Yini i-Valsartan ne-Hydrochlorothiazide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Valsartan ne-hydrochlorothiazide iyinhlanganisela yomuthi wokwehlisa umfutho wegazi ohlanganisa izinhlobo ezimbili ezihlukene zemithi epilini elilodwa. Lokhu kuhlanganiswa kusebenza njengeqembu elinobumnene kodwa eliphumelelayo ukusiza umfutho wakho wegazi ukuthi uhlale ebangeni elinempilo lapho umuthi owodwa unganele.

Abantu abaningi bathola ukuthi le nhlanganisela iyasiza ngoba ibhekana nomfutho wegazi ophezulu ngamakhona amabili ahlukene. Esikhundleni sokuthatha amaphilisi ahlukene usuku lonke, uthola izinzuzo zombili le mithi ngomthamo owodwa olula.

Yini i-Valsartan ne-Hydrochlorothiazide?

Lo muthi uhlanganisa i-valsartan, i-ARB (i-angiotensin receptor blocker), ne-hydrochlorothiazide, iphilisi lamanzi noma i-diuretic. Cabanga ngayo njengobambiswano olucabangayo lapho umuthi ngamunye unikeza amandla awo ukusiza ukuphatha umfutho wakho wegazi.

I-Valsartan isebenza ngokwenza imithambo yakho yegazi iphumule futhi yande, okwenza kube lula ukuthi igazi ligeleze kuyo. I-Hydrochlorothiazide ngobumnene isiza izinso zakho ukuthi zikhiphe amanzi nosawoti owengeziwe emzimbeni wakho, okunciphisa inani eliphelele lamanzi inhliziyo yakho okudingeka ukuthi ilipompe.

Udokotela wakho angase asikisele le nhlanganisela uma umfutho wakho wegazi udinga ukwesekwa okwengeziwe kunomuthi owodwa onganikeza. Yenzelwe ukusebenza ngokuqhubekayo usuku lonke ukuze ugcine umfutho wakho wegazi ebangeni elinempilo.

Isetshenziselwa Ukuthini i-Valsartan ne-Hydrochlorothiazide?

Lo muthi ohlanganisiwe unqunyelwe ikakhulukazi ukwelapha umfutho wegazi ophezulu, obizwa nangokuthi i-hypertension. Umfutho wegazi ophezulu uvame ukubizwa ngokuthi “umbulali othule” ngoba ngokuvamile awubangeli izimpawu ongazizwa, kodwa ungawulimaza buthule inhliziyo yakho, imithambo yegazi, nezinye izitho ngokuhamba kwesikhathi.

Udktela wakho angase ancome lo muthi uma ubuthathe kokubili i-valsartan noma i-hydrochlorothiazide uwedwa futhi ukufundwa kwengcindezi yakho yegazi kukhombisa ukuthi udinga ukwesekwa okwengeziwe. Ngezinye izikhathi odokotela baqala ngale nhlanganisela ngokushesha uma ingcindezi yakho yegazi ikhuphuke kakhulu.

Ngaphandle kokulawulwa kwengcindezi yegazi, lo muthi ungasiza futhi ukunciphisa ingozi yakho yokuhlaselwa yinhliziyo, unhlangothi, nezinkinga zezinso. Uma ingcindezi yakho yegazi ihlala ebangeni elinempilo, ithatha ingcindezi ohlelweni lwakho lwe-cardiovascular futhi isiza ukuvikela impilo yakho yesikhathi eside.

Isebenza Kanjani I-Valsartan ne-Hydrochlorothiazide?

Le nhlanganisela yomuthi isebenza ngezindlela ezimbili ezihambisanayo ezihlinzeka ngokulawulwa kwengcindezi yegazi okubanzi kakhulu kunomuthi owodwa. Kuthathwa njengokwelashwa okunamandla okuphakathi nendawo kwengcindezi yegazi okuvame ukusebenza kahle kakhulu kubantu abadinga ukwesekwa okwengeziwe.

I-Valsartan ivimba izamukeli ezithile emithanjeni yakho yegazi ezingavame ukubangela ukuthi ziqine. Uma lezi zamukeli zivinjiwe, imithambo yakho yegazi ingakhululeka futhi yande, okwenza igazi ligeleze kalula futhi kunciphise ingcindezi ezindongeni zakho zemithambo.

