Kodi mulinso ndi kuthamanga kwa magazi, kapena "kupanikizika" monga momwe tonse tikudziwira? Ngati ndi choncho, dokotala wanu mwina adakupatsani mitundu yoposa umodzi ya mankhwala. Lero tikambirana za mankhwala apadera omwe amapangidwa pophatikiza mankhwala awiri otere ndipo amagwiritsidwa ntchito poletsa kuthamanga kwa magazi. Ndi mankhwala otchedwa Nebivolol ndi Valsartan. Ngati mwapatsidwanso mankhwala awa, nkhaniyi idzakhala yofunika kwambiri kwa inu.
Kodi mankhwala awa ndi amtundu wanji?
Mwachidule, iyi ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Nebivolol: Iyi ndi mankhwala omwe ali m'gulu la mankhwala otchedwa ``beta-blockers.'' Imagwira ntchito poletsa kugunda kwa mtima wanu pang'ono komanso kuthandiza mitsempha yanu yamagazi kumasuka komanso kusatopa. Zili ngati kupatsa wothamanga nthawi yochulukirapo kuti achire.
2. Valsartan: Iyi ndi mankhwala ochokera ku gulu la mankhwala otchedwa angiotensin II antagonists. Pali mankhwala m'thupi mwathu omwe amachititsa kuti mitsempha yamagazi ichepetse, kutanthauza kuti, ikhale yopapatiza. Mankhwalawa amagwira ntchito poletsa kugwira ntchito kwa mankhwalawo. Kenako mitsempha yamagazi imatseguka bwino ndipo magazi amatha kuyenda popanda chopinga chilichonse.
Mankhwala awiriwa amagwira ntchito limodzi kuti achepetse kuthamanga kwa magazi. Nthawi zina mankhwalawa angagwiritsidwenso ntchito pazinthu zina. Ngati muli ndi mafunso okhudza izi, funsani dokotala wanu.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwala
Musanayambe kumwa mankhwalawa, ndikofunikira kuuza dokotala wanu ngati muli ndi vuto lililonse mwa zotsatirazi. Izi ndizofunikira kwambiri pa chitetezo chanu.
| Uzani dokotala wanu ngati muli ndi matenda awa. |
|---|
| - Matenda a shuga |
| - Ngati muli ndi matenda a mtima kapena matenda a mtima |
| - Matenda a impso |
| - Matenda a chiwindi |
| - Matenda a m'mapapo kapena kupuma monga mphumu |
| - Matenda otchedwa Pheochromocytoma |
| - Matenda a chithokomiro |
| - Ngati muli ndi vuto la Nebivolol, Valsartan kapena mankhwala ena aliwonse, chakudya, kapena utoto |
| - Ngati muli ndi pakati kapena mukufuna kutenga mimba |
| - Ngati ndinu mayi woyamwitsa |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Ndikofunikira kwambiri kudziwa bwino momwe mungagwiritsire ntchito mankhwalawa.
- Imwani mankhwalawa pakamwa ndi kapu ya madzi. Tsatirani malangizo omwe dokotala wanu wakupatsani monga momwe mwalangizidwira.
- Mungathe kumwa izi musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba kapena kusasangalala, ndi bwino kumwa izi pamodzi ndi chakudya.
- Imwani mankhwala anu panthawi yoyenera, komanso nthawi yoyenera. Musamwe mankhwala ochulukirapo kuposa momwe dokotala wanenera.
- Chofunika kwambiri ndichakuti, musasiye kumwa mankhwalawa mwadzidzidzi popanda upangiri wa dokotala. Kuchita izi kungayambitse kukwera kwa kuthamanga kwa magazi mwadzidzidzi komanso mavuto ena.
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 mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, musachite mantha. Imbani nthawi yomweyo ku National Poison Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Mankhwalawa aperekedwa kwa inu nokha. Musagawane ndi wina aliyense, ngakhale zizindikiro zanu zili zofanana ndi zanu.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mukamamwa mankhwalawa, mankhwala ena angayambitse mavuto. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa.
| Chenjezo lapadera kwa odwala matenda a shuga | |
|---|---|
| Mankhwala omwe sayenera kumwedwa | Aliskiren |
| Mankhwala ena omwe angayambitse mavuto | |
| Ma beta-blockers ena | Mwachitsanzo: Metoprolol, Propranolol |
| Mankhwala ena othamanga magazi | Mwachitsanzo: Benazepril, Captopril, Lisinopril |
| Mankhwala ochepetsa mphamvu ya madzi (mapiritsi a madzi) | Mwachitsanzo: Amiloride, Spironolactone |
| Mankhwala Ochepetsa Ululu (NSAIDS) | Mwachitsanzo: Ibuprofen, Naproxen |
| Zakudya zowonjezera potaziyamu | |
| Mankhwala ena | Digoxin, Diltiazem, Lithium, Fluoxetine, Paroxetine, Verapamil, Clonidine, Heparin |
Mndandandawu sunathe. Uzani dokotala wanu za mankhwala onse, mavitamini, mankhwala azitsamba, ndi zowonjezera zomwe mumamwa. Komanso, uzani dokotala wanu ngati mumasuta kapena kumwa mowa.
