Yini i-Amlodipine-Valsartan-Hydrochlorothiazide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Amlodipine-valsartan-hydrochlorothiazide iyinhlanganisela yomuthi wokwehlisa umfutho wegazi ohlanganisa imithi emithathu ehlukene epilini elilodwa. Le nhlanganisela ephindwe kathathu isebenza ngokugxila kumfutho wakho wegazi evela ezindaweni eziningi, okwenza kube lula ukuphatha umfutho wegazi ophezulu lapho imithi eyodwa ingasebenzi kahle yodwa.

Cabanga ngayo njengendlela yokusebenzisana empilweni yakho yenhliziyo. Isithako ngasinye sinendima yaso, kodwa ndawonye bakha isixazululo esibanzi sokugcina umfutho wakho wegazi ebangeni elinempilo.

Yini i-Amlodipine-Valsartan-Hydrochlorothiazide?

Lo muthi uhlanganisa ukwelashwa komfutho wegazi okuthathu okufakazelwe epilini elilodwa lansuku zonke. I-Amlodipine iphumuza imithambo yakho yegazi, i-valsartan ivimba amahomoni aqinisa imithambo yegazi, kanti i-hydrochlorothiazide isiza umzimba wakho ukuthi ukhiphe amanzi nosawoti owedlulele.

Udkt wakho uvame ukukuyala le nhlanganisela uma udinga imithi yomfutho wegazi engaphezu kweyodwa ukuze ufinyelele izinombolo zakho eziqondiwe. Esikhundleni sokuthatha amaphilisi amathathu ahlukene, uthola lula lomuthi owodwa obhekana nezimbangela eziningi zomfutho wegazi ophezulu.

Le nhlanganisela ilusizo ikakhulukazi kubantu abanomfutho wegazi oqhubekayo ngaphandle kokuzama imithi eyodwa. Yenzelwe ukwenza ukwelashwa kwakho kube lula ngenkathi kunikezwa ukulawulwa komfutho wegazi okubanzi.

Isetshenziselwani i-Amlodipine-Valsartan-Hydrochlorothiazide?

Lo muthi welapha umfutho wegazi ophezulu, obuye ubizwe nge-hypertension. Umfutho wegazi ophezulu ubeka ingcindezi eyengeziwe enhliziyweni yakho nasemithanjeni yegazi, okungaholela ezinkingeni ezinkulu zempilo ngokuhamba kwesikhathi uma ingelashwa.

Udktela wakho angase akunike le nhlanganisela uma ukufundwa kwengcindezi yakho yegazi kuhlala ngaphezu kuka-130/80 mmHg ngokuqhubekayo naphezu kwezinguquko zokuphila noma imithi eyodwa. Isebenza ikakhulukazi uma udinga izinzuzo zazo zonke izinhlobo ezintathu zemithi yengcindezi yegazi.

Umuthi ungasiza futhi ukunciphisa ingozi yakho yokuhlaselwa yinhliziyo, ukushaywa unhlangothi, nezinkinga zezinso ezivame ukuthuthuka lapho ingcindezi yegazi ihlala iphezulu isikhathi eside. Ngokugcina ingcindezi yakho yegazi ebangeni elinempilo, uvikela yonke imithambo yakho yenhliziyo.

Isebenza Kanjani I-Amlodipine-Valsartan-Hydrochlorothiazide?

Le nhlanganisela yomuthi isebenza ngezindlela ezintathu ezihlukene ukwehlisa ingcindezi yakho yegazi ngempumelelo. Isici ngasinye siqondisa indlela ethile enegalelo ekunyukeni kwengcindezi yegazi.

I-Amlodipine ingeyeqembu elibizwa ngokuthi ama-calcium channel blockers. Isebenza ngokukhulula imisipha ezindongeni zemithambo yakho yegazi, ivumela ukuthi yande futhi inciphise ingcindezi ngaphakathi. Cabanga ngayo njengokuvula ipayipi lengadi elivaliwe kancane ukuze amanzi ageleze kalula.

I-Valsartan iyi-ARB (angiotensin receptor blocker) evimbela i-hormone ebizwa ngokuthi i-angiotensin II ukuthi ingaqinisi imithambo yakho yegazi. Le hormone ngokwemvelo yenza imithambo yegazi iqine, ngakho ukuyivimba kusiza ukugcina imithambo yakho ikhululekile futhi ivulekile.

