Lisinopril (indaba yokumunca ngomlomo)
Imikhiqizo etholakalayo
Prinivil, Qbrelis, Zestril
Mayelana naleli khambi
ILisinopril isetshenziswa yodwa noma kanye nezinye izidakamizwa zokwelapha ukucindezeleka kwegazi (hypertension). Ukucindezeleka kwegazi okuphezulu kwandisa umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga okukhipha amanzi okubangela isiguli, ukwehluleka kwenhliziyo, noma ukwehluleka kwamalunga okukhipha amanzi. Ukuncipha kokucindezeleka kwegazi kunganciphisa ingozi yesiguli nezehlakalo zenhliziyo. ILisinopril isebenza ngokuvimba into ethile emzimbeni ebangela ukuba imisipha yegazi iqine. Ngenxa yalokho, i-lisinopril iphumula imisipha yegazi. Lokhu kunciphisa ukucindezeleka kwegazi futhi kwandisa ukunikezwa kwegazi noketshezi lomoya enhliziyweni. ILisinopril isetshenziswa futhi ukusiza ekwelapheni ukwehluleka kwenhliziyo. Isetshenziswa futhi kwabanye abantu ngemva kokuhlaselwa yinhliziyo. Ngemva kokuhlaselwa yinhliziyo, ingxenye yemisipha yenhliziyo yonakele futhi ibuthakathaka. Imisipha yenhliziyo ingaqhubeka ibuthakathaka njengoba isikhathi sihamba. Lokhu kwenza kube nzima ngenhliziyo ukupompa igazi. ILisinopril ingaqalwa emahoreni angama-24 ngemva kokuhlaselwa yinhliziyo ukwandisa izinga lokuphila. Lolu dokotela lutholakala kuphela ngesikripthi sedokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Umakuqondisa ekusebenziseni imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlukile noma ukusabela okungokwe-allergy kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo ze-allergies, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezingalinda ukusetshenziswa kwe-lisinopril ekwelapheni i-hypertension ezinganeni ezineminyaka engu-6 kuya kwengu-16. Kodwa-ke, ukuphepha nokuphumelela akukaqiniswa ezinganeni ezineminyaka engaphansi kwengu-6. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-lisinopril kubantu abadala. Kodwa-ke, abantu abadala banesibopho esikhulu sokuba nezinkinga zezinkalankala ezihlobene nobudala, okuyimfuneko ukuba qaphele futhi kulungiswe umthamo wabantu abamukela i-lisinopril. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokuthatha le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa 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 kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlu lwezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma ngesikhathi sokudla izinhlobo ezithile zokudla ngoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungabangela ukuhlangana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, 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
Ngaphezu kokusebenzisa le mishini, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo kanye nokuchwechwa kwezinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele uqale 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 ngokuqondile njengoba kuqondiswe nokuthi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le mishini ngeke iphulukise igazi lakho eliphezulu kepha iyasisiza ukulilawula. Ngakho-ke, kufanele uqhubeke uyithathe njengoba kuqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase udinga ukuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbi zegazi, isifo sobuchopho, noma isifo sezinso. Linganisa ulwimi lomlomo ngokuqondile usebenzisa ispoon lokulinganisa elimakethiwe elihambisana nephakheji. Hlambulula ispoon yokulinganisa ngamanzi ngemuva kokusebenzisa. Uma ingane yakho ingakwazi ukugwinya amathebulethi, ulwimi lomlomo lunganikezwa. Xuba ulwimi lomlomo kahle ngaphambi kokusebenzisa. Buza udokotela wakho noma umthengisi wemithi ngalokhu. Umthamo wale mishini uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela imithamo yale mishini. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze 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 mishini, uyithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, suka umthamo ophuthelwe bese ubuyela esimweni sakho sokulinganisa okuvamile. Ungawandisi imithamo. Gcina ingafinyeleleki ezinganeni. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imithi ongayisebenzisi. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungaganduki. Gcina ulwimi lomlomo oluhlanganisiwe ekushiseni kwegumbi noma ngaphansi kwamaviki angu-4.
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.