Kana uine dzihwa, kurwadziwa, kukosora uye mhino yakavharika, vazhinji vedu tajaira kuenda ku pharmacy kunobvunza mushonga mumwe chete, sirapu, kana piritsi rinorapa zviratidzo izvi zvese, handiti? Kunyangwe zviri nyore kushandisa mishonga yakadaro "yose-mu-imwe", tinofanira kungwarira zvikuru pakushandisa. Nekuti iyi ine mhando dzakasiyana dzemishonga dzinoshanda zvakasiyana. Ngatitaurei nezvazvo nhasi.
Ndezvipi zvinhu zviri mumushonga uyu?
Muchidimbu, mushonga waunotora nenzira iyi, kungave uri mupiritsi kana kapisi, unogona kunge uine musanganiswa wemhando huru ina dzemishonga. Mumwe nemumwe wavo anoita basa rake rakasiyana.
- Acetaminophen: Iyi ndiyo yatinowanzo ziva seParacetamol. Inonyanya kushandiswa kuderedza fivha uye kuderedza marwadzo akadai sekurwadziwa kwemuviri nemusoro.
- Dextromethorphan: Iyi inoshandiswa kudzora kukosora kwako. Inowanzo shandiswa, kunyanya pakukosora kwakaoma. Inodzvinyirira kukosora.
- Guaifenesin: Mushonga uyu unoshanda nekusunungura nekudurura madzihwa ari muchipfuva chako, zvichiita kuti zvive nyore kukosora. Tinoti mushonga uyu unobvisa manyoka. Unogona kubatsira kuderedza kuzara kwechipfuva.
- Phenylephrine: Izvi zvinoshanda nekudzvanya tsinga dzeropa mumhino kuderedza kuzara kwemhino uye mhino inoyerera.
Chinhu chakakosha ndechekuti mishonga iyi inongodzora zviratidzo zvechikosoro nefuruu chete. Hairapi hutachiona hwehutachiona kana hwebhakitiriya mumuviri wako.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga uyu
Usati washandisa chero yemhando idzi dzemishonga yakasanganiswa, unofanira kutaura nachiremba wako kana uine chero chezvirwere zvinotevera:
- Kana uine chirwere cheshuga .
- Kana uine BP yakakwira kana chirwere chemwoyo .
- Kana uine chirwere chechiropa kana kuti uchinwa doro nguva nenguva .
- Kana uine chirwere chethyroid .
- Kana uchinetseka nekubvisa weti (kunyanya kuvarume, zvirwere zvakaita seprostate yakakura).
- Uri kutora MAOI nekuda kwechirwere chepfungwa (kunyanya kuora mwoyo).Kana wakashandisa mushonga wemhando yemishonga iyi (semuenzaniso Carbex, Marplan, Nardil) mukati memavhiki maviri apfuura .
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vanoyamwisa .
- Kana wakambova neallergy yemishonga iyi kana chero imwe mishonga kana chikafu.
Ndingashandisa sei mushonga uyu chaizvo?
Unofanira kungwarira zvikuru pakushandisa mushonga werudzi urwu.
- Verenga zviri papepa racho nokungwarira: Tevedzera mirairo iri pabhodhoro remushonga kana papaketi nemazvo. Usatore mushonga unopfuura wakanyorwa.
- Shandisa chiyero chakakodzera: Shandisa kapu yekuyera, chipunu, kana dropper chete inouya nemushonga. Usayera mushonga nezvipunu kana zvipunu zvaunazvo mukicheni mako. Hazvina kururama.
- Inwa mushonga panguva yakakodzera: Inwa mushonga panguva yakakodzera, awa yega yega, sezvakarairwa nachiremba wako kana kuti pane zvakanyorwa papepa.
- Kana ichipiwa vana: Dzimwe nguva vanachiremba vanokurudzira mishonga iyi kuvana vane makore anopfuura matanhatu ekuberekwa. Zvisinei, musambofa makapa mishonga iyi kuvana musina kutanga mabvunza chiremba. Zvakachengeteka kutsvaga mazano kubva kuna chiremba wevana.
Chii chaunofanira kuita kana ukatora mushonga wakawandisa? (Kunyanya kushandisa mushonga)
Izvi zvinogona kuva mamiriro ezvinhu ane njodzi zvikuru, kunyanya sezvo mishonga iyi iine Acetaminophen (paracetamol). Kana uine fungidziro yekuti watora mushonga uyu wakawandisa, usamirira kusvika zviratidzo zvaonekwa, asi enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti uwane mazano.
Yambiro: Mushonga uyu ndewako chete. Usape mumwe munhu ane zviratidzo zvakafanana nezvako.
Ndezvipi zvinhu zvaunofanira kungwarira paunenge uchitora mishonga?
- Chenjerera neacetaminophen (paracetamol): Paunenge uchitora mushonga uyu, usatore mimwe mishonga ine paracetamol (semuenzaniso Panadol, Calpol) panguva imwe chete. Kuita izvi kunogona kuwedzera huwandu hweparacetamol mumuviri uye kukonzera kukuvara kwechiropa zvakanyanya. Gara uchiverenga zvakanyorwa pamushonga wauri kutora. Kana usina chokwadi, bvunza chiremba wako.
