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

I-Enalapril iyimithi kadokotela esiza ukwehlisa umfutho wegazi futhi isekela impilo yenhliziyo. Ingaphansi kweqembu lemithi ebizwa ngokuthi ama-ACE inhibitors, asebenza ngokukhulula imithambo yakho yegazi ukuze igazi ligeleze kalula emzimbeni wakho.

Uma unikezwe i-enalapril, ungase ube nemibuzo mayelana nokuthi isebenza kanjani, okulindelekile, nokuthi uyithatha kanjani ngokuphepha. Ake sihambe kukho konke okudingeka ukwazi ngale mithi enobungane benhliziyo ngendlela enengqondo.

Yini i-Enalapril?

I-Enalapril iyi-ACE inhibitor esiza uhlelo lwakho lwe-cardiovascular ukuthi lusebenze kahle. I-ACE imelela “i-angiotensin-converting enzyme,” okuyinto emzimbeni wakho engenza imithambo yegazi iqine.

Cabanga nge-enalapril njengomsizi omnene otshela imithambo yakho yegazi ukuthi iphumule futhi yande. Uma imithambo yakho yegazi iphumule kakhulu, inhliziyo yakho akudingeki isebenze kanzima ukuze ipompe igazi emzimbeni wakho. Lokhu kwenza kube lula ukuthi inhliziyo yakho yenze umsebenzi wayo futhi kusiza ukwehlisa umfutho wegazi ophezulu.

Odokotela bebelokhu beqoka i-enalapril amashumi eminyaka ngoba isebenza kahle futhi ifundwe kahle. Ithathwa njengokwelashwa okuthembekile, okokuqala kwemigqa yezimo eziningana zenhliziyo nomfutho wegazi.

Isetshenziselwani i-Enalapril?

I-Enalapril iphatha umfutho wegazi ophezulu nezimo eziningana zenhliziyo ezizuzayo ekugayeni igazi okulula. Udokotela wakho angase akukhiphe uma une-hypertension, ukuhluleka kwenhliziyo, noma uma usengozini yezinkinga zenhliziyo ngemva kokuhlaselwa yinhliziyo.

Nazi izimo eziyinhloko i-enalapril esiza ngazo, ngasinye sinendima ebalulekile ekuvikeleni inhliziyo yakho:

• Umfutho wegazi ophezulu (i-hypertension) - kusiza ukuvimbela ukushaywa unhlangothi, ukuhlaselwa yinhliziyo, nezinkinga zezinso
• Ukwehluleka kwenhliziyo - kwenza kube lula ukuthi inhliziyo yakho ipompe igazi ngempumelelo
• Ukungasebenzi kahle kwe-ventricular yesobunxele - kusekela ukusebenza kwenhliziyo ngemva kokulimala okuvela ekuhlaselweni yinhliziyo
• Isifo sezinso esibangelwa yisifo sikashukela - sisiza ukuvikela izinso zakho ekulimaleni okubangelwa yisifo sikashukela
• Ukuvimbela izinkinga zenhliziyo kubantu abanesifo semithambo yenhliziyo

Ngezinye izikhathi odokotela banikeza i-enalapril ngezimo ezingavamile njengezifo ezinzima zezinso noma ukusiza ukuvimbela i-migraines. Umhlinzeki wakho wezempilo uzokuchazela ngqo ukuthi kungani bekuncoma ngesimo sakho esithile.

Isebenza Kanjani I-Enalapril?

I-Enalapril isebenza ngokuvimba i-enzyme eyenza imithambo yakho yegazi iqine. Leli yimithi enamandla aphakathi nendawo edala izinguquko ezithambile, eziqhubekayo ohlelweni lwakho lwe-cardiovascular kunokushintsha okukhulu.

Umzimba wakho ngokwemvelo ukhiqiza i-hormone ebizwa nge-angiotensin II, etshela imithambo yakho yegazi ukuthi inciphe futhi izinso zakho zibambe usawoti namanzi. I-Enalapril ingena futhi ivimbele le hormone ukuthi ingakheki, okwenza imithambo yakho yegazi ihlale iphumule futhi izinso zakho zikhiphe uketshezi oluningi.

Le nqubo yenzeka kancane kancane emahoreni amaningana, yingakho i-enalapril inikeza ukulawulwa komfutho wegazi okuqhubekayo, okuhlala isikhathi eside. Ngeke uzizwe imithi isebenza ngokushesha, kodwa ithule isekela inhliziyo yakho nemithambo yegazi usuku lonke.

Kufanele Ngiyithathe Kanjani I-Enalapril?

