Yini i-Amlodipine: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

I-Amlodipine iyimithi yomfutho wegazi emnene kodwa esebenzayo ethathwa yizigidi zabantu nsuku zonke ukuvikela izinhliziyo zabo nemithambo yegazi. Le mithi ingeyeqembu elibizwa ngokuthi ama-calcium channel blockers, asebenza ngokukhulula imithambo yakho yegazi ukuze igazi ligeleze kalula emzimbeni wakho.

Uma udokotela wakho ekunikeze i-amlodipine noma unentshisekelo ngale mithi, usendaweni efanele. Ake sihambe kukho konke okudingeka ukwazi ngale mithi yenhliziyo ethembekile ngamagama alula, acacile.

Yini i-Amlodipine?

I-Amlodipine iyimithi kadokotela esiza ukwehlisa umfutho wegazi nokunciphisa ubuhlungu besifuba obubangelwa izinkinga zenhliziyo. Iyingxenye yomndeni wemithi obizwa ngokuthi ama-calcium channel blockers, okusho ukuthi isebenza ngokuvimba i-calcium ukuthi ingangeni emangqamuzaneni athile enhliziyo yakho nasemithanjeni yegazi.

Cabanga nge-calcium njengokhiye ovamela ukutshela imithambo yakho yegazi ukuthi icindezele ngokuqinile. I-Amlodipine ivimba ngobumnene eminye yale "okhiye" be-calcium, ivumela imithambo yakho yegazi ukuthi iphumule futhi yande. Lokhu kwenza kube lula ukuthi inhliziyo yakho ipompe igazi futhi kunciphisa ingcindezi emithanjeni yakho.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka futhi ithathwa njengenye yezindlela zokwelapha zokuqala zomfutho wegazi ophezulu. Itholakala njengemithi ejwayelekile, okwenza kokubili kusebenze futhi kuthengeke kubantu abaningi.

Isetshenziselwani i-Amlodipine?

I-Amlodipine iphatha izimo ezimbili eziyinhloko ezihlobene nenhliziyo ezithinta izigidi zabantu emhlabeni jikelele. Udokotela wakho angase akubhalele ukukusiza ukulawula umfutho wegazi ophezulu noma ubuhlungu besifuba, futhi ngezinye izikhathi zombili izimo ndawonye.

Ukusetshenziswa okuyinhloko ukwelapha umfutho wegazi ophezulu, obuye ubizwe nge-hypertension. Umfutho wegazi ophezulu ngokuvamile awunawo ama-symptoms, kodwa wonakalisa buthule imithambo yakho yegazi ngokuhamba kwesikhathi. I-Amlodipine isiza ukwehlisa lezo zinombolo zibe ububanzi obunempilo, ivikela inhliziyo yakho, ubuchopho, nezinso ekulimaleni kwesikhathi eside.

Ukusetshenziswa okwesibili okuyinhloko ukwelapha ubuhlungu besifuba obubangelwa isifo semithambo yenhliziyo, esibizwa ngokuthi i-angina. Lokhu kwenzeka lapho imisipha yenhliziyo yakho ingatholi igazi elinothile ngomoya-mpilo elanele. I-Amlodipine iyasiza ngokuphumuza imithambo yegazi enikeza inhliziyo yakho, okuvumela igazi eliningi nomoya-mpilo ukuthi kufinyelele emsipheni wenhliziyo yakho.

Ngezinye izikhathi odokotela banikeza i-amlodipine kanye neminye imithi yokwehlisa umfutho wegazi ukuze kulawulwe kangcono. Le ndlela yokuhlanganisa ivame ukusebenza kangcono kunokuthatha umuthi owodwa kuphela, ikakhulukazi uma unomfutho wegazi ophezulu ongathi sína.

Isebenza Kanjani I-Amlodipine?

I-Amlodipine isebenza ngokuvimba ngobumnene iziteshi ze-calcium ezindongeni zemithambo yakho yegazi kanye nomsipha wenhliziyo. Lesi senzo sokuvimba sivimbela i-calcium ukuthi ingangeni kula maseli, okujwayele ukubangela imithambo yegazi ukuthi iqine futhi icindezele.

Lapho i-amlodipine ivimba lezi ziteshi ze-calcium, imithambo yakho yegazi iyaphumula futhi yanda njengepayipi lengadi elivulekayo. Lokhu kwanda, okubizwa ngokuthi i-vasodilation, kuvumela igazi ukuthi ligeleze ngokukhululeka okukhulu ngomfutho omncane odongeni lwemithambo yakho. Umphumela ukwehla komfutho wegazi kanye nomsebenzi omncane wenhliziyo yakho.

