Olmesartan, amlodipine, ne-hydrochlorothiazide (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Tribenzor
Mayelana naleli khambi
Olmesartan, amlodipine, ne-hydrochlorothiazide kuyilunguhlu lemithi engase isetshenziswe yodwa noma ngemithi eminye ukwelapha 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, nezinso, okuholela ekuhambeni komchamo, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwezinso. Ukuncipha kokucindezeleka kwegazi kunganciphisa ingozi yokubeletha nomchamo wenhliziyo. I-Olmesartan iyilokhu okuvimba i-angiotensin II receptor (ARB). Isebenza ngokuvimba into emzimbeni ebangela ukuba imithambo yegazi iqine. I-Olmesartan ikhulula imithambo yegazi futhi inciphise ukucindezeleka kwegazi. Ukucindezeleka kwegazi okuphansi kuzokwandisa ukunikezwa kwegazi no-oksijini enhliziyweni. I-Amlodipine iyilokhu okuvimba i-calcium channel (CCB). Ithinta ukunyakaza kwe-calcium emagumbini enhliziyo nemisipha yegazi. I-Amlodipine ikhulula imithambo yegazi futhi inciphise ukucindezeleka kwegazi. I-Hydrochlorothiazide iyilokhu okuqeda amanzi (ithablethi yamanzi). Inciphise inani lamanzi emzimbeni ngokwandisa ukugeleza komchamo. Lokhu kusiza ekuqedeni ukucindezeleka kwegazi. Lolu lwemi lulawulwa udokotela kuphela. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engavamile noma ebangelwa uketshezi kule mithi noma kunoma iyiphi eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala kuze kube yimiphumela ye-olmesartan, i-amlodipine, kanye nokuhlanganiswa kwe-hydrochlorothiazide kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube yimanje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kwe-olmesartan, i-amlodipine, kanye nokuhlanganiswa kwe-hydrochlorothiazide kubantu abadala. 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, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, 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 ingozi eyenyuka 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 noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba 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
Thatha leli lemithi kuphela njengoba kunconywe udokotela wakho. Ungalisebenzisi kakhulu, ungalisebenzisi njalo, futhi ungalisebenzisi isikhathi eside kunalokho udokotela wakho akuyalile. Le mithi ifika ne-insert yolwazi lwabaguli. Funda futhi ulandele imiyalo e-insert ngokucophelela. Buza udokotela wakho uma unemibuzo. Ngaphezu kokusebenzisa le mithi, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulwa nokukhuluphala 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. Khumbula ukuthi le mithi ngeke iphulukise igazi lakho eliphezulu, kodwa iyasiza ukulilawula. Kufanele uqhubeke uyithatha njengoba kunconywe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase ube nesidingo sokuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelapheki, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezitho eziphethwe igazi, izikhuthazo, noma isifo sokukhuluphala. Gwinya ithebulethi yonke. Ungayiqhekeza, uyicindezele, noma uyigaye. Ungayithatha le mithi ngokudla noma ngaphandle kokudla. Uma usebenzisa futhi i-colesevelam (Welchol®), yithathe okungenani emahoreni angu-4 ngemuva kokuthatha i-Tribenzor®. Inani lemithi leyo izobahlukene kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo elebhelini. Ulwazi olulandelayo lufaka kuphela amanani aphakathi ale mithi. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuyale ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithi oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithi, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa yidosi yale mithi, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sedosi yakho elandelayo, skip idosi ophuthelwe yona bese ubuyela esikhathini sakho sokuthatha imithi. Ungawandisi ama-doses. Gcina imithi esitsheni esivaliwe ekushiseni kweqembu, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayivumeli ukuba iqhwabe. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi ungayilahla kanjani imithi oyisebenzisi.
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.