Ukuhlanganiswa kwe-alkaloid yeRauwolfia ne-thiazide diuretic (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Mayelana naleli khambi
Amahlanganisela e-alkaloid ye-Rauwolfia ne-thiazide diuretic asetshenziswa ekwelapheni kokuphakama kokucindezela kwegazi (hypertension). Ukuphakama kokucindezela kwegazi 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. Ukuphakama kokucindezela kwegazi kungase futhi kukhulise ingozi yezifo zenhliziyo. Lezi zinkinga zingase zingabi khona uma kucindezela kwegazi kulawulwa. Ama-alkaloid e-Rauwolfia asebenza ngokulawula izimpikiswano zezinzwa ezinzondweni ezithile zezinzwa. Ngenxa yalokho, asebenza enhliziyweni nasemisipha yegazi ukuze wehlisa ukucindezela kwegazi. I-thiazide diuretics ikusiza ukunciphisa inani lamanzi emzimbeni ngokwandisa ukugeleza komchamo. Lokhu kusiza futhi ekuwehliseni ukucindezela kwegazi. Lezi zidakamizwa zitholakala kuphela ngomyalelo wodokotela wakho.
Ngaphambi kokusebenzisa leli khambi
Tshela udokotela wakho uma uke waba nakho ukungezwani okungavamile noma uketshezi olukhulu emithi yaleli qembu noma eminye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Nakuba kungekho ulwazi oluqondile oluqhathanisa ukusetshenziswa kwale mithi ezinganeni nokuyisebenzisa kwezinye izigaba zezinyanga, le mithi ayilindelwe ukubangela imiphumela emibi ehlukile noma izinkinga ezinganeni kunalokho ezikwenzayo kubantu abadala. Imithi eminingi ayifundwanga ngokukhethekile kubantu abadala. Ngakho-kwenzeka, kungenzeka kungaziwa ukuthi isebenza ngendlela efanayo njengoba isenza kubantu abadala abasebancane. Nakuba kungekho ulwazi oluqondile oluqhathanisa ukusetshenziswa kweRauwolfia alkaloid nezihlanganisi ze-thiazide diuretic kubantu abadala nokuyisebenzisa kwezinye izigaba zezinyanga, le mithi ayilindelwe ukubangela imiphumela emibi ehlukile noma izinkinga kubantu abadala kunalokho ezikwenzayo kubantu abadala abasebancane. Kodwa-ke, ukulala, ukukhungatheka, noma ukuphelelwa amandla noma izimpawu zokulahleka okukhulu kwe-potassium kungenzeka kakhulu kubantu abadala, abanomzwelo kakhulu kwimiphumela ye-Rauwolfia alkaloids ne-thiazide diuretics. Ukusetshenziswa okukhulu kwe-thiazide diuretics (okuqukethwe kule mithi ehlanganisiwe) phakathi kokukhulelwa kungabangela imiphumela engathandeki kubandakanya i-jaundice, izinkinga zegazi, kanye ne-potassium ephansi emsweni. Ukusetshenziswa okukhulu kwe-Rauwolfia alkaloids kungabangela ukuqina kokuphefumula, ukushisa okuphansi, nokulahlekelwa ukudla emsweni. Le mithi ayikaze iboniswe ukubangela iziphambeko zokuzalwa kubantu. Ezimbizeni, ukusetshenziswa kwe-Rauwolfia alkaloids phakathi kokukhulelwa kunciphisa amazinga okusinda okusha. Qiniseka ukuthi ukhulume nalokhu nodokotela wakho ngaphambi kokuthatha le mithi. I-Rauwolfia alkaloids idlula ubisi lwebele futhi ingabangela imiphumela engathandeki (ukuqina kokuphefumula, ukushisa okuphansi, ukulahlekelwa ukudla) ezinganeni zabamama abayithatha ngamandla amakhulu. I-Thiazide diuretics nayo idlula ubisi lwebele. Qiniseka ukuthi ukhulume nalokhu nodokotela wakho ngaphambi kokuthatha le mithi. Nakuba imithi ethile ingafanele isetshenziswe ndawonye nhlobo, kwezinye izimo imithi emibili ehlukile ingase isetshenziswe ndawonye ngisho noma kungenzeka ukuhlangana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Tshela ochwepheshe bakho bezempilo uma uthatha eminye imithi yesikhathi eside noma engelona iresiphi (over-the-counter [OTC]). Imithi ethile akufanele isetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngemithi ethile kungabangela futhi ukuhlangana. Xoxa nochwepheshe bakho bezempilo ngokusetshenziswa kwemithi yakho ngokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwemithi kuleli qembu. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Ngaphezu kokusebenzisa imithi udokotela wakho ayilayo, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokunakekela izinhlobo zokudla ozidlayo, ikakhulukazi ukudla okune-sodium eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhulumisane 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 mithi ngeke iphulukise igazi lakho eliphezulu kepha iyasiza ukuyilawula. Ngakho-ke, kufanele uqhubeke uyithathe njengoba kuqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase ube nesidingo sokuthatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingaphathwa, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sokukhubazeka kwesibindi. Le mithi ingakwenza uzizwe ukhathele ngokungajwayelekile uma uqala ukuyithatha. Ungase futhi uqaphele ukwanda kwemitha yomchamo noma ukwanda kwesikhathi sakho sokuya esikhumulweni. Ngemva kokuthatha imithi isikhathi esithile, le miphumela kufanele iyancipha. Ngokuvamile, ukuvimbela ukwanda komchamo ekuphazamiseni ubuthongo bakho: Noma kunjalo, kungcono ukuhlela umthamo wakho noma imithamo ngokuya ngohlelo oluzonciphisa kakhulu imisebenzi yakho yomuntu siqu nobuthongo. Cela ochwepheshe bakho bezempilo ukuba bakusize ukuhlela isikhathi esihle sokuthatha le mithi. Ukuze ukukhumbuze ukuthatha imithi yakho, zama ukwenza umkhuba wokuithatha ngesikhathi esifanayo nsuku zonke. Uma le mithi iphazamisa isisu sakho, ingathathwa ngokudla noma ubisi. Uma ukuphazamiseka kwesisu (isicanucanu, ukugabha, ubuhlungu besisu noma ukugcwala) kuqhubeka, xhumana nodokotela wakho. Imithamo yemithi kuleli qembu izobahlukene kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemibhalweni. Ulwazi olulandelayo lufaka kuphela imithamo yemithi. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemithi oyithatha lixhomeke emandleni emithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi othatha imithi kuya ngenkinga yezokwelapha oyisebenzisayo. Uma uphuthelwa umthamo wale mithi, uwuthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, susa umthamo ophuthelwe bese ubuyela ohlelweni lwakho olujwayelekile lokupha imithamo. Ungawandisi imithamo. Gcina ungafinyeleleki kubantwana. Gcina imithi esitsheni esivalekile ekushiseni kweqembu, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungaganduki. Ungagcini imithi esele iphelile noma imithi engasadingeki.
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.