Ranolazine (indlela yokumathisa ngomlomo)
Imikhiqizo etholakalayo
Aspruzyo Sprinkle, Ranexa
Mayelana naleli khambi
IRanolazine isetshenziswa ekwelapheni ukubhlunguza okungapheli (ubuhlungu obusenifubeni). Lolu lwelapha-ke ngokuvamile lusetshenziswa kanye nezinye izidakamizwa (um., abavimbi be-ACE, abavimbi be-angiotensin receptor, abavimbi be-calcium channel, abavimbi be-beta, i-nitrates, izidakamizwa eziqeda iziplatelet, noma izidakamizwa eziphansi amafutha). Lolu lwelapha-ke lutholakala kuphela ngomyalelo wodokotela wakho. Lo mkhiqizo utholakala ngezindlela zokulinganisela ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Ekucineni kokusebenzisa imithi, izingozi zokuthatha imithi kufanele ziqhathaniswe nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Ngale mithi, okulandelayo kufanele kucabangelwe: Tshela udokotela wakho uma uke waba nanoma iyiphi impendulo engaqondakali noma ebangelwa uketshezi kule mithi noma kwezinye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unanoma yiluphi olunye uhlobo lwezifo ezingelona iziphuzo, njengokudla, izibhebhe, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala kuze kube yimiphumela yeranolazine kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kwranolazine kubantu abadala. Noma kunjalo, abantu abadala banesikhathi esiningi sokuhlupheka ngezinkinga ze-liver, ikidney, noma inhliziyo ezihlobene nobudala, okungadinga ukulungiswa komthamo kwabaguli abamukela i-ranolazine. 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 angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubalulekile kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. 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 kangaki enye noma zombili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshako nanoma iyiphi imithi kungabangela ukuhlangana. Ukuhlangana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo ngokuvamile ayinconywa, kodwa kungaphepheki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyisebenzisa kangaki le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshako. 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
Thatha leli leyeza kuphela njengoba kunqunyiwe udokotela wakho. Ungalithathi ngokweqile, ungalithathi njalo, futhi ungalithathi isikhathi eside kunalokho udokotela wakho akuqondile. Ukwenza kanjalo kungandisa amathuba ezingozi ezihambisana naleli leyeza. Leli leyeza kufanele libe nephepha lemininingwane yomguli. Funda futhi ulandele le miyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Ungalithatha leli leyeza ngokudla noma ngaphandle kokudla. Gwinya ithebulethi yokukhululwa okwandisiwe nama-granules wokukhululwa okwandisiwe wonke. Ungalukhiphi, ungalwaphululi, noma ungaluliginya. Ukuze usebenzise ama-granules wokukhululwa okwandisiwe: Ungadli i-grapefruit noma uphuze ijusi le-grapefruit ngenkathi usebenzisa leli leyeza. Gwema ukuphuza utshwala ngenkathi usebenzisa ama-granules wokukhululwa okwandisiwe. Inani leli leyeza lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo luhlanganisa kuphela amanani ajwayelekile aleli leyeza. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akuqondile ukuba wenze njalo. Inani leyeza olithathayo lixhomeke emandleni leyeza. Futhi, inani lezinani olithathayo nsuku zonke, isikhathi esivunyelwe phakathi kwezinani, nobude besikhathi olithatha leli leyeza kuya ngenkinga yezokwelapha oyisebenzisela lona. Uma uphuthelwa yisilinganiso saleli leyeza, susa isilinganiso esiphuthelwe bese ubuyela esikhathini sakho sokuthatha imithi. Ungawandisi amanani. Gcina imithi esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayikhiphi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi esele iphelile noma imithi engasasetshenziswa. Buza ochwepheshe bakho bezempilo ukuthi kufanele uyilahule kanjani noma iyiphi imithi 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.