Yini i-Nadolol kanye ne-Bendroflumethiazide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Nadolol kanye ne-bendroflumethiazide kuyisidakamizwa esihlanganisiwe esisiza ukwehlisa umfutho wegazi ophezulu ngokusebenza enhliziyweni yakho nasezinso ngasikhathi sinye. Le ndlela yokusebenza kabili yenza kube ngcono kakhulu kubantu abanomfutho wegazi ongayiphenduli kahle imithi eyodwa kuphela.

Udkt wakho angase akubhalele le nhlanganisela uma udinga ukulawulwa komfutho wegazi okubanzi kakhulu kunalokho okunganikezwa umuthi owodwa. Izithako ezimbili zisebenza njengeqembu ukukunikeza imiphumela engcono enemiphumela emibi embalwa kunezithatha imithamo ephezulu yomuthi owodwa.

Yini i-Nadolol kanye ne-Bendroflumethiazide?

Lo muthi uhlanganisa ukwelashwa okubili okufakazelwe komfutho wegazi ophezulu kwiphilisi elilodwa elilula. I-Nadolol ingeyeqembu elibizwa ngokuthi ama-beta-blockers, kuyilapho i-bendroflumethiazide iwuhlobo lwepilisi lamanzi elaziwa ngokuthi i-thiazide diuretic.

Cabanga ngale nhlanganisela njengokuba nezihluthulelo ezimbili ezihlukene zokuvula ukulawulwa komfutho wegazi okungcono. Isithako ngasinye sibhekana nenkinga ngendlela ehlukile, okuyinto evame ukuholela ekwelashweni okuphumelelayo kunokusebenzisa noma yimuphi umuthi ngokwawo.

Le nhlanganisela yenzelwe ngokuqondile abantu abadinga zombili izinhlobo zomuthi womfutho wegazi. Esikhundleni sokuthatha amaphilisi amabili ahlukene, uthola zombili izinzuzo ngomthamo owodwa, olula okukhumbuleka kalula futhi okulandelwayo.

Yini i-Nadolol kanye ne-Bendroflumethiazide Esetshenziselwa Yona?

Ukusetshenziswa okuyinhloko kwalo muthi ohlanganisiwe ukwelapha umfutho wegazi ophezulu, obuye ubizwe nge-hypertension. Udkt wakho uyakubhala uma ukufundwa komfutho wegazi wakho kuqhubeka kuhlala ngaphezu kwebanga elinempilo naphezu kwezinguquko zendlela yokuphila.

Umfutho wegazi ophezulu uvame ukuthuthuka buthule ngaphandle kwezimpawu ezisobala, yingakho odokotela ngezinye izikhathi bewubiza ngokuthi "umbulali othule." Lo muthi usiza ukuvikela inhliziyo yakho, ubuchopho, izinso, nemithambo yegazi ekulimaleni kwesikhathi eside okungadalwa umfutho wegazi ophezulu ongaphathwanga.

Ngezinye izikhathi odokotela baphinda babhale le nhlanganisela kubantu abanezimo zenhliziyo ezizuzayo ekwelashweni nge-beta-blocker. Ingxenye ye-nadolol ingasiza ukunciphisa umsebenzi wenhliziyo yakho ngenkathi i-bendroflumethiazide isiza ukususa uketshezi oluningi olungase luqede uhlelo lwakho lwe-cardiovascular.

Isebenza Kanjani i-Nadolol ne-Bendroflumethiazide?

Lo muthi ohlanganisiwe usebenza ngezindlela ezimbili ezigcwalisanayo ezibhekana nezici ezihlukene zokulawulwa komfutho wegazi. Ingxenye ye-nadolol ivimba izimpawu ezithile ohlelweni lwakho lwezinzwa ezingenza inhliziyo yakho ishaye ngokushesha futhi iqine.

Lapho i-nadolol ivimba lezi zitholi ze-beta, izinga lokushaya kwenhliziyo yakho liyancipha futhi inhliziyo yakho ayiphampi ngamandla. Lokhu kunciphisa umfutho igazi lakho eliwusebenzisayo odongeni lwemithambo yakho, okufana nokunciphisa amandla epayipi lengadi.

Ngesikhathi esifanayo, i-bendroflumethiazide isebenza ezinso zakho ukuzisiza ukususa usawoti namanzi engeziwe emzimbeni wakho ngokwandisa ukuchama. Lapho kunoketshezi oluncane emithanjeni yakho yegazi, umfutho wehle ngokwemvelo, okufana nokunciphisa inani lamanzi ebhola ukulenza lingaqini kangako.

