Vuto lomwe anthu ambiri ali nalo masiku ano ndi kuthamanga kwa magazi, kapena 'kupanikizika' monga momwe tonse timatchulira. Dokotala wanu mwina adalemba mankhwala oletsa kuthamanga kwa magazi. Ngati mwapatsidwa piritsi lotchedwa Nebivolol, nkhaniyi idzakhala yofunika kwambiri kwa inu. Tiyeni tiwone kuti mankhwalawa ndi otani, momwe amagwirira ntchito, komanso zomwe muyenera kusamala nazo mukamagwiritsira ntchito.
Kodi Nebivolol ndi mankhwala otani?
Mwachidule, Nebivolol ndi mankhwala omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi. Ndi m'gulu la mankhwala otchedwa 'beta blockers'.
Ganizirani mtima wanu ngati pompu yamadzi. Pamene kuthamanga kwa magazi anu kukukwera, zikutanthauza kuti pompuyo iyenera kugwira ntchito molimbika kuti ipompe magazi m'thupi lanu lonse. Nebivolol imagwira ntchito pochepetsa kugunda kwa mtima wanu, kuchepetsa kuthamanga kwa magazi, ndikuchotsa kupsinjika kwa mtima wanu. Izi zimathandiza mtima wanu kupompa magazi mosavuta komanso moyenera. Madokotala angakupatseninso mankhwala ena. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwalawa
Musanapereke mankhwala a Nebivolol, ndikofunikira kuti dokotala wanu adziwe mbiri yanu yonse yachipatala. Onetsetsani kuti mwadziwitsa dokotala wanu ngati muli ndi vuto lililonse mwa izi:
| Matenda kapena vuto | N’chifukwa chiyani muyenera kusamala? |
|---|---|
| Matenda a shuga | Mankhwalawa angabise zizindikiro zina za shuga wotsika m'magazi (monga kugunda kwa mtima kowonjezeka). |
| Matenda a mtima kapena mavuto a mitsempha yamagazi | Matenda monga kugunda kwa mtima pang'onopang'ono, kulephera kwa mtima kowonjezereka, kutsekeka kwa mtima, kapena matenda a Raynaud. |
| Matenda a impso kapena chiwindi | Chifukwa zingakhudze njira yochotsera mankhwala m'thupi. |
| Matenda a kupuma (monga mphumu) | Nthawi zina zimatha kuwonjezera mavuto opuma. |
| Matenda a chithokomiro | Zizindikiro zina za kuchuluka kwa mahomoni a chithokomiro zimatha kubisika. |
| Pheochromocytoma | Ichi ndi chotupa chosowa kwambiri cha adrenal gland, ndipo mankhwala ena amafunika chithandizo asanaperekedwe mankhwalawa. |
| Mimba kapena kuyembekezera mwana | Muyenera kulankhula ndi dokotala wanu za kugwiritsa ntchito mankhwalawa panthawi ya mimba. |
| Kukhala mayi woyamwitsa | Funani upangiri kwa dokotala ngati mankhwalawo angaperekedwe kwa mwana pamodzi ndi mkaka wa m'mawere. |
| Matenda a ziwengo | Ngati mudayamba mwakhala ndi vuto la Nebivolol, ma beta-blockers ena, kapena mankhwala ena aliwonse kapena chakudya. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Izi n'zosavuta kwambiri. Ndi mankhwala omwe muyenera kumwa pakamwa, mu mlingo wovomerezeka, monga momwe dokotala wanu wanenera.
- Yesetsani kumwa mankhwala anu nthawi yomweyo tsiku lililonse . Mukayamba kuchita izi chizolowezi, simudzayiwala kumwa mankhwala anu.
- Pitirizani kumwa mankhwalawo mpaka dokotala wanu atakuuzani kuti musiye. Musasiye kumwa mankhwalawo mwadzidzidzi momwe mukufunira. Kuchita zimenezi kungapangitse kuti kuthamanga kwa magazi anu kukwere mwadzidzidzi ndipo mavuto ena angachitike.
- Ngati mankhwalawa aperekedwa kwa ana, upangiri wapadera wachipatala umafunika.
Chofunika kwambiri:Mankhwalawa aperekedwa kwa inu nokha. Musapatse wina aliyense amene ali ndi zizindikiro zomwezo zomwe muli nazo. Zingakhale zoopsa.
Kodi mungachite chiyani ngati mwaphonya mlingo wa mankhwala?
