Valsartan ne-hydrochlorothiazide (indlela yokwelapha ngomlomo)
Imikhiqizo etholakalayo
Diovan HCT
Mayelana naleli khambi
Ukusetshenziswa kwe-Valsartan ne-hydrochlorothiazide kuhlanganiswe kudwa noma ngemithi eminye ukwelapha 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-Valsartan iyilokhu okuvimba i-angiotensin II receptor (ARB). Isebenza ngokuvimba into emzimbeni ebangela ukuba imithambo yegazi icindezeke. I-Valsartan iphumula imithambo yegazi bese incipha ukucindezeleka kwegazi. Ukucindezeleka kwegazi okuphansi kuzokwandisa ukunikezwa kwegazi no-oksijini enhliziyweni. I-Hydrochlorothiazide iyi-thiazide diuretic (ipilisi lamanzi). Incipha inani lamanzi emzimbeni ngokwandisa ukugeleza komchamo. Lokhu kusiza ekuphuculeni ukucindezeleka kwegazi. Lolu lwemi lwethu luyatholakala kuphela ngomyalo wezokwelapha. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokuthatha imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluhlwempuzekile 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 ongenalo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubuhlobo bobudala nemiphumela yokuhlanganiswa kwe-valsartan ne-hydrochlorothiazide kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalinda ukusetshenziswa kokuthi valsartan ne-hydrochlorothiazide kuqeqeshwe kwabadala. Noma kunjalo, abantu abadala banesizotha kakhulu kwimiphumela yale mithi kunabantu abadala. 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 izimithi kufanele zingasetshenziswa ndawonye, 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 ngokusekelwe ekubalulekeni kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ayikhuthazwa. Udokotela wakho anganquma ukungakwelaphi ngale mithi noma ashintshe ezinye izimithi ozithathayo. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile ayikhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezihambisana nemiphumela, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangakanani enye noma zombili imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka ukuhlangana. Ukusebenzisa utshwala noma utshaba ngezinye izimithi 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 unezinye izinkinga zezokwelapha, ikakhulukazi:
Indlela yokusebenzisa leli khambi
Ngaphezu kokusebenzisa le mishini, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo kanye nokuhlukahlukana kwezinye zezinto ozidlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uzokutshela ukuthi yikuphi okuqakathekile kuwe. Kufanele uqale ukhulume nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Khumbula ukuthi le mishini ngeke iphulukise igazi lakho eliphezulu kepha iyasisiza ukulilawula. Kumele uqhubeke uyithatha njengoba uyalelwe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase uthole ukuthi kudingeka uthathe imishini yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelaphiwa, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sezinso. Lemishini ifika nephepha lemininingwane yomguli. Funda bese ulandela imiyalo ephepheni ngokucophelela. Buza udokotela wakho uma unemibuzo. Gwinya ithebulethi yonke. Ungayiqhekeza, uyicindezele, noma uyigaye. Ungayithatha le mishini ngokudla noma ngaphandle kokudla. Uma usebenzisa i-cholestyramine noma i-colestipol, thatha lezi okungenani amahora angu-4 kuya kwangu-6 ngaphambi noma amahora angu-4 ngemuva kokuthatha le mishini. Inani le mishini lizohluka kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembolekweni. Ulwazi olulandelayo lufaka kuphela amanani aphakathi ale mishini. Uma inani lakho lihlukile, ungalishintshi ngaphandle kokuthi udokotela wakho akutshele ukuba wenze njalo. Inani lemishini oyithatha lixhomeke emandleni emishini. Futhi, inani lezinye oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwezinye, nobude besikhathi oyithatha imishini kuya ngesimo sezempilo osisebenzisela lona imishini. Uma uphuthelwa yisinyathelo sale mishini, thatha ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi sesinyathelo sakho esilandelayo, suka esinyathelweni esiphuthelwe bese ubuyela esimweni sakho sokuthatha imishini. Ungawandisi amanani. Gcina imishini esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungayivumeli ukuba iqhwabe. Gcina ingafinyeleleki kubantwana. Ungagcini imishini esele iphelile noma imishini engasadingeki. Buza ochwepheshe bezempilo ukuthi kufanele uyilahla kanjani noma iyiphi imishini 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.