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

I-Quinapril iyimithi kadokotela eyisigaba semithi ebizwa ngokuthi ama-ACE inhibitors, asiza ukwehlisa umfutho wegazi futhi avikele inhliziyo yakho. Cabanga ngayo njengomsizi omnene owenza kube lula ngenhliziyo yakho ukumpompa igazi emzimbeni wakho wonke ngokukhulula imithambo yakho yegazi.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka ukwelapha umfutho wegazi ophezulu nokuhluleka kwenhliziyo. Udokotela wakho angase akubhalele i-quinapril uma ezinye izinguquko zendlela yokuphila zingazange zithuthukise umfutho wakho wegazi ube sezingeni elinempilo, noma uma udinga ukusekelwa okwengeziwe empilweni yenhliziyo yakho.

Isetshenziselwani i-Quinapril?

I-Quinapril ngokuyinhloko iphatha umfutho wegazi ophezulu, owaziwa nangokuthi i-hypertension. Uma umfutho wakho wegazi uhlala uphakeme kakhulu isikhathi eside, ungalimaza inhliziyo yakho, imithambo, nezinye izitho ngezindlela ezingabonakali ngokushesha kodwa ezingabangela izinkinga ezinkulu ngokuhamba kwesikhathi.

Le mithi futhi isiza abantu abanenhliziyo ehlulekayo, isimo lapho inhliziyo ilwela ukumpompa igazi ngempumelelo. Ngokunciphisa umsebenzi enhliziyweni yakho, i-quinapril ingakusiza ukuthi uzizwe ungakhathali futhi uphefumule kalula ngesikhathi semisebenzi yansuku zonke.

Ngezinye izikhathi odokotela babhala i-quinapril ukuze bavikele izinso zakho uma unesifo sikashukela. Ushukela wegazi ophezulu ohlanganiswe nomfutho wegazi ophezulu ungalimaza imithambo emincane yegazi ezinso zakho, futhi i-quinapril isiza ukunciphisa le nqubo.

Isebenza Kanjani i-Quinapril?

I-Quinapril isebenza ngokuvimba i-enzyme ethile emzimbeni wakho ebizwa nge-ACE (angiotensin-converting enzyme). Le enzyme ngokuvamile isiza ukukhiqiza into eqinisa imithambo yakho yegazi, okunyusa umfutho wakho wegazi.

Lapho i-quinapril ivimba le enzyme, imithambo yakho yegazi ingakhululeka futhi yande. Lokhu kudala isikhala esiningi sokuthi igazi ligeleze, kufana nokuthi ithrafikhi ihamba kahle emgwaqeni obanzi. Umphumela ukwehla komfutho wegazi nokucindezeleka okuncane enhliziyweni yakho.

Lo muthi ubhekwa njengonamandla futhi usebenza kahle. Abantu abaningi babona umfutho wabo wegazi uthuthuka phakathi namaviki ambalwa beqala ukwelashwa, nakuba kungase kuthathe amasonto ayisithupha ukubona izinzuzo eziphelele.

Kufanele Ngiyithathe Kanjani I-Quinapril?

Thatha i-quinapril ngendlela eqondile udokotela wakho ayiyalayo, ngokuvamile kanye noma kabili ngosuku. Ungayithatha nokudla noma ngaphandle kokudla, kodwa zama ukuyithatha ngesikhathi esifanayo nsuku zonke ukuze ikusize ukhumbule futhi ugcine amazinga aqhubekayo emzimbeni wakho.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uyihlafune, noma uyiphule ithebhulethi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze kanjalo, njengoba lokhu kungathinta indlela umuthi osebenza ngayo emzimbeni wakho.

Uma uthatha i-quinapril kabili ngosuku, hlukanisa imithamo yakho ngamahora acishe abe ngu-12. Abantu abaningi bakuthola kuwusizo ukuthatha umthamo wabo wasekuseni ngesidlo sasekuseni kanye nomthamo wabo wakusihlwa ngesidlo sakusihlwa, kodwa landela imiyalelo ethile kadokotela wakho.

Hlala unamanzi kahle ngenkathi uthatha i-quinapril, ikakhulukazi ngesikhathi sezulu esishisayo noma lapho uzivivinya. Lo muthi ngezinye izikhathi ungabangela ukoma okuncane, ngakho ukuphuza amanzi amaningi usuku lonke kusiza umzimba wakho ukuthi ujwayele ngokunethezeka.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Quinapril?

Abantu abaningi badinga ukuthatha i-quinapril izinyanga noma iminyaka ukuze balawule ngempumelelo umfutho wabo wegazi noma isimo senhliziyo. Umfutho wegazi ophezulu ngokuvamile uyisimo sesikhathi eside esidinga ukwelashwa okuqhubekayo kunokulungiswa kwesikhashana.