Ngati mwaiwala kumwa mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndi kumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mlingo umodzi nthawi imodzi, kuphatikizapo mlingo umodzi womwe mwaphonya.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ambiri kuposa momwe mukuganizira, imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital . Kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwala ena omwe angagwirizane ndi Nebivolol
Mankhwala ena angayambitse mavuto akamwedwa ndi Nebivolol. Chifukwa chake, uzani dokotala wanu za mankhwala ena onse omwe mukumwa (mankhwala a matenda ena, mavitamini, mankhwala azitsamba, ndi zowonjezera zakudya). Makamaka ngati mukumwa mankhwala aliwonse awa:
- Mankhwala ena ochizira kuthamanga kwa magazi, matenda a mtima, kapena kugunda kwa mtima kosasinthasintha.
- Mankhwala ena ochizira kuvutika maganizo, monga fluoxetine kapena paroxetine.
- Cimetidine
- Clonidine
- Reserpine
- Sildenafil
Mndandandawu sunathe. Ndi bwino kuuza dokotala wanu zonse zomwe mumamwa. Komanso, muuzeni ngati mumasuta kapena kumwa mowa.
Zinthu zofunika kuziganizira mukamamwa mankhwala
- Pitani kukayezetsa magazi nthawi zonse: Pitani kwa dokotala nthawi ndi nthawi kuti muwone momwe magazi anu akuyendera. Ngati mukuyezetsanso kuthamanga kwa magazi kunyumba, funsani kuti kuthamanga kwa magazi anu kuyenera kukhala kotani komanso kuti muyimbire dokotala wanu pamlingo wotani.
- Musamadzipatse mankhwala: Mukamamwa mankhwalawa, musamwe mankhwala ogulitsidwa kunja kwa ofesi ya dokotala a chifuwa, chimfine, kapena ululu popanda kufunsa dokotala. Mankhwala ena amatha kuonjezera kuthamanga kwa magazi.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona kapena kumva chizungulire. Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina, ndi kuchita zinthu zina zomwe zimafuna kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani.
- Musadzuke mofulumira: Kudzuka mwadzidzidzi kuchokera pamalo okhala kapena kutuluka pabedi kungayambitse chizungulire ndi kugwa. Samalani kwambiri ngati ndinu okalamba. Dzukani pang'onopang'ono.
- Mowa sungagwiritsidwe ntchito: Mowa ungasokoneze mphamvu ya mankhwalawa, choncho ndi bwino kupewa kumwa mowa.
- Kwa anthu omwe ali ndi matenda a shuga:Ngati muli ndi matenda a shuga, mankhwalawa angakhudze kuchuluka kwa shuga m'magazi mwanu. Choncho funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala a shuga.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Nebivolol ingayambitse zotsatira zina zoyipa. Zina mwa izi ndi zoopsa, pomwe zina ndizofala.
| Kugawa zotsatira zoyipa | |
|---|---|
| Zotsatirapo zoyipa zomwe muyenera kuuza dokotala wanu nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kulephera kwa mtima | Kuvutika kupuma, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, komanso kumva kutopa kwambiri. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kugunda pang'onopang'ono kwa mtima | Chizungulire, kukomoka, mutu wopepuka, kupuma movutikira, kufooka kosazolowereka. |
| Chochitika cha Raynaud | Zala zimakhala zozizira, zosagwira ntchito, zopweteka, ndipo zimakhala zoyera, zabuluu, kapena zofiira. |
| Kusintha kwa mkhalidwe wamaganizo | Kukhumudwa, kuvutika maganizo, kapena kuwonjezeka kwa chisoni. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Kutopa |
| Chizungulire | Kutsegula m'mimba |
| Kusintha kwa ntchito yogonana kapena chilakolako | |
Mndandandawu suli ndi zotsatirapo zonse zomwe zingachitike. Ngati muwona china chake chachilendo, lankhulani ndi dokotala wanu za icho.
Kodi muyenera kusunga bwanji mankhwalawo?
Sungani mapiritsi pamalo omwe ana ndi ziweto sangafikire. Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius). Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Nebivolol ndi mankhwala omwe ayenera kugwiritsidwa ntchito motsatira malangizo a dokotala wanu. Imwani mlingo womwe waperekedwa panthawi yomwe mwapatsidwa.
- Musasiye kumwa mankhwala mwadzidzidzi pazifukwa zilizonse popanda kufunsa dokotala wanu.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala ena aliwonse omwe mumamwa.
- Pewani kudzuka mwadzidzidzi mutakhala pansi kapena mutagona, chifukwa chizungulire chingachitike mukamamwa mankhwala.
- Ngati mukukumana ndi mavuto aakulu monga kupuma movutikira, kutupa kwa miyendo, kapena chizungulire chachikulu, funsani upangiri wa dokotala nthawi yomweyo.
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