Nihal (wazaka 58) anabwera ku chipatala changa sabata yatha ali ndi nkhawa komanso kutopa. Sanakhalepo ndi matenda a impso, koma mayeso a magazi adawonetsa kuti impso zake zonse ziwiri zinali kulephera kugwira ntchito mwachangu kwambiri.
"Dr. Priya, nthawi zambiri ndimamwa Losartan ndi mankhwala ochepetsa mphamvu ya thupi tsiku lililonse, omwe dokotala adandipatsa chifukwa cha kuthamanga kwa magazi ndi matenda a mtima. Posachedwapa, chifukwa cha kupweteka kwambiri paphewa panga, ndinagula mapiritsi a Diclofenac ku pharmacy popanda mankhwala a dokotala ndipo ndinapitiriza kuwamwa kwa milungu ingapo. Tsopano miyendo yanga yonse yatupa ndipo ndikuvutika kupuma," Nihal anafotokoza.
Ndinauza Nihal modekha kuti, "Nihal, mosadziwa walakwitsa kwambiri. Mwa kumwa mankhwala ochepetsa ululu monga diclofenac pamodzi ndi mapiritsi a kuthamanga kwa magazi ndi mapiritsi amadzi omwe mukumwa, kuyenda kwa magazi kupita ku impso kumasiya kugwira ntchito. Mu zamankhwala, timatcha izi kuti ndi mankhwala atatu . Izi zawononga impso zanu kwambiri. Tiyeni tikambirane za izi lero kuti aliyense adziwe."
đ¨ Zizindikiro Zofiira za Kulephera kwa Impso Zomwe Ziyenera Kuyambitsa Chithandizo cha Dokotala
Ngati mukukumana ndi zizindikiro zotsatirazi mukugwiritsa ntchito mankhwala ochepetsa ululu popanda chilolezo cha dokotala, muyenera kupita kuchipatala nthawi yomweyo chifukwa izi zitha kukhala chizindikiro cha kulephera kwa impso:
- Kutupa mwadzidzidzi kwa miyendo, akakolo, mapazi, kapena nkhope (Kusunga Madzi).
- Kupuma movutikira kwambiri popanda chifukwa chodziwikiratu.
- Kumva kutopa kwambiri, kutopa, kapena kusakhala ndi moyo.
- Kuchepa mwadzidzidzi kwa kuchuluka kwa mkodzo wotuluka kufika pamlingo wochepa kwambiri (kapena kusatulutsa mkodzo konse).
Kuopsa kobisika kwa NSAIDs painkillers
Anthu ambiri ku Sri Lanka amagula NSAIDs (Non-Steroidal Anti-Inflammatory Drugs) mwachindunji kuchokera ku pharmacy akamamva kupweteka kwa thupi, mutu, kapena kupweteka kwa minofu.
Zitsanzo zazikulu ndi izi:
- Diclofenac
- Aspirin
- Ibuprofen
- Asidi ya Mefenamic / Ponstan
Ngakhale kuti mankhwalawa amatha kuchepetsa ululu kwakanthawi, kugwiritsa ntchito nthawi zonse kungasokoneze ntchito ya impso kwamuyaya. Chiwopsezo chimakhala chachikulu makamaka ngati mankhwalawa atengedwa limodzi ndi mankhwala ena omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi ndi matenda a mtima.
Kodi "Triple Whammy" ndi chiyani chomwe chimayambitsa kulephera kwa impso?
Odwala omwe akulandira chithandizo cha kuthamanga kwa magazi ndi matenda a mtima, mosadziwa akhoza kugwiritsa ntchito mitundu itatu ya mankhwala pamodzi, zomwe zimalepheretsa kusefa impso. Izi zimadziwika kuti "Triple Whammy" m'mawu azachipatala:
1.Mankhwala oletsa ACE kapena ma ARB: Mankhwala monga Captopril , Enalapril , kapena Losartan, omwe madokotala amapereka kuti achepetse kuthamanga kwa magazi, amakulitsa ma arterioles omwe amanyamula magazi kuchokera ku impso ndikuchepetsa kuthamanga kwa magazi mkati mwa impso.
2. Mankhwala ochepetsa kutentha m'thupi (mapiritsi a madzi): Mankhwala operekedwa kuti achotse mchere ndi madzi ochulukirapo m'thupi kudzera mu mkodzo, zomwe zimachepetsa kuchuluka kwa magazi omwe amapita ku impso.