Lo muthi ubhekwa njenge-

Abantu abaningi bakuthola kuwusizo ukuphuza i-amlodipine ngesikhathi esifanayo nsuku zonke ukuze bagcine amazinga aqinile emzimbeni wabo. Abantu abaningi bakhetha ukuyiphuza ekuseni, kodwa udokotela wakho angase aphonse isikhathi esihlukile ngokuya ngezidingo zakho ezithile neminye imithi.

Akudingeki ukuthi udle ukudla okukhethekile ngaphambi kokuthatha i-amlodipine, futhi ngeke ikucasule isisu sakho njengoba kwenza eminye imithi. Kodwa-ke, kuhle ukugwema ama-grapefruit nejusi le-grapefruit ngenkathi uthatha lo muthi, njengoba kungakhuphula inani le-amlodipine egazini lakho liye emazingeni angase angaphephile.

Uma unenkinga yokugwinya ithebhulethi, ungaqhekeza phakathi nomugqa oqoshiwe, kodwa ungayichobozi noma uyihlafune. Ithebhulethi yenzelwe ukukhipha imithi kancane kancane, futhi ukuyichoboza kungabangela ukuthi kukhishwe okuningi ngesikhathi esisodwa.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Amlodipine?

Abantu abaningi badinga ukuthatha i-amlodipine isikhathi eside, ngokuvamile iminyaka eminingi noma impilo yonke. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlalakhona esidinga ukuphathwa okuqhubekayo kunokulungiswa kwesikhashana.

Udokotela wakho uzoqapha umfutho wegazi lakho njalo ukuze abone ukuthi imithi isebenza kahle kangakanani. Abanye abantu babona ngcono umfutho wegazi labo ezinsukwini ezimbalwa, kodwa kungathatha amasonto angu-4-6 ukubona imiphumela ephelele ye-amlodipine.

Uma uthatha i-amlodipine ngenxa yobuhlungu besifuba, udokotela wakho uzoqonda ukuthi ilawula kahle kangakanani izimpawu zakho futhi angase alungise uhlelo lwakho lokwelashwa ngokususelwa ekuphenduleni kwakho. Abanye abantu abane-angina bayithatha okwesikhashana ngenkathi belulama ezindleleni zenhliziyo, kanti abanye bayidinga isikhathi eside.

Ungayeki ukuthatha i-amlodipine ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela umfutho wegazi lakho ukuthi ukhuphuke ngendlela eyingozi, okungaholela ezinkingeni ezinzima njengokuhlaselwa yinhliziyo noma unhlangothi.

Yiziphi Imiphumela Eceleni Ye-Amlodipine?

Abantu abaningi bayakwazi ukumelana kahle ne-amlodipine, kodwa njengayo yonke imithi, ingabangela imiphumela emibi kwabanye abantu. Izindaba ezinhle ukuthi imiphumela emibi engathi sína ayivamile, futhi abantu abaningi ababi nayo imiphumela emibi nhlobo.

Ake siqale ngemiphumela emibi evame kakhulu ongase uyibone, sikhumbula ukuthi lezi zivame ukuba mnene futhi zivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi:

• Ukuvuvukala ezinyaweni zakho, emaqakaleni, noma emilenzeni - Lokhu kwenzeka ngoba i-amlodipine ingabangela ukuthi uketshezi luqoqane emzimbeni wakho ongezansi
• Isiyezi noma ukungaqiniseki - Ikakhulukazi uma usukuma ngokushesha, njengoba umfutho wegazi lakho ulungiswa
• Ukuzizwa ukhathele noma ukozela - Umzimba wakho ungase udinge isikhathi sokujwayela umfutho wegazi ophansi
• Ukubomvu noma ukuzizwa ufudumele - Lokhu kwenzeka ngoba imithambo yakho yegazi iphumule kakhulu
• Ukuhlunguphala kwekhanda - Ngokuvamile kumnene futhi okwesikhashana njengoba umzimba wakho uzivumelanisa
• Ubuhlungu besisu noma isicanucanu - Ukuyithatha nokudla kungasiza ekunciphiseni lezi zimpawu

Le miphumela emibi evamile ngokuvamile iba ngaphansi kokuqashelwa ngemva kwamasonto ambalwa ukuthatha umuthi. Kodwa-ke, uma ziqhubeka noma zikuphazamisa kakhulu, khuluma nodokotela wakho mayelana nokulungisa umthamo wakho.

