Nthawi zambiri, dokotala wanu akakupatsani mankhwala a kuthamanga kwa magazi, mwina mumadziwa dzina lakuti Diltiazem pakati pa mankhwala amenewo. Kapena mwina mwamvapo dzinali pakati pa mankhwala operekedwa pa kupweteka pachifuwa (angina). Kotero lero, tiyeni tikambirane za Diltiazem, zomwe imachita, ndi zomwe tiyenera kusamala nazo pogwiritsa ntchito mankhwalawa.
Kodi Diltiazem iyi ndi chiyani?
Mwachidule, Diltiazem ndi mankhwala omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi komanso kupewa kupweteka pachifuwa (angina) . Ganizirani mitsempha yamagazi m'thupi mwathu ngati mapaipi omwe amanyamula madzi. Kupanikizika kwambiri kumatanthauza kuthamanga kwa magazi mkati mwa mapaipi awa. Chomwe mankhwalawa amachita ndikuchepetsa pang'ono mitsempha yathu yamagazi ndikuyikulitsa. Kenako magazi amaloledwa kuyenda mosavuta popanda kutsekeka. Izi zimachepetsa ntchito pamtima, zomwe zikutanthauza kuchuluka kwa ntchito yomwe mtima uyenera kuchita.
Malinga ndi zamankhwala, iyi ndi mankhwala omwe ali m'gulu la mankhwala otchedwa calcium channel blockers . Izi zikutanthauza kuti njirayi imachitika polamulira kulowa kwa calcium m'maselo a mtima ndi mitsempha yamagazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanapereke mankhwala a Diltiazem, ndikofunikira kuti dokotala wanu adziwe bwino za thanzi lanu. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Nkhani yomwe muyenera kuifotokoza | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Matenda a mtima kapena matenda ena a mtima | Popeza diltiazem imakhudza ntchito ya mtima, chisamaliro chapadera chikufunika ngati muli kale ndi matenda a mtima. |
| Kugunda kwa mtima kosakhazikika | Mankhwalawa amatha kuchepetsa kugunda kwa mtima, kotero ngati pali vuto kale, liyenera kufotokozedwa. |
| Kuthamanga kwa magazi kotsika | Izi zitha kuchepetsa kuthamanga kwa magazi, kotero dokotala ayenera kudziwa za izi. |
| Matenda a ziwengo | Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse la Diltiazem kapena mankhwala ena aliwonse, chakudya, kapena utoto. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Muyenera kulankhula ndi dokotala wanu za chitetezo cha mankhwalawa panthawi ya mimba. |
| Ngati mayi akuyamwitsa mwana wake | Popeza mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere, ndikofunikira kuuza dokotala za mankhwalawa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta. Imwani mankhwala monga momwe dokotala wanu wanenera, mu mlingo woyenera, panthawi yoyenera. Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Mwanjira imeneyi, simungaiwale kumwa mankhwala anu. Pitirizani kumwa mpaka dokotala wanu atakuuzani kuti musiye. Musasiye kumwa mwadzidzidzi, ngakhale mutamva bwino.
Chofunika: Ngati mwamwa mankhwala ochulukirapo mwangozi, kutanthauza kuti ngati mwamwa mopitirira muyeso, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital. Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi. Ichi ndi chinthu chomwe sichiyenera kuchedwa ngakhale pang'ono.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi kuti mubwezeretse mlingo womwe mwaiwala.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala a matenda ena, mavitamini, komanso mankhwala achikhalidwe, chifukwa mankhwala ena amatha kusokonezana ndi Diltiazem.
