Created at:1/13/2025
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I-Olmesartan-amlodipine-hydrochlorothiazide iyinhlanganisela yomuthi wokwehlisa umfutho wegazi ohlanganisa imithi emithathu enamandla ethebuleni elilodwa. Le nhlanganisela kathathu isiza ukulawula umfutho wegazi ophezulu ngempumelelo enkulu kunanoma yimuphi umuthi owodwa. Udokotela wakho angase akubhalele lokhu uma udinga ukusekelwa okwengeziwe ukuze ufinyelele imigomo yakho yomfutho wegazi ngokuphepha.
Lo muthi uhlanganisa izinhlobo ezintathu ezihlukene zemithi yomfutho wegazi ethebuleni elilodwa elilula. I-Olmesartan ivimba amahomoni athile aqinisa imithambo yegazi, i-amlodipine iphumuza futhi yandise imithambo yakho, kanti i-hydrochlorothiazide isiza izinso zakho ukukhipha usawoti namanzi engeziwe emzimbeni wakho.
Cabanga ngayo njengeqembu labantu abathathu abasebenza ndawonye ukwehlisa umfutho wegazi lakho. Umuthi ngamunye uhlasela inkinga ngendlela ehlukile, okuyinto evame ukusebenza kangcono kunokusebenzisa indlela eyodwa kuphela. Le nhlanganisela ilusizo ikakhulukazi kubantu abanomfutho wegazi ophezulu ngaphandle kokuzama eminye imithi.
Lo muthi welapha umfutho wegazi ophezulu, obuye ubizwe nge-hypertension. Umfutho wegazi ophezulu wenzeka lapho amandla egazi odongeni lwemithambo yakho ehlala ephezulu kakhulu isikhathi eside. Uma ingelashwa, ingalimaza inhliziyo yakho, ubuchopho, izinso, nezinye izitho ngokuhamba kwesikhathi.
Udokotela wakho ukubhala le nhlanganisela uma imithi eyodwa ingawunciphisi umfutho wegazi wakho ngokwanele. Ilusizo ikakhulukazi kubantu abadinga izindlela eziningi zokufinyelela umfutho wegazi abawufunayo ngokuphepha. Umgomo uwukuvikela izitho zakho futhi unciphise ingozi yakho yokuhlaselwa yinhliziyo, ukushaywa unhlangothi, nezinkinga zezinso.
Lokhu kuthathwa njengomuthi oqinile, ophelele wokwehlisa umfutho wegazi ngoba usebenza ngezindlela ezintathu ezihlukene. Isici ngasinye silwa nomfutho wegazi ophezulu sisuka ekhoneni laso eliyingqayizivele, sidala indlela yokwelapha ephelele.
I-Olmesartan ivimba i-angiotensin II, i-hormone eyenza imithambo yegazi icindezeleke. Uma ivalekile, imithambo yakho yegazi ingakhululeka futhi yande. I-Amlodipine iqondisa imisipha emithanjeni yakho, okwenza kube lula ukuthi igazi ligeleze. I-Hydrochlorothiazide isiza izinso zakho ukukhipha usawoti namanzi amaningi, okunciphisa inani lamanzi inhliziyo yakho okudingeka ukuba iwaphamphe.
Ngokuhlanganyela, le mithi emithathu idala inhlanganisela enamandla enganciphisa umfutho wegazi ngempumelelo enkulu kunanoma yimuphi umuthi owodwa kuphela. Le ndlela yokusebenzisana ngokuvamile isiza abantu ukuthi bafinyelele imigomo yabo yomfutho wegazi lapho ezinye izindlela zokwelapha zinganele.
Thatha lo muthi ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ungayithatha ngokudla noma ngaphandle kokudla, kodwa zama ukungaguquguquki ngokukhetha kwakho. Gwinya ithebhulethi yonke ngenkomishi yamanzi egcwele.
Ukuyithatha ngesikhathi esifanayo nsuku zonke kusiza ukugcina amazinga aqhubekayo egazini lakho. Abantu abaningi bathola ukuthi ukuyithatha ekuseni kusebenza kahle, kodwa landela imiyalelo ethile kadokotela wakho. Uma udla ngaphambi kokuyithatha, khetha okuthile okulula kunokudla okukhulu, ngoba lokhu kungasiza ekumunceni.
Ungayichobozi, ungayihlafuni, noma ungayiqhekezi ithebhulethi, ngoba lokhu kungathinta indlela umuthi okhishwa ngayo emzimbeni wakho. Uma unenkinga yokugwinya amaphilisi, khuluma nodokotela wakho mayelana nezinye izindlela kunokuzama ukuguqula ithebhulethi ngokwakho.
