Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika," ndi vuto lofala pakati pa anthu ambiri m'dziko lathu. Nthawi zina zimakhala zovuta kuwongolera kuthamanga kwa magazi ndi mankhwala amodzi okha. Pazochitika zotere, dokotala wanu angakupatseni mankhwala osakaniza awiri kapena angapo. Lero, tikambirana za kuphatikiza kwa mankhwala awiri omwe amagwiritsidwa ntchito kwambiri, Telmisartan ndi Amlodipine.
Mwachidule, kodi mankhwala amenewa ndi amtundu wanji?
Ndati izi ndi kuphatikiza mitundu iwiri ya mankhwala. Tiyeni tiwone mitundu iwiriyi ndi momwe imakhudzira thupi.
1. Telmisartan: Iyi ndi mankhwala omwe amatchedwa ``Angiotensin II receptor blockers''. Mwachidule, mankhwala otchedwa angiotensin II m'thupi mwathu amachititsa kuti mitsempha yathu yamagazi (mitsempha yamagazi) ichepetse. Monga momwe kufinya chitoliro chamadzi kumapangitsira madzi kuyenda mofulumira, mitsempha yamagazi ikachepa, kuthamanga kwa magazi kudzera mwa iwo kumawonjezeka. Mankhwalawa otchedwa telmisartan amaletsa mankhwalawo kugwira ntchito. Kenako mitsempha yamagazi imakhala yomasuka komanso yomasuka, kotero magazi amatha kuyenda mosavuta. Izi zimachepetsa kuthamanga kwa magazi.
2. Amlodipine: Iyi ndi ya gulu lotchedwa ``Calcium channel blocker''. Izi zimagwiranso ntchito pomasula mitsempha yamagazi, koma mwanjira ina. Mankhwalawa amaletsa kulowa kwa calcium m'makoma a mitsempha yamagazi ndi minofu yamtima. Pamene calcium yachepa, minofu imachepanso. Izi zimapangitsa kuti mitsempha yamagazi ipumule kwambiri, zomwe zimathandiza mtima kupompa magazi mosavuta.
Choncho mankhwala awiriwa akaphatikizidwa, zotsatira zabwino nthawi zambiri zimapezeka chifukwa amachepetsa kuthamanga kwa magazi m'njira zonse ziwiri. Mankhwalawa amapezekanso pamsika pansi pa dzina la Twynsta.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Ndikofunikira kuti dokotala wanu adziwe bwino mbiri yanu ya thanzi musanapereke mankhwala awa. Onetsetsani kuti mwawauza za vuto lililonse mwa izi, makamaka:
- Matenda a mtima: Ngati munadwalapo matenda a mtima kale, mtima wanu unalephera kugwira ntchito, kapena muli ndi vuto lina la mtima.
- Matenda a impso: Ngati muli ndi matenda aliwonse a impso.
- Matenda a chiwindi: Ngati muli ndi kufooka kapena matenda a chiwindi, chifukwa chiwindi chimagwira ntchito yofunika kwambiri pochotsa mankhwala awa m'thupi.
- Matenda a ziwengo:Tiuzeni ngati muli ndi vuto lililonse la ziwengo ndi mankhwala awiriwa (Telmisartan, Amlodipine), mankhwala ena, zakudya, kapena zosungira.
- Mimba: Izi ndizofunikira kwambiri ngati muli ndi pakati, mukufuna kutenga mimba, kapena mukukayikira kuti muli ndi pakati . Mankhwalawa akhoza kuvulaza kwambiri mwana wosabadwa.
- Ngati ndinu mayi woyamwitsa: Uzaninso dokotala ngati ndinu mayi woyamwitsa.
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Mlingo woyenera: Gwiritsani ntchito mlingo woyenera monga momwe dokotala wanu wanenera. Musachepetse, kuonjezera, kapena kuyimitsa mlingo nthawi iliyonse.
- Nthawi yokhazikika: Khalani ndi chizolowezi chomwa mankhwala anu nthawi yomweyo tsiku lililonse. Izi zidzakuthandizani kuti musaiwale kumwa mankhwala anu ndipo zidzakuthandizani kuti musamavutike kumwa mankhwalawo nthawi zonse.
- Ndi chakudya kapena ayi: Mankhwalawa amatha kumwedwa musanadye kapena mutadya. Komabe, anthu ena angavutike m'mimba akamwedwa ndi chakudya.
- Ngati mwaiwala: Ngati mwaiwala kumwa mapiritsi, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yayandikira, dumphani mlingo womwe mwaphonya ndikumwa mlingo wanu wotsatira panthawi yomwe mwakonza. Musamwe mapiritsi awiri nthawi imodzi (kuwirikiza kawiri) pazifukwa zilizonse.
- Kumwa mankhwala ochulukirapo: Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo, imbani nthawi yomweyo ku National Poisons Information Centre ku Colombo National Hospital , kapena pitani ku Emergency Treatment Unit (ETU) ya chipatala chapafupi.