I-Hydrochlorothiazide iyi-diuretic, evame ukubizwa ngokuthi

Thatha lo muthi ngendlela eqondile udokotela wakho ayala ngayo, ngokuvamile kanye ngosuku ekuseni. Ungawuthatha ngaphandle noma ngaphandle kokudla, kodwa zama ukuwuthatha ngesikhathi esifanayo nsuku zonke ukuze ugcine amazinga egazi aqhubekayo.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uyihlafune, noma uyihlukanise ithebhulethi ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo. Ithebhulethi yenzelwe ukukhipha umuthi ngendlela efanele uma igwinywe iphelele.

Uma uyithatha ekuseni, ukuyithatha nebhulakufesi kungakusiza ukuthi ukhumbule umthamo wakho wansuku zonke. Abanye abantu bathola ukuthi ukuyithatha nokudla kunciphisa noma yikuphi ukuphazamiseka kwesisu okuncane, nakuba lokhu kungadingeki ukuze umuthi usebenze ngempumelelo.

Njengoba lo muthi uqukethe i-diuretic, ukuwuthatha ekuseni kusiza ekuvikeleni ukuya endlini yangasese ebusuku. Umphumela wamaphilisi amanzi uvame ukubonakala emahoreni ambalwa okuqala ngemva kokuthatha umthamo wakho.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Amlodipine-Valsartan-Hydrochlorothiazide?

Abantu abaningi badinga ukuthatha lo muthi isikhathi eside ukuze bagcine umfutho wegazi labo ulawulwa. Umfutho wegazi ophezulu ngokuvamile uyisimo esingapheli esidinga ukuphathwa okuqhubekayo kunokwelashwa kwesikhashana.

Kungenzeka uzoqala ukubona ukuthuthuka komfutho wegazi phakathi kwamasonto angu-2-4 ngemva kokuqala umuthi. Nokho, kungathatha amasonto angafika kwangu-8 ukuzwa imiphumela ephelele yokwehlisa umfutho wegazi yalolu hlobo.

Udokotela wakho uzoqapha umfutho wegazi lakho njalo futhi angase alungise umthamo wakho ngokusekelwe ekutheni usabela kahle kangakanani. Noma ngabe uzizwa ujwayelekile ngokuphelele, kubalulekile ukuqhubeka nokuthatha umuthi njengoba uyalelwe ngoba umfutho wegazi ophezulu ngokuvamile awunawo ama-symptoms.

Ungayeki ukuthatha lo muthi ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Ukuyeka kungazelelwe kungabangela umfutho wegazi lakho ukuthi ukhuphuke ngendlela eyingozi, okungaholela ezinkingeni ezinzima.

Yiziphi Imiphumela Eceleni Ye-Amlodipine-Valsartan-Hydrochlorothiazide?

Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

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

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukuvuvukala emaqakaleni akho, ezinyaweni, noma ezandleni
• Ukunyuka kokuchama, ikakhulukazi emasontweni ambalwa okuqala
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukukhathwa yikhanda
• Ukucasuka kwesisu noma isisu esincane
• Ukuhambisa imisipha noma ubuthakathaka
• Ukhwehlela olomile (akuvamile njengama-ACE inhibitors)

Le miphumela emibi ejwayelekile ivame ukuba ngaphansi kokuphazamisa njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma ziphazamisa imisebenzi yakho yansuku zonke, khuluma nodokotela wakho mayelana nokulungiswa okungenzeka.

Eminye imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezokwelapha ngokushesha. Nakuba lokhu kungavamile, kubalulekile ukukwazi:

• Isiyezi esibi noma ukuquleka
• Ukushaya kwenhliziyo okusheshayo noma okungajwayelekile
• Ukuvuvukala okukhulu kobuso, izindebe, ulimi, noma umphimbo
• Ukuphefumula kanzima noma ukugwinya
• Ubuthakathaka obukhulu bemisipha noma amajaqamba
• Ukuphuzi kwesikhumba noma amehlo
• Ubuhlungu obukhulu besisu
• Izimpawu zezinkinga zezinso (izinguquko ekuchameni, ukuvuvukala)

Uma uhlangabezana nanoma iyiphi yale miphumela emibi ebucayi, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezimo eziphuthumayo. Nakuba kungavamile, lezi zimpawu zingabonisa izinkinga ezingathi sína ezidinga ukwelashwa ngokushesha.

Ubani Ongafanele Athathe i-Amlodipine-Valsartan-Hydrochlorothiazide?

Lo muthi awulungele wonke umuntu. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela le nhlanganisela ukuze aqinisekise ukuthi iphephile kuwe.