I-Hydrochlorothiazide isebenza ezinso zakho ukusiza ukususa amanzi amaningi kanye ne-sodium emzimbeni wakho ngokwandisa ukuchama. Lokhu kunciphisa inani eliphelele loketshezi emgombeni wakho wegazi, okusho ukuthi inhliziyo yakho akudingeki isebenze kanzima ukuze ipompe igazi emzimbeni wakho wonke.

Ngokuhlangene, lezi zenzo ezimbili zenza ukwehla okumnene kodwa okuqhubekayo kwengcindezi yegazi okuvame ukuhlala usuku lonke. Abantu abaningi baqala ukubona ukuthuthuka ekufundweni kwengcindezi yabo yegazi kungakapheli amasonto ambalwa beqala lo muthi.

Kufanele Ngiyithathe Kanjani I-Valsartan ne-Hydrochlorothiazide?

Thatha lo muthi ngendlela udokotela wakho ayala ngayo, ngokuvamile kanye ngosuku ekuseni. Ungayithatha ngaphandle noma ngaphandle kokudla, nakuba ukuyithatha nokudla okulula kungasiza uma uhlangabezana nanoma yikuphi ukuphazamiseka kwesisu.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uhlafune, noma uyiphule ithebhulethi, ngoba lokhu kungathinta indlela umuthi omuncwa ngayo emzimbeni wakho. Uma unenkinga yokugwinya amaphilisi, khuluma nomphathi wakho wamaphilisi mayelana nezinketho zakho.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo nsuku zonke ukuze usize ukugcina amazinga aqhubekayo ohlelweni lwakho. Abantu abaningi bakuthola kuwusizo ukuxhumanisa ukuthatha imithi yabo emsebenzini wansuku zonke, njengokudla kwasekuseni noma ukuxubha amazinyo abo.

Njengoba lo muthi uqukethe i-diuretic, ukuwuthatha ekuseni kungasiza ekuvikeleni ukuvakashela endlini yangasese ebusuku. Hlala unamanzi ngokwanele usuku lonke, kodwa ungakhathazeki uma uqaphela ukwanda kokuchama ekuqaleni - lokhu kuvame ukuzinza njengoba umzimba wakho uzivumela.

Kufanele Ngithathe Isikhathi Esingakanani I-Valsartan ne-Hydrochlorothiazide?

Abantu abaningi badinga ukuthatha lo muthi isikhathi eside ukuze bagcine ukulawulwa komfutho wegazi okunempilo. Umfutho wegazi ophezulu ngokuvamile uyisimo esingapheli esidinga ukuphathwa okuqhubekayo kunokwelashwa kwesikhashana.

Udokotela wakho uzoqapha umfutho wegazi lakho njalo ukuze abone ukuthi umuthi usebenza kahle kangakanani kuwe. Abanye abantu bangase badinge ukulungiswa komthamo wabo noma bangashintshele emithini ehlukene ngokuya ngokuthi umzimba wabo usabela kanjani nanoma yimaphi imiphumela emibi abayizwayo.

Kubalulekile ukuqhubeka nokuthatha lo muthi ngisho nalapho uzizwa ulungile, njengoba umfutho wegazi ophezulu ngokuvamile awubangeli izimpawu eziqaphelekayo. Ukuyeka kungazelelwe kungabangela umfutho wegazi lakho ukuthi ukhuphuke, okungakubeka engozini yezinkinga ezinzima.

Ungalokothi uyeke ukuthatha lo muthi ngaphandle kokukhuluma nodokotela wakho kuqala. Uma uhlangabezana nemiphumela emibi noma unokukhathazeka ngokusebenzisa isikhathi eside, umhlinzeki wakho wezempilo angasebenza nawe ukuze athole indlela engcono kakhulu yesimo sakho ngasinye.

Yiziphi Imiphumela Emibi ye-Valsartan ne-Hydrochlorothiazide?

