Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika," ndi vuto la thanzi lomwe anthu ambiri amakumana nalo masiku ano. Mwina dokotala wanu wakulemberani mankhwala ochizira vutoli. Lero, tikambirana za kuphatikiza kwa mankhwala awiri omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi. Mankhwalawa ndi Atenolol ndi Chlorthalidone.
Mwachidule, kodi mankhwala awa ndi chiyani?
Izi kwenikweni ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Atenolol: Iyi ndi ya gulu la mankhwala otchedwa 'beta-blockers.' Mwachidule, imagwira ntchito poletsa kugunda kwa mtima wanu ndikuchepetsa kuthamanga kwa magazi pamtima wanu.
2. Chlorthalidone: Iyi ndi mankhwala ochepetsa ululu. Izi zimadziwika kuti "mapiritsi amadzi." Amagwira ntchito popangitsa thupi kutulutsa madzi ochulukirapo ndi mchere kudzera mu mkodzo.
Mankhwala awiriwa akaphatikizidwa, amatha kukhala othandiza kwambiri poletsa kuthamanga kwa magazi. Nthawi zina dokotala wanu angakupatseni mankhwalawa pansi pa dzina lodziwika bwino lakuti ``Tenoretic``. Mankhwalawa angagwiritsidwenso ntchito pa matenda ena. Mutha kufunsa dokotala wanu kuti akuuzeni zambiri za mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanagwiritse ntchito mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
| Matenda anu kapena vuto lanu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a mtima: Matenda monga angina, kulephera kwa mtima, kutsekeka kwa mtima, kapena matenda a Raynaud. | Popeza mankhwalawa amakhudza kugunda kwa mtima, n'zotheka kuti matenda a mtima omwe analipo kale angasinthe. |
| Matenda a shuga | Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi. |
| Matenda a impso kapena chiwindi | Popeza ziwalo zimenezi zimakhudza njira yochotsera mankhwala m'thupi, ndikofunikira kudziwa za ntchito yawo. |
| Mphumu kapena matenda ena opumira | Mankhwala a beta-blocker nthawi zina angayambitse mavuto opuma. |
| Matenda a m'mimba | Mankhwala ochepetsa mphamvu ya madzi m'thupi angayambitse gout. |
| Matenda a chithokomiro | Mankhwalawa angabise zizindikiro zina za matenda a chithokomiro. |
| Ngati muli ndi pakati, mukufuna kutenga pakati, kapena ndinu mayi woyamwitsa. | Izi zingakhudze mwana, choncho muyenera kudziwitsa dokotala. |
| Ziwengo: Ngati muli ndi vuto la atenolol, chlorthalidone, ma beta-blockers ena, mankhwala a sulfa, kapena china chilichonse. | Izi ndizofunikira kwambiri kuti mupewe vuto lalikulu la ziwengo ku mankhwala. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Imwani mankhwala monga momwe dokotala wanu wanenera, mu mlingo womwewo. Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse . Izi zidzakuthandizani kupewa kuiwala kumwa mankhwala anu ndipo zidzakuthandizani kusunga mlingo womwewo wa mankhwala m'thupi lanu. Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Musasiye kumwa mankhwala mwadzidzidzi pazifukwa zilizonse. Kuchita zimenezi kungayambitse kuthamanga kwa magazi anu kukwera mwadzidzidzi ndipo mavuto ena angachitike.
Ngati mlingo wa mankhwala wawonjezeka (Overdose)
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.
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Imwani mlingo womwe mwaphonya nthawi yomweyo mukakumbukira. Komabe, ngati nthawi yanu yotsatira yatsala pang'ono kufika, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza.
Musamwe mankhwala awiri nthawi imodzi (mapiritsi awiri) kuti mubwezeretse mlingo womwe mwaiwala. Izi zitha kukhala zoopsa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
Mukamagwiritsa ntchito mankhwalawa, dziwani izi kuti mukhale otetezeka komanso kuti mupindule kwambiri ndi mankhwalawa.
- Pitani kuchipatala nthawi zonse: Pitani kuchipatala masiku omwe mwakonza ndipo muyeze kuthamanga kwa magazi ndi kugunda kwa mtima wanu. Funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani komanso choti muchite ngati kusinthako kwasintha.
