Kuthamanga kwa magazi, kapena "kupanikizika" monga momwe tonse tikudziwira, ndi vuto la thanzi lomwe anthu ambiri m'dziko lathu akukumana nalo pakadali pano. Chifukwa chake, dokotala wanu mwina adakupatsani mankhwala owongolera kuthamanga kwa magazi. Nthawi zina, m'malo mwa mankhwala amodzi, mungapatsidwe mapiritsi ophatikizana omwe amaphatikiza mankhwala awiri. Lero, tikambirana za mankhwala amodzi otere, kuphatikiza mankhwala awiri otchedwa Hydrochlorothiazide ndi Methyldopa.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi.
1. Hydrochlorothiazide: Uwu ndi mtundu wa mankhwala omwe nthawi zambiri timawatcha "piritsi la madzi." Mu zamankhwala, ndi "diuretic." Umagwira ntchito pochotsa madzi ochulukirapo ndi mchere m'thupi kudzera mu mkodzo. Izi zimachepetsa kuthamanga kwa magazi mkati mwa mitsempha yamagazi.
2. Methyldopa: Mankhwalawa amagwira ntchito pokhudza ubongo wanu ndi dongosolo lanu la mitsempha. Amamasula mitsempha yamagazi, amachepetsa kukana kwa magazi kuyenda bwino. Izi zimathandizanso kuwongolera kuthamanga kwa magazi.
Mankhwala awiriwa akaphatikizidwa, zotsatira zabwino zitha kupezeka pakuchepetsa kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Musanapereke mankhwala awa, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yonse ya thanzi lanu. Onetsetsani kuti mwamuuza za matenda aliwonse omwe ali pansipa.
| Matenda anu | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a chiwindi kapena impso | Popeza mankhwala awa amachotsedwa m'thupi kudzera m'ziwalo zimenezi, ngati mphamvu yawo yachepa, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Matenda a shuga | Mankhwalawa angawonjezere shuga m'magazi pang'ono, kotero angakhudze momwe munthu amaonera matenda a shuga. |
| Matenda a m'mimba | Hydrochlorothiazide, yomwe ili mu mankhwalawa, imatha kuwonjezera kuchuluka kwa uric acid ndikuwonjezera gout. |
| Kuchepa kwa magazi m'thupi | Methyldopa nthawi zina imatha kukhudza maselo ofiira a magazi. |
| Matenda a chitetezo chamthupi (monga lupus) | Pali mwayi wochepa kuti mankhwalawa awonjezere mavuto otere. |
| Kusamvana ndi mankhwala a sulfa, mankhwala ena, kapena zakudya. | Hydrochlorothiazide ndi mankhwala a sulfa, kotero ingayambitse ziwengo. |
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. | Ndikofunikira kulankhula ndi dokotala wanu za chitetezo cha mankhwalawa panthawiyi. |
| Ngati mwamwa mankhwala a MAOI m'masiku 14 apitawa. | Mankhwala awa ndi ochizira kuvutika maganizo. Kumwa pamodzi kungakhale koopsa kwambiri. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Mankhwalawa ndi akumwa. Imwani tsiku lililonse, panthawi yolembedwa, monga momwe dokotala wanu wanenera.
- Ngati mukumva kupweteka m'mimba, tengani izi pamodzi ndi chakudya.
- Musasiye kumwa mankhwala mwadzidzidzi popanda upangiri wa dokotala. Kuthamanga kwa magazi anu kungakwere mwadzidzidzi.
- Ana angafunike chisamaliro chapadera akamamwa mankhwalawa. Lankhulani ndi dokotala wanu za izi.
Chofunika: Ngati mukukayikira ngakhale pang'ono kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku chipatala chapafupi cha ETU (Emergency Treatment Unit) nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Mankhwalawa aperekedwa kwa inu nokha.Musapatse wina mankhwala anu, ngakhale mutaganiza kuti munthuyo ali ndi matenda ofanana ndi anu.
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.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa, osati mankhwala okhawo omwe amaperekedwa ndi dokotala, komanso mankhwala ogulitsidwa kunja kwa chipatala, mavitamini, mankhwala achikhalidwe, ndi zina zonse zomwe mumagwiritsa ntchito. Chifukwa zinthu zina zimatha kusokonezana ndi mankhwala awa.
