Kodi muli ndi kuthamanga kwa magazi? Kapena muli pachiwopsezo cha sitiroko chifukwa cha kuthamanga kwa magazi limodzi ndi matenda a mtima? Dokotala wanu mwina adakupatsani mankhwalawa. Pali mayina awiri a mapiritsi awa, sichoncho? Limodzi ndi Losartan, ndipo lina ndi Hydrochlorothiazide. Lero, tiyeni tikambirane za zomwe zimachitika mukamwa mapiritsi opangidwa posakaniza mankhwala awiriwa, komanso zomwe muyenera kusamala nazo mukamagwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi kuphatikiza kwa mankhwala awiri. M'dziko lathu, mankhwalawa amapezeka pansi pa dzina la `Hyzaar`. Mankhwala awiriwa amagwira ntchito limodzi kuti athandize kuchepetsa kuthamanga kwa magazi m'njira ziwiri.
1. Losartan: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa ARB (Angiotensin Receptor Blocker). Ganizirani mitsempha yanu yamagazi ngati chitoliro chonyamula madzi. Ngati chitolirochi chatsekedwa, kuthamanga kwa magazi m'madzi kumawonjezeka, ndipo mitsempha yathu yamagazi ikachepa, kuthamanga kwa magazi kumawonjezekanso. Chifukwa chake, chomwe mankhwala otchedwa Losartan amachita ndikukulitsa ndikumasula mitsempha yanu yamagazi. Kenako, magazi amatha kuyenda mosavuta popanda chopinga chilichonse, zomwe zimachepetsa kuthamanga kwa magazi.
2. Hydrochlorothiazide: Uwu ndi mtundu wa mankhwala otchedwa `diuretic`. Nthawi zambiri timatcha awa kuti `mapiritsi amadzi`. Izi zimagwira ntchito pothandiza impso zanu kuchotsa madzi ochulukirapo ndi mchere m'thupi lanu kudzera mu mkodzo. Pamene kuchuluka kwa madzi m'thupi lanu kumachepa, kuthamanga kwa magazi m'mitsempha yanu kumachepanso.
Popeza njira ziwirizi zimagwirira ntchito limodzi, mankhwalawa ndi othandiza kwambiri poletsa kuthamanga kwa magazi. Amagwiritsidwanso ntchito kuchepetsa chiopsezo cha sitiroko kwa anthu omwe ali ndi matenda a mtima.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu za izi, chifukwa muyenera kusamala kwambiri popereka mankhwalawa pansi pa mikhalidwe iyi.
| Mkhalidwe wanu | N’chifukwa chiyani muyenera kuuza dokotala? |
|---|---|
| Ngati muli ndi pakati kapena mukufuna kutenga mimba | Izi ndizofunikira kwambiri.Mankhwalawa akhoza kuvulaza kwambiri mwana panthawi ya mimba. |
| Ngati mayi akuyamwitsa mwana wake | Ndikofunikira kufunafuna upangiri wa dokotala chifukwa mankhwalawa amatha kupita kwa mwana kudzera mu mkaka wa m'mawere. |
| Matenda a shuga | Popeza mankhwalawa amatha kukhudza kuchuluka kwa shuga m'magazi, mlingo wa mankhwala a shuga ungafunike kusinthidwa. |
| Ngati muli ndi matenda a impso kapena mkodzo wochepa | Impso zikalephera kugwira ntchito bwino, momwe mankhwalawa amakhudzira thupi zimatha kusintha. |
| Matenda a chiwindi | Ngati chiwindi sichikugwira ntchito bwino, mlingo wa mankhwalawo ungafunike kusinthidwa. |
| Matenda a chitetezo chamthupi monga lupus | Ndikofunikira kudziwitsa dokotala wanu chifukwa mankhwalawa angapangitse kuti lupus ikule kwambiri. |
| Ngati mukudya zakudya zopanda mchere wambiri | Ndikofunikira kudziwitsa dokotala wanu chifukwa izi zingakhudze momwe mchere umagwirira ntchito m'thupi. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Zingakhale zoopsa ngati muli ndi vuto la mankhwala awa kapena chilichonse mwa zosakaniza zake. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Tsatirani malangizo a dokotala wanu: Imwani mlingo woyenera monga momwe dokotala wanu wanenera. Yesani kumwa nthawi yomweyo tsiku lililonse .
- Ndi chakudya kapena ayi: Piritsi ili likhoza kumwedwa musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kulimwa pamodzi ndi chakudya.
- Musayime:Pitirizani kumwa mankhwalawo malinga ngati dokotala wanu wakuuzani. Musasiye mwadzidzidzi, ngakhale mutamva bwino.
