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Kodi dokotala anakupatsaninso 'mapiritsi amadzi' (diuretics)? Tiyeni tipeze yankho la funsoli mosavuta!

Kodi dokotala anakupatsaninso 'mapiritsi amadzi' (diuretics)? Tiyeni tipeze yankho la funsoli mosavuta!

Kodi dokotala wanu wakupatsani mankhwala otchedwa 'mapiritsi amadzi'? Mwina ndi a kuthamanga kwa magazi kapena kutupa. Anthu ambiri amamva kusasangalala pang'ono akamamwa mankhwala awa chifukwa amafunika kukodza pafupipafupi. Ndiye, kodi mapiritsi amadzi awa ndi chiyani kwenikweni? M'mawu azachipatala, timawatcha kuti diuretics. Kodi amachita chiyani ndi thupi? Tiyeni tikambirane zonsezi m'njira yosavuta yomwe mungamvetse.

Kodi mankhwala ochepetsa mphamvu ya mkodzo ndi chiyani? Amagwira ntchito bwanji?

Mwachidule, mankhwala ochepetsa mphamvu ya mkodzo (diuretics) ndi mankhwala omwe amathandiza thupi lanu kuchotsa madzi ochulukirapo ndi mchere kudzera mu mkodzo . Ichi ndichifukwa chake amatchedwanso 'mapiritsi amadzi'.

Tangoganizirani siponji yomwe yanyowa m'madzi. Tikaifinya, madzi onse otsala amatuluka, sichoncho? Ndicho chimene mankhwala awa amachita m'thupi lathu.

Mankhwalawa amakhudza impso zathu mwachindunji. Amauza impso kuti "ziwonjezere mchere ndi madzi owonjezera m'magazi ndikuzitaya mu mkodzo." Kodi chimachitika ndi chiyani izi zikachitika?

1. Kuchuluka kwa madzi m'mitsempha yanu kumachepa: Thupi lanu likataya madzi, kuchuluka kwa magazi omwe amayendayenda m'mitsempha yanu kumachepanso pang'ono.

2. Ntchito pamtima imachepa: Madzi m'mitsempha yamagazi akachepa, ntchito yomwe mtima uyenera kupompa imachepa. Monga momwe mumagwirira chitoliro chaching'ono ku pampu yamadzi, ntchito yomwe ili pamtima imachepa. Izi ndizofunikira kwambiri kwa anthu omwe ali ndi matenda monga kulephera kwa mtima .

3. Amachepetsa kuthamanga kwa magazi: Pamene ntchito pamtima yachepa ndipo kuthamanga kwa magazi m'mitsempha yamagazi kwachepa, kuthamanga kwa magazi kumayendetsedwa bwino. Mankhwala ena ochepetsa kuthamanga kwa magazi amathandizanso kukulitsa mitsempha yamagazi. Izi zimachepetsanso kuthamanga kwa magazi.

Mankhwalawa nthawi zambiri amatengedwa ngati mapiritsi. Koma nthawi zina amatha kuperekedwa kudzera mu saline solution (IV) kuchipatala. Chifukwa mudzakhala mukukodza pafupipafupi, ndi bwino kumwa mankhwalawa m'mawa nthawi iliyonse yomwe zingatheke . Apo ayi, mudzayenera kudzuka usiku.

Kodi mitundu ikuluikulu ya ma diuretics ndi iti?

Pali mitundu ingapo ya mankhwala ochepetsa mphamvu ya impso. Iliyonse imagwira ntchito pokhudza ziwalo zosiyanasiyana za impso. Dokotala wanu adzasankha mtundu womwe ungakhale wabwino kwa inu kutengera matenda anu.

Mtundu wa diuretic Mankhwala ogwiritsidwa ntchito kwambiriMfundo zapadera
Mankhwala oletsa kutupa a Thiazide Hydrochlorothiazide, Chlorthalidone Uwu ndiye mtundu wodziwika kwambiri wa matenda a kuthamanga kwa magazi.
Mankhwala oletsa kutupa m'mimba Furosemide, Bumetanide Izi ndi zamphamvu kwambiri. Izi zimaperekedwa kwa anthu omwe ali ndi vuto la impso (GFR yochepa - Glomerular Filtration Rate).
Mankhwala ochepetsa potaziyamu Triamterene, Amiloride Izi zidzathandiza kuti potaziyamu m'thupi isachepe mosafunikira.
Mapiritsi osakaniza Triamterene ndi Hydrochlorothiazide pamodzi Mu piritsi limodzi muli mitundu iwiri. Izi zimathandiza kuti potaziyamu ikhale yokwanira.

Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?

Mankhwala ochepetsa mphamvu ya thupi (diuretics) ndi mtundu wa mankhwala omwe amathandiza pa matenda osiyanasiyana. Amagwiritsidwa ntchito kwambiri pa:

  • Kuthamanga kwa magazi: Ichi ndiye chifukwa chachikulu.
  • Kulephera kwa mtima: Kuchepetsa ntchito pa mtima.
  • Kutupa: Kutupa kwa miyendo, manja, ndi akakolo chifukwa cha kuchulukana kwa madzi m'thupi.
  • Matenda a mtima: Ngati minofu ya mtima yafooka.
  • Kutupa kwa m'mapapo: Ichi ndi vuto ladzidzidzi.
  • Ascites: Ascites ndi kuchulukana kwa madzi m'mimba chifukwa cha matenda monga chiwindi.
  • Kulephera kwa impso: Impso zikalephera kugwira ntchito bwino.
  • Matenda a Nephrotic: Matenda omwe mapuloteni ochulukirapo amatuluka mu mkodzo.
  • Amagwiritsidwanso ntchito pa matenda ena monga kuwonjezeka kwa kuthamanga kwa magazi m'maso ndi kuwonjezeka kwa kuthamanga kwa magazi muubongo.