| Musatenge ndi Diltiazem | |
|---|---|
| Cisapride | Pimozide |
| Hawthorn (chotsitsa cha zitsamba) | Ranolazine |
| Mpunga wofiira wa yisiti | |
| Mankhwala ena omwe angayambitse mavuto (Angagwirizanenso ndi ena) | |
| Buspirone, Midazolam (mankhwala opumulitsa maganizo) | Carbamazepine (mankhwala a khunyu) |
| Mankhwala a Cimetidine, Cyclosporine, Digoxin | Lovastatin (mankhwala ochepetsa cholesterol) |
| Quinidine | Rifampin, Rifabutin (mankhwala a chifuwa chachikulu) |
| Mankhwala ena a kuthamanga kwa magazi kapena matenda a mtima | Mankhwala oletsa ululu |
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Onani dokotala wanu nthawi zonse: Pitani kuchipatala masiku omwe mwakonza kuti muwone momwe zinthu zikuyendera. Komanso, onani kuthamanga kwa magazi anu kunyumba monga momwe dokotala wanu wakuuzani.
- Mukamamwa mankhwala a matenda ena:Ngati muli ndi chifuwa, chimfine, kapena kupweteka kwa thupi, funsani dokotala musanamwe mankhwala ogulitsidwa kunja kwa ofesi ya dokotala. Mankhwala ena ochepetsa ululu ndi chimfine amatha kuwonjezera kuthamanga kwa magazi.
- Kusintha kwa khungu: Mankhwalawa nthawi zina angayambitse mavuto aakulu pakhungu. Izi zitha kuchitika milungu ingapo mutayamba kumwa mankhwalawo. Ngati mukumva kutupa pamodzi ndi zizindikiro monga malungo kapena kuzizira, pitani kwa dokotala nthawi yomweyo. Kutupako kumatha kukhala kofiira kapena kofiirira, kenako matuza ndi khungu. Kapena kungakhale kutupa kwa nkhope kapena milomo.
- Kuzunguzika ndi kugona: Anthu ena angamve chizungulire kapena kugona akamamwa mankhwalawa. Choncho, pewani kuchita zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi kuchokera pamalo omwe mumakhala kapena kudzuka pabedi. Dzukani pang'onopang'ono.
Kodi ndi zotsatirapo zotani zomwe ndingayembekezere?
Monga mankhwala ena aliwonse, Diltiazem ikhoza kukhala ndi zotsatirapo zake. Komabe, si aliyense amene amadwala. Zina zimakhala zoopsa, pomwe zina zimakhala zochepa.
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kulephera kwa mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi kapena manja, kunenepa mwadzidzidzi, kutopa kwambiri. |
| Kugunda kwa mtima pang'onopang'ono | Chizungulire, kukomoka, kupuma movutikira. |
| Zizindikiro za kuvulala kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, ndowe zowala, mkodzo wakuda wachikasu kapena bulauni, komanso khungu kapena maso achikasu. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Khungu limatuluka kapena kutupa | Kufiira, kutupa, kapena kutsekeka kwa khungu, kuphatikizapo mkamwa. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Kudzimbidwa | |
| Kutsuka nkhope | |
| Mutu | |
Kodi mankhwalawa angayambitse kunenepa?
Kawirikawiri sizichitika. Komabe, anthu ena amatha kutupa m'manja, m'mapazi, kapena m'mapazi chifukwa cha mankhwalawa. M'mawu azachipatala, timatcha kutupa kumeneku. Ngati izi zimachitika chifukwa cha kusunga madzi m'thupi, zingamveke ngati kunenepa kwambiri. Ngati muzindikira izi, uzani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Diltiazem ndi mankhwala ofunikira kwambiri pochiza kuthamanga kwa magazi ndi kupweteka pachifuwa (angina).
- Imwani mankhwalawo monga momwe dokotala wanenera, panthawi yoyenera. Musasiye kumwa mankhwalawa pazifukwa zilizonse.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
- Uzani dokotala wanu nthawi yomweyo ngati mukukumana ndi zotsatirapo zina zatsopano, makamaka ziphuphu pakhungu, chizungulire chachikulu, kapena kutupa.
- Sungani mankhwalawo pamalo otetezeka omwe ana sangawafikire.
- Ngati muli ndi mafunso okhudza mankhwalawa, musaope kufunsa dokotala wanu. Chofunika kwambiri ndi kusamalira thanzi lanu.
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