Vuto la thanzi lomwe anthu ambiri m'dziko lathu ali nalo ndi kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika". Chifukwa chake dokotala wanu mwina adakupatsani mankhwala otchedwa 'Lisinopril' pa kuthamanga kwa magazi, kulephera kwa mtima, kapena matenda a mtima. Uwu ndi mankhwala ofala kwambiri. Komabe, pali zinthu zingapo zomwe muyenera kudziwa mukamagwiritsa ntchito izi. Lero, tiyeni tikambirane za mankhwalawa m'njira yosavuta yomwe mungamvetse.
Kodi Lisinopril iyi ndi chiyani?
Mwachidule, Lisinopril ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda monga kuthamanga kwa magazi ndi kulephera kwa mtima. Ndi m'gulu la mankhwala otchedwa ACE inhibitors.
Tangoganizani kuti mapaipi amadzi m'nyumba mwanu atsekeka. Kenako pampu yamadzi iyenera kugwira ntchito molimbika kuti ikankhire madziwo, sichoncho? Mitsempha yamagazi m'thupi lathu ndi yomweyi. Pamene kuthamanga kwa magazi kukukwera, mitsempha yamagazi iyi imatsekeka. Kenako mtima wathu uyenera kugwira ntchito molimbika kuti upompe magazi m'thupi lonse.
Lisinopril imagwira ntchito pokulitsa (kumasula) mitsempha yamagazi yopapatiza. Izi zimathandiza kuti magazi aziyenda mosavuta popanda chopinga chilichonse. Izi zimachepetsa ntchito ya mtima. Izi zimathandiza kuwongolera kuthamanga kwa magazi ndikuteteza thanzi la mtima.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Dokotala wanu asanakupatseni Lisinopril, adzakufunsani mafunso ena. Koma muyenera kuuza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi. Izi ndizofunikira kwambiri.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Matenda a shuga | Lisinopril ingagwirizane ndi mankhwala ena a shuga ndipo ingakhudzenso impso. |
| Matenda a impso | Mankhwalawa amachotsedwa m'thupi ndi impso. Ngati pali vuto ndi impso, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Angioedema - Izi zikutanthauza kuti kale munali ndi kutupa kwa nkhope, milomo, kapena lilime, komanso munavutika kupuma. | Lisinopril ingayambitse vutoli kubwerera kapena kuipiraipira. Izi zitha kukhala zoopsa pa moyo. |
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | (Chofunika kwambiri) Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa. Choncho uzani dokotala wanu nthawi yomweyo. |
| Ngati ndinu mayi woyamwitsa | Muyenera kulankhula ndi dokotala wanu ngati mankhwalawa apita kwa mwana kudzera mu mkaka wa m'mawere kapena ayi. |
| Kudwala matenda ena a m'mimba, zakudya, kapena kulumidwa ndi tizilombo | Ngati muli ndi vuto la ziwengo ndi mankhwala ena oletsa ACE, mukhoza kukhala ndi vuto la ziwengo ndi Lisinopril. |
Kodi mungagwiritse ntchito bwanji mankhwalawa moyenera?
Izi n'zosavuta kwambiri.
- Imwani pa nthawi yake: Monga momwe dokotala wanu wakuuzirani, yesani kumwa mankhwala anu nthawi yomweyo tsiku lililonse . Izi zithandiza kuti mankhwalawo akhale ogwira ntchito mofanana m'thupi.
- Muyezo woyenera: Ngati mankhwalawa aperekedwa ngati yankho, gwiritsani ntchito sirinji yapadera, chikho, kapena chotsukira chomwe chaperekedwa kuti muyeze mankhwalawo. Musagwiritse ntchito supuni kapena supuni zomwe zimapezeka kukhitchini. Sizolondola.
- Ndi chakudya kapena ayi: Mankhwalawa angatengedwe musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa pamodzi ndi chakudya.
- Musasiye: Musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti mutero. N'koopsa kusiya kumwa mankhwala anu nokha, poganiza kuti kuthamanga kwa magazi anu kwatsika.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala? Nanga bwanji ngati ndamwa mowa wambiri?
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.
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku chipinda chapafupi chadzidzidzi (ETU) nthawi yomweyo. KapenaImbani National Poison Information Center ku Colombo National Hospital kuti mupeze upangiri.