3. Mankhwala ochepetsa ululu a NSAID (Diclofenac/Aspirin): Mankhwala ochepetsa ululu awa amaletsa kupanga ma prostaglandins, omwe amathandiza kukulitsa mitsempha yamagazi mu impso. Izi zimapangitsa kuti ma arterioles a afferent achepe kwambiri.
Zinthu zitatu zonsezi zikachitika nthawi imodzi, kuchuluka kwa magazi omwe amapita ku impso kumatsika kwambiri, kuthamanga kwa magazi kumatayika, ndipo kuvulala kwa impso (AKI) kumachitika.
Kuopsa kogula mankhwala m'ma pharmacy mosayembekezereka
Ma pharmacies ali ndi akatswiri a mankhwala, osati madokotala omwe amatha kuzindikira matenda. Popeza sakudziwa mankhwala omwe mukumwa kwa nthawi yayitali, kukupatsani mankhwala ochepetsa ululu omwe mukupempha kungayambitse kuyanjana kwa mankhwala oopsa ngati awa.
Anthu ambiri ku Sri Lanka amagwiritsa ntchito ngakhale mankhwala ochepetsa ululu kwa nthawi yayitali osadziwa zotsatira zake zoyipa.
Zoyenera kuchita ndi zosayenera kuchita
| âī¸ Zinthu zoti muchite (kuchita) | â Zosayenera kuchita |
|---|---|
| Ngati mukumwa mapiritsi a kuthamanga kwa magazi kapena mapiritsi a madzi, funsani dokotala wanu kuti akupatseni upangiri ngati mukumva ululu ndipo gwiritsani ntchito mankhwala otetezeka monga Paracetamol. | Musagule mankhwala ochepetsa ululu monga diclofenac, ibuprofen, kapena aspirin mwachindunji kuchokera ku pharmacy ndipo pitirizani kuwamwa popanda chilolezo cha dokotala. |
| Yesani magazi mosavuta (Serum Creatinine/eGFR) kamodzi pachaka kuti muwone momwe impso zimagwirira ntchito. | Musagwiritse ntchito mankhwala ochepetsa ululu a NSAID mukakhala ndi malungo kapena ngati madzi m'thupi lanu akusowa. |
| Perekani tsatanetsatane wa mankhwala onse omwe mukumwa kwa nthawi yayitali kwa dokotala nthawi iliyonse mukapita kwa dokotala. | Popeza kuwonongeka kwa impso sikungasonyeze zizindikiro kumayambiriro, musayembekezere mpaka mutamva kudwala kuti mupeze chithandizo chamankhwala. |
â Mafunso ena omwe mungakhale nawo (FAQ)
Ndi odwala ati omwe ali pachiwopsezo cha "Triple Whammy"?
Chiwopsezochi chimakhala chachikulu makamaka kwa odwala omwe akumwa mankhwala oletsa ACE/ARBs ndi diuretics (mapiritsi amadzi) chifukwa cha kuthamanga kwa magazi, matenda a mtima, kapena kulephera kwa impso, komanso omwe akumwanso mankhwala ochepetsa ululu (NSAIDs).
Kodi ndikufunika dialysis ngati impso zanga zalephera kugwira ntchito chifukwa cha mankhwala ochepetsa ululu ?
Ngati impso yavulala kwambiri, dialysis ingafunike kwakanthawi kuti ichepetse poizoni m'thupi. Nthawi zambiri, ngati impso zasiya kugwiritsa ntchito mankhwala ochepetsa ululu komanso kulandira chithandizo choyenera, impso zimatha kuchira pakatha milungu ingapo.
Kodi kugwiritsa ntchito Paracetamol kungayambitsenso kuwonongeka kwa impso ?
Ayi, paracetamol ndi yotetezeka kwathunthu ku impso ikamwedwa mu mlingo woyenera (osapitirira 4g patsiku). Popeza paracetamol si NSAID, siisokoneza kuyenda kwa magazi kupita ku impso.
Kodi "Malamulo a Tsiku Lodwala" ndi ati? âŧ
Masiku omwe mumatsegula m'mimba kwambiri, kusanza, kapena kutentha thupi kwambiri ndipo mumakhala ndi madzi m'thupi, mankhwala monga ACE inhibitors, ARBs, diuretics, ndi NSAIDs ayenera kuyimitsidwa kwakanthawi kwa masiku angapo motsatira upangiri wa dokotala kuti ateteze impso, chifukwa magazi opita ku impso amachepa.
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