Lisinopril ndi Hydrochlorothiazide
Zamkati
- Musanatenge lisinopril ndi hydrochlorothiazide,
- Lisinopril 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:
- Zizindikiro za bongo zingaphatikizepo:
Musamamwe lisinopril ndi hydrochlorothiazide ngati muli ndi pakati. Mukakhala ndi pakati mukatenga lisinopril ndi hydrochlorothiazide, itanani dokotala wanu mwachangu. Lisinopril ndi hydrochlorothiazide zitha kuvulaza mwana wosabadwayo.
Kuphatikiza kwa lisinopril ndi hydrochlorothiazide kumagwiritsidwa ntchito pochiza kuthamanga kwa magazi. Lisinopril 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 lisinopril ndi hydrochlorothiazide kumabwera ngati piritsi lomwe lingatenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Kukuthandizani kukumbukira kukumbukira kutenga lisinopril ndi hydrochlorothiazide, imwani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani lisinopril ndi hydrochlorothiazide monga momwe zalamulira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Lisinopril ndi hydrochlorothiazide imayang'anira kuthamanga kwa magazi koma siyichiritsa. Pitirizani kumwa lisinopril ndi hydrochlorothiazide ngakhale mukumva bwino. Osasiya kumwa lisinopril ndi hydrochlorothiazide osalankhula ndi dokotala.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge lisinopril ndi hydrochlorothiazide,
- auzeni adotolo ndi asayansi wanu ngati muli ndi vuto losagwirizana ndi lisinopril; hydrochlorothiazide (HCTZ, Microzide, Oretic); ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec, mu Vaseretic), fosinopril (Monopril), lisinopril (ku Prinzide, mu Zestoretic), moexipril (Univasc, quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); mankhwala a sulfa; Mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a lisinopril 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 lisinopril 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 musamwe lisinopril 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 ibuprofen (Advil, Motrin), indomethacin (Indocin), ndi naproxen (Aleve, Naprosyn); barbiturates monga phenobarbital (Luminal,); cholestyramine (Prevalite); colestipol (Colestid); digoxin (Lanoxin); insulin kapena mankhwala akumwa ashuga; lifiyamu (Lithobid); oral steroids monga dexamethasone, methylprednisolone (Medrol), ndi prednisone (Rayos); okodzetsa ena; mankhwala ena othamanga magazi; mankhwala opweteka; ndi zowonjezera potaziyamu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- auzeni adotolo ngati muli ndi dialysis kapena mukukumana ndi deensitization (njira yochepetsera zomwe mungachite ndi allergen) komanso ngati mwakhala mukudwala kapena munayamba mwadwalapo; mphumu; matenda ashuga; gout; cholesterol; collagen vascular disease monga lupus kapena scleroderma (vuto lomwe minofu yambiri imakula pakhungu ndi ziwalo zina); mtima kulephera; vuto lililonse lomwe limakupangitsani kukodza pang'ono kuposa momwe mumakhalira; sitiroko kapena 'mini-stroke'; mtima, impso, kapena matenda a chiwindi; kapena angioedema (vuto lomwe limayambitsa kuvuta kumeza kapena kupuma ndi kutupa kowawa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi).
- uzani dokotala wanu ngati mukuyamwitsa.
- ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa lisinopril ndi hydrochlorothiazide.
- Funsani dokotala wanu za zakumwa zoledzeretsa pamene mukumwa lisinopril ndi hydrochlorothiazide. Mowa umatha kukulitsa mavuto obwera chifukwa cha lisinopril 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.
- Muyenera kudziwa kuti lisinopril ndi hydrochlorothiazide imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa lisinopril ndi hydrochlorothiazide. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire.
Lankhulani ndi dokotala musanagwiritse ntchito potengera mchere. Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, kapena pulogalamu yochita masewera olimbitsa thupi, 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.
Lisinopril ndi hydrochlorothiazide zingayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- chizungulire
- mutu
- chifuwa
- kutopa kwambiri
- kupweteka, kuwotcha, kapena kumva kulasalasa m'manja kapena m'mapazi
- kuchepa mphamvu zogonana
- kutentha pa chifuwa
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:
- kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
- ukali
- kuvuta kupuma kapena kumeza
- kupweteka m'mimba
- kukhumudwa m'mimba
- kusanza
- malungo, zilonda zapakhosi, kuzizira, ndi zizindikiro zina za matenda
- kupweteka kwa minofu, kukokana, kapena kufooka
- chikasu cha khungu kapena maso
- pakamwa pouma
- ludzu
- kufooka
- kusakhazikika
- chisokonezo
- kugwidwa
- kuchepa pokodza
- wamisala
- kukomoka
- kupweteka pachifuwa
- kuthamanga, kugunda, kuchepa, kapena kugunda kwamtima mosasinthasintha
- kupweteka chala chachikulu chakuphazi
- kumva kulira kwa mikono ndi miyendo
- kutayika kwa minofu
- kufooka kapena kulemera kwa miyendo
- kusowa mphamvu
- ozizira, otuwa khungu
Lisinopril 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.
Zizindikiro za bongo zingaphatikizepo:
- wamisala
- kukomoka
- kusawona bwino
- pakamwa pouma
- ludzu
- kufooka
- Kusinza
- kusakhazikika
- chisokonezo
- kugwidwa
- kupweteka kwa minofu kapena kukokana
- kukodza pafupipafupi
- kukhumudwa m'mimba
- kusanza
- kuthamanga kapena kugunda kwamtima
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu amayenera kufufuzidwa pafupipafupi kuti mudziwe momwe mungayankhire lisinopril ndi hydrochlorothiazide. Dokotala wanu akhoza kuyitanitsa mayeso ena a labu kuti muwone momwe thupi lanu likuyankhira ku lisinopril ndi hydrochlorothiazide.
Musanayezetsedwe kwa labotale, auzeni adotolo ndi ogwira nawo ntchito kuti mukumwa lisinopril 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.
- Prinzide®
- Zestoretic®