Kubatana pakati pezvinodhaka uye chikafu: zvavari uye maitiro ekuzvidzivirira

Zvemukati

• 1. Antihypertensive zvinodhaka
• 2. Dhiureti
• 3. Antiarrhythmic zvinodhaka
• 4. Anticoagulants yemumuromo
• 5. Anti-hypercholesterolemics
• 6. Oral antidiabetics
• 7. Mishonga inorwisa mabhakitiriya
• 8. Mishonga yekudzvinyirira
• 9. Mapiritsi ekurwadza uye ekurwisa kuzvimba
• 10. Bronchodilators
• 11. Levothyroxine
• 12. Antineoplastics
• 13. Bisphosphonates
• Iyo dumbu pH inokanganisa mishonga
• Chii chaunofanira kuita usati watanga chero mushonga

Kudya chikafu uye zvinwiwa nemamwe marudzi emishonga kunogona kukanganisa mashandiro anoita mishonga iyi, ichivatadzisa kuva netarisiro inotarisirwa kana kuwedzera mikana yekukonzera mhedzisiro.

Nekudaro, hakusi kusangana kwese kwakaipa, nekuti mimwe mishonga, kana ikatorwa nechikafu, inogona kutowedzera kunyatsoita, izvo zvinowedzera kushanda kwekurapa.

Naizvozvo, kana uchitanga kutora mushonga mutsva kana kurapwa kwenguva refu, zvakakosha kuti uteedzere kurudziro yese yekurapa kwakachengeteka uye kunoshanda, kusanganisira matipi ekudyisa.

Iko kudyidzana pakati pemishonga uye chikafu kunoenderana nekirasi yemishonga inoshandiswa:

1. Antihypertensive zvinodhaka

Antihypertensive mishonga ndiyo mishonga mikuru inoshandiswa kudzora BP nekuti inozorodza tsinga dzeropa, kufambisa kutenderera kweropa uye kubatsira moyo kuti usanyanya kuita pombi.

Iyi mishonga inogona kuve yakakamurwa kuita matatu makirasi uye, zvichienderana nekirasi, iwe unofanirwa kuve nechero chaiyo yekuchengeta kuchengetedza:

• Angiotensin-inoshandura enzyme (ACE) inhibitors, senge captopril, enalapril, lisinopril kana ramipril: kunyanyodyisa zvekudya zvine potasium kunofanirwa kudzivirirwa, sezvo mishonga iyi ichikonzera kuwedzera kweichi chicherwa muropa, izvo zvinogona kutungamira pakuonekwa kwemhedzisiro senge kushomeka kwemhasuru kana kusagadzikana kwemoyo zvisina kujairika. . Panyaya ye captopril, kunyanya, zvakakoshawo kutora mushonga pane chisina chinhu mudumbu, nekuti chikafu chinoderedza kufakwa kwayo;
• Beta anovharira sepropranolol, carvedilol uye metoprolol: zvinowedzera kana chikafu chine calcium yakawanda chinofanira kudzivirirwa, sezvo ichi chicherwa chinogona kudzikisira kushanda kwemishonga iyi. Izvo zvakanaka kutora mishonga maawa maviri mushure mekudya izvi zvekudya kana zvinowedzera. Panyaya yepropranolol kana metoprolol, zvinokurudzirwa kutora piritsi riine kana kana nekukurumidza mushure mekudya kunatsiridza kunwa uye kugona kwekurapa;
• Calcium chiteshi blockers senge nifedipine, amlodipine, nicardipine, verapamil uye diltiazem: zvinowedzerwa kana chikafu chine calcium yakawanda chinofanira kudzivirirwa, sezvo ichi chicherwa chinoderedza kushanda kweaya antihypertensives.

Uye zvakare, muto wemazambiringa, unozivikanwawo se mazambiringa, inofanira kudzivirirwa panguva yekurapwa nemishonga inopesana nehypertensive nekuti inoderedza mashandiro enzyme inokonzeresa kugadzirisa mishonga iyi, izvo zvinogona kukonzera kuwedzera kwemhedzisiro kana kudhakwa.

