Quinapril ne-hydrochlorothiazide (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Mayelana naleli khambi
Ukuhlanganiswa kweQuinapril ne-hydrochlorothiazide kusetshenziswa ukwelapha igazi eliphezulu (hypertension). Igazi eliphezulu liyenezela umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela e-stroke, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. I-Hypertension ingase futhi ikhulise ingozi yezifo zenhliziyo. Lezi zinkinga zingase zibe lula ukwenzeka uma igazi lilawulwa. I-Quinapril iyilokhu okuvimba i-angiotensin converting enzyme (ACE). Isebenza ngokuvimba into emzimbeni ebangela ukuba imithambo yegazi icindezeleke. Ngenxa yalokho, i-quinapril iphumula imithambo yegazi. Lokhu kunciphisa igazi eliphezulu futhi likhulise ukunikezwa kwegazi no-oksijini enhliziyweni. I-Hydrochlorothiazide iyi-diuretic (ithablethi yamanzi). Inciphisa inani lamanzi emzimbeni ngokwandisa ukugeleza komchamo okusiza ekuphuculeni igazi eliphezulu. Lolu lwemi lulawulwa udokotela kuphela. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekwahluleni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqululo owenzayo wena nodokotela wakho. Kule mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqondile noma olukhulu lokuphazamiseka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokuphazamiseka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela yokuhlanganiswa kwe-quinapril ne-hydrochlorothiazide kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingakhawulela ukusetshenziswa kokuxuba kwe-quinapril ne-hydrochlorothiazide kubantu abadala. Noma kunjalo, abantu abadala banamathuba amaningi okuba nezinkinga zenhliziyo, izinso, noma isibindi ezihlobene nobudala, okungase kudinge ukunakekelwa nokulungiswa komthamo kubantu abamukela ukuxuba kwe-quinapril ne-hydrochlorothiazide. 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 angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile ngokukhethekile ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlanganisiwe ngezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho angase anqume ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili izidakamizwa kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili izidakamizwa. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba ukuhlangana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngezinye izidakamizwa kungase futhi kubangele 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
Leli leyehluleka ukuba yilona yokuqala ozolisebenzisa ekwelapheni isimo sakho. Lihloselwe ukusetshenziswa kuphela ngemva kokuba uzama amanye amayeza angazange asebenze noma abangele imiphumela emibi. Ngaphezu kokusetshenziswa kwaleli leyehluleka, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okunosadium (usawoti) oluphezulu. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhulumisane nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abaguli abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe leyehluleka ngokuqondile njengoba kuqondiswe nokuthi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi leli leyehluleka ngeke liphulukise igazi lakho eliphezulu kodwa liyasiza ukulilawula. Ngakho-ke, kufanele uqhubeke ulithathe njengoba kuqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine phansi. Ungase udinga ukuthatha leyehluleka legazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sokukhuluphala. Gwinya ithebulethi yonke. Ungayiqhekeza, uyicindezele, noma uyigaye. Ungayithatha leli leyehluleka ngokudla noma ngaphandle kokudla. Inani leli leyehluleka lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela amanani aphakathi aleli leyehluleka. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani leyehluleka osilithatha lixhomeke emandleni leyehluleka. Futhi, inani lezinani olizithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi othatha leyehluleka kuya ngenkinga yezokwelapha oyisebenzisela leyehluleka. Uma uphuthelwa yisilinganiso saleli leyehluleka, silithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesilinganiso sakho esilandelayo, susa isilinganiso esiphuthelwe futhi ubuyele esimweni sakho sokudla okujwayelekile. Ungawandisi amanani. Gcina leyehluleka esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungawagandisi. Gcina kungafinyeleleki kubantwana. Ungagcini leyehluleka eliphelile noma leyehluleka elingasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma yiliphi leyehluleka olungalisebenzisi.
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.