Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika," ndi vuto la thanzi lomwe anthu ambiri akukumana nalo masiku ano. Chifukwa chake dokotala wanu mwina wakupatsani mankhwala a izi. Lero tikambirana za mtundu wapadera wa mankhwala omwe amaperekedwa pa kupanikizika kotere. Ndi kuphatikiza kwa mankhwala awiri otchedwa Aliskiren ndi Hydrochlorothiazide. Ngati mumagwiritsa ntchito mankhwalawa, nkhaniyi idzakhala yofunika kwambiri kwa inu.
Kodi mankhwala awa ndi chiyani? Kunena zoona...
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri. Pamodzi, awiriwa amathandiza kulamulira kuthamanga kwa magazi.
1. Aliskiren: Iyi ndi ya gulu la mankhwala otchedwa ``renin inhibitors.'' Tangoganizani kuti thupi lathu lili ndi enzyme yotchedwa "renin" yomwe imatsekereza mitsempha yamagazi ndikuwonjezera kuthamanga kwa magazi. Choncho chomwe mankhwala a Aliskiren awa amachita ndikuletsa kugwira ntchito kwa enzyme imeneyo. Kenako mitsempha yamagazi imakhala yomasuka pang'ono, ndipo kuthamanga kwa magazi kumachepa.
2. Hydrochlorothiazide (HCTZ): Mwina munamvapo izi ngati "piritsi la madzi." Malinga ndi zamankhwala, ndi mtundu wa diuretic. Imagwira ntchito pochotsa mchere ndi madzi ochulukirapo m'thupi kudzera mu mkodzo. Izi zimachepetsa kuthamanga kwa magazi m'mitsempha.
Choncho, m'njira zonse ziwiri, mankhwalawa amathandiza kuchepetsa kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yanu ya thanzi. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati muli ndi matenda a shuga.
- Ngati muli ndi matenda a impso kapena miyala ya impso.
- Ngati muli ndi matenda aliwonse a chiwindi.
- Ngati muli ndi gout .
- Ngati mwataya madzi m'thupi, kutanthauza kuti mwataya madzi ambiri m'thupi lanu.
- Ngati muli ndi pancreatitis.
- Ngati mukukodza pang'ono kapena mukuvutika kukodza.
- Izi ndizofunikira kwambiri ngati muli ndi pakati kapena mukufuna kutenga pakati .
- Ngati ndinu mayi woyamwitsa .
- Ngati muli ndi vuto la mankhwala awa kapena mankhwala ena aliwonse, chakudya, kapena utoto.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kudziwa bwino momwe mungagwiritsire ntchito mankhwalawa.
- Mezani piritsi ili ndi galasi la madzi.
- Imwani mankhwala anu monga momwe dokotala wanu wanenera, panthawi yoyenera. Ndi bwino ngati mungathe kuwamwa nthawi yomweyo tsiku lililonse.
- Mungathe kumwa izi musanadye kapena mutadya. Komabe, imwaninso chimodzimodzi tsiku lililonse (mwachitsanzo, ngati mumwa tsiku lililonse mutadya chakudya cham'mawa, pitirizani kutero).
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mukupereka mankhwalawa kwa ana, lankhulani ndi dokotala wanu za mankhwalawa chifukwa amafunika chisamaliro chapadera.
Chofunika: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ngati mukumwa mankhwala ena pamene mukumwa mankhwalawa, pakhoza kukhala kuyanjana pakati pawo. Chifukwa chake, dziwitsani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala achikhalidwe. Mutha kupeza zambiri zokhudza izi mu tebulo ili m'munsimu.
