Telmisartan
Zamkati
- Musanatenge telmisartan,
- Telmisartan ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mu gawo LAPadera, itanani dokotala wanu mwachangu:
- Zizindikiro za bongo zingaphatikizepo:
Uzani dokotala wanu ngati muli ndi pakati kapena mukufuna kukhala ndi pakati. Musatenge telmisartan ngati muli ndi pakati. Mukakhala ndi pakati mukamamwa telmisartan, lekani kumwa telmisartan ndikuyimbira dokotala nthawi yomweyo. Telmisartan atha kupha kapena kuvulaza kwambiri mwana wosabadwayo atatengedwa m'miyezi 6 yapita yakubadwa.
Telmisartan imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Telmisartan imagwiritsidwanso ntchito kuchepetsa mwayi wamatenda amtima, stroko, kapena kufa kwa anthu azaka 55 kapena kupitirira omwe ali pachiwopsezo chachikulu cha matenda amtima. Telmisartan ali mgulu la mankhwala otchedwa angiotensin II receptor antagonists. Zimagwira ntchito poletsa kuchitapo kanthu kwa zinthu zina zachilengedwe zomwe zimalimbitsa mitsempha yamagazi, kulola kuti magazi aziyenda bwino komanso kuti mtima uzipopa bwino kwambiri.
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.
Telmisartan imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku kapena wopanda chakudya. Kukuthandizani kukumbukira kukumbukira kutenga telmisartan, tengani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani telmisartan ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Mapiritsi a Telmisartan amabwera m'mapaketi omwe amatha kutsegulidwa ndikungoyang'ana pepala lakale ndikulipiritsira. Musatsegule chithuza mpaka mutakonzeka kumeza piritsi lomwe lili.
Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa telmisartan ndipo pang'onopang'ono muwonjezere mlingo wanu.
Telmisartan amalamulira kuthamanga kwa magazi koma samachiritsa. Kuthamanga kwa magazi kwanu kumatha kuchepa mkati mwa milungu iwiri yoyambirira yamankhwala anu, koma zimatha kutenga milungu inayi kuti muwone phindu lonse la telmisartan. Pitilizani kutenga telmisartan ngakhale mukumva bwino. Osasiya kumwa telmisartan osalankhula ndi dokotala.
Funsani wamankhwala kapena dokotala wanu kuti mumupatseko zidziwitso za wopanga kwa wodwalayo.
Telmisartan imagwiritsidwanso ntchito nthawi zina kuchiza kulephera kwa mtima (momwe mtima sungathe kupopera magazi okwanira mthupi lonse) ndi matenda ashuga nephropathy (matenda a impso mwa anthu omwe ali ndi matenda ashuga komanso kuthamanga kwa magazi). Lankhulani ndi dokotala wanu za kuopsa kokugwiritsa ntchito mankhwalawa.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge telmisartan,
- Uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la telmisartan, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a telmisartan. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- Uzani dokotala wanu ngati muli ndi matenda ashuga (shuga wambiri wamagazi) ndipo mukumwa aliskiren (Tekturna, ku Amturnide, Tekamlo, Tekturna HCT). Dokotala wanu angakuuzeni kuti musamwe telmisartan ngati muli ndi matenda ashuga komanso mukumwa aliskiren.
- auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: zoletsa ma angiotensin-converting enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril (Captoten, ku Capozide), enalapril (Vasotec), fosinopril, lisinopril (ku Prinzide), moexipril ( Univasc, mu Uniretic), perindopril (Aceon), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); aspirin ndi mankhwala ena osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin) ndi naproxen (Aleve, Naprosyn), ndi inhibitor ya COX-2 yosankha monga celecoxib (Celebrex); digoxin (Lanoxin); okodzetsa ('mapiritsi amadzi') kuphatikiza spironolactone (Aldactone, ku Aldactazide); lifiyamu (Lithobid); ndi zowonjezera potaziyamu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala wanu ngati mwakhala mukulephera mtima kapena mwakhalapo; kutsekeka kwa ndulu ya ndulu (momwe bile imatha kutuluka kuchokera pachiwindi kupita ku ndulu ndi matumbo ang'onoang'ono, omwe amatha kuchitika ndi ma ndulu, zotupa, kapena kuvulala) kapena matenda a impso kapena chiwindi.
- uzani dokotala wanu ngati mukuyamwitsa.
- Muyenera kudziwa kuti telmisartan imatha kuyambitsa tulo, chizungulire, mutu wopepuka, kapena kukomoka. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
- 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. Uzani dokotala wanu ngati muli ndi mavuto awa kapena mukulitse pakuthandizira.
Musagwiritse ntchito potengera mchere wokhala ndi potaziyamu osalankhula ndi dokotala. 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.
Telmisartan ikhoza kuyambitsa zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kupweteka kwa msana
- nkusani kupweteka ndi kuchulukana
- kutsegula m'mimba
Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukukumana ndi zina mwazizindikirozi, kapena zomwe zalembedwa mu gawo LAPadera, itanani dokotala wanu mwachangu:
- kutupa kwa nkhope, mmero, lilime, milomo, maso, manja, mapazi, akakolo, kapena miyendo yakumunsi
- ukali
- kuvuta kupuma kapena kumeza
- kupweteka ndi kuphwanya mwendo wapansi womwe umabwera ndikumayenda mukamayenda kapena kuchita masewera olimbitsa thupi
- matuza a khungu kapena zotupa
Telmisartan ikhoza kuyambitsa 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 mankhwalawa mu blister pack yomwe idabwera, yotsekedwa mwamphamvu, komanso yosafika kwa 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:
- chizungulire
- kukomoka
- kuthamanga kapena kuchepa kwa mtima
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Kuthamanga kwanu kwa magazi kuyenera kuyang'aniridwa pafupipafupi kuti mudziwe momwe mungayankhire telmisartan.
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.
- Micardis®
- Twynsta® (yokhala ndi Amlodipine, Telmisartan)