Kodi iyi ndi mankhwala a kuthamanga kwa magazi ndi mtima wanu? (Eplerenone) Tiyeni tiphunzire za mapiritsi!

Kodi dokotala wanu wakupatsani piritsi lotchedwa `(Eplerenone)` la kuthamanga kwa magazi kapena vuto la mtima? Kapena pali aliyense m'banja mwanu amene akugwiritsa ntchito mankhwalawa? Mwina mungafune kudziwa zambiri za mankhwalawa. Chifukwa chake, lero tikambirana za mankhwalawa otchedwa `(Eplerenone)` m'njira yosavuta yomwe mungamvetse.

Kodi mankhwala awa ndi `(Eplerenone)` otani?

Mwachidule, `(Eplerenone)` ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kuthamanga kwa magazi ndi kulephera kwa mtima . Nthawi zina amagwiritsidwanso ntchito popewa kuwonongeka kwina kwa mtima pambuyo pa matenda a mtima.

Izi zimathandiza impso zanu kutulutsa madzi ochulukirapo ndi mchere m'thupi lanu kudzera mu mkodzo . Komabe, chapadera pa izi ndichakuti mukatulutsa madzi otere ndi mchere , zimaletsa thupi kutaya potaziyamu wambiri, womwe ndi wofunika kwambiri m'thupi lathu. Ichi ndichifukwa chake amatchedwanso "potassium-sparing diuretic". Mankhwalawa ndi a gulu la "diuretics", zomwe zikutanthauza kuti ndi mtundu wa mankhwala omwe amawongolera kuchuluka kwa madzi m'thupi ndikukupangitsani kukodza kwambiri.

Kodi mankhwalawa amagwiritsidwa ntchito liti?

Madokotala nthawi zambiri amalimbikitsa mankhwalawa pa:

• Ngati muli ndi kuthamanga kwa magazi .
• Ngati muli ndi vuto la mtima , zikutanthauza kuti mphamvu ya mtima wanu yopopa magazi yachepa.
• Amagwiritsidwanso ntchito kuteteza mtima kuti usawonongeke kwambiri pambuyo pa matenda a mtima .

Komabe, dokotala wanu angakupatseni mankhwala awa pa matenda ena. Choncho ngati muli ndi mafunso, ndi bwino kufunsa dokotala wanu kapena wamankhwala.

Kodi ndi zinthu ziti zomwe muyenera kuuza dokotala musanayambe kumwa mankhwalawa?

Musanayambe kugwiritsa ntchito `(Eplerenone)`, pali zinthu zofunika zomwe muyenera kuuza dokotala wanu. Izi zili choncho chifukwa mankhwalawa sangakhale oyenera anthu omwe ali ndi matenda enaake, kapena angafunike kugwiritsidwa ntchito mosamala kwambiri.

Nazi zina mwazochitika zotere:

• Ngati muli ndi matenda a Addison kapena ntchito yochepa ya adrenal glands.
• Ngati muli ndi matenda a shuga (Diabetes Mellitus) .
• Ngati mulingo wa potaziyamu m'magazi mwanu uli kale wokwera .
• Ngati mukudya zakudya zapadera , mwachitsanzo, zakudya zopanda mchere wambiri, kapena ngati mumagwiritsa ntchito zinthu zolowa m'malo mwa mchere, izi ndizofunikira chifukwa zinthu zolowa m'malo mwa mcherezi zingakhalenso ndi potaziyamu.
• Muli ndi matenda a impso.Ngati ilipo.
• Ngati muli ndi matenda a chiwindi .
• Ngati mwakhalapo ndi vuto la Eplerenone, mankhwala ena aliwonse, chakudya, utoto, kapena zosungira.
• Ngati muli ndi pakati kapena mukufuna kutenga mimba .
• Ngati ndinu mayi woyamwitsa .

Ngati muli ndi vuto lotere, musaiwale kuuza dokotala musanayambe kumwa mankhwala, chabwino?

Chabwino, tsopano tiyeni tiwone momwe mankhwalawa ayenera kugwiritsidwira ntchito?

Mankhwalawa amabwera ngati piritsi loti mumwe. Ndikofunikira kwambiri kumwa mlingo wolembedwa, nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzani.

• Mungathe kumwa izi muli ndi chakudya kapena ayi . Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa izi muli ndi chakudya.
• Muyenera kupitiriza kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Musasiye mwakufuna kwanu.
• Ndikofunikira kwambiri kuti musamwe madzi a mphesa mukamagwiritsa ntchito mankhwalawa, chifukwa madzi a mphesa amatha kusokoneza momwe mankhwalawo amayamwidwira.

Kodi mankhwala awa angaperekedwe kwa ana?

Muyenera kusamala kwambiri popereka mankhwalawa kwa ana. Chifukwa chake, ngati mukupereka mankhwalawa kwa mwana wanu, lankhulani ndi dokotala wanu za izi ndipo funsani upangiri.

