UNihal (oneminyaka engama-58 ubudala) ufike ekliniki yam kwiveki ephelileyo exhalabile kwaye ediniwe. Wayengenalo imbali yesifo sezintso, kodwa uvavanyo lwegazi lubonise ukuba zombini izintso zakhe zazingasebenzi ngokukhawuleza.
"Gqirha Priya, ndidla ngokuthatha iLosartan kunye ne-diuretic yonke imihla, endiyinikwe ngugqirha ngenxa yoxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo. Kutshanje, ngenxa yentlungu enzima egxalabeni lam, ndithenge iipilisi zeDiclofenac kwikhemesti ngaphandle kwemvume kagqirha kwaye ndaqhubeka ndizithatha iiveki ezininzi. Ngoku imilenze yam yomibini idumbile kwaye ndinengxaki yokuphefumla," ucacise watsho uNihal.
Ndathi kuNihal ngoxolo, "Nihal, ngokungazi wenze impazamo eyingozi kakhulu. Ngokuthatha le pilisi yokunciphisa iintlungu efana ne-diclofenac kunye neepilisi zoxinzelelo lwegazi kunye namanzi ozithathayo, ukuhamba kwegazi ukuya kwizintso kuyema ngokupheleleyo. Kwizonyango, oku sikubiza ngokuba yi-triple whammy . Oku kubangele umonakalo omkhulu kwizintso zakho. Masithethe ngale nto namhlanje ukuze wonke umntu azi."
๐จ Iimpawu ezibomvu zokungasebenzi kakuhle kwezintso ekufuneka zikhuthaze unyango
Ukuba ufumana ezi mpawu zilandelayo ngelixa usebenzisa amayeza okudambisa iintlungu ngaphandle kwemvume kagqirha, kufuneka ufune uncedo lwezonyango ngokukhawuleza kuba oko kunokuba luphawu lokungasebenzi kakuhle kwezintso:
- Ukudumba ngequbuliso kwemilenze, amaqatha, iinyawo, okanye ubuso (Ukugcinwa kolwelo).
- Ukuphefumla okungapheliyo ngaphandle kwesizathu esicacileyo.
- Ukuziva udiniwe ngendlela engaqhelekanga, udiniwe, okanye ungenabomi.
- Ukwehla ngequbuliso komlinganiselo womchamo ukuya kwinqanaba eliphantsi kakhulu (okanye ukungabikho komchamo konke konke).
Ingozi engathethiyo yee-NSAID zokunciphisa iintlungu
Abantu abaninzi eSri Lanka bathenga ii-NSAID (iiNon-Steroidal Anti-Inflammatory Drugs) ngqo kwiikhemesti xa befumana iintlungu zomzimba, intloko ebuhlungu, okanye iintlungu zemisipha.
Imizekelo ephambili yile:
- I-Diclofenac
- I-aspirin
- I-Ibuprofen
- I-Mefenamic Acid / iPonstan
Nangona la mayeza enokuthi anciphise iintlungu okwethutyana, ukusetyenziswa rhoqo kunokuphazamisa ukusebenza kwezintso ngokusisigxina. Umngcipheko uphezulu ngakumbi xa la mayeza esetyenziswa kunye namanye amayeza asetyenziselwa uxinzelelo lwegazi nesifo sentliziyo.
Yintoni i-"Triple Whammy" ebangela ukungasebenzi kakuhle kwezintso?
Izigulana ezinyangwa ngenxa yoxinzelelo lwegazi oluphezulu kunye nesifo sentliziyo zingasebenzisa ezi ndidi zintathu zamayeza kunye, zingasebenzi ngokupheleleyo inkqubo yokuhluza izintso. Oku kwaziwa ngokwezonyango njenge-"Triple Whammy":
1.Ii-ACE inhibitors okanye ii-ARB: Amayeza afana neCaptopril , i-Enalapril , okanye iLosartan, anikwa ngoogqirha ukunciphisa uxinzelelo lwegazi, andisa ii-arterioles ezithwala igazi lisuka kwizintso kwaye anciphise uxinzelelo ngaphakathi kwezintso.
2. I-Diuretics (iipilisi zamanzi): Amayeza anikwa ukususa ityuwa namanzi agqithisileyo emzimbeni ngomchamo, nto leyo enciphisa umthamo wegazi eliya ezintso.
