Ramipril (indaba ngomlomo)
Imikhiqizo etholakalayo
Altace
Mayelana naleli khambi
URamipril uyasetshenziswa wedwa noma ngokubambisana nezinye izidakamizwa zokwelapha ukucindezeleka kwegazi (hypertension). Ukucindezeleka kwegazi okuphezulu kuwengeza 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. URamipril iyilokhu okuthiwa yi-angiotensin-converting enzyme (ACE) inhibitor. Isebenza ngokuvimba into ethile emzimbeni ebangela ukuba imithambo yegazi icindezeke. Ngenxa yalokho, i-ramipril iphumula imithambo yegazi. Lokhu kunciphisa ukucindezeleka kwegazi futhi kwandisa ukunikezwa kwegazi noketshezi loksijini enhliziyweni. URamipril ubuye usetshenziswe kwabanye abantu abane-heart failure ngemuva kokuhlaselwa yinhliziyo. Ngemuva kokuhlaselwa yinhliziyo, ezinye izicubu zenhliziyo zibuthakathaka futhi zilimale. Lezi zicubu zenhliziyo zingase ziqhubeke nokuthuthuka njengoba isikhathi sihamba. Lokhu kwenza kube nzima ngenhliziyo ukupompa igazi. URamipril ungaqalwa ezinsukwini ezimbalwa zokuqala ngemuva kokuhlaselwa yinhliziyo ukwandisa izinga lokuphila. URamipril ubuye usetshenziswe ukunciphisa amathuba okuba nezehlakalo zenhliziyo noma i-stroke kubantu abangaphezu kweminyaka engama-55 ubudala abanesifo senhliziyo esinzima. Lolu dokotela lutholakala kuphela ngomyalo wodokotela. Lo mkhiqizo utholakala ngezindlela zokwelapha ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma kunquma ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: 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 unanoma yiluphi olunye uhlobo lwezinto ozaleka kuzo, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenziwe ngokuphathelene nobudlelwano bobudala nemiphumela yeramipril kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwamipril kubantu abadala. Noma kunjalo, abantu abadala banesikhathi esiningi sokuhlupheka ngezinkinga zenhliziyo, izinso, noma isibindi ezihlobene nobudala, okungadinga ukulungiswa komthamo kubantu abamukela i-ramipril. Ayikho izifundo ezifanele kwabesifazane 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 angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlu lwezinto ezingezansi. Ukuhlangana okulandelayo kukhethwe ngokusekelwe ekuqondeni kwabo okukhulu futhi akuyona yonke into ehlanganisiwe. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayinconywa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izidakamizwa ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayinconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma kokubili 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 angashintsha umthamo noma ukuthi uyisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi sokudla noma eduze kwesikhathi sokudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela 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 unanoma yiziphi ezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Ngaphezu kokusebenzisa le mishini, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele uqale ukhulume nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abantu abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba kuqondiswe nokuthi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi le mishini ngeke iphulukise igazi lakho eliphezulu kodwa iyasiza ukuyilawula. Ngakho-ke, kufanele uqhubeke uyithathe njengoba kuqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase ube ukudinga ukusebenzisa imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sokukhishwa. I-capsule noma ithebulethi ivame ukuminwa yonke. Uma ungakwazi ukuminwa i-capsule, ungayivula bese usakaza okuqukethwe kwayo kuyingxenye encane (4 ounces) ye-applesauce noma uyixube ku-4 ounces amanzi noma ijusi le-apple. Dlala yonke ukudla noma uphuze lonke ulwelo ukuqinisekisa ukuthi uthola inani elifanele lemithi. Inani lemithi le mishini lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela amanani aphakathi ale mishini. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondise ukwenza njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithi oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithi, nobude besikhathi oyithatha imithi kuya ngenkinga yezokwelapha oyisebenzisela imithi. Uma uphuthelwa yidosi yale mishini, yithathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sedosi yakho elandelayo, suka ngedosi ephuthelwe bese ubuyela esimisweni sakho sokuthatha imithi. Ungawandisi ama-doses. Gcina kubantwana. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongayisebenzisi. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayifrizi. Ungagcina imithi ehlanganisiwe amahora angu-24 ekushiseni kwegumbi noma amahora angu-48 esiqandisini.
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.