I-Losartan ingenye yemithi esetshenziswa kakhulu ukushaya kwegazi nezimo zenhliziyo. Iwela ngaphansi kwesigaba sama-angiotensin II receptor blockers (ARBs). Inhloso eyinhloko yalo muthi ukuphumuza imithambo yegazi, ukwenza umsebenzi wenhliziyo ube lula ngokuwuvumela ukuba umpompe igazi ngendlela efanele. Le bhulogi ihlanganisa yonke into ngalo muthi—kusukela ekusetshenzisweni nasekuthatheni umthamo kuye ezinyathelweni zokuphepha kanye nemiphumela engemihle.
I-Losartan iyisidakamizwa esisetshenziswa kakhulu ekwelapheni umfutho wegazi ophakeme. Kunqunyelwe ukunciphisa ingozi yokushaywa unhlangothi kubantu abanomfutho wegazi ophakeme kanye ne-hypertrophy ye-ventricular yesobunxele. Ngaphezu kwalokho, i-losartan iphakanyiswa ukuthi ibambezele ukulimala kwezinso zesikhathi eside ezigulini ezinesifo sikashukela sohlobo 2 nazo ezihlushwa umfutho wegazi ophakeme. Lokhu ikwenza ngokuvimbela isenzo sento yemvelo eyenza imithambo yegazi iqine; lokhu kwenza igazi ligeleze ngokushelela futhi inhliziyo impompe ngempumelelo.
Amaphilisi eLosartan aphakanyiselwa kakhulu ekwelapheni umfutho wegazi ophakeme ukuvimbela isifo sohlangothi, isifo senhliziyo, nezinkinga zezinso. I-Losartan yehlisa ukucindezelwa kwenhliziyo nemithambo yegazi ngokwehlisa umfutho wegazi ophakeme. Inqunyelwe iziguli ezinesifo senhliziyo nokuvimbela ukulimala kwezinso ngenxa yesifo sikashukela. Ukusetshenziswa kwethebhulethi ye-Losartan kwenza kube umuthi oguquguqukayo ezimeni ezihlukene zenhliziyo nemithambo yegazi nezinso.
Amaphilisi eLosartan avame ukuthathwa kanye ngosuku, ngokudla noma ngaphandle kokudla. Kubalulekile ukuthatha umthamo we-losartan njengoba uqondiswa udokotela wakho njengoba isimo sakho kanye nempendulo yakho ekwelashweni kunquma umthamo. Thatha umuthi njalo ukuze uthole inzuzo enkulu ekwelashweni. Kuthathe ngesikhathi esifanayo ukuze uyikhumbule kalula. Ungayeki ukuthatha i-losartan ngaphandle kokukhuluma nodokotela wakho, noma ngabe uzizwa kahle ngoba umfutho wegazi ophakeme ngokuvamile awubangeli izimpawu.
Njenganoma yimuphi omunye umuthi, amaphilisi eLosartan nawo anemiphumela engemihle; nokho, akuwona wonke umuntu ozothinteka. Nansi imiphumela engemihle engahle ibekwe ngokulandelana futhi iqoqwe ukuze kuqondwe kangcono:
Uma isimo sikhula noma siba sibi ngokuphathelene nanoma yimiphi imiphumela emibi eshiwo ngenhla, umuntu kufanele abikele udokotela. Futhi, uma umuntu eba nanoma yiziphi izimpawu ezisikisela ukungezwani okukhulu, kufanele alethwe ngokushesha kuchwepheshe wezokwelapha.
Ngaphambi kokuthatha i-Losartan, cabanga ngalezi zinyathelo zokuphepha ezilandelayo zokuphepha nokusebenza ngempumelelo:
I-Losartan isebenza ngokuvimbela ikhemikhali emzimbeni ebizwa ngokuthi i-angiotensin II. Ngokuvamile kubangela ukuthi imithambo yegazi iqine. Uma lesi senzo sivinjiwe, imithambo yegazi ingakhululeka futhi yande. Lokhu kusiza ukwehlisa umfutho wegazi kodwa kunenzuzo eyengeziwe yokwenza inhliziyo iphampe igazi kalula.
