Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kuthamanga kwa magazi," ndi vuto lofala pakati pa anthu ambiri m'dziko lathu. Chifukwa chake, dokotala wanu mwina adakupatsani mankhwala a kuthamanga kwa magazi. Pakati pawo, mwina mukudziwa dzina lakuti Nifedipine. Uwu ndi mtundu wa mankhwala omwe amagwira ntchito nthawi yayitali (Extended-Release) omwe nthawi zambiri amaperekedwa. Chifukwa chake lero, tiyeni tikambirane za mankhwala otchedwa Nifedipine, chilichonse chokhudza izi, ngati kuti mukulankhula ndi mnzanu.
Kodi Nifedipine ndi chiyani kwenikweni?
Mwachidule, Nifedipine ndi mankhwala omwe amagwiritsidwa ntchito pochepetsa kuthamanga kwa magazi. Ndi m'gulu la mankhwala otchedwa 'Calcium Channel Blockers'.
Taganizirani mitsempha yamagazi m'thupi mwathu ngati mapaipi omwe amanyamula madzi. Pamene kuthamanga kwa magazi kukukwera, zikutanthauza kuti kuthamanga kwa magazi komwe kumayenda mkati mwa mapaipi awa kumawonjezeka. Chomwe mankhwala a Nifedipine awa amachita ndi 'kupumula' ndikukulitsa mitsempha yamagazi. Kenako kuthamanga kwa magazi mkati mwa mitsempha kumachepa. Chifukwa cha izi, khama lomwe mtima wathu umakhala nalo popopera magazi limachepanso kwambiri. Imeneyo ndiye ntchito yayikulu ya mankhwalawa.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Ndikofunikira kwambiri kuti dokotala wanu adziwe bwino za thanzi lanu asanakupatseni Nifedipine. Chifukwa chake, ngati muli ndi vuto lililonse mwa omwe ali pansipa, onetsetsani kuti mwadziwitsa dokotala wanu.
- Ngati munadwalapo matenda a mtima kale.
- Ngati muli ndi matenda ena a mtima kapena kulephera kwa mtima .
- Ngati muli ndi kuthamanga kwa magazi kotsika .
- Ngati muli ndi matenda a chiwindi .
- Ngati muli ndi vuto lililonse la matumbo kapena kudzimbidwa pafupipafupi.
- Ngati muli ndi vuto la nifedipine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati, kapena mukuyembekezera kutenga pakati posachedwa .
- Ngati ndinu mayi woyamwitsa .
Ndi chitetezo chanu kunena zinthu izi osabisa.
Mankhwalawa ayenera kugwiritsidwa ntchito moyenera.
Kuti mupindule kwambiri ndi mankhwalawa, ndikofunikira kugwiritsa ntchito monga momwe mwalangizidwira.
- Mezani kokha: Popeza iyi ndi piritsi la 'Extended-Release', musaswe, kuphwanya, kapena kutafuna piritsilo . Mezani piritsi lonse ndi madzi. Kulephera kutero kungapangitse kuti mankhwalawo atuluke mwadzidzidzi m'thupi ndikuyambitsa zotsatirapo zoyipa.
- Tengani nthawi yake:Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Ngati dokotala wanu akukuuzani kuti mumwe musanayambe kudya, chitani zimenezo. Kapena ngati akukuuzani kuti mumwe mutatha kudya, chitani zimenezo.
- Musasiye mpaka dokotala wanu atakuuzani kuti: Ngakhale mutakhala bwino tsopano, musasiye kumwa mankhwala anu popanda uphungu wa dokotala wanu.
- Ngati mwaphonya mlingo: Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono kuti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Chofunika kwambiri: Musamwe madzi a mphesa kapena mphesa mukamagwiritsa ntchito mankhwalawa. Mphesa zimatha kusintha momwe mankhwalawa amagwirira ntchito m'thupi, zomwe zimayambitsa zotsatirapo zoopsa.
Nanga bwanji ngati mwangozi ndamwa mankhwala ochulukirapo?
