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

I-Enalaprilat iyimithi enamandla yokwehlisa umfutho wegazi enikezwa nge-IV ezibhedlela uma udinga ukwehliswa komfutho wegazi okusheshayo, okulawulwayo. Lolu hlobo olujovwayo lwe-ACE inhibitor eyaziwayo i-enalapril isebenza ngokushesha ukusiza ukuphatha izimo eziphuthumayo zomfutho wegazi ophezulu ezingalindi ukuthi imithi yomlomo isebenze.

Uma wena noma othandiweyo wakho nidinga lo muthi, kusho ukuthi ithimba lakho lezokwelapha lithatha isinyathelo esisheshayo sokuvikela inhliziyo yakho nemithambo yegazi. Ake sihambe ngalokho ongakulindela nokuthi le mithi isebenza kanjani ukukugcina uphephile.

Yini i-Enalaprilat?

I-Enalaprilat iyindlela esebenzayo, ejovwayo ye-enalapril eqondana ngqo emgudwini wakho wegazi nge-IV. Ngokungafani nohlobo lwepilisi ongase uluthathe ekhaya, le mithi idlula uhlelo lwakho lokugaya ukudla futhi iqala ukusebenza ngemizuzu embalwa ukwehlisa umfutho wegazi ophezulu ngendlela eyingozi.

Cabanga ngayo njengenguqulo ephuthumayo yomuthi abantu abaningi abawuthatha nsuku zonke. Umzimba wakho ngokuvamile uguqula i-enalapril yomlomo ibe yi-enalaprilat, kodwa uma isikhathi sibucayi, odokotela bayeqela leso sinyathelo bese bekupha uhlobo olusebenzayo ngqo.

Isetshenziselwani i-Enalaprilat?

I-Enalaprilat iphatha izimo eziphuthumayo zomfutho wegazi ophezulu lapho izilinganiso zakho ziphezulu ngendlela eyingozi futhi zidinga ukunakwa ngokushesha. Odokotela bayayisebenzisa uma imithi yomlomo ingasebenzi ngokushesha okwanele noma uma ungenakukwazi ukuthatha amaphilisi ngenxa yesimo sakho sezokwelapha.

Le mithi ikhethwa ngokuqondile ezimweni lapho umfutho wakho wegazi udinga ukwehla kancane kancane kodwa ngokuqinile. Izimo ezivamile zihlanganisa izinhlekelele ze-hypertensive, ukukhuphuka komfutho wegazi ngemva kokuhlinzwa, noma uma ungenakukwazi ukuthatha imithi yakho ejwayelekile yomfutho wegazi ngomlomo.

Ngezinye izikhathi odokotela basebenzisa i-enalaprilat uma ushintsha ekulawuleni umfutho wegazi nge-IV ubuyela emithini yomlomo. Lokhu kusiza ukuqinisekisa ushintsho olubushelelezi, olulawulwayo ohlelweni lwakho lokwelashwa.

Isebenza Kanjani I-Enalaprilat?

I-Enalaprilat isebenza ngokuvimba i-enzyme ebizwa nge-ACE (i-angiotensin-converting enzyme) emzimbeni wakho. Le enzyme ngokuvamile isiza ukudala i-hormone eqinisa imithambo yakho yegazi futhi ikhuphule umfutho wegazi lakho.

Lapho i-enalaprilat ivimba le enzyme, imithambo yakho yegazi ingakhululeka futhi yande, ivumele igazi ukuthi ligeleze kalula. Lokhu kunciphisa ingcindezi ezindongeni zakho zemithambo futhi kunciphisa umsebenzi enhliziyweni yakho.

Umuthi uthathwa njengomuthi onamandla ngokulinganiselwe futhi usebenza ngokushesha uma uqhathaniswa nemithi yomfutho wegazi othathelwa ngomlomo. Ngokuvamile uzobona imiphumela kungakapheli imizuzu eyi-15, nemiphumela ephezulu yenzeka kungakapheli ihora elingu-1 kuya kwangu-4 ngemuva komthamo we-IV.

Kufanele Ngiyithathe Kanjani I-Enalaprilat?

Ngeke 'uyithathe' ngempela i-enalaprilat ngokwakho njengoba inikezwa kuphela ochwepheshe bezokwelapha abaqeqeshiwe nge-IV esibhedlela noma endaweni yezokwelapha. Ithimba lakho lezempilo lizolawula ngokucophelela ukuthi uyithola nini futhi ngobuningi obungakanani ngokusekelwe ekufundweni komfutho wegazi lakho kanye nesimo sakho esiphelele.

