Yini i-Olmesartan: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Olmesartan iyimithi yokwehlisa umfutho wegazi eyingxenye yeqembu elibizwa ngokuthi ama-ARBs (ama-angiotensin receptor blockers). Isebenza ngokukhulula imithambo yakho yegazi, okusiza ukwehlisa umfutho wegazi lakho futhi kwenze kube lula ukuthi inhliziyo yakho ipompe igazi emzimbeni wakho wonke.

Le mithi ivame ukunqunywa lapho ukufundwa komfutho wegazi lakho kuqhubeka kuhlala ngaphezu kwamabanga avamile. Cabanga ngayo njengomsizi omnene ogcina uhlelo lwakho lwe-cardiovascular lusebenza kahle, okunciphisa ukucindezeleka enhliziyweni yakho nasemithanjeni ngokuhamba kwesikhathi.

Isetshenziselwani i-Olmesartan?

I-Olmesartan isetshenziselwa ikakhulukazi ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Udokotela wakho uyayinquma uma umfutho wegazi lakho uqhubeka ulinganisa ngaphezu kuka-140/90 mmHg ngesikhathi sokuvakasha okuningi.

Ngaphandle kokulawulwa komfutho wegazi, le mithi isiza ukuvikela inhliziyo yakho, izinso, nemithambo yegazi ekulimaleni kwesikhathi eside. Ilusizo ikakhulukazi kubantu abadinga ukuphathwa komfutho wegazi nsuku zonke, ukuvimbela izinkinga ezinjengokuhlaselwa yinhliziyo, ukushaywa unhlangothi, noma izinkinga zezinso.

Ngezinye izikhathi odokotela banquma i-olmesartan njengengxenye yokwelashwa okuhlanganisiwe. Lokhu kusho ukuthi ungayithatha kanye neminye imithi yokwehlisa umfutho wegazi ukuze uthole ukulawula okungcono, ikakhulukazi uma umfutho wegazi lakho uphakeme kakhulu.

Isebenza Kanjani i-Olmesartan?

I-Olmesartan ivimba i-hormone ebizwa ngokuthi i-angiotensin II, eqinisa imithambo yakho yegazi ngokwemvelo. Ngokuvimba le hormone, imithi ivumela imithambo yakho yegazi ukuthi ikhululeke futhi yande, idale isikhala esiningi sokuthi igazi ligeleze kalula.

Lokhu kuthathwa njengemithi yokwehlisa umfutho wegazi enamandla ngokulinganisela esebenza ngokuqhubekayo usuku lonke. Ngokungafani neminye imithi esebenza ngokushesha, i-olmesartan inikeza ukulawulwa okuqhubekayo komfutho wegazi emahoreni angama-24 ngomthamo owodwa ngosuku.

Umuthi ngokuvamile uqala ukusebenza emahoreni ambalwa, kodwa uzoqaphela imiphumela ephelele yokwehlisa umfutho wegazi ngemva kwamasonto amabili okusebenzisa njalo. Umzimba wakho udinga isikhathi sokuzivumelanisa nomuthi futhi uzuze ukuphumula okuhle kwemithambo yegazi.

Kufanele Ngiyithathe Kanjani I-Olmesartan?

Thatha i-olmesartan ngendlela eqondile njengoba udokotela wakho ekunqumele ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ungayithatha nokudla noma ngaphandle kokudla, kodwa zama ukungaguquguquki ekukhetheni kwakho ukuze ugcine amazinga omuthi aqhubekayo.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uyihlafune, noma uyiphule ithebhulethi, ngoba lokhu kungathinta indlela umuthi okhishwa ngayo emzimbeni wakho.

Abantu abaningi bakuthola kuwusizo ukuthatha i-olmesartan ekuseni, njengoba lesi sikhathi sivame ukuhlinzeka ngokuqapha okungcono kakhulu komfutho wegazi usuku lonke. Kodwa-ke, uma uzwa isiyezi, udokotela wakho angase asikisele ukuthi uyithathe kusihlwa esikhundleni salokho.

Akudingeki ukuthi ugweme noma yikuphi ukudla okuthile ngenkathi uthatha i-olmesartan, kodwa ukugcina ukudla okunempilo yenhliziyo okunensodium encane kungathuthukisa ukusebenza komuthi. Ukuhlala unamanzi kahle nakho kubalulekile, ikakhulukazi uma uqala ukuthatha umuthi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Olmesartan?

Abantu abaningi badinga ukuthatha i-olmesartan isikhathi eside, ngokuvamile iminyaka eminingi noma impilo yonke. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlalakhona esidinga ukuphathwa okuqhubekayo kunokulungiswa kwesikhashana.

Udokotela wakho uzoqapha umfutho wegazi lakho njalo futhi angase alungise umthamo wakho ngokuhamba kwesikhathi. Abanye abantu bangagcina behlisa imithi yabo uma benza izinguquko ezinkulu zokuphila, kodwa lokhu kufanele kwenzeke ngaphansi kokuqondisa kwezokwelapha.