- Ngati mwaphonya mlingo: Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
- Ngati mwamwa mankhwala ochulukirapo: Ngati mwamwa mapiritsi ambiri mwangozi, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense, ngakhale atakhala ndi zizindikiro zomwezo zomwe muli nazo.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala ena aliwonse, mavitamini, kapena mankhwala azitsamba omwe mukumwa, chifukwa mankhwala ena angagwirizane ndi izi.
| Mankhwala omwe sayenera kumwedwa ndi mankhwalawa | |
|---|---|
| Cidofovir | Dofetilide |
| Tranylcypromine | |
| Mankhwala ena omwe angagwirizane ndi mankhwalawa | |
| Mankhwala ena othamanga magazi | Mankhwala oletsa ululu (NSAIDs) - mwachitsanzo: Ibuprofen, Naproxen, Celecoxib |
| Mankhwala a shuga | Lithiamu |
| Mankhwala ena ochepetsa mphamvu ya okodzetsa (mapiritsi amadzi) - mwachitsanzo Triamterene, Spironolactone | Zakudya zowonjezera potaziyamu |
| Ma Barbiturates (monga Phenobarbital) | Ma Steroid - mwachitsanzo Prednisone, Cortisone |
| Mankhwala ochepetsa mafuta m'thupi - mwachitsanzo Cholestyramine, Colestipol | Rifampin |
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.
Zinthu zofunika kukumbukira mukamamwa mankhwala
- Yesani kuthamanga kwa magazi anu: Yesani kuthamanga kwa magazi anu nthawi zonse. Funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani. Komanso, lembani manambalawo papepala kuti zikhale zosavuta kuwonetsa dokotala wanu.
- Pewani kutaya madzi m'thupi: Mankhwalawa amawonjezera kuchuluka kwa madzi omwe thupi lanu limataya. Choncho ngati mukudwala kwambiri, mukusanza, kapena mukutuluka thukuta kwambiri , mutha kutaya madzi ambiri m'thupi lanu ndikutaya madzi m'thupi. Izi zitha kukhala zoopsa. Choncho imwani madzi okwanira tsiku lonse. Ngati simukumva bwino, imbani dokotala wanu kuti akupatseni malangizo.
- Kuzunguzika ndi kukomoka: Mankhwalawa angakupangitseni kumva chizungulire, makamaka mukadzuka pamalo okhala. Choncho , dzukani pang'onopang'ono mukadzuka pamalo okhala kapena pogona. Musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Kumwa mowa kungapangitse vutoli kukhala loipa kwambiri.
- Dzitetezeni ku dzuwa: Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa. Choncho, chepetsani kukhudzana ndi dzuwa momwe mungathere. Ngati mutuluka panja, valani zovala zodzitetezera ndipo gwiritsani ntchito mafuta oteteza ku dzuwa. Pewani kugwiritsa ntchito nyali za dzuwa ndi mabedi opaka utoto. Lankhulaninso ndi dokotala wanu za chiopsezo chanu cha khansa ya pakhungu.
- Zinthu zolowa m'malo mwa mchere: Musagwiritse ntchito zinthu zolowa m'malo mwa mchere (zomwe zili ndi potaziyamu wambiri) pokhapokha ngati dokotala wanu akukulangizani kutero.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, izi zingayambitse zotsatirapo zina mwa anthu ena.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za kuchepa madzi m'thupi | Ludzu lochuluka, pakamwa pouma, kukomoka, mkodzo wakuda wachikasu kapena bulauni. |
| Kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kutsika kwambiri kwa kuthamanga kwa magazi | Chizungulire, kukomoka, kusawona bwino. |
| Kuchepa kwa potaziyamu | Kupweteka kapena kuuma kwa minofu, kufooka kosazolowereka, kugunda kwa mtima kosasinthasintha. |
| Kupweteka kwa maso kapena kusintha kwa masomphenya | Kupweteka kwa maso mwadzidzidzi, kusawona bwino, kuona mphete mozungulira magetsi. |
| Matenda a m'mimba | Kupweteka kwambiri, kufiira, ndi kutupa, makamaka m'malo olumikizirana mafupa monga chala chachikulu cha phazi. |
| Zotsatirapo zomwe nthawi zambiri sizimakhala zoopsa (koma uzani dokotala ngati zikupitirira) | |
| Chizungulire | Mutu |
| Kuwawa kwam'mimba | Kutsekeka kwa mphuno kapena mphuno yotuluka madzi |
| Kusintha kwa chilakolako kapena zochita zogonana | |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, chonde uzani dokotala wanu za zizindikirozo.
Uthenga Wopita Nawo Kunyumba
- Mankhwalawa ndi osakaniza mitundu iwiri ya mankhwala (losartan ndi hydrochlorothiazide) omwe amagwiritsidwa ntchito pochepetsa kuthamanga kwa magazi.
- Imwani mankhwala anu nthawi yomweyo tsiku lililonse, monga momwe dokotala wanu wakuuzani. Musasinthe kapena kusiya kumwa mankhwala nokha.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, ndi mankhwala azitsamba omwe mukumwa.
- Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena kuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga chizungulire, kukomoka, kutsegula m'mimba kwambiri, kusanza, kapena kutupa pakhungu.
- Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire, kutentha kwa chipinda, komanso kutali ndi kuwala.
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