Umuthi uza njengesixazululo esicacile esixutshwa nezinye iziphuzo ze-IV noma unikezwe ngokuqondile ngomugqa wakho we-IV. Abahlengikazi bakho bazogada umfutho wegazi lakho ngokucophelela ngaphambi, ngesikhathi, nangemva komthamo ngamunye ukuze baqinisekise ukuthi usebenza ngokuphepha.

Njengoba lokhu kuyimithi enikezwa esibhedlela, akudingeki ukhathazeke ngokuyihlela nezidlo noma ukukhumbula imithamo. Ithimba lakho lezokwelapha lilawula konke lokho ukuqapha nokuhlela ngoba wena.

Kufanele Ngiyithathe Isikhathi Eside Kangakanani I-Enalaprilat?

I-Enalaprilat ngokuvamile isetshenziswa amahora ambalwa nje kuya ezinsukwini ezimbalwa ngenkathi usesibhedlela. Yenzelwe njengomuthi wesikhashana wokuthola umfutho wegazi wakho ngaphansi kokulawulwa ngokushesha nangokuphepha.

Uma umfutho wegazi lakho uzinzile futhi usungakwazi ukuphuza imithi ngomlomo futhi, udokotela wakho ngokuvamile uzokushintshela emithini yomfutho wegazi othathelwa ngomlomo. Isikhathi esiqondile sincike esimweni sakho esithile nokuthi usabela kahle kangakanani ekwelashweni.

Iqembu lakho lezokwelapha lizothatha lesi sinqumo ngokusekelwe ekufundweni kwengcindezi yakho yegazi, impilo yonke, kanye nekhono lokuthatha imithi yomlomo. Bazoqinisekisa ukuthi kukhona ukushintsha okubushelelezi ukuze ingcindezi yakho yegazi ihlale ilawulwa kahle.

Yini Imiphumela Eceleni ye-Enalaprilat?

Njengayo yonke imithi, i-enalaprilat ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle uma inikezwa endaweni yesibhedlela eqashwe kahle. Ithimba lakho lezempilo liqapha le miphumela futhi lingashintsha ukwelashwa kwakho ngokushesha uma kudingeka.

Nansi imiphumela emibi evame kakhulu ongase uyithole:

• Isiyezi noma ukukhathala, ikakhulukazi uma uhlezi noma umi
• Ikhanda elibuhlungu njengoba ingcindezi yakho yegazi ilungiswa
• Ukucanuzela kwenhliziyo noma ukuzwa ungakhululekile esiswini sakho
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ukhwehlela, olungavela ngesikhathi sokwelashwa

Le miphumela ivame ukuba mnene futhi yesikhashana njengoba umzimba wakho ulungela imithi. Abahlengikazi bakho bazokusiza ukuthi ulawule noma yikuphi ukungakhululeki futhi baqinisekise ukuthi uphephile.

Imiphumela emibi engathi sína ayivamile kodwa idinga ukunakekelwa kwezokwelapha ngokushesha. Lokhu kungabandakanya:

• Ukwehla okukhulu kwengcindezi yegazi okubangela ukuquleka noma ukudideka
• Ukuvuvukala kobuso bakho, izindebe, ulimi, noma umphimbo (ukungezwani komzimba)
• Ukuphefumula kanzima noma ukuhlaselwa
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Izinkinga ezinzima zezinso ezinoshintsho ekuchameni

Njengoba usuvele usendaweni yezokwelapha, le miphumela engathi sína ingabonakala futhi ilashwe ngokushesha. Ithimba lakho lezokwelapha liqeqeshwe ukubona nokulawula lezi zimo ngokushesha.

Ubani Ongafanele Athathwe i-Enalaprilat?

I-Enalaprilat ayifanele wonke umuntu, futhi ithimba lakho lezokwelapha lizobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyisebenzisa. Isinqumo sokusebenzisa le mithi sincike ezimweni zakho zempilo ezithile kanye nemithi yamanje.

