Mankhwala Ena Amagwira Ntchito Mosiyanasiyana Pakati pa Okalamba
Ngati ndinu wamkulu, mungakhale ndi mafunso okhudza chitetezo cha mankhwala. Mankhwala omwe amathandiza achinyamata ndi achikulire omwe nthawi zina amatha kuchita zoipa kuposa zabwino kwa okalamba. Kusintha kwa thupi komwe anthu ambiri achikulire amapeza, monga kulemera kwa thupi, kuwonjezeka kwa minofu, komanso kuchepetsa chiwindi ndi impso zimakhudza momwe mankhwala amagwiritsira ntchito. Pano pali mankhwala enaake omwe amagwiritsidwa ntchito pafupipafupi (OTC) ndi mankhwala omwe angapangitse anthu omwe ali ndi zaka zapakati pa makumi asanu ndi awiri kapena kuposerapo.
Kugonjetsa ndi Matenda Osokonezeka Nkhawa
Elavil (amitriptyline): Zotsatira zovuta za mankhwalawa ndi tricyclic yodetsa nkhawa zimachepetsa mphamvu zamagetsi mu mtima, zomwe zingayambitse kugonana, komwe kumadziwikanso ngati kugunda kwa mtima, makamaka kwa akuluakulu. Kwa iwo omwe ali ndi zaka 65 kapena kuposerapo, electrocardiogram, kapena EKG, iyenera kutengedwa asanatenge Elavil. The EKG imayeza ntchito ya magetsi, yomwe iyenera kuyang'aniridwa pachaka pamene ikumwa mankhwalawa.
Okalamba a Elavil omwe akugwiritsanso ntchito kuthamanga kwa magazi amatha kuthamangira mwadzidzidzi kuthamanga kwa magazi pamene akukwera kuchokera pa malo okhala (phenomenon yotchedwa orthostatic hypotension), choncho kuimirira kumafunika kuchitapo kanthu pang'onopang'ono kuti musataye mtima.
Prozac (fluoxetine): Njira yoyamba yotchedwa serotonin reuptake inhibitor (SSRI), Prozac imakhala ndi zotsatira zowawa monga umutu kapena chizungulire , makamaka kwa anthu achikulire omwe ali ndi matenda a maganizo.
Mankhwalawa akhoza kukweza chiopsezo cha matenda a shuga, makamaka omwe ali olemera kwambiri kapena ali ndi mbiri ya banja.
Librium (chlordiazepoxide): Zoipa zomwe zimaphatikizapo nkhanza, mkwiyo ndi ukali zimakhala zovuta kwambiri kwa akuluakulu omwe akulemba mankhwalawa Librium, benzodiazepine yomwe cholinga chake chimathetsa matenda ndi nkhawa za kumwa mowa.
Valium (diazepam): Mankhwala ena a benzodiazepine, Valium, angayambe kugona, kusakhazikika kapena kupuma kwa akuluakulu omwe ali ndi chiwindi kapena matenda a impso chifukwa mankhwalawa amakhalabe m'thupi nthawi yaitali.
Maantibayotiki
Macrodantin (nitrofurantoin): Odwala achikulire angakhale ndi zotsatira zovuta za mankhwalawa, monga kutopa, kugona , chizungulire, kuyabwa , kuthamanga, kusowa kwa kudya, kunyowa, kutsekula m'mimba, ndi kusanza.
Mankhwala Okhudza Mtima
Beta Blockers Inderal (propranolol) ndi Levatol (penbutolol): Kwa odwala omwe ali ndi zaka 60, beta blockers ayenera kugwiritsidwa ntchito monga mankhwala a matenda oopsa, chifukwa amabwera chifukwa cha kupwetekedwa mtima, matenda a mtima ndi imfa kusiyana ndi ena Mankhwala a magazi. Mavuto aakulu monga matenda a mtima kapena ischemic heart angagwiritsebe ntchito beta blockers, ngakhale akuluakulu, chifukwa phindu limaposa zoopsa.
Calcium Channel Blockers Norvasc (amlodipine) ndi Cardizem (diltiazem): Olemba makina a calcium omwe amagwiritsidwa ntchito pofuna kuchepetsa kuthamanga kwa magazi angayambitse mtima kusalimba, momwe mtima sukhoza kupopera magazi okwanira kuti athetse madziwo m'thupi.
Coumadin (warfarin): Ngakhale kuti Coumadin kapena wina wanena kuti "magazi ochepa" si owopsa kwa okalamba kusiyana ndi anthu ena akadzitengedwa okha, ochepa magazi amaphatikizapo mankhwala ambiri, kapena kugwirizana ndi mankhwala ena, awapangitsa kukhala Chifukwa chachikulu chimene anthu opitirira zaka 65 akufunira chithandizo cham'chipatala.
Ngakhale ziri zotetezeka kutenga mankhwalawa ndi mankhwala owonjezera (OTC) kapena mankhwala a acetaminophen, monga Tylenol, funsani dokotala wanu musanagwiritse ntchito kapena mankhwala osakanikirana ndi othandizira (NSAID), omwe akuphatikizapo Advil (ibuprofen) kapena Aleve ( naproxen).
Kuphatikiza kwa mankhwalawa ndi Coumadin kapena mankhwala omwewo kungachititse kuti magazi asamawonongeke komanso kuti magazi alowe m'mimba ndi matumbo kwa ena omwe ali pangozi, omwe angathe kupha. Mankhwala ena ambiri ndi mankhwala achilengedwe monga St. John's wart, angayambitsenso magazi m'magazi pamodzi ndi Coumadin. Ngati mukugwiritsa ntchito mankhwalawa, dokotala wanu adziwe za mankhwala atsopano - kaya OTC kapena mankhwala - mukhoza kuwonjezera pa regimen yanu ya tsiku ndi tsiku.
Kusuta / Mankhwala Opatsirana
Benadryl ndi Kugona tu (diphenhydramine): Mankhwalawa OTC amakhalapo popanda mankhwala kuti athetse zizindikiro zowopsa kapena kusowa tulo; Zingathe kukhumudwitsa m'maganizo, kusokonezeka kwa kugona, kusungidwa kwa mkodzo, kudzimbidwa ndi masomphenya osowa akuluakulu.
Nkhani zoyambirira zomwe zasinthidwa ndi Naveed Saleh, MD, MS, pa 2/10/2016.
Zotsatira
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Schumann, Sarah-Anne ndi John Hickner. "Pamene Musagwiritse Ntchito Beta-Blockers M'kulamba Ndi Kuthamanga Kwambiri." Journal of Family Practice 57: 1 (2008) 24 Feb. 2009
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