- Chenjerera zviratidzo:
- Kana zviratidzo zvako zvikasavandudzika mushure memazuva manomwe, kana zvikawedzera, enda kuna chiremba.
- Kana pahuro pako panorwadza kwemazuva anopfuura maviri, pamwe chete nefivha, mapundu, musoro, kuda kurutsa, kana kurutsa, enda kuna chiremba nekukasika.
Migumisiro inogona kuitika nekuda kwemushonga uyu
Kufanana nemishonga yese, mushonga uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho inogona kunge yakakomba, saka zvakakosha kuti uizive.
| Kupatsanura migumisiro yakaipa | |
|---|---|
| Migumisiro yaunofanira kuudza chiremba wako nekukasika | |
| Kusawirirana neAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kurova kwemoyo | Kurova kwemoyo nekukurumidza, kusina kurongeka, kurwadziwa kwechipfuva kana kusimba. |
| Sisitimu yetsinga | Dzungu, kusagadzikana kwakanyanya, kushaya hope. |
| Zvimwe zviratidzo zvakakomba | Kuomerwa nekuita weti, kutsvuka kweganda kana maziso, maronda asingawanzoitiki, kuneta zvakanyanya. |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba wako kana ikaramba iripo | |
| Zvipingamupinyi zvidiki | Kurara, muromo nemaziso akaoma, kusagadzikana kwemudumbu, kushaya chido chekudya. |
Rondedzero iyi haina migumisiro yese inogona kuitika. Kana ukaona chimwe chinhu chisingawanzoitika, taura nachiremba wako.
Mharidzo Yekuenda Nayo Kumba
- Mishonga ye "All-in-one" inorwisa dzihwa uye chikosoro ine mishonga yakawanda, saka chenjerera zvikuru paunenge uchiishandisa.
- Usatore mapiritsi kana manyuchi eparacetamol (Acetaminophen) akasiyana paunenge uchitora mushonga uyu. Kuita izvi kunogona kukonzera kukuvara kwechiropa.
- Kana uine chirwere cheshuga, BP, chirwere chemwoyo, kana zvimwe zvirwere, iva nechokwadi chekubvunza chiremba usati watora mushonga uyu.
- Shandisa kapu yekuyera yakakodzera inouya nemushonga nguva dzose kuti uiyere. Usashandise zvipunu zvemumba.
- Kana uchifungidzira kuti watora mishonga yakawandisa, enda kuchipatara kuEmergency Department (ETU) nekukasika, usingamirire kuti zviratidzo zvitange kuoneka.
- Mishonga iyi inongodzora zviratidzo chete. Hairapi hutachiona. Kana zviratidzo zvako zvakanyanya kana kuti zvikasavandudzika mukati memazuva mashoma, tsvaga rubatsiro rwechiremba.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Mapiritsi eEprosartan / Teveten anoshandiswa pachirwere chipi?
Uyu mushonga unoshanda zvikuru weAngiotensin II Receptor Blocker (ARB) unobatsira kudzora chirwere chakakomba chinonzi 'High Blood Pressure / Hypertension'! Unoderedza BP zvakachengeteka uye unodzivirira kurwara kwemoyo/stroke uye kukuvara kweitsvo 100% (kunyanya sezvo uchishanda zvakafanana neLosartan, asi imhuri yakasiyana yemishonga).
💬 Kutora piritsi iri reBP (Eprosartan) kunoderedza sei BP nekukurumidza?
Mashiripiti makuru anotambwa nekemikari ine njodzi inonzi 'Angiotensin II'! Inoita kuti mitsipa yese yeropa mumuviri wedu itetepe/iderere uye iwedzere kumanikidzwa. Piritsi iri parinopinda mumuviri, rinovhara/kuvhara 100% yenzvimbo iyo kemikari iyoyo inofanira kusungirirwa kumareceptors (AT1 Receptors) mumitsipa yeropa. Sezvo shoko risingatapurirwi, mitsipa yeropa inosununguka zvakanyanya (Vasodilation), uye ropa rinogona kuyerera kuenda kuuropi/moyo pasina kumanikidzwa.
💬 Ndeipi njodzi inouraya (Black Box Warning) iyo vakadzi vanotora mushonga uyu (Eprosartan) vanofanira kuziva nezvayo?
Piritsi iri haribvumidzwe zvachose kuvakadzi vane pamuviri! Kana mwana akazvarwa ari kutora piritsi iri, itsvo dzemwana dzinogona kukuvara zvachose, zvichikonzera kubuda ropa mukati memuviri uye kufa (Fetal toxicity/Death)! Uyewo, vamwe vanhu vanogona kuona kuwedzera kwe potassium mumiviri yavo, izvo zvinogona kukonzera shanduko mumoyo yavo (Hyperkalemia).
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