Thatha i-enalapril ngendlela eqondile udokotela wakho ayincomile, ngokuvamile kanye noma kabili ngosuku ngaphandle kokudla. Ungayithatha ngamanzi, ubisi, noma ijusi - noma yini ezizwa ikhululekile esiswini sakho.

Abantu abaningi bakuthola kuwusizo ukuthatha i-enalapril ngesikhathi esifanayo nsuku zonke ukuze bakhe umkhuba. Uma uyithatha kabili ngosuku, zama ukuhlukanisa imithamo cishe ngamahora angu-12. Ukuyithatha ngesidlo sasekuseni nesakusihlwa kuvame ukusebenza kahle kubantu abaningi.

Akudingeki ukhathazeke ngalokho okudlayo ngaphambi kokuthatha i-enalapril, nakuba ukuhlala unamanzi njalo kulungile empilweni yakho yonke. Uma uhlangabezana nanoma yikuphi ukuphazamiseka kwesisu, ukuyithatha ngesnakhi esincane kungasiza, kodwa lokhu akudingekile.

Njalo gwinya amaphilisi wonke ngamanzi. Ungawachobozi, uwahlafune, noma uwaphule ngaphandle uma udokotela wakho ekutshela ngqo ukuthi wenze njalo.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Enalapril?

Abantu abaningi bathatha i-enalapril izinyanga kuya eminyakeni, futhi abanye bangase bayidinge isikhathi eside ukuze balawule umfutho wegazi labo noma isimo senhliziyo. Ubude besikhathi sincike ezidingweni zakho zempilo ezithile nokuthi usabela kahle kangakanani emuthini.

Ukuze kulawulwe umfutho wegazi ophezulu, i-enalapril ngokuvamile iyindlela yokwelapha yesikhathi eside njengoba ukulawulwa komfutho wegazi kuyinqubo eqhubekayo. Uma uyithatha ngenxa yokuhluleka kwenhliziyo noma ngemva kokuhlaselwa yinhliziyo, udokotela wakho uzoqapha inqubekela phambili yakho futhi alungise uhlelo njengoba impilo yenhliziyo yakho ithuthuka noma ishintsha.

Ungayeki ukuthatha i-enalapril ngokuzumayo ngaphandle kokukhuluma nodokotela wakho kuqala. Umzimba wakho udinga isikhathi sokuzivumelanisa, futhi ukuyeka kungazelelwe kungabangela ukuthi umfutho wegazi lakho ukhuphuke noma ubeke ingcindezi eyengeziwe enhliziyweni yakho.

Yiziphi Imiphumela Eceleni Ye-Enalapril?

Njengayo yonke imithi, i-enalapril ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela emibi evame kakhulu ivame ukuba mnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumelanisa nomuthi.

Nansi imiphumela emibi ongase uyithole, ukhumbula ukuthi abantu abaningi abanayo imiphumela emibi:

• Ukhwehlela olomile - kuthinta cishe u-10-15% wabantu abathatha ama-ACE inhibitors
• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ikhanda
• Isicanucanu noma isisu esibuhlungu
• Ukuqubuka kwesikhumba okuncane

Abanye abantu bahlangabezana nemiphumela emibi engavamile kodwa ebucayi edinga ukunakekelwa kwezokwelapha. Lokhu kwenzeka ngezikhathi ezithile kodwa kubalulekile ukwazi ukuthi yini okufanele uyibheke:

• Ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo (i-angioedema) - funa usizo lwezokwelapha ngokushesha
• Isiyezi esikhulu noma ukuquleka
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukuphendula kwesikhumba okukhulu noma ukuqubuka okusabalale
• Izimpawu zezinkinga zezinso njengoshintsho ekuchameni noma ukuvuvukala emilenzeni
• Amazinga aphezulu e-potassium (udokotela wakho uzokwengamela lokhu ngezivivinyo zegazi)

Uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo, unganqikazi ukuxhumana nomhlinzeki wakho wezempilo. Bangasiza ekutholeni ukuthi imiphumela emibi ihlobene yini ne-enalapril futhi balungise ukwelashwa kwakho uma kudingeka.

Ubani Ongafanele Athatha I-Enalapril?

I-Enalapril ayiphephile kuwo wonke umuntu, futhi izimo ezithile zezempilo noma izimo zenza ingafaneleki. Udokotela wakho uzobuyekeza umlando wakho wezokwelapha ngokucophelela ngaphambi kokunquma lo muthi.