3. Ii-NSAID painkillers (Diclofenac/Aspirin): Ezi painkillers zithintela ukuveliswa kwee -prostaglandins, ezinceda ukwandisa imithambo yegazi kwizintso. Oku kubangela ukuba ii-arterioles ezichaseneyo zinciphe kakhulu.
Xa zonke ezi zenzo zintathu zenzeka ngaxeshanye, inani legazi eliya kwizintso liyehla kakhulu, uxinzelelo lokucoca luyancipha, kwaye kwenzeka ukwenzakala kwezintso ngokukhawuleza (AKI) .
Umngcipheko wokuthenga amayeza kwiikhemesti ngokungxama
Iikhemesti ziqeshwa ngoosokhemesti, kungekhona oogqirha abanokuchonga izifo. Ekubeni bengazi ukuba zeziphi amayeza ozisebenzisayo ixesha elide ngoku, ukukunika amayeza okudambisa iintlungu owacelayo kunokubangela ukudibana okubulalayo kwamayeza afana nala.
Abantu abaninzi eSri Lanka basebenzisa neziyobisi ezilula zokuthomalalisa iintlungu ixesha elide bengaziqondi iziphumo zazo ezibi kakhulu.
Izinto ekufuneka zenziwe nezo kufuneka zingayenzi
| โ๏ธ Izinto onokuzenza (Zenze) | โ Izinto ongazifuniyo |
|---|---|
| Ukuba usela iipilisi zoxinzelelo lwegazi okanye zamanzi, cela ingcebiso kugqirha wakho xa uneentlungu kwaye sebenzisa kuphela amayeza akhuselekileyo njengeParacetamol. | Musa ukuthenga amayeza okudambisa iintlungu afana ne-diclofenac, i-ibuprofen, okanye i-aspirin ngqo kwiikhemesti kwaye uqhubeke uwasebenzisa ngaphandle kwemvume kagqirha. |
| Yenza uvavanyo lwegazi olulula (iSerum Creatinine/eGFR) ubuncinane kanye ngonyaka ukuze ujonge ukusebenza kwezintso. | Ungaze usebenzise amayeza okudambisa iintlungu e-NSAID xa unomkhuhlane okanye uphelelwe ngamanzi emzimbeni. |
| Xelela ugqirha wakho iinkcukacha zawo onke amayeza owasela ixesha elide ngalo lonke ixesha xa umbona. | Ekubeni umonakalo wezintso usenokungabonakalisi zimpawu kwasekuqaleni, musa ukulinda de uzive ungaphilanga kakuhle ukuze ufumane uncedo lwezonyango. |
โ Eminye imibuzo onokuba nayo (FAQ)
Zeziphi izigulane ezisengozini yokufumana i-"Triple Whammy"? โผ
Lo mngcipheko uphezulu ngakumbi kwizigulane ezithatha ii-ACE inhibitors/ARBs kunye ne-diuretics (iipilisi zamanzi) zoxinzelelo lwegazi oluphezulu, isifo sentliziyo, okanye ukungasebenzi kakuhle kwezintso, kwaye ezithatha nee-painkillers (NSAIDs).
Ngaba kufuneka ndisebenzise i-dialysis ukuba izintso zam azisebenzi kakuhle ngenxa yeentlungu ?
Ukuba kwenzeka ingozi enkulu kwizintso, i-dialysis ingafuneka okwethutyana ukulawula iityhefu emzimbeni. Rhoqo, xa kuyekwa ngokukhawuleza amayeza okudambisa iintlungu kunye nonyango olufanelekileyo, izintso zinokuphila kwiiveki ezimbalwa.
Ngaba ukusebenzisa iParacetamol kunokubangela umonakalo kwizintso? โผ
Hayi, i-paracetamol ikhuselekile ngokupheleleyo kwizintso xa ithathwa kwidosi ecetyiswayo (ingadluli kwi-4g ngosuku). Ekubeni i-paracetamol ingeyona i-NSAID, ayiphazamisi ukuhamba kwegazi ukuya kwizintso.
Zithini "iMithetho yoSuku lokuGula"? โผ
Ngeentsuku apho ufumana urhudo olunzima, ukuhlanza, okanye umkhuhlane ophezulu kwaye uphelelwe ngamanzi emzimbeni, amayeza anjenge-ACE inhibitors, ii-ARB, ii-diuretics, kunye nee-NSAIDs kufuneka ayekiswe okwethutyana kangangeentsuku ezimbalwa phantsi kwengcebiso kagqirha ukukhusela izintso, njengoko ukuhamba kwegazi ukuya kwizintso kuncipha.
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