Yini iLisinopril neHydrochlorothiazide: Ukusetshenziswa, Umthamo, Imiphumela Eceleni nokuningi

ILisinopril ne-hydrochlorothiazide iyinhlanganisela yemithi esiza ukwehlisa umfutho wegazi ophezulu ngokusebenza ngezindlela ezimbili ezihlukene. Le nhlanganisela enamandla ihlanganisa i-ACE inhibitor (lisinopril) ne-water pill (hydrochlorothiazide) ukukunikeza ukulawula okungcono komfutho wegazi kunomuthi ngamunye uwedwa. Abantu abaningi bathola ukuthi le nhlanganisela ilula kakhulu kunokuthatha amaphilisi amabili ahlukene, futhi ivame ukusebenza ngempumelelo ekulawuleni umfutho wegazi ophezulu.

Yini iLisinopril neHydrochlorothiazide?

Lo muthi uhlanganisa imithi emibili eqinisekisiwe yomfutho wegazi ibe iphilisi elilodwa elilula. ILisinopril ingeyeqembu elibizwa ngokuthi ama-ACE inhibitors, asiza ukuphumuza imithambo yakho yegazi. I-Hydrochlorothiazide iyi-thiazide diuretic, eyaziwa ngokuthi i-water pill, esiza umzimba wakho ukususa usawoti namanzi amaningi.

Uma le mithi emibili isebenza ndawonye, yakha indlela ebanzi yokulawula umfutho wegazi. Le nhlanganisela ilusizo ikakhulukazi kubantu abomfutho wegazi wabo ongawuphenduli kahle umuthi owodwa. Udokotela wakho angase akubhalele le nhlanganisela uma ubuthatha i-lisinopril uwedwa kodwa udinga ukusekelwa okwengeziwe komfutho wegazi.

Isetshenziselwani iLisinopril neHydrochlorothiazide?

Le nhlanganisela yemithi isetshenziselwa ikakhulukazi ukwelapha umfutho wegazi ophezulu, obizwa nangokuthi i-hypertension. Umfutho wegazi ophezulu uthinta izigidi zabantu futhi ngokuvamile awunawo ama-symptoms, yingakho ngezinye izikhathi ubizwa ngokuthi “umbulali othule.” Uma ungalashwa, kungaholela ezinkingeni ezinkulu zempilo ezinjengokuhlaselwa yinhliziyo, ukushaywa unhlangothi, kanye nokulimala kwezinso.

Udktela wakho angase futhi anikeze lo muthi ohlanganisiwe ukusiza ukuvikela inhliziyo yakho nemithambo yegazi ekulimaleni kwesikhathi eside. Abanye abantu bawuthatha ukunciphisa ingozi yabo yezigameko zenhliziyo nemithambo yegazi, ikakhulukazi uma benezinye izinto eziyingozi njengohlobo lwesifo sikashukela noma umlando womndeni wesifo senhliziyo. Umuthi usebenza ubusuku nemini ukugcina umfutho wegazi lakho usendaweni enempilo.

Isebenza Kanjani I-Lisinopril ne-Hydrochlorothiazide?

Lo muthi ohlanganisiwe ubhekwa njengonamandla ngokulinganisela futhi usebenza ngezindlela ezimbili ezihlukene zokwehlisa umfutho wegazi lakho ngempumelelo. Cabanga ngakho njengomzamo weqembu lapho ingxenye ngayinye inomsebenzi wayo okufanele iwenza.

I-Lisinopril isebenza ngokuvimba i-enzyme ebizwa nge-ACE, evame ukwenza into eqinisa imithambo yegazi. Uma le enzyme ivalekile, imithambo yakho yegazi ingakhululeka futhi yande, okwenza kube lula ukuthi igazi ligeleze ngayo. Lokhu kunciphisa umfutho odongeni lwemithambo yakho.

I-Hydrochlorothiazide isebenza ezinso zakho ukusiza ukususa usawoti namanzi engeziwe emzimbeni wakho ngomchamo. Uma kune-fluid encane emithanjeni yakho yegazi, kuncane ukucindezela odongeni lwemithambo. Lesi senzo esiphindwe kabili sivame ukunikeza ukulawulwa okungcono komfutho wegazi kunomuthi ngamunye wodwa.

Kufanele Ngiyithathe Kanjani I-Lisinopril ne-Hydrochlorothiazide?

Thatha lo muthi ngendlela eqondile udktela wakho ayalela ngayo, ngokuvamile kanye ngosuku ekuseni. Ungayithatha ngaphandle noma ngaphandle kokudla, kodwa zama ukuyithatha ngesikhathi esifanayo nsuku zonke ukusiza ukukhumbula. Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele.

