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

I-Terazosin iyimithi kadokotela esiza ukuphumuza imisipha ku-prostate yakho nasemithanjeni yegazi. Ingaphansi kohlu lwemithi olubizwa ngokuthi ama-alpha-blockers, asebenza ngokuvimba izimpawu ezithile zemizwa ebangela ukuthi imisipha iqine.

Le mithi emnene kodwa esebenzayo ibilokhu isiza abantu ukuthi baphathe izimo ezimbili eziyinhloko zempilo amashumi eminyaka. Udokotela wakho angase akubhalele uma ubhekene ne-prostate enwebekile noma umfutho wegazi ophezulu odinga ukuphathwa ngokucophelela.

Yini i-Terazosin Esetshenziselwa Yona?

I-Terazosin iphatha izimo ezimbili eziyinhloko ezingathinta kakhulu induduzo yakho yansuku zonke nempilo. Le mithi isebenza ngokuthulisa amaqembu athile emisipha emzimbeni wakho ukuze aqede izimpawu futhi athuthukise izinga lempilo yakho.

Ukusetshenziswa okuvamile kakhulu yi-benign prostatic hyperplasia (BPH), okuyigland ye-prostate enwebekile. Lesi simo sithinta amadoda amaningi njengoba ekhula, sibangela izimpawu ezingakhululeki zomchamo njengobunzima ekuqaleni ukuchama, ukugeleza komchamo okubuthakathaka, noma ukuvakashela emathoyilethi ebusuku njalo.

I-Terazosin futhi iphatha ngempumelelo umfutho wegazi ophezulu (i-hypertension). Ngokuthulisa imisipha ezindongeni zemithambo yakho yegazi, ivumela igazi ukuthi ligeleze kalula, okusiza ukwehlisa ukufundwa komfutho wegazi lakho.

Ngezinye izikhathi odokotela babhala i-terazosin ukuze isetshenziswe ngaphandle kwesilebheli, njengokusiza ukudlulisa amatshe ezinso noma ukuphatha izinhlobo ezithile zobuhlungu obungapheli. Kodwa-ke, lokhu kusetshenziswa kudinga ukugadwa kwezokwelapha ngokucophelela futhi akuyona injongo eyinhloko yale mithi.

Isebenza Kanjani i-Terazosin?

I-Terazosin ithathwa njengemithi enamandla aphakathi nendawo esebenza ngokuvimba ama-alpha-1 receptors emzimbeni wakho. Lawa ma-receptors afana nezinkinobho ezincane ezitshela imisipha ethile ukuthi iqine nini.

Uma uthatha i-terazosin, empeleni iphendula lezi zinkinobho ziye endaweni ethi "valiwe". Lokhu kuvimbela imisipha ezungeze i-prostate yakho nasemithanjeni yakho yegazi ukuthi ingaqini ngokungadingekile.

Ezindabeni ze-prostate, ukuphumula kwemisipha kusiza ukwandisa i-urethra (ishubhu elithwala umchamo usuka esinyeni sakho). Lokhu kwenza kube lula kakhulu ukuthi umchamo ugeleze ngokukhululeka, kunciphisa lowo muzwa odidayo wokungapheleli kokukhipha isinye.

Ngokomfutho wegazi, izindonga zemithambo yegazi eziphumulele zenza isikhala esiningi sokuthi igazi ligeleze. Cabanga ngakho njengokwandisa ipayipi lengadi elincane - inani elifanayo lamanzi lingageleza ngomfutho omncane kakhulu.

Umuthi uvame ukuqala ukusebenza emahoreni ambalwa, kodwa ungase ungaboni izinzuzo ezigcwele amasonto ambalwa. Lokhu kuthuthuka kancane kancane empeleni kuyisibonakaliso esihle sokuthi umuthi usebenza ngokuphepha emzimbeni wakho.

Ngingawuthatha Kanjani U-Terazosin?

Thatha i-terazosin ngendlela enembile udokotela wakho ayichazayo, ngokuvamile kanye ngosuku ngesikhathi sokulala. Ukuyithatha ebusuku kusiza ukunciphisa isiyezi, esingenzeka njengoba umzimba wakho ujwayela umuthi.