Abantu abaningi badinga ukuthatha lo muthi isikhathi eside ukuze balawule umfutho wegazi labo. Umfutho wegazi ophezulu ngokuvamile uyisimo esihlala impilo yonke esidinga ukuphathwa okuqhubekayo. Udokotela wakho uzoqapha ukuthi usabela kanjani futhi angase alungise ukwelashwa kwakho ngokuhamba kwesikhathi.
Ungase uqale ukubona ukuthuthuka komfutho wegazi emasontweni ambalwa, kodwa kungathatha amasonto afinyelela kwayi-8 ukubona umphumela ogcwele. Ungayeki ukuthatha umuthi ngisho noma uzizwa ulungile, ngoba umfutho wegazi ophezulu ngokuvamile awunazo izimpawu. Ukuhlolwa njalo kuzosiza udokotela wakho ukuthi anqume ukuthi udinga ukuqhubeka, ukulungisa, noma ukushintsha ukwelashwa kwakho.
Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela engemihle, nakuba abantu abaningi beyibekezelela kahle. Ukuqonda ukuthi yini okufanele uyibheke kukusiza ukuthi wazi ukuthi ungaxhumana nini nodokotela wakho nokuthi imiphumela engemihle ingalawuleka nini.
Imiphumela engemihle evame kakhulu ongase uyithole ihlanganisa isiyezi, ikakhulukazi uma usukuma ngokushesha, ukuvuvukala emaqakaleni noma ezinyaweni zakho, nokwanda kokuchama. Le miphumela ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.
Nansi imiphumela engemihle evame kakhulu abantu abayibikayo:
Le miphumela engemihle ejwayelekile ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Nokho, yazisa udokotela wakho uma ziqhubeka noma zikuphazamisa kakhulu.
Imiphumela engemihle engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungenzeki kubantu abaningi, kubalulekile ukukubona uma kwenzeka.
Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yimaphi alawa maphuzu abucayi:
Le miphumela emibi ebucayi ayivamile, kodwa idinga ukuhlolwa kwezokwelapha ngokushesha ukuqinisekisa ukuphepha kwakho nokulungisa ukwelashwa kwakho uma kudingeka.
Lo muthi awulungele wonke umuntu, futhi izimo ezithile zezempilo noma izimo zenza kungaphephile ukuwusebenzisa. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuchazela le nhlanganisela.
Akufanele uthathe lo muthi uma unokungezwani nawo wonke amalungu amathathu awo noma imithi efanayo. Abantu abanezifo ezinzima zezinso, isifo sesibindi, noma izimo ezithile zenhliziyo bangase badinge ukwelashwa okuhlukile. Ukukhulelwa nakho kuyinkinga enkulu, njengoba lo muthi ungalimaza ingane esakhula.
Izimo eziningana zezempilo zidinga ukuqapha okukhethekile noma zenza lo muthi ungafaneleki:
Udokotela wakho uzohlola lezi zici ngokucophelela futhi angakhetha ezinye izindlela zokwelapha uma le nhlanganisela ingakulungele. Hlala utshela udokotela wakho ngazo zonke izimo zakho zezempilo nemithi ngaphambi kokuqala noma yikuphi ukwelashwa okusha.
Le mithi ehlanganisiwe itholakala ngaphansi kwegama lomkhiqizo elithi Tribenzor e-United States. Inguqulo ejwayelekile iqukethe izithako ezisebenzayo ezifanayo futhi isebenza ngempumelelo njengenguqulo yegama lomkhiqizo.
Ikhemisi lakho lingase linikeze noma iyiphi inguqulo yegama lomkhiqizo noma ejwayelekile ngokuya ngomshuwalense wakho kanye nemiyalelo kadokotela. Zombili lezi zinguqulo zihlangabezana nezindinganiso ezifanayo zokuphepha nokusebenza kahle, ngakho-ke ungaqiniseka nganoma iyiphi inketho.
Eminye imithi yokwehlisa umfutho wegazi ingasebenza njengezinye izindlela uma le nhlanganisela ingasebenzi kahle kuwe. Udokotela wakho angase acabangele ezinye izinhlanganisela ezintathu noma amanye amakilasi emithi ngokuya ngezidingo zakho ezithile.
Ezinye izinhlanganisela ezintathu zihlanganisa imithi ehlanganisa izinhlobo ezahlukene zemithi yokwehlisa umfutho wegazi. Abanye abantu benza ngcono ngama-ACE inhibitors esikhundleni sama-ARB, noma ngama-calcium channel blockers ahlukene. Udokotela wakho angase futhi acabangele ukwengeza imithi ngakunye ngesikhathi esisodwa kunokuqala ngenhlanganisela.
Imithi eyodwa engasebenza kuwe ihlanganisa i-lisinopril, i-metoprolol, noma eminye imithi yokwehlisa umfutho wegazi ngamanye. Ukukhetha kuncike ekuphenduleni kwakho ekwelashweni, imiphumela emibi, nezinye izimo zezempilo ongase ube nazo.
