi futhi udinga ukunakwa ngokushesha. Abahlinzeki bezempilo bayawusebenzisa ngoba ungaqala ukwehlisa umfutho wakho wegazi ngemizuzu, okungenzeka kuvimbele izinkinga ezinzima njengokushaywa unhlangothi noma ukuhlaselwa yinhliziyo.
I-Hydralazine injection iyimithi enamandla yokwehlisa umfutho wegazi elethwa ngqo egazini lakho ngomugqa we-IV noma ijovwe emsipheni wakho. Ingowodwa ohlwini lwemithi ebizwa ngokuthi ama-vasodilators, okusho ukuthi isebenza ngokukhulula nokwandisa imithambo yakho yegazi.
Lo muthi wenzelwe izimo eziphuthumayo lapho imithi yomlomo ingasheshi ngokwanele noma ingasebenzi. Ngokuvamile uzoyithola endaweni yesibhedlela lapho ochwepheshe bezokwelapha bengaqapha eduze impendulo yakho futhi balungise umthamo njengoba kudingeka.
Lolu hlobo olujovwayo luvumela umuthi ukuthi udlule ngqo ohlelweni lwakho lokugaya ukudla, uqale ukusebenza ngokushesha egazini lakho. Lokhu kwenza kube yigugu ikakhulukazi lapho iminithi ngalinye libalulekile ekuphatheni inhlekelele ye-hypertensive.
I-Hydralazine injection isetshenziselwa ikakhulukazi ukwelapha izimo eziphuthumayo ze-hypertensive, okuyizimo lapho umfutho wakho wegazi ukhuphuke waya emazingeni aphezulu ngokuyingozi futhi usongela izitho zakho. Ivame futhi ukusetshenziswa ngesikhathi sokukhulelwa ukuphatha umfutho wegazi ophezulu ongase ulimaze umama nomntwana.
Nawa amanye amakhambi lapho odokotela bangase basebenzise khona i-hydralazine injection:
Ezimweni ezingavamile, odokotela bangase bakusebenzisele izinhlobo ezithile zesifo sezinso noma lapho eminye imithi yomfutho wegazi ihlulekile. Into ebalulekile ngaso sonke isikhathi isidingo sokuncishiswa komfutho wegazi okusheshayo, okulawulwayo ngaphansi kokuqashwa kwezokwelapha.
I-Hydralazine injection isebenza ngokukhulula ngokuqondile imisipha ebushelelezi ezindongeni zemithambo yakho yegazi, okubangela ukuthi zikhule futhi zinciphise ukumelana nokugeleza kwegazi. Cabanga ngayo njengokuvula indlela ebanzi yokuthi amanzi ageleze ngayo ngepayipi lengadi, okunciphisa ngokwemvelo umfutho.
Lo muthi uthathwa njengomuthi onamandla ngokulinganisela futhi usebenza ngokushesha. Kungakapheli imizuzu eyi-10-20 ngemva kokuthola umjovo we-IV, ngokuvamile uzoqala ukubona izinombolo zakho zomfutho wegazi zehla. Imiphumela ivame ukuhlala amahora amaningana, inike odokotela isikhathi sokukuyisa ezinkethweni zokwelashwa zesikhathi eside.
Umuthi ngokuyinhloko uqondiswe emithanjeni emincane emzimbeni wakho wonke, okuyizona ezifaka isandla esikhulu kumfutho wegazi ophezulu. Ngokunciphisa ukungezwani kule mithambo, inhliziyo yakho akudingeki isebenze kanzima ukuze ipompe igazi, futhi umfutho ohlelweni lwakho lokujikeleza wegazi uyancipha.
Ngeke empeleni uzithathele wena i-hydralazine injection. Lo muthi ngaso sonke isikhathi unikezwa ochwepheshe bezempilo abaqeqeshiwe endaweni yezokwelapha efana nesibhedlela noma umtholampilo. Bazoyijova ngokuqondile emthanjeni wakho ngomugqa we-IV noma bayinike njengomjovo emsipheni wakho.