Ungathatha i-terazosin ngaphandle noma ngaphandle kokudla, kodwa zama ukungaguquguquki ngokukhetha kwakho. Uma uyithatha ngokudla ngolunye usuku, qhubeka ukwenza kanjalo ukuze ugcine amazinga omuthi aqinile emzimbeni wakho.

Gwinya ikhaphule ngayo yonke ingilazi yamanzi egcwele. Ungayichobozi, uhlafune, noma uvule ikhaphule, ngoba lokhu kungathinta indlela umuthi okhululwa ngayo emzimbeni wakho.

Uma uqala i-terazosin, udokotela wakho cishe uzoqala ngomthamo ophansi bese ewukhulisa kancane kancane. Le ndlela eqaphelayo isiza umzimba wakho ukuthi ujwayele futhi inciphisa ingozi yemiphumela emibi efana nesiyezi noma ukuquleka.

Zama ukuthatha umuthi wakho ngesikhathi esifanayo njalo kusihlwa. Ukusetha isikhumbuzi sefoni noma ukuyigcina eduze nebhulashi lakho lamazinyo kungakusiza ukuthi ukhumbule lo mkhuba obalulekile.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Terazosin?

Ubude bokwelashwa nge-terazosin buxhomeke esimweni sakho esithile nokuthi usabela kahle kangakanani emuthini. Kubantu abaningi, lokhu ukwelashwa kwesikhathi eside okuqhubeka uma nje kusebenza kahle futhi kutholakala.

Uma uthatha i-terazosin ngenxa ye-enlarged prostate, cishe uzodinga ukuqhubeka nokuthatha umuthi unomphela. I-BPH yisimo esingamahlala-khona, futhi ukuyeka umuthi ngokuvamile kubangela ukuthi izimpawu zibuye emavikini ambalwa.

Ngomfutho wegazi ophezulu, i-terazosin nayo ivamise ukuba yindlela yokwelapha yesikhathi eside. Umfutho wegazi ophezulu yisimo sempilo yonke esidinga ukuphathwa okuqhubekayo ukuvikela inhliziyo yakho nemithambo yegazi.

Udokotela wakho uzoqapha inqubekela phambili yakho ngokuhlolwa okuvamile futhi angase alungise umthamo wakho noma ashintshe imithi uma kudingeka. Ungayeki ukuthatha i-terazosin ngokuzumayo ngaphandle kokubonisana nomhlinzeki wakho wezempilo, ngoba lokhu kungabangela ukuthi umfutho wegazi lakho ukhuphuke noma izimpawu ze-prostate zibe zimbi ngokushesha.

Abanye abantu bangase bagcine bedlulela emithini ehlukene noma izindlela zokwelapha, kodwa lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngesiqondiso sikadokotela wakho nokuqapha ngokucophelela.

Yiziphi Imiphumela Eceleni Ye-Terazosin?

Abantu abaningi bayayibekezelela i-terazosin kahle, kodwa njengayo yonke imithi, ingabangela imiphumela emibi. Ukuqonda ukuthi yini ongayilindela kungakusiza ukuthi uzizwe ulungile futhi wazi ukuthi ungathintana nini nodokotela wakho.

Imiphumela emibi evame kakhulu ngokuvamile imnene futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala:

• Isiyezi noma ukukhathala, ikakhulukazi uma usukuma
• Ukukhathala noma ukuzizwa ukhathele kunokujwayelekile
• Ikhanda elibuhlungu elivame ukuba mnene
• Ukuvaleka kwamakhala noma ikhala elivaliwe
• Isicanucanu noma isisu esincane esicasukile
• Ubuthakathaka noma ukuzizwa ungenamandla

Le miphumela evamile ivame ukushabalala njengoba umzimba wakho ujwayela umuthi. Ukuthatha i-terazosin ngesikhathi sokulala kungasiza ekunciphiseni isiyezi ngesikhathi semisebenzi yakho yansuku zonke.