2. Dhiureti

Diuretics mishonga inowanzo shandiswa kurapa neBP, kutadza kwemoyo kana kuunganidzwa kwemvura uye kushanda nekuwedzera kubviswa kwemvura kuburikidza neweti.

Dzimwe nzira dzekudyisa dzakakosha kune avo vanoshandisa aya marudzi emishonga ndeaya:

• Shandisa zvicherwa zvinowedzera: kunyanya muchiitiko chema diuretiki ayo anobvisawo zvicherwa zvakakosha se potassium, magnesium kana calcium. Rudzi urwu rwekuwedzera runofanirwa kupihwa nachiremba;
• Tora 1 kusvika 2 maawa usati wadya: mamwe ma diuretiki, akadai se bumetanide, furosemide uye hydrochlorothiazide, anogona kunge asina kufemerwa pavanomedzwa nechikafu;
• Dzivisa kushandisa mishonga yemishonga: mimwe mishonga yekurapa yakadai seyera kascara, foxglove, chena hawthorn, dandelion mudzi, ginseng, mackerel, licorice, grape ursi, alder neSt.John's wort, zvinogona kuwedzera njodzi yemhedzisiro yemhedzisiro.

Uye zvakare, panguva yekushandisa diuretics, munhu anofanirwa kudzivirira kunwa licorice sezvo chikafu ichi chinogona kudzikisira kushanda kwekurapa.

3. Antiarrhythmic zvinodhaka

Antiarrhythmic zvinodhaka zvinoshandiswa kurapa chirwere chemoyo senge kutadza kwemoyo kana arrhythmia, sezvavanoita nekuwedzera simba rekupwanyika kwemoyo. Mukirasi ino yemishonga, yakanyanya kushandiswa ndeye digoxin.

Digoxin ine yakamanikana yekurapa indekisi, ndiko kuti, kushanduka kudiki muiyo dose kunogona kukonzera zvakakomba mhedzisiro. Naizvozvo, kuti kurapwa kuve kwakachengeteka, dzimwe matanho anofanirwa kuteverwa, akadai se:

• Dzivisa zvakanyanya-fiber zvekudya, senge gorosi bran, oats, brown mupunga, broccoli kana karoti, semuenzaniso, sezvo ivo vachideredza kunwiswa kwedigoxin, ichideredza maitiro ayo. Iyo yakanaka ndeye kutora digoxin 1 awa usati kana maawa maviri mushure mekudya uye uteedzere neyehutano uyo anogona kuratidza nzira yakanakisa yekudzora yako fiber kudya pasina kukuvadza hutano hwako. Tarisa uone runyorwa rwezvikafu zvakapfuma mu fiber izvo zvinofanirwa kudzivirirwa nekushandiswa kwe digoxin;
• Dzivisa zvinowedzera uye chikafu chakapfuma muvhitamini Dnekuti vhitamini iyi inogona kuwedzera huwandu hwecalcium muropa, izvo zvinotungamira mukuwedzera mhedzisiro yemadhigoxin, ayo anogona kukonzera kudhakwa nezviratidzo zvekutsumwaira, kuora mwoyo, kuvhiringidzika, kusvotwa, kurutsa, manyoka, kurwadziwa nemudumbu, kusaona zvakanaka kana kurova kwemoyo zvisina kujairika;
• Dzivisa muto wemazambiringa kana mazambiringa, nekuti muto wechibereko ichi unogona kuwedzera kuwanda kwedigoxin muropa uye kukonzera kudhakwa kana kuwandisa.

Kushandiswa kweDigoxin kunofanirwa kuongororwa uye kugara kuchiongororwa nachiremba wezvemwoyo kuti agadzirise muyero pazvinenge zvakakodzera, ongorora kushanda kwekurapa uye kudzivirira kutaridzika kwemhedzisiro.

