Nihal (san 58) nana n ka dɔgɔtɔrɔso la dɔgɔkun tɛmɛnen na, a jɔrɔlen don kosɛbɛ ani a sɛgɛnnen don. Sugunɛbana si tun t’a la, nka joli sɛgɛsɛgɛliw y’a jira ko a sugunɛ fila bɛɛ tun bɛ ka dɛsɛ joona kosɛbɛ.
"Dɔgɔtɔrɔ Priya, n ka teli ka Losartan ni sugunɛbilenni fura dɔ ta don o don, dɔgɔtɔrɔ ye o sɛbɛn tansiyɔn jiginni ni dusukunnabana kama. Kɔsa in na, dimi jugumanba kosɔn n kamankun na, n ye Dikulofenaki furakisɛw san furakɛlitɔn dɔ la, dɔgɔtɔrɔ ka fura ma di n ma, ka taa a fɛ k'u ta dɔgɔkun damadɔ kɔnɔ. Sisan, n sen fila bɛɛ fununa ani ninakili ka gɛlɛn," Nihal y'o ɲɛfɔ.
N y'a fɔ Nihal ye ni hakilisigi ye ko: "Nihal, i ye fili faratiba dɔ kɛ k'a sɔrɔ i ma a dɔn. Ni i ye nin dimimadafura in ta i n'a fɔ dikulofenaki ka fara tansiyɔn furakisɛw ni jifilenw kan, i bɛ minnu ta, joli bɛ taa sugunɛ na, o bɛ ɲini ka jɔ pewu. Furakɛcogo la, an bɛ nin wele ko triple whammy . O ye tiɲɛniba kɛ i sugunɛ na. An ka kuma nin kan bi dɔrɔn walasa bɛɛ ka kɛ hakili la."
🚨 Sugunɛbilenni darapo bilenman minnu ka kan ka furakɛli bila mɔgɔ la
Ni aw ye nin taamasiɲɛ ninnu sɔrɔ ka aw to dimimadafura tali la ni dɔgɔtɔrɔ ma a sɛbɛn, aw ka kan ka taa dɔgɔtɔrɔso la joona barisa o bɛ se ka kɛ sugunɛbilenni taamasiɲɛ ye:
- Senw, senkɔniw, senw walima ɲɛda fununi barikama (Fluid Retention).
- Ninakilidegun jugumanba min sababu jɛlen tɛ.
- Ka a ye ko a sɛgɛnnen don cogo la min tɛ deli ka kɛ, ka sɛgɛn, walima ka a ye ko ɲɛnamaya tɛ a la.
- Sugunɛ bɔli hakɛ barika dɔgɔyali fo ka se a hakɛ dɔgɔyalenba ma (walima sugunɛ bɔli tɛ kɛ fewu).
AINE dimimadafura farati min bɛ u makun
Sri Lanka jamana na, mɔgɔ caman bɛ AINE (Non-Steroidal Anti-Inflammatory Drugs) san furakɛlisow la ni u farikolo dimi, kungolodimi walima farikolodimi bɛ u la.
Misaliba minnu bɛ yen olu ye:
- Dikulofenaki (Diclofenac).
- Asipirini (Aspirine) (Apirine).
- Ibuporofɛni (Ibuprofène).
- Asidi mefenamiki / Ponstan
Hali ni o fura ninnu bɛ se ka dimi mada waati dɔɔni, ni u tali bɛ taa a fɛ, o bɛ se ka sugunɛ baara tiɲɛ kudayi. Farati ka bon kɛrɛnkɛrɛnnenya la ni fura ninnu bɛ tali kɛ fura wɛrɛw la minnu bɛ kɛ ka tansiyɔn ni dusukunnabana furakɛ.
Sugunɛbilenni "Triple Whammy" ye mun ye?
Banabagatɔ minnu bɛ tansiyɔn jiginni ni dusukunnabana furakɛ, olu bɛ se ka nin fura suguya saba ninnu kɛ ɲɔgɔn fɛ k’a sɔrɔ u ma dɔn, ka sugunɛ bɔli baara bali pewu. O bɛ Dɔn furakɛli siratigɛ la ko "Triple Whammy":
1. 1. .ACE inhibiteurs walima ARBs : Fura minnu bɛ kɛ i n’a fɔ Captopril , Enalapril , walima Losartan, dɔgɔtɔrɔw bɛ minnu di walasa ka tansiyɔn jigin, olu bɛ joli bɔlenw bonya minnu bɛ joli ta ka bɔ sugunɛ na ani ka tansiyɔn dɔgɔya sugunɛ kɔnɔ.
2. Sugunɛ furaw (ji furakisɛw): Fura minnu bɛ farikolo dɛmɛ ka kɔgɔ ni ji tɛmɛnenw bɔ sugunɛ fɛ, o bɛ dɔ bɔ joli bɔli la sugunɛ na.
3. ANS dimimadafura (Diclofenac/Aspirin): Nin dimimadafura ninnu bɛ porositaglandiniw bɔli bali, olu bɛ joli siraw bonya sugunɛ na. O bɛ kɛ sababu ye ka joli siraw (artrioles afferents) dɔgɔya kosɛbɛ.
