Tiyeni tiphunzire za mankhwala apadera awa (Sacubitril; Valsartan) omwe amaperekedwa pochiza matenda a mtima.

Kodi mankhwala awa ndi amtundu wanji? N’chifukwa chiyani akuperekedwa?

Kodi ndiyenera kuuza dokotala wanga chiyani ndisanayambe kumwa mankhwalawa?

• Uzani dokotala wanu ngati muli ndi matenda a shuga ( Diabetes Mellitus) , makamaka ngati mukumwa mankhwala a aliskiren.
• Ngati mukudziwa kuti potaziyamu m'magazi mwanu ndi wokwera .
• Ngati muli ndi matenda aliwonse a impso .
• Ngati muli ndi matenda aliwonse a chiwindi .
• Ngati muli ndi kuthamanga kwa magazi kotsika ( kuthamanga kwa magazi kotsika) .
• Izi ndi 'Sacubitril; Valsartan', kapena '(Ngati mwakhalapo ndi vuto la ziwengo chifukwa cha mankhwala otchedwa ACE inhibitors (monga enalapril, lisinopril), mankhwala otchedwa angiotensin II receptor blockers (ARBs) (monga losartan, telmisartan), mankhwala ena aliwonse, chakudya, utoto wa chakudya, kapena zotetezera .
• Ngati muli ndi pakati, kapena mukufuna kutenga mimba . Izi ndizofunikira kwambiri, tidzakambirana za izi mtsogolo.
• Ngati ndinu mayi woyamwitsa .

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Kodi mumagwiritsa ntchito bwanji mankhwalawa moyenera?

• Momwe mungamwere: Mankhwalawa amapezeka mu mawonekedwe a mapiritsi. Ayenera kumwedwa pakamwa. Yesani kumwa mlingo wolembedwa, monga momwe dokotala wanu wanenera, nthawi yomweyo tsiku lililonse . Mwanjira imeneyi, mankhwalawo adzagwira ntchito mofanana.
• Ndi chakudya kapena ayi?: Mutha kumwa piritsili ndi chakudya kapena ayi. Komabe, anthu ena angavutike m'mimba ngati amwa popanda chakudya. Zikatero, ndi bwino kumwa limodzi ndi chakudya.
• Kusiya: Pitirizani kugwiritsa ntchito mankhwalawa mpaka dokotala wanu atakuuzani kuti musiye. Musasiye mwadzidzidzi. Ngati mukufuna kusiya, lankhulani ndi dokotala wanu ndipo tsatirani malangizo ake.
• Kodi mankhwalawa angaperekedwe kwa ana?: Inde, nthawi zina mankhwalawa angaperekedwe kwa ana aang'ono ngati chaka chimodzi pa matenda enaake a mtima. Komabe, amafunikira chisamaliro chapadera ndi kuyang'aniridwa ndi dokotala.
• Zoyenera kuchita ngati mwamwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, kapena ngati mwamwa mapiritsi ochulukirapo mwangozi, pitani ku chipatala chapafupi kapena imbani malo owongolera poizoni nthawi yomweyo. Musataye nthawi.
• Musagawane: Ichi ndi chinthu choti mukumbukire. Mankhwalawa aperekedwa kwa inu nokha, kuti athetse vuto lanu. Chifukwa chake, musapereke mankhwalawa kwa anzanu, achibale anu, kapena achibale ena, ngakhale atanena kuti ali ndi vuto lomwelo ngati lanu.

Kodi mumatani ngati mwaphonya nthawi yokumana ndi dokotala?

• Imwani mankhwala anu mwamsanga mukangokumbukira.
• Komabe, ngati nthawi yoti mutenge mlingo wotsatira yafika pafupi, thawani mlingo womwe munaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.
• Musamwe mlingo wowirikiza kawiri kuti mubwezeretse mlingo womwe mwaphonya.Kuchita zimenezi kungayambitse zotsatirapo zina.

