Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika" ndi vuto la thanzi lomwe anthu ambiri m'dziko lathu akukumana nalo masiku ano. Chifukwa chake dokotala wanu mwina adakulemberani mankhwala ochizira. Nthawi zina, m'malo mwa mankhwala amodzi, mungapatsidwe piritsi lophatikizana lomwe lili ndi mankhwala awiri. Lero, tikambirana za mankhwala amodzi ofala kwambiri, kuphatikiza Irbesartan ndi Hydrochlorothiazide.
Kodi mankhwala amenewa amachita chiyani kwenikweni ku matupi athu?
Mwachidule, pali mitundu iwiri ikuluikulu ya mankhwala mu piritsi ili. Izi ziwiri zimagwira ntchito limodzi kuti zichepetse kuthamanga kwa magazi.
1. Irbesartan: Iyi ndi mankhwala omwe amatchedwa ARB (Angiotensin II Receptor Blocker). Ganizirani mitsempha yamagazi m'thupi lanu ngati mapaipi omwe amanyamula madzi. Ngati mapaipi awa agwirana, kutanthauza kuti atsekeka, zimakhala zovuta kuti madzi adutsemo, sichoncho? Umu ndi momwe kuthamanga kwa magazi kumakulirakulira. Zimene Irbesartan imachita ndikumasula makoma a mitsempha yanu yamagazi. Kenako magazi amatha kuyenda mosavuta popanda choletsa chilichonse. Izi zimachepetsa kuthamanga kwa magazi.
2. Hydrochlorothiazide: Iyi ndi ya gulu la mankhwala otchedwa 'Diuretics'. Mankhwalawa nthawi zambiri amatchedwa "mapiritsi amadzi" . Amagwira ntchito pothandiza impso zanu kutulutsa madzi ochulukirapo ndi mchere m'thupi lanu kudzera mu mkodzo. Madzi a m'thupi lanu akachepa, kuthamanga kwa magazi m'mitsempha yanu kumachepanso.
Choncho mankhwalawa amathandiza kuchepetsa kuthamanga kwa magazi m'njira zonse ziwiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni mankhwala awa. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwawauza za vutoli.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba: Izi ndizofunikira kwambiri. Mankhwalawa amatha kuvulaza kwambiri mwana wosabadwa panthawi ya mimba, makamaka m'miyezi itatu yachiwiri ndi yachitatu. Choncho onetsetsani kuti mwauza dokotala wanu za izi.
- Ngati ndinu mayi amene akuyamwitsa.
- Ngati muli ndi matenda a shuga .
- Ngati muli ndi matenda a impso kapena kusowa mkodzo.
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi matenda a chitetezo chamthupi monga lupus .
- Ngati muli ndi ziwengo ndi mankhwala awa (Irbesartan, Hydrochlorothiazide), mankhwala a sulfa, kapena zina zilizonse zomwe zili m'gululi.
- Ngati mukutsatira zakudya zopanda mchere wambiri .
Ndikofunikira kwambiri kuti mukhale otetezeka kuuza dokotala izi popanda kuzibisa.
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Chofunika kwambiri ndikumwa mankhwala monga momwe dokotala wanenera, panthawi yoyenera.
- Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse.
- Izi zitha kumwedwa musanadye kapena mutadya, koma ngati mukumva kupweteka m'mimba, ndi bwino kuzimwa pamodzi ndi chakudya.
- Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye. Musasiye kumwa nokha ngakhale mutaganiza kuti kuthamanga kwa magazi anu kwatsika.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Koma ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ngati mukumwa mankhwala ena, mavitamini, kapena zitsamba pamene mukumwa mankhwalawa, akhoza kusokonezana nawo. Choncho uzani dokotala wanu zonse zomwe mukumwa.
| Mtundu wa mankhwala kapena chinthu chomwe chingagwirizane | Zitsanzo |
|---|---|
| Mitundu ina ya 'diuretics' (mapiritsi amadzi) | Mwachitsanzo: Spironolactone, Triamterene |
| Zakudya zowonjezera potaziyamu | Mapiritsi a potaziyamu kapena madzi a madzi |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Mwachitsanzo: Ibuprofen, Diclofenac |
| Mankhwala a shuga | Metformin, insulin |
| Lithiamu | Mankhwala a matenda amisala |
| Mitundu ya ma steroid (Corticosteroids) | Mwachitsanzo: Prednisone |
| Mankhwala ena ochepetsa mafuta m'thupi | Mwachitsanzo: Cholestyramine |
Mndandandawu sunathe. Choncho musaiwale kuuza dokotala wanu za mankhwala onse, zitsamba, ndi mavitamini omwe mumamwa, komanso ngati mumamwa mowa kapena kusuta fodya .