Manje, ake sixoxe ngemiphumela emibi engavamile kodwa engathi sína edinga ukunakekelwa kwezempilo ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ukuvuvukala okukhulu ebusweni bakho, ezindebeni, olwimini, noma emqaleni - Lokhu kungabonisa ukusabela okukhulu komzimba
• Ukuphefumula kanzima noma ukugwinya - Esinye isibonakaliso sokusabela okungenzeka kube kubi komzimba
• Isiyezi esikhulu noma ukuquleka - Lokhu kungasho ukuthi umfutho wegazi lakho wehle kakhulu
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile - Nakuba kungavamile, lokhu kungenzeka ngezikhathi ezithile
• Ubuhlungu obukhulu besisu - Ngokuvamile, lokhu kungabonisa inkinga enkulu

Uma uhlangabezana nanoma yimaphi alawa maphuzu amabi, funa usizo lwezokwelapha ngokushesha. Lezi zindlela zokwenza azivamile kodwa zidinga ukwelashwa ngokushesha uma zenzeka.

Ubani Ongafanele Athathe I-Amlodipine?

Ngenkathi i-amlodipine iphephile kubantu abaningi, abanye abantu kufanele bagweme lo muthi noma bawuse ngokucophelela okwengeziwe. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwubhala.

Akufanele uthathe i-amlodipine uma wake waba nokusabela komzimba kuyo noma kuma-calcium channel blockers afanayo esikhathini esidlule. Izimpawu zokusabela komzimba zihlanganisa ukuqubuka, ukuluma, ukuvuvukala, isiyezi esikhulu, noma ukungaphefumuli kahle.

Abantu abanezifo zenhliziyo ezithile badinga ukucatshangelwa okukhethekile ngaphambi kokuthatha i-amlodipine. Uma unenhliziyo ehlulekayo enkulu, udokotela wakho angase akhethe omunye umuthi ngoba i-amlodipine ngezikhathi ezithile ingenza lesi simo sibe sibi kwabanye abantu.

Abesifazane abakhulelwe ngokuvamile kufanele bagweme i-amlodipine, ikakhulukazi ngesikhathi sokukhulelwa kokuqala. Uma ukhulelwe noma uhlela ukukhulelwa, khuluma nodokotela wakho mayelana nezinye izindlela eziphephile zokulawula umfutho wegazi lakho ngesikhathi sokukhulelwa.

Abantu abanezifo zesibindi ezinzima bangase badinge umthamo ophansi we-amlodipine ngoba isibindi sabo sicubungula umuthi kancane. Udokotela wakho uzokugada eduze uma unezinkinga zesibindi.

Amagama Omkhiqizo we-Amlodipine

I-Amlodipine itholakala ngaphansi kwamagama amaningi emakethe, nakuba inguqulo ejwayelekile isebenza kahle futhi ibiza kakhulu. Igama elivamile emakethe i-Norvasc, okuyilo elalivela ekuqaleni lapho i-amlodipine iqala ukutholakala.

Amanye amagama emakethe afaka i-Katerzia, okuyifomu eliwuketshezi le-amlodipine elivame ukusetshenziselwa izingane ezingakwazi ukugwinya amaphilisi. Kukhona futhi i-Azor ne-Exforge, okuyimithi ehlanganisiwe equkethe i-amlodipine kanye neminye imithi yokwehlisa umfutho wegazi.

Noma ngabe uthatha igama lomkhiqizo noma inguqulo ejwayelekile, uthola isithako esifanayo esisebenzayo esisebenza ngendlela efanayo. Izinhlelo eziningi zomshuwalense zikhetha inguqulo ejwayelekile ngoba iyonga kakhulu ngenkathi inikeza izinzuzo ezifanayo.

Ezinye izindlela ze-Amlodipine

Uma i-amlodipine ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, imithi eminingi ehlukile ingelapha ngempumelelo umfutho wegazi ophezulu nobuhlungu besifuba. Udokotela wakho angakusiza ukuthi uthole inketho engcono kakhulu yesimo sakho esithile.

Ezinye izivimbeli zesiteshi se-calcium zifaka i-nifedipine, esebenza ngendlela efana ne-amlodipine kodwa isebenza isikhashana futhi ingase ibangele ukukhukhumala okuncane kwamaqakala. I-Diltiazem enye inketho esiza futhi ngezinkinga zesigqi senhliziyo.