Zombili lezi zinhlanganisela ziyimithi yokwehlisa umfutho wegazi esebenzayo, kodwa zisebenza ngezindlela ezahlukene. I-Olmesartan-amlodipine-hydrochlorothiazide ivimba izindlela ezahlukene kune-lisinopril-hydrochlorothiazide, okungenzeka ukuthi yenza enye ifaneleke kakhulu kuwe kunenye.
Inhlanganisela ye-olmesartan ihlanganisa i-calcium channel blocker (amlodipine) eqondile ekhulula imithambo yegazi, kanti i-lisinopril-hydrochlorothiazide igxila ekuvinjeleni ama-enzyme e-ACE. Abanye abantu bayakwazi ukubekezelela enye indlela kangcono kunenye, futhi udokotela wakho uzocabangela ukusabela kwakho ngakunye kanye ne-side effect profile.
Akukho ngxube olungcono kunolunye ngokujwayelekile. Udokotela wakho uzokhetha ngokusekelwe ekusabeleni kwakho umfutho wegazi, imiphumela emibi, ezinye izimo zempilo, nezici zomuntu siqu. Okubaluleke kakhulu ukuthola umuthi osebenza kahle kakhulu esimweni sakho esithile.
Lo muthi udinga ukuqashwa ngokucophelela uma unezinkinga zezinso, futhi kungenzeka awufaneleki ezinkingeni ezinzima zezinso. Ingxenye ye-hydrochlorothiazide ingathinta ukusebenza kwezinso, futhi abantu abanezinkinga zezinso badinga ukunakekelwa okukhethekile lapho besebenzisa le nhlanganisela.
Udokotela wakho uzohlola ukusebenza kwezinso zakho ngemivivinyo yegazi ngaphambi kokuqala lo muthi futhi njalo ngenkathi uwuthatha. Uma ukusebenza kwezinso zakho kwehla kakhulu, udokotela wakho angase adinge ukulungisa umthamo wakho noma ashintshele komunye umuthi. Ungalokothi uqale lo muthi ngaphandle kokuxoxa ngempilo yakho yezinso nodokotela wakho kuqala.
Uma uphuza umuthi omningi kakhulu, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukweqisa kungabangela umfutho wegazi ophansi kakhulu, okungase kukwenze uzizwe unesiyezi, ubuthakathaka, noma kukubangele ukuthi uquleke.
Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo. Shayela udokotela wakho, igumbi likaxakeka eliseduze, noma isikhungo sokulawula ubuthi ngokushesha. Bangakuqondisa ukuthi wenzeni okulandelayo nokuthi ngabe udinga ukunakekelwa kwezempilo ngokushesha. Gcina ibhodlela lemithi nawe ukuze ukwazi ukunikeza imininingwane enembile ngalokho nokuthi uthathe malini.
Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle kokuthi sekuseduze isikhathi somthamo wakho olandelayo. Ungathathi imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungadala ukuthi umfutho wegazi lakho wehle kakhulu.
Uma sekudlule amahora angaphezu kwayi-12 kusukela kumthamo wakho ophuthelwe futhi usondela emthomeni wakho olandelayo ohleliwe, vele weqe umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Setha isikhumbuzi sansuku zonke ocingweni lwakho noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule imithi yakho ngokuqhubekayo.
Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka imithi yomfutho wegazi ngokuzumayo kungadala ukuthi umfutho wegazi lakho ukhuphuke ngendlela eyingozi, okungaholela ezinkingeni ezinzima njengokuhlaselwa yinhliziyo noma ukushaywa unhlangothi.
Udokotela wakho uzoqoka ukuthi nini nokuthi kanjani ukunciphisa ngokuphephile noma ukuyeka imithi yakho ngokusekelwe ekulawuleni umfutho wegazi lakho, impilo yonke, nezinye izinto. Uma udinga ukuyeka nganoma yisiphi isizathu, udokotela wakho uzokwenza uhlelo lokunciphisa kancane umthamo wakho noma ashintshele ekwelashweni okuhlukile ukuze umfutho wegazi lakho ulawulwe.
Utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi yalo muthi, okungenzeka kubangele isiyezi, ukukhathala, noma ukuquleka. Kungcono ukukhawulela ukusetshenziswa kotshwala futhi uxoxe ngemikhuba yakho yokuphuza nodokotela wakho.
Uma ukhetha ukuphuza utshwala, kwenze ngokulinganisela futhi unake indlela ozizwa ngayo. Qala kancane ukuze ubone ukuthi umzimba wakho usabela kanjani, futhi gwema ukuphuza utshwala uma uqala umuthi noma uma umthamo wakho ulungiswa. Njalo sukuma kancane uma usuka ekuhlaleni noma ekulaleni, ikakhulukazi ngemva kokuphuza utshwala, ukuze ugweme ukuwa ngenxa yesiyezi.