Dokotala wanu mwina adakupatsani mankhwala ochizira kupweteka pachifuwa nthawi zina (angina). Dzina la mankhwala amenewo likhoza kukhala Ranolazine. Uwu ndi mankhwala apadera a mtima omwe amagwiritsidwa ntchito poletsa kupweteka pachifuwa kwa nthawi yayitali. Chifukwa chake lero, tiyeni tikambirane mwachidule za mankhwala awa otchedwa Ranolazine, momwe tingawagwiritsire ntchito, zomwe tiyenera kusamala nazo, komanso zotsatirapo zake.
Kodi mankhwala a Ranolazine ndi otani?
Mwachidule, Ranolazine ndi mankhwala omwe amagwiritsidwa ntchito kuteteza thanzi la mtima wanu. Makamaka, amagwiritsidwa ntchito pochiza kupweteka pachifuwa komwe kumatenga nthawi yayitali, matenda omwe amadziwika kuti ``Chronic Angina.''
Koma izi ndizofunikira kwambiri: Mankhwalawa sapereka mpumulo nthawi yomweyo pa ululu waukulu komanso wadzidzidzi pachifuwa (Acute Angina attack). Dokotala wanu mwina adakupatsani mankhwala ena (monga mapiritsi a GTN) pa vuto lotere. Ranolazine ndi mankhwala okhawo omwe amaperekedwa kuti athetse matendawa kwa nthawi yayitali.
Mankhwalawa akhoza kugulitsidwa m'mafakitale osiyanasiyana ku Sri Lanka ndi kunja. `Ranexa` ndi dzina lodziwika bwino la mankhwala amenewa.
Kodi ndiyenera kumuuza chiyani dokotala asanayambe kumwa mankhwalawa?
Kuti mukhale otetezeka, ndikofunikira kuti mudziwitse dokotala wanu za mbiri yanu yonse ya thanzi musanayambe kumwa mankhwalawa. Onetsetsani kuti mwawauza za vuto lililonse mwa awa, makamaka ngati muli nalo.
- Matenda ena a mtima .
- Kugunda kwa mtima kosakhazikika .
- Matenda a impso .
- Matenda a chiwindi .
- Ngati muli ndi potaziyamu kapena magnesium yochepa m'magazi anu.
- Ngati muli ndi vuto la ranolazine kapena mankhwala ena aliwonse, chakudya, kapena utoto.
- Ngati muli ndi pakati kapena mukufuna kutenga mimba .
- Ngati ndinu mayi woyamwitsa .
Kutengera ndi izi, dokotala wanu adzasankha ngati mankhwalawa ndi oyenera kwa inu kapena ngati mlingo wake uyenera kusinthidwa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Kuti mupindule kwambiri ndi mankhwala, muyenera kuwagwiritsa ntchito motsatira malangizo.
- Momwe mungameze: Mezani piritsi lonse ndi kapu ya madzi. Musaswe , kuphwanya, kapena kutafuna piritsi ili. Izi zapangidwa mwapadera kuti zitulutse mankhwala m'thupi pakapita nthawi (Extended-Release). Chifukwa chake, ndikofunikira kwambiri kumeza lonse.
- Nthawi yoti mutenge: Monga momwe dokotala wanenera,Yesani kumwa mankhwalawa nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kuti thupi lanu likhale ndi mankhwala okwanira nthawi zonse.
- Ndi chakudya kapena ayi: Mankhwalawa amatha kumwedwa musanadye kapena mutadya. Komabe, anthu ena angavutike m'mimba akamwedwa ndi chakudya.
- Kusiya: Musasiye kumwa mankhwalawa pokhapokha ngati dokotala wanu wakuuzani kuti musiye.
Machenjezo apadera
Musamwe mankhwalawa pamodzi ndi madzi a mphesa. Madzi a mphesa angakhudze momwe mankhwalawa amagwirira ntchito m'thupi.
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 ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe mlingo wowirikiza kawiri.
Nanga bwanji ngati nditamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo. Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Mankhwala ena omwe angagwirizane ndi Ranolazine
Izi ndizofunikira kwambiri. Ranolazine imatha kuyanjana ndi mankhwala ena ambiri, choncho muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa (kuphatikizapo mavitamini, mankhwala azitsamba, ndi zowonjezera).
