Quinapril (indaba yokumunca)
Imikhiqizo etholakalayo
Accupril
Mayelana naleli khambi
I-Quinapril isetshenziswa yodwa noma ngokubambisana nezinye izidakamizwa zokwelapha ukucindezeleka kwegazi (hypertension). Ukucindezeleka kwegazi okuphezulu kwandisa 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. Ukuncipha kokucindezeleka kwegazi kunganciphisa ingozi ye-stroke nezehlakalo zenhliziyo. I-Quinapril iyilokhu okuthiwa yi-angiotensin converting enzyme (ACE) inhibitor. Isebenza ngokuvimba into ethile emzimbeni ebangela ukuba imithambo yegazi iqine. Ngenxa yalokho, i-Quinapril iphumula imithambo yegazi. Lokhu kunciphisa ukucindezeleka kwegazi futhi kwandise ukunikezwa kwegazi noketshezi lokuphumula enhliziyweni. I-Quinapril isetshenziswa futhi ekwelapheni ukuhluleka kwenhliziyo noma ingase isetshenziswe kwezinye izimo njengoba kunqunywe udokotela wakho. Lena imithi etholakala kuphela ngomyalelo wodokotela. Lo mkhiqizo utholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha ukusebenzisa imithi, izingozi zokusebenzisa imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqulu ozothatha wena nodokotela wakho. Ngale mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqhelile noma oluhambisana nokwaleka kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zokwaleka, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela ye-quinapril kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwe-quinapril kubantu abadala. Noma kunjalo, abantu abadala banesibopho esikhulu sokuba nezinkinga zenhliziyo, izinso, noma isibindi ezihlobene nobudala, okungase kudinge ukulungiswa komthamo kwabantu abamukela i-quinapril. 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 izimithi kufanele zingasetshenziswa ndawonye nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungase kudingeke. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlongozwayo ngezansi. Ukusebenzisana 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 izimithi ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungase kudingeke kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibekiwe, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyisebenzisa kangakanani enye noma zombili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba ngezimithi ezithile kungase futhi kubangele ukusebenzisana. 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
Ngaphezu kokusetshenziswa kwale mishanguzo, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo kanye nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uzokutshela ukuthi yikuphi kulawa okubaluleke kakhulu kuwe. Kufanele uqale ukhulume nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abantu abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe bekhulu. Kubaluleke kakhulu ukuthi uthathe imishanguzo yakho ngokuqondile njengoba kuyalwe futhi ugcine iziqukatho zakho nodokotela wakho ngisho noma uzizwa uphilile. Khumbula ukuthi le mishanguzo ngeke iphulukise igazi lakho eliphezulu kodwa iyasiza ukuyilawula. Ngakho-ke, kufanele uqhubeke uyithathe njengoba kuyalwe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase ube ukudinga ukuthatha imishanguzo yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sokugaya. Thatha ezinye zonke imishanguzo udokotela wakho ayilayile ukwelapha isimo sakho. Umthamo wale mishanguzo uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembolekweni. Ulwazi olulandelayo lufaka kuphela imithamo yale mishanguzo. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze njalo. Inani lemishanguzo oyithatha lixhomeke emandleni emishanguzo. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi othatha imishanguzo kuya ngenkinga yezokwelapha oyisebenzisela imishanguzo. Uma uphuthelwa umthamo wale mishanguzo, uyithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, susa umthamo ophuthelwe bese ubuyela esimweni sakho sokudla okujwayelekile. Ungawandisi imithamo. Gcina imishanguzo esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayigandisi. Gcina ingafinyeleleki kubantwana. Ungagcini imishanguzo esele iphelile noma imishanguzo engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imishanguzo ongayisebenzisi.
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.