Unewo BP yakakwira here, kana kuti "BP yakakwira" sezvatinozviziva tese? Kana zvakadaro, chiremba wako anogona kunge akakunyorera mishonga. Dzimwe nguva, kuti vanyatsodzora BP yako, vanachiremba vanokurudzira musanganiswa wemishonga inopfuura imwe chete. Nhasi, tichataura nezvemusanganiswa wemishonga miviri yakadaro. Uyu une mishonga miviri inonzi Bendroflumethiazide neNadolol. Ungaziva nezita rekuti `(Corzide)`.
Chii chinonyatsoitika nemusanganiswa uyu wemishonga?
Izvi zviri nyore kunzwisisa. Mhando mbiri dzemishonga dziri muiyi nzira dzinobatsira kudzora BP yako nenzira mbiri.
1. Bendroflumethiazide: Iyi iri muboka remishonga inonzi diuretics. Tinowanzoidaidza kuti "mapiritsi emvura." Muchidimbu, mushonga uyu unoshanda nekukurumidzisa kuburitswa kwemvura yakawandisa nemunyu mumuviri wako kuburikidza neweti. Sezvo huwandu hwemvura mupombi yemvura huchiwedzera, kumanikidzwa kuri mairi kunowedzerawo, uye huwandu hwemvura mutsinga dzedu dzeropa hunokwirawo. Saka, nekuderedza huwandu hwemvura yakawandisa, mushonga uyu unoderedza kumanikidzwa patsinga dzeropa.
2. Nadolol: Iyi mishonga yemhando ye beta-blockers. Inoshanda nekuderedza kurova kwemoyo uye kuderedza basa remoyo. Izvi zvinoreva kuti moyo haufanirwe kushanda nesimba kuti upombe ropa. Kana moyo uchishanda wakadzikama, kumanikidzwa kwetsinga dzeropa kunodererawo.
Saka, kana nzira mbiri idzi dzikasanganiswa, dzinogona kubatsira zvikuru mukuderedza BP.
Zvinhu zvaunofanira kuudza chiremba wako usati watora mushonga
Usati watanga mushonga uyu, zvakakosha kupa chiremba wako tsananguro yakazara yehutano hwako. Iva nechokwadi chekuvaudza kana uine chimwe chezvirwere zvinotevera:
| Hutano hwako | Sei zvichikosha kuziva nezvazvo? |
|---|---|
| Chirwere cheshuga | Mushonga uyu unogona kukanganisa huwandu hweshuga muropa uye unogona kuvharidzira zviratidzo zveshuga yakaderera muropa (hypoglycemia). |
| Chirwere chemwoyo, nhoroondo yekurwara nemoyo, kana kurova kwemoyo zvakanyanya | Mishonga inodzivisa kurova kwemoyo inogona kuderedza kurova kwemoyo zvakanyanya, izvo zvinogona kuita kuti mamiriro ezvinhu aripo awedzere kuipa. |
| Zvirwere zvemapapu zvakaita seasthma | Mushonga uyu dzimwe nguva unogona kudzikamisa nzira dzekufema uye kuwedzera asthma. |
| Chirwere cheitsvo kana chiropa | Nekuti nhengo idzi dzine chekuita nekubvisa mishonga mumuviri, kana basa rayo rikakanganisika, chiyero chemushonga chingada kuchinjwa. |
| Zvirwere zve thyroid | Mushonga uyu unogona kuvharira zvimwe zviratidzo zvehomoni yethyroid inoshanda zvakanyanya (hyperthyroidism). |
| Kurwara nemishonga yesulfa, mimwe mishonga, kana chikafu | Nekuti Bendroflumethiazide mushonga une chekuita neboka resulfa, pane njodzi yekusawirirana nemishonga. |
| Kana uine pamuviri, uchiedza kubata pamuviri, kana kuti uchiyamwisa | Nekuti mushonga uyu unogona kukanganisa mwana, zvakakosha kuti ukurukure nachiremba. |
Ndingashandisa sei mushonga uyu chaizvo?
