Ukusetshenziswa kanye Nemiphumela Ehlangene Ye-Angiotensin Eguqulela Inzyme (ACE) Inhibitors
I-Enalapril, eyaziwa nangokuthi i-Enacard® noma i-Vasotec®, isetshenziselwa izinja namakati ukuphatha isifo senhliziyo , ukucindezeleka kwegazi, ngisho nesifo sezinso, kodwa kungabangela nemiphumela emibi kakhulu.
I-Enalapril iyi-enzyme inhibitor (noma i-ACE inhibitor) ye-angiotensin (noma i-ACE inhibitor), okusho ukuthi i-enalapril ivimba i-angiotensin yokuguqula i-enzyme ekukhiqizeni i-compound ebizwa nge-angiotensin-ll, i-vasoconstrictor enamandla.
Lawa ma-vasoconstrictors enza ukuthi ukuvinjelwa kwemithambo yegazi ekugcineni kuholele ekwandeni komfutho wegazi kanye nesidingo senhliziyo yokusebenza kanzima ukupompa igazi emzimbeni.
Ngokuphambene nalokho, i-enalapril isebenza njenge-vasodilator ngoba ivimba ukukhiqizwa kwe-angiotensin-ll. Ngokuyinhloko, ngokwenza i-vasodilator, i-enalapril yenza ukwanda kwamethingi wegazi esikhundleni sokunciphisa. Lokhu kwanda ububanzi bemithambo yegazi kubangela ukwehla kwengcindezi yegazi futhi kwenza kube lula ngenhliziyo ukushaya igazi ngemithambo yegazi emzimbeni.
I-Enalapril iphinda ikhulise ukugeleza kwegazi kuya ezinsweni, okungase kube usizo ezinja nezinja ezithinta isifo . Kukholelwa ukuthi ama-enalapril namanye ama-inhibitors e-ACE cishe anciphisa inani lamaprotheni elivunyelwe ukubaleka ngezinso kanye nomchamo.
Izifo ze-Enalapril Zingathathwa Ezifuyweni
I-Enalapril isetshenziselwa kokubili inja nekati ukuphatha ukuhluleka kwenhliziyo, ukucindezeleka komfutho wegazi (high blood pressure), ukwehluleka okungavamile kwezinsolo (izinso), nesifo sezinso esibizwa ngokuthi i-protein-losing nephropathy eyenza amaprotheni alahlekelwe ngokuchama.
Uma i-enalapril isetshenziselwa ukwelapha ukuhluleka kwenhliziyo, isetshenziswa kaningi kanye ne-furosemide (Lasix®). Imithi emibili esetshenziselwa ndawonye ingandisa ikhwalithi yokuphila ngenja noma ikati ekuhlulekeni kwenhliziyo; Kodwa-ke, aziwa ukuthi impilo yesilwane ingasetshenziswa yini ngokusebenzisa i-enalapril ne-furosemide ndawonye.
Uma usebenzisa i-enalapril kanye ne- furosemide , kungadingeka ukuthi usebenzise umthamo ophansi we-furosemide ukugwema ukunciphisa ukucindezelwa kwegazi ezingeni eliphansi eliyingozi.
Imiphumela emibi ye-Enalapril Sebenzisa
Abanikazi bezilwane abasebenzisa i-enalapril ngenja noma ikati labo kufanele baqaphele ukuthi imiphumela emibi, nakuba engavamile, ingase ihlanganise ukuhlanza, isifo sohudo, ukungabi nesifiso sokudla, ubuthakathaka, noma ukuthuthukiswa kwezinsalela.
Izinja namakati athola ama-enalapril kufanele ahlolwe njalo ngudokotela wezilwane. Ukuhlolwa kwegazi okungapheli kungadingeka ukuqapha izibonakaliso zesifo sezinso nokwandisa amazinga e-potassium egazi. Umfutho wegazi wesilwane kufanele uhlolwe ngezikhathi ezithile, futhi, njengoba izinkinga zingase zivele kusukela ekusetshenzisweni kwesikhathi eside kwe-enalapril.
Sicela uqaphele ukuthi lesi sihloko sinikezela ngezinhloso zokwaziswa kuphela futhi akufanele sisetshenziswe yedwa ukuze sithole inkambo engcono yezenzo zokuphatha ukukhathazeka kwezempilo yesilwane sakho. Uma isilwane sakho sibonisa noma yiziphi izimpawu zokugula, sicela uthintane nodokotela wezilwane ngokushesha ngangokunokwenzeka ukuze ubone ukuthi iyiphi ikhambi elihle kakhulu yokwelapha elilodwa lakho noma inja yakho.