Malingana ndi Dipatimenti Yachikhalidwe ya United States, Amwenye amadya makilogalamu 164 miliyoni a zipatso za zipatso zapatsoza chaka chilichonse, chiwerengero chomwe chikhoza kudetsa madokotala ndi asamalonda. Kumayambiriro kwa zaka za m'ma 1990, kagulu kafukufuku ku Canada kanapeza kugwirizana koopsa pakati pa madzi a mphesa ndi mankhwala a mtima Plendil (felodipine).
Pazaka 15 zapitazo, madokotala ndi asayansi akuphunzira kuti mankhwala oposa 50 ndi mankhwala osokoneza bongo amakhudzidwa ndi madzi a mphesa, kuphatikizapo mankhwala ena omwe amaperekedwa.
Mndandandandawu muli mankhwala ambiri omwe amachititsa kupatsa mafuta m'thupi, kuthamanga kwa magazi , kupanikizika, kupweteka, kupweteka kwa erectile, ndi kudwala .
Kodi Mphesa Yam'madzi Imakhudza Bwanji Mankhwala?
Maselo omwe amayendetsa matumbo anu ang'onoang'ono ali ndi enzyme yotchedwa CYP3A4. Pulogalamuyi imathandiza kuthetsa mankhwala ambirimbiri. Zinthu zina m'madzi amtengo wapatsogolo amaletsa CYP3A4 ndipo zimalola kuti mankhwala ambiri alowe mumagazi anu.
Kukhala ndi mankhwala ochuluka kwambiri m'magazi anu kungapangitse zotsatira zoyipa kapena kumwa mankhwala osokoneza bongo. Mwachitsanzo, ngati mutenga cholembera (monga Lipitor) kuti muthe kuchepetsa cholesterol , kukhala ndi thupi lalikulu m'thupi lanu kungapangitse chiopsezo chachikulu cha matenda a minofu kapena chiwindi.
Kodi Ndi Mankhwala Otani Amagwirizana Ndi Madzi a Mphesa?
Mankhwala ambiri samagwirizana ndi madzi a mphesa. Komabe, madzi a mphesa amakhudza mankhwala oposa 50, kuphatikizapo mankhwala ena ochizira:
- Mtima wosayenerera
- Nthendayi
- Nkhawa
- Phumu ndi COPD
- Magazi amatha
- BPH ( prostate yowonjezera )
- Khansa
- Kukuda
- Kusokonezeka maganizo
- Khunyu
- Kusokonekera kwa Erectile
- Matenda a mtima
- Kuthamanga kwa magazi
- Cholesterol Chokwera
- HIV / AIDS
- Mahomoni
- Kutenga-tizilombo, bakiteriya ndi fungal
- Ululu
Kodi Ndingadziwe Bwanji Ngati Msuzi Wamtengo Wapatali Wam'madzi Ndi Wotetezeka?
Mphuzi yamtengo wa zipatso sizimakhudza mankhwala onse omwe angagwiritsidwe ntchito pazinthu zomwe tazitchula pamwambapa.
Funsani ndi wothandizira zaumoyo wanu kapena wamasitolo kuti mudziwe za mankhwala anu enieni.
Mankhwala atsopano amayesedwa kuti azitha kuyanjana ndi mankhwala , kuphatikizapo madzi a mphesa asanavomerezedwe ndi US Food and Drug Administration (FDA). Mukalamula mankhwala pamatumizi kapena kuwatenga ku pharmacy yanu, muyenera kulandira chidziwitso cha odwala, chomwe chingakuuzeni ngati mankhwala anu akukhudzidwa ndi madzi a mphesa. Ma pharmacies ena amatha kuikapo chenjezo pa botolo lanu la mankhwala. Ngati simukudziwa, funsani wamankhwala.
Kodi N'chiyani Chingachitike Ngati Ndipitiriza Kumwa Madzi Amtengo Wapatali?
Ndikofunika kudziwa kuti madzi amtengo wapatsogolo ndi mankhwala akhoza kukhala oopsa. Zomwe mungayambe kudwala kwambiri zimadalira momwe mumamwa madzi a mphesa, zaka zanu, ndi mtundu wanu wa mankhwala. Kuonjezerapo, kuchuluka kwa mapuloteni a CYP3A4 m'matumbo amasiyana ndi munthu wina.
Akulu achikulire omwe amamwa madzi ambiri a zipatso za pamtengo amatha kukhala ndi zotsatira za mankhwala. Ndipo magulu ena ozunguza bongo, monga statins (omwe amagwiritsidwa ntchito pochizira cholesterol) ndi calcium-channel blockers (zomwe zimagwiritsidwa ntchito pochiza kuthamanga kwa magazi ) zimakhala zowawa kwambiri pamene zimatengedwa ndi madzi a zipatso.
Kodi Mavitamini ndi Zipatso Zina Zimagwirana Ntchito ndi Mankhwala Osokoneza Bongo?
Mankhwala a mandimu, mandimu, ndi mandimu sagwirizana kwambiri ndi mankhwala. Komabe, tangelos, yokhudzana ndi mphesa, ndi maculu a Seville amakhudza mchere womwewo monga madzi a mphesa. Mavuni a Seville nthawi zambiri amagwiritsidwa ntchito kupanga malalanje, ndipo samalani mukasankha izi kufalitsa.
Kodi Ndingapewe Bwanji Mavuto Ndi Mphesa Zam'mphesa?
- Musanayambe mankhwala atsopano, lankhulani ndi wothandizira zaumoyo wanu ndi wazamankhwala za momwe mungagwiritsire ntchito mankhwala osokoneza bongo.
- Pemphani mwatsatanetsatane pepala la chidziwitso cha wodwalayo limene mumapatsidwa pa pharmacy. Ngati simulandira imodzi, funsani.
- Fufuzani malemba ochenjeza pa botolo lanu la mankhwala musanachoke ku pharmacy. Ngati mpesa wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali wamtengo wapatali, funsani wazamankhwala ngati mungathe kumwa mowa.
- Lembani mndandanda wa mankhwala anu onse, kuphatikizapo mankhwala osokoneza bongo komanso mankhwala osokoneza bongo. Onaninso mndandanda ndi azimayi anu ogwira ntchito zachipatala komanso wamankhwala kuti muwone momwe mungagwiritsire ntchito mankhwala.
Ngati pali mwayi woti madzi a mphesa adzagwirizane ndi mankhwala anu, mungafune kuyamba m'mawa ndi galasi la madzi a lalanje kapena madzi a kirberry.
Zomwe zasinthidwa ndi Naveed Saleh, MD, MS, pa 4/26/2016. Nkhani yoyamba yolembedwa ndi wolemba wosiyana.
Zotsatira
Abramowicz M. Mankhwala ogwiritsira ntchito mankhwala osokoneza bongo ndi madzi a mphesa. Letesi ya Zamankhwala pa Mankhwala ndi Mankhwala, 2004; 46: 2-4.
Kane GC, Lipsky JJ. Kusakaniza mankhwala a mankhwala osokoneza bongo. Mayo Clin Proc. 2000; 75: 933-942
Saito M, et al. Zotsatira zosapindulitsa za madzi a citrus pa pharmacokinetics za mankhwala: onetsetsani kafukufuku waposachedwapa. Sewero la Mankhwala. 2005; 28: 677-94.