Chofunika kwambiri ndichakuti musagwiritse ntchito mankhwalawa popanda mankhwala ochokera kwa dokotala. Komanso, musamwe mankhwalawa chifukwa choti mwaona wina akukupatsani ndipo mukuganiza kuti muli ndi zizindikiro zomwezo.

Kotero palibe zotsatirapo zoyipa?

Monga mankhwala ena aliwonse, pali zotsatirapo zina zomwe zingachitike. Komabe, anthu ambiri sakumana ndi zotsatirapo zoyipa kwambiri. Izi ndizofala kwambiri:

  • Kukodza pafupipafupi (izi si zotsatira zoyipa kwenikweni, koma momwe mankhwala amagwirira ntchito)
  • Chizungulire , kutopa
  • Kusowa madzi m'thupi. Izi zingachitike ngati simumwa madzi okwanira.
  • Kupweteka kwa minofu. Izi zitha kuchitika chifukwa cha kuchepa kwa potaziyamu m'thupi.
  • Kupweteka m'mimba, kudzimbidwa, kapena flatulence
  • Chilakolako cha chakudya
  • Anthu ena amatha kudwala gout .
  • Shuga ingakwere pang'ono mwa anthu omwe ali ndi matenda a shuga
  • Palinso mwayi wochepa woti amuna adzakumana ndi vuto la kugonana.

Mukamwa mankhwalawa, dokotala wanu mwina adzalamula kuti muyese magazi nthawi zonse kuti aone momwe impso zanu zimagwirira ntchito komanso kuchuluka kwa ma electrolyte, monga potaziyamu. Ndikofunikira kwambiri kuti muyesedwe nthawi zonse.

Ndiyenera kusamala ndi chiyani ndikamamwa mankhwalawa?

Mukamamwa mankhwala ochepetsa mphamvu ya okodzetsa, muyeneranso kusamala ndi zinthu zing'onozing'ono zingapo.

1. Chepetsani kumwa mchere: Ngati mudya mchere wochuluka, ungasokoneze mphamvu ya mankhwalawa. Choncho chepetsani kuchuluka kwa mchere m'zakudya zanu.

2. Imwani madzi ambiri kuti mupewe kutaya madzi m'thupi: Kukodza pafupipafupi kungathe kuwononga madzi m'thupi lanu. Choncho, imwani madzi okwanira tsiku lililonse. Funsani dokotala wanu kuchuluka kwa madzi omwe muyenera kumwa patsiku.

3. Musasinthe mlingo wa mankhwala: Ngakhale mutamva bwino, musasiye kumwa mankhwalawo kapena kusintha mlingo wake mpaka dokotala wanu atakuuzani kuti muchite zimenezo.

4. Musaphonye mayeso azachipatala ndi nthawi yokumana ndi dokotala: Yesani magazi ndi mkodzo wanu pa nthawi yake monga momwe dokotala wanu wanenera. Komanso, onetsetsani kuti mwapita ku nthawi yokumana ndi dokotala.

5. Ngati muli ndi pakati kapena mukukonzekera kukhala ndi mwana: Uzani dokotala wanu nthawi yomweyo, chifukwa mankhwala oyenera angasinthe panthawi ya mimba.

Ndiyenera kupita kwa dokotala nthawi yanji?

Ngati mwakumana ndi chilichonse mwa zotsatirazi, ndi bwino kulankhula ndi dokotala wanu:

  • Ngati mukumva mtima wanu ukugunda mofulumira kwambiri (kugunda kwa mtima)
  • Ngati mukumva chizungulire nthawi zonse (Chizungulire)
  • Ngati muli ndi zizindikiro zosonyeza kutaya madzi m'thupi, monga pakamwa ndi milomo youma , kuchepa kwa mkodzo ndi mkodzo wakuda, kapena kumva kutopa kwambiri.

Ndizachibadwa kumva mantha pang'ono mukayamba mankhwala atsopano. Zimatenga masiku angapo kuti muzolowere 'piritsi lamadzi'. Koma kumbukirani, kukodza pafupipafupi kumatanthauza kuti mankhwalawo akugwira ntchito. Ngati mukuvutika ndi zotsatirapo zake, lankhulani ndi dokotala wanu za kusintha mankhwala ena.

Uthenga Wopita Nawo Kunyumba

  • Mankhwala ochepetsa ululu, kapena 'mapiritsi a madzi', ndi mtundu wa mankhwala omwe amachotsa madzi ndi mchere wosafunikira m'thupi kudzera mu mkodzo.
  • Izi nthawi zambiri zimagwiritsidwa ntchito pa matenda a kuthamanga kwa magazi, matenda a mtima, komanso kutupa kwa thupi.
  • Kukodza pafupipafupi ndi chinthu chofala kwambiri mukamagwiritsa ntchito mankhwalawa. Chifukwa chake, ndi bwino kumwa mankhwalawa m'mawa.
  • Dziwani zotsatirapo zake monga kusowa madzi m'thupi komanso kuchepa kwa potaziyamu m'thupi. Tsatirani malangizo a dokotala wanu molondola.
  • Ngati muli ndi zotsatirapo zoyipa zilizonse, uzani dokotala wanu nthawi yomweyo. Musasiye kumwa mankhwala kapena kusintha mlingo nokha.

Mankhwala ochepetsa mphamvu ya magazi, mapiritsi a madzi, okodzetsa, kuthamanga kwa magazi, kuthamanga kwa magazi, matenda a mtima, matenda a impso, Furosemide, Hydrochlorothiazide, zotsatirapo zake
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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