Enalapril

-Delile

• Ngaphambi kokuthatha i-enalapril,
• I-Enalapril ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
• Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha:
• Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

Ungathathi i-enalapril uma ukhulelwe. Uma ukhulelwa ngenkathi uthatha i-enalapril, shayela udokotela wakho ngokushesha. I-Enalapril ingalimaza umbungu.

I-Enalapril isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. Ibuye isetshenziswe ngokuhlangana neminye imithi yokwelapha ukwehluleka kwenhliziyo. U-Enalapril usesigabeni semithi ebizwa nge-angiotensin-converting enzyme (ACE) inhibitors. Isebenza ngokunciphisa amakhemikhali athile aqinisa imithambo yegazi, ngakho-ke igazi ligeleza ngokushelela futhi inhliziyo ingakwazi ukumpompa igazi kahle.

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-Enalapril iza njengethebhulethi ekhishwa ngokushesha futhi enwetshiwe (esebenza isikhathi eside) ezothathwa ngomlomo. Imvamisa kuthathwa kanye noma kabili ngosuku noma ngaphandle kokudla. Ukukusiza ukuthi ukhumbule ukuthatha i-enalapril, 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-enalapril njengoba iqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

Udokotela wakho mhlawumbe uzokuqala ngomthamo ophansi we-enalapril futhi akhuphule kancane umthamo wakho.

I-Enalapril ilawula umfutho wegazi ophakeme kanye nokwehluleka kwenhliziyo kodwa ayiyelaphi. Qhubeka uthathe i-enalapril noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-enalapril ngaphandle kokukhuluma nodokotela wakho.

I-Enalapril kwesinye isikhathi isetshenziselwa ukwelapha isifo sezinso esihlobene nesifo sikashukela. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.

Lo muthi ungabekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-enalapril,

• Tshela udokotela kanye nosokhemisi wakho uma une-aleji ku-enalapril; amanye ama-ACE inhibitors afana ne-benazepril (Lotensin, eLotrel), i-captopril (i-Capoten), i-fosinopril (i-Monopril), i-lisinopril (ePrinzide, e-Zestoretic), i-moexipril (i-Univasc, e-Uniretic), i-perindopril (i-Aceon), i-quinapril I-Accuretic, ngesiQuinaretic), i-ramipril (i-Altace), ne-trandolapril (i-Mavik, eTarka); noma imiphi eminye imithi; noma yiziphi izithako ezibhebheni ze-enalapril. 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-enalapril, uma uthatha i-valsartan ne-sacubitril. Futhi, tshela udokotela wakho uma unesifo sikashukela futhi uthatha i-aliskiren (Tekturna, e-Amturnide, eTekamlo, eTekturna HCT). Udokotela wakho mhlawumbe uzokutshela ukuthi ungathathi i-enalapril 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 nezinye izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-indomethacin (Indocin, Tivorbex); isisu (‘amaphilisi amanzi’); i-lithium (i-Lithobid); nezithako ze-potassium. Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
• utshele udokotela wakho uma uke waba nesifo senhliziyo noma sezinso; i-lupus; i-scleroderma (isimo lapho izicubu ezengeziwe zikhula khona esikhunjeni nakwezinye izitho); isifo sikashukela; noma i-angioedema (isimo esidala ubunzima bokugwinya noma ukuphefumula nokuvuvukala okubuhlungu kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi).
• tshela udokotela wakho uma uncelisa.
• uma uhlinzwa, kufaka phakathi ukuhlinzwa kwamazinyo, tshela udokotela noma udokotela wamazinyo ukuthi uthatha i-enalapril.
• 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 ophansi noma ukudla okune-sodium eningi, landela lezi zinkomba 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-Enalapril ingadala imiphumela emibi. Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

• ukukhwehlela
• isiyezi
• ukuqubuka
• ubuthakathaka

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

• ukuvuvukala kobuso, umphimbo, ulimi, izindebe, amehlo, izandla, izinyawo, amaqakala noma imilenze engezansi
• ukushaqeka
• ukuphefumula kanzima noma ukugwinya
• ukuphuzi kwesikhumba noma kwamehlo
• umkhuhlane, umphimbo obuhlungu, amakhaza nezinye izimpawu zokutheleleka
• ubumhlophe
• ukuquleka

I-Enalapril ingadala eminye imiphumela emibi. Shayela udokotela wakho uma unezinkinga ezingavamile ngenkathi uthatha lo muthi.

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.

Izimpawu zokudlula ngokweqile zingafaka okulandelayo:

• ubumhlophe
• ukuquleka

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo ukuthola impendulo yakho ku-enalapril. Udokotela wakho angalawula izivivinyo ezithile zelebhu ukuze ahlole impendulo yomzimba wakho ku-enalapril.

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.

• IVasotec^®

• I-Lexxel^® (equkethe i-Enalapril, Felodipine)^¶
• I-Teczem^® (equkethe iDiltiazem, Enalapril)^¶

^¶ Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.