4. Anticoagulants yemumuromo

Oral anticoagulants, senge warfarin kana acenocoumarol, inononoka kudzikamisa ropa, izvo zvinoita kuti ropa riwedzere kuyerera, zvichideredza njodzi yematambudziko emwoyo senge sitiroko, chirwere chemwoyo kana thrombosis.

Iyi mishonga, kunyanya warfarin, inoshanda nekudzivirira vhitamini K, inova vhitamini huru inobata mukuvhara ropa. Nechikonzero ichi, kudya kwakapfuma muvhitamini iyi kunoita kuti warfarin isanyanya kushanda, ichidzivirira kudyiwa kwezvokuwedzera kana zvekudya zvakapfuma muvhitamini K senge broccoli, kabichi, kare, sipinashi, turnip uye mabhurusi anomera, semuenzaniso. Tarisa uone izere rondedzero yezvikafu zvakapfuma mu vitamini K izvo zvinofanirwa kudzivirirwa.

Warfarin inogona kutorwa pane yakazara kana isina chinhu mudumbu, zvisinei, iwe unofanirwa kudzivirira kuitora nejubheri jusi, inozivikanwawo se cranberry, kana upfu cranberry yakaomeswa mumacapsule, mutamba wepomegranate, muto we blackcurrant nemafuta embeu nhema, sezvo ivo vachigona kuwedzera mhedzisiro yewarfarin uye nekuwedzera njodzi yekubuda ropa kana kubuda ropa.

5. Anti-hypercholesterolemics

Anti-hypercholesterolemic remedies, inonziwo statins, mishonga inoshanda nekudzora yakaipa cholesterol uye neropa triglycerides, senge simvastatin, lovastatin, fluvastatin, pravastatin, rosuvastatin kana atorvastatin.

Dzimwe nzira dzakakosha dzekudya kana uchishandisa iri mhando yemishonga ndeiyi:

• Tora husiku, nekuti iyo synthesis yecholesterol nemuviri inosiyana mukati mezuva, ichisvika pakakwirira pakakwirira pakati pehusiku na5 kana 6 am;
• Dzivisa chikafu chakapfuma mu fiber kana pectin, sezvo ivo vachigona kukanganisa kupinza kwema statins;
• Dzivisa kunwa muto wemazambiringa kana mazambiringa kunyanya kana uchishandisa atorvastatin, lovastatin kana simvastatin, sezvo muto uyu uchiwedzera huwandu hwemishonga iyi muropa uye njodzi yemhedzisiro senge kurwadziwa kwemhasuru, kupera simba kwakanyanya, kupisa muviri, malaise kana weti yakasviba.

Mamwe ma statin akadai fluvastatin, pravastatin uye rosuvastatin hazviwirirane nemuto wemazambiringa uye zvine njodzi yakaderera yemhedzisiro.

6. Oral antidiabetics

Oral antidiabetics, senge metformin, glimepiride, acarbose kana glipizide, inoshanda nekuderedza mwero weglucose muropa kudzora chirwere cheshuga uye nekudaro kudzivirira kusangana kwechirwere.

Metformin, glimepiride kana glibenclamide, acarbose inofanirwa kutorwa nekukasira pakutanga kwekudya senge kwekuseni kana chikafu chekutanga chezuva, semuenzaniso. Iyo yekukurumidza-kuburitsa glipizide, glimepiride, glibenclamide kana gliclazide inofanirwa kupihwa maminetsi makumi matatu usati wadya kuitira kurapa kwakanaka.

7. Mishonga inorwisa mabhakitiriya

Mishonga inorwisa mabhakitiriya mishonga inoshandiswa kurapa hutachiona hunokonzerwa nehutachiona uye hunoshanda nekudzivirira kuwanda kana kuuraya hutachiona hwakonzera chirwere ichi.

