I-Telmisartan

I-Telmisartan

I-Telmisartan iyindlela yokwelapha esebenzayo nomfutho wegazi ophezulu nezinye izinkinga, njengokunciphisa ingozi yesifo senhliziyo kanye nokuthuthukisa ukuzwela kwe-insulin. Lapha, sizocubungula ngokujulile ukusetshenziswa, imiphumela emibi engaba khona, izinyathelo okufanele zithathwe, nezinye izici zeTelmisartan.

Yiziphi izinkomba zokusetshenziswa kweTelmisartan?

I-Telmisartan umuthi ongokwesigaba sezidakamizwa ezaziwa ngokuthi ama-ARB noma ama-Angiotensin II Receptor Blockers. Ngokuyinhloko isetshenziselwa ukwelapha umfutho wegazi ophezulu (hypertension). 

Nazi ezinye zezinkinga zezokwelapha ezisetshenziselwa i-Telmisartan.

• umfutho ophakeme wegazi
• Ukuvikelwa kwenhliziyo
• Isifo sikashukela i-Nephropathy
• Ukuhluleka kwenhliziyo okungapheli
• Ukunciphisa ingozi ezigulini zenhliziyo ezisengozini enkulu

Ungayithatha kanjani futhi nini i-Telmisartan?

I-Telmisartan ivamise ukuthathwa kanye ngosuku, ngokudla noma ngaphandle, ngesikhathi esifanayo nsuku zonke. Ithebhulethi kufanele igwinywe iphelele ngamanzi futhi ingachotshozwa noma ihlafune. Uma umthamo we-Telmisartan weqiwe, kufanele uthathwe ngokushesha njengoba ukhunjulwe, kodwa uma isiseduze nesikhathi somthamo olandelayo, umthamo ophuthelwe kufanele weqiwe. Kubalulekile ukuthi ungayeki ukuthatha i-Telmisartan ngaphandle kokubonisana nomhlinzeki wezempilo, ngoba lokhu kungadala izinkinga. Umthamo kanye nemvamisa kungase kulungiswe umhlinzeki wezempilo ngokusekelwe ekufundweni komfutho wegazi noma ezinye izici.

Imininingwane Yemithi

Ifomu Elitholakalayo: Amaphilisi omlomo

• Amandla Atholakalayo: 20 mg, 40 mg, 80 mg
• Izincomo Zomthamo Womfutho Wegazi Ophakeme:

Kwabantu Abadala (iminyaka engu-18 nangaphezulu)

• Umthamo wokuqala ojwayelekile: 40 mg kanye ngosuku, uthathwe ngomlomo.
• Umthamo wesondlo: Ungathatha phakathi kuka-20 mg kuya ku-80 mg kanye ngosuku.

Okwezingane (iminyaka engu-0-17): Lesi sidakamizwa asizange sifundwe ezinganeni futhi akufanele sinikezwe abantu abangaphansi kweminyaka engu-18.

Kwabadala (abaneminyaka engama-65 nangaphezulu): Azikho izincomo ezithile zomthamo wabantu abadala. Abantu abadala bangase bagaye umuthi kancane kancane, futhi umthamo wabadala ojwayelekile ungase ubangele amazinga aphezulu ezidakamizwa emzimbeni. Ukulungiswa komthamo noma isimiso somthamo kungase kudingeke kubantu abadala, kodwa lokhu kufanele kunqunywe uchwepheshe wezokunakekelwa kwempilo.

Yimiphi imiphumela emibi ye-Telmisartan?

Ngezansi, sibhale eminye imiphumela emibi engaba khona ye-Telmisartan:

• isiyezi
• Ikhanda elibuhlungu.
• I-nausea nokuhlanza
• Uhudo
• Ukuhlungu obusemhlane
• Amazinga aphezulu e-potassium
• Ukuphendula kwe-allergen

Kubalulekile ukuqaphela ukuthi akuwona wonke umuntu ozoba nemiphumela engemihle ngenkathi uthatha i-Telmisartan, futhi eminye imiphumela engemihle ingase ingabalwa lapha. Uma unokukhathazeka/ imibuzo mayelana nemiphumela engemihle ye-Telmisartan, khuluma nomhlinzeki wakho wokunakekelwa kwezempilo.

Yiziphi izinyathelo zokuphepha okufanele zithathwe?