Njengoba lo muthi uqukethe iphilisi lamanzi, ukuwuthatha ekuseni kusiza ukuvimbela ukuvakasha kwasebusuku emathoyilethi okungaphazamisa ukulala kwakho. Uma ukhohlwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuyisikhathi somthamo wakho olandelayo. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo owuphuthelwe.

Kubalulekile ukuqhubeka nokuthatha lo muthi ngisho noma uzizwa ulungile. Umfutho wegazi ophezulu ngokuvamile awunazo izimpawu, ngakho ungase ungazizwa ugula ngisho noma umfutho wakho wegazi uphakeme. Ungayeki ukuwuthatha kungazelelwe, ngoba lokhu kungabangela umfutho wakho wegazi ukuthi ukhuphuke ngendlela eyingozi.

Kufanele Ngithathe Isikhathi Esingakanani I-Lisinopril ne-Hydrochlorothiazide?

Abantu abaningi badinga ukuthatha lo muthi isikhathi eside, ngokuvamile impilo yonke, ukuze bagcine umfutho wabo wegazi ulawulwa. Umfutho wegazi ophezulu ngokuvamile uyisimo esingamahlala-mahle esidinga ukuphathwa okuqhubekayo kunokwelashwa kwesikhashana.

Udokotela wakho uzoqapha ukusabela kwakho emuthini futhi angase alungise umthamo wakho ngokuhamba kwesikhathi. Abanye abantu babona ngcono emfutheni wabo wegazi emasontweni ambalwa, kanti abanye bangase badinge izinyanga eziningana ukuze bafinyelele izinombolo zabo eziqondiwe. Ukuhlolwa komfutho wegazi njalo kusiza udokotela wakho ukuthi anqume ukuthi umuthi uyasebenza yini.

Ungayeki ukuthatha lo muthi ngaphandle kokukhuluma nodokotela wakho kuqala, ngisho noma ukufundwa komfutho wakho wegazi kuthuthuka. Umuthi cishe uyasiza ukugcina lezo zinombolo ezinhle, futhi ukuyeka kungazelelwe kungabangela umfutho wakho wegazi ukuthi ubuyele emazingeni ayingozi.

Yiziphi Imiphumela Eceleni Ye-Lisinopril ne-Hydrochlorothiazide?

Njengayo yonke imithi, le nhlanganisela ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi imnene futhi ivame ukuthuthuka njengoba umzimba wakho uzivumela emuthini.

Nawa amanye amanye imiphumela emibi ongase uyithole, futhi kuyasiza ukwazi ukuthi yini ejwayelekile ukuze uzizwe ulungiseleleke kakhulu:

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma ngokushesha
• Ukukhwehlela okomile okungabonakali ngathi kuyaphela
• Ukunyuka kokuchama, ikakhulukazi emasontweni ambalwa okuqala
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ikhanda noma isicanucanu esincane
• Imisipha eqinile noma ubuthakathaka

Lezi zimo ezivamile ezibangelwa imithi ngokuvamile ziba ngaphansi uma umzimba wakho ujwayela imithi. Nokho, ukuhlala unamanzi emzimbeni nokushintsha izikhundla kancane kungasiza ekunciphiseni isiyezi.

Ezinye izimo ezingavamile kodwa ezinzima ezibangelwa imithi zidinga ukunakekelwa kwezempilo ngokushesha, futhi ngenkathi zingenzeki kaningi, kubalulekile ukuzazi:

• Ukungezwani okukhulu komzimba okunezitho zobuso, izindebe, ulimi, noma umphimbo
• Ukuphefumula kanzima noma ukugwinya
• Isiyezi esikhulu noma ukuquleka
• Ukushaya kwenhliziyo okungajwayelekile noma ubuhlungu besifuba
• Izimpawu zezinkinga zezinso njengokuncipha komchamo noma ukuvuvukala
• Ubuthakathaka bemisipha obukhulu noma amajaqamba
• Ukuphuzi kwesikhumba noma amehlo

Uma uhlangabezana nanoma yiziphi zalezi zimpawu ezinzima, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa kwezempilo eziphuthumayo. Lezi zimo azivamile kodwa zidinga ukunakekelwa ngokushesha.

Ubani Ongafanele Athathe i-Lisinopril ne-Hydrochlorothiazide?

Le mithi ayifanele wonke umuntu, futhi udokotela wakho uzocabangela ngokucophelela umlando wakho wezokwelapha ngaphambi kokuyinika. Ezinye izimo zenza le nhlanganisela ibe yingozi noma ingasebenzi kahle.

