Mwina munachita mantha pang'ono komanso mwachidwi pamene dokotala wanu anakuuzani kuti muyambe mankhwala atsopano a matenda a kuthamanga kwa magazi m'mapapo. Zimenezo n'zachibadwa. Makamaka mukamva dzina loti Tadalafil, sizodabwitsa kuganiza kuti, "Kodi mankhwalawa ndi amtundu wanji, angandichite chiyani?" Lero, tiyeni tikambirane za mankhwalawa, zomwe amachita pa thupi, ndi zinthu zomwe muyenera kusamala nazo m'njira yosavuta yomwe mungamvetse.
Kodi chimachitika ndi chiyani ndi mankhwala otchedwa Tadalafil awa?
Mwachidule, tadalafil ndi mankhwala omwe amathandiza kuchepetsa kuthamanga kwa magazi m'mapapo anu. Matendawa amadziwika kuti Pulmonary Arterial Hypertension (PAH) .
Tangoganizirani kuti chitoliro cha madzi chatsekeka. Kupanikizika mkati mwa chitolirocho kumawonjezeka, ndipo injini yomwe imapopa madzi iyenera kugwira ntchito molimbika, sichoncho? Mofananamo, pamene mitsempha yamagazi m'mapapu anu yachepa ndikutsekeka, mtima wanu uyenera kugwira ntchito molimbika kuti upope magazi kudzera m'mapapo. Izi zimatchedwa matenda oopsa a m'mapapo.
Tadalafil imagwira ntchito popumitsa ndi kukulitsa mitsempha yamagazi yopapatiza. Izi zimachepetsa kuthamanga kwa magazi mkati mwa mitsempha. Izi zimachepetsa ntchito ya mtima, zomwe zimapangitsa kuti uzitha kupopa magazi m'thupi lonse mosavuta. Chifukwa cha izi, mungakhale omasuka kupuma komanso kukhala ndi mphamvu zambiri zochitira ntchito zanu za tsiku ndi tsiku.
Zinthu zomwe muyenera kuuza dokotala wanu musanayambe kumwa mankhwala
Chabwino, tsopano izi ndizofunikira kwambiri. Dokotala wanu ayenera kudziwa mbiri yonse ya thanzi lanu asanakupatseni mankhwala awa. Pokhapokha atatha kudziwa ngati mankhwalawa ndi otetezeka kwa inu. Chifukwa chake, ngati muli ndi vuto lililonse lomwe latchulidwa pansipa, onetsetsani kuti mwauza dokotala wanu za vutoli.
- Matenda a mtima: Ngati munadwalapo matenda a mtima kale, muli ndi kupweteka pachifuwa monga angina , muli ndi kugunda kwa mtima kosasinthasintha, kapena muli ndi matenda ena aliwonse a mtima.
- Mavuto a maso: Kulephera kuona bwino, makamaka ngati muli ndi matenda a maso obadwa nawo monga retinitis pigmentosa .
- Kuthamanga kwa magazi: Ngati muli ndi kuthamanga kwa magazi kokwera kapena kotsika.
- Matenda a impso kapena chiwindi: Ngati muli ndi matenda aliwonse a impso kapena chiwindi.
- Matenda a Veno-Occlusive Disease a m'mapapo (PVOD): Uwu ndi matenda ena osowa okhudza mitsempha ya m'mapapo. Dokotala wanu adzakufunsani za izi.
- Zilonda zam'mimba: Ngati muli ndi zilonda zam'mimba.
- Stroke: Stroke yapitayi, kutanthauza kuti, ngati sitiroko yachitikapo.
- Matenda a ziwengo: Ngati muli ndi ziwengo zilizonse, osati za tadalafil yokha, komanso mankhwala ena aliwonse, chakudya, kapena utoto, muyeneranso kuuza dokotala wanu za izo.
- Mimba kapena kuyamwitsa: Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kudziwitsa dokotala wanu.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
Imeneyi ndi piritsi yomwe muyenera kumwa. Muyenera kumwa monga momwe dokotala wanenera, mu mlingo wake weniweni.
- Mezani mapiritsi ndi kapu ya madzi.
- Mungathe kumwa musanadye kapena mutadya. Zimenezo sizidzakhala vuto.
- Chofunika kwambiri ndikuyesera kumwa mankhwala nthawi yomweyo tsiku lililonse. Izi zithandiza kuti kuchuluka kwa mankhwala m'thupi kukhale kofanana.
- Ngati mwapatsidwa mapiritsi awiri patsiku, imwani mapiritsi onse awiri nthawi imodzi, limodzi motsatizana. Musawagawe m'magulu awiri, limodzi m'mawa ndi limodzi madzulo.
