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Hydrochlorothiazide

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.

Kuyini iHydrochlorothiazide?

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.

Ukusetshenziswa kwe-Hydrochlorothiazide Tablet

IHydrochlorothiazide isetshenziselwa ikakhulukazi:

  • Umfutho Wegazi Ophakeme (umfutho ophakeme wegazi): Ngokuvamile kunqunywa ukusiza ukwehlisa umfutho wegazi, okubuye kunciphise ingozi yokushaywa unhlangothi, isifo senhliziyo, nezinkinga zezinso.
  • Ukugcinwa Kwe-Fluid (Edema): Lo muthi uyasebenza ekwelapheni izimo ezibangela umzimba ukuthi ugcine uketshezi oluningi, njengokuphazamiseka kwezinso, isifo sesibindi, noma ukuhluleka kwenhliziyo.
  • Itshe Lezinso: Kwezinye izimo, i-hydrochlorothiazide ingase isetshenziselwe ukuvimbela ukwakheka kwamatshe ezinso ezisekelwe ku-calcium.

Nakuba ngokuvamile ingasetshenziselwa ukukhathazeka, olunye ucwaningo luphakamisa ukuthi ingase ibe nomthelela omuhle emoyeni njengenzuzo yesibili.

Ungayisebenzisa kanjani ithebhulethi ye-Hydrochlorothiazide?

I-Hydrochlorothiazide ivamise ukuthathwa kanye ngosuku ngendlela yethebhulethi. Nansi indlela yokuyisebenzisa:

  • Landela Imiyalelo Yakho Kadokotela: Hlala unamathela emiyalweni kadokotela wakho mayelana nomthamo kanye nemvamisa. Umthamo wokuqala ojwayelekile ngu-12.5 mg kuya ku-25 mg, nakuba lokhu kungase kuhluke ngokusekelwe ezidingweni zomuntu ngamunye.
  • Ngokudla Noma Ngaphandle Kokudla: IHydrochlorothiazide ingathathwa ngokudla noma ngaphandle kokudla. Uma kubangela ukucasuka kwesisu, ukuyithatha kanye nokudla kungasiza.
  • I-Stay Hydrated: Nakuba lo muthi usiza ukususa uketshezi oluningi, kubalulekile ukuphuza uketshezi oluningi. Nokho, gwema ukuphuza uketshezi ngokweqile, njengoba kungaphazamisa ukusebenza komuthi.
  • Isikhathi Esivumelanayo: Ukuphuza imithi ngesikhathi esifanayo usuku ngalunye kungasiza ukugcina amazinga azinzile emzimbeni wakho futhi kwenze kube lula ukukhumbula umthamo wakho.

Imiphumela Emibi Yethebhulethi ye-Hydrochlorothiazide

Njengayo yonke imithi, i-hydrochlorothiazide ingase ibangele imiphumela emibi. Ezivamile zihlanganisa:

  • Ukuchama Njalo: Njenge-diuretic, kwandisa ukuphuma komchamo, okungase kuholele ohambweni oluvamile lokuya endlini yokugezela.
  • Isiyezi noma Ikhanda Elikhanyayo: Ikakhulukazi lapho usukuma, ngenxa yokwehla komfutho wegazi.
  • Umlomo Owomile/Ukoma: Ukulahlekelwa uketshezi okwenyukayo kungase kubangele umlomo owomile noma umuzwa wokoma.
  • Ukukhathala: Abanye abantu bangase bazizwe bekhathele kakhulu kunokujwayelekile.
  • Ukungalingani kwe-Electrolyte: Izimpawu ezinjengamajaqamba emisipha, ubuthakathaka, noma ukushaya kwenhliziyo okungajwayelekile kungenzeka ngenxa yezinguquko kumazinga e-electrolyte.

Imiphumela emibi kakhulu, nakuba ingajwayelekile kakhulu, ihlanganisa ukungezwani komzimba okukhulu, izinkinga zesibindi noma zezinso, kanye nezinguquko eziphawulekayo kumazinga kashukela egazini.

