Kodi dokotala wanu wakupatsani mankhwala omwewo a cholesterol yokwera komanso kuthamanga kwa magazi? Mwina munalandirapo mankhwalawa pansi pa dzina lodziwika bwino monga 'Caduet'. Lero, tikambirana mwachidule za zomwe piritsi ili limachita, zomwe muyenera kusamala nazo mukamamwa, komanso zotsatirapo zake.
Kodi mankhwala amenewa ndi chiyani kwenikweni?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri. Izi zikutanthauza kuti pali mankhwala awiri mu piritsi limodzi. Mankhwalawa ndi Amlodipine ndi Atorvastatin .
1. Amlodipine: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa 'calcium-channel blockers'. Ntchito yake yayikulu ndikuletsa kuthamanga kwa magazi. Kuphatikiza apo, mankhwalawa amathandizanso kuchepetsa ululu pachifuwa womwe umayamba chifukwa cha matenda a mtima, kutanthauza angina.
2. Atorvastatin: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa 'statins'. Imagwira ntchito poletsa kupanga cholesterol m'thupi lathu, makamaka m'chiwindi. Izi ndizofunikira kwambiri pochepetsa kuchuluka kwa cholesterol m'magazi mwa anthu omwe ali pachiwopsezo cha matenda a mtima kapena sitiroko. Madokotala nthawi zambiri amapereka mankhwalawa kwa anthu omwe amavutika kulamulira cholesterol yawo kudzera mu zakudya zokha.
Chifukwa chake, kuphatikiza mankhwala awiriwa ndikuwapereka ngati piritsi limodzi, kumakhala kosavuta kuwongolera zinthu zonse ziwiri zomwe zimayambitsa kuthamanga kwa magazi komanso cholesterol yambiri nthawi imodzi.
Zinthu zoti muuze dokotala wanu musanayambe kumwa mankhwalawa
Musanapereke mankhwala awa, ndikofunikira kwambiri kudziwitsa dokotala wanu za mbiri yanu yonse ya thanzi, makamaka ngati muli ndi vuto lililonse mwa izi:
- Ngati muli ndi vuto la kumwa mowa.
- Ngati muli ndi matenda a mtima monga matenda a mtima, kulephera kwa mtima, kapena aortic stenosis.
- Ngati muli ndi matenda okhudzana ndi mahomoni monga matenda a shuga kapena chithokomiro chosagwira ntchito bwino.
- Ngati muli ndi matenda a impso kapena chiwindi (izi ndizofunikira kwambiri).
- Ngati muli ndi kuthamanga kwa magazi kotsika.
- Ngati mwangochitidwa opaleshoni posachedwapa kapena mwachita ngozi yaikulu.
- Ngati muli ndi vuto monga khunyu.
- Ngati muli ndi vuto la ziwengo ndi mankhwala awa kapena mankhwala ena, zakudya, kapena zosungira.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa (izi ndizofunikira kwambiri, chifukwa ma statins sakuvomerezeka panthawi ya mimba).
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Mezani piritsi ili ndi kapu ya madzi. Imwani monga momwe dokotala wanu wanenera, panthawi yoyenera. Mutha kumwa mankhwalawa musanadye kapena mutatha kudya.
Chofunika: Pewani kumwa madzi a mphesa mukamamwa mankhwalawa. Kapena, musasinthe kuchuluka kwa madzi omwe mumamwa tsiku lililonse. Madzi a mphesa amatha kuyanjana ndi mankhwalawa ndikuwonjezera kuchuluka kwa mankhwala m'thupi lanu mosafunikira.
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yatsala pang'ono, imwani panthawiyo yokha. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaphonya.