Izinyathelo zokuphepha okufanele uzikhumbule lapho uthatha i-Telmisartan:

• Yazisa umhlinzeki wakho wezokunakekelwa kwempilo uma uguliswa yi-Telmisartan nanoma yimiphi eminye imithi.
• Yazisa umhlinzeki wakho wezempilo othintekayo uma ukhulelwe noma uhlela ukukhulelwa, njengoba i-Telmisartan ingalimaza umbungu.
• Yazisa umhlinzeki wakho wezempilo uma uncelisa ibele, njengoba i-Telmisartan ingadlulela obisini lwebele futhi ilimaze ingane esancela.
• Yazisa umhlinzeki wakho wezempilo uma unanoma yiziphi izimo zezokwelapha, ezihlanganisa isibindi noma isifo sezinso, isifo senhliziyo, noma isifo sikashukela.
• Ungaphuzi utshwala ngenkathi uthatha i-Telmisartan.
• Ungathathi izithako ze-potassium noma izithasiselo zikasawoti ngaphandle kokubonisana nodokotela wakho kuqala umhlinzeki wezempiloI-Telmisartan ingakhuphula izinga le-potassium egazini.
• Qaphela lapho ushayela noma usebenzisa imishini, njengoba i-Telmisartan kwesinye isikhathi ingadala isiyezi noma ukozela.
• Uma uhlangabezana nanoma yiziphi izimpawu nezimpawu zokungezwani komzimba, funa usizo lwezempilo oluphuthumayo.
• Gcina wonke ama-aphoyintimenti nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uqaphe umfutho wegazi lakho kanye nempilo iyonke ngenkathi uthatha i-Telmisartan.

Kuthiwani uma ngiphuthelwe umthamo we-Telmisartan?

Uma uphuthelwa umthamo we-Telmisartan, ungayithatha njengalapho ukhumbula. Uma umthamo olandelayo uzodingeka maduze, kufanele weqe umthamo ogejiwe. Ukuthatha umthamo ophindwe kabili, kunoma yikuphi, ukwenza umthamo ophuthelwe akunconywa ngoba kungaholela ekusetshenzisweni ngokweqile.

Kuthiwani uma kune-overdose ye-Telmisartan?

Uma usola ukweqisa kwe-Telmisartan, funa usizo lwezempilo oluphuthumayo noma uthinte isikhungo esilawula ubuthi ngokushesha. Izimpawu ze-overdose zingabandakanya isiyezi, ukuquleka, ikhanda elilula, noma ukushaya kwenhliziyo okusheshayo.

Yiziphi izimo zokugcina i-Telmisartan?

• Gcina i-Telmisartan endaweni epholile, eyomile, evikelekile ekushiseni, ekukhanyeni nasemswakama. 
• Futhi, ungazibeki endaweni lapho izingane noma izilwane ezifuywayo zingafinyelela kuzo.
• Zigcine ekamelweni lokushisa, phakathi kuka-20 no-25 C (68-77F).

Isexwayiso ngeminye imithi

Kubalulekile ukwazisa umhlinzeki wakho wezokunakekelwa kwempilo ngayo yonke imithi, izithasiselo, nemikhiqizo yamakhambi oyiphuzayo ngaphambi kokuqala i-Telmisartan, njengoba eminye imithi ingase ihlangane ne-Telmisartan futhi yandise ingozi yemiphumela engemihle noma yehlise ukusebenza kwayo.

Nansi eminye yemithi engasebenzisana ne-Telmisartan:

• Eminye imithi yomfutho wegazi
• Izithako ze-Potassium kanye nezinye esikhundleni sikasawoti
• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• isisu
• Lithium

Lena akuyona yodwa imithi engasebenzisana ne-Telmisartan, ngakho-ke kubalulekile ukwazisa umhlinzeki wakho wezokunakekelwa kwempilo ngayo yonke imithi oyiphuzayo ukuze ugweme ukusebenzisana okungaba khona. Umhlinzeki wakho wokunakekelwa kwezempilo angase alungise uhlobo lwemithi yakho noma umthamo njengoba kudingeka ukuze kuncishiswe ubungozi bokusebenzisana.

I-Telmisartan ikhombisa ngokushesha kangakanani imiphumela?

