Kodi dokotala wanu wakupatsani mankhwala awa a kuthamanga kwa magazi? Kapena pali wina aliyense m'banja mwanu amene amagwiritsa ntchito mankhwalawa? Amatchedwa Captopril ndi Hydrochlorothiazide (HCTZ). Ndi mankhwala osakaniza awiri. Nthawi zambiri, zimakhala zosavuta kulamulira matendawa ngati mankhwala awa aperekedwa ngati piritsi limodzi. Choncho tiyeni tikambirane za izi mosavuta komanso molondola lero kuti tidziwe.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi mankhwala omwe amaperekedwa kuti achepetse kuthamanga kwa magazi. Ali ndi mitundu iwiri ya mankhwala.
1. Captopril: Iyi ndi mankhwala omwe ali m'gulu la mankhwala otchedwa ACE inhibitors . Izi zimagwira ntchito pokulitsa mitsempha yamagazi m'thupi lathu. Tangoganizani kuti mukapanga chitoliro chamadzi chachikulu pang'ono, madzi amatuluka osakhazikika ndipo kuthamanga kwa magazi kumachepa. Momwemonso, izi zimakulitsanso mitsempha yamagazi, zomwe zimapangitsa kuti magazi aziyenda mosavuta, komanso kuchepetsa kuthamanga kwa magazi.
2. Hydrochlorothiazide (HCTZ): Iyi ndi mankhwala ochepetsa mphamvu ya madzi m'thupi . Timaitcha kuti "piritsi la madzi." Imagwira ntchito pochotsa madzi ochulukirapo ndi mchere m'thupi kudzera mu mkodzo. Izi zimachepetsa kuchuluka kwa madzi m'thupi, zomwe zimachepetsa kuthamanga kwa magazi m'mitsempha yamagazi.
Mankhwala awiriwa akaphatikizidwa, zotsatira zabwino kwambiri zitha kupezeka pakuchepetsa kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Dokotala wanu asanakupatseni mankhwala awa, ayenera kudziwa mbiri yonse ya thanzi lanu. Choncho, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati muli ndi vuto la chifuwa cha Captopril, Hydrochlorothiazide, kapena mankhwala aliwonse okhala ndi sulfa omwe ali mu mankhwalawa.
- Ngati mudayamba mwatupa lilime lanu, nkhope yanu, kapena milomo yanu, mukuvutika kupuma, kulankhula, kapena kumeza, mutagwiritsa ntchito mankhwala aliwonse kale, timatcha vutoli kuti ``Angioedema```.
- Ngati muli ndi matenda a impso kapena vuto la mkodzo.
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi matenda a mtima kapena mwangodwala matenda a mtima kapena sitiroko posachedwapa.
- Ngati muli ndi matenda a chitetezo chamthupi monga lupus .
- Ngati mukudya zakudya zopanda mchere wambiri .
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena kuyamwitsa, izi ndizofunikira kwambiri.
- Ngati muli ndi vuto la ziwengo chifukwa cha mankhwala ena, kulumidwa ndi tizilombo, kapena zakudya.
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi popanda kuzibisa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Zotsatira zabwino kwambiri zitha kupezeka pogwiritsa ntchito mankhwalawa moyenera.
- Piritsi ili liyenera kumwedwa ola limodzi musanadye, pamimba yopanda kanthu .
- Yesani kumwa mankhwalawa nthawi yomweyo tsiku lililonse momwe mungathere. Izi zithandiza kuti mphamvu ya mankhwala m'thupi ikhale yofanana.
- Mezani piritsi ndi kapu ya madzi.
- Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa nokha pazifukwa zilizonse pokhapokha ngati dokotala wanu wakuuzani. Muyenera kupitiriza kumwa ngakhale mutaona kuti kuthamanga kwa magazi anu kwatsika.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kudziwitsa dokotala wanu ngati mukumwa mankhwala ena pamene mukumwa mankhwalawa. Mankhwala ena akhoza kusokonezana ndi mankhwalawa ndikuyambitsa zotsatirapo zoyipa.
