Kodi mumamva chizungulire kapena mutu wopepuka mukayimirira mwadzidzidzi kuchokera pamalo okhala kapena mukatuluka pabedi? Nthawi zina mumamva ngati mugwa. M'mawu azachipatala, izi zimatchedwa orthostatic hypotension. Mwachidule, ndi kuchepa kwa kuthamanga kwa magazi mukasintha malo anu. Chifukwa chake, Midodrine ndi mankhwala omwe madokotala nthawi zambiri amapereka kwa anthu omwe ali ndi zizindikirozi. Lero, tiyeni tikambirane za mankhwalawa momveka bwino komanso mosavuta.
Kodi Midodrine ndi chiyani kwenikweni?
Mwachidule, Midodrine ndi mankhwala omwe amachepetsa kuthamanga kwa magazi. Mukayimirira kuchokera pamalo okhala, mphamvu yokoka imapangitsa kuti magazi ena azisonkhana m'miyendo yanu. Izi zimapangitsa kuti magazi aziyenda pang'ono kupita ku ubongo, zomwe zingayambitse chizungulire.
Midodrine imagwira ntchito pomangirira (kuchepetsa) mitsempha yamagazi yaying'ono m'thupi lanu. Monga momwe kukanikiza chitoliro cha madzi kumathandizira kuti madzi aziyenda mofulumira, kumangitsa mitsempha yamagazi kumapangitsa kuti magazi aziyenda mothamanga kwambiri. Izi zimathandiza kuti kuthamanga kwa magazi anu kusatsike mwadzidzidzi mukamayimirira. Mankhwalawa amapezeka pansi pa mayina a Orvaten kapena ProAmatine.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Midodrine si mankhwala ogwiritsidwa ntchito pa matenda onse. Chifukwa chake, ndikofunikira kwambiri kuti dokotala wanu adziwe mbiri yanu yonse yachipatala musanapereke mankhwala awa. Onetsetsani kuti mwauza dokotala wanu ngati muli ndi vuto lililonse lomwe latchulidwa pansipa.
| Kodi muli ndi vutoli? | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Matenda a mtima | Chifukwa Midodrine imatha kukhudza kugunda kwa mtima. |
| Kuthamanga kwa magazi komwe kulipo kale | Chifukwa mankhwalawa amatha kuonjezera kuthamanga kwa magazi kwambiri. |
| Matenda a impso | Popeza impso zimachotsa mankhwala m'thupi, zotsatira za mankhwalawa zimatha kusintha ngati impso sizikugwira ntchito bwino. |
| Chithokomiro chogwira ntchito mopitirira muyeso | Vutoli likhozanso kuonjezera kuthamanga kwa magazi ndi kugunda kwa mtima. |
| Kuvuta kukodza | Midodrine ikhoza kuipitsa vutoli. |
| Pheochromocytoma | Ichi ndi chotupa chomwe chimapezeka mu adrenal gland, ndipo mankhwalawa si oyenera chifukwa angayambitse kuthamanga kwa magazi. |
| Kukhala ndi pakati kapena kuyesa kutenga mimba | Muyenera kukambirana ndi dokotala wanu za zotsatira zomwe zingachitike pa mwana wosabadwayo. |
| Kuyamwitsa | Funsani dokotala wanu ngati mankhwalawa apita kwa mwana wanu kudzera mu mkaka wa m'mawere. |
| Matenda a chifuwa cha mankhwala ena, zakudya, kapena utoto | Zingakhale zoopsa ngati muli ndi vuto la ziwengo ku mankhwala kapena zosakaniza zake. |
Mankhwalawa ayenera kugwiritsidwa ntchito moyenera.
Ndikofunikira kwambiri kutsatira malangizo a dokotala wanu momwe mungagwiritsire ntchito mankhwalawa.
- Imwani mankhwalawa ndi kapu ya madzi.
- Chofunika kwambiri: Musamwe mankhwala anu omaliza tsiku lotsatira chakudya chamadzulo kapena osakwana maola anayi musanagone.