Ngokuhlangene, lezi zenzo ezimbili zenza indlela ebanzi yokulawula umfutho wegazi. Inhlanganisela ithathwa njengeqine ngokulinganisela futhi ivame ukunikeza imiphumela engcono kunanoma yimuphi umuthi osetshenziswa wodwa, ikakhulukazi kubantu abanomfutho wegazi ophezulu oqinile.

Kufanele Ngiyithathe Kanjani i-Nadolol ne-Bendroflumethiazide?

Thatha lo muthi ngendlela eqondile udokotela wakho akuyala ngayo, ngokuvamile kanye ngosuku ekuseni ngaphandle kokudla noma ngemva kokudla. Ukuwuthatha ekuseni kusiza ekuvikeleni ingxenye yomuthi wamanzi ekubangeni ukuya endlini yangasese ebusuku okungaphazamisa ukulala kwakho.

Gwinya ithebhulethi yonke ngamanzi agcwele, bese uzama ukuyithatha ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo egazini lakho. Akudingeki ukuthi uyithathe nobisi noma nganoma yikuphi ukudla okuthile, nakuba abanye abantu bekuthola ukuthi ukuyithatha nge-breakfast kubasiza ukuthi bakhumbule umthamo wabo wansuku zonke.

Uma udla ukudla okunoshukela omningi, zama ukugcina ukudla usawoti ngendlela efanayo kunokushintsha ukudla kwakho ngokuphazima kweso. Umuthi usebenza kahle kakhulu uma amaphethini akho okudla ehlala ezinzile, okuvumela udokotela wakho ukuthi alungise umthamo wakho uma kudingeka.

Gwema ukuvuka ngokushesha kakhulu ezindaweni zokuhlala noma zokuqamba amanga, ikakhulukazi emasontweni akho ambalwa okuqala okwelashwa. Lo muthi ngezinye izikhathi ungabangela isiyezi uma usukuma ngokushesha, ngakho thatha isikhathi sakho ngezinguquko zesikhundla kuze kube yilapho umzimba wakho uzivumela.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nadolol kanye ne-Bendroflumethiazide?

Abantu abaningi badinga ukuthatha le nhlanganisela yomfutho wegazi isikhathi eside, ngokuvamile iminyaka eminingi noma unomphela. Umfutho wegazi ophezulu ngokuvamile uyisimo esingapheli esidinga ukuphathwa okuqhubekayo kunokwelashwa kwesikhashana.

Udokotela wakho uzoqapha umfutho wegazi lakho njalo futhi angase alungise umthamo wakho noma ashintshe imithi ngokusekelwe ekutheni usabela kahle kangakanani. Abanye abantu babona ngcono phakathi namasonto ambalwa, kanti abanye bangase badinge izinyanga eziningana ukuze bafeze imigomo yabo yomfutho wegazi.

Ungalokothi uyeke ukuthatha lo muthi ngokuphazima kweso ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokuphazima ama-beta-blockers afana ne-nadolol ngezinye izikhathi kungabangela ukukhuphuka okuyingozi komfutho wegazi noma izinkinga zesigqi senhliziyo, ikakhulukazi uma unezimo zenhliziyo ezingaphansi.

Uma wena nodokotela wakho ninquma ukuyeka umuthi, cishe uzodinga ukunciphisa kancane kancane ezinsukwini ezimbalwa noma emasontweni ambalwa. Lokhu kunciphisa kancane kancane kusiza umzimba wakho ukuthi uzijwayeze ngokuphepha ukusebenza ngaphandle kokusekelwa komuthi.

Yiziphi Izimo Ezingezinhle Zomuthi i-Nadolol kanye ne-Bendroflumethiazide?

Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela engemihle, nakuba abantu abaningi beyibekezelela kahle uma umzimba wabo usujwayele. Imiphumela engemihle evame kakhulu ivamise ukuba mncane futhi ivame ukuthuthuka njengoba uqhubeka nokwelashwa.

