IHydrochlorothiazide ingenye yezidakamizwa ezisetshenziswa kakhulu umfutho wegazi ophakeme kanye ne-edema. Ingabekwa kanye neminye imithi ye-antihypertensive. Ngenxa yalokhu, i-hydrochlorothiazide iye yaphakanyiswa ukuthi isetshenziswe ezimeni zokuqunjelwa ezibangelwa izifo nezimo ezihlukahlukene, kanye nalezo ezibangelwa ama-corticosteroids afana ne-estrogen. Lo muthi uya ngokuya unikezwa odokotela ngoba usebenza kahle kakhulu. Ulwazi lwendlela yokwenza, izinzuzo, kanye nezithiyo kuzovumela iziguli ukuthi zithathe i-hydrochlorothiazide ngokuphepha.
IHydrochlorothiazide iyi-diuretic evame ukubizwa ngokuthi "iphilisi lamanzi." Ikhuphula ukuphuma komchamo, okwenza umzimba ukwazi ukusula usawoti namanzi owengeziwe. Ukulahlekelwa uketshezi olulethwa yile nqubo kunciphisa umthamo wegazi, ngaleyo ndlela ukunciphisa ukucindezelwa kwegazi. Iphinde ikhulule ukuvuvukala kwezicubu okubangelwa ukugcinwa kwamanzi. Itholakala ngendlela yethebhulethi futhi ngaleyo ndlela ibizwa ngokuthi amaphilisi e-hydrochlorothiazide noma amathebhu e-hydrochlorothiazide.
IHydrochlorothiazide isetshenziselwa ikakhulukazi:
Nakuba ngokuvamile ingasetshenziselwa ukukhathazeka, olunye ucwaningo luphakamisa ukuthi ingase ibe nomthelela omuhle emoyeni njengenzuzo yesibili.
I-Hydrochlorothiazide ivamise ukuthathwa kanye ngosuku ngendlela yethebhulethi. Nansi indlela yokuyisebenzisa:
Njengayo yonke imithi, i-hydrochlorothiazide ingase ibangele imiphumela emibi. Ezivamile zihlanganisa:
Imiphumela emibi kakhulu, nakuba ingajwayelekile kakhulu, ihlanganisa ukungezwani komzimba okukhulu, izinkinga zesibindi noma zezinso, kanye nezinguquko eziphawulekayo kumazinga kashukela egazini.
Ngaphambi kokuqala i-hydrochlorothiazide, cabangela lezi zinyathelo zokuphepha ezilandelayo:
IHydrochlorothiazide isebenza ngokusebenza ezinso ukukhulisa ukukhiqizwa komchamo. Ivimbela ukumuncwa kabusha kwe-sodium ne-chloride kumashubhu ezinso ahlangene, okuholela ekwandeni kokuphuma kwala ma-electrolyte kanye namanzi. Le nqubo inciphisa umthamo woketshezi emzimbeni, ngaleyo ndlela yehlise umfutho wegazi futhi ikhulule umthwalo wokusebenza enhliziyweni nasemithanjeni yegazi, kube nomthelela empilweni engcono yenhliziyo nemithambo yegazi.
IHydrochlorothiazide ingase ihlangane neminye imithi, ngakho-ke kubalulekile ukwazisa udokotela ngayo yonke imithi ethathwayo. Okunye ukusebenzisana okuvamile kufaka:
Ngaso sonke isikhathi wazisa udokotela wakho lapho uhlanganisa lezi zindlela zokwelapha nezinye ne-hydrochlorothiazide ukuze uphephe nokusebenza.
Umthamo wokuqala ojwayelekile ngu-12.5 mg kuya ku-25 mg we-hydrochlorothiazide ngosuku. Udokotela wakho uzokwandisa umthamo wakho ngokusekelwe endleleni osebenza ngayo nanoma yimiphi imiphumela emibi oyitholayo. Umthamo omkhulu uvame ukuba ngu-50 mg ngosuku. Njalo thatha lo muthi njengoba nje udokotela wakho akuyala, ungalokothi uthathe okungaphezu kwalokho okushiwo, futhi ushayele udokotela wakho uma weqa umthamo noma unezinkinga.
IHydrochlorothiazide ingenye yemithi ethathwa njengewusizo kakhulu ekwehliseni umfutho wegazi ophakeme kanye nokugcina uketshezi. Ngakho-ke, kubalulekile ukufunda ngokusetshenziswa kwayo, ukuthi ithathwa kanjani, kanye nemiphumela engemihle engaba khona yokuphatha impilo engcono. Hlala uxhumene eduze nochwepheshe wakho wezokunakekelwa kwempilo ezindabeni, ezikukhathazayo, kanye nemiphumela engemihle ongase ube nayo, futhi ngaso sonke isikhathi ulandele izeluleko zabo ukuze uthole imiphumela emihle. Noma ngabe unikezwe i-hydrochlorothiazide 50 mg noma ngenye indlela, ukusetshenziswa okuhle nokuqapha kubaluleke kakhulu emiphumeleni yezempilo ephezulu.
Izimpendulo. IHydrochlorothiazide iboniswa ikakhulukazi ekwelapheni umfutho wegazi ophakeme kanye nokugcinwa koketshezi, okubuye kwaziwe ngokuthi edema, okubangelwa izimo ezihlukahlukene, kuhlanganise nesifo sesibindi, ukuhluleka kwenhliziyo, nokuphazamiseka kwezinso. Yehlisa umfutho wegazi futhi inciphise ukuvuvukala ngokwandisa ukuphuma komchamo.
Izimpendulo. Ngokuvamile, i-hydrochlorothiazide iphephile ezinso uma ithathwa njengoba kuyalelwe. Kodwa-ke, kungathinta ukusebenza kwezinso, ngakho-ke labo abanezinkinga zezinso ezivele zikhona kufanele baqashwe ngokucophelela udokotela wabo.
Izimpendulo. Yebo, i-hydrochlorothiazide ivamise ukuthi isetshenziswe nsuku zonke njengokwelashwa kwesikhathi eside komfutho wegazi ophakeme kanye nokugcinwa koketshezi. Ukuqapha okuvamile ngu-a ochwepheshe bezempilo kubalulekile ukuqinisekisa ukuphepha kwayo.
Izimpendulo. Uma ithathwa njengokuyalelwa, i-hydrochlorothiazide ngokuvamile iphephile esibindini. Kodwa-ke, iziguli ezinesifo sesibindi kufanele ziyisebenzise ngokuqapha ngaphansi kokugadwa eduze kochwepheshe bezempilo.
Izimpendulo. IHydrochlorothiazide neLasix zingathathwa ndawonye kuphela ngaphansi kokuqondisa kodokotela. Le nhlanganisela ingase ithuthukise imiphumela ye-diuretic ekwelapheni ukugcinwa koketshezi olunzima, kodwa yandisa ingozi kwamanzi emzimbeni kanye nokungalingani kwe-electrolyte, okudinga ukuqapha ngokucophelela uchwepheshe wezempilo.