Udokotela wakho uzoqapha ukusabela kwakho emuthini ngokuhlolwa okuvamile nokulinganisa umfutho wegazi. Bangase balungise umthamo wakho noma bangeze eminye imithi uma kudingeka ukuze ufinyelele imigomo yakho yomfutho wegazi.

Noma ngabe uzizwa ulungile ngokuphelele, kubalulekile ukuqhubeka nokuthatha i-quinapril njengoba kuyalelwe. Umfutho wegazi ophezulu ngokuvamile awunawo ama-symptom, yingakho ngezinye izikhathi ubizwa ngokuthi “umbulali othule.” Umuthi usebenza ngemuva kwezigcawu ukuvikela inhliziyo yakho nemithambo yegazi.

Ungayeki ukuthatha i-quinapril ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke ngendlela eyingozi, okungaholela ezinkingeni ezinzima njengesifo senhliziyo noma unhlangothi.

Yiziphi Imiphumela Eceleni Ye-Quinapril?

Njengayo yonke imithi, i-quinapril ingabangela imiphumela emibi, nakuba abantu abaningi bengatholi zinkinga eziningi noma ezingekho. Ukuqonda okungakulindela kungakusiza ukuthi uzizwe uqiniseka ngemithi yakho futhi wazi ukuthi ungaxhumana nini nodokotela wakho.

Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela imithi emasontweni ambalwa okuqala:

• Ukukhwehlela okomile okungapheli
• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma
• Ikhanda
• Ukukhathala noma ukukhathala
• Ukucasuka kwesisu noma isicanucanu
• Amajaqamba emisipha noma ubuthakathaka

Ukukhwehlela okomile kuvamile ikakhulukazi ngama-ACE inhibitors afana ne-quinapril futhi kuthinta cishe u-10-15% wabantu abathatha le mithi. Nakuba kucasula, lokhu kukhwehlela ngokuvamile akunangozi futhi kungathuthuka ngokuhamba kwesikhathi.

Abanye abantu bathola imiphumela emibi engavamile kodwa ebonakalayo okufanele ibangele ukuthi ushayele udokotela wakho:

• Ukuvuvukala ebusweni bakho, ezindebeni, olimini, noma emqaleni
• Ukuphefumula kanzima noma ukuhoshozela
• Isiyezi esibi noma ukuquleka
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ubuhlungu besisu obukhulu
• Izimpawu zezinkinga zezinso njengoshintsho ekuchameni

Imiphumela emibi engavamile kodwa eyingozi idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kufaka phakathi ukusabela okukhulu komzimba, izinkinga zesibindi, noma umfutho wegazi ophansi kakhulu obangela ukudideka noma ukulahlekelwa ukwazi.

Imiphumela emibi eminingi iyalawuleka futhi ayidingi ukuyeka imithi. Udokotela wakho uvame ukulungisa umthamo wakho noma asikisele amasu okunciphisa noma yikuphi ukungakhululeki ongase ukuzwe.

Ubani Ongafanele Athatha I-Quinapril?

I-Quinapril ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela. Izimo nezimo ezithile zenza lo muthi ungafaneleki noma uyingozi.

Akufanele uthathe i-quinapril uma wake waba nokusabela komzimba ngama-ACE inhibitors. Lokhu kufaka ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo, okungaba yingozi ekuphileni futhi kuvame ukwenzeka futhi uma uthatha umuthi.

Abantu abanezimo ezithile zezinso badinga ukucatshangelwa okukhethekile. Uma unesifo esibi sezinso noma use-dialysis, i-quinapril kungenzeka ingeyona inketho efanele kuwe, njengoba ingaqhubeka nokuthinta ukusebenza kwezinso.

Abesifazane abakhulelwe kufanele bagweme i-quinapril, ikakhulukazi ngesikhathi sesibili nesithathu sokukhulelwa. Lo muthi ungalimaza ingane esakhula futhi ubangele ukukhubazeka okukhulu kokuzalwa noma izinkinga ngesikhathi sokukhulelwa.

Uma unomlando we-angioedema (ukuqubuka okukhulu), isifo sikashukela esinezinkinga zezinso, noma uthatha eminye imithi ethile, udokotela wakho uzohlola izingozi nezinzuzo ngokucophelela ngaphambi kokukuyalela i-quinapril.

Njalo tshela udokotela wakho ngayo yonke imithi, izithasiselo, nezimo zempilo onazo. Lokhu kubasiza ukuthi banqume ukuthi i-quinapril iphephile futhi ifanele isimo sakho esithile.