Nansi imiphumela engemihle ongase uyithole, ihlelwe ngokuthi ivela kaningi kangakanani:

Imiphumela Evamile Engemihle

Le miphumela engemihle yenzeka njalo kodwa ngokuvamile ayibi yingozi futhi ingancipha ngokuhamba kwesikhathi njengoba umzimba wakho ujwayela umuthi:

• Isiyezi noma ukuzizwa ulula ekhanda, ikakhulukazi uma usukuma
• Ukunyuka kokuchama, ikakhulukazi emasontweni ambalwa okuqala
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Isicanucanu esincane noma isisu esibuhlungu
• Ikhanda elibuhlungu elivame ukuba lesikhashana
• Izandla nezinyawo ezibandayo ngenxa yokuncipha kokujikeleza kwegazi

Iningi lale miphumela liyindlela yomzimba wakho yokujwayela imiphumela yokwehlisa umfutho wegazi yomuthi. Ngokuvamile ziba ngaphansi kokuqashelwa ngemva kwamasonto ambalwa okusetshenziswa okuqhubekayo.

Imiphumela Engemihle Engavamile Kodwa Ebalulekile

Le miphumela engemihle yenzeka kaningi kodwa kufanelekile ukuyazi ukuze ukwazi ukuxoxa ngayo nomhlinzeki wakho wezempilo uma ithuthuka:

• Ukuphazamiseka kokulala noma amaphupho acacile
• Ukuncipha kokubekezelela ukuzivocavoca noma ukuzizwa uphefumuleka kalula
• Ukucindezeleka okuncane noma izinguquko zemizwa
• Imisipha eqinile, ikakhulukazi emilenzeni yakho
• Umlomo owomile noma ukwanda komzwelo wokoma
• Ukuzwela kwesikhumba okuncane elangeni
• Ubunzima besikhashana obuhlobene nocansi

Nakuba le miphumela ingakhathaza, ivame ukuxazululwa ngokuhamba kwesikhathi noma ingalawulwa ngokulungiswa okulula emsebenzini wakho wansuku zonke noma ngesikhathi somuthi.

Imiphumela engavamile kodwa ebucayi

Nakuba kungavamile, le miphumela emibi idinga ukunakekelwa kwezokwelapha ngokushesha uma yenzeka:

• Isiyezi esinamandla noma ukuquleka
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukuphefumula kanzima noma ukukhwehlela
• Ubuthakathaka bemisipha obukhulu noma ukuqaqamba
• Izimpawu zezinkinga zezinso njengokuncipha kakhulu komchamo
• Ukuphelelwa amanzi emzimbeni okukhulu ngomuzwa wokoma ngokweqile nesikhumba esomile
• Ukuphuma igazi okungajwayelekile noma ukuqubuka
• Ushintsho olukhulu lwemizwa noma ukucindezeleka

Le miphumela emibi ebucayi ayivamile, kodwa kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma uhlangabezana nanoma iyiphi yayo. Ukuphepha kwakho kuyinto eza kuqala, futhi udokotela wakho angasiza ekunqumeni inkambo engcono kakhulu yokwenza.

Ubani okungafanele athathe i-Nadolol ne-Bendroflumethiazide?

Abantu abathile kufanele bagweme le nhlanganisela yemithi ngenxa yengozi eyengeziwe yezinkinga ezinzima. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi ukuze aqinisekise ukuthi uphephile kuwe.

Akufanele uthathe lo muthi uma unesifuba esikhulu noma izinkinga ezithile zokuphefumula. Ingxenye ye-nadolol ingenza lezi zimo zibe zimbi ngokuthinta izindlela zomoya ngezindlela ezenza ukuphefumula kube nzima.

Abantu abanezinkinga ezithile zesigqi senhliziyo, ikakhulukazi amazinga enhliziyo ahamba kancane kakhulu noma izinhlobo ezithile zokuvinjwa kwenhliziyo, kufanele bagweme le nhlanganisela. Ingxenye ye-beta-blocker inganciphisa ngisho nesigqi senhliziyo yakho emazingeni angaba yingozi.

Uma unesifo esibi sezinso noma ungakwazi ukukhiqiza umchamo, ingxenye ye-bendroflumethiazide ingenza lezi zimo zibe zimbi. Lo muthi uthembele ezinso zakho ezisebenza kahle ngokwanele ukuze zicubungule futhi ziqede uketshezi olwengeziwe olusiza ukulususa.

Labo abanezinkinga ezithile ze-electrolyte, ikakhulukazi amazinga aphansi e-sodium noma e-potassium, bangase badinge ukugwema le nhlanganisela kuze kube yilapho la mazinga elungiswa. Ingxenye ye-diuretic ingase ithinte ngokuqhubekayo la mamamineral abalulekile egazini lakho.

Amagama Omkhiqizo we-Nadolol kanye ne-Bendroflumethiazide

Le nhlanganisela yomuthi itholakala ngaphansi kwegama lomkhiqizo elithi Corzide e-United States. Inguqulo yegama lomkhiqizo kanye nezinguqulo ezivamile ziqukethe izithako ezifanayo ezisebenzayo futhi zisebenza ngempumelelo ngokulinganayo.

