Kodi mulinso ndi kuthamanga kwa magazi, kapena "kuthamanga kwa magazi" monga momwe tonse tikudziwira? Ngati ndi choncho, dokotala wanu mwina anakupatsani mankhwala. Nthawi zina, kuti muwongolere kuthamanga kwa magazi anu, madokotala amalimbikitsa kuphatikiza mankhwala oposa umodzi. Lero, tikambirana za kuphatikiza kwa mankhwala awiri otere. Mankhwalawa ali ndi mankhwala awiri otchedwa Bendroflumethiazide ndi Nadolol. Mutha kuwadziwa ndi dzina la `(Corzide)`.
Kodi chimachitika ndi chiyani ndi kuphatikiza kwa mankhwalawa?
Izi n'zosavuta kuzimvetsa. Mitundu iwiri ya mankhwala omwe ali mu izi amathandiza kuchepetsa kuthamanga kwa magazi m'njira ziwiri.
1. Bendroflumethiazide: Iyi ndi ya gulu la mankhwala otchedwa diuretics. Nthawi zambiri timatcha awa kuti "mapiritsi amadzi." Mwachidule, mankhwalawa amagwira ntchito pofulumizitsa kutulutsa madzi ochulukirapo ndi mchere m'thupi lanu kudzera mu mkodzo. Monga momwe kuchuluka kwa madzi mu chitoliro chamadzi kumakulirakulira, kuthamanga komwe kuli mkati mwake kumakulirakulira, kuchuluka kwa madzi m'mitsempha yathu yamagazi kumakulirakulira. Chifukwa chake, pochepetsa kuchuluka kwa madzi ochulukirapo, mankhwalawa amachepetsa kuthamanga kwa magazi m'mitsempha.
2. Nadolol: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa beta-blockers. Imagwira ntchito pochepetsa kugunda kwa mtima ndikuchepetsa ntchito pamtima. Izi zikutanthauza kuti mtima suyenera kugwira ntchito molimbika kuti upompe magazi. Mtima ukagwira ntchito mofatsa, kuthamanga kwa magazi m'mitsempha kumachepanso.
Choncho, njira ziwirizi zikaphatikizidwa, zingathandize kwambiri poletsa kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza ngati muli ndi vuto lililonse mwa izi:
| Matenda anu | N’chifukwa chiyani kuli kofunika kudziwa zambiri za nkhaniyi? |
|---|---|
| Matenda a shuga | Mankhwalawa amatha kukhudza kuchuluka kwa shuga m'magazi ndipo amatha kubisa zizindikiro za shuga wotsika m'magazi (hypoglycemia). |
| Matenda a mtima, mbiri ya matenda a mtima, kapena kugunda kwa mtima | Ma beta-blockers amatha kuchepetsa kugunda kwa mtima, zomwe zingaike matenda omwe alipo kale patsogolo. |
| Matenda a m'mapapo monga mphumu | Mankhwalawa nthawi zina amatha kufinya njira zopumira komanso kukulitsa mphumu. |
| Matenda a impso kapena chiwindi | Popeza ziwalo zimenezi zimagwira ntchito yochotsa mankhwala m'thupi, ngati ntchito yawo yasokonekera, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Matenda a chithokomiro | Mankhwalawa angabise zizindikiro zina za mahomoni a chithokomiro omwe amagwira ntchito mopitirira muyeso (hyperthyroidism). |
| Matenda a chifuwa cha mankhwala a sulfa, mankhwala ena, kapena zakudya | Popeza Bendroflumethiazide ndi mankhwala okhudzana ndi gulu la sulfa, pali chiopsezo cha zotsatirapo zoyipa. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Popeza mankhwalawa amatha kukhudza mwana, ndikofunikira kukambirana ndi dokotala. |
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
- Yesetsani kumwa mlingo womwe mwapatsidwa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera. Mukachita izi chizolowezi, simungaiwale kumwa mankhwala anu.
- Mankhwalawa angatengedwe musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba kapena kusasangalala, ndi bwino kumwa pamodzi ndi chakudya.
- Mezani piritsi ndi kapu ya madzi.
Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa nokha pokhapokha ngati dokotala wanu wakuuzani. Ngati musiya kumwa mankhwalawa mwadzidzidzi, kuthamanga kwa magazi anu kungakwere mwadzidzidzi ndipo mungakumane ndi mavuto oopsa monga kupweteka pachifuwa.
Nanga bwanji ngati mwamwa mankhwala ochulukirapo? (Kumwa mankhwala ochulukirapo)
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Nanga bwanji ngati ndaphonya mlingo?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati patsala maola ochepa kuti mutenge mlingo wotsatira mukangokumbukira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi pazifukwa zilizonse.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Kuyendera nthawi zonse: Pitani kwa dokotala wanu masiku okhazikika kuti muwone momwe mukuyendera. Ngati muli ndi chowunikira kuthamanga kwa magazi kunyumba, yezani ndikulemba kuthamanga kwa magazi anu monga momwe dokotala wanu akukulangizirani.
- Samalani ndi kusowa madzi m'thupi: Ngati mukutsegula m'mimba, kusanza, kapena thukuta kwambiri, mutha kutaya madzi ambiri m'thupi lanu. Kungakhale koopsa kumwa mankhwalawa panthawiyi. Chifukwa chake, ngati mukukumana ndi vutoli, imbani dokotala wanu kuti akupatseni upangiri.
