Enalapril ndi Hydrochlorothiazide

Zamkati

• Musanatenge enalapril ndi hydrochlorothiazide,
• Enalapril ndi hydrochlorothiazide zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Musatenge enalapril ndi hydrochlorothiazide ngati muli ndi pakati. Mukakhala ndi pakati mukatenga enalapril ndi hydrochlorothiazide, itanani dokotala wanu mwachangu. Enalapril ndi hydrochlorothiazide zitha kuvulaza mwana wosabadwayo.

Kuphatikiza kwa enalapril ndi hydrochlorothiazide kumagwiritsidwa ntchito pochiza kuthamanga kwa magazi. Enalapril ali mgulu la mankhwala otchedwa angiotensin-converting enzyme (ACE) inhibitors. Zimagwira ntchito pochepetsa mankhwala ena omwe amalimbitsa mitsempha, motero magazi amayenda bwino. Hydrochlorothiazide ali mgulu la mankhwala otchedwa diuretics ('mapiritsi amadzi'). Zimagwira ntchito ndikupangitsa impso kuchotsa madzi osafunikira ndi mchere kuchokera mthupi kupita mumkodzo.

Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.

Kuphatikiza kwa enalapril ndi hydrochlorothiazide kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa wopanda chakudya kamodzi kapena kawiri patsiku. Kukuthandizani kukumbukira kukumbukira kutenga enalapril ndi hydrochlorothiazide, tengani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani enalapril ndi hydrochlorothiazide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Enalapril ndi hydrochlorothiazide amawongolera kuthamanga kwa magazi koma samachiritsa. Pitirizani kumwa enalapril ndi hydrochlorothiazide ngakhale mukumva bwino. Osasiya kumwa enalapril ndi hydrochlorothiazide osalankhula ndi dokotala.

Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge enalapril ndi hydrochlorothiazide,

• auzeni dokotala ndi wazamankhwala ngati simukugwirizana ndi enalapril (Vasotec, mu Vaseretic); hydrochlorothiazide (HCTZ, Microzide, Oretic); ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril (Capoten), fosinopril (Monopril), lisinopril (ku Prinzide, mu Zestoretic), moexipril (Univasc, in Uniretic), perceopril, quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); mankhwala a sulfa; mankhwala ena aliwonse; kapena chilichonse chosakaniza m'mapiritsi a enalapril ndi hydrochlorothiazide. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• uzani dokotala wanu kapena wamankhwala ngati mukumwa valsartan ndi sacubitril (Entresto) kapena ngati mwasiya kumwa pasanathe maola 36 apitawa. Dokotala wanu angakuuzeni kuti musatenge enalapril ndi hydrochlorothiazide, ngati mukumwanso valsartan ndi sacubitril. Komanso, auzeni dokotala ngati muli ndi matenda ashuga ndipo mukumwa aliskiren (Tekturna, ku Amturnide, Tekamlo, Tekturna HCT). Dokotala wanu angakuuzeni kuti musatenge enalapril ndi hydrochlorothiazide ngati muli ndi matenda ashuga komanso mukumwa aliskiren.
• auzeni dokotala ndi wazamankhwala mankhwala omwe akupatsani, osavomerezeka, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa. Onetsetsani kuti mwatchulapo izi: aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); colestipol (Colestid); okodzetsa ('mapiritsi amadzi'); insulin kapena mankhwala akumwa ashuga; lifiyamu (Lithobid); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); mankhwala ena othamanga magazi; mankhwala opweteka; phenobarbital (Luminal); ndi zowonjezera potaziyamu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• uzani dokotala wanu ngati mwakhalapo kapena munakhalapo ndi matenda a mtima, parathyroid, chiwindi, kapena impso; lupus; matenda ashuga; chifuwa; mphumu; gout; kapena angioedema (vuto lomwe limayambitsa ming'oma, kupuma movutikira, ndi kutupa kowawa kwa nkhope, milomo, mmero, lilime, manja, kapena mapazi).
• uzani dokotala wanu ngati mukuyamwitsa.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa enalapril ndi hydrochlorothiazide.
• Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa enalapril ndi hydrochlorothiazide. Mowa umatha kupangitsa zotsatira zoyipa kuchokera ku enalapril ndi hydrochlorothiazide.
• muyenera kudziwa kuti kutsegula m'mimba, kusanza, kusamwa madzi okwanira, ndi thukuta kwambiri kumatha kuyambitsa kutsika kwa magazi, komwe kumatha kuyambitsa mutu wopepuka komanso kukomoka.

Lankhulani ndi dokotala musanagwiritse ntchito potengera mchere. Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, tsatirani malangizowa mosamala.

Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Enalapril ndi hydrochlorothiazide zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• chifuwa
• chizungulire
• mutu
• kutopa kwambiri
• kukokana kwa minofu
• kuchepa mphamvu zogonana

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• wamisala
• kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
• ukali
• kuvuta kupuma kapena kumeza
• malungo, zilonda zapakhosi, kuzizira, ndi zizindikiro zina za matenda
• chikasu cha khungu kapena maso
• pakamwa pouma
• ludzu
• kufooka
• kukodza pafupipafupi
• kukhumudwa m'mimba
• kusanza
• kukomoka
• kupweteka pachifuwa
• kuthamanga kapena kusakhazikika kwamtima

Enalapril ndi hydrochlorothiazide zingayambitse zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).

Sungani mankhwala awa mu chidebe chomwe chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire enalapril ndi hydrochlorothiazide. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira enalapril ndi hydrochlorothiazide.

Musalole kuti aliyense azimwa mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

• Vaseretic^®