Chofunika kwambiri ndichakuti mankhwalawa aperekedwa kwa inu nokha. Musapereke mankhwalawa kwa wina aliyense amene ali ndi zizindikiro zomwezo monga inu.
Zinthu zina zomwe zingagwirizane ndi mankhwalawa
Ndikofunikira kuuza dokotala wanu ngati mukumwa mankhwala ena, mavitamini, kapena mankhwala azitsamba (monga mankhwala a Ayurvedic, decoctions) mukamamwa mankhwalawa. Zinthu zina zimatha kusokonezana ndi mankhwalawa ndikuyambitsa zotsatirapo zoyipa.
| Zinthu zomwe zingayambitse mavuto | Kufotokozera kosavuta |
|---|---|
| Zakudya zowonjezera potaziyamu | Mankhwalawa amatha kuwonjezera potaziyamu m'thupi. Kutenga potaziyamu kuchokera kuzinthu zina kungapangitse kuti milingoyo ikhale yoopsa. |
| Zolowa m'malo mwa mchere | Zinthu zambiri zolowa m'malo mwa mchere zimakhala ndi potaziyamu chloride, choncho pewani izi. |
| Mankhwala ena ochepetsa mphamvu ya okodzetsa | Mankhwala ena ochepetsa mphamvu ya madzi m'thupi, otchedwa 'mapiritsi amadzi', amatha kusokoneza kuchuluka kwa potaziyamu m'thupi. |
| Mankhwala ena othamanga magazi | Kumwa pamodzi ndi mankhwala ena ochepetsa kuthamanga kwa magazi kungayambitse kuchepa kwa kuthamanga kwa magazi. |
| Zinthu monga Rifampin, St. John's Wort | Izi zitha kuchepetsa mphamvu ya Telmisartan/Amlodipine. |
Zotsatirapo zomwe zingakhalepo mukatenga mankhwala
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Zina mwa izi sizowopsa, koma zina zimafunika chisamaliro chadzidzidzi.
| Zotsatira zoyipa | Kufotokozera |
|---|---|
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
| Ziwengo zoopsa | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo kapena lilime, komanso kuvutika kupuma. |
| Chizungulire/chizungulire | Maso abuluu, chizungulire, ndi kukomoka (makamaka akadzuka). |
| Kupweteka pachifuwa | Kupweteka pachifuwa kwatsopano kapena kowonjezereka. |
| Kutupa | Kutupa kwa manja, akakolo, kapena mapazi. |
| Kusintha kwa kugunda kwa mtima | Kumva ngati mtima wanu ukugunda mofulumira kapena mosinthasintha. |
| Kusintha kwa kukodza | Kuvuta kukodza kapena kuchepa kwa mkodzo. |
| Zotsatirapo zomwe nthawi zambiri sizili zoopsa, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Chifuwa | Anthu ena akhoza kukhala ndi chifuwa chouma. |
| Mutu | Zitha kuchitika kumayambiriro kwa mankhwala. |
| Kusasangalala m'mimba | Mpweya , kudzimbidwa, nseru. |
| Kutopa/kutopa | Kumva kusasangalala m'thupi. |
Zinthu zina zofunika kuziganizira mukamamwa mankhwala
- Chizungulire: Mankhwalawa angakupangitseni kugona kapena kuzunguzika. Choncho, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Dzukani pang'onopang'ono, makamaka ngati ndinu okalamba, mukadzuka pabedi kapena pampando.
- Mowa: Kumwa mowa kungapangitse kuti munthu ayambe kuvutika ndi chizungulire chifukwa cha mankhwalawa komanso kupangitsa kuti kuthamanga kwa magazi kuchepe kwambiri. Choncho, ndi bwino kupewa kumwa mowa.
- Opaleshoni: Ngati mukufuna opaleshoni iliyonse, onetsetsani kuti mwadziwitsa dokotala wa opaleshoni ndi dokotala wa opaleshoni kuti mukumwa mankhwala awa.
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwalawa monga momwe dokotala wanu wanenera, panthawi yoyenera, komanso mu mlingo woyenera.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
- Uzani dokotala wanu za mankhwala ena onse omwe mukumwa (kuphatikizapo Ayurvedic) ndi matenda aliwonse omwe muli nawo.
- Ngati muli ndi pakati, mukufuna kutenga pakati, kapena kuyamwitsa, ndikofunikira kudziwitsa dokotala wanu musanamwe mankhwalawa.
- Fufuzani thandizo lachipatala mwamsanga ngati mukukumana ndi mavuto ena aakulu monga kutupa kwa nkhope, miyendo, kupweteka pachifuwa, kapena chizungulire chachikulu.
- Yesani kuthamanga kwa magazi anu kunyumba ndipo pitirizani kukaonana ndi dokotala nthawi zonse.
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