Dokotala wanu mwina anakupatsani mankhwala a kuthamanga kwa magazi, kapena "kupanikizika," monga momwe timatchulira. Mwina munalandira piritsi lophatikiza mankhwala awiri otchedwa Lisinopril ndi Hydrochlorothiazide. Uwu ndi mankhwala odziwika bwino omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi. Chifukwa chake lero, tiyeni tikambirane za mankhwala awa, zomwe amachita m'thupi, komanso zomwe tiyenera kusamala nazo tikamawagwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, piritsi ili ndi kuphatikiza kwa mankhwala awiri. Izi zikutanthauza kuti mumapeza ubwino wa mankhwala awiri mu piritsi limodzi.
1. Lisinopril: Iyi ndi mankhwala ochokera ku gulu la mankhwala otchedwa ACE inhibitors . Imagwira ntchito pomasula makoma a mitsempha yanu yamagazi. Tangoganizirani kuti chitoliro chamadzi chikakhala cholimba, madzi amadutsamo ndi kuthamanga kwambiri. Ngati mukulitsa chitolirocho pang'ono, madzi amadutsamo mosavuta komanso ndi kuthamanga pang'ono, sichoncho? Mofananamo, pamene mankhwalawa amasula mitsempha yamagazi, zimakhala zosavuta kuti magazi ayende kuchokera mumtima kupita ku thupi lonse. Kenako kuthamanga kwa magazi, kapena kuthamanga kwa magazi, kumachepa.
2. Hydrochlorothiazide: Iyi ndi mankhwala ochepetsa mphamvu ya mkodzo . M'chilankhulo chathu, ndi mankhwala omwe amapangitsa kuti mkodzo uziyenda bwino. Izi zimapangitsa kuti impso zitulutse madzi ndi mchere wosafunikira m'thupi limodzi ndi mkodzo. Madzi ochulukirapo m'thupi akachepa, kuthamanga kwa magazi m'mitsempha kumachepa.
Njira ziwirizi zikagwira ntchito limodzi, zingathandize kwambiri kuchepetsa kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni mankhwala awa, ayenera kukhala ndi chithunzi chonse cha thanzi lanu. Mankhwalawa sangakhale ogwirizana ndi matenda ena. Chifukwa chake, ngati muli ndi matenda aliwonse omwe atchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za mankhwalawa.
| Mkhalidwe wanu | Kufotokozera |
|---|---|
| Mimba kapena kuyamwitsa | Izi ndizofunikira kwambiri ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa. Mankhwalawa akhoza kuvulaza mwana wanu wosabadwa. |
| Matenda a impso kapena chiwindi | Ngati muli ndi matenda aliwonse a impso kapena chiwindi kapena ngati mwachepetsa kukodza. |
| Matenda a shuga | Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu. |
| Matenda a ziwengo | Ngati munakhalapo ndi vuto la ziwengo ndi mankhwala awa kapena mankhwala ena a sulfa, komanso ngati munakhalapo ndi kutupa kwa nkhope, milomo, kapena lilime komanso kupuma movutikira (angioedema). |
| Matenda a mtima kapena sitiroko yaposachedwa | Ngati muli ndi matenda ena a mtima kapena mwangodwala matenda a mtima kapena sitiroko posachedwapa. |
| Matenda ena | Ngati muli ndi matenda a chitetezo chamthupi (monga lupus), matenda a m'mafupa, kapena ngati mukudya zakudya zapadera, monga zakudya zopanda mchere wambiri. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta. Imwani mlingo womwe walembedwa monga momwe dokotala wanenera. Ndi bwino kumwa nthawi yomweyo tsiku lililonse , chifukwa ndiye kuti mankhwalawo adzakhala ofanana m'thupi. Mutha kumwa musanadye kapena mutadya. Komabe, ngati muli ndi vuto la m'mimba, ndi bwino kumwa pamodzi ndi chakudya.
Chofunika kwambiri ndikupitiriza kumwa mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Ngakhale mutamva bwino komanso kuthamanga kwa magazi kwanu kwatsika, musasiye kumwa mwadzidzidzi.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital .
Ndipo kumbukirani, mankhwalawa ndi a inu nokha. Musagawane ndi wina aliyense.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Aliyense angaiwale kumwa mankhwala ake. Ngati zimenezo zitachitika, imwani mlingo womwe mwaphonya mwamsanga mukakumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira (monga, kwatsala maola ochepa), dumphani mlingo womwe mwaphonya ndikumwa piritsi lotsatira panthawi yomwe yakonzedwa.Musamawonjezere mankhwala, kutanthauza kuti, imwani mapiritsi awiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kudziwitsa dokotala wanu za mankhwala onse omwe mukumwa, kaya adokotala, ogulidwa ku pharmacy, mankhwala achikhalidwe, mavitamini, ndi zina zotero, chifukwa mankhwala ena amatha kusokonezana ndi Lisinopril/Hydrochlorothiazide ndikuyambitsa mavuto.