Ungayeki ukuthatha i-olmesartan ngokuzumayo, ngisho noma uzizwa ulungile. Umfutho wegazi lakho ungaqala ukukhuphuka ngendlela eyingozi uma uyeka umuthi ngokuphazima kweso, okungenzeka kuholele ezinkingeni ezinzima njengokuhlaselwa yinhliziyo noma unhlangothi.

Yiziphi Imiphumela Eceleni ye-Olmesartan?

Abantu abaningi bayamukela kahle i-olmesartan, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Izindaba ezinhle ukuthi imiphumela emibi engathí sina ayivamile, futhi abantu abaningi ababi nayo imiphumela emibi nakancane.

Nawa amanye emiphumela emibi evame kakhulu ongase uyithole, ukhumbula ukuthi umzimba wakho uvame ukujwayela imithi phakathi namasonto ambalwa:

• Isiyezi noma ukuzizwa unovalo, ikakhulukazi uma usukuma ngokushesha
• Ikhanda elivame ukuthuthuka njengoba umzimba wakho ujwayela
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukucasuka kwesisu noma isicanucanu esincane
• Ubuhlungu emhlane noma ubuhlungu bemisipha
• Ukhwehlela noma izimpawu ezinjengomkhuhlane

Le miphumela emibi ejwayelekile ivame ukuba mnene futhi yesikhashana. Uma iqhubeka noma iba yinkinga, khuluma nodokotela wakho ngezixazululo ezingenzeka noma ukulungiswa kwemithamo.

Nakuba kungavamile, abanye abantu bangase babe nemiphumela emibi ekhathazayo edinga ukunakekelwa kwezokwelapha:

• Isiyezi esikhulu noma ukuquleka
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukuvuvukala ebusweni bakho, ezindebeni, olimini, noma emqaleni
• Ubuhlungu obukhulu besisu esinenhlanzi engapheli nokuncipha kwesisindo
• Izimpawu zezinkinga zezinso njengokuncipha komchamo noma ukuvuvukala emilenzeni
• Amazinga aphezulu e-potassium abangela ubuthakathaka bemisipha noma ukushaya kwenhliziyo okungajwayelekile

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma iyiphi yale miphumela emibi engathí sina. Bangasiza ekutholeni ukuthi imithi ilungele wena noma ngabe kudingeka ukulungiswa.

Isimo esingavamile kodwa esibi esibizwa ngokuthi i-sprue-like enteropathy singenzeka nge-olmesartan. Lokhu kubangela isifo sohudo esibi, esingapheli nokuncipha kwesisindo futhi singathuthuka ezinyangeni noma ngisho neminyaka ngemva kokuqala imithi. Nakuba kungavamile, kubalulekile ukubika noma yiziphi izinkinga zokugaya ezihlala njalo kudokotela wakho.

Ubani Ongafanele Athathwe I-Olmesartan?

I-Olmesartan ayifanele wonke umuntu, futhi izimo ezithile zenza kungaphephile ukuyisebenzisa. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-olmesartan uma ukhulelwe noma uhlela ukukhulelwa. Lo muthi ungalimaza umntwana ongakazalwa, ikakhulukazi ngesikhathi sesibili nesesithathu sokukhulelwa, okungenzeka kubangele izinkinga zezinso nezinye izinkinga ezinzima.

Abantu abanezimo ezithile zezokwelapha badinga ukucatshangelwa okukhethekile noma bangase badinge ukugwema i-olmesartan ngokuphelele:

• Isifo sezinso esibi noma ukwehluleka kwezinso
• Isifo sesibindi noma izinkinga zokusebenza kwesibindi
• Izinkinga ze-valve yenhliziyo noma ukwehluleka kwenhliziyo
• Isifo sikashukela (uma futhi uthatha eminye imithi ethile)
• Ukuphelelwa amanzi emzimbeni noma ivolumu yegazi eliphansi
• Umlando we-angioedema (ukuqubuka okukhulu kokungezwani komzimba)

Uma unezinye zalezi zimo, udokotela wakho uzoqaphela izinzuzo ngokumelene nezingozi futhi angakhetha ezinye izindlela zokwelapha eziphephe kakhulu esimweni sakho esithile.

Abantu abadala bangase bazwe kalula imiphumela ye-olmesartan yokwehlisa umfutho wegazi. Udokotela wakho angase aqale ngomthamo ophansi futhi akuqaphele eduze, ikakhulukazi uma unezinkinga zezinso noma uthatha eminye imithi.

Amagama Omkhiqizo we-Olmesartan

I-Olmesartan ithengiswa ngaphansi kwegama lomkhiqizo elithi Benicar e-United States. Lolu uhlobo lomkhiqizo oluvame kakhulu ukuyalelwa.