Ngati zoterezi zitachitika, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi mwamsanga. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze upangiri.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Nifedipine ndi mankhwala omwe angagwirizane ndi mankhwala ena, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (ngakhale mavitamini, mankhwala achikhalidwe, ndi zowonjezera zakudya).
| Gulu la mankhwala | Zinthu zofunika kusamala nazo kwambiri |
|---|---|
| Pewani kotheratu | Mankhwala ena a khunyu (monga Carbamazepine, Phenobarbital, Phenytoin), mankhwala a chifuwa chachikulu monga Rifampin, ndi mankhwala azitsamba monga St. John's Wort. |
| Mankhwala ena omwe angayambitse mavuto | Mankhwala ena ochepetsa kuthamanga kwa magazi, mankhwala a HIV/AIDS, mankhwala ena a matenda a shuga, mankhwala a matenda a bowa (monga Ketoconazole), mankhwala a matenda a mtima (monga Flecainide), mankhwala oletsa magazi kuundana (monga Warfarin), Digoxin, Erythromycin, mankhwala ena oletsa kuvutika maganizo (monga Fluoxetine), mankhwala oletsa asidi m'mimba (monga Omeprazole, Ranitidine). |
| Chakudya ndi zakumwa | Madzi a mphesa kapena zipatso. Funsaninso dokotala wanu za kumwa mowa. |
Mndandanda uwu sunathe, choncho chonde uzani dokotala wanu za chilichonse chomwe mukumwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Kuyezetsa magazi nthawi zonse: Pitani kwa dokotala wanu ku chipatala nthawi yomwe mwakonza kuti akayezetse matenda anu. Ngati mukuyezetsa magazi anu kunyumba, funsani dokotala wanu kuti kuthamanga kwa magazi anu kuyenera kukhala kotani.
- Chizungulire ndi kugona: Anthu ena angamve tulo pang'ono kapena chizungulire akamwa mankhwalawa. Choncho, pewani kuchita zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, imirirani pang'onopang'ono mukamadzuka pampando wokhala pansi kapena mukutuluka pabedi.
- Chifuwa, chimfine: Ngati muli ndi chifuwa kapena chimfine, funsani dokotala musanamwe mankhwala ogulitsidwa kunja kwa chipatala. Mankhwala ena amatha kuonjezera kuthamanga kwa magazi.
- Kutulutsa chipolopolo cha piritsi mu ndowe: Ichi ndi chinthu chomwe anthu ambiri amachiopa, koma palibe chifukwa choopera. Chipolopolo chakunja (chipolopolo cha piritsi) cha mitundu ina ya mapiritsi a Nifedipine sichisungunuka m'thupi. Pambuyo poti gawo la mankhwala la mankhwala latengedwa ndi thupi, chipolopolo chopanda kanthucho chimatuluka kwathunthu mu ndowe. Ngati mukuona izi, ganizirani kuti ndi zachilendo.
Kodi zotsatirapo zake zingakhale zotani?
Monga mankhwala ena aliwonse, Nifedipine ingayambitse zotsatira zina zoyipa. Zina mwa izo ndi zazikulu, pomwe zina ndizofala.
| Ngati mukumva zizindikiro izi, pitani kwa dokotala kapena pitani kuchipatala nthawi yomweyo. | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Zizindikiro za matenda a mtima | Kupweteka kapena kulimba pachifuwa, paphewa, pa mkono, kapena pa nsagwada, nseru, kuvutika kupuma, komanso kumva kuzizira. |
| Kulephera kwa Mtima | Kuvuta kupuma, kutupa kwa akakolo, mapazi, kapena manja, kunenepa mwadzidzidzi, kutopa kosazolowereka. |
| Kuthamanga kwa magazi kotsika | Chizungulire, kukomoka, kusawona bwino. |
| Kuwonjezeka kwa ululu pachifuwa (Angina) | Kuwonjezeka kwa ululu kapena kuuma pachifuwa, pakhosi, msana, kapena m'manja. |
| Zizindikiro zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
Mutu, kudzimbidwa, chizungulire, kutuluka magazi m'thupi, nseru, kupweteka m'mimba, kugunda kwa mtima mofulumira kapena kosasinthasintha (kugunda kwa mtima). | |
Uthenga Wopita Nawo Kunyumba
- Imwani mlingo wolembedwa panthawi yolembedwa, monga momwe dokotala wanu akukulangizirani.
- Musaswe, kuphwanya, kapena kutafuna piritsi la Nifedipine Extended-Release. Mezani lonse.
- Pewani madzi a mphesa kapena zipatso konse mukamamwa mankhwalawa.
- Uzani dokotala wanu za mankhwala ena onse, mavitamini, komanso zitsamba zomwe mukumwa.
- Ndi zachilendo kuona chivundikiro cha mapiritsi chikutuluka ndi ndowe, musadandaule nazo.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto aakulu monga kupweteka pachifuwa, kuvutika kupuma, kapena kutupa kwambiri.
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