Imiphumela emibi engavamile kodwa ebucayi idinga ukunakekelwa kwezempilo ngokushesha futhi yenzeka ngamaphesenti amancane abantu:

• Ukuquleka noma isiyezi esingathuthuki
• Ubuhlungu besifuba noma ukushaya kwenhliziyo okungajwayelekile
• Ukuvuvukala okukhulu ezinyaweni zakho, emaqakaleni, noma ezandleni
• Ukuphefumula kanzima noma ukuphelelwa umoya
• Ukuvuka okubuhlungu okuthatha amahora angaphezu kwangu-4 (i-priapism)
• Izimpawu zezinkinga zesibindi njengokushintsha kombala kwesikhumba noma amehlo abe phuzi

Uma uhlangabezana nanoma yiziphi zalezi zinkinga ezingathi sína, xhumana nodokotela wakho ngokushesha noma funa ukunakekelwa okuphuthumayo. Nakuba kungavamile, lezi zimpawu zidinga ukuhlolwa kwezokwelapha ngokushesha.

Ubani Ongafanele Athathe I-Terazosin?

I-Terazosin ayifanele wonke umuntu, futhi izimo ezithile zezempilo noma izimo zenza kube kungenzeka kungaphephile. Udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokukuyalela lo muthi.

Akufanele uthathe i-terazosin uma unokungezwani nayo noma ezinye izinto ezivimbela i-alpha-blockers njenge-doxazosin noma i-prazosin. Izimpawu zokungezwani komzimba zihlanganisa ukuqubuka, ukuluma, ukuvuvukala, noma ukungaphefumuli kahle.

Abantu abanezimo ezithile zenhliziyo badinga ukucatshangelwa okukhethekile. Uma unomlando wokuhluleka kwenhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma ukuhlaselwa yinhliziyo kwamuva, udokotela wakho angase akhethe omunye umuthi noma akuqaphele eduze.

I-Terazosin ingasebenzisana neminye imithi eminingi, ngakho udokotela wakho udinga ukwazi ngakho konke okuthathayo. Lokhu kuhlanganisa imithi kadokotela, imithi etholakala ngaphandle kwe-oda, kanye nezithasiselo zamakhambi.

Uma uhlela ukuhlinzwa, ikakhulukazi i-cataract noma okunye ukuhlinzwa kwamehlo, tshela udokotela ohlinzayo nge-terazosin. Umuthi ungabangela izinkinga ngesikhathi senqubo ethile yamehlo, futhi udokotela wakho angase adinge ukulungisa ukwelashwa kwakho okwesikhashana.

Abantu abadala bangase bazwe imiphumela ye-terazosin kakhulu, ikakhulukazi isiyezi nokuwa. Udokotela wakho angase aqale ngomthamo ophansi futhi akuqaphele kaningi.

Amagama Omkhiqizo we-Terazosin

I-Terazosin itholakala ngaphansi kwamagama amaningi omkhiqizo, nakuba inguqulo ejwayelekile ivame kakhulu ukunqunywa. Igama lomkhiqizo wokuqala yi-Hytrin, okuyiyona nguqulo yokuqala eyavunywa yi-FDA.

Ungase futhi ubone i-terazosin ithengiswa ngaphansi kwamanye amagama omkhiqizo kuye ngendawo yakho nekhemisi. Kodwa-ke, inguqulo ejwayelekile iqukethe isithako esifanayo esisebenzayo futhi isebenza ngempumelelo njengezinguqulo zegama lomkhiqizo.

I-Terazosin ejwayelekile ivamise ukuba ibize kakhulu kunezinguqulo zegama lomkhiqizo, okuyenza ibe yindlela ethandwayo yokwelashwa kwesikhathi eside. Umshwalense wakho ungase futhi ukhethe inguqulo ejwayelekile futhi unikeze ukumbozwa okungcono kuyo.

Noma ngabe uthola i-terazosin ejwayelekile noma yegama lomkhiqizo, ukusebenza kahle komuthi kanye nephrofayili yokuphepha kuhlala kufana. Umuthi wakho wekhemisi angaphendula noma yimiphi imibuzo mayelana nokuthi iyiphi inguqulo oyitholayo.

Ezinye izindlela ze-Terazosin

Imithi eminingi ehlukile ingelapha izimo ezifanayo ne-terazosin, ngalinye linokuzuzisa kwalo kanye nokucatshangelwa kwalo. Udokotela wakho angase ancome ezinye izindlela uma i-terazosin ingasebenzi kahle kuwe noma idala imiphumela engathandeki.