Abantu abaningi bayakwazi ukumelana kahle nale mithi ehlanganisiwe, kodwa njengayo yonke imithi, ingabangela imiphumela emibi kwabanye abantu. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Nawa amanye amanye imiphumela emibi ongase uyithole njengoba umzimba wakho ujwayela lo muthi:

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukunyuka kokuchama, ikakhulukazi emasontweni ambalwa okuqala
• Ukukhathala okuncane noma ukuzizwa ukhathele
• Ikhanda
• Ukucasuka kwesisu noma isicanucanu
• Ukukhathala kwemisipha noma ubuthakathaka
• Ukhwehlela olomile (akuvamile ngale nhlanganisela kunangeminye imithi yokwehlisa umfutho wegazi)

Le miphumela emibi ejwayelekile ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziba yinkinga, udokotela wakho angavame ukulungisa umthamo wakho noma isikhathi sokuthatha umuthi ukusiza ukuzinciphisa.

Nakuba kungavamile, abanye abantu bangase babe nemiphumela emibi ebucayi edinga ukunakekelwa kwezempilo ngokushesha:

• Isiyezi esikhulu noma ukuquleka
• Izimpawu zezinkinga zezinso (izinguquko ekuchameni, ukuvuvukala emilenzeni noma ezinyaweni)
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Ubuthakathaka obukhulu bemisipha noma ukuqaqamba
• Izimpawu zokungalingani kwama-electrolyte (ukudideka, izinguquko zemizwa, ukuquleka)
• Ukungezwani komzimba (ukuqubuka, ukuvuvukala, ubunzima bokuphefumula)
• Ubuhlungu obukhulu besisu noma ukuhlanza okuqhubekayo

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezingathi sína, xhumana nomhlinzeki wakho wezempilo ngokushesha. Khumbula ukuthi udokotela wakho unqume lo muthi ngoba bakholelwa ukuthi izinzuzo zidlula izingozi esimweni sakho esithile.

Ubani Ongafanele Athole i-Valsartan ne-Hydrochlorothiazide?

Lo muthi awulungele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunquma. Ezinye izimo noma izimo zenza le nhlanganisela ibe yingozi kunokusiza.

Akufanele uthathe lo muthi uma ukhulelwe noma uhlela ukukhulelwa, ngoba ungalimaza kakhulu izingane ezisakhula. Uma ukhulelwa ngenkathi uthatha lo muthi, xhumana nodokotela wakho ngokushesha ukuze nixoxe ngezindlela eziphephile.

Abantu abanezimo ezithile zezokwelapha badinga ukugwema le nhlanganisela noma bayisebenzise ngokuqapha okukhulu:

• Isifo sezinso esibi noma ukwehluleka kwezinso
• Isifo sesibindi esibi
• Umlando we-angioedema (ukuvuvukala okukhulu)
• Ukungakwazi ukuchama (anuria)
• Ukungalingani okukhulu kwe-electrolyte
• I-Lupus noma ezinye izimo ze-autoimmune
• I-Gout (umuthi ngezinye izikhathi ungabangela ukuqubuka)

Udokotela wakho uzophinda aqaphele ngokunquma lo muthi uma unesifo sikashukela, ukwehluleka kwenhliziyo, noma uthatha eminye imithi ethile engase ihlangane. Hlala utshela umhlinzeki wakho wezempilo ngayo yonke imithi, izithasiselo, nezimo zempilo ngaphambi kokuqala noma yikuphi ukwelashwa okusha.

Amagama Omkhiqizo we-Valsartan ne-Hydrochlorothiazide

Lo muthi ohlanganisiwe utholakala ngaphansi kwamagama amaningi omkhiqizo, i-Diovan HCT ingomunye owaziwa kakhulu. Amanye amagama omkhiqizo afaka i-Exforge HCT uma ihlanganiswe ne-amlodipine, nakuba lokho kuyinhlanganisela ehlukile yemithi emithathu.

Izinhlobo ze-generic ze-valsartan ne-hydrochlorothiazide zitholakala kabanzi futhi ziqukethe izithako ezifanayo ezisebenzayo njengezinhlobo zamagama omkhiqizo. Umkhemisi wakho angakusiza ukuthi uqonde ukuthi iyiphi inguqulo oyitholayo futhi aqinisekise ukuthi uthola amandla afanele.