- Kugona ndi chizungulire: Mankhwalawa angapangitse anthu ena kumva tulo kapena chizungulire. Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukadzuka pamalo okhala kapena mukadzuka pabedi. Izi zitha kuchepetsa chiopsezo cha chizungulire ndi kugwa.
- Pewani mowa: Mowa ungakupangitseni kumva chizungulire komanso kugona, komanso umawononga kuthamanga kwa magazi.
- Samalani mukapita ku dzuwa: Mankhwalawa angapangitse khungu la anthu ena kukhala losakhudzidwa ndi dzuwa. Chifukwa chake, ndi bwino kuvala chipewa, zovala zazitali, ndi mafuta oteteza ku dzuwa mukapita ku dzuwa.
- Mankhwala a matenda ena: Musanagule mankhwala ogulitsidwa kunja kwa kampani ya mankhwala a chifuwa, chimfine, kapena ululu pamene mukumwa mankhwalawa, onetsetsani kuti mwafunsa dokotala wanu . Chifukwa mankhwala ena ali ndi zosakaniza zomwe zingawonjezere kuthamanga kwa magazi anu.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa milomo/lilime/nkhope |
| Kuvuta kupuma | Kuvuta kupuma, kulimba pachifuwa |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima kosakhazikika, kupweteka pachifuwa |
| Mavuto a magazi m'thupi | Manja ndi mapazi ozizira, abuluu, kapena opanda mphamvu |
| Zizindikiro zina zazikulu | Maso kapena khungu kukhala lachikasu, minofu ikugwedezeka kwambiri, kuvutika kulankhula, kufooka kwambiri |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Dongosolo la m'mimba | Kutsegula m'mimba, nseru |
| Zotsatira zamaganizo | Kuvutika maganizo, kutopa kwambiri |
| Zina | Chifuwa, kusintha kwa ntchito yogonana |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala awa monga momwe dokotala wanu wanenera, panthawi yomwe mwauzidwa. Musasiye kumwa mankhwalawo nokha pazifukwa zilizonse.
- Musanayambe kumwa mankhwala, uzani dokotala wanu za matenda ena onse omwe muli nawo komanso mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala a Ayurvedic).
- Samalani mukayendetsa galimoto komanso mukuchita ntchito zoopsa, chifukwa chizungulire ndi kugona zimatha kuchitika mukamwa mankhwala.
- Dziwani zotsatirapo zake zoopsa (kupweteka pachifuwa, kuvutika kupuma, komanso ziwengo). Ngati mukukumana ndi zizindikiro izi , funsani upangiri wa dokotala nthawi yomweyo.
- Musaphonye nthawi yokaonana ndi dokotala wanu pa nthawi yomwe mwakonza zokumana ndi dokotala komanso kuyezetsa kuthamanga kwa magazi.
👩🏽⚕️ Mafunso ena (Mafunso Ofunsidwa Kawirikawiri)
💬 Kodi Bendroflumethiazide ndi Nadolol zimagwiritsidwa ntchito pa chiyani?
Iyi ndi piritsi lothandiza kwambiri lophatikiza mankhwala lomwe limaphatikiza mankhwala awiri omwe amagwira ntchito m'njira ziwiri zosiyana kuti achepetse kuthamanga kwa magazi. M'malo momwa mapiritsi awiri osiyana, piritsi limodzi ili limapatsa thupi mankhwala amphamvu otchedwa Bendroflumethiazide (piritsi lamadzi) ndi Nadolol (beta-blocker). Limagwiritsidwa ntchito kwa anthu omwe kuthamanga kwa magazi sikutsika ndi mapiritsi wamba.
💬 Kodi kuphatikiza kwa mankhwala awiriwa kungachepetse bwanji kuthamanga kwa magazi?
Zili ngati kuzimitsa moto pothira madzi, koma zimadulanso mpweya wopita ku moto! Choyamba, 'Bendroflumethiazide' imachotsa mchere/sodium wochuluka ndi madzi (Fluid Volume) m'thupi lanu kudzera mu mkodzo (kuchepetsa kuthamanga kwa magazi). Kenako, 'Nadolol (Beta-blocker)' imatseka ma adrenaline receptors mumtima mwanu, kuchepetsa kugunda kwa mtima wanu ndikupangitsa kuti ugwire ntchito mosavuta.
💬 Kodi ndi njira ziti zodzitetezera/zotsatira zoyipa zomwe muyenera kusamala nazo mukamamwa mapiritsi awa (Bendroflumethiazide; Nadolol)?
Vuto lalikulu ndi Nadolol! Izi zimatha kutsekereza njira zopumira m'mapapo. Chifukwa chake, 'anthu omwe ali ndi mphumu/kupuma movutikira/COPD amatha kupuma ndikufa ngati atamwa izi! (Zotsutsana)'. Komanso, Bendroflumethiazide imapangitsa kuti thupi litaye potaziyamu ikatulutsidwa mu mkodzo, zomwe zingayambitse kupweteka kwa minofu/kutayika kwa tsitsi ndi kutopa (Hypokalemia) (ingathenso kuwonjezera shuga m'magazi mwa anthu omwe ali ndi matenda ashuga).
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