Kodi kuthamanga kwa magazi anu kuli kokwera? Kodi muli ndi matenda a mtima? Tiyeni tiphunzire za mankhwalawa? (Amiloride; Hydrochlorothiazide)

Kodi dokotala wanu wakuuzani kuti muli ndi kuthamanga kwa magazi? Kapena mukulandira chithandizo cha matenda ena a mtima, monga kulephera kwa mtima? Ndiye mwapatsidwa piritsi lotchedwa `Amiloride; Hydrochlorothiazide`. Lero, tikambirana za mankhwalawa mwatsatanetsatane, ngati kuti wina akukuphunzitsani za mankhwalawa.

Kodi mankhwala awa ndi chiyani? N’chifukwa chiyani tikupatsidwa mankhwalawa?

Mwachidule, `Amiloride; Hydrochlorothiazide` ndi kuphatikiza mitundu iwiri ya mankhwala. Onsewa ndi mankhwala omwe amawonjezera kutulutsa mkodzo , malinga ndi zamankhwala, ndi mitundu iwiri ya diuretic. Mankhwalawa amathandiza impso zanu kutulutsa madzi ndi mchere wosafunikira m'thupi lanu kudzera mu mkodzo. Komabe, chapadera cha ichi ndichakuti ngakhale madzi ndi mchere woterewu atuluka , salola thupi kutaya mchere wofunikira kwambiri wotchedwa `Potassium`.

Mankhwalawa amagwiritsidwa ntchito makamaka pa:

• Lamulirani kuthamanga kwa magazi .
• Chithandizo cha matenda ena omwe amayamba chifukwa cha kufooka kwa mtima (Heart Failure) .

Mwina munalandira mankhwala awa pansi pa dzina la kampani ya ``Moduretic.'' Ndi mankhwala omwewo. Kuphatikiza apo, dokotala wanu angakupatseni mankhwala awa pa matenda ena. Chifukwa chake, ngati muli ndi mafunso aliwonse, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa?

Musanayambe kumwa Amiloride; Hydrochlorothiazide, pali zinthu zingapo zomwe muyenera kuuza dokotala wanu. Musabise zinthuzi, chifukwa zingakhudze thanzi lanu.

• Ngati muli ndi matenda a shuga .
• Ngati muli ndi vuto lililonse ndi chitetezo chanu chamthupi , mwachitsanzo, matenda monga lupus.
• Ngati muli ndi matenda a impso , kapena ngati mukukodza pang'ono.
• Ngati munakhalapo ndi vuto la amiloride, hydrochlorothiazide, mankhwala ena ochepetsa mphamvu ya okodzetsa, mankhwala a sulfa, kapena mankhwala ena aliwonse, chakudya, utoto wopangira, kapena mankhwala osungira.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba.
• Ngati ndinu mayi woyamwitsa.

Ngati mutchula mfundo zimenezi molondola, zingathandize kwambiri dokotalayo pokuthandizani moyenera.

Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?

Mankhwalawa ndi piritsi lomwe mumamwa pakamwa. Ndi bwino kumwa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzirani. Nthawi zambiri amatengedwa ndi chakudya. Muyenera kupitiriza kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Ngakhale mutamva bwino, musasiye kumwa mwadzidzidzi.

Chofunika: Mankhwalawa ndi a inu nokha. Musagawire mankhwala anu ndi wina aliyense, chifukwa akhoza kukhala oopsa.

Ngati mukupereka mankhwalawa kwa ana aang'ono, muyenera kulankhula ndi dokotala wanu za mankhwalawa ndikupeza upangiri wapadera. Angafunike chisamaliro chapadera.

Ngati mwamwa mankhwala ochulukirapo mwangozi, kutanthauza kuti ngati mwamwa mopitirira muyeso, pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani malo owongolera poizoni.

Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?

O, musachite mantha nthawi ngati zimenezi. Imwani mlingo womwe mwaphonya mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.

Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana kwa Mankhwala)

Iyi ndi mfundo yofunika kwambiri. Pali mankhwala ena omwe angayambitse mavuto ngati atengedwa pamodzi ndi `Amiloride; Hydrochlorothiazide`.

Mankhwala omwe sayenera kumwedwa ndi mankhwalawa:

• Cidofovir
• Eplerenone
• Zakudya zowonjezera potaziyamu (zikutanthauza zinthu monga mapiritsi a potaziyamu ndi madzi a syrup)
• Quinidine
• Tranylcypromine

Mankhwala ena omwe angayambitse mavuto ndi mankhwalawa ndi awa:

• Mankhwala ena a kuthamanga kwa magazi kapena matenda a mtima (monga benazepril, lisinopril, losartan, valsartan)
• Cyclosporine
• Dofetilide
• Lithiamu
• Mankhwala ochepetsa ululu ndi oletsa kutupa amatchedwa ``NSAIDs - Nonsteroidal Anti-Inflammatory Drugs''. Mwachitsanzo, mankhwala monga ibuprofen kapena naproxen.
• Mankhwala ena okodzetsa
• Tacrolimus

Mndandandawu sunathe. Pakhoza kukhala zinthu zina zomwe zingayambitse mavuto. Chifukwa chake, uzani dokotala wanu za mankhwala onse omwe mukumwa (omwe amalembedwa ndi dokotala kapena omwe amagulitsidwa pamtengo wotsika), mankhwala azitsamba, mavitamini, ndi zowonjezera zakudya zomwe mukumwa. Komanso, onetsetsani kuti mwauza dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwala?

Mukamamwa mankhwalawa, muyeneranso kusamala ndi zinthu zazing'ono zomwe muli nazo.