- Samalani ndi kusowa madzi m'thupi: Ngati mukutsegula m'mimba, kusanza, kapena kutuluka thukuta kwambiri, samalani. Mankhwalawa akhoza kukhala oopsa ngati mutataya madzi ndi mchere wambiri m'thupi lanu. Pazochitika zotere, funsani dokotala wanu.
- Kugona ndi chizungulire: Mankhwalawa angapangitse anthu ena kumva tulo kapena chizungulire. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukamadzuka pampando wokhala pansi kapena wotuluka pabedi. Izi zichepetsa mwayi wokhala ndi chizungulire ndi kugwa. Kumwa mowa kungapangitse kuti tulo tiwonjezeke, choncho ndi bwino kupewa kumwa mowa.
- Ngati muli ndi matenda a shuga: Mankhwalawa angawonjezere shuga m'magazi mwanu. Ngati muli ndi matenda a shuga, lankhulani ndi dokotala wanu ngati mukufunika kusintha zakudya zanu kapena mankhwala a matenda a shuga.
- Samalani mukapita kudzuwa: Mankhwalawa angapangitse khungu la anthu ena kukhala losakhudzidwa ndi dzuwa. Choncho, pewani kupita kudzuwa momwe mungathere. Ngati muyenera kupita kunja, valani zovala zophimba khungu lanu ndipo gwiritsani ntchito mafuta oteteza ku dzuwa kuti mudziteteze ku dzuwa.
- Funsani musanamwe mankhwala ena: Mukamwa mankhwalawa, onetsetsani kuti mwaonana ndi dokotala musanamwe mankhwala oletsa chifuwa, chimfine, kapena ochepetsa ululu omwe amaperekedwa ndi dokotala. Chifukwa mankhwala ena amakhala ndi zinthu zomwe zingawonjezere kuthamanga kwa magazi.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Zina zimakhala zoopsa, zina zimakhala zofala. Ndikofunikira kudziwa izi.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| • Matenda a ziwengo (matuza pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime) | • Kuvuta kupuma |
| • Kupweteka pachifuwa | • Miyendo yozizira, yopanda dzanzi, kapena yabuluu |
| • Kugunda kwa mtima kosakhazikika | • Kugwedezeka kwa minofu kapena kupweteka |
| • Kuvuta kapena kuchepa kwa kukodza | • Kuoneka kwachikasu kwa maso kapena khungu (zizindikiro za matenda a chikasu) |
| • Kupweteka kwa gout kumawonjezeka | • Ludzu lochuluka, njala, kukodza pafupipafupi, kutopa kwambiri, kusawona bwino (zizindikiro za shuga wambiri m'magazi) |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| • Kusintha kwa chilakolako kapena ntchito yogonana | • Kuvutika maganizo |
| • Kutsegula m'mimba | • Maso ouma kapena pakamwa |
| • Kusanza | • Mutu |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo kuwonjezera pa izi, uzani dokotala wanu za izi.
Kodi muyenera kusunga bwanji mankhwala anu?
- Sungani kutali ndi ana ndi ziweto.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius).
- Tetezani ku kuwala ndi chinyezi. Izi zikutanthauza kuti musasunge mankhwala m'malo monga m'bafa.
- Sungani botolo/bokosi la mankhwala litatsekedwa bwino.
- Tayani mankhwala aliwonse otsala tsiku lotha ntchito.
Uthenga Wopita Nawo Kunyumba
- Atenolol ndi Chlorthalidone ndi mankhwala ophatikizana omwe amagwiritsidwa ntchito pochepetsa kuthamanga kwa magazi.
- Musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala.
- Uzani dokotala wanu za matenda onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa.
- Dziwani ngati mungakhale ndi chizungulire, kugona tulo, komanso kutaya madzi m'thupi mukamamwa mankhwalawo.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kupweteka pachifuwa, kapena ziwengo zoopsa, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati pali vuto lililonse, lankhulani momasuka ndi dokotala wanu za vutoli.
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