Komanso, musasiye kumwa mankhwalawa mwadzidzidzi popanda kulankhula ndi dokotala wanu. Ngati mutero, chepetsani mlingo pang'onopang'ono ndipo funsani upangiri wa momwe mungasiyire kumwa.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, chifukwa mankhwala ena amatha kusokonezana ndi Amlodipine/Atorvastatin ndikuyambitsa zotsatirapo zoyipa.
| Zinthu zogwira ntchito | Zitsanzo |
|---|---|
| Zinthu zomwe siziyenera kutengedwa pamodzi | |
| Mankhwala ena a statin a cholesterol | Fluvastatin, Lovastatin, Pravastatin, Simvastatin |
| Mpunga wofiira wa yisiti | Lili ndi zakudya zina zowonjezera. |
| Maantibayotiki ena ndi ma fungicides | Telithromycin, Voriconazole |
| Zinthu zoti mudziwitse dokotala chifukwa zingayambitse zotsatirapo zoyipa | |
| Mankhwala ena omwe amamwa a HIV kapena Edzi | Mankhwala oletsa mavairasi |
| Mankhwala ena a cholesterol | Clofibrate, Fenofibrate, Gemfibrozil, Niacin |
| Mankhwala a matenda a bowa | Mankhwala monga Itraconazole, Ketoconazole, Fluconazole |
| Maantibayotiki ena | Clarithromycin, Erythromycin |
| Zinthu zina | Cyclosporine, Digoxin, mapiritsi oletsa kubereka, madzi a mphesa |
Mndandandawu sunathe. Choncho uzani dokotala wanu za mankhwala onse, zitsamba, ndi mavitamini omwe mumamwa. Komanso, muuzeni ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuyezetsa magazi pafupipafupi: Pitani kwa dokotala nthawi zonse kuti mukayeze matenda anu. Mungafunikenso kuyezetsa magazi, makamaka kuyezetsa chiwindi, kuti mukayezetse matenda a chiwindi chanu.
- Kupweteka kwa minofu: Izi ndizofunikira kwambiri. Ngati muli ndi kupweteka kwa minofu kosamvetsetseka, kuuma, kapena kufooka , makamaka ngati muli ndi malungo ndi kutopa, uzani dokotala wanu nthawi yomweyo. Izi zitha kukhala chizindikiro cha zotsatirapo zoyipa za mankhwala a statin.
- Moyo: Mankhwalawa ndi gawo limodzi chabe la pulogalamu yowongolera cholesterol ndi kuthamanga kwa magazi. Kuti mupeze zotsatira zabwino, ndikofunikira kutsatira zakudya zabwino, zopanda mafuta ambiri komanso zopanda mafuta ambiri, kuchita masewera olimbitsa thupi nthawi zonse, komanso kupewa kusuta fodya ndi kumwa mowa .
- Chizungulire: Mungamve chizungulire. Choncho, musachite chilichonse chomwe chimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani.Musadzuke mwadzidzidzi mutakhala pansi, makamaka ngati ndinu munthu wokalamba.
- Matenda a shuga: Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu. Choncho lankhulani ndi dokotala musanasinthe mlingo kapena zakudya zomwe mumadya.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime. |
| Kupweteka kwa minofu/kufooka | Kupweteka kwa minofu komwe kumachitika popanda chifukwa, ndi kutentha thupi kapena popanda kutentha thupi. |
| Mavuto a chiwindi | Mkodzo wakuda, chikasu cha maso kapena khungu, kutopa kwambiri. |
| Zizindikiro zina zazikulu | Kupweteka pachifuwa, kugunda kwa mtima kosakhazikika, kutupa kwa miyendo/akakolo, kuvutika kukodza. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Mavuto a m'mimba | Kupweteka m'mimba, kudzimbidwa (gasi), kutsegula m'mimba, nseru. |
| Zinthu zina zazing'ono | Mutu, kutsuka nkhope. |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizili pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Iyi ndi mankhwala omwe amaperekedwa pamodzi a matenda a kuthamanga kwa magazi komanso cholesterol yambiri.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala.
- Ngati mukumva kupweteka kwa minofu kosamvetsetseka (makamaka ndi malungo), kungakhale chizindikiro chachikulu. Uzani dokotala wanu nthawi yomweyo.
- Pewani kumwa madzi a mphesa mukamamwa mankhwalawa.
- Kuti mupeze zotsatira zabwino, ndikofunikira kukhala ndi moyo wathanzi (kudya bwino, kuchita masewera olimbitsa thupi) kuwonjezera pa kumwa mankhwala.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa.
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