Kodi dokotala anakupatsani mankhwala a kuthamanga kwa magazi? Muyenera kuti munachita mantha pang'ono komanso mwachidwi mutaona piritsilo lokhala ndi mayina awiri. Kodi ichi ndi chiyani kwenikweni? Kodi n'koyenera kumwa izi pamodzi? Muyenera kuti muli ndi mafunso ambiri m'maganizo mwanu. Musadandaule, lero tikulankhula za mankhwala otere. Ndi kuphatikiza kwa mankhwala awiri otchedwa Trandolapril ndi Verapamil.
Kodi mankhwala amenewa ndi chiyani kwenikweni?
Mwachidule, uwu ndi mankhwala omwe amaperekedwa kuti achepetse kuthamanga kwa magazi . Komabe, uli ndi mitundu iwiri ya mankhwala ophatikizidwa.
1. Trandolapril: Mankhwalawa ndi a gulu la mankhwala otchedwa ACE inhibitors . Ganizirani mitsempha yamagazi m'thupi lanu ngati mapaipi omwe amanyamula madzi. Ngati mapaipi awa achepa pang'ono, pamafunika kupanikizika kwambiri kuti madziwo asunthe, sichoncho? Umu ndi momwe kuthamanga kwa magazi kulili. Chomwe ACE inhibitor iyi imachita ndikumasula mitsempha yamagazi. Kenako magazi amatha kuyenda mosavuta, ndipo kuthamanga kwa magazi kumachepa.
2. Verapamil: Iyi ndi mankhwala ochokera m'gulu la mankhwala otchedwa calcium channel blockers . Imagwira ntchito pomasula mtima ndi makoma a mitsempha yamagazi. Izi zikutanthauza kuti imathandiza kuchepetsa kuthamanga kwa magazi mwa kulamulira kugunda kwa mtima ndikumasula mitsempha yamagazi.
Mitundu iwiriyi ikagwirizana, imagwira ntchito m'njira zosiyanasiyana ndipo imakuthandizani kulamulira kuthamanga kwa magazi.
Zinthu zomwe muyenera kuuza dokotala wanu musanamwe mankhwalawa
Dokotala wanu akamakuthandizani mokwanira, chithandizo chanu chidzakhala chotetezeka. Chifukwa chake, ngati muli ndi vuto lililonse mwa zotsatirazi, onetsetsani kuti mwadziwitsa dokotala wanu musanayambe kumwa mankhwalawa.
| Udindo | Kufotokozera |
|---|---|
| Mimba | Ngati muli ndi pakati, mukuyesera kutenga pakati, kapena mukuyamwitsa. (Izi ndizofunikira kwambiri) |
| Matenda a ziwengo | Ngati munakhalapo ndi vuto la mtundu uwu wa mankhwala, mankhwala ena, zakudya, kapena kulumidwa ndi tizilombo. |
| Matenda a mtima | Matenda ena a mtima, monga kugunda kwa mtima kosakhazikika kapena pang'onopang'ono , komanso kuthamanga kwa magazi pang'ono. |
| Matenda a impso kapena chiwindi | Ngati muli ndi matenda aliwonse a impso kapena chiwindi. |
| Matenda a chitetezo chamthupi | Matenda monga lupus, scleroderma, kapena matenda a m'mafupa. |
| Kutupa komwe kulipo kale | Ngati muli ndi kutupa kwa lilime, nkhope, kapena milomo, mukuvutika kupuma, mukuvutika kumeza, kapena mawu anu akumveka mokweza. |
| Makhalidwe apadera odyera | Ngati mukutsatira zakudya zapadera, monga zakudya zopanda mchere wambiri. |
Kodi ndiyenera kugwiritsa ntchito bwanji mankhwalawa?
- Imwani mankhwala awa monga momwe dokotala wanu wanenera, panthawi yomwe mwauzidwa. Nthawi zambiri ndi bwino kumwa mankhwalawa nthawi yomweyo tsiku lililonse.
- Imwani mankhwalawa pamodzi ndi chakudya .
- Musasiye kumwa mankhwala pazifukwa zilizonse pokhapokha ngati dokotala wanu wakuuzani kuti mutero.
- Lankhulani ndi dokotala wanu za kugwiritsa ntchito mankhwalawa kwa ana, chifukwa chisamaliro chapadera chingafunike.
Kodi mungachite chiyani ngati mwamwa mankhwala ochulukirapo?
Ngati mukuganiza kuti mwamwa mankhwala ochulukirapo kuposa omwe mwapatsidwa, pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi nthawi yomweyo . Kapena imbani National Poisons Information Centre ku Colombo National Hospital kuti mupeze malangizo.
Chofunika: Mankhwalawa aperekedwa kwa inu nokha. Musagawire wina aliyense mankhwalawa, ngakhale atakhala ndi zizindikiro zomwezo monga inu. Zingakhale zoopsa.
Nanga bwanji ngati ndaphonya mlingo wa mankhwala?
Ngati mwaphonya mlingo, imwani mwamsanga mukangokumbukira. Komabe, ngati nthawi yanu yotsatira yatsala pang'ono, dumphani mlingo womwe mwaphonya ndikumwa mlingo wotsatira panthawi yomwe mwakonza.Musamwe mankhwala awiri nthawi imodzi.