Noma ngabe uthola inguqulo yegama lomkhiqizo noma i-generic ngokuvamile kuncike ekuhlinzekweni kwakho komshuwalense nakuzintandokazi zekhemisi. Zombili izinhlobo zisebenza ngokulinganayo uma zithathwa njengoba kunqunywe umhlinzeki wakho wezempilo.

Ezinye Izindlela ze-Valsartan ne-Hydrochlorothiazide

Uma le nhlanganisela ingasebenzi kahle kuwe, kunezinhlanganisela eziningi zemithi yokwehlisa umfutho wegazi etholakalayo. Udokotela wakho angase acabange ngezinhlanganisela ze-ACE inhibitor, izinhlanganisela ezahlukene ze-ARB, noma izinhlanganisela ze-calcium channel blocker kuye ngezidingo zakho ezithile.

Ezinye izindlela ezivamile zihlanganisa i-lisinopril ne-hydrochlorothiazide, i-losartan ne-hydrochlorothiazide, noma izinhlanganisela ezisekelwe ku-amlodipine. Ngayinye inezinzuzo zayo kanye nemiphumela engemihle engaba khona, ngakho-ke ukuthola okukulungele ngokuvamile kudinga ukubekezela nokuxhumana nethimba lakho lezempilo.

Abanye abantu benza ngcono ngemithi ehlukene kunamaphilisi ahlanganisiwe, okuvumela ukulungiswa okuningi kwemithamo ngakunye. Udokotela wakho angakusiza ukuthi ulinganise ukulula kokwelashwa okuhlanganisiwe nokuguquguquka kwemithi ehlukene.

Ingabe i-Valsartan ne-Hydrochlorothiazide Ingcono Kune-Losartan ne-Hydrochlorothiazide?

Kokubili i-valsartan/hydrochlorothiazide kanye ne-losartan/hydrochlorothiazide ziyizinhlanganisela ze-ARB ezisebenza ngendlela efanayo ukwehlisa umfutho wegazi. Ukukhetha phakathi kwazo kuvame ukuncika ezintweni zomuntu ngamunye njengokuthi uyithatha kahle kangakanani imithi ngayinye kanye nezidingo zakho zezempilo ezithile.

I-Valsartan ingase ithandwe uma uke waba nezinkinga ngokukhwehlela kweminye imithi yokwehlisa umfutho wegazi, njengoba ivame ukubangela lo mphumela ongavamile. Ezinye izifundo zikhomba ukuthi i-valsartan ingahlinzeka ngokulawulwa komfutho wegazi okuqhubekayo usuku lonke.

I-Losartan, ngakolunye uhlangothi, isikhathi eside futhi inocwaningo oluningi olusekela ukusetshenziswa kwayo. Kungase kube ngcono kubantu abanezimo ezithile zezinso noma labo abadinga umuthi ocubungulwa ngendlela ehlukile yisibindi.

Udokotela wakho uzocabangela izinto ezifana nokusebenza kwezinso zakho, eminye imithi oyithathayo, izindleko, nokuthi umzimba wakho usabele kanjani ekwelashweni kwangaphambilini lapho ekhetha phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Valsartan kanye ne-Hydrochlorothiazide

Ingabe i-Valsartan kanye ne-Hydrochlorothiazide iphephile kubantu abanesifo sikashukela?

Yebo, le nhlanganisela ngokuvamile iphephile kubantu abanesifo sikashukela futhi ingase inikeze nezinzuzo ezithile zokuvikela izinso zakho. I-Valsartan ingasiza ukuvikela ukusebenza kwezinso kubantu abanesifo sikashukela, kanti ingxenye ye-hydrochlorothiazide idinga ukuqapha amazinga kashukela egazini.

Ingxenye ye-diuretic ingase ibangele ukwanda okuncane kukashukela egazini kwabanye abantu, ngakho udokotela wakho uzofuna ukuqapha amazinga akho e-glucose eduze lapho uqala lo muthi. Abantu abaningi abanesifo sikashukela bayayibekezelela kahle le nhlanganisela ngokuqapha okufanele.

Uma unesifo sikashukela, qiniseka ukuthi uyaqhubeka nokuhlola ushukela wakho njengoba kunconyiwe futhi wazise udokotela wakho uma ubona izinguquko ezinkulu ekufundeni kwakho ngemuva kokuqala lo muthi.