Akufanele uthathe i-enalapril uma unomlando we-angioedema (ukuvuvukala okukhulu kobuso, izindebe, noma umphimbo) ovela kuma-ACE inhibitors, noma uma unenkinga yokungezwani komzimba ne-enalapril noma imithi efanayo. Ukukhulelwa kungenye into ebalulekile okufanele icatshangelwe ngoba i-enalapril ingalimaza izingane ezisakhula.

Nazi izimo lapho i-enalapril ingase ingakulungele khona:

• Ukuphendula komzimba ngaphambilini kuma-ACE inhibitors
• Umlando we-angioedema nganoma iyiphi imbangela
• Ukukhulelwa noma ukuhlela ukukhulelwa
• Isifo sezinso esibi kakhulu
• Umfutho wegazi ophansi kakhulu
• Ezinye izinkinga ze-valve yenhliziyo
• Amazinga aphezulu e-potassium egazini lakho

Udokotela wakho uzophinda aqaphele kakhulu uma unesifo sikashukela, izinkinga zezinso, isifo sesibindi, noma uma uthatha eminye imithi ethile. Bangase bakuqale ngomthamo ophansi noma bakuqaphele eduze.

Amagama Omkhiqizo we-Enalapril

I-Enalapril itholakala ngaphansi kwamagama amaningi omkhiqizo, i-Vasotec iyona eyaziwa kakhulu e-United States. Ungase futhi uyibone inqunywe njenge-Epaned, okuyifomu eliwuketshezi elilula kubantu abathile ukulithatha.

I-enalapril ejwayelekile itholakala kabanzi futhi isebenza kahle njengoba kwenza nezinhlobo ezinamagama. Izinhlelo eziningi zomshuwalense zikhetha uhlobo olujwayelekile ngoba lubiza kancane ngenkathi lunikeza izinzuzo ezifanayo.

Noma ngabe uthola i-enalapril enegama noma ejwayelekile, isithako esisebenzayo nokusebenza kahle kuyafana. Umuthi wakho wemithi angaphendula noma yimiphi imibuzo mayelana nokuthi iyiphi inguqulo oyitholayo.

Ezinye izindlela ze-Enalapril

Uma i-enalapril ingasebenzi kahle kuwe noma idala imiphumela engathandeki, eminye imithi eminingi inganikeza izinzuzo ezifanayo. Udokotela wakho angase ancome ukuzama i-ACE inhibitor ehlukile noma ashintshele ohlotsheni oluhlobene lomuthi.

Ezinye izithiyo ze-ACE ezisebenza ngendlela efanayo ne-enalapril zifaka i-lisinopril, i-captopril, ne-ramipril. Ama-ARBs (ama-angiotensin receptor blockers) afana ne-losartan noma i-valsartan anikeza enye inketho, ikakhulukazi uma uthola ukukhwehlela okomile okwenzeka ngezinye izikhathi nge-ACE inhibitors.

Kwabanye abantu, ama-calcium channel blockers, ama-beta-blockers, noma ama-diuretics angaba izinqumo ezingcono kuye ngesimo sabo sempilo esithile. Udokotela wakho uzocabangela umlando wakho wezokwelapha, eminye imithi, nokuthi usabele kahle kangakanani ekwelashweni lapho encoma ezinye izindlela.

Ingabe i-Enalapril ingcono kune-Lisinopril?

Kokubili i-enalapril ne-lisinopril ziyizithiyo ezinhle kakhulu ze-ACE ezisebenza ngendlela efanayo emzimbeni wakho. Akukho noyedwa othi ngokuqinisekile "ungcono" kunomunye - ukukhetha kuvame ukwehla ezintweni zomuntu ngamunye njengokuthi ukubekezelela kahle kangakanani umuthi ngamunye kanye nezintandokazi zakho zokulinganisa.

Umehluko omkhulu ongokoqobo ukuthi i-enalapril ivame ukuthathwa kabili ngosuku ngenkathi i-lisinopril ithathwa kanye ngosuku. Abanye abantu bakhetha ukulula kokulinganisa kanye ngosuku, kanti abanye bathola ukuthi ukulinganisa kabili ngosuku kunikeza ukulawulwa komfutho wegazi okuqhubekayo usuku lonke.

Imithi yomibili inezinhlangothi ezifanayo futhi iyasebenza ekwelapheni umfutho wegazi ophezulu nezifo zenhliziyo. Udokotela wakho angase akhethe enye ngaphezu kwenye ngokusekelwe emlandweni wakho wezokwelapha, eminye imithi oyithathayo, noma nje ulwazi lwabo lwezempilo ngemithi ngayinye.

Imibuzo Evame Ukubuzwa Mayelana ne-Enalapril

Ingabe i-Enalapril iphephile ezigulini ezinokugula kwezinso?

