Umlobi: Gregory Harris
Usuku Lokudalwa: 14 Epreli 2021
Ukuvuselela Usuku: 19 Unovemba 2024
Anonim
Captopril, Lisinopril, and Enalapril - ACE Inhibitors Mechanism of Action and Side Effects
Ividiyo: Captopril, Lisinopril, and Enalapril - ACE Inhibitors Mechanism of Action and Side Effects

-Delile

Ungathathi i-captopril uma ukhulelwe noma uhlela ukukhulelwa. Uma ukhulelwa ngenkathi uthatha i-captopril, shayela udokotela wakho ngokushesha. I-Captopril ingalimaza umbungu.

I-Captopril isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu nokuhluleka kwenhliziyo. Ibuye isetshenziselwe ukwenza ngcono ukusinda nokunciphisa ubungozi bokuhluleka kwenhliziyo ngemuva kokuhlaselwa yinhliziyo ezigulini isimo senhliziyo esibizwa nge-ventricular hypertrophy (ukukhuliswa kwezindonga zohlangothi lwangakwesokunxele senhliziyo). ICaptopril nayo isetshenziselwa ukwelapha isifo sezinso (nephropathy) esibangelwa yisifo sikashukela ezigulini ezinesifo sikashukela sohlobo 1 kanye ne-retinopathy (isifo samehlo). I-Captopril isekilasini lemithi ebizwa nge-angiotensin-converting enzyme (ACE) inhibitors. Inciphisa amakhemikhali athile aqinisa imithambo yegazi, ngakho-ke igazi ligeleza ngokushelela futhi inhliziyo ingalimpompela igazi kahle kakhulu.

Umfutho wegazi ophakeme yisimo esivamile, futhi uma ungalashwa ungadala umonakalo ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.


I-Captopril iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kabili noma kathathu ngosuku esiswini esingenalutho, ihora eli-1 ngaphambi kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-captopril, yithathe ngesikhathi esifanayo (ama) nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-captopril njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

ICaptopril ilawula umfutho wegazi ophezulu nokwehluleka kwenhliziyo kodwa ayikulapheki. Qhubeka nokuthatha i-captopril noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-captopril ngaphandle kokukhuluma nodokotela wakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-captopril,

  • utshele udokotela wakho kanye nosokhemisi uma unegciwane ku-captopril; amanye ama-ACE inhibitors afana ne-benazepril (i-Lotensin, e-Lotrel), i-captopril (i-Capoten), i-enalapril (i-Vasotec, nge-Vaseretic), i-fosinopril (i-Monopril), i-lisinopril (e-Prinzide, e-Zestoretic), i-moexipril (i-Univasc, i-Uniretic, Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), kanye ne-trandolapril (Mavik, eTarka); noma imiphi eminye imithi; noma yiziphi izithako kumathebulethi we-captopril. Buza usokhemisi wakho ukuthola uhlu lwezithako.
  • Tshela udokotela wakho noma usokhemisi uma uthatha i-valsartan ne-sacubitril (i-Entresto) noma uma uyekile ukuyithatha emahoreni angama-36 edlule. Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-captopril, uma uthatha i-valsartan ne-sacubitril. Futhi, tshela udokotela wakho uma unesifo sikashukela futhi uthatha i-aliskiren (Tekturna, e-Amturnide, Tekamlo, Tekturna HCT). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-captopril uma unesifo sikashukela futhi uthatha i-aliskiren.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela nemishanguzo ongayinikiwe, amavithamini, izithasiselo zokudla okunempilo, nemikhiqizo yamakhambi oyiphuzayo. Qiniseka ukuthi usho noma yikuphi okulandelayo: i-aspirin neminye imishanguzo yokulwa nokuvuvukala (ama-NSAID) njenge-indomethacin (Indocin, Tivorbex); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); ama-nitrate afana ne-isosorbide dinitrate (Isordil, e-Bidil), isosorbide mononitrate (Monoket), ne-nitroglycerin (Nitro-Dur, Nitrostat, amanye); eminye imithi yomfutho wegazi ophakeme; noma izithako ze-potassium.
  • Tshela udokotela wakho uma unesifo sikashukela, noma isifo senhliziyo noma sezinso.
  • tshela udokotela wakho uma uncelisa.
  • uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-captopril.
  • kufanele wazi ukuthi isifo sohudo, ukuhlanza, ukungaphuzi uketshezi olwanele, nokujuluka kakhulu kungadala ukwehla kwengcindezi yegazi, okungadala ikhanda elincane nokuquleka.

Khuluma nodokotela wakho ngaphambi kokusebenzisa izithako zikasawoti eziqukethe i-potassium. Uma udokotela wakho ekutshela ukuthi udle usawoti omncane noma ukudla okunesodium ephansi, landela le miyalo ngokucophelela.


Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo olandelayo, weqa umthamo ongabanjwanga bese uqhubeka neshejuli yakho ejwayelekile yokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

I-Captopril ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

  • isiyezi noma ikhanda elikhanyayo
  • ukunambitheka okunosawoti noma okusansimbi, noma ukwehla kwekhono lokunambitha
  • ukukhwehlela
  • ukushaya kwenhliziyo okusheshayo
  • ukukhathala ngokweqile

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:

  • ubuhlungu besifuba
  • ukuvuvukala kobuso, amehlo, izindebe, ulimi, izingalo, noma imilenze
  • isifuba
  • ukushaqeka
  • ukuphefumula kanzima noma ukugwinya
  • ubuhlungu besisu
  • ukuquleka
  • ukuqubuka
  • ukulunywa
  • izilonda zomlomo
  • umkhuhlane, umphimbo obuhlungu, amakhaza nezinye izimpawu zokutheleleka

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).


Gcina le mithi esitsheni efike ngayo, ivalwe ngokuqinile, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-captopril.

Amaphilisi e-Captopril angaba nephunga elincane lesibabule (njengamaqanda abolile).

Ungavumeli omunye umuntu ukuthi athathe imithi yakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

  • I-Capoten®

Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.

Kugcine ukubuyekezwa - 07/15/2017

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