Izinguqulo ezivamile zivame ukutholakala ngentengo ephansi futhi ziphephile futhi zisebenza njengoba nje kuyindlela yegama lomkhiqizo. Ikhemisi lakho lingase lishintshe ngokuzenzakalelayo inguqulo ejwayelekile ngaphandle uma udokotela wakho ecela ngokuqondile igama lomkhiqizo.

Noma ngabe uthola igama lomkhiqizo noma inguqulo ejwayelekile, umuthi uzoba nemiphumela efanayo yokwehlisa umfutho wegazi. Umehluko omkhulu uvame ukuba ekubukekeni kwethebhulethi, ukupakisha, kanye nezindleko kunokuthi umuthi usebenza kahle kangakanani.

Ezinye Izindlela ze-Nadolol kanye ne-Bendroflumethiazide

Uma le nhlanganisela ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, udokotela wakho unezinye izindlela eziphumelelayo zokuzicabangela. Ezinye izinhlanganisela ze-beta-blocker kanye ne-diuretic zingase zisebenze kangcono esimweni sakho esithile.

Ama-ACE inhibitors ahlanganiswe nama-diuretics amele enye indlela ethandwayo nephumelelayo yokwelapha umfutho wegazi ophezulu. Lezi zinhlanganisela zisebenza ngezindlela ezihlukene futhi zingase zibekezeleleke kangcono uma unezinkinga zokuphefumula noma ezinye izimo ezingenza ama-beta-blockers angalungi.

Ama-calcium channel blockers ahlanganiswe nama-diuretics anikeza enye indlela esebenza kahle kubantu abaningi. Lezi zinhlanganisela zingasiza ikakhulukazi uma unezinhlobo ezithile zezinkinga zesigqi senhliziyo noma uma ungazange uphendule kahle kwamanye amakilasi emithi.

Udktela wakho angase futhi acabangele ukuhlanganiswa kwe-ARB (i-angiotensin receptor blocker), okuyinto evame ukuba nemiphumela emincane kuneminye imithi yokwehlisa umfutho wegazi. Okubalulekile ukuthola ukuhlanganiswa okusebenzela umzimba wakho nendlela yakho yokuphila ngenkathi kulawulwa ngempumelelo umfutho wakho wegazi.

Ingabe i-Nadolol ne-Bendroflumethiazide Ingcono Kunezinye Izidakamizwa Zomfutho Wegazi?

Lokhu kuhlanganiswa kungasebenza kangcono kunezidakamizwa ezingashadile kubantu abadinga zombili izinhlobo zokulawulwa komfutho wegazi. Uma kuqhathaniswa nokuthatha imithamo ephezulu yomuthi owodwa nje, indlela yokuhlanganisa ivame ukunikeza imiphumela engcono enemiphumela emincane.

Uma kuqhathaniswa nokuhlanganiswa kwe-ACE inhibitor, lokhu kuhlanganiswa okusekelwe ku-nadolol kungase kusebenze kangcono kubantu abanezinkinga ezithile zesigqi senhliziyo noma abangazange basabele kahle kuma-ACE inhibitors. Kodwa-ke, ukuhlanganiswa kwe-ACE inhibitor kungase kukhethwe kubantu abanesifo sikashukela noma isifo sezinso.

Ukukhetha phakathi kwalokhu kuhlanganiswa nokuhlanganiswa kwe-calcium channel blocker kuvame ukuncika kwezinye izimo zakho zempilo nokuthi usabela kanjani ezinhlotsheni ezahlukene zemithi. Abanye abantu bakubekezelela kangcono esinye isigaba kunomunye, okwenza ukukhetha

Isici se-nadolol singase sifihle ezinye izimpawu zokuxwayisa zikashukela ophansi, njengokushaya kwenhliziyo okusheshayo, okungase kwenze kube nzima ukuqaphela lapho ushukela wakho wegazi wehla kakhulu. Udokotela wakho cishe uzoqapha ushukela wakho wegazi eduze lapho uqala lo muthi.

Abantu abaningi abanesifo sikashukela bayawuthatha lo muthi ngempumelelo, ikakhulukazi lapho eminye imithi yokwehlisa umfutho wegazi ingasebenzi kahle. Ithimba lakho lezempilo lizokusiza ukulinganisa izinzuzo zokulawula kangcono umfutho wegazi ngokumelene nanoma yimiphi imiphumela engaba khona ekuphathweni kwesifo sakho sikashukela.