Amagama e-Brand e-Quinapril

I-Quinapril itholakala ngaphansi kwegama le-brand elithi Accupril, okuyinguqulo eyaziwa kakhulu yalo muthi. Zombili igama le-brand nezinguqulo ezivamile ziqukethe isithako esifanayo esisebenzayo futhi zisebenza kahle ngokulinganayo.

Ikhemisi lakho lingase lithwale igama le-brand elithi Accupril noma i-quinapril ejwayelekile, kuye ngokuthi umshwalense wakho nokutholakala. Izinguqulo ezivamile zivame ukuba zishibhile kodwa zisebenza kahle njengomuthi wegama le-brand.

Eminye imithi ehlanganisiwe ihlanganisa i-quinapril kanye neminye imithi yomfutho wegazi. Lezi zinhlanganisela zingaba lula uma udinga imithi eminingi ukuze ulawule umfutho wegazi lakho ngempumelelo.

Ezinye izindlela zikaQuinapril

Uma i-quinapril ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, udokotela wakho unezinye izindlela eziningi zokucabangela. Ezinye izithiyo ze-ACE ezifana ne-lisinopril, i-enalapril, noma i-captopril zisebenza ngendlela efanayo kodwa zingase zibekezelelwe kangcono ngabanye abantu.

Ama-ARBs (ama-angiotensin receptor blockers) afana ne-losartan noma i-valsartan anikeza izinzuzo ezifanayo nezithiyo ze-ACE kodwa maningi amathuba okuthi abangele ukukhwehlela okomile abanye abantu abahlangabezana nakho nge-quinapril.

Ezinye izigaba zemithi yokwehlisa umfutho wegazi zihlanganisa ama-calcium channel blockers, ama-beta-blockers, kanye nama-diuretics. Udokotela wakho angase ancome enye yalezi uma izithiyo ze-ACE zingakulungele, noma bangase bahlanganise i-quinapril nohlobo oluthile lomuthi.

Enye indlela engcono kakhulu incike ezimweni zakho zempilo ezithile, eminye imithi oyithathayo, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene. Udokotela wakho uzosebenza nawe ukuthola inketho esebenza kahle kakhulu futhi enethezekile.

Ingabe i-Quinapril ingcono kune-Lisinopril?

Kokubili i-quinapril ne-lisinopril ziyizithiyo ze-ACE ezisebenzayo ezisebenza ngendlela efanayo ukwehlisa umfutho wegazi nokuvikela inhliziyo yakho. Akukho mithi enye engcono kunenye - ukukhetha okungcono kakhulu kuncike ekuphenduleni kwakho ngakunye nezidingo.

Umehluko omkhulu ukuthi kufanele uzithathe kaningi kangakanani. I-Lisinopril ngokuvamile idinga ukuthathwa kanye ngosuku, kuyilapho i-quinapril ingase inikezwe kanye noma kabili ngosuku kuye ngesimo sakho esithile kanye nomthamo.

Abanye abantu bayayibekezelela kangcono imithi eyodwa kunenye. Isibonelo, ungase uhlangabezane nemiphumela embalwa emibi nge-quinapril uma iqhathaniswa ne-lisinopril, noma okuphambene nalokho. Lokhu kuhluka komuntu ngamunye yingakho udokotela wakho engase azame ezinye izinketho ukuze athole okusebenza kahle kuwe.

Imithi yomibili inokusebenza okufanayo ekwehliseni umfutho wegazi nokuvikela ezinkingeni zenhliziyo. Udokotela wakho uzocabangela izinto ezinjengokusebenza kwezinso zakho, ezinye izimo zempilo, nezindleko zemithi lapho ekhetha phakathi kwazo.

Imibuzo Evame Ukubuzwa Mayelana ne-Quinapril

Ingabe i-Quinapril iphephile ezigulini ezinokugula kwezinso?

I-Quinapril ingavikela izinso zakho ezimweni eziningi, ikakhulukazi uma unesifo sikashukela noma isifo sezinso esingathí sina. Kodwa-ke, ayifanele wonke umuntu onezinkinga zezinso.

Uma unesifo sezinso esithuthukile noma izinso zakho zingasebenzi kahle, i-quinapril ingase ingakulungele. Udokotela wakho uzohlola ukusebenza kwezinso zakho ngezivivinyo zegazi ngaphambi kokuqala lo muthi futhi akuqaphele njalo ngenkathi uwuthatha.

Abantu abanesifo sezinso esingathí sina kuya kwesimaphakathi bavame ukuzuza ku-quinapril ngoba inganciphisa ukuqhubeka komonakalo wezinso. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngudokotela wakho ngokusekelwe ekusebenzeni kwezinso zakho kanye nempilo yakho yonke.

