Hydralazine (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Apresoline
Mayelana naleli khambi
I-Hydralazine isetyenziselwa ukwelapha ukucindezeleka kwegazi eliphakeme (i-hypertension). Isetshenziswa futhi ukulawula ukucindezeleka kwegazi eliphakeme kunina ngesikhathi sokukhulelwa (i-pre-eclampsia noma i-eclampsia) noma ezimweni eziphuthumayo lapho ukucindezeleka kwegazi kuphezulu kakhulu (i-hypertensive crisis). Ukucindezeleka kwegazi eliphakeme kwandisa umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. Ukuncipha kokucindezeleka kwegazi kunganciphisa ingozi ye-heart attacks ne-strokes. I-Hydralazine isebenza ngokukhulula imisipha yegazi nokukhulisa ukunikezwa kwegazi no-oksijini enhliziyweni ngenkathi kunciphisa umsebenzi wayo. Lolu dokotela lutholakala kuphela ngesikripthi sedokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekucatshangeni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqondile noma oluhambelanayo lokulimala kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokungezwani, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenamibhalo, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele mayelana nobudlelwano bobudala nemiphumela ye-hydralazine azikwenziwe kubantu abancane. Noma kunjalo, azikho izinkinga ezikhethekile zabantwana ezibhalwe kuze kube manje. Ayikho imininingwane etholakalayo mayelana nobudlelwano bobudala nemiphumela ye-hydralazine kubantu abadala. Izifundo kwabesifazane zibonisa ukuthi lolu lwemi lunciphisa ingozi encane kumntwana uma usetshenziswa ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Tshela ochwepheshe bakho bezempilo uma uthatha noma iyiphi enye imithi yokubhalwa noma engabhalwanga (over-the-counter [OTC]). Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma ngesikhathi sokudla izinhlobo ezithile zokudla ngoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshako kunye nezinye izidakamizwa kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa lolu lwemi kunye nanoma yiluphi okulandelayo kungabangela ukwanda kengozi yezinye izingozi ezibuhlungu kodwa kungase kungakhulimi kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi ulisebenzisa kangakanani lolu lwemi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshako. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwalolu lwemi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Thatha leli lemithi njengoba nje udokotela wakho ekuqondisa. Ungathathi okuningi noma okuncane, futhi ungathathi kaningi kunalokho udokotela wakho akuqondisile. Umthamo wakho ungase udinga ukushintshwa izikhathi eziningi ukuze uthole ukuthi yini ekuhambela kahle. Ngaphezu kokusetshenziswa kwale mithi, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhulumisane nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abantu abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho njengoba nje uqondiswe futhi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le mithi ngeke iphulukise igazi lakho eliphezulu, kodwa iyasiza ukuyilawula. Kumele uqhubeke uyithatha njengoba nje uqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine phansi. Ungase udinga ukuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezitho eziphethwe igazi, isifo sobuchopho, noma isifo sezinso. Kungcono ukuthatha imithi yakho isisu siyimile, ihora elilodwa ngaphambi noma amahora amabili ngemva kokudla. Kubantu abatha imithi eyi-oral liquid: 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 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 uphuthelwe umthamo wale mithi, uwuthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, skip umthamo ophuthelwe bese ubuyela esikhathini sakho sokudla okujwayelekile. Ungawandisi imithamo. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayivumeli ukubanda. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi.
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.