Yini i-Quinapril ne-Hydrochlorothiazide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Quinapril ne-hydrochlorothiazide kuyinhlanganisela yomuthi wokwehlisa umfutho wegazi ohlanganisa imithi emibili enamandla ukusiza ukulawula umfutho wegazi ophezulu ngempumelelo kakhulu kunomuthi ngamunye uwedwa. Le ndlela yokusebenza kabili ibhekana nomfutho wegazi ophakeme evela emazingeni amabili ahlukene, okwenza kube ukukhetha okuthandwayo lapho imithi eyodwa ingasebenzi kahle. Abantu abaningi bathola ukuthi le nhlanganisela ibasiza ukuthi bafinyelele imigomo yabo yomfutho wegazi ngenkathi bethatha amaphilisi ambalwa ngosuku.

Yini i-Quinapril ne-Hydrochlorothiazide?

Lo muthi uhlanganisa i-quinapril, i-ACE inhibitor, ne-hydrochlorothiazide, iphilisi lamanzi noma i-diuretic. I-Quinapril ingeyeqembu lemithi ebizwa ngokuthi ama-angiotensin-converting enzyme inhibitors, asiza ukuphumuza imithambo yegazi ngokuvala i-hormone ebangela ukuthi iqine. I-Hydrochlorothiazide isebenza njenge-thiazide diuretic, isiza izinso zakho ukususa usawoti namanzi amaningi emzimbeni wakho.

Le nhlanganisela iza ngethebhulethi eyodwa, okwenza kube lula kubantu abadinga zombili izinhlobo zemithi. Udokotela wakho angase akubhale lokhu lapho udinga imiphumela yokwehlisa umfutho wegazi ye-ACE inhibitor kanye ne-diuretic. Lokhu kuhlanganiswa kuvame ukusebenza kangcono kunomuthi ngamunye uwedwa ngoba kuqondisa izindlela ezihlukene ezinomthelela emfutheni wegazi ophezulu.

Isetshenziselwani i-Quinapril ne-Hydrochlorothiazide?

Lo muthi ohlanganisiwe ubhalwe ikakhulukazi ukwelapha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Umfutho wegazi ophezulu uthinta izigidi zabantu futhi uvame ukuthuthuka ngaphandle kwezimpawu ezisobala, yingakho ngezinye izikhathi ubizwa ngokuthi “umbulali othule.” Ngokwehlisa umfutho wakho wegazi, lo muthi usiza ukunciphisa ingozi yakho yezinkinga ezinkulu zempilo ngokuhamba kwesikhathi.

Ngaphandle kokwelapha umfutho wegazi ophezulu okhona, le nhlanganisela ingasiza ekuvikeleni izinkinga ezinjengokuhlaselwa yinhliziyo, ukushaywa unhlangothi, nezinkinga zezinso. Udokotela wakho angase akuncomise uma uzamile eminye imithi yomfutho wegazi engasebenzi kahle yodwa. Abanye abantu bayayithatha futhi ukusiza ukuvikela izinhliziyo zabo nemithambo yegazi uma beneminye imbangela yezifo zenhliziyo nemithambo yegazi.

Isebenza Kanjani I-Quinapril ne-Hydrochlorothiazide?

Le mithi isebenza ngezindlela ezimbili ezihambisanayo zokwehlisa umfutho wegazi lakho ngempumelelo. Ingxenye ye-quinapril ivimba i-enzyme ebizwa nge-ACE, evame ukusiza ekukhiqizeni i-hormone eqinisa imithambo yegazi. Uma le enzyme ivalekile, imithambo yakho yegazi ingakhululeka futhi yande, ivumele igazi ukuthi ligeleze kalula ngomfutho omncane.

Ngesikhathi esifanayo, ingxenye ye-hydrochlorothiazide isiza izinso zakho ukuthi zikhiphe i-sodium namanzi amaningi ngokuchama okwengeziwe. Lokhu kunciphisa inani eliphelele lamanzi emithanjeni yakho yegazi, okunciphisa ngokwemvelo umfutho ngaphakathi kwazo. Cabanga ngakho njengokunciphisa inani lamanzi agelezayo ngamapayipi engadi - inani elincane lisho umfutho omncane odongeni.