Akufanele uthathe lo muthi uma unezimo ezithile zezokwelapha ezingenza kube yingozi:

• Isifo sezinso esibi noma uma use-dialysis
• Isifo sesibindi esibi
• Ukungakwazi ukuchama (anuria)
• Ukukhulelwa noma ukuhlela ukukhulelwa
• Ukuncelisa
• Ukungezwani komzimba kunoma iyiphi yezingxenye ezintathu
• Umlando we-angioedema (ukuvuvukala okukhulu)

Udokotela wakho uzosebenzisa ukuqapha okwengeziwe uma unesifo sikashukela, i-gout, i-lupus, noma ukungalingani kwe-electrolyte. Lezi zimo akudingeki zikuvimbele ukuthatha umuthi, kodwa zidinga ukuqashwa okuseduze.

Abantu abanezimo ezithile zenhliziyo, njenge-aortic stenosis esibi, bangase badinge ukwelashwa okuhlukile. Udokotela wakho uzohlola isimo sakho senhliziyo esithile ukuze anqume ukuthi le nhlanganisela ilungele yini wena.

Amagama Omkhiqizo we-Amlodipine-Valsartan-Hydrochlorothiazide

Lo muthi ohlanganisiwe uyatholakala ngaphansi kwegama lomkhiqizo elithi Exforge HCT emazweni amaningi. Igama lomkhiqizo lisiza ukumehlukanisa nezinye izinhlanganisela zomfutho wegazi ezingaqukatha imithi ehlukene.

Izinhlobo ze-generic zale nhlanganisela nazo ziyatholakala, eziqulathe izithako ezifanayo ezisebenzayo kodwa zingabiza ngaphansi kwenguqulo yegama lomkhiqizo. Noma ngabe uthola uhlobo lomkhiqizo noma i-generic, umuthi usebenza ngendlela efanayo.

Usokhemisi wakho angakutshela ukuthi iyiphi inguqulo abayihlinzekayo futhi aphendule noma yimiphi imibuzo ngomehluko phakathi kwezinketho zomkhiqizo ne-generic. Zombili izinhlobo kufanele zihlangabezane nezindinganiso ezifanayo zokuphepha nokusebenza kahle.

Ezinye Izindlela ze-Amlodipine-Valsartan-Hydrochlorothiazide

Uma le nhlanganisela ingasebenzi kahle kuwe, ezinye izindlela ezingase zikunikeze ukulawulwa komfutho wegazi okufanayo. Udokotela wakho angase acabangele ezinye izinhlanganisela ezintathu noma amakilasi emithi ahlukene.

Ezinye izinketho zokuhlanganisa kathathu zihlanganisa ama-ACE inhibitors ane-amlodipine kanye ne-hydrochlorothiazide, noma ukuhlanganiswa okuhlukene kwe-ARB. Abanye abantu basabela kangcono ekuhlanganisweni okuhlanganisa izinhlobo ezahlukene zama-diuretics noma imithi yokwehlisa umfutho wegazi.

Udokotela wakho angase futhi acabangele ukuhlanganiswa okubili uma ungasidingi zonke izinto ezintathu, noma angase anqume imithi ehlukene uma udinga amashejuli okulinganisa ahlukene. Okubalulekile ukuthola ukuhlanganiswa okusebenza kahle kakhulu ngendlela yakho ethile yomfutho wegazi nezidingo zempilo.

Ingabe i-Amlodipine-Valsartan-Hydrochlorothiazide ingcono kune-Lisinopril-Hydrochlorothiazide?

Zombili lezi zinhlanganisela ziyasebenza ekwelapheni umfutho wegazi ophezulu, kodwa zisebenza ngezindlela ezahlukene. Ukukhetha phakathi kwazo kuncike ekutheni umzimba wakho usabela kanjani ezinhlotsheni ezahlukene zemithi yokwehlisa umfutho wegazi.

I-Amlodipine-valsartan-hydrochlorothiazide ihlanganisa i-calcium channel blocker ne-ARB kanye ne-diuretic, kuyilapho i-lisinopril-hydrochlorothiazide ihlanganisa i-ACE inhibitor ne-diuretic. Ama-ARB afana ne-valsartan ngokuvamile abangela ukukhwehlela okomile okuncane kune-ACE inhibitors efana ne-lisinopril.

Ukuhlanganiswa kwemithi emithathu kungase kusebenze kahle kubantu abadinga ukwehliswa komfutho wegazi okwengeziwe ngaphezu kwalokho ukuhlanganiswa kwemithi emibili okunganikeza. Kodwa-ke, abanye abantu bafinyelela ekulawuleni okuhle ngokuhlanganiswa kwemithi emibili elula.

Udokotela wakho uzocabangela ukusabela komfutho wegazi lakho, ukubekezelelana nemiphumela emibi, nezinye izimo zempilo lapho ekhetha phakathi kwalezi zinketho. Okusebenza kahle kakhulu kuyahlukahluka kumuntu nomuntu.