Ni nin wale saba bɛɛ kɛra waati kelen na, joli hakɛ min bɛ taa sugunɛ na, o bɛ dɔgɔya kosɛbɛ, filtration tansiyɔn bɛ ban, ani sugunɛ joginni jugumanba (AKI) bɛ kɛ.
Farati min bɛ furaw sanni na furakɛlisow la ni kɔnɔnafili ye
Furakɛyɔrɔw bɛ baara kɛ ni furakɛlikɛlaw ye, dɔgɔtɔrɔw tɛ minnu bɛ se ka banaw sɛgɛsɛgɛ. Ikomi u t’a dɔn aw bɛ fura kuntaalajan minnu ta sisan, aw bɛ dimimadafura minnu ɲini aw fɛ, ni aw ye olu di aw ma, o bɛ se ka kɛ sababu ye ka furaw ni ɲɔgɔn cɛ minnu bɛ mɔgɔ faga i n’a fɔ ninnu.
Sri Lanka mɔgɔ caman bɛ hali dimimadafura nɔgɔmanw ta waati jan kɔnɔ k’a sɔrɔ u ma u kɔlɔlɔ juguw faamuya.
Do's & Don'ts ka kɛ
| ✔️ Fɛn minnu ka kan ka kɛ (Ka kɛ) . | ❌ Aw kana kɛ |
|---|---|
| Ni aw bɛ tansiyɔn furakisɛw walima jifilenw ta, aw bɛ dɔgɔtɔrɔ dɔ ka laadilikan ɲini ani ka fura lakananen dɔrɔn de ta i n’a fɔ parasetamɔli ni dimi donna. | Aw kana dimimadafura san i n’a fɔ dikulofenaki, ibuporofɛni, walima asipirini ka ɲɛsin furakɛlisow ma ani ka taa a fɛ ka u ta ka sɔrɔ dɔgɔtɔrɔ ma a fɔ. |
| Aw bɛ joli sɛgɛsɛgɛli nɔgɔman kɛ (Serum Creatinine/eGFR) siɲɛ kelen san kɔnɔ walasa ka sugunɛ kɛcogo lajɛ. | Aw kana dimimadafura kɛ abada ni AINE ye ni farigan bɛ aw la walima ni farikolojidɛsɛ bɛ aw la. |
| Aw bɛ fura kuntaalajan minnu ta, aw bɛ olu bɛɛ kunnafoni di aw ka dɔgɔtɔrɔ ma tuma o tuma ni aw ye a ye. | Ikomi sugunɛ tiɲɛni bɛ se ka kɛ a taamasiɲɛw tɛ a jira a daminɛ na, aw kana kɔnɔni kɛ fo aw ka kɛnɛya ka taa dɔgɔtɔrɔso la. |
❓ Ɲininkali wɛrɛ dɔw bɛ se ka kɛ i fɛ (FAQ) .
Banabagatɔ jumɛnw bɛ farati la "Triple Whammy" la? ▼
O farati ka bon kɛrɛnkɛrɛnnenya la banabagatɔw la minnu bɛ ACE inhibiteurs/ARBw ni sugunɛbilenni furaw (ji furakisɛw) ta tansiyɔn jiginni, dusukunnabana, walima sugunɛbilenni kama, ani minnu bɛ dimimadafura (AINE) fana ta.
Yala ne mago bɛ diyalizi la ni sugunɛbaralabana bɛ ne la ka a sababu kɛ dimimadafura ye wa? ▼
Ni sugunɛ joginni jugumanba kɛra, a bɛ se ka kɛ ko a ka kan ka diyalizi kɛ waati dɔɔni walasa ka bagaw kunbɛn farikolo la. A ka ca a la, ni dimimadafura tali dabila joona ani ka furakɛli ɲuman kɛ, sugunɛ bɛ se ka kɛnɛya dɔgɔkun damadɔ kɔnɔ.
Yala Paracetamol tali fana bɛ sugunɛ tiɲɛ wa? ▼
Ayi, parasetamɔli farati tɛ sugunɛ na pewu ni a tata hakɛ fɔlen don (a man kan ka tɛmɛ garamu 4 kan tile kɔnɔ). Ikomi parasetamɔli tɛ AINE ye, a tɛ joli bɔli bali sugunɛ na.
"Banabagatɔw ka don sariyaw" ye mun ye? ▼
Don minnu na kɔnɔboli jugumanba, fɔɔnɔ, walima fariganba bɛ aw la ka farikolojidɛsɛ sɔrɔ, fura minnu bɛ i n’a fɔ ACE inhibiteurs, ARBs, diurétiques, ani NSAD, olu ka kan ka dabila waati dɔɔni fo tile damadɔ dɔgɔtɔrɔw ka laadilikanw kɔnɔ walasa ka sugunɛ tanga, barisa joli bɔli sugunɛ na, o bɛ dɔgɔya.
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