Valsartan (indaba ngomlomo)
Imikhiqizo etholakalayo
Diovan, Prexxartan
Mayelana naleli khambi
I-Valsartan isetshenziswa yodwa noma ngokubambisana nezinye izidakamizwa zokwelapha 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 isetshenziswa futhi ekwelapheni ukuhluleka kwenhliziyo nokuhluleka kwesisu sangaphambili ngemuva kokuhlaselwa yinhliziyo. Ukuhluleka kwesisu sangaphambili kwenzeka lapho uhlangothi lwesobunxele lenhliziyo (igumbi elikhulu lokupompa) liba lukhulu futhi luqine noma luqabukile. Lokhu kubangela ukuqoqwa kwegazi emaphashini ngoba inhliziyo ayipompi kahle. I-Valsartan iyilokhu okuvimba ama-angiotensin II receptor (ARB). Isebenza ngokuvimba into emzimbeni ebangela ukuba imithambo yegazi icindezeke. I-Valsartan iphumula imithambo yegazi futhi inciphise ukucindezeleka kwegazi. Ukucindezeleka kwegazi okuphansi kuzokwandisa ukunikezwa kwegazi noketshezi lenhliziyo. Lolu dokotela luyatholakala kuphela ngesikripthi sedokotela wakho. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Ngaphambi kokusebenzisa leli khambi
Uma ukhetha 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 iyiphi impendulo engavamile noma ebangelwa uketshezi kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo zoketshezi, njengokudla, izibenge, izigcini, noma izilwane. Ngomkhiqizo ongenaso iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zezingane ezingalimi ukusetshenziswa kwe-valsartan ezinganeni ezineminyaka eyi-1 kuya kweyi-16. Kodwa-ke, ukusetshenziswa akukhuthazwa ezinganeni ezineminyaka engaphansi kwonyaka. Izifundo ezifanele ezenziwe kuze kube manje azibonisi izinkinga ezikhethekile zabantu abadala ezingalimi ukusetshenziswa kwe-valsartan kubantu 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 nhlobo, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angafuna ukushintsha umthamo, noma ezinye izinyathelo zokuphepha kungadingeka. Uma uthatha le mithi, kubalulekile ngokukhethekile ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlwini elingezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka 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 akukhuthazwa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angashintsha umthamo noma ukuthi uyayisebenzisa kangcono nini 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 uyayisebenzisa kangcono nini imithi. Ezinye izimithi akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla njengoba kungenzeka kube khona ukusebenzisana. Ukusebenzisa utshwala noma utshaba ngezinye izimithi kungabangela ukusebenzisana. 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 nokuchuba izinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium (usawoti) eningi. Udokotela wakho uzokutshela ukuthi yikuphi kwalokhu okubaluleke kakhulu kuwe. Kufanele uqale ukhulume nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Khumbula ukuthi le mishini ngeke iphulukise igazi lakho eliphezulu, kodwa iyasisiza ukulilawula. Kumele uqhubeke uyithatha njengoba kunqunyiwe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine liphansi. Ungase uthole ukuthi kudingeka uthathe imishini yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingelapheki, lingabangela izinkinga ezinkulu ezinjengokwehluleka kwenhliziyo, isifo sezimbobo zegazi, izikhuthazo, noma isifo sokugaya. Ungathatha le mishini ngokudla noma ngaphandle kokudla. Futhi, thatha le mishini ngesikhathi esifanayo nsuku zonke. Thatha ezinye zonke izimishini udokotela wakho azibhalile ukuze aphathe isimo sakho. Uma ingane yakho inenye uhlobo lwemishini, yizikikize ibhodlela okungenani imizuzwana eyi-10 ngaphambi kokunika umthamo. Lemishini ifika ne-insert yolwazi lwabaguli. Funda bese ulandela imiyalo ngokucophelela. Buza udokotela wakho uma unemibuzo. Umthamo wale mishini uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esembele. Ulwazi olulandelayo lufaka kuphela imithamo yale mishini. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondise ukuba wenze njalo. Inani lemishini oyithatha lixhomeke emandleni emishini. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi oyithatha imishini kuya ngesimo sezokwelapha oseyisebenzisela imishini. Uma uphuthelwe umthamo wale mishini, thatha ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, skip umthamo ophuthelwe bese ubuyela esikhathini sakho sokudla okuvamile. Ungawandisi imithamo. Gcina ungafinyeleleki ezinganeni. Ungagcini imishini esele iphelile noma imishini engasadingeki. Buza ochwepheshe bezempilo ukuthi kufanele uyilahla kanjani imishini ongayisebenzisi. Gcina imishini esitsheni esivalekile ekushiseni kwegumbi, kude nokushisa, ukufuma, nokukhanya okulungile. Gcina ungaganduki. Gcina i-liquid ekushiseni kwegumbi kuze kube izinsuku ezingama-30, noma esiqandisini kuze kube izinsuku ezingama-75.
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.