Imibuzo Evame Ukubuzwa Mayelana ne-Amlodipine-Valsartan-Hydrochlorothiazide

Ingabe i-Amlodipine-Valsartan-Hydrochlorothiazide iphephile ku-Diabetes?

Lokhu kuhlanganiswa kungaba kuphephile kubantu abanesifo sikashukela, kodwa kudinga ukuqapha okucophelelayo. Ingxenye ye-hydrochlorothiazide ngezinye izikhathi ingathinta amazinga kashukela egazini, nakuba lo mphumela ngokuvamile umnene.

Udktela wakho uzoqapha ushukela wakho wegazi eduze uma uqala lo muthi, ikakhulukazi uma unesifo sikashukela. Ingxenye ye-valsartan ingase inikeze ezinye izinzuzo zokuvikela izinso zakho uma unesifo sikashukela.

Abantu abaningi abanesifo sikashukela bathatha le nhlanganisela ngempumelelo ngenkathi begcina ukulawulwa okuhle kukashukela wegazi. Okubalulekile ukusebenza eduze nethimba lakho lezempilo ukuqapha kokubili umfutho wegazi lakho kanye namazinga kashukela wegazi.

Kufanele Ngenzeni Uma Ngithatha Ngengozi I-Amlodipine-Valsartan-Hydrochlorothiazide Eningi Kakhulu?

Uma ngengozi uthatha ngaphezu komthamo wakho obekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kakhulu kungabangela umfutho wegazi ophansi ngendlela eyingozi, okungaba yingozi.

Izimpawu zokweqisa zihlanganisa isiyezi esikhulu, ukuquleka, ukushaya kwenhliziyo okusheshayo, noma ukuzizwa ubuthakathaka ngokwedlulele. Ungalindi ukubona ukuthi izimpawu ziyavela yini - thola usizo lwezokwelapha ngokushesha uma uthathe okuningi kakhulu.

Ngenkathi ulinde usizo lwezokwelapha, lala phansi futhi uphakamise imilenze yakho uma uzizwa unesiyezi noma ubuthakathaka. Ungashayeli noma usebenzise imishini, futhi ube nomuntu ohlala nawe uma kungenzeka.

Kufanele Ngenzeni Uma Ngiphuthelwa Umthamo We-Amlodipine-Valsartan-Hydrochlorothiazide?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kuleso simo, weqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ohleliwe ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe. Lokhu kungabangela ukuthi umfutho wegazi lakho wehle kakhulu, okuholela eziyezini noma ekuqulekeni.

Uma uvame ukukhohlwa imithamo, zama ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi. Ukulinganisa kwansuku zonke okuqhubekayo kubalulekile ekugcineni ukulawulwa komfutho wegazi okuzinzile.

Ngingayeka Nini Ukuthatha I-Amlodipine-Valsartan-Hydrochlorothiazide?

Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kokugadwa udokotela wakho. Umfutho wegazi ophezulu ngokuvamile uyisimo esihlala impilo yonke esidinga ukwelashwa okuqhubekayo ukuvimbela izinkinga.

Noma ngabe ukufundwa komfutho wegazi lakho kujwayelekile, lokhu ngokuvamile kusho ukuthi umuthi uyasebenza, hhayi ukuthi awusawudingi. Ukuyeka umuthi cishe kuzobangela ukuthi umfutho wegazi lakho uphinde unyuke.

Udokotela wakho angase acabange ukunciphisa umthamo wakho noma ashintshe imithi uma uba nemiphumela emibi, kodwa bazofuna ukuqinisekisa ukuthi umfutho wegazi lakho uhlala ulawulwa kuyo yonke lezi zinguquko.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Amlodipine-Valsartan-Hydrochlorothiazide?

Ungaba neziphuzo ezinotshwala ngezikhathi ezithile, kodwa utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi yalo muthi. Lokhu kusho ukuthi ungase uzizwe unesiyezi noma ukhathele kakhulu kunokujwayelekile ngemuva kokuphuza.

Khawulela ukuthatha utshwala emazingeni aphakathi nendawo - okungaphezu kwesisodwa ngosuku kwabesifazane noma iziphuzo ezimbili ngosuku kwabesilisa. Phuza kancane futhi uqaphele kakhulu lapho usukuma, njengoba le nhlanganisela ingakhuphula ingozi yakho yesiyezi.

Uma uqaphela ukwanda kwesiyezi noma eminye imiphumela emibi lapho uphuza utshwala, khuluma nodokotela wakho. Bangase batusa ukugwema utshwala noma ukulungisa isikhathi somuthi wakho.