Ngingenzani uma ngithatha i-Quinapril eningi ngengozi?

Uma ngengozi uthatha i-quinapril eningi kunaleyo ebekiwe, ungangeni ekuvalelweni, kodwa yithathe ngokungathí sina. Isibonakaliso esikhathazayo kakhulu se-quinapril eningi umfutho wegazi ophansi ngokuyingozi, okungakwenza uzizwe unesiyezi, ubuthakathaka, noma udidekile.

Xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha uma uthathe inani elikhulu. Uma uzizwa unesiyezi kakhulu, uyaquleka, noma unobunzima bokuphefumula, shayela izinsiza eziphuthumayo noma uye egumbini eliphuthumayo eliseduze ngokushesha.

Ngenkathi ulindele usizo, lalela phansi ngezinyawo zakho ziphakeme uma uzizwa unesiyezi noma ubuthakathaka. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ukwenza kanjalo nguchwepheshe wezempilo.

Ukuvimbela ukweqisa ngengozi, gcina imithi yakho esitsheni sayo sokuqala ngokulebula okucacile, futhi cabangela ukusebenzisa umhleli wamaphilisi uma uthatha imithi eminingi.

Ngingenzani uma ngiphuthelwa umthamo we-Quinapril?

Uma uphuthelwa umthamo we-quinapril, yithathe ngokushesha nje lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Uma kunjalo, 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. Ukuthatha imithamo ephindwe kabili kungaholela ekuzizweni unesiyezi, ukuquleka, noma eminye imiphumela emibi eyingozi.

Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yefoni, usebenzise umhleli wamaphilisi, noma uthathe imithi yakho ngesikhathi esifanayo nomunye umsebenzi wansuku zonke njengokuxubha amazinyo akho noma ukudla ibhulakufesi.

Ukuphuthelwa umthamo ngezikhathi ezithile akuyona ingozi, kodwa zama ukungaguquguquki ngeshejuli yakho yemithi. Ukuthatha imithi njalo kusiza ukugcina ukulawulwa komfutho wegazi okuzinzile futhi kunciphisa ingozi yakho yezinkinga.

Ngingayeka nini ukuthatha i-Quinapril?

Kufanele uyeke kuphela ukuthatha i-quinapril ngaphansi kokuqondisa kukadokotela wakho. Umfutho wegazi ophezulu ngokuvamile uyisimo sempilo yonke esidinga ukwelashwa okuqhubekayo, ngakho-ke abantu abaningi badinga ukuqhubeka nokuthatha imithi yabo unomphela.

Udokotela wakho angase acabangele ukunciphisa umthamo wakho noma ukuyeka i-quinapril uma umfutho wegazi lakho ulawulwe kahle isikhathi eside futhi wenze izinguquko ezinkulu zendlela yokuphila njengokulahlekelwa isisindo, ukuzivocavoca njalo, nokulandela ukudla okunempilo enhliziyo.

Noma ngabe uzizwa umuhle futhi ukufundwa komfutho wegazi lakho kujwayelekile, lokhu cishe kusho ukuthi imithi isebenza kahle, hhayi ukuthi awusayidingi. Ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke ngendlela eyingozi.

Uma uneziphumela ezingezinhle noma ufuna ukuxoxa ngokuyeka i-quinapril, khuluma nodokotela wakho ngezinkathazo zakho. Bangakusiza ukuthi ulinganise izingozi nezinzuzo futhi bahlole ezinye izindlela zokwelapha uma kudingeka.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Quinapril?

Ungakwazi ukuphuza utshwala ngezikhathi ezithile ngenkathi usebenzisa i-quinapril, kodwa ukulinganisela kubalulekile. Utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi ye-quinapril, okungenzeka kubangele isiyezi noma ukukhathala.

Zilinganisele ekungeni ngaphezu kwesisodwa ngosuku uma ungumuntu wesifazane noma iziphuzo ezimbili ngosuku uma ungumuntu wesilisa. Lokhu kusiza ekuvikeleni umfutho wakho wegazi ukuthi ungawi kakhulu, okungaba yingozi.

Qaphela ikakhulukazi uma uqala ukuthatha i-quinapril noma uma umthamo wakho ulungiswa. Umzimba wakho udinga isikhathi sokujwayela imithi, futhi ukwengeza utshwala ngalesi sikhathi kungakhuphula ingozi yakho yemiphumela emibi.

Uma uqaphela ukwanda kwesiyezi, ubuthakathaka, noma ezinye izimpawu ezikhathazayo lapho uphuza utshwala, khuluma nodokotela wakho. Bangase batusa ukugwema utshwala ngokuphelele noma ukulungisa umuthi wakho.