Paunenge uchishandisa mushonga unorwisa mabhakitiriya, zvakakosha kuti ugare uchinwa negirazi remvura, sezvo zvigadzirwa zvemukaka zvakaita semukaka uye zvigadzirwa zvemukaka zvine zvicherwa, zvakaita secalcium uye magnesium, iyo inodzivirira kunwa kwayo, ichibvisa maitiro ayo. Pamusoro pezvo, zvinowedzera zvine zvicherwa hazvifanirwe kutorwa panguva imwe chete neyekushandisa mushonga unorwisa mabhakitiriya.

Zvimwe zvekuchengetedza pamwe nemamwe maantibhakitiriya anosanganisira:

• Ciprofloxacino: dzivisa kuitora nejusi yemichero, sezvo ichideredza kunwa kwemushonga unorwisa mabhakitiriya, uye unofanirwa kumirira maawa maviri pakati pekumedza mushonga uye nekumwa imwe mhando yemuto wemuchero;
• Azithromycin: inofanirwa kutorwa pasina chinhu mudumbu, sezvo chikafu chinoderedza kufakwa kwayo. Izvo zvakanaka kutora uyu mushonga 1 awa pamberi kana maviri maawa mushure mekudya;
• Tetracycline, doxycycline kana minocycline: dzinofanirwa kutorwa nedumbu risina chinhu kuti dziwedzere kunwa kwavo, nekudaro, kana maawa maviri anofanira kupfuura pakati pekudyiwa kwechikafu uye muyero weantibhakitiriya;
• Penicillin, senge amoxicillin kana ampicillin: inofanira kutorwa pakutanga kwekudya kwakareruka kuti uderedze kutsamwa kwemudumbu. Zvisinei, dzivisa kudya chikafu chakadai semukaka uye zvigadzirwa zvemukaka pamwe nemishonga iyi inorwisa mabhakitiriya;
• Erythromycin: inofanirwa kutorwa isina chinhu mudumbu sezvo chikafu chinodzora kuiswa kweiyo antibiotic. Zvakanaka, tora mushonga uyu maminetsi makumi matatu pamberi kana maviri maawa mushure mekudya.

Izvo zvakakoshawo kudzivirira kunwa zvinwiwa zvinodhaka panguva yekurapwa nechero rudzi rwemishonga inorwisa mabhakitiriya, sezvo doro rinogona kukuvadza chiropa uye kupindira metabolism yemishonga inorwisa mabhakitiriya, zvichikonzera kudzikira mukukanganisa, kudhakwa kana kuwedzera kwemhedzisiro.

8. Mishonga yekudzvinyirira

Antidepressants mishonga inoshandiswa kurapa kushushikana, kushushikana, schizophrenia, kusagadzikana kana kusagadzikana kwekurara, semuenzaniso.

Kune akawanda marudzi emishonga yekudzvinyirira, asi pakati pawo, pane kirasi inoda mamwe maratidziro ekudya. Kirasi iyi inonzi monoaminoxidase inhibitors uye inosanganisira amitriptyline, clomipramine, imipramine, phenelzine, tranylcypromine, isocarboxazide kana selegiline. Iyi mishonga inogona kudyidzana nechikafu chine tyramine uye inokonzeresa hypertensive dambudziko nezviratidzo zveuzungu, kuwedzerwa kugadzirwa kwedikita, kuneta zvakanyanya, kusaona zvakanaka, kutya, kushushikana, kurwadziwa nemusoro uye kurwadziwa mumutsipa.

Tyramine inogona kuwanikwa kunyanya muzvikafu zvakaviriswa kana muzvakakwegura zvekudya senge yakaporeswa chizi, bhekoni, masoseji, salami, ham, sipinashi, kabichi, soy muto, doro newaini, semuenzaniso. Izvi zvekudya zvinofanirwa kudzivirirwa panguva yekurapwa ne monoamine oxidase inhibitors.