Udkt wakho cishe uzokhetha elinye lamayeza uma une:

• Umlando wokungezwani okukhulu kwemithi ye-ACE inhibitors
• I-angioedema yomlando noma i-idiopathic (isimo esingavamile sokuvuvukala)
• Isifo esibi sezinso noma izinkinga zemithambo yezinso
• Umfutho wegazi ophansi kakhulu ongaba yingozi
• Izinkinga ezinkulu zamavalvu enhliziyo

Ukuqapha okukhethekile kuyadingeka uma ukhulelwe, njengoba i-enalaprilat ingalimaza ingane yakho esakhula. Ithimba lakho lezokwelapha lizocabangela ezinye izindlela eziphephile zokulawula umfutho wegazi ngesikhathi sokukhulelwa.

Uma unesifo sikashukela, isifo senhliziyo, noma izinkinga zesibindi, udokotela wakho usengasebenzisa i-enalaprilat kodwa uzokuqapha eduze. Bazolungisa umthamo nesikhathi ngokuya ngezidingo zakho.

Amagama Omkhiqizo we-Enalaprilat

E-United States, i-enalaprilat itholakala ikakhulukazi njengomuthi ojwayelekile, okusho ukuthi ngokuvamile uzoyibona ibhalwe ngokuthi "i-enalaprilat injection" emarekhodini akho ezokwelapha. Lolu hlobo olujwayelekile lusebenza kahle njenganoma iyiphi inguqulo yegama lomkhiqizo.

Igama lomkhiqizo elithi Vasotec IV lalivame ukusetshenziswa esikhathini esidlule, kodwa izibhedlela eziningi manje zisebenzisa inguqulo ejwayelekile. Noma ngabe uthola i-enalaprilat yegama lomkhiqizo noma ejwayelekile, umuthi usebenza ngendlela efanayo futhi uneprofayili yokuphepha efanayo.

I-pharmacy yesibhedlela sakho izogcina noma iyiphi inguqulo abayithandayo, futhi ithimba lakho lezokwelapha lizokwazisa kahle ukuthi yini oyitholayo. Into ebalulekile ukuthi uthola umuthi ofanele isimo sakho, kungakhathaliseki ukuthi ngumkhiqizi othile.

Ezinye izindlela ze-Enalaprilat

Eminye imithi eminingana ye-IV inganciphisa umfutho wegazi ngokushesha uma i-enalaprilat ingakulungele. Ithimba lakho lezokwelapha lizokhetha inketho engcono kakhulu ngokusekelwe esimweni sakho esithile kanye nomlando wezokwelapha.

Ezinye izindlela ezivamile zihlanganisa i-nicardipine, i-clevidipine, ne-labetalol, esebenza ngezindlela ezihlukene zokunciphisa umfutho wegazi. Ngamunye unenzuzo yawo futhi ukhethwa ngokusekelwe ezintweni ezinjengokushaya kwenhliziyo yakho, ukusebenza kwezinso, nezinye izimo zempilo.

Udktela wakho angase futhi acabangele i-hydralazine noma i-metoprolol kuye ngokuthi yini ebangela umfutho wakho wegazi ophezulu nokuthi udinga ukwehla ngokushesha kangakanani. Ukukhetha kuncike ekutholeni ukwelashwa okuphephe kakhulu, okuphumelelayo esimweni sakho esithile.

Uma usuzinzile, cishe uzoqhubekela emithini yomlomo efana ne-lisinopril, i-amlodipine, noma i-metoprolol ukuze ulawule umfutho wegazi isikhathi eside. Ithimba lakho lezokwelapha lizosebenza nawe ukuthola inhlanganisela efanele yokusetshenziswa ekhaya.

Ingabe i-Enalaprilat Ingcono Kune-Nicardipine?

Kokubili i-enalaprilat ne-nicardipine ziyizinketho ezinhle zokwehlisa umfutho wegazi ngokushesha ezindaweni zasemtholampilo, kodwa zisebenza ngendlela ehlukile futhi zinezinzuzo ezihlukene. Ithimba lakho lezokwelapha likhetha phakathi kwazo ngokusekelwe ezidingweni zakho ezithile kanye nesimo sezempilo.

I-Enalaprilat isebenza ngokukhulula imithambo yegazi ngokuvimbela i-ACE, kuyilapho i-nicardipine ivimba iziteshi ze-calcium ukuze izuze imiphumela efanayo. I-Nicardipine ivame ukusebenza ngokushesha futhi inikeze odokotela ukulawula okunembile ekwehliseni umfutho wegazi.

Nokho, i-enalaprilat ingase ithandwe uma unezimo ezithile zenhliziyo noma uma usuvele usebenzisa ama-ACE inhibitors ekhaya. Futhi ivame ukuba nokuxhumana okuncane neminye imithi ongase uyithole.