Ngamaphrostate andisiwe, ezinye izivimbeli ze-alpha zihlanganisa i-tamsulosin (Flomax), i-alfuzosin (Uroxatral), kanye ne-silodosin (Rapaflo). Lezi zisebenza ngendlela efanayo ne-terazosin kodwa zingase zibe nemiphumela ehlukile noma amashejuli okulinganisa.

Izithiyo ze-5-alpha reductase ezifana ne-finasteride (Proscar) noma i-dutasteride (Avodart) zinikeza enye indlela yokukhulisa i-prostate. Le mithi empeleni inciphisa i-prostate ngokuhamba kwesikhathi kunokumane iphumule imisipha.

Ngomfutho wegazi ophezulu, ezinye izindlela zihlanganisa izithiyo ze-ACE, izithiyo zesiteshi se-calcium, noma ama-diuretics. Udokotela wakho angase futhi ancome ezinye izivimbeli ze-alpha ezifana ne-doxazosin, esebenza ngendlela efanayo ne-terazosin.

Ukukhetha okunye kuncike ezimpawini zakho ezithile, ezinye izimo zempilo, nokuthi usabela kanjani ekwelashweni okuhlukene. Udokotela wakho uzosebenza nawe ukuthola inketho engcono kakhulu yesimo sakho.

Ingabe i-Terazosin ingcono kune-Tamsulosin?

Kokubili i-terazosin ne-tamsulosin ziyizithiyo ze-alpha ezisebenzayo zokwelapha i-prostate enwebile, kodwa zinezinye izinto ezibalulekile ezihlukile. Ukukhetha okungcono kuncike ezidingweni zakho zomuntu ngamunye nesimo sempilo.

I-Tamsulosin ikhethekile kakhulu ezicutshini ze-prostate, okusho ukuthi mancane amathuba okuthi kubangele isiyezi noma kuthinte umfutho wegazi lakho. Lokhu kuyenza ibe yinketho ethandwayo yamadoda adinga kuphela ukukhululeka kwezimpawu ze-prostate.

I-Terazosin ithinta imisipha ye-prostate nemithambo yegazi, ngakho-ke ingelapha i-prostate enwebile nomfutho wegazi ophezulu ngasikhathi sinye. Uma unezimo zombili, i-terazosin ingase ibe lula kunokuthatha imithi emibili ehlukene.

Kodwa-ke, imiphumela ebanzi ye-terazosin futhi isho ithuba eliphezulu lesiyezi nezinguquko zomfutho wegazi. Abanye abantu bathola ukuthi le miphumela emibi iyakhathaza, ikakhulukazi lapho beqala umuthi.

I-Tamsulosin ivame ukuthathwa kanye ngosuku ekuseni, kuyilapho i-terazosin ivame ukuthathwa ngesikhathi sokulala. Umsebenzi wakho wansuku zonke nezintandokazi zakho kungase kuthonye ukuthi yisiphi isikhathi esisebenzela kangcono.

Udokotela wakho uzocabangela izimpawu zakho ezithile, ezinye izimo zempilo, nezintandokazi zemithi lapho encoma inketho engcono kakhulu kuwe.

Imibuzo Evame Ukubuzwa Mayelana ne-Terazosin

Ingabe i-Terazosin iphephile kubantu abanesifo sikashukela?

Yebo, i-terazosin ngokuvamile iphephile kubantu abanesifo sikashukela futhi ayithinti kakhulu amazinga kashukela egazini. Eqinisweni, ezinye izifundo zikhomba ukuthi ingase ibe nemiphumela emincane enenzuzo ekuzweleni kwe-insulin.

Noma kunjalo, abantu abanesifo sikashukela kudingeka baqaphele kakhulu ngokuphatheka kabi ikhanda kanye nezinguquko zomfutho wegazi. Isifo sikashukela singathinta ikhono lomzimba wakho lokulawula umfutho wegazi, ngakho udokotela wakho uzokuqapha eduze lapho uqala ukuthatha i-terazosin.