Le nhlanganisela ithathwa njengemodareyithi futhi ngokuvamile ibonisa imiphumela kungakapheli amahora ambalwa ngemva kokuyithatha. Abantu abaningi baqaphela izinzuzo eziphelele zokwehlisa umfutho wegazi kungakapheli amasonto angu-2-4 ekuqaleni ukwelashwa. Indlela ephindwe kabili ivame ukunikeza ukulawulwa okungcono komfutho wegazi kunanoma iyiphi imithi yodwa, ikakhulukazi kubantu abanomfutho wegazi ophakeme kakhulu.

Kufanele Ngiyithathe Kanjani I-Quinapril ne-Hydrochlorothiazide?

Thatha le mithi ngendlela udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku ekuseni. Ungayithatha nokudla noma ngaphandle kokudla, kodwa zama ukuyithatha ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga aqhubekayo emzimbeni wakho. Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele - ungayichobozi, uyihlukanise, noma uyihlafune.

Ukuwuthatha ekuseni kuvame ukukhethwa ngoba ingxenye ye-hydrochlorothiazide ingakhuphula ukuchama, okungase kuphazamise ukulala kwakho uma uthathwa kamuva emini. Uma uzwa isiyezi lapho uqala ukuyithatha, sukuma kancane uma usuka ekuhlaliseni noma ekulaleni. Lokhu kwenzeka ngoba umfutho wegazi lakho uyalungiswa emuthini.

Akudingeki ukuthi uthathe lo muthi ngobisi noma nganoma yiziphi izidlo ezithile, kodwa ukuhlala unamanzi kahle kubalulekile. Ingxenye ye-diuretic ngezinye izikhathi ingabangela ukoma, ngakho phuza amanzi amaningi usuku lonke ngaphandle uma udokotela wakho ekweluleka ngenye indlela. Gwema izithako zosawoti ezi-potassium ngaphandle uma udokotela wakho ezivuma, njengoba lo muthi ungathinta amazinga akho e-potassium.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Quinapril kanye ne-Hydrochlorothiazide?

Abantu abaningi badinga ukuthatha lo muthi isikhathi eside, ngokuvamile impilo yabo yonke, ukuze bagcine umfutho wegazi labo ulawulwa. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlala ngokuqhubekayo esidinga ukuphathwa okuqhubekayo kunenkinga yesikhashana enyamalalayo. Udokotela wakho uzoqapha impendulo yakho futhi angase alungise umthamo wakho ngokuhamba kwesikhathi, kodwa ukuyeka umuthi ngokuvamile kubangela ukuthi umfutho wegazi uphinde unyuke.

Kungenzeka uzoqala ukubona izinzuzo ezinsukwini ezimbalwa zokuqala, kodwa kungathatha amasonto angu-2-4 ukuzwa imiphumela ephelele yokwehlisa umfutho wegazi. Udokotela wakho cishe uzoqapha umfutho wegazi lakho njalo ezinyangeni ezimbalwa zokuqala ukuze aqinisekise ukuthi umuthi usebenza kahle kuwe. Noma ngabe uzizwa ulungile, kubalulekile ukuqhubeka nokuyithatha njengoba kunqunyiwe.

Ungalokothi uyeke ukuthatha lo muthi ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka ngokuzumayo kungabangela ukuthi umfutho wegazi lakho unyuke ngendlela eyingozi, okungenzeka kuholele ezinkingeni ezinzima. Uma ufuna ukuyeka umuthi noma uzame okuthile okuhlukile, udokotela wakho angakusiza ukuthi ushintshe ngokuphepha uye ekwelashweni okuhlukile.

Ziyini Izimo Ezingezinhle Zeqinapril kanye neHydrochlorothiazide?

Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ngokuvamile ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Ukuqonda ukuthi yini ongayilindela kungakusiza uzizwe unethemba elikhulu mayelana nokwelashwa kwakho.

Nawa amanye emiphumela emibi ebikwa njalo ethinta abantu abaningi abathatha lo muthi:

• Isiyezi noma ukuzwa ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukukhathala noma ukuzizwa ukhathele kakhulu kunokujwayelekile
• Ikhanda, ikakhulukazi emasontweni ambalwa okuqala
• Ukunyuka kokuchama, ikakhulukazi ekuqaleni kokwelashwa
• Ukhwehlela olomile olungapheli
• Ukucasuka kwesisu noma isisu esincane
• Amajaqamba emisipha noma ubuthakathaka

Le miphumela emibi evamile ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi. Abantu abaningi bathola ukuthi bangaqhubeka nemisebenzi yabo yansuku zonke ngaphandle kokuphazamiseka okukhulu.

