Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kuthamanga kwa magazi" ndi vuto la thanzi lomwe limafala pakati pa anthu ambiri m'dziko lathu masiku ano. Chifukwa chake, dokotala wanu wakupatsani mankhwala kuti muchepetse vutoli. Lero tikambirana za mankhwala apadera omwe amaperekedwa chifukwa cha kuthamanga kwa magazi kotere, omwe amapangidwa ndi kuphatikiza kwa mankhwala awiri. Umenewo ndi kuphatikiza kwa mankhwala awiri otchedwa Azilsartan ndi Chlorthalidone.
Kodi mankhwala awa ndi amtundu wanji? Kodi kwenikweni chikuchitika ndi chiyani?
Mwachidule, izi zimathandiza kuchepetsa kuthamanga kwa magazi m'njira ziwiri. Pali zinthu ziwiri zosiyana zomwe zili mu piritsi ili.
1. Azilsartan (iyi ndi mankhwala amtundu wa ARB): Izi zimagwira ntchito pokulitsa ndi kumasula mitsempha yamagazi (machubu omwe amanyamula magazi) m'thupi lanu. Tangoganizani kuti chitoliro chamadzi chikatsekedwa, madzi amathamanga mwamphamvu kwambiri, ndiko kuti, ndi kuthamanga kwambiri. Monga momwe mupangira chitolirocho kukhala chachikulu pang'ono, kuthamanga kwa madzi kumachepa, pamene mitsempha yamagazi ikukulirakulira, magazi amatha kuyenda popanda kutsekedwa, ndi kuthamanga kochepa. Izi zimachepetsa kuthamanga kwa magazi.
2. Chlorthalidone (mankhwala ochepetsa kuthamanga kwa magazi): Mankhwalawa amagwira ntchito podziwitsa impso zanu kuti zitulutse madzi ochulukirapo ndi mchere kudzera mu mkodzo. Thupi lanu likataya madzi, kuchuluka kwa magazi m'mitsempha yanu kumachepanso. Ichi ndi chifukwa china chachikulu chomwe chimayambitsa kuthamanga kwa magazi.
Chifukwa chakuti njira zonsezi zimagwira ntchito limodzi, mankhwalawa ndi othandiza kwambiri poletsa kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanakupatseni mankhwala awa, ndikofunikira kuti dokotala wanu adziwe momwe thanzi lanu lilili. Onetsetsani kuti mwamuuza ngati muli ndi vuto lililonse mwa izi:
| Nkhani yofunika kuiganizira | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Kukhala ndi pakati, kuyesa kutenga pakati, kapena kuyamwitsa | Izi ndi zofunika kwambiri. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. |
| Matenda a impso kapena chiwindi | Popeza mankhwalawa amatuluka m'thupi kudzera mu impso ndi chiwindi, ndikofunikira kudziwa momwe ziwalo izi zimagwirira ntchito. |
| Matenda a m'mimba | Chlorthalidone yomwe ili mu mankhwalawa imatha kuwonjezera kuchuluka kwa uric acid m'magazi ndikuwonjezera gout. |
| Kusowa madzi m'thupi | Ngati thupi latha kale madzi m'thupi, mankhwalawa angapangitse kuti vutoli liwonjezeke. |
| Kuchepa kwa mchere monga sodium ndi potaziyamu m'magazi | Popeza izi ndi mankhwala ochepetsa ululu, zimatha kuchepetsa mchere womwe uli kale wochepa. |
| Kutupa kwa mankhwala ena, zakudya, kapena zinthu zina | Kuti mudziwe ngati muli ndi vuto la chifuwa ndi mankhwalawa kapena chilichonse mwa zosakaniza zake. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kugwiritsa ntchito koyenera
Imwani mankhwalawa ndi kapu ya madzi. Chofunika kwambiri ndikumwa nthawi yomweyo tsiku lililonse . Mukachita izi chizolowezi, simungaiwale kumwa mankhwala anu. Mutha kumwa musanadye kapena mutadya. Komabe, anthu ena angavutike pang'ono m'mimba mutamwa mankhwalawa. Ngati izi zitachitika, imwani mankhwalawa pamodzi ndi chakudya. Pitirizani kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Musadandaule. Imwani mankhwala anu mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira (monga maola angapo), dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mwangozi mwamwa mankhwala opitirira muyeso womwe mwapatsidwa, musatenge mopepuka. Pitani ku Dipatimenti Yoona za Zadzidzidzi ya Chipatala chapafupi (ETU) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Chipatala cha Dziko Lonse cha Colombo kuti mupeze malangizo.