Chochita ngati mwamwa mowa kwambiri? (Kumwa mopitirira muyeso)

Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo. Ndikofunikira kwambiri kuchitapo kanthu mwachangu.

Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.

Kodi mumatani ngati mwaphonya mlingo?

Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yoti mutenge mlingo wotsatira yayandikira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe yakonzedwa. Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya. Kuchita izi kungapangitse kuti muwonjezere kuchuluka kwa mankhwala omwe mwamwa.

Ndi zinthu zina ziti zomwe zingagwirizane ndi mankhwalawa? `(Kuyanjana)`

Inde, pali mankhwala ena ndi zakudya zomwe zingayambitse mavuto akamwedwa ndi Eplerenone, kapena zomwe zingakhudze momwe mankhwalawo amagwirira ntchito. Chifukwa chake, ngati mukumwa mankhwala ena aliwonse, ndikofunikira kuuza dokotala wanu za onsewa.

Mankhwala otsatirawa sayenera kumwedwa pamodzi ndi `(Eplerenone):`

• `(Boceprevir)`
• `(Ceritinib)`
• Mitundu ina ya maantibayotiki: mwachitsanzo, chloramphenicol, clarithromycin, dalfopristin; quinupristin, telithromycin
• Mankhwala ena ochepetsa mphamvu ya okodzetsa mkodzo: Mwachitsanzo, amiloride, spironolactone, ndi triamterene (izi ndi mankhwala ochepetsa potaziyamu, kotero akamwedwa ndi eplerenone, kuchuluka kwa potaziyamu kumatha kukwera moopsa)
• Mankhwala ena a matenda a bowa: Mwachitsanzo, itraconazole, ketoconazole, posaconazole, ndi voriconazole.
• Mankhwala ena a HIV kapena Edzi: Mwachitsanzo `(atazanavir)`, `(cobicistat)`, `(darunavir)`, `(delavirdine)`, `(fosamprenavir)`, `(indinavir)`, `(nelfinavir)`, `(ritonavir)`, `(saquinavir yowonjezera ndi ritonavir)`, `(tipranavir)`
• Madzi a mphesa ndi mphesa
• `(Ibritumomab tiuxetan)`
• `(Idelalisib)`
• `(Lonafarnib)`
• `(Mifepristone)`
• `(Nefazodone)`
• Mchere wa potaziyamu kapena zowonjezera
• `(Ribociclib)`
• `(Tucatinib)`

Komanso, mankhwala otsatirawa angagwirizane ndi `(Eplerenone)`. Chifukwa chake, muyenera kusamala kwambiri ngati mukumwa izi:

• Mankhwala ena a kuthamanga kwa magazi: Mwachitsanzo, ACE inhibitors kapena ARBs, monga enalapril, candesartan, lisinopril, ndi valsartan.
• `(Erythromycin)` (mankhwala opha tizilombo toyambitsa matenda)
• `(Fluconazole)` (mankhwala opha mabakiteriya)
• `(Lithium)` (mankhwala a matenda amisala)
• `(NSAIDs)` - Izi ndi mankhwala ochepetsa ululu ndi oletsa kutupa: mwachitsanzo `(ibuprofen)` kapena `(naproxen)`.
• Verapamil (mankhwala ochizira kuthamanga kwa magazi ndi matenda a mtima)

Mndandanda uwu si wokwanira. Uzani dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo omwe dokotala wanu wakupatsani, omwe mumagula ku pharmacy, mankhwala achikhalidwe, mankhwala azitsamba, mavitamini). Komanso, uzani dokotala wanu ngati mumasuta fodya, kumwa mowa, kapena kugwiritsa ntchito mankhwala ena. Zina mwa izi zimatha kusokonezana ndi mankhwalawa.

Ndi zinthu ziti zomwe muyenera kusamala nazo mukamamwa mankhwalawa?

Muyenera kusamala kwambiri za thanzi lanu mukamamwa mankhwala a `(Eplerenone)`.

