UNihal (oneminyaka engu-58) ufike emtholampilo wami ngesonto eledlule ekhathazekile kakhulu futhi ekhathele. Wayengenalo umlando wesifo sezinso, kodwa ukuhlolwa kwegazi kubonise ukuthi zombili izinso zakhe zazingasebenzi kahle ngokushesha okukhulu.
"Dkt. Priya, ngivame ukuthatha i-Losartan kanye nomuthi wokukhipha isisu nsuku zonke, udokotela awunike wona ngenxa yomfutho wegazi ophakeme nesifo senhliziyo. Muva nje, ngenxa yobuhlungu obukhulu ehlombe lami, ngithenge amaphilisi e-Diclofenac ekhemisi ngaphandle kwencwadi kadokotela futhi ngaqhubeka nokuwathatha amasonto amaningana. Manje imilenze yami yomibili ivuvukele futhi nginenkinga yokuphefumula," kuchaza uNihal.
Ngatshela uNihal ngomoya ophansi, "Nihal, wenze iphutha eliyingozi kakhulu ngokungazi. Ngokuthatha lo muthi wokuqeda izinhlungu njenge-diclofenac kanye namaphilisi omfutho wegazi namaphilisi amanzi owathathayo, ukugeleza kwegazi ezinso cishe kuyama ngokuphelele. Kwezokwelapha, lokhu sikubiza ngokuthi ukuphuza kathathu . Lokhu kubangele umonakalo omkhulu ezinso zakho. Ake sixoxe ngalokhu namuhla ukuze wonke umuntu azi."
๐จ Izimpawu Ezibomvu Zokwehluleka Kwezinso Okufanele Zikhuthaze Ukwelashwa Kwezokwelapha
Uma uhlangabezana nalezi zimpawu ezilandelayo ngenkathi usebenzisa imithi yobuhlungu ngaphandle kwencwadi kadokotela, kufanele ufune usizo lwezokwelapha ngokushesha ngoba kungaba uphawu lokwehluleka kwezinso:
- Ukuvuvukala okungazelelwe kwemilenze, amaqakala, izinyawo, noma ubuso (Ukugcinwa Kwamanzi).
- Ukuphefumula kanzima ngaphandle kwesizathu esisobala.
- Ukuzizwa ukhathele ngendlela engavamile, ukhathele, noma ungenampilo.
- Ukwehla ngokuzumayo kwenani lokukhishwa komchamo liye ezingeni eliphansi kakhulu (noma ukungabikho komchamo nhlobo).
Ingozi engabonakali yama-NSAID okubulala izinhlungu
Abantu abaningi eSri Lanka bathenga ama-NSAID (Non-Steroidal Anti-Inflammatory Drugs) ngqo emakhemisi lapho bezwa ubuhlungu bomzimba, ikhanda elibuhlungu, noma ubuhlungu bemisipha.
Izibonelo eziyinhloko yilezi:
- I-Diclofenac
- I-aspirini
- I-Ibuprofen
- I-Mefenamic Acid / i-Ponstan
Nakuba le mithi ingase iqede ubuhlungu okwesikhashana, ukusetshenziswa kwayo okuqhubekayo kungaphazamisa ukusebenza kwezinso unomphela. Ingozi iphezulu kakhulu uma le mithi ithathwa kanye neminye imithi esetshenziselwa umfutho wegazi nesifo senhliziyo.
Iyini i-"Triple Whammy" yokwehluleka kwezinso?
Iziguli ezelashwa umfutho wegazi ophakeme kanye nesifo senhliziyo zingasebenzisa lezi zinhlobo ezintathu zemithi ndawonye ngokungazi, okuvimbela ngokuphelele inqubo yokuhlunga izinso. Lokhu kwaziwa ngokwezokwelapha ngokuthi "i-Triple Whammy":
1.Ama-ACE inhibitors noma ama-ARB: Imithi efana ne -Captopril , i-Enalapril , noma i-Losartan, odokotela abayinikezayo ukuze banciphise umfutho wegazi, yandisa ama-arterioles asebenzayo athwala igazi lisuka ezinso futhi anciphise umfutho wegazi ngaphakathi kwezinso.
2. Ama-diuretics (amaphilisi amanzi): Imithi enikezwa ukususa usawoti namanzi amaningi emzimbeni ngomchamo, okunciphisa umthamo wegazi eligeleza ezinso.