Uma unesifo sezinso esibangelwa isifo sikashukela, udokotela wakho angase alungise umthamo wakho we-terazosin noma akhethe omunye umuthi. Njalo yazisa umhlinzeki wakho wezempilo ngesifo sakho sikashukela kanye nanoma yiziphi izinkinga ongase ube nazo.

Kufanele ngenzeni uma ngithatha i-Terazosin eningi ngengozi?

Ukuthatha i-terazosin eningi kungabangela umfutho wegazi ophansi ngokuyingozi, ukuphatheka kabi kakhulu kwekhanda, nokuquleka. Uma uthathe ngaphezu komthamo okubekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha.

Ungazami ukuqhuba imoto noma usebenzise imishini uma uzizwa unesiyezi noma unomuzwa wokukhathala. Lala phansi ngezinyawo zakho ziphakanyisiwe futhi uhlale unamanzi ngenkathi ulinde isiqondiso sezokwelapha.

Uma othile ethatha umthamo omkhulu futhi engazi lutho noma enobunzima bokuphefumula, shayela izinsiza eziphuthumayo ngokushesha. Ukunakekelwa kwezokwelapha okusheshayo kungavimbela izinkinga ezingathi sína ezibangelwa ukweqisa kwe-terazosin.

Kufanele ngenzeni uma ngiphuthelwa umthamo we-Terazosin?

Uma uphuthelwa umthamo wakho wase-ntambama we-terazosin, yithathe ngokushesha lapho ukhumbula, kodwa kuphela uma kuseyintambama efanayo. Ungayithathi ekuseni ngakusasa, ngoba lokhu kungabangela isiyezi ngesikhathi semisebenzi yakho yansuku zonke.

Uma ukhumbula umthamo ophuthelwe ngosuku olulandelayo, weqe ngokuphelele bese uthatha umthamo wakho ovamile ngalolo busuku. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo ophuthelwe.

Ukuphuthelwa imithamo ngezikhathi ezithile ngeke kukulimaze, kodwa zama ukugcina isimiso esiqhubekayo ukuze uthole imiphumela engcono kakhulu. Uma uvame ukukhohlwa imithamo, cabangela ukusetha isikhumbuzi sefoni noma usebenzise umhleli wamaphilisi.

Ngingayeka nini ukuthatha i-Terazosin?

Kufanele uyeke kuphela ukuthatha i-terazosin ngaphansi kwesiqondiso sikadokotela wakho. Kubantu abaningi, lo muthi ukwelashwa kwesikhathi eside okuqhubekayo uma nje kusebenza kahle futhi kumunyeka kahle.

Uma uyeka i-terazosin ngokuzumayo, izimpawu zakho ze-prostate noma umfutho wegazi ophezulu cishe zizobuya emasontweni ambalwa. Udokotela wakho angase anciphise umthamo wakho kancane kancane kunokuthi uyeke ngokuphazima kweso.

Izizathu zokucabangela ukuyeka zingabandakanya imiphumela emibi ekhathazayo, ukungasebenzi kahle, noma ukushintshela endleleni ehlukile yokwelapha. Lezi zinqumo kufanele zenziwe ngaso sonke isikhathi ngokuqondiswa nokugadwa ngumhlinzeki wakho wezempilo.

Ngingakwazi yini ukuphuza utshwala ngenkathi ngithatha i-Terazosin?

Ungaba neziphuzo ezinotshwala ngezikhathi ezithile ngenkathi uthatha i-terazosin, kodwa utshwala bungakhuphula imiphumela yokwehlisa umfutho wegazi yomuthi. Lokhu kuhlanganiswa kungase kukwenze uzizwe unesiyezi noma unomuzwa wokukhathala kunokujwayelekile.

Nciphisa ukusetshenziswa kotshwala futhi gwema ukuphuza amanani amakhulu, ikakhulukazi uma uqala ukuthatha i-terazosin. Naka ukuthi uzizwa kanjani uma uhlanganisa utshwala nomuthi wakho.

Uma uqaphela ukwanda kwesiyezi, ubuthakathaka, noma ukuquleka lapho uphuza utshwala, xoxa ngalokhu nodokotela wakho. Bangase batusa ukugwema utshwala noma ukulungisa isikhathi somuthi wakho.