• Pitani kwa dokotala wanu nthawi zonse kuti mukaone momwe mulili. Pitani kukayezetsa kuthamanga kwa magazi anu monga momwe dokotala wanu wanenera. Funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani komanso choti muchite ngati kwasintha. Akhozanso kuyitanitsa mayeso kuti akayeze kuchuluka kwa potaziyamu m'thupi lanu.
• Mukamwa mankhwalawa, funsani dokotala wanu musanamwe mankhwala aliwonse a chifuwa, chimfine, kapena ululu wina. Mankhwala ena amatha kuonjezera kuthamanga kwa magazi.
• Kwa inuUzani dokotala wanu ngati muli ndi kutsegula m'mimba kwambiri, nseru, kusanza, kapena thukuta kwambiri. Izi zili choncho chifukwa kumwa mankhwalawa kungakhale koopsa ngati mutataya madzi ambiri m'thupi lanu.
• Mungapemphedwe kuti mutsatire zakudya zapadera . Funsani dokotala wanu za izi. Komanso, funsani kuchuluka kwa madzi omwe muyenera kumwa patsiku.
• Mankhwalawa angakupangitseni kugona kapena kumva chizungulire . Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, kapena kuchita chilichonse chomwe chimafuna kusamala mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Musayime kapena kukhala tsonga mwadzidzidzi, makamaka ngati ndinu okalamba. Kuchita zimenezi kungayambitse chizungulire ndi kugwa.
• Pewani kumwa mowa. Mowa ungasokoneze mphamvu ya mankhwalawa.
• Pokhapokha ngati dokotala wanu wakuuzani mwachindunji, musagwiritse ntchito mankhwala olowa m'malo mwa mchere. Mankhwala ambiri olowa m'malo mwa mchere ali ndi potaziyamu. Popeza mankhwalawa amasunganso potaziyamu, angapangitse kuti potaziyamu yanu ikwere mosafunikira.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

Monga mankhwala ena aliwonse, Eplerenone ingayambitse zotsatira zina zoyipa. Si aliyense amene amalandira mankhwalawa, koma ena amalandira.

Ngati mukukumana ndi zizindikiro izi, muyenera kuuza dokotala mwamsanga:

• Matenda a ziwengo: Ziphuphu pakhungu, kuyabwa, ziphuphu, kutupa kwa nkhope, milomo, lilime, ndi pakhosi.
• Mulingo wambiri wa potaziyamu m'magazi: Zizindikiro zake ndi monga kufooka kwa minofu, kugunda kwa mtima mofulumira kapena kosasinthasintha. Izi zitha kukhala zoopsa.
• Kuvulala kwa impso: Kuchepa kwa mkodzo, kutupa kwa akakolo, manja, kapena mapazi.

Zotsatirapo zomwe zili pansipa nthawi zambiri sizowopsa, koma ngati zikupitirira kapena kukuvutitsani, uzani dokotala wanu:

• Kupweteka m'mawere kapena kupweteka kwa m'mawere.
• Kusintha kwa chilakolako cha kugonana kapena magwiridwe antchito.
• Chizungulire.
• Mutu .
• Kusamba kosakhazikika kapena mawanga m'thupi mwa akazi.
• Kukula kosayembekezereka kwa minofu ya m'mawere mwa amuna.

Mndandandawu sukuphatikizapo zotsatirapo zonse zomwe zingachitike. Ngati mukukumana ndi zizindikiro zachilendo, chonde funsani dokotala wanu.

Kodi mungasunge bwanji mankhwala mosamala? `(Kusunga)`

• Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
• Sungani kutentha kwa chipinda (pafupifupi madigiri 25 Celsius / madigiri 77 Fahrenheit).
• Musagwiritse ntchito mankhwala otha ntchito. Tayani.

Kodi mumataya bwanji mankhwala osagwiritsidwa ntchito?

Si bwino kungotaya mankhwala m'zinyalala kapena kuwataya m'chimbudzi.

• Ngati n'kotheka, perekani mankhwalawo ku "pulogalamu yobwezera mankhwala." Mutha kudziwa za malo otere ku pharmacy yanu kapena ku polisi.
• Ngati sichoncho, yang'anani paketi ya mankhwala kapena kapepala komwe kali mkati mwake kuti muwone ngati kali ndi malangizo amomwe mungatayire mankhwalawo m'zinyalala kapena m'chimbudzi. Ngati simukudziwa, funsani dokotala wanu kapena wamankhwala.
• Ngati akunena kuti ndi bwino kutaya zinyalala, tulutsani mankhwalawo mu phukusi, sakanizani ndi zinyalala za amphaka, dothi, khofi, kapena zinthu zina zopanda poizoni, ziyikeni mu thumba kapena chidebe chotseka, ndikuzitaya mu zinyalala.

Pomaliza, zinthu zofunika kukumbukira:

Eplerenone ndi mankhwala ofunikira kwambiri a kuthamanga kwa magazi ndi matenda a mtima. Imathandiza kulamulira kuchuluka kwa madzi ndi mchere m'thupi lanu, komanso imathandizanso kusunga potaziyamu m'thupi.

Kumbukirani, mukamagwiritsa ntchito mankhwalawa, ndikofunikira kwambiri kutsatira malangizo a dokotala wanu molondola, kunena zomwe muyenera kunena osabisa, komanso kudziwa zotsatirapo zake.

Ngati muli ndi mafunso ena okhudza mankhwalawa, musazengereze kufunsa dokotala wanu, wamankhwala, kapena wothandizira zaumoyo wina. Thanzi lanu ndi lofunika!

Eplerenone , kuthamanga kwa magazi, matenda a mtima, diuretics, potaziyamu, kuyanjana kwa mankhwala, zotsatirapo zake