Ama-ACE inhibitors afana ne-lisinopril noma i-enalapril asebenza ngendlela ehlukile ngokuvimba i-hormone eqinisa imithambo yegazi. Le mithi ivame ukukhethwa kubantu abanesifo sikashukela noma isifo sezinso ngoba inikeza ukuvikelwa okwengeziwe kwalezi zitho.

Ama-ARBs (angiotensin receptor blockers) afana ne-losartan noma i-valsartan asebenza ngendlela efana nama-ACE inhibitors kodwa angase abangele imiphumela emincane engemihle efana nokukhwehlela. Ama-Beta-blockers afana ne-metoprolol angasiza ngomfutho wegazi nobuhlungu besifuba, ikakhulukazi uma uke wahlaselwa yinhliziyo.

Ama-Diuretics, noma

Ingabe i-Amlodipine ingcono kune-Lisinopril?

Kokubili i-amlodipine ne-lisinopril ziyimithi ekhethekile yokuqala yokwelapha umfutho wegazi ophezulu, kodwa zisebenza ngezindlela ezihlukene futhi zingase zifaneleke kangcono kubantu abahlukene. Akukho noyedwa 'ongcono' kunomunye.

I-Amlodipine ivame ukusebenza kahle ekwehliseni umfutho wegazi kubantu abadala kanye nabantu abavela e-Afrika. Futhi ingcono kulabo abanezinhlungu zesifuba kanye nomfutho wegazi ophezulu ngoba iqondisa ngqo imithambo yegazi enikeza inhliziyo.

I-Lisinopril ingase ithandwe uma unesifo sikashukela, isifo sezinso, noma ukuhluleka kwenhliziyo ngoba inikeza ukuvikelwa okwengeziwe kulezi zimo. Futhi mancane amathuba okuthi kubangele ukuvuvukala kwamaqakala, okuthile abanye abantu abakuthola kucasula nge-amlodipine.

Odokotela abaningi banikeza imithi yomibili ndawonye ngoba isebenza ngezindlela ezihlukene futhi igcwalisana kahle. Le nhlanganisela ivame ukunikeza ukulawulwa okungcono komfutho wegazi kunomuthi ngamunye uwedwa.

Udokotela wakho uzocabangela izimo zakho zempilo ezithile, eminye imithi, nokuthi ukubekezelela kahle kangakanani inketho ngayinye lapho enquma ukuthi iyiphi engcono kuwe. Ngezinye izikhathi kuthatha ukuzama imithi ehlukene ukuze uthole okulingana kahle.

Imibuzo Evame Ukubuzwa Mayelana ne-Amlodipine

Ingabe i-Amlodipine iphephile ezigulini ezinokugula kwezinso?

Yebo, i-amlodipine ngokuvamile iphephile kubantu abanezifo zezinso futhi ingase ngisho isize ukuvikela izinso zakho ekulimaleni okuqhubekayo. Ngokungafani neminye imithi yomfutho wegazi, i-amlodipine ayithinti ngokuphawulekayo ukusebenza kwezinso kubantu abaningi.

Ngokwehlisa umfutho wegazi, i-amlodipine inciphisa ukucindezeleka ohlelweni lwakho lokuhlunga olubucayi lwezinso. Umfutho wegazi ophezulu ungomunye wezimbangela eziphambili zokulimala kwezinso, ngakho ukulawula kuwusizo ukugcina ukusebenza kwezinso ngokuhamba kwesikhathi.

Kodwa-ke, uma unesifo esibi sezinso, udokotela wakho angase akuqale ngomthamo ophansi futhi aqaphele ukusebenza kwezinso zakho ngokucophelela. Abanye abantu abanesifo sezinso esithuthukile bangase badinge ukulungiswa komthamo njengoba isimo sabo siqhubeka.

Kufanele ngenzeni uma ngiphuzile i-Amlodipine eningi ngengozi?

Uma uphuze i-amlodipine eningi ngengozi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa kahle. Ukuphuza okuningi kungabangela ukwehla kwegazi okuyingozi, okungenzeka kungabangeli izimpawu ngokushesha.

Izimpawu zokweqisa kwe-amlodipine zihlanganisa isiyezi esikhulu, ukuquleka, ukushaya kwenhliziyo okusheshayo, noma ukuzizwa ulele kakhulu. Uma uhlangabezana nanoma yiziphi zalezi zimpawu, funa ukunakekelwa kwezempilo okuphuthumayo ngokushesha.

Ungazami ukuzenza uhlanze noma uthathe eminye imithi ukuze ulwe nokweqisa. Ochwepheshe bezokwelapha banokwelashwa okuthile okutholakalayo uma kudingeka, futhi bangakwazi ukuqapha isigqi senhliziyo yakho nomfutho wegazi ngokuphepha.