• Pitani kukayezetsa dokotala nthawi zonse: Khalani olumikizana ndi dokotala nthawi zonse kuti muwone momwe zinthu zilili komanso ngati mankhwala akugwira ntchito.
• Yesani kuthamanga kwa magazi anu: Yesani kuthamanga kwa magazi anu monga momwe dokotala wanu wakuuzani. Funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani komanso nthawi yomwe muyenera kuyimba foni.
• Zakudya zapadera: Mungafunike kutsatira zakudya zapadera. Funsani dokotala wanu za izi.
• Imwani madzi ambiri ndipo pewani kutaya madzi m'thupi: Mankhwalawa angayambitse kutaya madzi m'thupi. Funsani dokotala wanu kuchuluka kwa madzi omwe muyenera kumwa tsiku lililonse. Uzani dokotala wanu nthawi yomweyo ngati mukutsegula m'mimba nthawi zonse, kusanza, kapena thukuta kwambiri. Mankhwalawa akhoza kukhala oopsa ngati mwataya madzi m'thupi kwambiri.
• Kugona, chizungulire: Mankhwalawa angakupangitseni kumva tulo pang'ono komanso chizungulire. Choncho, musayendetse galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Samalani mukamayimirira kapena kudzuka mwadzidzidzi, makamaka ngati ndinu okalamba. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa.
• Pewani mowa: Mowa ungasokoneze mphamvu ya mankhwalawa.
• Kuopsa kwa khansa ya pakhungu: Pali chiopsezo chochepa cha khansa ya pakhungu mukamwa mankhwalawa. Lankhulani ndi dokotala wanu za izi.
• Kumva ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa kwambiri ndi dzuwa. Choncho, pewani kukhudzana ndi dzuwa momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zophimba thupi lanu bwino, gwiritsani ntchito mafuta oteteza ku dzuwa, ndipo pewani kugwiritsa ntchito nyali za dzuwa kapena malo opaka utoto.
• Kuchuluka kwa shuga m'magazi: Mankhwalawa angawonjezere kuchuluka kwa shuga m'magazi. Ngati muli ndi matenda a shuga, funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala anu.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amalandira.

Zotsatirapo zomwe muyenera kuuza dokotala wanu nthawi yomweyo:

• Matenda a ziwengo: Matuza pakhungu, kuyabwa, mawanga ofiira pakhungu, kutupa kwa nkhope, milomo, lilime kapena pakhosi.
• Kusowa madzi m'thupi: Kumva ludzu kwambiri, pakamwa pouma, kukomoka, kumva chizungulire, mutu, mkodzo wakuda wachikasu kapena bulauni.
• Zizindikiro za gout : Kupweteka kwambiri, kufiira, kutentha, kapena kutupa m'malo olumikizirana mafupa, makamaka phazi lalikulu la zala.
• Kuchuluka kwa asidi m'thupi:Kuvuta kupuma, kufooka kosazolowereka, kusokonezeka maganizo, mutu, kugunda kwa mtima mofulumira kapena kosakhazikika, nseru, kusanza.
• Mulingo wochuluka wa potaziyamu m'magazi: Kufooka kwa minofu, kugunda kwa mtima mofulumira kapena kosasinthasintha.
• Kuvulala kwa impso: Kuchepa kwa mkodzo, kutupa kwa akakolo, manja, kapena mapazi.
• Kuthamanga kwa magazi pang'ono: Kumva chizungulire, kukomoka, kusawona bwino.
• Mulingo wochepa wa potaziyamu m'magazi: kupweteka kwa minofu kapena kupweteka m'mimba, kufooka kosazolowereka, kugunda kwa mtima mofulumira kapena kosasinthasintha, kudzimbidwa.
• Kupweteka kwa maso mwadzidzidzi kapena kusintha kwa masomphenya: kusawona bwino, kuwona mphete mozungulira magetsi, kapena kutaya masomphenya.

Zotsatirapo zomwe nthawi zambiri sizifuna upangiri wa dokotala (koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa):

• Kusintha kwa chilakolako kapena ntchito yogonana.
• Kudzimbidwa.
• Kutsegula m'mimba.
• Mutu.
• Chakudyacho sichikoma.
• Kusanza.
• Kusanza.
• Kumva ngati m'mimba mwakwiya.

Mndandandawu sunathe. Ngati mukukumana ndi zizindikiro zina zachilendo, chonde funsani dokotala wanu.

Kodi muyenera kusunga bwanji mankhwala anu?

Izi ndizofunikiranso. Ngati mankhwalawo sanasungidwe bwino, mphamvu yake ingachepe.

• Sungani pamalo omwe ana ndi ziweto sangafikire.
• Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius / madigiri 68 ndi 77 Fahrenheit).
• Tetezani ku kuwala.
• Musagwiritse ntchito mankhwala otha ntchito ndipo muwataye.

Pomaliza, chinthu chofunika kwambiri

Chabwino, takambirana zambiri za mankhwala a `Amiloride; Hydrochlorothiazide`, sichoncho? Kumbukirani, nkhaniyi yangokupatsani chidule cha mankhwala awa. Mwina sakufotokoza zonse.

Ngati muli ndi mafunso ena okhudza mankhwalawa, ndi bwino kufunsa dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wanu.

Imwani mlingo woyenera, panthawi yoyenera, nthawi yoyenera, monga momwe dokotala wanenera. Thanzi lanu ndi lofunika kwambiri kwa inu. Choncho musaiwale kutsatira malangizo awa.

Amiloride , hydrochlorothiazide, kuthamanga kwa magazi, matenda a mtima, diuretics, potaziyamu, zotsatirapo zake