Akufanele uthathe le mithi uma unomlando we-angioedema, ukungezwani komzimba okukhulu okubangela ukuvuvukala kobuso, izindebe, ulimi, noma umphimbo. Lesi simo singasongela impilo futhi singenzeka kakhulu ngama-ACE inhibitors afana ne-lisinopril.

Abantu abanezifo ezinzima zezinso, izinkinga zesibindi, noma ukungalingani okuthile kwe-electrolyte bangase badinge ukugwema le nhlanganisela. Uma ukhulelwe noma uhlela ukukhulelwa, le mithi ingalimaza ingane yakho ekhulayo, ikakhulukazi ngesikhathi sesibili nesesithathu sokukhulelwa.

Udokotela wakho uzophinda aqaphele ngokunika le mithi uma unesifo sikashukela, i-gout, i-lupus, noma uma uthatha eminye imithi ethile engase ihlangane ngendlela eyingozi. Hlala utshela udokotela wakho ngayo yonke imithi nezithasiselo ozithathayo.

Amagama eBrand kaLisinopril ne-Hydrochlorothiazide

Le mithi ehlanganisiwe itholakala ngaphansi kwamagama amaningi ebrand, okujwayelekile kakhulu yi-Prinzide ne-Zestoretic. Lawa magama ebrand aqukethe izithako ezifanayo ezisebenzayo njengenguqulo ejwayelekile kodwa angase abe nezithako ezingasebenzi ezihlukene.

I-pharmacy yakho ingakunika igama le-brand noma inguqulo ejwayelekile, kuye ngokuthi umshwalense wakho uhlanganisani nokuthi yini etholakalayo. Zombili lezi zinhlobo zisebenza kahle ngokulinganayo, nakuba abanye abantu bekhetha enye kunenye ngenxa yomehluko omncane ezithakweni ezingasebenzi.

Umuthi uza ngezinhlanganisela zamandla ahlukene, njenge-10/12.5 mg, 20/12.5 mg, kanye ne-20/25 mg. Inombolo yokuqala imele umthamo we-lisinopril, kanti eyesibili imele umthamo we-hydrochlorothiazide.

Ezinye izindlela zikaLisinopril ne-Hydrochlorothiazide

Uma le nhlanganisela ingasebenzi kahle kuwe noma idala imiphumela engathandeki, ezinye izindlela ziyatholakala. Udokotela wakho angase akushintshele kwenye i-ACE inhibitor ehlanganiswe ne-diuretic, noma azame indlela ehlukile ngokuphelele.

Ezinye izinhlanganisela ze-ACE inhibitor zihlanganisa i-enalapril ene-hydrochlorothiazide noma i-captopril ene-hydrochlorothiazide. Lezi zisebenza ngendlela efanayo kodwa zingase zibekezelelwe kangcono ngabanye abantu. Imithi ye-ARB efana ne-losartan noma i-valsartan ehlanganiswe ne-hydrochlorothiazide inikeza enye inketho.

Abanye abantu benza ngcono ngama-calcium channel blockers, ama-beta-blockers, noma imithi emisha ehlanganisiwe. Udokotela wakho uzosebenza nawe ukuthola enye indlela engcono kakhulu esekelwe ezidingweni zakho ezithile, ezinye izimo zempilo, nokuthi ukubekezelela kanjani imithi ehlukene.

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

Zombili izidakamizwa ziyasebenza ekwelapheni umfutho wegazi ophezulu, kodwa zisebenza ngezindlela ezehlukene futhi zingase zifaneleke kangcono kubantu abahlukene. I-Lisinopril kanye ne-hydrochlorothiazide kuhlanganisa i-ACE inhibitor ne-diuretic, kuyilapho i-amlodipine iyi-calcium channel blocker esebenza yodwa.

Umuthi ohlanganisiwe ungase usebenze kangcono kubantu abadinga isenzo esiphindwe kabili sokuphumuza imithambo yegazi nokukhipha uketshezi. Ivame ukukhethwa lapho imithi eyodwa ingazange inikeze ukulawulwa okwanele komfutho wegazi. Abanye abantu futhi bathola ukuthi le nhlanganisela ilula kakhulu kunokuthatha amaphilisi amaningi ahlukene.

I-Amlodipine ingase ithandwe kubantu abangakwazi ukubekezelela ama-ACE inhibitors noma ama-diuretics, noma labo abanezimo ezithile zenhliziyo. Futhi mancane amathuba okuthi kubangele ukukhwehlela okomile abanye abantu abahlangabezana nakho ngama-ACE inhibitors. Udokotela wakho uzocabangela isimo sakho esithile, ezinye izimo zempilo, nemiphumela engaba khona uma ekhetha phakathi kwalezi zinketho.