Kufanele Ngenzeni Uma Ngithatha Ngengozi I-Nadolol ne-Bendroflumethiazide Engaphezu Kakhulu?

Uma ngengozi uthatha okungaphezu komthamo wakho obekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kwalolu hlobo lomuthi kungabangela ukwehla okuyingozi komfutho wegazi nokushaya kwenhliziyo.

Izimpawu zokweqisa zingabandakanya isiyezi esikhulu, ukuquleka, ukushaya kwenhliziyo okuhamba kancane kakhulu, ubunzima bokuphefumula, noma ukuzizwa ubuthakathaka kakhulu. Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo, njengoba eminye imiphumela yokweqisa ingaba yimbi futhi idinga ukunakekelwa kwezempilo ngokushesha.

Ngesikhathi ulindele isiqondiso sezokwelapha, hlala phansi noma ulale phansi ukuze uvimbele ukuwa ngenxa yesiyezi, futhi ube nomuntu ozohlala nawe uma kungenzeka. Ungazami ukuzihlanza ngaphandle uma uqondiswe ngokuqondile ukwenza kanjalo ngumhlinzeki wezempilo.

Kufanele Ngenzeni Uma Ngedlula Umthamo We-Nadolol ne-Bendroflumethiazide?

Uma udlula umthamo futhi ukhumbula kungakapheli amahora ambalwa esikhathi sakho esijwayelekile, yithathe ngokushesha lapho ukhumbula. Kodwa-ke, uma sekuseduze nesikhathi somthamo wakho olandelayo, weqa umthamo owudlulile bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owudlulile, njengoba lokhu kungabangela ukwehla okuyingozi komfutho wegazi noma ukushaya kwenhliziyo. Ukuphinda kabili lo muthi kungaholela emiphumeleni emibi edinga ukunakekelwa kwezempilo.

Uma ukhohlwa njalo imithamo, cabangela ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi ukukusiza ukhumbule. Ukuthatha imithi nsuku zonke ngokuqhubekayo kubalulekile ekulawuleni umfutho wegazi njalo nokuthola izinzuzo eziphelele zokwelashwa kwakho.

Ngingayeka nini ukuthatha i-Nadolol ne-Bendroflumethiazide?

Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kokuqondisa nokuqashwa okuqondile kukadokotela wakho. Abantu abaningi abanomfutho wegazi ophezulu badinga ukuthatha imithi isikhathi eside ukuze bagcine amazinga omfutho wegazi enempilo futhi bavimbele izinkinga.

Uma umfutho wakho wegazi ulawulwe kahle isikhathi eside futhi wenze ngcono indlela yakho yokuphila, udokotela wakho angase acabangele ukunciphisa umthamo wakho kancane kancane. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngokubambisana ngokusekelwe esithombeni sakho sempilo esiphelele.

Ukwenza ngokuphazima kweso kungabangela ukukhuphuka okuyingozi komfutho wegazi kanye nezinkinga ezingathi sína zokushaya kwenhliziyo, ikakhulukazi ngengxenye ye-beta-blocker. Noma yiziphi izinguquko ekwelashweni kwakho kufanele zihlelwe ngokucophelela futhi ziqashwe eduze ngumhlinzeki wakho wezempilo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Nadolol ne-Bendroflumethiazide?

Ungaba notshwala ngezikhathi ezithile, ngamanani alinganiselwe ngenkathi uthatha lo muthi, kodwa kubalulekile ukuqaphela ngoba utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi. Le nhlanganisela ingase ikwenze uzwe kalula imiphumela yotshwala emfutheni wakho wegazi nokulinganisela.

Ukuphuza utshwala ngenkathi usebenzisa lo muthi kungakhuphula ingozi yakho yokuba nesiyezi, ukukhathala, noma ukuquleka, ikakhulukazi uma usukuma ngokushesha. Qala ngamanani amancane kunokujwayelekile ukuze ubone ukuthi umzimba wakho usabela kanjani kule nhlanganisela.

Uma ukhetha ukuphuza, yenza kanjalo kancane futhi uqinisekise ukuthi unamanzi kahle ngamanzi, ngoba ingxenye ye-diuretic ingase isivele ithinte ukulinganisela kwakho uketshezi. Hlala uxoxa ngemikhuba yakho yokuphuza utshwala nodokotela wakho ukuze uqinisekise ukuthi kuphephile ngokuya ngesimo sakho sempilo esiphelele.