| Mtundu wa mankhwala | Mulingo wa nkhawa |
|---|---|
| Musamwe mankhwalawa pamodzi ndi mankhwala ena aliwonse. | |
| Sacubitril; valsartan | Mankhwala a matenda a mtima. Kutenga zonsezi pamodzi kungayambitse matenda oopsa a angioedema. |
| Chonde dziwitsani dokotala wanu za mankhwala awa. | |
| Mankhwala Ochepetsa Ululu (NSAIDs) | Mankhwala monga Ibuprofen, Naproxen, Diclofenac. Mankhwalawa amachepetsa mphamvu ya mankhwala othamanga magazi komanso kukhudza impso. |
| Zakudya zowonjezera potaziyamu | Mapiritsi a potaziyamu kapena mankhwala olowa m'malo mwa mchere omwe ali ndi potaziyamu. Izi zingayambitse potaziyamu wambiri m'magazi. |
| Mankhwala a shuga | Mlingo ungafunike kusinthidwa chifukwa ungakhudze kuchuluka kwa shuga m'magazi. |
| Lithiamu | Ndi mankhwala operekedwa pa matenda amisala. |
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Yesani kuthamanga kwa magazi anu: Pitani kwa dokotala nthawi zonse ndikumuuza momwe mukupitira patsogolo. Ngati mukuyang'ana kuthamanga kwa magazi anu kunyumba, funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani komanso nthawi yomwe muyenera kuyimba foni.
- Musalole kuti thupi lanu liume: Popeza mankhwalawa amachotsa madzi m'thupi lanu, mutha kusowa madzi m'thupi mosavuta. Choncho imwani madzi ambiri tsiku lonse. Ngati mukutuluka thukuta kwambiri, mukutsegula m'mimba, kapena mukusanza, lankhulani ndi dokotala wanu za izi. Mankhwalawa akhoza kukhala oopsa ngati mutataya madzi m'thupi lanu.
- Kuzunguzika ndi kugona: Mungamve chizungulire pang'ono komanso kugona mukayamba kumwa mankhwalawa. Chifukwa chake, pewani zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musayime kapena kukhala tsonga mwadzidzidzi. Dikirani pang'ono kenako dzukani pang'onopang'ono. Kumwa mowa kungapangitse chizungulire ichi kukhala choopsa, choncho pewani mowa.
- Samalani ndi dzuwa: Khungu la anthu ena likhoza kukhala losamva dzuwa akamamwa mankhwalawa. Izi zikutanthauza kuti akhoza kupsa mosavuta. Choncho pewani kuwala kwa dzuwa momwe mungathere. Ngati mutuluka panja, valani zodzoladzola zoteteza ku dzuwa ndipo valani zovala zophimba thupi lanu.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Koma si aliyense amene amalandira. Chofunika ndikudziwa zotsatirapo zake komanso nthawi yomwe tiyenera kuuza dokotala wathu za mankhwalawa.
| Ngati mukumva zizindikiro izi, pitani kwa dokotala kapena pitani kuchipatala nthawi yomweyo. | |
|---|---|
| Matenda oopsa kwambiri (Angioedema) | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime kapena miyendo, kuvutika kumeza kapena kupuma. |
| Zizindikiro za kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Zizindikiro za kuwonongeka kwa chiwindi | Kupweteka kumtunda kwa kumanja kwa m'mimba, kusowa chilakolako cha chakudya, nseru, khungu kapena maso kukhala achikasu, mkodzo wakuda wachikasu/bulauni. |
| Kutsika kwambiri kwa kuthamanga kwa magazi | Chizungulire chachikulu, maso abuluu, kukomoka. |
| Zizindikiro za potaziyamu yochepa | Kupweteka kwa minofu kapena kupweteka m'mimba, kutopa kosazolowereka, kugunda kwa mtima mofulumira kapena kosasinthasintha. |
| Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Chifuwa chouma | Anthu ena amatha kukhala ndi chifuwa chouma komanso chosabala chifukwa cha mankhwala oletsa ACE. |
| Chizungulire/mutu kupweteka | Izi zitha kuchitika mpaka thupi litazolowera mankhwalawo. |
| Kupweteka m'mimba | Izi zitha kuchepetsedwa mwa kumwa mankhwala pamodzi ndi chakudya. |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala awa monga momwe dokotala wanu wanenera, panthawi yoyenera, kwa nthawi yoyenera. Musasiye kumwa ngakhale mutamva bwino.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe mungakhale nawo (makamaka matenda a shuga, matenda a impso).
- Dziwani chizungulire, kutaya madzi m'thupi, komanso kumva kukhudzidwa ndi kuwala kwa dzuwa mukamamwa mankhwala.
- Ngati mukukumana ndi zizindikiro zoopsa za ziwengo monga kutupa kwa nkhope, milomo, kapena kupuma movutikira, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, dziwitsani dokotala wanu nthawi yomweyo.
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