Akukho nomuthi owodwa ovamile ukuthi “ungcono” kunomunye. Ukukhetha okungcono kuncike esimweni sakho sezokwelapha, eminye imithi oyithathayo, nokuthi umfutho wakho wegazi udinga ukwehliswa ngokushesha kangakanani.

Imibuzo Evame Ukubuzwa Mayelana ne-Enalaprilat

Ingabe i-Enalaprilat Iphephile Kubantu Abanezifo Zezinso?

I-Enalaprilat ingasetshenziswa ngokucophelela kubantu abanezifo zezinso, kodwa idinga ukuqapha ngokucophelela nokulungiswa komthamo. Ithimba lakho lezokwelapha lizohlola ukusebenza kwezinso zakho njalo futhi lingase lisebenzise imithamo ephansi ukuvimbela ezinye izinkinga zezinso.

Kwezinye izimo, izithiyo ze-ACE ezifana ne-enalaprilat zingasiza ngempela ukuvikela izinso zakho ekulimaleni okuqhubekayo, ikakhulukazi uma unesifo sikashukela. Kodwa-ke, uma isifo sakho sezinso sesinzima, udokotela wakho angase akhethe elinye ikhambi elingalithinti kakhulu izinso zakho.

Kufanele Ngenzeni Uma Ngithola Imiphumela Emibi Esinzima evela ku-Enalaprilat?

Njengoba i-enalaprilat inikezwa kuphela ezibhedlela ngaphansi kokuqashwa kwezokwelapha okuqhubekayo, kufanele utshele ngokushesha umhlengikazi wakho noma udokotela wakho uma uthola noma yiziphi izimpawu ezikhathazayo. Ungalindi noma uzame ukuzibekezelela.

Ithimba lakho lezokwelapha lingashintsha ngokushesha umthamo wakho, linciphise ukufakwa, noma lishintshele kwelinye ikhambi uma kudingeka. Baqeqeshwe ukubona nokuphatha imiphumela emibi ngokushesha, ngakho-ke usesimweni esiphephe kunazo zonke.

Kwenziwani Uma Ngiphuthelwa Umthamo We-Enalaprilat?

Ngeke ngempela uphuthelwe umthamo we-enalaprilat njengoba inikezwa yithimba lakho lezokwelapha endaweni yasesibhedlela. Bahlela ngokucophelela futhi baqaphe umthamo ngamunye ngokuya ngokufundwa kwengcindezi yakho yegazi nokuphendula ekwelashweni.

Uma kukhona ukubambezeleka emthomeni wakho ohleliwe, ithimba lakho lezempilo lizolungisa isikhathi ngokususelwa engcindezi yakho yegazi yamanje kanye nesimo esiphelele. Bazoqinisekisa ukuthi uthola inani elilungile ngesikhathi esifanele ukuze uphephe.

Ngingayeka Nini Ukuthatha I-Enalaprilat?

Ithimba lakho lezokwelapha lizinquma ukuthi lingayeka nini i-enalaprilat ngokususelwa ekulawuleni kwakho ingcindezi yegazi kanye nekhono lokuthatha imithi yomlomo. Lokhu kuvame ukwenzeka kungakapheli amahora ambalwa kuya ezinsukwini ezimbalwa ngemuva kokuqala ukwelashwa.

Ushintsho ngokuvamile luhlanganisa ukunciphisa kancane i-enalaprilat ngenkathi kuqala noma kwandiswa imithi yomlomo yengcindezi yegazi. Odokotela bakho bazoqinisekisa ukuthi ingcindezi yakho yegazi ihlala izinzile kuyo yonke le nqubo ngaphambi kokuyeka ngokuphelele imithi ye-IV.

Ngingayithatha I-Enalaprilat uma ngingaphandle kwemithi yengcindezi yegazi?

Kuncike emithini ethile oyiguliswayo kanye nohlobo lokusabela obunalo. Uma unegciwane kwamanye ama-ACE inhibitors, cishe awukwazi ukuthatha i-enalaprilat futhi, njengoba isemndenini ofanayo wemithi.

Kodwa-ke, uma unegciwane ezinhlotsheni ezahlukene zemithi yokwehlisa umfutho wegazi njenge-calcium channel blockers noma i-beta-blockers, i-enalaprilat ingase isaphephe kuwe. Ithimba lakho lezokwelapha lizobuyekeza ngokucophelela umlando wakho wokuguliswa ngaphambi kokwenza lesi sinqumo.