Ungase futhi uthole i-olmesartan emithini ehlanganisiwe efana ne-Benicar HCT, ehlanganisa i-diuretic (iphilisi lamanzi) ukuze kulawulwe umfutho wegazi owengeziwe. Le mithi ehlanganisiwe ingaba lula uma udinga imithi eminingi yomfutho wegazi.

Izinhlobo ze-generic ze-olmesartan zitholakala kabanzi futhi zisebenza ngempumelelo njengezinhlobo zegama lomkhiqizo. Umshuwalense wakho ungase ukhethe inguqulo ye-generic, enganciphisa kakhulu izindleko zakho zemithi.

Ezinye Izindlela ze-Olmesartan

Uma i-olmesartan ingasebenzi kahle kuwe noma idala imiphumela engathandeki, imithi eminingi ehlukile ingelapha umfutho wegazi ophezulu ngempumelelo. Udokotela wakho angakusiza ukuthi uthole inketho engcono kakhulu ngokusekelwe ezidingweni zakho ezithile.

Eminye imithi ye-ARB isebenza ngendlela efana ne-olmesartan futhi ingaba ezinye izindlela ezinhle:

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• I-Losartan (Cozaar) - ngokuvamile iyinketho yokuqala ye-ARB
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• I-Valsartan (Diovan) - enye inketho efundwe kahle
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• I-Irbesartan (Avapro) - ilungele abantu abanesifo sikashukela
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• I-Candesartan (Atacand) - iphumelela futhi ekuhlulekeni kwenhliziyo
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Uma imithi ye-ARB ingafaneleki, udokotela wakho angase acabangele amanye amakilasi emithi yomfutho wegazi njenge-ACE inhibitors, calcium channel blockers, noma i-beta-blockers, ngalinye lisebenza ngezindlela ezihlukene zokwehlisa umfutho wegazi.

Ingabe i-Olmesartan Ingcono Kune-Losartan?

Kokubili i-olmesartan ne-losartan ziyimithi ye-ARB esebenzayo, kodwa zinezinye izinto ezingenza enye ifaneleke kakhulu kuwe kunenye. Akukho noyedwa

Yebo, i-olmesartan ngokuvamile iphephile kubantu abanesifo sikashukela futhi ingase inikeze nokuvikelwa kwezinso. Imithi ye-ARB efana ne-olmesartan ingasiza ukunciphisa ukuqhubeka kwesifo sezinso esibangelwa isifo sikashukela ngokunciphisa ingcindezi ohlelweni lokuhlunga lwezinso.

Kodwa-ke, abantu abanesifo sikashukela badinga ukuqashwa ngokucophelela ngoba i-olmesartan ingakhuphula amazinga e-potassium, okungase kube yinkinga uma unezinkinga zezinso. Udokotela wakho uzohlola ukusebenza kwezinso zakho namazinga e-electrolyte njalo.

Umbuzo 2. Kufanele ngenzeni uma ngiphuzile i-Olmesartan eningi ngengozi?

Uma ngengozi uphuza i-olmesartan eningi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuphuza okuningi kungabangela ukwehla okuyingozi komfutho wegazi, okuholela ekuzizweni unesiyezi, ukuquleka, noma ngisho nezinkinga ezingathi sína.

Ngenkathi ulindele iseluleko sezokwelapha, lala phansi ngemilenze yakho iphakanyisiwe futhi gwema ukuvuka ngokushesha. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo uchwepheshe wezokwelapha.

Umbuzo 3. Kufanele ngenzeni uma ngiphuthelwa umthamo we-Olmesartan?

Uma uphuthelwa umthamo we-olmesartan, uyithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule.

Umbuzo 4. Ngingayeka nini ukuphuza i-Olmesartan?

Kufanele uyeke kuphela ukuphuza i-olmesartan ngaphansi kokuqondisa kukadokotela wakho. Noma ngabe umfutho wegazi lakho ulawulwa kahle, lokhu kungenzeka ngenxa yokuthi imithi isebenza ngempumelelo, hhayi ngoba awusadingi.

Abanye abantu bangakwazi ukunciphisa noma bayeke imithi yokwehlisa umfutho wegazi ngemva kokwenza izinguquko ezinkulu zokuphila njengokunciphisa isisindo, ukuzivivinya njalo, nokulandela ukudla okunempilo yenhliziyo. Nokho, le nqubo idinga ukuqashwa kwezokwelapha okucophelelayo nokuncishiswa kwemithamo kancane kancane.

Q5. Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Olmesartan?

Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-olmesartan, kodwa qaphela ukuthi utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi. Le nhlanganisela ingakwenza uzizwe unesiyezi noma unomuzwa wokukhathala kunokujwayelekile.

Khawulela ukusetshenziswa kotshwala kungabi ngaphezu kwesisodwa ngosuku kwabesifazane kanye neziphuzo ezimbili ngosuku kwabesilisa. Uma uqaphela ukwanda kwesiyezi ngemva kokuphuza, cabangela ukunciphisa ukusetshenziswa kotshwala noma ukukugwema ngokuphelele ngenkathi uthatha lo muthi.