Mankhwalawa ndi a inu nokha. Musapatse wina mankhwala awa chifukwa chakuti ali ndi zizindikiro zomwezo monga inu.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Mukamamwa Lisinopril, ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba), chifukwa mankhwala ena amatha kusokonezana ndi Lisinopril.
| Pewani kumwa Lisinopril ndi mankhwala awa: | |
|---|---|
| Sacubitril; valsartan (monga Entresto) | Zimawonjezera chiopsezo cha angioedema yayikulu. |
| Lankhulani ndi dokotala wanu za izi. | |
| Mankhwala ochepetsa ululu (NSAIDs) (monga Ibuprofen, Naproxen, Diclofenac) | Zingachepetse mphamvu ya Lisinopril ndikukhudza impso. |
| Mapiritsi a madzi (Diuretics) | Kupanikizika kungakhale kochepa kwambiri. |
| Mapiritsi a potaziyamu kapena mankhwala olowa m'malo mwa mchere | Kuchuluka kwa potaziyamu m'thupi kumatha kukwera kwambiri. |
| Mankhwala ena a matenda a shuga | Shuga m'magazi angachepe mwadzidzidzi. |
Samalani kwambiri ndi zinthu izi mukamamwa Lisinopril
- Pitani kukayezetsa magazi nthawi zonse: Pitani kukaonana ndi dokotala wanu ndipo muyeze magazi anu pa masiku omwe akonzedwa. Yesani kuthamanga kwa magazi anu. Funsani dokotala wanu kuti kuthamanga kwa magazi kwanu koyenera kukhale kotani.
- Musamwe mankhwala a chifuwa ndi chimfine nokha: Funsani dokotala wanu musanamwe mankhwala a chifuwa, chimfine, kapena kupweteka kwa thupi kuchokera ku pharmacy. Mankhwala ena amatha kukweza kuthamanga kwa magazi.
- Samalani ndi mimba:
- Kuzunguzika ndi kugona: Anthu ena angamve chizungulire kapena kugona atamwa mankhwalawa. Choncho, pewani kuchita zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu okalamba, musadzuke mwadzidzidzi kuchokera pamene mutakhala kapena kugona. Dzukani pang'onopang'ono. Kumwa mowa kungapangitse kuti kugona ndi chizungulire kuwonjezere.
- Pewani kugwiritsa ntchito zinthu zolowa m'malo mwa mchere: Pokhapokha ngati dokotala wanu wakuuzani mwachindunji, pewani kugwiritsa ntchito zinthu zolowa m'malo mwa mchere m'malo mwa mchere wa patebulo, chifukwa zingakhale ndi potaziyamu wambiri.
- Sungani kutali ndi ana: Nthawi zonse sungani mankhwala kutali ndi ana ndi ziweto.
- Samalani kutentha: Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Tetezani ku kutentha kwakukulu ndi kuzizira kwambiri (musazizire).
- Mankhwala otha ntchito:Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino. Yang'anani chizindikiro cha momwe mungawatayire. Ngati kutsuka chimbudzi sikoyenera, phwanyani mankhwalawo, sakanizani ndi zinthu monga khofi wogwiritsidwa ntchito, dothi, kapena zinyalala za amphaka, ziyikeni m'thumba, zitsekeni, ndikuzitaya m'zinyalala.
- Lisinopril ndi mankhwala ofunikira omwe amathandiza kuwongolera kuthamanga kwa magazi ndi thanzi la mtima. Imwani panthawi yoyenera, mu mlingo woyenera, monga momwe dokotala wanu wanenera.
- Onetsetsani kuti mwauza dokotala wanu za matenda ena aliwonse omwe muli nawo (makamaka matenda a shuga, matenda a impso) ndi mankhwala ena onse omwe mukumwa.
- Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena mukuyamwitsa, uzani dokotala wanu nthawi yomweyo. Izi ndizofunikira kwambiri.
- Ngati mukukumana ndi mavuto aakulu monga kutupa kwa nkhope, milomo, lilime, kapena kupuma movutikira, pitani kuchipatala nthawi yomweyo.
- Musasiye kumwa mankhwala anu nokha, poganiza kuti palibe vuto. Nthawi zonse tsatirani malangizo a dokotala wanu.
Ngati ndinu mkazi, ngati mukukonzekera kutenga pakati, kapena ngati mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo . Izi ndizofunikira kwambiri chifukwa mankhwalawa amatha kuvulaza kwambiri mwana wosabadwa.
Zotsatirapo zomwe zingachitike chifukwa cha mankhwala
Monga mankhwala ena aliwonse, Lisinopril ingayambitse zotsatirapo zoyipa. Ngakhale kuti si aliyense amene amalandira, zina zimakhala zoopsa ndipo zina zimakhala zochepa.
| Zotsatirapo zoyipa zomwe zimafuna chithandizo chamankhwala mwachangu | |
|---|---|
| Matenda a ziwengo / Angioedema | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, maso, milomo, lilime, manja kapena mapazi, kuvutika kumeza kapena kupuma. |
| Kuchuluka kwa potaziyamu m'magazi | Kufooka kwa minofu, kugunda kwa mtima mofulumira kapena kosakhazikika. |
| Kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| 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 kwakukulu kwa kuthamanga kwa magazi | Chizungulire chachikulu, kukomoka, kusawona bwino. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Chifuwa chouma | Izi ndi zotsatira zoyipa zomwe zimachitika kawirikawiri chifukwa cha mankhwala oletsa ACE. Ngati zikukuvutitsani, lankhulani ndi dokotala wanu. |
| Mutu | Izi zidzachepa thupi likayamba kuzolowera mankhwala. |
| Chizungulire chochepa | Izi zitha kuchitika makamaka masiku oyamba mutayamba kumwa mankhwala. |
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