Isikhathi nendlela kuncike esimweni sakho esithile. Ezimweni eziphuthumayo zangempela, uzoyithola ngemithambo ukuze isebenze ngemizuzu. Ezimweni ezingaphuthumi kangako, umjovo wemisipha ungase ulunge, nakuba lokhu kuthatha isikhathi eside ukuthi kusebenze.
Ithimba lakho lezokwelapha lizoqhubeka nokubheka umfutho wegazi lakho, izinga lokushaya kwenhliziyo, nezinye izimpawu ezibalulekile ngenkathi uthola lo muthi. Bazolungisa umthamo ngokuya ngokuthi umzimba wakho usabela kanjani, beqinisekisa ukuthi umfutho wegazi lakho wehla ngokuphepha ngaphandle kokwehla ngokushesha kakhulu.
Akukho okudingekayo ekudleni okukhethekile ngaphambi kokuthola umjovo we-hydralazine ngoba unikezwa ezimweni eziphuthumayo. Kodwa-ke, odokotela bakho bazobuza nganoma yimiphi imithi oyithathayo njengamanje ukuze bagweme ukuxhumana okuyingozi.
Umjovo we-hydralazine ngokuvamile ukwelashwa kwesikhashana okusetshenziswa kuphela kuze kube yilapho umfutho wegazi lakho uzinzile futhi ungashintshela emithini yomlomo. Abantu abaningi bayawuthola amahora ambalwa nje kuya ezinsukwini ezimbalwa, kuye ngesimo sabo sezokwelapha esithile.
Ithimba lakho lezokwelapha lizobheka eduze ukusabela kwakho futhi likushintshe kancane kancane emithini yomfutho wegazi yesikhathi eside ongayithatha ekhaya. Umjovo usebenza njengokwelashwa kwebhuloho ukukusiza ukuthi udlule enkingeni esheshayo ngokuphepha.
Ekucindezelekeni kwegazi eliphezulu elihlobene nokukhulelwa, ungase uthole umjovo we-hydralazine ngezikhathi ezithile ngesikhathi sokuhlala kwakho esibhedlela kuze kube yilapho uzala. Ngemva kwalokho, odokotela bakho bazosebenza nawe ukuze basungule uhlelo lokuphatha umfutho wegazi wesikhathi eside.
Njengayo yonke imithi, umjovo we-hydralazine ungabangela imiphumela emibi, nakuba kungathi akubona bonke abantu abayitholayo. Imiphumela emibi evame kakhulu ihlobene nezinguquko ezisheshayo kumfutho wegazi futhi ngokuvamile yenzeka ngokushesha ngemva kokuthola umjovo.
Nawa amanye imiphumela emibi ebikwa kaningi ongase uyithole:
Le miphumela ivamise ukuba mncane futhi yesikhashana, inyamalala njengoba umzimba wakho ulungela imithi. Ithimba lakho lezokwelapha lizokuqapha ngokucophelela futhi lingashintsha ukwelashwa kwakho uma kudingeka.
Imiphumela emibi engathi sína ayivamile kodwa ingabandakanya ukwehla okukhulu kwengcindezi yegazi, ukushaya kwenhliziyo okungajwayelekile, noma ukusabela komzimba ngaphandle. Ezimweni ezingavamile, abanye abantu bathuthukisa isimo esibizwa ngokuthi i-drug-induced lupus ngokusebenzisa isikhathi eside, nakuba lokhu kungavamile ngemithi yokujova yesikhashana.
Umjovo we-Hydralazine awulungelwe wonke umuntu, futhi odokotela bakho bazobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunikeza. Izimo ezithile zezokwelapha zingenza le mithi ibe yingozi noma ingasebenzi kahle kuwe.