Lapho uthatha i-Losartan, kubalulekile ukwazisa udokotela wakho ngayo yonke imithi oyisebenzisayo njengamanje, okuhlanganisa nemithi kadokotela kanye nezidakamizwa ezitholakala ngaphandle kwekhawunta, kanye nanoma imaphi amavithamini noma izithasiselo zemithi. Imithi ethile ingasebenzisana neLosartan, okungenzeka iguqule ukusebenza kwayo noma yandise ubungozi bemiphumela emibi kakhulu. Isibonelo, ukuhlanganisa i-Losartan nezidakamizwa eziphakamisa amazinga e-potassium kungaholela ku-hyperkalemia. Kwezinye izimo, udokotela wakho angase adinge ukulungisa umthamo wakho noma akuqaphe eduze, ikakhulukazi uma uthatha futhi ama-diuretics, i-lithium, noma izidakamizwa ezingezona ukuvuvukala.
Umthamo weLosartan uncike esigabeni sesimo sesiguli kanye nempendulo yomuntu ngamunye. Kubantu abadala abanomfutho wegazi ophakeme, umthamo wokuqala onconyiwe ngu-50 mg kanye ngosuku. Umthamo unyuswa ube ngu-100 mg ngosuku, kuye ngokuphendula komfutho wegazi okuphawuliwe. Ngokuhluleka kwenhliziyo, umthamo wokuqala uvame ukuba ngu-50 mg kanye ngosuku, ukhuphuke ube ngu-100 mg kanye ngosuku. Ezigulini ezinesifo sikashukela sohlobo 2, ukuvimbela i-nephropathy, umthamo onconyiwe ngu-50 mg kanye ngosuku; inganyuswa ibe ngu-100 mg kanye ngosuku, okufanele kunqunywe umuntu ngamunye ngokusekelwe ekuphenduleni komfutho wegazi wesiguli. Ngaso sonke isikhathi khumbula, ngakho-ke, azikho izinguquko zomthamo ngaphandle kokubonisana nodokotela wakho.
I-Losartan umuthi obalulekile ekwelapheni umfutho wegazi ophakeme kanye nezimo ezihlobene nazo. Ukuqaphela ukusetshenziswa kwayo, umthamo, imiphumela emibi, nezinyathelo zokuphepha ezidingekayo kungase kusize isiguli sikusebenzise ngokunenzuzo yaso ngokugcwele. Ukuze uthole ukuqondiswa komuntu ngamunye futhi ulandele ukufeza imigomo oyifunayo nge-losartan, khuluma nochwepheshe bakho bezokunakekelwa kwempilo. I-Losartan ithuthukisa inhliziyo nempilo yonke, kungakhathaliseki ukuthi isetshenziselwa umfutho wegazi ophakeme, ukwehluleka kwenhliziyo, noma ukuvikelwa kwezinso.
Izimpendulo. Cha, i-losartan ayilona igazi elincane. Kuwumuthi osiza ukwehlisa umfutho wegazi onyukile. Isebenza ngokwenza igazi likwazi ukugeleza kalula, kuphumuze imithambo yegazi ukuvumela inhliziyo ukuthi impompe igazi ngaphandle kokushayisana, ngaleyo ndlela inciphise ingozi yokushaywa unhlangothi kanye nokulimala kwezinso.
Izimpendulo. Yebo, i-losartan iphephile ezinso futhi ivame ukunqunywa ukuvikela umsebenzi wazo, ikakhulukazi kubantu abanesifo sikashukela sohlobo 2. Kuyasiza ukwehlisa umfutho wegazi futhi kunciphise umonakalo ezinso obangelwa high blood pressure kanye nesifo sikashukela.
Izimpendulo. Yebo, i-losartan iphephile enhliziyweni. Kuyasiza ukwehlisa umfutho wegazi futhi kwehlise nengozi yokushaywa unhlangothi noma isifo senhliziyo.
Izimpendulo. I-Losartan akufanele isetshenziswe kwabesifazane abakhulelwe, iziguli ezinokuphazamiseka okukhulu kwesibindi noma umsebenzi wezinso, noma iziguli ezingezwani nayo. Ngaphezu kwalokho, kuyadingeka ukuyisebenzisa ngaphansi kokuqondisa kukadokotela lapho kukhona amazinga aphezulu e-potassium egazini, ngezifo ezithile, noma lapho uthatha imithi ethile.
Izimpendulo. Yebo, i-losartan kwesinye isikhathi idala ukwanda isilinganiso senhliziyo, ukushaya kwenhliziyo okungajwayelekile, noma umfutho wegazi ophansi. Uma uba nanoma yiziphi izimpawu ezishiwo ngenhla, thintana nodokotela wakho ngokushesha.
Izimpendulo. I-Losartan ne-losartan potassium ibhekisela emuthini ofanayo. "Losartan potassium" - igama eligcwele, elibonisa ukuthi ekhambi, losartan isetshenziswa ngesimo usawoti potassium. Ngakho, womabili la magama asho isithako esisebenzayo esifanayo.