Kodi dokotala wanu wakupatsani "piritsi la madzi"? Kapena watchulapo mankhwala omwe amakuthandizani kuchepetsa thupi? Ngati ndi choncho, mwina ndi mankhwala otchedwa Chlorothiazide. Mwachidule, ndi diuretic. Imagwira ntchito popangitsa thupi lanu kutulutsa mchere ndi madzi ochulukirapo kudzera mu mkodzo. Ndicho chifukwa chake madokotala amalembera mankhwalawa pa kuthamanga kwa magazi, komanso kuwongolera kutupa m'thupi komwe kumachitika chifukwa cha matenda a mtima, matenda a impso, kapena matenda a chiwindi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanapereke mankhwala a Chlorothiazide kwa inu, dokotala wanu ayenera kudziwa mbiri yanu yonse ya matenda. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
- Ngati thupi lanu lasowa madzi okwanira, ndiye kuti mulibe madzi okwanira.
- Ngati muli ndi matenda a shuga kapena shuga wambiri m'magazi.
- Ngati kuchuluka kwa ma electrolyte m'magazi anu, monga potaziyamu, sodium, ndi magnesium, kuli kotsika kapena kokwera.
- Ngati muli ndi matenda a impso kapena chiwindi.
- Ngati muli ndi vuto lotchedwa lupus.
- Ngati mudakumanapo ndi vuto la Chlorothiazide, mankhwala a sulfa, mankhwala ena, zakudya, zotetezera, kapena utoto.
- Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa.
Ndikofunikira kwambiri kupereka chidziwitsochi kwa dokotala wanu, chifukwa chidziwitso chimenecho chidzatsimikizira ngati mankhwalawa ndi oyenera kwa inu kapena ayi, komanso mlingo woti mupereke.
Kodi ndimagwiritsa ntchito bwanji mankhwalawa molondola?
Ndikofunikira kwambiri kutsatira malangizo a dokotala nthawi yomweyo mukamagwiritsa ntchito mankhwalawa.
- Imwani mankhwalawa nthawi yomweyo tsiku lililonse , monga momwe mwalangizidwira ndi dokotala wanu.
- Izi zitha kumwedwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa pamodzi ndi chakudya.
- Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye.
- Mankhwala awa ndi operekedwa kwa inu nokha. Musagawire mankhwala anu ndi wina aliyense.
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 umodzi pazifukwa zilizonse.
Kuchuluka kwa mankhwala osokoneza bongo
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipinda chapafupi chadzidzidzi (ETU) nthawi yomweyo. Kupanda kutero,Imbani National Poison Information Center ku Colombo National Hospital kuti mupeze upangiri.
Mankhwala ena ndi zinthu zomwe zingagwirizane ndi Chlorothiazide
Mukamwa mankhwalawa, amatha kusokonezana ndi zinthu zina zomwe mukumwa. Chifukwa chake, ndikofunikira kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini ndi mankhwala azitsamba. Izi zingayambitse mavuto, makamaka ndi izi:
- Ma Barbiturates (monga phenobarbital)
- Lithiamu
- Mankhwala a shuga
- Mankhwala ena a kuthamanga kwa magazi
- Mankhwala ochepetsa mafuta m'thupi (monga cholestyramine, colestipol)
- NSAIDs (monga ibuprofen, naproxen)
- Mankhwala ena ochepetsa ululu omwe dokotala wakupatsani
- Zopumulitsa minofu ya mafupa
- Mankhwala a steroid (monga prednisone, cortisone)
Mndandandawu si wokwanira. Muyeneranso kuuza dokotala wanu ngati mumasuta fodya, mumamwa mowa, kapena mumagwiritsa ntchito mankhwala ena osokoneza bongo.
Zinthu zomwe muyenera kusamala kwambiri mukamamwa mankhwalawa:
Muyenera kusamalira thanzi lanu pang'ono mukamagwiritsa ntchito mankhwalawa.
- Pitani kukayezetsa nthawi zonse: Pitani ku chipatala nthawi zomwe zakonzedwa monga momwe dokotala wanenera ndipo fufuzani momwe mulili.
- Yesani kuthamanga kwa magazi anu: Yesani kuthamanga kwa magazi anu kunyumba monga momwe dokotala wanu akukulangizirani. Funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani komanso nthawi yomwe muyenera kuyimbira dokotala wanu ngati kwasintha.
- Samalani ndi kusowa madzi m'thupi: Ngati muli ndi kutsegula m'mimba kwambiri, kusanza, kapena thukuta kwambiri, uzani dokotala wanu , chifukwa mankhwalawa akhoza kukhala oopsa ngati mutataya madzi ambiri m'thupi lanu.
- Chakudya ndi zakumwa: Mungafunike kutsatira zakudya zapadera mukamamwa mankhwalawa. Funsani dokotala wanu za izi. Komanso, funsani magalasi angati a madzi omwe muyenera kumwa patsiku.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho pewani kuchita ntchito zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe izi zimakukhudzirani. Pewani kudzuka kapena kukhala pansi mwadzidzidzi, makamaka ngati ndinu okalamba.
- Pewani mowa: Mowa ungasokoneze mphamvu ya mankhwalawa.
- Mankhwala ena: Ngati muli ndi chifuwa, chimfine, kapena kupweteka kwa thupi, musamwe mankhwala ogulitsidwa kunja kwa chipatala musanafunse dokotala wanu kaye. Mankhwala ena amatha kuonjezera kuthamanga kwa magazi.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Chlorothiazide ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, pomwe zina ndizofala. Ndikofunikira kudziwa izi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, ziphuphu; kutupa kwa nkhope, milomo, kapena lilime. |
| Kusintha kwa kugunda kwa mtima | Kuvuta kupuma, kupweteka pachifuwa, chizungulire, kugunda kwa mtima mofulumira kapena kosakhazikika, kukomoka. |
| Kuwonongeka kwa impso | Kuvuta kukodza kapena kusintha kwa kuchuluka kwa mkodzo womwe umatuluka. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kumva kutopa kwambiri kapena kufooka. |
| Matenda aakulu a khungu | Kufiira kwa khungu, kutupa, kutuluka kwa matuza (ngakhale mkati mwa pakamwa). |
| Zotsatirapo zomwe zingachitike nthawi zambiri, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mavuto a m'mimba | Kutsegula m'mimba, kusanza, kusowa chilakolako. |
| Shuga wambiri m'magazi | Njala yochuluka, ludzu, kapena kukodza pafupipafupi; kutopa kosazolowereka, kusawona bwino. |
| Zina | Ludzu lochuluka, kupweteka kwa minofu, thukuta losazolowereka. |
Kodi mumasunga bwanji mankhwala anu kukhala otetezeka?
Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire. Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Imwani mlingo wolembedwa, panthawi yolembedwa, monga momwe dokotala wanenera. Musasinthe mlingo nokha.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala achikhalidwe).
- Samalani ndi kusowa madzi m'thupi. Uzani dokotala wanu ngati muli ndi thukuta lochuluka, kutsegula m'mimba, kapena kusanza. Imwani madzi ambiri.
- Pewani zinthu zoopsa monga kuyendetsa galimoto chifukwa zingayambitse chizungulire ndi kugona. Musasinthe mwadzidzidzi malo anu.
- Ngati mukukumana ndi mavuto aakulu monga kutupa pakhungu, kupuma movutikira, kapena kupweteka pachifuwa, funsani upangiri wa dokotala nthawi yomweyo.
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