Ndi zinthu ziti zomwe muyenera kuziganizira mukamamwa mankhwala?
- Pitani kukayezetsa nthawi zonse:Pitani kwa dokotala nthawi zonse kuti mukaone momwe mulili. Ngati mukuyezetsa kuthamanga kwa magazi kunyumba, funsani upangiri wa zomwe mungayembekezere komanso nthawi yoti muyimbire dokotala wanu.
- Kugona ndi chizungulire: Mankhwalawa angakupangitseni kugona ndi chizungulire. Choncho , musayendetse galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe zimakukhudzirani. Musadzuke mwadzidzidzi kuchokera pamalo omwe mukukhala, makamaka ngati ndinu okalamba. Dzukani pang'onopang'ono. Izi zichepetsa chiopsezo cha chizungulire ndi kugwa.
- Mowa: Kumwa mowa kungapangitse kuti munthu agone komanso azungulire. Choncho, pewani kumwa mowa mukamamwa mankhwalawa.
- Mimba: Iyi ndi mfundo yofunika kwambiri.
- Matenda a Shuga: Ngati muli ndi matenda a shuga, mankhwalawa angakulitse shuga m'magazi mwanu pang'ono. Choncho funsani dokotala wanu ngati mukufuna kusintha zakudya zanu kapena mankhwala a shuga.
- Mankhwala ena: Nthawi zonse funsani dokotala wanu musanamwe mankhwala aliwonse ogulitsidwa kunja kwa ofesi ya dokotala a chifuwa, chimfine, kapena ululu mukamamwa mankhwalawa. Mankhwala ena amatha kukweza kuthamanga kwa magazi.
- Nebivolol ndi Valsartan ndi mankhwala ophatikizana omwe amachepetsa kuthamanga kwa magazi.
- Imwani mankhwala monga momwe dokotala wanu wanenera, panthawi yoyenera. Musasiye kumwa mankhwalawo kapena kusintha mlingo wake pazifukwa zilizonse popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo (makamaka matenda a shuga, impso, kapena chiwindi).
- Dziwani ngati mungagone kapena kuchita chizungulire mukatha kumwa mankhwalawo. Pewani kuyendetsa galimoto mpaka mutadziwa momwe zimakukhudzirani.
- Ngati muli ndi pakati, mukukonzekera kutenga pakati, kapena mukuyamwitsa, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
- Ngati mukukumana ndi mavuto ena monga kutupa pankhope, kupuma movutikira, kapena chizungulire chachikulu, funsani upangiri wa dokotala nthawi yomweyo kapena pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
Ndikofunikira kuti amayi apakati kapena omwe akukonzekera kutenga pakati adziwitse dokotala wawo za izi. Makamaka m'miyezi itatu yachiwiri ndi yachitatu ya mimba, zimatha kuvulaza kwambiri mwana wosabadwayo.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, zina mwa izo ndi zofala.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime |
| Kuvuta kupuma | Kuvuta kupuma |
| Zizindikiro za kuwonongeka kwa chiwindi | Mkodzo wakuda wachikasu kapena bulauni, maso kapena khungu kukhala lachikasu, kupweteka kumtunda kwa kumanja kwa m'mimba, malungo, nseru |
| Zizindikiro za kuwonongeka kwa impso | Kuvuta kukodza, kusintha kwa kuchuluka kwa mkodzo wopangidwa |
| Zizindikiro za kuthamanga kwa magazi kwambiri | Chizungulire chachikulu, kukomoka, kugwa, kutopa kwambiri |
| Zizindikiro zina zazikulu | Kutuluka magazi kapena kuvulala kosazolowereka, kupweteka pachifuwa, kugunda kwa mtima mofulumira kapena kosazolowereka |
| Uzani dokotala wanu ngati zikupitirira kapena zikukuvutitsani. | |
| Mutu, kusanza, kuchepa kwa ntchito yogonana | |
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