| Mtundu wa mankhwala/mankhwala | Zinthu zoti muzisamala nazo |
|---|---|
| Mowa | Zingasinthe mphamvu ya mankhwala ndikuwonjezera chizungulire. |
| Mankhwala ena othamanga magazi | Kupanikizika kungakhale kochepa kwambiri. |
| Mankhwala a shuga | Lankhulani ndi dokotala wanu chifukwa zingakhudze kuchuluka kwa shuga m'magazi. |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Mwachitsanzo, mankhwala monga Ibuprofen ndi Naproxen angawonjezere kuthamanga kwa magazi kapena kukhudza impso. |
| Zakudya zowonjezera potaziyamu ndi mchere wolowa m'malo | Pewani kumwa izi popanda upangiri wa dokotala. |
| Mankhwala ena monga Lithium ndi Digoxin | Kuyanjana kwakukulu kungachitike ndi izi. |
Zinthu zofunika kuziganizira mukamamwa mankhwala
Muyenera kusamala kwambiri thanzi lanu mukamamwa mankhwalawa.
Samalani kwambiri panthawi ya mimba.
Ngati mukukonzekera kutenga pakati, kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Mankhwalawa angayambitse mavuto aakulu kwa mwana wanu wosabadwa, makamaka m'miyezi itatu yachitatu ndi yachiwiri.
Kwa iwo omwe ali ndi matenda a shuga
Mankhwalawa angakulitse shuga m'magazi mwanu pang'ono. Chifukwa chake, ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala anu. Ngati mukumwa mankhwala oletsa ACE kapena ARB a matenda a shuga, mankhwalawa sakuvomerezeka.
Samalani ndi madzi m'thupi.
Uzani dokotala wanu ngati muli ndi nseru, kusanza, kapena thukuta kwambiri, chifukwa mankhwalawa akhoza kukhala oopsa ngati mutataya madzi ambiri m'thupi lanu (kusowa madzi m'thupi).
Chizungulire ndi kugona
Mankhwalawa angakupangitseni kumva chizungulire kapena kugona. Choncho, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, imirirani pang'onopang'ono mukamayimirira kapena kudzuka pamalo omwe mumakhala.
Samalani mukapita padzuwa.
Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi dzuwa (photosensitivity). Chifukwa chake, mukamapita kudzuwa, valani zovala zophimba khungu lonse momwe mungathere, valani magalasi a dzuwa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Lankhulaninso ndi dokotala wanu za chiopsezo cha khansa ya pakhungu mukamamwa mankhwalawa.
Ndi zotsatirapo ziti zomwe mukuwona?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime, miyendo. |
| Kuvuta kupuma | Kupuma movutikira, kupweteka pachifuwa. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Mavuto a maso | Kusintha kwa masomphenya, kupweteka kwa maso. |
| Chizungulire chachikulu kapena kukomoka | Chizungulire, kusatha kuima, ndi kugwa. |
| Zizindikiro zina zazikulu | Kupweteka kwambiri kwa minofu, kupweteka pokodza, kutentha thupi, kupweteka pakhosi, ndi khungu lotupa. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa. | |
| Chizungulire pang'ono | Izi zitha kuchitika mpaka mutazolowera mankhwalawo. |
| Chifuwa | Anthu ena akhoza kukhala ndi chifuwa chouma. |
| Kusasangalala m'mimba | Kupweteka m'mimba, kutupa. |
| Mutu | Mutu waukulu ukhoza kuchitika. |
Uthenga Wopita Nawo Kunyumba
- Nthawi zonse imwani mankhwalawa monga momwe dokotala wanu wanenera, mu mlingo woyenera komanso panthawi yoyenera.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda anu onse komanso mankhwala ena onse omwe mukumwa.
- Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, pewani kumwa mankhwalawa. Uzani dokotala wanu nthawi yomweyo.
- Samalani ndi chizungulire ndi kugona. Dzitetezeni ku kutaya madzi m'thupi.
- Ngati muwona zotsatira zoyipa kwambiri (monga kutupa kwambiri, kupuma movutikira), funsani upangiri wa dokotala nthawi yomweyo.
- Kaonaneni ndi dokotala wanu panthawi yomwe mwakonza ndipo akapimidwe kuthamanga kwa magazi. Musaope kufunsa ngati muli ndi mafunso.
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