Kodi zili ndi vuto mukamamwa mankhwala?
Maphunziro a ZaumoyoMukalandira mankhwala atsopano, wazamankhwala ali ndi udindo wowunika zambiri zofunika nanu kasamalidwe ka mankhwala . Zina mwa zinthu zomwe angafotokoze ndi liti kumwa mankhwala. Monga momwe mankhwala ena akuyenera kutengedwa ndi chakudya kapena ndi kapu yathunthu yamadzi kuti mupeze zotsatira zabwino, nthawi ndiyofunikanso mukamamwa mankhwala anu atsiku ndi tsiku. Nthawi yabwino kumwa mankhwala imasiyana malinga ndi mankhwalawo, koma ngati wazamankhwala wanu akuti atenge mlingo wanu nthawi yomweyo, ndibwino kuti mutero.
Kodi zili ndi kanthu nthawi yomwe mumamwa mankhwala anu tsiku lililonse?
Nthawi zina, nthawi yamasiku omwe mumamwa mankhwala anu imatha kukuthandizani kuti mukhale ndi zotsatira zoyambira pang'ono. Chitsanzo chabwino cha izi ndi mankhwala omwe amatha kuyambitsa tulo kapena mseru pang'ono, malinga ndi Colgan Sloan, Pharm.D., Director director wa Emergency Medicine ku Mapulogalamu a Yunivesite ya Utah . Zikatero, amalimbikitsa kuwatenga asanagone.
Chizindikiro chanu chamankhwala chidzakhala ndi chidziwitso chofunikira pamlingo wanu, kuchuluka kwake, komanso malangizo ena apadera (monga nthawi yomwe mumamwa mankhwala, kaya mukumwa ndi chakudya, kapena machenjezo okhudzana ndi zotsatirapo zake). Ngati muli ndi mafunso okhudza nthawi yomwe muyenera kumwa mankhwala anu, onetsetsani kuti mwafunsa dokotala kapena wamankhwala. Dr. Sloan akuti, Mankhwala ena amachititsa kuti odwala asowe tulo, [pomwe] mankhwala omwewo amapangitsa odwala ena kukhala ogalamuka; gulu lanu lazachipatala lingakuthandizireni kukulitsa mankhwala anu.
Kodi ndi bwino kumwa mapiritsi m'mawa kapena usiku?
Nthawi yabwino kumwa mankhwala imasiyanasiyana ndi mankhwala, momwe zimakhudzira thupi, komanso zotsatirapo zake. Mwachitsanzo, mankhwala a statin chifukwa mafuta ambiri amakhala ambiri amawoneka ngati othandiza kwambiri akagwidwa asanagone. Chifukwa cha ichi ndikuti cholesterol yomwe imapangidwa ndi chiwindi imakwera kwambiri pakati pausiku ndipo imakhala yotsika kwambiri m'mawa komanso m'mawa. Malinga ndi Dr. Sloan, [Statins] ayenera kutengedwa usiku chifukwa ndipamene mafuta amthupi ambiri amapangidwa. Komabe, akuwona kuti ndi ena mwa ma meds atsopano, izi sizovuta kwenikweni. Pali ma statins 'atsopano' (atorvastatin, rosuvastatin) okhala ndi miyoyo yayitali pomwe nthawi siyikhala yovuta.
Chifukwa chiyani ndikofunikira kumwa mankhwala panthawi yoyenera?
Kutenga madokotala anu panthawi yoyenera si njira yokhayo yothetsera kusokonezeka ndi zovuta, kungathenso kukhala ndi tanthauzo lalikulu kukutetezani kwanu. Mwachitsanzo, ena maphunziro Fotokozerani kuti kumwa mankhwala osokoneza bongo musanagone, m'malo mmawa, kungateteze matenda amtima komanso sitiroko. Izi zitha kukhala chifukwa choti matenda amtima amapezeka m'mawa kwambiri. Komabe, pali zinthu zosiyanasiyana zomwe zingachitike. Odwala okalamba atha kulangizidwa kuti azimwa mankhwala a magazi m'mawa, kuti apewe kugwa komwe kumachitika usiku chifukwa chodwala mwadzidzidzi magazi. Nthawi zina, kugawaniza dosing atha kulangizidwa (mwachitsanzo, kutenga theka la mlingo m'mawa ndi theka la mlingo madzulo); komabe, si mankhwala onse omwe amatha kugawidwa. Pachifukwa ichi, ndikofunikira kuti mulankhule ndi dokotala kapena wamankhwala musanachite chilichonse chosintha pamankhwala anu.
Kodi muyenera kumwa mankhwala nthawi imodzi tsiku lililonse?
Nthawi zina kutenga mankhwala anu nthawi imodzi tsiku lililonse kumalimbikitsidwa kuti muwonetsetse kuti ndiwothandiza. Mwachitsanzo, mapiritsi oletsa kubereka omwe amamwa mlingo wanu nthawi imodzi tsiku lililonse atha kukhala ofunikira kwambiri. Makamaka ndi mapiritsi okha a progesterone, nthawi ndiyofunikira popewa kutenga pakati. Mapiritsiwa amagwira ntchito popangitsa thumba losunga mazira kuti lichepetse dzira ndikupangitsa ntchofu ya khomo lachiberekero ndi mzere wa chiberekero kukhala wosavomerezeka pathupi. Mosiyana ndi mapiritsi ophatikizira, omwe amalola kusinthasintha pang'ono, mapiritsi a progesterone okha amatha muwindo laling'ono. Mulimonsemo, madokotala amalimbikitsa kumwa mapiritsi oletsa kubereka munthawi yomweyo (pafupifupi) maola atatu tsiku lililonse kuti atsimikizire kuti mankhwalawa ndi othandiza popewa kutenga pakati.
Kodi ndingakumbukire bwanji kumwa mapiritsi?
Pofuna kukumbukira kumwa mankhwala anu a tsiku ndi tsiku nthawi yomweyo, Craig Svensson , Pharm.D., Ph.D., dean emeritus ndi pulofesa wa zamankhwala azachipatala ndi ma molecular pharmacology mu Purdue University College of Pharmacy , amalangiza kugwiritsa ntchito zikumbutso.
Pali zida zosiyanasiyana zomwe mungagwiritse ntchito kuthandiza kukumbukira kumwa mankhwala anu. Izi zimayambira mapulogalamu mu foni yanu , ku bipangujo bisamba-bibidi bya mapepala ne mapepala. Chinsinsi chake ndikugwiritsa ntchito chida chomwe mumachiwona ndikuchigwiritsa ntchito pafupipafupi kuti mudzakwanitsedi pezani uthenga womwe ukukulimbikitsani kuti mutenge.
Pafupifupi 50% ya anthu samamwa mankhwala awo monga adalangizira, a Dr. Svensson akutero. Chifukwa chofala kwambiri ndikuti anthu amangoyiwala. Chifukwa chake, ndibwino kusankha nthawi yosavuta kupanga kumwa mankhwalawa monga gawo lanu. Akuti muphatikizire ma meds anu tsiku ndi tsiku mumachitidwe omwe muzichita tsiku lililonse, monga kutsuka mano.
Pomaliza, monga china chilichonse chazakumwa kasamalidwe ka mankhwala, ndikofunikira kuti muwonetsetse kuti mukumvetsetsa malangizo omwe dokotala wanu kapena wamankhwala amapereka ndikupereka kwa iwo.