- Edza kunwa mushonga wakanyorwa panguva imwe chete zuva nezuva , sezvakarairwa nachiremba wako. Kana ukaita izvi, kashoma kuti ukanganwe kutora mushonga wako.
- Mushonga uyu unogona kutorwa usati wadya kana kuti wapedza kudya. Zvisinei, kana uchinzwa kurwadziwa mudumbu kana kusagadzikana, zviri nani kuutora pamwe chete nekudya.
- Medza piritsi negirazi remvura.
Chinonyanya kukosha ndechekuti, usarega kutora mushonga uyu wega kunze kwekunge chiremba wako akuudza kuti udaro. Kana ukarega kutora mushonga uyu kamwe kamwe, BP yako inogona kukwira kamwe kamwe uye unogona kusangana nematambudziko akadai sekurwadziwa muchipfuva.
Ko kana ukatora mushonga wakawandisa? (Kunyanya kunwa mushonga)
Kana uchifunga kuti watora mushonga wakawandisa, enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital .
Ko kana ndikarasikirwa nedosi?
Kana ukarasikirwa nedosi, inwa nekukurumidza paunenge uchiyeuka. Zvisinei, kana kwasara maawa mashoma kuti utore dosi rinotevera, svetuka dosi rausina kutora wotora dosi rinotevera panguva yakatarwa. Usatore dosi mbiri panguva imwe chete nekuda kwechikonzero chipi zvacho.
Zvinhu zvekufunga nezvazvo kana uchitora mushonga
- Kugara uchiuya: Enda kuna chiremba wako mazuva ese kuti utarise kufambira mberi kwako. Kana uine chinongorori cheBP kumba, chiyera uye nyora BP yako sezvaunoudzwa nachiremba wako.
- Chenjerera kuti usapere mvura mumuviri: Kana uine manyoka, kurutsa, kana kudikitira zvakanyanya, unogona kurasikirwa nemvura yakawanda mumuviri wako. Zvinogona kuva nengozi kutora mushonga uyu panguva ino. Saka, kana ukasangana nemamiriro ezvinhu akadaro, fonera chiremba wako kuti akupe mazano.
- Kurara nedzungu: Mushonga uyu unogona kuita kuti vamwe vanhu vanzwe hope kana dzungu. Dzivisa kutyaira kana kushandisa michina kusvika waziva kuti mushonga uyu unokukanganisa sei. Kunyanya kana uri munhu mukuru, mira zvishoma nezvishoma paunomuka kubva panzvimbo yawakagara kana paunomuka pamubhedha. Izvi zvinogona kuderedza njodzi yedzungu nekudonha.
- Dzivisa doro: Doro rinogona kuita kuti unzwe dzungu uye hope, uye harina kunakawo paBP yako.
- Chenjerera paunenge uchibuda muzuva: Mushonga uyu unogona kuita kuti ganda revamwe vanhu rinzwe kurwara nezuva. Saka, zvakanaka kupfeka ngowani, mbatya dzine maoko marefu, uye mafuta ekudzivirira zuva paunenge uchibuda muzuva.
- Mishonga yezvimwe zvirwere: Usati watenga mishonga inotengeswa kunze kwechitoro chemishonga yekukosora, dzihwa, kana marwadzo paunenge uchitora mushonga uyu, iva nechokwadi chekubvunza chiremba wako . Nekuti mimwe mishonga ine zvinhu zvinogona kuwedzera BP yako.
Ndezvipi zvimwe zvingakonzerwa nemishonga iyi?