Mfundo zapadera zomwe muyenera kuzidziwa mukamamwa mankhwala
- Yesani kuthamanga kwa magazi anu nthawi zonse: Ngati muli ndi chowunikira kuthamanga kwa magazi kunyumba, yesani kuthamanga kwa magazi anu nthawi zonse ndikulemba papepala. Tengani nacho mukapita kukaonana ndi dokotala.
- Musalole kuti thupi lanu liume (kusowa madzi m'thupi): Mankhwalawa amachepetsa madzi m'thupi lanu, choncho ndikofunikira kwambiri kuti mumwe madzi okwanira. Funsani dokotala wanu kuchuluka kwa madzi omwe muyenera kumwa patsiku. Ngati mukutsegula m'mimba kwambiri, kusanza , kapena mukutuluka thukuta kwambiri , kutaya madzi m'thupi kungakhale koopsa ndi mankhwalawa. Pazochitika zotere, lankhulani ndi dokotala wanu.
- Chizungulire ndi kugona: Mungamve chizungulire pang'ono komanso kugona mukayamba kumwa mankhwalawa. Chifukwa chake, pewani kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Pewani kudzuka mwachangu pabedi kapena kukhala pansi, makamaka ngati ndinu okalamba. Dzukani pang'onopang'ono.
- Samalani ndi dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa. Izi zikutanthauza kuti mungapse mosavuta. Choncho ngati mukufuna kukhala padzuwa, valani mafuta oteteza ku dzuwa, valani zovala zophimba thupi lanu, ndipo valani chipewa.
- Musamwe mankhwala ena nokha: Musagule mankhwala ogulitsidwa kunja kwa ofesi ya dokotala a chifuwa, chimfine, kapena kupweteka kwa thupi. Zina mwa zosakaniza zomwe zili mu mankhwalawa zimatha kuwonjezera kuthamanga kwa magazi. Funsani dokotala wanu musanamwe chilichonse.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena angafunike thandizo lachipatala mwamsanga, pomwe ena angakhale abwinobwino.
| Ngati mukukumana ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. | |
|---|---|
| Zizindikiro za ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Zizindikiro za kusunga madzi | Ludzu lalikulu, pakamwa pouma, kukomoka, mkodzo wakuda wachikasu kapena bulauni. |
| Zizindikiro za potaziyamu yochepa | Kupweteka kapena kuuma kwa minofu, kufooka kosazolowereka, kugunda kwa mtima mofulumira kapena kosasinthasintha. |
| Kupweteka kwa maso kapena kusintha kwa masomphenya | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona mphete mozungulira magetsi. |
| Ngati zizindikiro izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Mutu | Kutsegula m'mimba |
| Kumva kutopa (Kutopa) | Kuwawa kwam'mimba |
Uthenga Wopita Nawo Kunyumba
- Irbesartan ndi Hydrochlorothiazide ndi mankhwala ophatikizana omwe amachepetsa kuthamanga kwa magazi.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse, ziwengo, ndi mankhwala ena omwe mukumwa.
- Musamwe mankhwalawa ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa. Uzani dokotala wanu nthawi yomweyo.
- Samalani ndi kusowa madzi m'thupi, chizungulire, komanso kukhudzidwa ndi kuwala kwa dzuwa mukamamwa mankhwala.
- Funani thandizo lachipatala mwamsanga ngati zizindikiro za zotsatirapo zoyipa (kutupa pakhosi/nkhope, kupuma movutikira, chizungulire chachikulu) zachitika.
- Musayambe, kusintha mlingo, kapena kusiya kumwa mankhwala popanda upangiri wa dokotala.
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