Akufanele uthole umjovo we-hydralazine uma une:
Ithimba lakho lezokwelapha lizosebenzisa ukuqapha okwengeziwe uma unomlando wokushaywa unhlangothi, izinkinga zokushaya kwenhliziyo, noma usebenzisa eminye imithi ethile. Bazohlola izinzuzo ngokumelene nezingozi esimweni sakho esithile.
Ubudala bodwa abukukufaneleki ukuthola umjovo we-hydralazine, kodwa abadala bangase bazwe imiphumela yayo futhi badinge ukuqashwa okuseduze kanye nemithamo ephansi.
I-Hydralazine injection itholakala ngaphansi kwamagama amaningi ebrand, nakuba izibhedlela eziningi zisebenzisa inguqulo ejwayelekile. Igama le-brand elivamile ongahlangana nalo yi-Apresoline, esetshenziswe amashumi eminyaka ezindaweni zezokwelapha.
Amanye amagama e-brand afaka i-Hydralazine Hydrochloride Injection kanye nezinguqulo ezahlukahlukene eziqondene nomkhiqizi. Kodwa-ke, isithako esisebenzayo nokusebenza kahle kuhlala kufana kungakhathaliseki igama le-brand elisetshenziswe esitsheni.
Ithimba lakho lezokwelapha lizosebenzisa noma iyiphi inguqulo etholakalayo endaweni yabo, futhi ungethemba ukuthi zonke izinguqulo ezivunyelwe yi-FDA zihlangabezana nezindinganiso ezifanayo zokuphepha nokusebenza kahle.
Eminye imithi eminingi ingasetshenziswa esikhundleni se-hydralazine injection ukuze kulawulwe ngokushesha umfutho wegazi, futhi odokotela bakho bazokhetha ngokusekelwe esimweni sakho sezokwelapha esithile nokuthi badinga ngokushesha kangakanani ukuthi umfutho wegazi lakho wehle.
Ezinye izindlela ezivamile zifaka:
Ngayinye yalezi ezinye izindlela inezinzuzo ezihlukene kanye nokubi okungenzeka. Ithimba lakho lezokwelapha lizocabangela izici ezinjengesimo senhliziyo yakho, ukusebenza kwezinso, isimo sokukhulelwa, neminye imithi lapho likhetha inketho engcono kakhulu kuwe.
Kwezinye izimo, odokotela bangasebenzisa inhlanganisela yemithi noma bashintshe phakathi kwezinketho ezihlukene ngokusekelwe ekuphenduleni kwakho emithini.
Ukujovwa kwe-hydralazine kanye nokujovwa kwe-labetalol kokubili kuyasebenza ekulawuleni umfutho wegazi ophuthumayo, kodwa kusebenza ngezindlela ezehlukene futhi kunenzuzo ehlukile ezimweni ezihlukene. Akukho noyedwa othi “ungcono” kunomunye.
Ukujovwa kwe-hydralazine kuvame ukusebenza ngokushesha futhi kuvame ukukhethwa ekunyukeni komfutho wegazi okuhlobene nokukhulelwa ngoba kusetshenziswe ngokuphepha kwabesifazane abakhulelwe iminyaka eminingi. Futhi kuyindlela enhle uma udinga ukunciphisa umfutho wegazi ngokushesha futhi ungenazo izinkinga zokushaya kwenhliziyo.
Ukujovwa kwe-labetalol, ngakolunye uhlangothi, kuvame ukuhlinzeka ngokulawulwa komfutho wegazi okuzinzile ngokuqhubeka okuncane okumangalisayo. Kuvame ukukhethwa ezigulini ezinokugula kwenhliziyo ngoba futhi kwehlisa izinga lokushaya kwenhliziyo, okunciphisa umsebenzi wenhliziyo.
Ithimba lakho lezokwelapha lizokhetha ngokusekelwe esimweni sakho esithile, umlando wezokwelapha, nokuthi umzimba wakho usabela kanjani ekwelashweni. Yomibili imithi iphephile futhi iyasebenza uma isetshenziswa ngendlela efanele ochwepheshe bezempilo abaqeqeshiwe.