Kufanana nemushonga upi zvawo, uyu unogona kukonzera migumisiro yakaipa kune vamwe vanhu. Mimwe yacho yakakomba, mimwe inowanzoonekwa.
| Migumisiro yakaipa yaunofanira kuudza chiremba wako nekukasika | |
|---|---|
| Zviratidzo zveAllergy | Mapundu paganda, kuvaviwa, kuzvimba kwemiromo/rurimi/kumeso |
| Matambudziko ekufema | Kuoma kufema, kuoma kwechipfuva |
| Kuchinja kwekurova kwemoyo | Kurova kwemoyo kusingawanzoitiki, kurwadziwa kwechipfuva |
| Matambudziko ekuyerera kweropa | Maoko netsoka zvinotonhora, zvebhuruu, kana kuti zvisina simba |
| Zvimwe zviratidzo zvakakomba | Kutsvuka kwemaziso kana ganda, kugwinha kwetsandanyama zvakanyanya, kuoma kutaura, kushaya simba kwakanyanya |
| Migumisiro isingawanzova yakakomba, asi inofanira kutaurwa kuna chiremba kana ikaramba iripo | |
| Sisitimu yekugaya chikafu | Manyoka, kuda kurutsa |
| Migumisiro yepfungwa | Kuora mwoyo, kuneta zvakanyanya |
| Zvimwe | Kukosora, kuchinja kwebasa repabonde |
Mharidzo Yekuenda Nayo Kumba
- Inwa mushonga uyu sezvawakarairwa nachiremba wako, panguva yakatarwa. Usarega kutora mushonga wega chero chikonzero chipi zvacho.
- Usati watanga mushonga, udza chiremba wako nezvezvimwe zvirwere zvese zvaunazvo pamwe nemimwe mishonga yese yauri kutora (kusanganisira mavhitamini nemishonga yeAyurvedic).
- Chenjerera paunenge uchityaira uye uchiita mabasa ane njodzi, sezvo dzungu uye hope zvinogona kuitika kana uchitora mushonga.
- Ziva migumisiro yakakomba (kurwadziwa muchipfuva, kunetseka kufema, allergic reactions dzakakomba). Kana ukaona chimwe chezviratidzo izvi , tsvaga rubatsiro rwechiremba nekukasika.
- Usapotsa kuona chiremba wako panguva yawakaronga kusangana naye uye kuongororwa BP yako.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Bendroflumethiazide neNadolol zvinoshandiswa pai?
Iri ipiritsi remusanganiswa rinoshanda zvikuru rinosanganisa mishonga miviri inoshanda nenzira mbiri dzakasiyana kudzora BP yakakwira. Pane kutora mapiritsi maviri akasiyana, piritsi iri rimwe chete rinopa muviri mishonga ine simba inonzi Bendroflumethiazide (piritsi remvura) neNadolol (beta-blocker). Rinoshandiswa kuvanhu vane BP isingaderedzwe nemapiritsi enguva dzose.
💬 Kusanganiswa kwemishonga iyi miviri kunogona sei kuderedza BP zvinobudirira?
Zvakafanana nekudzima moto nekudururira mvura pauri, asi zvinobvisawo okisijeni kumoto! Kutanga, 'Bendroflumethiazide' inobvisa munyu/sodium nemvura yakawandisa (Fluid Volume) mumuviri wako kuburikidza neweti (inoderedza BP). Zvadaro, 'Nadolol (Beta-blocker)' inovhara ma adrenaline receptors mumoyo mako, ichideredza kurova kwemoyo wako uye zvichiita kuti ishande zviri nyore.
💬 Ndezvipi zvinhu zvekudzivirira/migumisiro yemishonga yekurapa inofanira kutariswa kana uchitora mapiritsi aya (Bendroflumethiazide; Nadolol)?
Dambudziko guru iNadolol! Izvi zvinogona kudzvinyirira nzira dzekufema mumapapu. Saka, 'vanhu vane asthma/heezing/COPD vanogona kudzipwa vofa kana vakatora mushonga uyu! (Hazvina kubvumidzwa)'. Zvakare, Bendroflumethiazide inokonzera kuti muviri urasike potassium kana yabuda muweti, izvo zvinogona kukonzera kurwadziwa kwetsandanyama/kurasikirwa nebvudzi uye kuneta (Hypokalemia) (inogonawo kuwedzera shuga muropa kune vanhu vane chirwere cheshuga).
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