Ndi mankhwala ena ati omwe sayenera kugwiritsidwa ntchito ndi mankhwalawa, kapena omwe angayambitse zotsatirapo zake?

Musamwe Sacubitril; Valsartan pamodzi ndi mankhwala awa:

* Ngati muli ndi matenda a shuga, perekani mankhwala (aliskiren).

* Ndi mankhwala otchedwa (Angiotensin-converting enzyme - ACE inhibitors). Mwachitsanzo, mankhwala monga benazepril, captopril, enalapril, fosinopril, lisinopril, ramipril. Ngakhale mutasiya kumwa mankhwala otere kwa masiku angapo, si bwino kuyamba kumwa Sacubitril; Valsartan. Lankhulani ndi dokotala wanu za izi.

* Ndi mankhwala (tranylcypromine).

• Mitundu ina ya Angiotensin II receptor blockers (ARBs). Zitsanzo: azilsartan, candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, kapena valsartan (ngati mukumwa valsartan padera kuwonjezera pa valsartan mu mankhwalawa).
• Mankhwala monga (celecoxib).
• (lithium) (mankhwala operekedwa pa matenda amisala).
• (NSAIDs) - Awa ndi mankhwala omwe amagwiritsidwa ntchito pochiza ululu ndi kutupa. Zitsanzo: ibuprofen, naproxen. Izi nthawi zambiri zimatha kugulidwa pa kauntala m'ma pharmacy, kotero ngati muzigwiritsa ntchito, zitchuleni.
• Mankhwala ochepetsa potaziyamu m'thupi. Zitsanzo: amiloride, spironolactone, triamterene.
• Zakudya zowonjezera potaziyamu kapena zinthu zina zomwe zimalowa m'malo mwa mchere wokhala ndi potaziyamu wambiri.

Ndiyenera kusamala kwambiri ndi chiyani ndikamamwa mankhwalawa?

• Samalani ndi zizindikiro: Ngati zizindikiro za matenda a mtima wanu (monga kupuma movutikira, kutopa, kutupa kwa miyendo yanu) sizikuyenda bwino mutayamba kumwa mankhwalawa, kapena ngati zikuoneka kuti zikuipiraipira, uzani dokotala wanu nthawi yomweyo.
• Mimba (izi ndizofunikira kwambiri!):

Musatenge pakati mukumwa Sacubitril; Valsartan. Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa, ndipo akhoza kupha munthu. Chifukwa chake, ngati mukukonzekera kutenga pakati, kapena ngati mukuganiza kuti muli ndi pakati, siyani kumwa mankhwalawa nthawi yomweyo ndipo uzani dokotala wanu. Dokotala wanu adzakupatsani upangiri woyenera. Funsani dokotala wanu kuti mudziwe zambiri.

• Kugona kapena chizungulire: Anthu ena angamve ngati akugona kapena akuzungulire akamwa mankhwalawa. Choncho, pewani kuyendetsa galimoto, kugwiritsa ntchito makina olemera, kapena kuchita chilichonse chomwe chimafuna kusamala komanso kukhala maso mpaka mutadziwa bwino momwe mankhwalawa amakukhudzirani. Musadzuke pamalo omwe mukukhala kapena kukhala pansi mwadzidzidzi. Samalani kwambiri ngati ndinu okalamba. Kusintha malo nthawi zambiri kungathandize kuchepetsa chizungulire ndi kugwa.
• Mowa: Pewani kumwa mowa kwambiri mukamamwa mankhwalawa. Mowa ungasokoneze kugwira ntchito kwa mankhwalawa ndipo ungawonjezere zotsatirapo zake.
• Zinthu zolowa m'malo mwa mchere: Zina mwa zinthu zolowa m'malo mwa mchere zimakhala ndi potaziyamu. Muyenera kusamala ndi kuchuluka kwa potaziyamu m'thupi lanu mukamamwa mankhwalawa, choncho musagwiritse ntchito zinthu zolowa m'malo mwa mchere pokhapokha ngati dokotala wanu wakuuzani mwachindunji.

Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawa?

• Matenda a ziwengo:
• Zilonda za pakhungu, monga eczema, kuyabwa, ziphuphu.
• Kutupa kwa nkhope, milomo, lilime, kapena pakhosi (izi ndi zoopsa kwambiri chifukwa zingayambitse kupuma movutikira).
• Kuchuluka kwa potaziyamu m'magazi:
• Kumva kupweteka pachifuwa.
• Kugunda kwa mtima mwadzidzidzi kumakhala kofulumira komanso kosasinthasintha.
• Kumva kufooka ndi dzanzi m'minofu.
• Kuvulala kwa impso:
• Kumva kuvutika kukodza.
• Kutulutsa mkodzo wochepa kapena wochuluka kuposa masiku onse.
• Kusintha kwa mtundu wa mkodzo.
• Kuthamanga kwa magazi kotsika:
• Kumva chizungulire, makamaka mukayimirira.
• Kumva kufooka, maso akusanduka abuluu.
• Kumva ngati kuti mugwa mutaima.
• Kumva kufooka kwambiri komanso kutopa.

• Chifuwa: Anthu ena amatha kukhala ndi chifuwa chouma akamamwa mankhwalawa.

Kodi mumasunga bwanji mankhwalawa kukhala otetezeka?

• Sungani pamalo omwe ana ndi ziweto sangafikire. Izi ndi zofala pa mankhwala onse.
• Sungani kutentha kwa chipinda (pakati pa madigiri 20 ndi 25 Celsius, pakati pa madigiri 68 ndi 77 Fahrenheit). Tetezani ku kutentha kwambiri, kuwala, ndi chinyezi. Izi zikutanthauza kuti musasunge m'malo ngati bafa.
• Sungani botolo kapena paketi yomwe ili ndi mankhwalawo itatsekedwa bwino.
• Musagwiritse ntchito mankhwala omwe atha ntchito. Tsiku lotha ntchito latchulidwa pa phukusi.

• Chinthu chabwino kwambiri choti muchite ndikupereka mankhwalawo ku "pulogalamu yobwezeretsa mankhwala." Funsani ku pharmacy yanu kapena ku polisi yapafupi kuti muwone ngati ali ndi mapulogalamu otere.
• Ngati sizingatheke, yang'anani chizindikiro cha mankhwala kapena paketi kuti muwone ngati pali malangizo amomwe mungatayire mankhwalawo m'zinyalala kapena kuwataya m'chimbudzi.
• Ngati simukudziwa bwino, funsani dokotala wanu kapena wamankhwala.
• Ngati ndi mankhwala omwe angathe kutayidwa mu zinyalala, atulutseni mu chidebecho, sakanizani ndi zinyalala za amphaka omwe agwiritsidwa ntchito, dothi, kapena khofi, muyike mu thumba kapena chidebe chotseka, ndikuchitaya mu zinyalala. Izi ndi kuteteza ana aang'ono kapena ziweto kuti zisalowemo ndikuyambitsa ngozi.

Zinthu zofunika kwambiri kuzikumbukira (Uthenga Wopita Nawo Kunyumba)

• Mankhwalawa ndi mankhwala ofunikira omwe amathandiza kuchepetsa kulephera kwa mtima wanu.
• Nthawi zonse imwani mlingo womwe mwapatsidwa panthawi yake, monga momwe dokotala wanu wanenera. Musadumphe chakudya kapena kumwa mopitirira muyeso.
• Onetsetsani kuti mwauza dokotala wanu za mankhwala ena aliwonse omwe mukumwa komanso matenda ena aliwonse omwe muli nawo.
• Musamwe mankhwalawa ngati muli ndi pakati kapena mukufuna kutenga mimba. Samalani kwambiri.
• Dziwani zotsatirapo zake. Uzani dokotala wanu ngati muwona china chake chachilendo.
• Ngati muli ndi mafunso kapena kukayikira kulikonse, musachite manyazi kufunsa dokotala wanu kapena wamankhwala.