9. Mapiritsi ekurwadza uye ekurwisa kuzvimba

Painkillers uye anti-anogumbura zvinodhaka zvinoshandiswa kurapa zvinyoro kusvika zvine mwero kurwadziwa uye kupisa uye zvinogona kudyidzana nezvimwe zvekudya:

• Paracetamol: inofanirwa kutorwa isina chinhu mudumbu nekuti chikafu, kunyanya izvo zvine pectin, zvinogona kudzora kunwa kwavo, zvichideredza kushanda kwazvo. Uye zvakare, munhu anofanirwa kudzivirira kunwa zvinwiwa zvinodhaka nekuti zvinogona kukonzera muchetura wechiropa uye kuita kuti kuonekwe kwechirrhosis kana kurapa hepatitis. Tarisa uone runyorwa rwezvikafu zvakapfuma mupectin izvo zvinofanirwa kudzivirirwa.
• Acetylsalicylic acid, ibuprofen, naproxen uye ketoprofen: inofanirwa kutorwa nechikafu kudzivirira kunetseka kwemudumbu.

Uye zvakare, zvimwe zvinomera zvekurapa zvakaita seSt.John's wort kana ginkgo biloba zvinofanirwa kudzivirirwa kana uchishandisa anti-inflammatories, nekuti zvinogona kuwedzera njodzi yekutsamwa kana kubuda ropa mudumbu.

10. Bronchodilators

Bronchodilators mishonga inoshandiswa kurapa uye kudzivirira kurwiswa kune vanhu vane matambudziko ekufema senge asthma, chisingaperi bronchitis, emphysema kana chisingaperi obstructive pulmonary chirwere.

Dzimwe nzira dzakakosha dzekuchengetedza nezvekudya, kunyanya kana uchishandisa bronchodilator kwenguva yakareba, ndeiyi:

• Dzivisa ne foxglove mushonga wekurapa nekuti inogona kuwedzera mhedzisiro mhedzisiro yebronchodilators kana kukonzera kudhakwa;
• Dzivisa kudyiwa kwezvikafu uye zvinwiwa zvine caffeine, senge kofi, girini tii, nhema tii, chokoreti, zvinwiwa kana zvinodhaka zvinwiwa, sezvo zvichigona kuwedzera njodzi yemhedzisiro, sekushushikana, kutya kana kurova kwehana kwakakurumidza;
• Dzivisa kunwa doro, kunyanya mukushandisa theophylline nekuti doro rinogona kuwedzera njodzi yemhedzisiro, senge kusvotwa, kurutsa, kutemwa nemusoro kana kusagadzikana.

Vamwe bronchodilators, kunyanya salbutamol uye theophylline, kana ikashandiswa kwenguva yakareba, inogona kukonzera kurasikirwa kwakawanda kwemaminerari senge calcium, magnesium uye potasium uye, nekudaro, kushandiswa kwezvokuwedzera zvinoratidzwa nachiremba zvinogona kudikanwa.

11. Levothyroxine

Levothyroxine inogadzira thyroid hormone inoshandiswa kurapa hypothyroidism kana kana paine kushomeka kwehomoni iyi muropa.

Mushonga uyu unofanirwa kutorwa usina chinhu mudumbu, sezvo chikafu chinoderedza kutora kwayo, zvichideredza kushanda kwayo. Naizvozvo, zvinokurudzirwa kutora levothyroxine mangwanani asina chinhu mudumbu, maminetsi makumi matatu kusvika makumi matanhatu usati wadya.

