Kuthamanga kwa magazi, kapena monga tonse tikudziwira, "kupanikizika," ndi vuto la thanzi lomwe anthu ambiri m'dziko lathu akukumana nalo masiku ano. Chifukwa chake dokotala wanu mwina adakulemberani mankhwala a vutoli. Limodzi mwa mankhwala omwe amaperekedwa nthawi zambiri ndi kuphatikiza mankhwala awiri otchedwa Telmisartan ndi Hydrochlorothiazide. Mutha kukhala mukugwiritsa ntchito izi pansi pa dzina lodziwika bwino la Mikardis HCT. Lero, tiyeni tikambirane za mankhwalawa ndi zinthu zomwe muyenera kusamala nazo mukamazigwiritsa ntchito.
Kodi kwenikweni chimachitika ndi mankhwala awa ndi chiyani?
Mwachidule, iyi ndi kuphatikiza kwa mitundu iwiri ya mankhwala.
1. Telmisartan: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa ARB (Angiotensin II Receptor Blocker). Ganizirani mitsempha yanu yamagazi ngati chitoliro chomwe chimanyamula madzi. Chomwe mankhwalawa amachita ndikukulitsa chitolirocho, ndiko kuti, mitsempha yanu yamagazi, pang'ono, ndikupangitsa kuti magazi aziyenda mosavuta. Kenako, kuthamanga kwa magazi mkati mwa mitsempha, ndiko kuti, kuthamanga kwa magazi, kumachepa.
2. Hydrochlorothiazide: Iyi ndi mankhwala ochepetsa mphamvu ya madzi m'thupi. Izi zikutanthauza kuti imathandiza impso zanu kuchotsa madzi ochulukirapo ndi mchere m'thupi lanu kudzera mu mkodzo. Thupi lanu likapanda madzi okwanira m'thupi, kuthamanga kwa magazi m'mitsempha yanu kumachepanso.
Mankhwalawa amathandiza kuchepetsa kuthamanga kwa magazi m'njira zonse ziwiri.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Musanayambe kumwa mankhwalawa, ndikofunikira kwambiri kudziwitsa dokotala wanu za thanzi lanu lonse. Onetsetsani kuti mwawauza za matenda aliwonse omwe ali pansipa.
| Ngati muli ndi zinthu izi... | N’chifukwa chiyani muyenera kudziwitsa? |
|---|---|
| Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa | Mankhwalawa amatha kuvulaza kwambiri mwana wosabadwa, makamaka pa nthawi ya trimester yachiwiri ndi yachitatu. |
| Matenda a impso kapena chiwindi | Matendawa amakhudza njira yochotsera mankhwala awa m'thupi, kotero mlingo ungafunike kusinthidwa. |
| Matenda a shuga | Mankhwalawa angakhudze kuchuluka kwa shuga m'magazi, choncho mungafunike kusintha mankhwala anu a shuga. |
| Matenda a chitetezo chamthupi (monga lupus) | Matenda ena akhoza kukulirakulira chifukwa cha mankhwalawa. |
| Ngati mutsatira zakudya zapadera, monga zakudya zopanda mchere wambiri | Dokotala ayenera kudziwa izi chifukwa zimakhudza mchere m'thupi. |
| Ngati muli ndi vuto la mankhwala ena, zakudya, utoto kapena zosungira zina | Hydrochlorothiazide ingayambitse mavuto, makamaka ngati muli ndi vuto la mankhwala a sulfa. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani pa nthawi yake: Imwani mankhwalawa nthawi yomweyo tsiku lililonse , monga momwe dokotala wanu wanenera. Izi zidzakuthandizani kukhalabe ndi mphamvu yofanana m'thupi lanu.
- Musanadye kapena mutadya?: Mankhwalawa akhoza kumwedwa musanadye kapena mutadya. Komabe, ngati mukumva kupweteka m'mimba, ndi bwino kumwa pamodzi ndi chakudya.
- Musasiye: Musasiye kumwa mankhwala anu mpaka dokotala wanu atakuuzani kuti muchite zimenezo. Ngakhale kuthamanga kwa magazi anu kutakhala koyenera, kusiya mwadzidzidzi kungayambitse kuthamanga kwa magazi anu kukweranso moopsa.
Nanga bwanji ngati nditamwa mopitirira muyeso?
Ngati mwamwa mwangozi mankhwala opitirira mlingo womwe mwapatsidwa, pitani ku chipatala chapafupi cha Emergency Treatment Unit (ETU) nthawi yomweyo . Kapena, imbani National Poisons Information Centre ku Colombo National Hospital .
Nanga bwanji ngati nditaiwala kumwa mankhwala anga?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yatsala pang'ono yoti mutenge mlingo wotsatira, thawani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza. Musamwe milingo iwiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Mankhwala ena omwe mukumwa angagwirizane ndi mankhwalawa ndipo angayambitse zotsatira zosafunikira. Choncho uzani dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mankhwala olembedwa ndi dokotala, mankhwala ogulitsidwa kunja kwa chipatala, mankhwala ochepetsa ululu, mavitamini, zitsamba, komanso zowonjezera.
Chofunika kwambiri ndichakuti musanagule mankhwala ku pharmacy a chifuwa, chimfine, kapena ululu, funsani dokotala wanu za mankhwala omwe mukumwa a kuthamanga kwa magazi. Chifukwa mitundu ina ya mankhwala imatha kuonjezera kuthamanga kwa magazi.
