Nadolol nebendroflumethiazide (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Corzide
Mayelana naleli khambi
Ukuhlanganiswa kweNadolol nebendroflumethiazide kusetshenziswa ekwelapheni ukuphakama kokucindezela kwegazi (hypertension). Ukuphakama kokucindezela kwegazi kwandisa umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase isebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. Ukuphakama kokucindezela kwegazi kungase futhi kukhulise ingozi yezifo zenhliziyo. Lezi zinkinga zingase zingabi khona uma kucindezela kwegazi kulawulwa. INadolol iyilokhu beta-blocker. Isebenza ngokuthinta impendulo kweminye imizwa yezinzwa ezingxenyeni ezithile zomzimba, njengasehliziyweni. Ngenxa yalokho, inhliziyo ibetha kancane futhi iyancipha ukucindezela kwegazi. Uma ukucindezela kwegazi kunciphisiwe, inani legazi no-oksijini likhuphuka enhliziyweni. IBendroflumethiazide iyi-diuretic (ipilisi lamanzi). Incipha inani lamanzi emzimbeni ngokwandisa ukugeleza komchamo, okusiza ekuphuculeni ukucindezela kwegazi. Lolu lwemi lwethu lutholakala kuphela ngomyalo wezokwelapha.
Ngaphambi kokusebenzisa leli khambi
Ekucatshweni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqulu ozothatha wena nodokotela wakho. Kulo muthi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqondile noma oluqondile lokuphazamiseka kwale mithi noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokuphazamiseka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenamithi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bokuphila nemiphumela yokudibeneyo kwe-nadolol ne-bendroflumethiazide kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kokudibeneyo kwe-nadolol ne-bendroflumethiazide kubantu abadala. Noma kunjalo, abantu abadala banamathuba amaningi okuba nezinkinga ezihlobene nobudala ezinjengobili, izinso, noma izinkinga zenhliziyo, okungase kudinge ukunakekela nokulungiswa komthamo kubantu abamukela ukuxuba kwe-nadolol ne-bendroflumethiazide. 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 ezinye izidakamizwa kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingase zidingeke. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma yimiphi imithi ehlongozwayo ngezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo ngokuvamile akusikholisi, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma yimiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlobene, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nanoma yimiphi imithi kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihlobene kodwa kungase kungaphepheki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa 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 akufanele kube yilona mithi yokuqala oyisebenzisayo ekwelapheni isimo sakho. Kuhloswe ukuba lisetshenziswe kuphela ngemva kokuba uzama ezinye izimithi ezingazange zisebenze noma ezibeka imiphumela emibi. Ngaphezu kokusetshenziswa kwale mithi, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okunosadium eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele uqale ukhulume nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abantu abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe bekhulu. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba kuqondiswe nokuthi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le mithi ngeke iphulukise igazi lakho eliphezulu, kodwa iyasiza ukuyilawula. Kumele 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 sezimbobo zegazi, isifo sobuchopho, noma isifo sokukhuluphala. Gwinya ithebulethi yonke. Ungayicwili, ungayiqhekeza, noma ungayikunye. Uma futhi uthatha i-cholestyramine (Questran®) noma i-colestipol (Colestid®), thatha i-Corzide® okungenani ihora eli-1 ngaphambi noma amahora angu-4 kuya kwangu-6 ngemva kwalawa mithi. Inani lale mithi lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembolekweni. Ulwazi olulandelayo luhlanganisa kuphela amanani aphakathi ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lezinye oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezinye, nobude besikhathi oyithatha imithi kuxhomeke ekuseni kwempilo oyisebenzisela imithi. Uma uphuthelwa inye yale mithi, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sokuthatha elakho elilandelayo, susa inye oyiphothile bese ubuyela esimweni sakho sokuthatha imithi. Ungawandisi amanani. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayivumeli ukuba iqhube. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasasetshenziswa. 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.