Ukuvimbela ukweqisa ngengozi, sebenzisa umhleli wamaphilisi futhi usethe izikhumbuzi ocingweni lwakho. Uma ungaqiniseki ukuthi uthathe umthamo wakho wansuku zonke, kuphephe kakhulu ukweqa lolo suku kunokubeka engozini yokuthatha umthamo ophindwe kabili.

Kufanele ngenzeni uma ngiphuthelwe umthamo we-Amlodipine?

Uma uphuthelwe umthamo we-amlodipine, yithathe ngokushesha lapho ukhumbula, ngaphandle kwalapho sekuyisikhathi somthamo wakho olandelayo ohleliwe. Kulokho, weqa umthamo ophuthelwe futhi uqhubeke neshejuli yakho evamile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe, ngoba lokhu kungabangela ukuthi umfutho wegazi wakho wehle kakhulu. Umthamo owodwa ophuthelwe ngeke ubangele izinkinga ngokushesha, kodwa zama ukubuyela emgwaqeni ngeshejuli yakho evamile.

Uma uvame ukukhohlwa imithamo, cabangela ukusetha i-alamu yansuku zonke ocingweni lwakho noma usebenzise umhleli wamaphilisi onezindawo zosuku ngalunye lwesonto. Abanye abantu bakuthola kuwusizo ukuthatha imithi yabo ngesikhathi esifanayo abenza ngaso omunye umsebenzi wansuku zonke, njengokuxubha amazinyo abo.

Ngingayeka nini ukuthatha i-Amlodipine?

Kufanele uyeke kuphela ukuthatha i-amlodipine ngaphansi kokugadwa udokotela wakho, ngisho noma uzizwa umuhle futhi umfutho wegazi lakho ubonakala ujwayelekile. Umuthi cishe uyisizathu sokuthi umfutho wegazi lakho ulawulwa kahle.

Abanye abantu bangase bakwazi ukunciphisa noma bayeke i-amlodipine uma benza izinguquko ezinkulu zokuphila njengokunciphisa isisindo, ukuzivocavoca njalo, ukunciphisa ukudla usawoti, nokuphatha ingcindezi. Kodwa-ke, lezi zinguquko zidinga ukugcinwa isikhathi eside ukuze kugcinwe izinzuzo.

Udokotela wakho uzofuna ukuqapha umfutho wegazi lakho eduze uma ucabangela ukuyeka i-amlodipine. Bangase banciphise kancane kancane umthamo wakho kunokuthi bayeke ngokuphazima kweso ukuze babone ukuthi umzimba wakho usabela kanjani.

Uma ukhathazekile ngokuthatha imithi isikhathi eside, xoxa ngemizwa yakho nodokotela wakho. Bangakusiza ukuthi uqonde izinzuzo nezingozi zokuqhubeka nokwelashwa uma kuqhathaniswa nokuyeka, ngokusekelwe esimweni sakho sempilo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Amlodipine?

Ungaphuza utshwala ngokulinganisela ngenkathi uthatha i-amlodipine, kodwa qaphela ukuthi utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi yomuthi. Lokhu kusho ukuthi ungase uzizwe unesiyezi noma unekhanda elingasindi kunokujwayelekile.

Zilinganisele ukuthi ungaphezu kwesisodwa ngosuku uma ungumuntu wesifazane noma iziphuzo ezimbili ngosuku uma ungumuntu wesilisa, okuyizona zincomo ezijwayelekile zabantu abanomfutho wegazi ophezulu. Isiphuzo esisodwa silingana nama-ounces angu-12 e-beer, ama-ounces angu-5 ewayini, noma ama-ounces angu-1.5 e-liquor eqinile.

Naka ukuthi uzizwa kanjani uma uphuza ngenkathi uthatha i-amlodipine. Uma uqaphela ukwanda kwesiyezi, ukungabi nesisindo ekhanda, noma uzizwa ubuthakathaka, kungase kudingeke ukuthi unciphise ukudla kwakho utshwala ngokuqhubekayo noma ukukugweme ngokuphelele.

Khumbula ukuthi ukusetshenziswa ngokweqile kotshwala kungakhuphula umfutho wegazi futhi kuphazamise ukusebenza kahle komuthi wakho. Uma ubhekene nobunzima bokusebenzisa utshwala, khuluma nodokotela wakho mayelana nezinsiza ezingakusiza ukuthi unciphise ukudla kwakho ngokuphepha.