| Zinthu zomwe siziyenera kutengedwa pamodzi | |
|---|---|
| Mankhwala amtundu wa MAOI | (Chitsanzo: Carbex, Eldepryl, Marplan, Nardil, Parnate). Kutenga izi pamodzi kungayambitse kukwera koopsa kwa kuthamanga kwa magazi. |
| Zinthu zoti mugwiritse ntchito mosamala komanso zomwe zingatheke kukhudzana nazo | |
| Mowa | Zingasinthe zotsatira za mankhwala ndikuwonjezera chizungulire ndi kugona. |
| Mankhwala Ochepetsa Ululu (NSAIDS) | (Mwachitsanzo: Ibuprofen, Naproxen). Izi zitha kuchepetsa mphamvu ya mankhwala othamanga magazi. |
| Mchere wachitsulo | Iron imaletsa thupi kuyamwa methyldopa (izi zafotokozedwa pansipa). |
| Mankhwala ena ochepetsa kuthamanga kwa magazi ndi okodzetsa magazi | Kupanikizika kungakhale kochepa kwambiri. Ngati dokotala akudziwa, palibe vuto. |
| Lithiamu | Mlingo wa lithiamu m'thupi ukhoza kukwera kwambiri. |
| Ma barbiturates, mankhwala oletsa ululu omwe amagwiritsidwa ntchito panthawi ya opaleshoni, ma steroids | Izi zitha kuyanjananso ndi mankhwalawa. |
Zinthu zofunika kukumbukira mukamamwa mankhwala
Kugona ndi chizungulire
Mungamve tulo kapena chizungulire mukayamba kumwa mankhwalawa. Pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, imirirani pang'onopang'ono mukadzuka pamalo okhala kapena potuluka pabedi. Izi zingakupangitseni chizungulire ndikugwa. Pewani kumwa mowa, chifukwa zingapangitse vutoli kukhala loipa kwambiri.
Madzi okwanira m'thupi
Ngati mukutsegula m'mimba nthawi zonse, kusanza, kapena kutuluka thukuta kwambiri, mutha kutaya madzi ambiri m'thupi lanu ndikutaya madzi m'thupi. Pankhaniyi, kungakhale koopsa kugwiritsa ntchito mankhwalawa. Funsani dokotala wanu zomwe mungachite ngati izi zitachitika.
Khungu ndi kuwala kwa dzuwa
Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi kuwala kwa dzuwa. Izi zikutanthauza kuti mungapse ndi kufiira mosavuta. Choncho khalani kutali ndi dzuwa momwe mungathere. Ngati mutuluka panja, valani zovala zophimba khungu lanu, valani magalasi a dzuwa, ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Lankhulaninso ndi dokotala wanu za chiopsezo chanu cha khansa ya pakhungu mukumwa mankhwalawa.
Samalani kwambiri ngati mukumwa mapiritsi achitsulo.
Izi ndizofunikira kwambiri ngati mukumwa mapiritsi a iron chifukwa cha vuto la kuchepa kwa magazi m'thupi. Iron imaletsa thupi kuyamwa gawo la Methyldopa lomwe lili mu mankhwalawa. Chifukwa chake, musamwe mapiritsi a iron ndi mankhwala a kuthamanga kwa magazi nthawi imodzi. Njira yabwino ndikumwa mapiritsi a iron maola awiri musanayambe kumwa kapena maola 6 mutatha kumwa mankhwala a kuthamanga kwa magazi.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatira zina zoyipa, ngakhale kuti si aliyense amene amazilandira.
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa kwambiri, kutupa kwa nkhope, milomo kapena lilime. |
| Kuvuta kupuma, kupweteka pachifuwa | Izi zitha kukhala zizindikiro zazikulu. |
| Maso achikasu, khungu limasintha, mkodzo wakuda, ndowe zowala | Izi zitha kukhala zizindikiro za vuto la chiwindi. |
| Chizungulire chachikulu, kusintha kwa maso, kupweteka kwa maso | Kungakhale chizindikiro cha kupanikizika kwakukulu, makamaka m'maso. |
| Kutupa kosamveka bwino, kutuluka magazi, malungo, kupweteka kwa thupi | Maselo a magazi mwina akhudzidwa. |
| Kutupa kwa miyendo kapena akakolo, kuchepa kwa mkodzo | Izi zitha kukhala zizindikiro za vuto la impso kapena mtima. |
| Zotsatirapo zomwe ziyenera kufotokozedwa kwa dokotala ngati zikupitirira kapena zikuvutitsa | |
| Pakamwa pouma | Pezani mpumulo mwa kutafuna chingamu, maswiti, kapena kumwa madzi opanda shuga. |
| Kugona, kutsegula m'mimba | Izi zitha kuchepa thupi likayamba kuzolowera mankhwala. |
| Kukhumudwa | Ndikofunikira kudziwitsa dokotala za izi. |
| Kusintha kwa chilakolako kapena zochita zogonana | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri. |
| Kukula kwa mawere kapena kutulutsa mkaka mwa amuna ndi akazi | Izi zitha kukhala chifukwa cha zotsatira za methyldopa. |
Uthenga Wopita Nawo Kunyumba
- Izi ndi kuphatikiza kwa mankhwala awiri omwe amaperekedwa kuti achepetse kuthamanga kwa magazi.
- Imwani mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzani. Musasiye kumwa mankhwalawo monga mwakufuna kwanu.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda ena aliwonse omwe muli nawo.
- Mukamamwa mankhwala, dziwani zinthu monga kugona tulo, chizungulire, komanso kukhudzidwa ndi kuwala kwa dzuwa.
- Ngati mukukumana ndi mavuto ena aakulu, monga kudwala kwambiri kwa ziwengo, kupweteka pachifuwa, kapena kusintha kwa maso ndi khungu, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mukumwa mapiritsi achitsulo, musamwe pamodzi ndi mankhwalawa. Sungani nthawi ya maola angapo pakati pa mapiritsiwo.
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