Mungapeze lingaliro labwino pa izi kuchokera pa matebulo awiri omwe ali pansipa.
| Musamwe Ranolazine pamodzi ndi mankhwalawa. | |
|---|---|
| Gulu la mankhwala | Zitsanzo |
| Maantibayotiki ena | Clarithromycin, Rifampin |
| Mankhwala a matenda a bowa | Itraconazole, Ketoconazole |
| Mankhwala oletsa mavairasi a HIV kapena Hepatitis | (Funsani dokotala wanu) |
| Mankhwala ena a khunyu (Kugwidwa) | Carbamazepine, Phenytoin |
| Wort wa St. John (chotsitsa cha zitsamba) | Pewani kugwiritsa ntchito izi. |
| Samalani kwambiri ngati mutenga Ranolazine pamodzi ndi mankhwalawa. | |
|---|---|
| Mtundu/gulu la mankhwala | |
| Mankhwala ena ochepetsa mafuta m'thupi (monga Simvastatin, Atorvastatin) | |
| Mankhwala ochizira kuvutika maganizo kapena nkhawa | |
| Digoxin, Diltiazem, Verapamil (mankhwala ena a matenda a mtima) | |
| Metformin (mankhwala a matenda a shuga) | |
| Cyclosporine, Tacrolimus (mankhwala oletsa chitetezo chamthupi) | |
Mndandanda uwu sunathe. Kuti mukhale otetezeka, uzani dokotala wanu za mankhwala onse omwe mukumwa.
Kodi ndi zotsatirapo zotani zomwe ndingakumane nazo?
Monga mankhwala ena aliwonse, Ranolazine ingayambitse mavuto ena mwa anthu ena. Zina mwa izi zingakhale zoopsa, choncho ndikofunikira kuzidziwa.
| Zotsatira zoyipa | Zoyenera kuchita? |
|---|---|
| Zotsatirapo zomwe zimafuna chithandizo chamankhwala mwachangu | |
| Matenda a ziwengo: kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime | Uzani dokotala wanu nthawi yomweyo kapena pitani kuchipatala. |
| Kusintha kwa kugunda kwa mtima: kugunda kwa mtima mofulumira kapena kosakhazikika, kupweteka pachifuwa, kupuma movutikira, chizungulire chachikulu | |
| Kuthamanga kwa magazi kotsika: chizungulire, kukomoka, kusawona bwino | |
| Kutupa kwa akakolo, manja, kapena mapazi | |
| Kunjenjemera kapena dzanzi m'miyendo | |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chizungulire | Ngati izi zikupitirira kapena zikukuvutitsani, uzani dokotala wanu. |
| Mutu | |
| Kusanza | |
| Kudzimbidwa | |
Kodi mumateteza bwanji mankhwala anu?
- Sungani mankhwalawa pamalo omwe ana ndi ziweto sangafikire .
- Sungani kutentha kwa chipinda (pafupifupi 25°C), pamalo ouma.
- Musagwiritse ntchito mankhwala otha ntchito. Tayani bwino. Nthawi zambiri ndi bwino kusakaniza mankhwala osafunikira ndi chinthu monga khofi wogwiritsidwa ntchito kapena dothi musanawaike m'zinyalala, kuwatseka m'thumba, ndikutaya. Ngati simukudziwa bwino izi, funsani dokotala wanu.
Uthenga Wopita Nawo Kunyumba
- Ranolazine ndi mankhwala omwe amagwiritsidwa ntchito poletsa kupweteka pachifuwa kwa nthawi yayitali (Chronic Angina), osati mankhwala omwe amapereka mpumulo mwachangu ku ululu wa pachifuwa mwadzidzidzi.
- Mezani piritsi lonseli popanda kusweka, kuphwanya, kapena kutafuna.
- Pewani kumwa mankhwalawa pamodzi ndi madzi a mphesa.
- Onetsetsani kuti mwauza dokotala wanu za mankhwala ena onse omwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukuwona kusintha kwa kugunda kwa mtima wanu, chizungulire chachikulu, kapena zizindikiro zina zomwe zimayambitsa ziwengo.
- Musasiye kumwa mankhwala popanda upangiri wa dokotala.
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