- Musagone pansi kwa nthawi yayitali mutamwa mankhwalawa. Izi zikutanthauza kuti musachite zinthu monga kuonera TV kapena kuwerenga buku mukakhala pansi.
ndichoncho chifukwa chiyani?Mukagona pansi, ntchito ya Midodrine ingayambitse kuthamanga kwa magazi kukwera mosafunikira. Izi zimatchedwa supine hypertension. Chifukwa chake, muyenera kumwa mankhwalawa nthawi ya tsiku yokha mukamagwira ntchito, mukuyenda, kapena mukuyimirira.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala awa ndi a inu nokha. Musagawire mankhwala anu ndi ena.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Midodrine ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
| Musamwe Midodrine pamodzi ndi mankhwalawa. | |
|---|---|
| MAOIs (gulu la mankhwala omwe amagwiritsidwa ntchito pochiza matenda amisala) | Ergot alkaloids (mankhwala ogwiritsidwa ntchito pochiza mutu waching'alang'ala) |
| Mankhwala ena a chimfine ndi mavuto opuma | Mankhwala ena ochepetsa thupi |
| Ngati mukumwa mankhwalawa, lankhulani ndi dokotala wanu. | |
| Digoxin, Flecainide (yothandiza matenda a mtima) | Fludrocortisone (mankhwala a mahomoni) |
| Metformin (ya matenda a shuga) | Alpha-blockers (mankhwala a matenda a prostate ndi kuthamanga kwa magazi) |
| Cimetidine, Ranitidine (wa gastritis) | Mankhwala ena ambiri... |
Mndandandawu sunathe. Chifukwa chake , ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mumamwa, komanso ngati mumasuta kapena kumwa mowa .
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Onani dokotala wanu pa masiku omwe akonzedwa kuti muwone momwe mukupitira patsogolo. Iye akhoza kuyang'ana kuthamanga kwa magazi anu ndikusankha ngati mlingo wa mankhwala anu uyenera kusinthidwa.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho, musachite chilichonse chomwe chimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa akukukhudzirani.
- Musadzuke mofulumira: Musaime kapena kukhala pansi mwadzidzidzi. Makamaka ngati ndinu okalamba, sinthani malo pang'onopang'ono. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa.
- Pakamwa pouma: Pakamwa panu pakhoza kukhala pouma. Kutafuna chingamu chopanda shuga ndi kumwa madzi ambiri kungathandize.
- Kumwa mankhwala a matenda ena: Musamwe mankhwala operekedwa ndi dokotala pa chifuwa, chimfine, kapena ululu popanda kufunsa dokotala. Ena mwa mankhwala amenewa angakulitse kuthamanga kwa magazi.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, Midodrine ingayambitse zotsatirapo zina. Zina mwa izo ndi zazikulu, zina sizowopsa kwenikweni.
| Ngati mukukumana ndi zizindikiro izi, uzani dokotala wanu nthawi yomweyo. | |
|---|---|
| Mutu waukulu, kulira m'makutu | Kugunda kwa mtima mwachangu, kosasinthasintha, kapena kupweteka pachifuwa |
| Maso osawoneka bwino | Matuza pakhungu, mabala |
| Ngati zizindikirozi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. | |
| Matumbo a goose | Kumva kuwawa m'mutu kapena pakhungu |
| Khungu loyabwa | Kufunika kukodza pafupipafupi |
| Kuzizira kwa thupi (Kuzizira) | Kupweteka m'mimba |
Ngati mukukumana ndi zizindikiro zina zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Kodi ndiyenera kusunga bwanji mankhwalawo?
Kusunga mankhwala moyenera n'kofunika kwambiri.
- Sungani kutali ndi ana.
- Sungani kutentha kwa chipinda (pakati pa madigiri 15-30 Celsius). Tetezani ku kutentha kwambiri ndi chinyezi.
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Midodrine ndi mankhwala omwe amagwiritsidwa ntchito poletsa chizungulire (orthostatic hypotension) chomwe chimachitika mukayimirira kuchokera pamalo atakhala.
- Lamulo lalikulu komanso lofunika kwambiri pa mankhwalawa ndilakuti musagone kwa nthawi yayitali mutamwa. Imwani mlingo womaliza wa tsikulo osachepera maola 4 musanagone.
- Uzani dokotala wanu za mankhwala ena onse omwe mumamwa komanso matenda aliwonse omwe muli nawo.
- Ngati mukumva zizindikiro monga mutu waukulu komanso kupweteka pachifuwa, izi zitha kukhala zizindikiro za kuthamanga kwa magazi. Ngati izi zitachitika, funsani upangiri wa dokotala nthawi yomweyo.
- Nthawi zonse tsatirani malangizo a dokotala wanu molondola. Musasiye kumwa mankhwala anu kapena kusintha mlingo wanu nokha.
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