Ukuqapha

Ngaphambi kokuqala i-hydrochlorothiazide, cabangela lezi zinyathelo zokuphepha ezilandelayo:

  • I-Allergies: Yazisa udokotela wakho uma une-allergies, ikakhulukazi i-hydrochlorothiazide noma imishanguzo efanayo.
  • Umlando Wezokwelapha: Yabelana ngomlando wakho wezokwelapha ogcwele nodokotela wakho, ikakhulukazi uma unesifo sezinso, izinkinga zesibindi, isifo sikashukela, noma isifo senhliziyo.
  • Ukukhulelwa Nokuncelisa: Uma ukhulelwe, uhlela ukukhulelwa, noma ukuncelisa, xoxa ngezingozi ezingase zibe khona kanye nezinzuzo nodokotela wakho.
  • Ukuqapha Okuvamile: Udokotela wakho angase atuse ukuhlolwa okuvamile ukuze kuqashwe umfutho wegazi nokusebenza kwezinso, ukuqinisekisa ukuthi imithi isebenza ngempumelelo nangokuphepha.
  • Ukuzwela Ilanga: I-Hydrochlorothiazide ingase ikhulise ukuzwela kwakho ukukhanya kwelanga. Sebenzisa okokuvikela ilanga futhi ugqoke izingubo zokuzivikela lapho ungaphandle.

Isebenza kanjani ithebhulethi ye-Hydrochlorothiazide

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.

Ngingakwazi Ukuthatha I-Hydrochlorothiazide Neminye Imithi?

IHydrochlorothiazide ingase ihlangane neminye imithi, ngakho-ke kubalulekile ukwazisa udokotela ngayo yonke imithi ethathwayo. Okunye ukusebenzisana okuvamile kufaka:

  • Amanye ama-Diuretics: Ukusetshenziswa kanyekanye kwe-hydrochlorothiazide namanye ama-diuretics afana neLasix kungakha umphumela wokungezelela wokwengeza. Ingozi yokungalingani kwe-electrolyte kanye nokuphelelwa amandla kwamanzi nayo iyanda.
  • Imithi Yomfutho Wegazi: I-Hydrochlorothiazide ingasebenzisana nemithi ethile yomfutho wegazi futhi ibangele umfutho wegazi ophansi kakhulu.
  • Izithako Ezithile: Izithako ze-Potassium noma izithako zikasawoti ezifaka i-potassium zingadinga ukulungiswa kusukela ukudlula ngokweqile kungase kwenzeke.
  • Imithi Yesifo Sikashukela: Njengoba i-hydrochlorothiazide ingehlisa inani likashukela egazini, kungase kube nesidingo sokushintsha indlela yokwelapha isifo sikashukela.

Ngaso sonke isikhathi wazisa udokotela wakho lapho uhlanganisa lezi zindlela zokwelapha nezinye ne-hydrochlorothiazide ukuze uphephe nokusebenza.

Ulwazi Lomthamo

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.

Isiphetho

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.

Imibuzo Evame Ukubuzwa

Q1. Isetshenziselwa ini i-hydrochlorothiazide?

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.

Q2. Ingabe i-hydrochlorothiazide iphephile ezinso?

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.

Q3. Ingabe i-hydrochlorothiazide iphephile ukuthi ithathwe nsuku zonke?

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.

Q4. Ingabe i-hydrochlorothiazide iphephile esibindini sakho?

Izimpendulo. Uma ithathwa njengokuyalelwa, i-hydrochlorothiazide ngokuvamile iphephile esibindini. Kodwa-ke, iziguli ezinesifo sesibindi kufanele ziyisebenzise ngokuqapha ngaphansi kokugadwa eduze kochwepheshe bezempilo.

Q5. Ingabe i-hydrochlorothiazide ne-lasix zingathathwa ndawonye?

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.