Kufanele ngenzeni uma ngiphuzile i-Valsartan kanye ne-Hydrochlorothiazide eningi ngengozi?

Uma ngengozi uphuze ngaphezu komthamo wakho obekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ikakhulukazi uma uphuze ngaphezu kwalokho okubekiwe. Ungalindi ukubona ukuthi uzizwa ulungile yini, njengoba eminye imiphumela yokweqisa ingase ingabonakali ngokushesha.

Izimpawu zokuthatha okuningi zingabandakanya isiyezi esikhulu, ukuquleka, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile, noma ukuchama ngokweqile. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukwelashwa ngokushesha.

Ukuvimbela ukweqisa ngengozi, cabanga ukusebenzisa umhleli wamaphilisi futhi usethe izikhumbuzi ocingweni lwakho. Uma ungaqiniseki ukuthi ngabe uphuze umthamo wakho wansuku zonke, ngokuvamile kuphephe ukweqa ngalolo suku kunokubeka engozini yokuthatha umthamo ophindwe kabili.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Valsartan kanye ne-Hydrochlorothiazide?

Uma uphuthelwa umthamo bese ukhumbula ngemva kwamahora ambalwa, thatha ngokushesha lapho ukhumbula. Kodwa-ke, uma sekuseduze isikhathi somthamo wakho olandelayo ohleliwe, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu. Umthamo owodwa ophuthelwe akunakwenzeka ukuthi ubangele izinkinga, kodwa zama ukungaphuthelwa imithamo njalo ngoba lokhu kungathinta ukuthi umfutho wegazi lakho ulawulwa kahle kangakanani.

Uma uvame ukukhohlwa imithamo, khuluma nomkhemisi wakho ngamasu okukusiza ukuthi ukhumbule, njengabahleli bamaphilisi, izinhlelo zokusebenza ze-smartphone, noma ukuxhuma imithi yakho emisebenzini yansuku zonke.

Ngingayeka nini ukuthatha i-Valsartan ne-Hydrochlorothiazide?

Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kokuqondisa kukadokotela wakho, ngisho noma ukufundwa komfutho wegazi lakho kuthuthukile. Umfutho wegazi ophezulu ngokuvamile uyisimo sempilo yonke esidinga ukuphathwa okuqhubekayo ukuvimbela izinkinga.

Udokotela wakho angase acabange ukunciphisa umthamo wakho noma ashintshe imithi uma wenze izinguquko ezinkulu zokuphila, ulahlekelwe isisindo, noma uma umfutho wegazi lakho ulawulwe kahle isikhathi eside. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi kanye nomhlinzeki wakho wezempilo.

Ukwiyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ubuyele emazingeni ayingozi, okungenzeka ukuthi kwandise ingozi yakho yokuhlaselwa yinhliziyo noma unhlangothi. Uma ukhathazekile ngokusebenzisa imithi yesikhathi eside, xoxa ngokukhathazeka kwakho ngokukhululeka nodokotela wakho ukuze uthole indlela engcono kakhulu yesimo sakho.

Ngingaphuza utshwala ngenkathi ngithatha i-Valsartan ne-Hydrochlorothiazide?

Ungaba namanani amancane otshwala ngezikhathi ezithile ngenkathi uthatha lo muthi, kodwa kubalulekile ukuqaphela njengoba utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi futhi kwandise ingozi yakho yokuba nesiyezi noma ukuquleka.

Kokubili utshwala kanye nomuthi kungadala ukoma kanye nomfutho wegazi ophansi, ngakho-ke inhlanganisela ingakwenza uzizwe untekenteke noma unesiyezi, ikakhulukazi uma usukuma ngokushesha. Qala ngezilinganiso ezincane ukuze ubone ukuthi umzimba wakho usabela kanjani.

Uma ukhetha ukuphuza utshwala, kwenze ngokulinganisela, hlala unamanzi ngamanzi, futhi gwema ukuphuza amanani amakhulu ngokushesha. Khuluma nodokotela wakho mayelana nokuthi yiliphi izinga lokusetshenziswa kotshwala eliphephile esimweni sakho esithile kanye nezimo zempilo.