3. Ama-NSAID painkiller (Diclofenac/Aspirin): Lawa ma-painkiller avimba ukukhiqizwa kwama -prostaglandin, asiza ukwandisa imithambo yegazi ezinso. Lokhu kubangela ukuthi ama-arterioles athinteke kakhulu.
Uma zonke lezi zenzo ezintathu zenzeka ngesikhathi esisodwa, inani legazi eligeleza liye ezinso liyehla kakhulu, ingcindezi yokuhlunga ilahleka, bese kuba nokulimala kwezinso okubukhali (AKI) .
Ingozi yokuthenga imithi emakhemisi ngokuphazima kweso
Amakhemisi anabasebenzi bemithi, hhayi odokotela abangakwazi ukuxilonga izifo. Njengoba bengazi ukuthi imiphi imithi yesikhathi eside oyithathayo njengamanje, ukukunikeza imithi yobuhlungu oyicelayo kungabangela ukuhlangana okubulalayo kwemithi efana nale.
Abantu abaningi eSri Lanka basebenzisa ngisho nemithi yokubulala izinhlungu elula isikhathi eside ngaphandle kokuqonda imiphumela yayo emibi kakhulu.
Okumele Ukwenze Nokungafanele Ukwenze
| โ๏ธ Izinto okufanele uzenze (Okufanele Uzenze) | โ Okungafanele ukwenze |
|---|---|
| Uma uphuza amaphilisi omfutho wegazi noma amanzi, cela iseluleko kudokotela wakho uma ubuhlungu futhi usebenzise kuphela umuthi ophephile njengeParacetamol. | Ungathengi imithi yokubulala izinhlungu efana ne-diclofenac, i-ibuprofen, noma i-aspirin ngqo emakhemisi bese uqhubeka nokuyisebenzisa ngaphandle kwencwadi kadokotela. |
| Thola ukuhlolwa kwegazi okulula (i-Serum Creatinine/eGFR) okungenani kanye ngonyaka ukuze uhlole ukusebenza kwezinso. | Ungalokothi usebenzise imithi yokubulala izinzwa ye-NSAID uma unomkhuhlane noma uphelelwe amanzi emzimbeni. |
| Yethula imininingwane yayo yonke imithi yesikhathi eside oyithathayo kudokotela wakho njalo uma umbona. | Njengoba ukulimala kwezinso kungase kungabonakali izimpawu ezigabeni zokuqala, ungalindi uze uzizwe ungaphilile ukuze uthole usizo lwezokwelapha. |
โ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Yiziphi iziguli ezisengozini yokuthola i-"Triple Whammy"?
Le ngozi iphezulu kakhulu ezigulini ezithatha ama-ACE inhibitors/ARB kanye nama-diuretics (amaphilisi amanzi) ngenxa yomfutho wegazi ophakeme, isifo senhliziyo, noma ukwehluleka kwezinso, kanye nalabo abathatha ama-painkiller (ama-NSAID).
Ingabe ngidinga i-dialysis uma nginenkinga yezinso ngenxa yemithi yobuhlungu ?
Uma kwenzeka ukulimala kwezinso okukhulu, kungadingeka i-dialysis okwesikhashana ukulawula ubuthi emzimbeni. Ngokuvamile, ngokuyekiswa ngokushesha kokwelashwa kwezinhlungu kanye nokwelashwa okufanele, izinso zingalulama zingakapheli amasonto ambalwa.
Ingabe ukusebenzisa i-Paracetamol nakho kubangela ukulimala kwezinso ?
Cha, i-paracetamol iphephile ngokuphelele ezinso uma ithathwa ngesilinganiso esinconywayo (esingadluli ku-4g ngosuku). Njengoba i-paracetamol ingeyona i-NSAID, ayiphazamisi ukugeleza kwegazi ezinso.
Yimiphi "Imithetho Yosuku Lokugula"? โผ
Ngezinsuku lapho uzwa khona isifo sohudo esinzima, ukuhlanza, noma umkhuhlane omkhulu futhi uphelelwa amanzi emzimbeni, imithi efana ne-ACE inhibitors, ama-ARB, ama-diuretics, nama-NSAID kufanele iyekwe okwesikhashana izinsuku ezimbalwa ngaphansi kweseluleko sikadokotela ukuze kuvikelwe izinso, njengoba ukugeleza kwegazi ezinso kuncipha.
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