Imibuzo Evame Ukubuzwa Mayelana ne-Lisinopril kanye ne-Hydrochlorothiazide

Ingabe i-Lisinopril kanye ne-Hydrochlorothiazide iphephile ku-Diabetes?

Le nhlanganisela ingaphepha futhi ibe yinzuzo kubantu abaningi abanesifo sikashukela, kodwa idinga ukuqapha ngokucophelela. Ingxenye ye-lisinopril ingase isize ukuvikela izinso zakho ekulimaleni okuhlobene nesifo sikashukela, okuyinzuzo enkulu kubantu abanalesi simo.

Nokho, ingxenye ye-hydrochlorothiazide ngezinye izikhathi ingathinta amazinga kashukela egazini futhi ingase yenze ukuphathwa kwesifo sikashukela kube yinselele enkulu. Udokotela wakho uzoqapha ushukela wakho wegazi eduze lapho uqala lo muthi futhi kungase kudingeke ukuthi alungise imithi yakho yesifo sikashukela ngokufanele.

Ngingenzani Uma Ngenza Iphutha Ngisebenzisa i-Lisinopril kanye ne-Hydrochlorothiazide eningi kakhulu?

Uma ngabe uthatha umuthi omningi ngengozi, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha. Ukuthatha umuthi omningi kungadala ukwehla kwengcindezi yegazi okuyingozi, isiyezi esikhulu, ukuquleka, noma izinkinga zezinso.

Ungazami ukulungisa isimo ngokweqa umthamo wakho olandelayo noma uthathe umuthi omncane kamuva. Kunalokho, funa iseluleko sezokwelapha ngokushesha. Uma uhlangabezana nezimpawu ezinzima njengokuphefumula kanzima, ubuhlungu besifuba, noma ukulahlekelwa ukwazi, shayela u-911 noma uye egumbini eliphuthumayo eliseduze ngokushesha.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Lisinopril kanye ne-Hydrochlorothiazide?

Uma uphuthelwa umthamo, wuthatha ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Esimweni esinjalo, weqa umthamo ophuthelwe bese uqhubeka neshejuli yakho ejwayelekile. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.

Zama ukusungula isimiso esikusiza ukuthi ukhumbule ukuthatha umuthi wakho nsuku zonke. Abanye abantu bakuthola kuwusizo ukuwuthatha ngesikhathi esifanayo njalo ekuseni, mhlawumbe ngesidlo sasekuseni noma ngemva kokuxubha amazinyo abo. Ukusetha i-alamu yefoni noma ukusebenzisa umhleli wamaphilisi nakho kungakusiza ukuthi uhlale emkhondweni.

Ngingayeka nini ukuthatha i-Lisinopril kanye ne-Hydrochlorothiazide?

Kufanele uyeke kuphela ukuthatha lo muthi ngaphansi kokuqondisa kukadokotela wakho. Umfutho wegazi ophezulu ngokuvamile uyisimo sempilo yonke esidinga ukuphathwa okuqhubekayo, ngakho-ke abantu abaningi badinga ukuqhubeka nokuthatha imithi yomfutho wegazi unomphela.

Udokotela wakho angase acabange ukunciphisa noma ukuyeka umuthi uma ushintshe kakhulu indlela yakho yokuphila eyithuthukise kakhulu umfutho wegazi lakho, njengokulahlekelwa isisindo esikhulu, ukuzivocavoca njalo, kanye nokuthuthukiswa kokudla. Kodwa-ke, ngisho nalapho, abantu abaningi basadinga umuthi othile ukuze bagcine amazinga omfutho wegazi anempilo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Lisinopril kanye ne-Hydrochlorothiazide?

Ungakwazi ukuphuza utshwala ngokulinganisela ngenkathi usebenzisa lo muthi, kodwa qaphela ukuthi utshwala bungathuthukisa imiphumela yokwehlisa umfutho wegazi futhi landise ingozi yakho yokuba nesiyezi noma ukuquleka. Ukuhlanganiswa kotshwala kanye nalo muthi kungakwenza uzizwe unesiyezi, ikakhulukazi uma usukuma ngokushesha.

Uma ukhetha ukuphuza, kwenze kancane futhi unake indlela ozizwa ngayo. Zilinganisele esiphuzweni esisodwa ngosuku uma ungumuntu wesifazane noma iziphuzo ezimbili ngosuku uma ungumuntu wesilisa, njengoba kunconywe yimihlahlandlela yezempilo. Hlala udla okuthile uma uphuza utshwala futhi uhlale unamanzi ngamanzi.