I-Telmisartan imvamisa iqala ukwehlisa umfutho wegazi emasontweni angama-2-4 iqalile ukwelashwa, kodwa isikhathi esiqondile singahluka kuye ngomuntu kanye nobucayi besimo sabo. Kungase kuthathe amaviki angu-8 okusetshenziswa njalo ukuze i-Telmisartan ifinyelele ukusebenza kwayo okuphezulu ekwehliseni umfutho wegazi.

I-Telmisartan vs Inditel

Imibuzo Evame Ukubuzwa

1. Yiziphi ukusetshenziswa kwe-Telmisartan? 

I-Telmisartan isetshenziselwa ikakhulukazi ukwelapha umfutho wegazi ophakeme (umfutho wegazi ophakeme) futhi ingamiselwa ezimweni ezinjengokunciphisa ingozi yokushaywa unhlangothi, isifo senhliziyo, noma ezinye izinkinga zenhliziyo nemithambo yegazi ezigulini ezisengozini.

2. Iyini imiphumela emibi ye-Telmisartan?

Imiphumela emibi evamile ingase ihlanganise isiyezi, ikhanda elibuhlungu, nokucasuka kwesisu. Imiphumela emibi engajwayelekile kodwa enzima kakhulu ingabandakanya izinkinga zezinso, umfutho wegazi ophansi, kanye nokungezwani komzimba. Kubalulekile ukuthintana nochwepheshe bezempilo ukuze uthole uhlu oluphelele lwemiphumela emibi engase ibe khona futhi ubhekane nanoma yikuphi ukukhathazeka.

3. Ingabe i-telmisartan yehlisa izinga lokushaya kwenhliziyo?

I-Telmisartan ngokuvamile ayihlotshaniswa nemiphumela ebalulekile ekushayeni kwenhliziyo. Isebenza ngokuyinhloko ukuphumula imithambo yegazi, okuholela ekwehleni komfutho wegazi. Kodwa-ke, izimpendulo ngazinye zingahluka, ngakho-ke kuhle ukuthi uxhumane nomhlinzeki wezokunakekelwa kwezempilo ukuze uthole ulwazi lomuntu siqu.

4. Ingabe i-telmisartan ibangela ukuqunjelwa?

Ukuqunjelwa akuwona umphumela ovame ukubikwa we-Telmisartan. Uma uhlangabezana nokuqunjelwa ngenkathi uthatha lo muthi, kuhle ukuxoxa ngakho nomhlinzeki wakho wokunakekelwa kwezempilo, njengoba kungase kube ngenxa yezinye izici noma imithi.

5. Ingabe i-telmisartan isebenza ngokushesha?

I-Telmisartan ayihlinzeki ngokushesha. Kungase kuthathe amaviki ambalwa okusetshenziswa okungaguquki ukubona umphumela ogcwele kumfutho wegazi. Umhlinzeki wakho wokunakekelwa kwezempilo uzoqapha ukuqhubeka kwakho futhi alungise umthamo uma kunesidingo ukuze uzuze ukulawulwa komfutho wegazi oyifunayo. Kubalulekile ukuqhubeka nokuyithatha njengoba kushiwo, ngisho noma ungayiboni imiphumela esheshayo.

References:

https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/021286s040lbl.pdf https://www.ema.europa.eu/en/documents/product-information/micardis-epar-product-information_en.pdf

Umshwana wokuzihlangula: Ulwazi olunikezwe lapha alwenzelwe ukufaka iseluleko esivela kuchwepheshe wezokunakekelwa kwempilo. Ulwazi aluhloselwe ukumboza konke ukusetshenziswa okungenzeka, imiphumela engemihle, izinyathelo zokuphepha, nokusebenzisana kwezidakamizwa. Lolu lwazi aluhloselwe ukuphakamisa ukuthi ukusebenzisa umuthi othile kufanelekile, kuphephile, noma kuyasebenza wena noma omunye umuntu. Ukungabi bikho kwanoma yiluphi ulwazi noma isexwayiso mayelana nomuthi akufanele kuhunyushwe njengesiqinisekiso esicacile esivela enhlanganweni. Sikweluleka ngokuqinile ukuthi uthintane nodokotela uma kukhona okukukhathazayo ngomuthi futhi ungalokothi usebenzise umuthi ngaphandle kwencwadi kadokotela.