Abanye abantu bahlangabezana nemiphumela emibi engavamile kodwa ekhathazayo edinga ukunakekelwa kwezempilo. Nakuba lokhu kungenzeki kuwo wonke umuntu, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Isiyezi esikhulu noma ukuquleka
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo
• Ukuqubuka kwesikhumba okukhulu noma ukuluma
• Ukuphalaza okuqhubekayo noma isifo sohudo
• Ukuphuzi kwesikhumba noma amehlo
• Ukulimala noma ukopha okungajwayelekile

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma iyiphi yale miphumela emibi ebucayi. Bangase badinge ukulungisa umthamo wakho noma bakushintshele emuthini ohlukile.

Imiphumela emibi kodwa ebucayi ingenzeka ngezikhathi ezithile, nakuba ithinta abantu abambalwa kakhulu abathatha lo muthi. Lokhu kufaka phakathi ukusabela okukhulu komzimba, izinkinga zezinso, izinkinga zesibindi, noma izinguquko eziyingozi kumakhemikhali egazi. Nakuba kungavamile, lezi zimo zidinga ukunakekelwa kwezempilo ngokushesha. Udokotela wakho uzokuhlola ngezivivinyo zegazi ezivamile ukuze abambe noma yiziphi izinkinga ezingase zibe khona ekuqaleni.

Ubani Ongafanele Athatha I-Quinapril ne-Hydrochlorothiazide?

Lo muthi awulungelwe wonke umuntu, futhi izimo ezithile zezempilo noma izimo zenza kube yingozi. Udokotela wakho uzobukeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela le nhlanganisela ukuze aqinisekise ukuthi iphephile kuwe.

Akufanele uthathe lo muthi uma unezimo noma izimo ezilandelayo:

• Ukungezwani ne-quinapril, hydrochlorothiazide, noma imithi efanayo
• Umlando we-angioedema (ukuqubuka okukhulu kobuso, izindebe, noma umphimbo)
• Ukukhulelwa noma ukuhlela ukukhulelwa
• Isifo sezinso esibi noma ukwehluleka kwezinso
• Isifo sesibindi esibi
• Umfutho wegazi ophansi kakhulu
• Ukungakwazi ukuchama

Lezi zimo zingenza umuthi ube yingozi noma ungasebenzi, ngakho ukwelashwa okuhlukile kuzodingeka ukuze kulawulwe umfutho wegazi lakho ngokuphepha.

Ngaphezu kwalokho, izimo ezithile zezempilo zidinga ukuqapha okwengeziwe nokubheka eduze uma uthatha lo muthi. Udokotela wakho angase akuyalele kodwa uzokubheka ngokucophelela:

• Isifo sikashukela noma izinkinga zikashukela egazini
• Isifo sezinso noma ukuncipha komsebenzi wezinso
• Izinkinga zesibindi
• Isifo senhliziyo noma ukwehluleka kwenhliziyo
• I-Gout noma amazinga aphezulu e-uric acid
• I-Lupus noma ezinye izimo ze-autoimmune
• Ukungalingani kwe-electrolyte

Uma unezinye zalezi zimo, udokotela wakho cishe uzoqala ngomthamo ophansi futhi aqaphele impendulo yakho ngokusondela. Bangase futhi ba-ode ukuhlolwa kwegazi njalo ukuze bahlole ukusebenza kwezinso zakho kanye namazinga e-electrolyte.

Amagama Omkhiqizo we-Quinapril kanye ne-Hydrochlorothiazide

Le mithi ehlanganisiwe itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Accuretic iyona engokwezifiso kakhulu. Amanye amagama omkhiqizo afaka i-Quinaretic, nakuba ukutholakala kungahluka ngokuya ngendawo yakho kanye nekhemisi. Inguqulo ejwayelekile, ebizwa nje ngokuthi i-quinapril-hydrochlorothiazide, nayo iyatholakala kabanzi futhi isebenza ngendlela efanayo njengenguqulo yegama lomkhiqizo.

Zonke izinguqulo zalo muthi ziqukethe izithako ezifanayo ezisebenzayo ngamandla afanayo, ngakho-ke ifomu elivamile lisebenza kahle njengezinketho zegama lomkhiqizo. Abantu abaningi bakhetha inguqulo ejwayelekile ngoba ngokuvamile ibiza kancane ngenkathi inikeza izinzuzo ezifanayo. Umuthi wakho ungakusiza ukuthi uqonde ukuthi iyiphi inguqulo yomshuwalense wakho ohlanganisa kangcono.