I-Enalapril ingasiza ngempela ukuvikela izinso zakho ezimweni eziningi, ikakhulukazi uma unesifo sikashukela noma isifo sezinso esingesibi kakhulu. Kodwa-ke, idinga ukusetshenziswa ngokucophelela futhi iqashwe eduze uma unezinkinga ezinzima zezinso.

Udokotela wakho uzohlola ukusebenza kwezinso zakho ngemivivinyo yegazi ngaphambi kokuqala i-enalapril futhi njalo ngenkathi uyithatha. Uma ukusebenza kwezinso zakho kuncishiswe kakhulu, bangase bakhethe omunye umuthi noma basebenzise umthamo ophansi we-enalapril.

Imiphumela yokuvikela izinso ye-enalapril ingenye yezizathu ezenza odokotela bavame ukuyinika abantu abanesifo sikashukela, ngoba isifo sikashukela singalimaza izinso ngokuhamba kwesikhathi.

Ngingenzani uma ngithatha i-Enalapril eningi ngengozi?

Uma ngengozi uthatha i-enalapril eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha okuningi kungabangela umfutho wegazi ophansi ngendlela eyingozi, okungase kukwenze uzizwe unesiyezi, ubuthakathaka, noma kukwenze uquleke.

Ngenkathi ulinde iseluleko sezokwelapha, lalela phansi izinyawo zakho ziphakeme futhi gwema ukuvuka ngokushesha. Ungazami ukuzenza uhlanze ngaphandle uma uqondiswe ngqo ukwenza kanjalo ngumhlinzeki wezempilo.

Izimo eziningi zokweqisa zingalawulwa ngokuphepha ngesiqondiso esifanele sezokwelapha, ngakho-ke ungesabi kodwa funa usizo ngokushesha.

Ngingenzani uma ngiphuthelwa umthamo we-Enalapril?

Uma uphuthelwa umthamo we-enalapril, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Uma sekuseduze nesikhathi somthamo wakho olandelayo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ubuyisele umthamo owuphuthelwe, ngoba lokhu kungase kubangele ukuthi umfutho wegazi lakho wehle kakhulu. Ukuphuthelwa umthamo ngezikhathi ezithile ngeke kubangele izinkinga ezinkulu, kodwa zama ukugcina isimiso sakho esivamile ngangokunokwenzeka.

Ukusetha isikhumbuzi sefoni noma ukusebenzisa umhleli wamaphilisi kungakusiza ukuthi ukhumbule ukuthatha imithi yakho njalo.

Ngingayeka nini ukuthatha i-Enalapril?

Kufanele uyeke kuphela ukuthatha i-enalapril ngaphansi kwesiqondiso sikadokotela wakho, ngisho noma uzizwa ungcono. Umfutho wegazi ophezulu nezimo zenhliziyo ngokuvamile azibangeli izimpawu ezisobala, ngakho ukuzizwa kahle akusho ngempela ukuthi awusadingi imithi.

Udokotela wakho angase acabange ukunciphisa umthamo wakho noma ukuyeka i-enalapril uma umfutho wakho wegazi ulawulwe kahle isikhathi eside futhi ushintshe kakhulu indlela yakho yokuphila njengokulahlekelwa isisindo, ukuzivocavoca njalo, nokudla ukudla okunempilo enhliziyo.

Uma uyeka ukuthatha i-enalapril, udokotela wakho uzofuna ukuqapha umfutho wakho wegazi eduze ukuze aqiniseke ukuthi awenyuki ezingeni elingaphephile.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Enalapril?

Ungaba neziphuzo ezinotshwala ngezikhathi ezithile ngenkathi uthatha i-enalapril, kodwa kubalulekile ukuba nesilinganiselo nokuqapha. Kokubili utshwala ne-enalapril kunganciphisa umfutho wegazi lakho, ngakho ukuzihlanganisa kungase kukwenze uzizwe unesiyezi noma unomuzwa wokukhanya ekhanda.

Qala ngezilinganiso ezincane zotshwala ukuze ubone ukuthi umzimba wakho usabela kanjani, futhi gwema ukuphuza amanani amakhulu. Uma uqaphela ukwanda kwesiyezi, ubuthakathaka, noma ezinye izimpawu ezikhathazayo, kungcono ukukhawulela utshwala ngokuqhubekayo noma ukugwema ngokuphelele.

Njalo xoxa ngokusebenzisa kwakho utshwala nodokotela wakho, ikakhulukazi uma uphuza njalo noma unokukhathazeka mayelana nokuthi utshwala bungasebenzisana kanjani nemithi yakho.