Yebo, ukujovwa kwe-hydralazine ngokuvamile kubhekwa njengokuphephile ngesikhathi sokukhulelwa futhi empeleni ingenye yemithi ekhethwayo yokwelapha umfutho wegazi ophezulu kakhulu kwabesifazane abakhulelwe. Ineminyaka eminingi yedatha yokuphepha ekukhulelweni futhi ivame ukuba yinto yokuqala yokukhetha ezimweni ezinjenge-preeclampsia.
Umuthi awuweli kakhulu ngaphakathi kwesitho somzimba ngamanani ayingozi, futhi uvikela ngempumelelo umama nomntwana ezingozini zomfutho wegazi ophezulu kakhulu. Ithimba lakho lezobuhlungu bokubeletha lizokuqapha eduze ngesikhathi sokwelashwa ukuze liqinisekise imiphumela emihle kuwe nomntwana wakho.
Akudingeki ukhathazeke ngokuthola umjovo omningi we-hydralazine ngoba ochwepheshe bezempilo abaqeqeshiwe bahlala bewunikeza ezindaweni zezokwelapha ezilawulwayo. Babala ngokucophelela imithamo futhi baqhubeke beqapha impendulo yakho.
Uma kwenzeka ukweqisa, ithimba lakho lezokwelapha lizobona ngokushesha izimpawu (njengokwehla kakhulu kwengcindezi yegazi) futhi lithathe isinyathelo esifanele. Banemithi nezinqubo zokulwa nemiphumela nokusekela ingcindezi yakho yegazi kuze kube yilapho imithi iphela.
Ukuphuthelwa umthamo womjovo we-hydralazine akuyona into okudingeka ukhathazeke ngayo ngoba ochwepheshe bezempilo balawula ngokuphelele isimiso sakho sokulinganisa. Bazokunika imithi ngqo uma uyidinga ngokuya ngokufundwa kwengcindezi yakho yegazi kanye nesimo sakho sezokwelapha.
Uma kukhona ukubambezeleka emthomeni wakho ohleliwe nganoma yisiphi isizathu, ithimba lakho lezokwelapha lizolungisa uhlelo lwakho lokwelashwa ngokufanele. Baqhubeka beqapha isimo sakho futhi bangashintsha isikhathi noma ukulinganisa njengoba kudingeka ukuze bakugcine uphephile.
Uyoyeka ukuthola umjovo we-hydralazine lapho ingcindezi yakho yegazi izinzile futhi ithimba lakho lezokwelapha lingakushintshela ngokuphephile emithini yomlomo noma kwezinye izindlela zokwelapha. Lokhu kuvamile ukwenzeka phakathi kwamahora ambalwa kuya ezinsukwini ezimbalwa, kuye ngesimo sakho esithile.
Odokotela bakho bazokwehlisa kancane kancane imvamisa yemijovo ngenkathi bekuqala emithini yengcindezi yegazi yesikhathi eside. Bazoqinisekisa ukuthi ingcindezi yakho yegazi ihlala izinzile kulo lonke lolu shintsho ngaphambi kokuyeka imijovo ngokuphelele.
Cha, akufanele ushayele ngemuva kokuthola umjovo we-hydralazine. Umuthi ungabangela isiyezi, ukukhathala, neminye imiphumela engase iphazamise ikhono lakho lokushayela ngokuphepha. Ngokuvamile uzoba endaweni yasesibhedlela lapho ukushayela kungeyona inkinga.
Noma ngemva kokukhishwa esibhedlela, odokotela bakho bazokweluleka ukuthi kuphephile nini ukuqhubeka nokushayela ngokusekelwe endleleni ozizwa ngayo nokuthi yimiphi eminye imithi oyithathayo. Njalo landela izincomo eziqondile zeqembu lakho lezempilo mayelana nokubuyela emisebenzini ejwayelekile.