Ezinye izindlela ze-Quinapril kanye ne-Hydrochlorothiazide

Uma le nhlanganisela ingasebenzi kahle kuwe noma ibangela imiphumela emibi, imithi eminingi ehlukile ingelapha umfutho wegazi ophezulu ngempumelelo. Udokotela wakho angase aphakamise ezinye izinhlanganisela ze-ACE inhibitor, njenge-lisinopril ene-hydrochlorothiazide noma i-enalapril ene-hydrochlorothiazide, esebenza ngendlela efanayo kodwa ingase ibe ngcono.

Izinhlanganisela ze-ARB zinikeza enye inketho, zihambisana nemithi efana ne-losartan, valsartan, noma i-telmisartan ene-hydrochlorothiazide. Lezi zisebenza ngendlela efanayo ne-ACE inhibitors kodwa mancane amathuba okuthi zibangele lokho kukhohlokho okomile okuqhubekayo okuphazamisa abanye abantu. Izinhlanganisela ze-calcium channel blocker, njenge-amlodipine ene-hydrochlorothiazide, zinikeza enye indlela yokulawula umfutho wegazi.

Kubantu abangakwazi ukuthatha ama-diuretics, inhlanganisela ngaphandle kwe-hydrochlorothiazide ingase isebenze kangcono. Izinketho zihlanganisa ama-ACE inhibitors ahambisana nama-calcium channel blockers, noma ama-ARB ahlanganiswe nama-calcium channel blockers. Udokotela wakho angasiza ekunqumeni ukuthi iyiphi enye indlela engase isebenze kangcono ngokusekelwe esimweni sakho sempilo esithile nokuthi usabele kanjani kulo muthi.

Ingabe i-Quinapril ne-Hydrochlorothiazide Ingcono Kune-Lisinopril ne-Hydrochlorothiazide?

Kokubili i-quinapril-hydrochlorothiazide ne-lisinopril-hydrochlorothiazide ziyizidakamizwa ezihlanganisiwe ezisebenza ngendlela efanayo kakhulu ukwehlisa umfutho wegazi. Zombili zihlanganisa i-ACE inhibitor ne-diuretic efanayo, ngakho ukusebenza kwazo konke kuqhathaniseka kakhulu. Ucwaningo oluningi alukhombisi mehluko omkhulu ekulawuleni kwazo umfutho wegazi noma ukuvimbela izinkinga zenhliziyo.

Umehluko omkhulu usekuthini ukuthi udinga ukuzithatha kaningi kangakanani nokuthi zicutshungulwa kanjani ngumzimba wakho. I-Lisinopril ngokuvamile ihlala isikhathi eside ohlelweni lwakho, ngakho ivame ukuthathwa kanye ngosuku, kuyilapho i-quinapril ingase idinge ukulinganiswa kabili ngosuku kwezinye izimo. Abanye abantu bayakubekezelela okunye kangcono kunokunye, kodwa lokhu kuyahlukahluka kumuntu nomuntu.

Ukukhetha kukadokotela wakho phakathi kwale mithi kuvame ukuncika esimweni sakho sempilo esithile, eminye imithi oyithathayo, nokuthi usabele kanjani emithini efanayo esikhathini esidlule. Zombili ziyizinketho ezinhle kakhulu zokwelapha umfutho wegazi ophezulu, futhi akukho noyedwa ovamile ukuthi “ungcono” kunomunye. Uma enye ingasebenzi kahle kuwe, ukushintshela kwenye kungase kufanele ukuzama.

Imibuzo Evame Ukubuzwa Mayelana ne-Quinapril ne-Hydrochlorothiazide

Ingabe i-Quinapril ne-Hydrochlorothiazide Iphephile Ku-Diabetes?

Lo muthi ungasetshenziswa ngokuphepha ngabantu abaningi abanesifo sikashukela, kodwa udinga ukuqashwa ngokucophelela. Ingxenye ye-quinapril ingase isize ngempela ukuvikela izinso zakho ekulimaleni okuhlobene nesifo sikashukela, okuyinzuzo enkulu. Kodwa-ke, ingxenye ye-hydrochlorothiazide ngezinye izikhathi ingathinta amazinga kashukela egazini, okungenzeka ukuthi awenyuke kancane.