Mankhwala ena omwe angagwirizane ndi mankhwalawa
Ndikofunikira kwambiri kuuza dokotala wanu za mankhwala onse omwe mukumwa, kuphatikizapo mavitamini, zitsamba, ndi zowonjezera. Mankhwala ena amatha kusokonezana ndi mankhwalawa ndikuyambitsa matenda oopsa.
| Mankhwala omwe sayenera kumwedwa ndi mankhwalawa | |
|---|---|
| - cisapride | - disopyramide |
| - dofetilide | - flibanserin |
| - lomitapide | - sacubitril; valsartan |
| - tranylcypromine | |
| Mankhwala ena omwe angagwirizane (upangiri wa dokotala ukufunika) | |
| - Mankhwala ena a shuga ndi cholesterol | - Mankhwala ochepetsa ululu (NSAIDs - mwachitsanzo ibuprofen) |
| - Mankhwala ochepetsa mphamvu ya madzi m'thupi | - Mapiritsi kapena zowonjezera za potaziyamu |
| - Maantibayotiki ena omwe amagwiritsidwa ntchito pochiza matenda (monga clarithromycin) | - Lithium, cimetidine, St. John's Wort |
Mndandanda uwu sunathe, choncho uzani dokotala wanu zonse zomwe mumamwa.
Zinthu zoti muzisamala nazo mukamamwa mankhwala
- Yesani kuthamanga kwa magazi anu: Pitani kwa dokotala nthawi zonse ndikumuuza momwe mwapitira patsogolo. Ngati mukuyeza kuthamanga kwa magazi anu kunyumba, lankhulani ndi dokotala wanu za kuchuluka kwa magazi omwe alipo.
- Chizungulire ndi kugona: Mankhwalawa angakupangitseni kumva chizungulire pang'ono komanso kugona. Choncho, pewani kuchita zinthu zoopsa monga kuyendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani. Samalani mukadzuka mwadzidzidzi mutangokhala kapena kuyimirira.
- Mimba: > Chidziwitso chapadera kwa akazi: Ngati mukukonzekera kutenga pakati kapena mukuganiza kuti muli ndi pakati, uzani dokotala wanu nthawi yomweyo. Mankhwalawa angayambitse mavuto aakulu kwa mwana wosabadwa.
- Kusanza ndi kutsegula m'mimba: Uzani dokotala wanu ngati mukusanza kwambiri, kutsegula m'mimba, kapena kutuluka thukuta kwambiri. Kungakhale koopsa kumwa mankhwalawa ngati mutataya madzi ambiri m'thupi lanu.
- Chifuwa, chimfine: Musamwe mankhwala ogulitsidwa kunja kwa chipatala a chifuwa, chimfine, kapena ululu mukamamwa mankhwalawa. Mankhwala ena amatha kuonjezera kuthamanga kwa magazi. Funsani dokotala musanamwe chilichonse.
- Mano ndi Mkamwa: Anthu ena angayambe kutupa mkamwa chifukwa cha mankhwalawa. Choncho tsukani mano anu bwino tsiku lililonse. Ngati mukuona kuti mkamwa mwanu mwatupa kapena mwafiira, pitani kwa dokotala wa mano.
Zotsatirapo zomwe zingakhalepo chifukwa cha mankhwalawa
Monga mankhwala ena aliwonse, mankhwalawa akhoza kukhala ndi zotsatirapo zake. Si aliyense amene amalandira mankhwalawa. Koma ndikofunikira kuwadziwa bwino.
| Zotsatirapo zoyipa zomwe ziyenera kufotokozedwa kwa dokotala nthawi yomweyo | |
|---|---|
| Matenda a ziwengo | Kutupa pakhungu, kuyabwa, kutupa m'manja, mapazi, nkhope, milomo, lilime kapena pakhosi. |
| Kuvuta kupuma | Kuvuta kupuma kapena kumeza, kulimba kwa pakhosi. |
| Kusintha kwa kugunda kwa mtima | Kugunda kwa mtima kosakhazikika, kuthamanga kwa mtima, kupweteka pachifuwa. |
| Chifuwa chouma chosalekeza | Chifuwa chouma komanso chosasangalatsa chomwe chakhala chikupitilira kwa nthawi yayitali. |
| Zina mwazinthu | Kuchepa kwa mkodzo, kupweteka m'mimba, kutupa kwa miyendo ndi akakolo, matuza a pakhungu kapena zilonda. |
| Kawirikawiri si nkhani yaikulu (koma uzani dokotala ngati ikupitirira) | |
| Mutu | Chizungulire kapena kugona |
| Kutsuka nkhope | Kuchepa chilakolako chogonana kapena zochita |
Ngati mukukumana ndi zizindikiro zina zachilendo zomwe sizinatchulidwe pamndandandawu, lankhulani ndi dokotala wanu za zizindikirozo.
Kodi ndiyenera kusunga bwanji mankhwalawo?
- Sungani pamalo omwe ana ndi ziweto sangafikire.
- Sungani kutentha kwa chipinda (pakati pa madigiri 20-25 Celsius).
- Tayani mankhwala otha ntchito.
Uthenga Wopita Nawo Kunyumba
- Trandolapril ndi Verapamil ndi mankhwala ophatikizana omwe amagwiritsidwa ntchito pochiza kuthamanga kwa magazi.
- Musanayambe kumwa mankhwalawa, uzani dokotala wanu za matenda anu onse komanso mankhwala onse omwe mukumwa.
- Pewani kumwa mankhwalawa ngati muli ndi pakati, mukufuna kutenga pakati, kapena mukuyamwitsa. Uzani dokotala wanu nthawi yomweyo.
- Pewani kuchita zinthu zoopsa mukamamwa mankhwala chifukwa zingayambitse chizungulire ndi kugona.
- Ngati mukukumana ndi zizindikiro zoopsa za ziwengo monga kutupa pakhosi, nkhope, kapena kupuma movutikira, pitani kuchipatala nthawi yomweyo.
- Musasiye kumwa mankhwala kapena kusintha mlingo popanda upangiri wa dokotala.
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