Samalani kwambiri ndi mankhwala otsatirawa:
- Mankhwala ena othamanga magazi
- Mankhwala opweteka ndi kutupa (monga NSAIDs monga Ibuprofen, Naproxen)
- Mankhwala a shuga
- Lithiamu
- Digoxin
- Zakudya zowonjezera potaziyamu kapena mchere wolowa m'malo
- Mitundu ya ma steroid (Corticosteroids)
- Mankhwala ena ochepetsa mafuta m'thupi (monga Cholestyramine)
Zinthu zomwe muyenera kusamala nazo mukamamwa mankhwala
Yang'anani kuthamanga kwa magazi nthawi zonse.
Mukamamwa mankhwalawa, yang'anani kuthamanga kwa magazi anu nthawi zonse kunyumba. Lembani muyeso wanu m'buku ndipo mupite nawo kwa dokotala wanu. Funsani dokotala wanu kuti kuthamanga kwa magazi kwanu koyenera kukhale kotani komanso nthawi yomwe muyenera kumuuza.
Samalani ndi madzi m'thupi.
Mankhwalawa amachepetsa kuchuluka kwa madzi m'thupi, kotero pali mwayi waukulu wotaya madzi m'thupi. Funsani dokotala wanu za kuchuluka kwa madzi omwe muyenera kumwa patsiku. Ngati mukutsegula m'mimba, kusanza, kapena mukutuluka thukuta kwambiri, kumwa mankhwalawa kungakhale koopsa chifukwa kungayambitse kutaya madzi ambiri m'thupi. Funsani upangiri wa dokotala pazochitika zotere.
Chizungulire ndi kugona
Mankhwalawa angakupangitseni kumva chizungulire pang'ono, mutu wopepuka, kapena tulo. Chifukwa chake, pewani zinthu zomwe zimafuna kukhala maso, monga kuyendetsa galimoto kapena kugwiritsa ntchito makina, mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Makamaka ngati ndinu munthu wokalamba, samalani mukadzuka kuchokera pamalo oyimirira kapena kuchokera pamalo okhala. Pewani kumwa mowa, chifukwa chizungulire ndi kugona kumeneku zimatha kukulirakulira chifukwa chomwa mowa.
Samalani ndi dzuwa.
Mankhwalawa angapangitse khungu lanu kukhala losavuta kukhudzidwa ndi dzuwa (photosensitivity). Choncho, chepetsani kukhudzana ndi dzuwa kwambiri momwe mungathere. Ngati muyenera kutuluka padzuwa, valani zovala zoteteza khungu lanu ndipo gwiritsani ntchito mafuta oteteza khungu lanu. Lankhulaninso ndi dokotala wanu za chiopsezo chanu cha khansa ya pakhungu mukamamwa mankhwalawa.
Kodi zotsatirapo zake zingakhale zotani chifukwa cha mankhwalawo?
Monga mankhwala ena aliwonse, mankhwalawa angayambitse mavuto ena mwa anthu ena. Ena ndi oopsa, ena ndi ofala kwambiri.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala wanu nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa kwa nkhope, milomo, lilime kapena pakhosi. |
| Kupanikizika kuli kochepa kwambiri . | Chizungulire chachikulu, kukomoka, kusawona bwino. |
| Kuwonongeka kwa impso | Kuchepa kwa mkodzo wotuluka, kutupa kwa akakolo, manja, kapena mapazi. |
| Kusintha kwa milingo ya potaziyamu | (Ngati ndi yotsika) - Kugwedezeka kwa minofu, kupweteka, kufooka kosazolowereka, kugunda kwa mtima kosasinthasintha. (Ngati yawonjezeka) - Kufooka kwa minofu, kugunda kwa mtima kosakhazikika. |
| Kupweteka kwa maso mwadzidzidzi | Kupweteka kwa maso, kusawona bwino, kuona kuwala kozungulira magetsi. |
| Matenda a m'mimba | Kupweteka kwambiri, kufiira, ndi kutupa, makamaka m'malo olumikizirana mafupa monga chala chachikulu cha phazi. |
| Zinthu zomwe nthawi zambiri sizili zazikulu, koma ziyenera kufotokozedwa kwa dokotala ngati zikupitirira | |
| Kupweteka kwa msana | Chizungulire |
| Mutu | Kutopa |
| Kutsegula m'mimba | Kuwawa kwam'mimba |
Uthenga Wopita Nawo Kunyumba
- Imwani mankhwala awa monga momwe dokotala wanenera, panthawi yoyenera, kwa nthawi yoyenera. Musasiye kumwa mankhwalawa mosasamala kanthu za zomwe mwanena.
- Uzani dokotala wanu za matenda ena aliwonse omwe muli nawo komanso mankhwala onse omwe mukumwa.
- Samalani ndi kusowa madzi m'thupi komanso chizungulire. Imwani madzi ambiri.
- Ngati mukukonzekera kutenga pakati, muli ndi pakati, kapena mukuyamwitsa, uzani dokotala wanu nthawi yomweyo.
- Yesani kuthamanga kwa magazi anu nthawi zonse ndipo tsatirani malangizo a dokotala wanu.
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