12. Antineoplastics

Antineoplastic agents ndiwo mishonga inoshandiswa pakurapa kenza uye inogona kuita kuti kugona kwayo kuderedzwe kana ikatorwa nezvimwe zvekudya. Mimwe mienzaniso ndeiyi:

• Tamoxifen: mumwe anofanirwa kudzivirira kudya chikafu uye zvigadzirwa nesoy sezvo ivo vachideredza chiito chetamoxifen, ichideredza kushanda kwayo mukurapa kenza yemazamu;
• Mercaptopurine: inofanirwa kutorwa isina chinhu mudumbu uye inogara iine girazi remvura, kwete nemukaka. Kudya kunoderedza kunwa kwayo, kuchideredza kushanda kweyeukemia kurapwa. Izvo zvakanaka kutora mushonga uyu 1 awa pamberi kana maviri maawa mushure mekudya;
• Capecitabine: inofanirwa kutorwa mukati memaminitsi makumi matatu mushure mekudya, sezvo chikafu chichivandudza kunwiwa kwayo, izvo zvinowedzera kushanda kwekurapwa kwecancer yemuzamu, ura kana mudumbu

Pakutanga kurapwa kwekenza, oncologist kana oncology pharmacist anofanirwa kuraira pamusoro pekudyidzana kwemaantineoplastic vamiririri nechikafu chimwe nechimwe, maererano nemushonga uye nemhando yekurapa.

13. Bisphosphonates

Bisphosphonates mishonga inoshandiswa mukudzivirira uye kurapwa kwezvirwere zvakasiyana zvefupa, senge osteoporosis, kenza ine bone metastasis, yakawedzera calcium muropa kana yakawanda myeloma.

Iyi mishonga inofanirwa kutorwa isina chinhu mudumbu, ingangoita maminetsi makumi matatu usati wadya, sezvo kuvapo kwechikafu mudumbu kunoderedza kutora uye kunoderedza kushanda kwekurapa.

Iyo dumbu pH inokanganisa mishonga

Mimwe mishonga inoenderana nePH yemudumbu kuti ishande nemazvo, senge omeprazole kana esomeprazole, semuenzaniso, inoda mudumbu asidi kuti iite basa uye iite zvainoita, uye inofanira kutorwa isina chinhu mudumbu.

Mumwe muenzaniso wakanaka ndeyezvipuka, senge ketoconazole, inoshanda zvakanyanya kana paine acidic pH mudumbu. Muchiitiko ichi, zvinogona kukurudzirwa kusarudza kutora mushonga mushure mekudya nechikafu chine acid, senge zai, chizi kana hove. Uye zvakare, zvinokurudzirwa kudzivirira kushandisa antacid mishonga semuenzaniso.

Saizvozvowo, maprobiotic anoshandawo zvakanyanya kana paine nharaunda ine acidic mudumbu. Naizvozvo, zano rakanaka kutora mapurobiotic mushure mekudya kudiki, senge chikafu chemangwanani, zvirinani zvine chikafu chinosimudzira acidity zvine mwero, semukaka kana yogati. Ona rondedzero yakazara yeakanyanya acidic chikafu.

Mumamiriro ezvinhu apo mushonga unogona kuderedzwa nemudumbu acid kana piritsi rinokonzeresa mudumbu, piritsi kana kapuleti inogona kuve nekapfekero, kanonzi kupfeka kwenyonganyonga, kuitira kuti mushonga ubatwe wakananga kuburikidza nemukati, uchidzivirira kushanda kudivi mhedzisiro sekushungurudzika, kupisa shungu kana kurwadziwa mudumbu, semuenzaniso.

Chii chaunofanira kuita usati watanga chero mushonga

Mimwe mirawo yakakosha paunotanga kushandisa mishonga inosanganisira:

• Gara uchitora mishonga negirazi remvura, uchidzivirira majusi kana mukaka;
• Kumbira chiremba kana wemishonga nezve izvo chikafu chingave kana chisingadyiwe panguva yekurapwa;
• Gara uchitevedzera zvekurapa marongero nezve mishonga marongero uye kana iwo mushonga uchifanira kutorwa wakazara kana usina chinhu mudumbu;
• Udza chiremba wako nekukurumidza kana iwe ukava nemhedzisiro.

Uye zvakare, zvakakosha kuzivisa chiremba nezveese mishonga, zvirimwa zvekurapa kana zvekudya zvinowedzerwa zvinoshandiswa kudzivirira kuwedzera kana kudzikisira kushanda kwemushonga.