Udokotela wakho uzoqapha ushukela wakho wegazi eduze lapho uqala lo muthi, ikakhulu ezinyangeni ezimbalwa zokuqala. Ungase udinge ukulungisa imithi yakho yesifo sikashukela noma uhlole ushukela wakho wegazi kaningi. Abantu abaningi abanesifo sikashukela bangawuthatha ngempumelelo lo muthi ohlanganisiwe, kodwa okubalulekile ukusebenza eduze nethimba lakho lezempilo ukuqinisekisa ukuthi kokubili umfutho wegazi lakho noshukela wegazi kulawulwa kahle.

Kufanele Ngenzeni Uma Ngisebenzisa Ngengozi I-Quinapril Ne-Hydrochlorothiazide Ngokweqile?

Uma ngengozi uthatha ngaphezu komthamo wakho obekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kungabangela umfutho wegazi ophansi ngendlela eyingozi, okuholela ekuzizweni unesiyezi, ukuquleka, noma ezinye izinkinga ezingathi sína. Ungalindi ukubona ukuthi ngabe izimpawu ziyavela yini - kungcono ukufuna usizo ngokushesha.

Ngesikhathi ulindele iseluleko sezokwelapha, lala phansi ngezinyawo zakho ziphakanyisiwe futhi gwema ukuvuka ngokushesha. Yiba nomuntu ozohlala nawe uma kungenzeka, njengoba ungase ube nesiyezi noma uquleke. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo uchwepheshe wezempilo. Gcina ibhodlela lomuthi nawe ukuze abasebenzi bezokwelapha bakwazi ukubona kahle ukuthi yini nokuthi ungakanani owathathayo.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Quinapril Ne-Hydrochlorothiazide?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise eyodwa ephuthelwe, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu.

Ukushoda umthamo ngezikhathi ezithile ngeke kubangele izinkinga ezinkulu, kodwa zama ukugcina ukuqina ukuze ulawule kangcono umfutho wegazi. Uma uvame ukukhohlwa imithamo, cabangela ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi. Abanye abantu bakuthola kuwusizo ukuphuza imithi yabo ngesikhathi esifanayo nomunye umkhuba wansuku zonke, njengokuxubha amazinyo noma ukudla kwasekuseni.

Ngingayeka nini ukuphuza i-Quinapril ne-Hydrochlorothiazide?

Kufanele uyeke ukuphuza lo muthi ngaphansi kokuqondisa kukadokotela wakho, njengoba umfutho wegazi ophezulu ngokuvamile udinga ukuphathwa kwesikhathi eside. Noma ngabe ukufundwa komfutho wegazi wakho bekujwayelekile, lokhu kuvame ukusho ukuthi umuthi uyasebenza, hhayi ukuthi awusawudingi. Ukuyeka kungazelelwe kungabangela umfutho wegazi wakho ukuthi ukhuphuke ngendlela eyingozi.

Udokotela wakho angase acabangele ukunciphisa umthamo wakho noma ukushintsha imithi uma wenze izinguquko ezinkulu zokuphila, ulahlekelwe isisindo, noma uma umfutho wegazi lakho ulawulwe kahle ngokuqhubekayo isikhathi eside. Kodwa-ke, abantu abaningi abanomfutho wegazi ophezulu badinga uhlobo oluthile lomuthi unomphela. Njalo xoxa nganoma yisiphi isifiso sokuyeka noma ukushintsha imithi yakho nomhlinzeki wakho wezempilo kuqala.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Quinapril ne-Hydrochlorothiazide?

Ungaba notshwala ngokulinganisela ngenkathi uthatha lo muthi, kodwa qaphela kakhulu ukuthi uphuza kangakanani. Kokubili utshwala kanye nalo muthi kunganciphisa umfutho wegazi lakho, ngakho-ke ukuwahlanganisa kungakwenza uzizwe unesiyezi noma unomuzwa wokukhanya ekhanda. Imiphumela yokukhipha amanzi yotshwala ingase futhi yenze kube kubi ukulahleka kwamanzi okubangelwa yingxenye ye-hydrochlorothiazide.

Uma ukhetha ukuphuza, qala ngamanani amancane ukuze ubone ukuthi umzimba wakho usabela kanjani. Qiniseka ukuthi uhlala unamanzi ngokwanele ngokuphuza amanzi amaningi, futhi gwema ukuphuza utshwala uma usuvele uzizwa unesiyezi noma ungazizwa kahle. Khuluma nodokotela wakho ngobuningi botshwala, uma bukhona, obuphephile esimweni sakho esithile, ikakhulukazi uma unezinye izimo zempilo.