| Gulu/mtundu wa mankhwala | Zinthu zoti muganizire |
|---|---|
| Mankhwala ena a matenda a mtima | Makamaka mankhwala monga sacubitril; valsartan sayenera kumwedwa ndi izi. |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Mwachitsanzo: Mankhwala monga Ibuprofen, Naproxen, Diclofenac. Mankhwalawa amatha kuchepetsa mphamvu ya Captopril ndikukhudza impso. |
| Zakudya zowonjezera potaziyamu ndi mchere wolowa m'malo | Popeza mankhwalawa amatha kuwonjezera potaziyamu m'thupi, kumwa mankhwalawa kungayambitse kuchuluka kwa potaziyamu m'thupi moopsa. |
| Mankhwala ena ochepetsa kuthamanga kwa magazi ndi okodzetsa magazi | Kupanikizika kungakhale kochepa kwambiri. |
| Mankhwala a shuga | Popeza kuchuluka kwa shuga m'magazi kumatha kusinthasintha, mungafunike kuyang'ana kuchuluka kwa shuga m'magazi anu pafupipafupi. |
| Lithiamu | Mankhwalawa a matenda amisala amatha kuwonjezera kuchuluka kwa poizoni m'thupi. |
Mndandandawu sunathe. Uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera) .
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Pitani kwa dokotala wanu nthawi zonse: Pitani kwa dokotala wanu masiku omwe akonzedwa kuti muwone momwe magazi anu akuyendera ndikuwonetsetsa kuti kuthamanga kwa magazi kwanu kuli bwino. Funsani dokotala wanu za kuthamanga kwa magazi komwe mukufuna.
- Pewani kutaya madzi m'thupi: N'koopsa kutaya madzi m'thupi mukumwa mankhwalawa. Ngati mutuluka thukuta kwambiri, kutsegula m'mimba kapena kusanza, thupi lanu lidzataya madzi ambiri. Zikatero, funsani dokotala wanu kuti akupatseni upangiri. Dziwani kuchuluka kwa madzi omwe muyenera kumwa patsiku.
- Kuzunguzika ndi kugona: Anthu ena angamve chizungulire kapena kugona akamamwa mankhwalawa. Choncho pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukayimirira kapena kudzuka pamalo omwe mukukhala, makamaka ngati ndinu okalamba. Kumwa mowa kungapangitse vutoli kukhala loipa kwambiri.
- Chitetezo ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losakhudzidwa ndi dzuwa. Choncho valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta oteteza ku dzuwa mukamapita ku dzuwa. Pali umboni wina wosonyeza kuti anthu omwe akumwa mankhwalawa akhoza kukhala pachiwopsezo chowonjezeka cha khansa ya pakhungu, choncho lankhulani ndi dokotala wanu za zimenezo.
- Mankhwala a chifuwa ndi chimfine: Mukamamwa mankhwalawa, musamwe mankhwala a chifuwa, chimfine, kapena ochepetsa ululu omwe amagulitsidwa ndi dokotala. Zina mwa zinthu zomwe zili mmenemo zimatha kuwonjezera kuthamanga kwa magazi. Choncho funsani dokotala musanamwe mankhwala aliwonse.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena.
| Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, ndi lilime. |
| Kuvuta kupuma | Kupuma movutikira, kufinya chifuwa. |
| Kupweteka pachifuwa, kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Chizungulire chachikulu kapena kutaya chidziwitso | Kumva ngati sangathe kuima, kukoka ndi kugwa. |
| Kuchepa kwa kukodza, chikasu cha maso kapena khungu | Izi zitha kukhala zizindikiro za vuto la impso kapena chiwindi. |
| Chifuwa chouma chosalekeza | Izi ndi zotsatira zoyipa koma zokhumudwitsa za Captopril kwa anthu ena. |
| Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Mutu | Mutu wochepa. |
| Kusintha kwa ntchito yogonana | Kuchepa kwa chilakolako chogonana kapena mavuto ena. |
Uthenga Wopita Nawo Kunyumba
- Captopril ndi Hydrochlorothiazide ndi mankhwala ophatikizana omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi.
- Nthawi zonse imwani mankhwalawa muli ndi mimba yopanda kanthu, ola limodzi musanadye.
- Pewani kusiya kumwa mankhwala popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda onse omwe muli nawo.
- Dziwani mavuto aakulu monga chizungulire, kutaya madzi m'thupi, komanso kupuma movutikira, komanso kutupa pankhope.
- Ngati mukukonzekera kutenga pakati kapena muli kale ndi pakati, ndikofunikira kwambiri kuuza dokotala wanu nthawi yomweyo.
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