Zinthu zofunika kuziganizira mukamamwa mankhwala
Chidziwitso chapadera kwa amayi oyembekezera ndi omwe akuyembekezera kutenga pakati:Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa ngati atengedwa panthawi ya mimba. Ngati muli ndi pakati, kapena mukufuna kutenga pakati posachedwa, dziwitsani dokotala wanu nthawi yomweyo ndikupempha chithandizo china.
- Chizungulire: Mungamve chizungulire pang'ono masiku oyamba mutayamba kumwa mankhwalawa. Chifukwa chake, ndi bwino kupewa zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto, kugwira ntchito pamalo okwera, kapena kugwiritsa ntchito makina, mpaka thupi lanu litazolowera kumwa mankhwalawa. Makamaka ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukadzuka pamalo okhala kapena mukadzuka pabedi. Izi zichepetsa mwayi wokhala ndi chizungulire ndi kugwa.
- Mowa: Kumwa mowa kungapangitse kuti munthu ayambe kuvutika ndi chizungulire, choncho ndi bwino kuchepetsa kapena kusiya kumwa mowa pamene mukumwa mankhwalawa.
- Samalani ndi dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa kuposa masiku onse (photosensitivity). Choncho, ngati mukupita kunja masana, valani zovala zophimba khungu lanu, valani chipewa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa.
- Mankhwala ena ochepetsa ululu: Ngati mukufuna kumwa mankhwala a chifuwa, chimfine, kapena ululu wina, musamwe mankhwala popanda kufunsa dokotala wanu kaye. Mankhwala ena ochepetsa ululu (makamaka `NSAIDs` monga Ibuprofen ndi Diclofenac) ndi mankhwala ena oziziritsa chimfine amatha kukweza kuthamanga kwa magazi.
- Mankhwala Olowa M'malo mwa Mchere: Musagwiritse ntchito mankhwala olowa m'malo mwa mchere omwe alipo pamsika popanda kufunsa dokotala wanu. Akhoza kukhala ndi potaziyamu wambiri, womwe ungasokonezeke ndi mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatirapo zina mwa anthu ena. Zina mwa izi ndi zazikulu, zina ndizofala. Chofunika ndikudziwa izi ndikuchitapo kanthu mwachangu ngati zizindikiro zazikulu zachitika.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Kusamvana kwa Thupi | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo, lilime kapena pakhosi, komanso kuvutika kupuma. |
| Kuchepa kwambiri kwa kuthamanga kwa magazi | Chizungulire chachikulu, kumva kufooka, kusawona bwino. |
| Zotsatira pa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kusintha kwa milingo ya potaziyamu | Kugwedezeka kwa minofu, kutopa kosazolowereka, kugunda kwa mtima mofulumira kapena kosakhazikika. |
| Kutupa kwa gout | Kupweteka kwambiri, kufiira, ndi kutupa, makamaka m'malo olumikizirana mafupa monga chala chachikulu cha phazi. |
| Mavuto a maso | Kupweteka maso mwadzidzidzi, kusawona bwino, kapena kuwona mphete mozungulira magetsi. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Zotsatirapo zazing'ono | Chizungulire, mutu, kutopa, kuvutika m'mimba, kutsegula m'mimba. |
Uthenga Wopita Nawo Kunyumba
- Azilsartan ndi Chlorthalidone ndi mankhwala ophatikizana omwe amachepetsa kuthamanga kwa magazi.
- Imwani mankhwalawa nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wanenera.
- Onetsetsani kuti mwauza dokotala wanu ngati muli ndi pakati, mukuganiza zokhala ndi pakati, kapena muli ndi matenda ena aliwonse (makamaka matenda a impso kapena chiwindi).
- Chizungulire chingachitike nthawi yoyamba kumwa mankhwala, choncho samalani mukamachita ntchito zomwe zimafuna chisamaliro.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kutupa pankhope, kupuma movutikira, kapena kupweteka kwambiri m'malo olumikizirana mafupa.
- Musasiye kumwa mankhwalawa mwadzidzidzi popanda kufunsa dokotala wanu.
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