- Imwani mankhwalawo malinga ngati dokotala wanu wakuuzani. Ngakhale mutamva bwino, musasiye kumwa mwadzidzidzi popanda upangiri wa dokotala.
Nanga bwanji ngati mwangozi ndamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, musachite mantha ndipo nthawi yomweyo imbani National Poisons Information Centre ku Colombo National Hospital, kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
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 ndi kumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe kawiri kuti mubwezeretse mlingo womwe mwaiwala.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa (Kuyanjana)
Iyi ndi mfundo yofunika kwambiri. Tadalafil imatha kuyanjana ndi mankhwala ena. Chifukwa chake, muyenera kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, mankhwala a Ayurvedic, komanso zitsamba zachikhalidwe.
| Zinthu zomwe simuyenera kumwa ndi Tadalafil (Musamwe ndi Tadalafil) | |
|---|---|
| Mitundu ya Nitrates | Mankhwala a mtima monga nitroglycerin ndi isosorbide angayambitse kuthamanga kwa magazi koopsa ngati atagwiritsidwa ntchito limodzi. |
| Mapiritsi ena okulitsa mbolo | Mankhwala ena monga sildenafil ndi vardenafil. |
| Riociguat | Iyi ndi mankhwala ena operekedwa pochiza kuthamanga kwa magazi m'mapapo. |
| Zinthu zoti mugwiritse ntchito mosamala ndi zinthu zomwe zingagwirizane (MUNGAGWIRITSE NTCHITO ndi Tadalafil) | |
| Mankhwala ena othamanga magazi | Dokotala wanu adzasintha mlingo. |
| Mankhwala a HIV kapena Edzi | |
| Mankhwala a matenda a bowa | Mwachitsanzo: ketoconazole, fluconazole |
| Mankhwala a khunyu (kukhuta) | Mwachitsanzo: carbamazepine, phenytoin |
| Maantibayotiki ena | Mwachitsanzo: erythromycin, clarithromycin |
| Madzi a mphesa | Pewani kumwa madzi a mphesa mukamamwa mankhwalawa. |
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, tadalafil ingayambitse mavuto ena mwa anthu ena. Komabe, si aliyense amene amawapeza. Tiyeni tiwone zomwe zili ndi zomwe tingachite ngati zitachitika.
| Mtundu wa zotsatira zoyipa | Makhalidwe |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kusintha kwa masomphenya kapena kumva | Kutaya mwadzidzidzi masomphenya m'diso limodzi kapena onse awiri, kuchepa kwa kumva, kapena kulira m'makutu. |
| Zizindikiro za matenda a mtima | Kupweteka kwambiri pachifuwa, m'mapewa, ndi m'manja, nseru, komanso kupuma movutikira. |
| Zizindikiro za Stroke | Kufooka/kufooka mwadzidzidzi mbali imodzi ya nkhope, mkono, kapena mwendo, kuvutika kulankhula, kusokonezeka. |
| Kukhazikika kwa nthawi yayitali | (Kwa amuna) Kupweteka kwa mbolo kumatenga maola opitilira 4. Ili ndi vuto lomwe limafuna chithandizo chachangu. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Mutu | Mutu. |
| Kupweteka kwa msana, kupweteka kwa minofu | Kupweteka kwa msana, kupweteka kwa minofu. |
| Kufiira kwa nkhope, mphuno yodzaza | Kutuluka madzi m'mphuno, kutsekeka kapena kutsekeka kwa nkhope. |
| Kuwawa kwam'mimba | Kupweteka m'mimba. |
Uthenga Wopita Nawo Kunyumba
- Imwani mlingo womwe dokotala wanu wakupatsani, monga momwe mwalangizidwira, panthawi yoyenera. Musasinthe mlingo nokha.
- Musamwe tadalafil pamodzi ndi mankhwala a mtima omwe ali ndi nitrates.
- Uzani dokotala wanu tsatanetsatane wa mankhwala ena onse, mavitamini, ndi zowonjezera zomwe mukumwa.
- Fufuzani thandizo lachipatala mwamsanga ngati maso anu asintha mwadzidzidzi, kumva kwanu kwasintha, kapena (kwa amuna) kupweteka kwa chiberekero komwe kumatenga maola opitilira 4.
- Sungani mankhwalawa pamalo otetezeka kutentha kwa chipinda, komwe ana aang'ono sangawafikire.
- Ngati muli ndi mafunso ena kapena nkhawa zokhudzana ndi mankhwalawa, musazengereze kukambirana ndi dokotala wanu.
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