Kuyanjana pakati pa mankhwala ndi chakudya: zomwe ali komanso momwe mungapewere

Zamkati

• 1. Mankhwala oletsa kuthamanga kwa magazi
• 2. Odzetsa
• 3. Mankhwala osokoneza bongo
• 4. Ma anticoagulants apakamwa
• 5. Anti-hypercholesterolemics
• 6. Antibiabetics apakamwa
• 7. Maantibayotiki
• 8. Mankhwala opatsirana pogonana
• 9. Mankhwala opha ululu ndi odana ndi zotupa
• 10. Omwe amapanga bronchodilator
• 11. Levothyroxine
• 12. Mankhwala opatsirana m'mimba
• 13. Bisphosphonates
• Momwe m'mimba pH imakhudzira mankhwala
• Zomwe muyenera kuchita musanayambe mankhwala aliwonse

Kudya zakudya ndi zakumwa ndi mitundu ina ya mankhwala kungakhudze momwe mankhwalawa amagwirira ntchito, kuwalepheretsa kukhala ndi zotsatirapo kapena kuwonjezera mwayi woyambitsa zovuta.

Komabe, sikuti kulumikizana konse ndi koyipa, chifukwa mankhwala ena, akamwedwa ndi chakudya, amatha kuyamwa bwino, zomwe zimapangitsa kuti mankhwalawa akhale othandiza.

Chifukwa chake, mukayamba kumwa mankhwala atsopano kapena kulandira chithandizo kwa nthawi yayitali, ndikofunikira kutsatira malangizo onse azachipatala kuti akalandire mankhwala otetezeka, kuphatikizapo malangizo a kudyetsa.

Kuyanjana pakati pa mankhwala ndi zakudya kumadalira gulu la mankhwala omwe agwiritsidwa ntchito:

1. Mankhwala oletsa kuthamanga kwa magazi

Mankhwala ochepetsa kuthamanga kwa magazi ndiwo mankhwala omwe amagwiritsidwa ntchito poletsa kuthamanga kwa magazi chifukwa amatsitsimutsa mitsempha ya magazi, imathandizira kuyenda kwa magazi ndikuthandizira mtima kuchita khama kupopera.

Mankhwalawa atha kugawidwa m'magulu atatu ndipo, kutengera kalasi, muyenera kupeza chisamaliro chapadera:

• Angiotensin otembenuza enzyme (ACE) zoletsa, monga captopril, enalapril, lisinopril kapena ramipril: kudya mopitilira muyeso zakudya ndi potaziyamu kuyenera kupewedwa, chifukwa mankhwalawa amachititsa kuti mcherewu uwonjezeke m'magazi, zomwe zingayambitse kuwoneka ngati kufooka kwa minofu kapena kugunda kwamtima kosafunikira . Pankhani ya captopril, makamaka, ndikofunikanso kumwa mankhwalawo mopanda kanthu, popeza chakudya chimachepetsa kuyamwa kwake;
• Oletsa Beta monga propranolol, carvedilol ndi metoprolol: zowonjezera kapena zakudya zokhala ndi calcium zambiri ziyenera kupewedwa, chifukwa mcherewu umatha kuchepetsa mphamvu ya mankhwalawa. Chofunikira ndikumwa mankhwalawa patadutsa maola awiri mutadya izi kapena zowonjezera. Pankhani ya propranolol kapena metoprolol, ndibwino kuti mutenge piritsi limodzi kapena mukangomaliza kudya kuti mukhale ndi mphamvu yothandizira;
• Oletsa ma calcium monga nifedipine, amlodipine, nicardipine, verapamil ndi diltiazem: zowonjezera kapena zakudya zokhala ndi calcium zambiri ziyenera kupewedwa, chifukwa mcherewu umachepetsa mphamvu ya antihypertensives.

Kuphatikiza apo, msuzi wamphesa, womwe umadziwikanso kuti chipatso champhesa, ziyenera kupewedwa mukamamwa mankhwala osokoneza bongo chifukwa amachepetsa ntchito ya enzyme yomwe imayambitsa kupopera mankhwalawa, zomwe zingayambitse mavuto ena kapena kuledzera.

2. Odzetsa

Ma diuretics ndi mankhwala omwe amagwiritsidwa ntchito nthawi zambiri kuchiza matenda oopsa, kulephera kwa mtima kapena kudzikundikira kwamadzimadzi ndipo amagwira ntchito powonjezera kuthetsedwa kwa madzi kudzera mumkodzo.

Njira zina zofunika kuzidyera kwa iwo omwe amagwiritsa ntchito mankhwalawa ndi awa:

• Gwiritsani ntchito zowonjezera mavitamini: makamaka pankhani ya okodzetsa omwe amachotsanso mchere wofunikira monga potaziyamu, magnesium kapena calcium. Zowonjezera zamtunduwu ziyenera kulembedwa ndi dokotala;
• Tengani 1 mpaka 2 maola musanadye: ma diuretics ena, monga bumetanide, furosemide ndi hydrochlorothiazide, amatha kuyamwa mosavuta akameza chakudya;
• Pewani kugwiritsa ntchito mankhwala azitsamba: Zomera zina monga kascara wopatulika, foxglove, white hawthorn, muzu wa dandelion, ginseng, mackerel, licorice, urisi wa mphesa, alder ndi St. John's wort, zitha kuwonjezera ngozi zoyipa za okodzetsa.

Kuphatikiza apo, mukamagwiritsa ntchito okodzetsa, munthu ayenera kupewa kumwa licorice chifukwa chakudyachi chimatha kuchepetsa mphamvu ya mankhwala.

3. Mankhwala osokoneza bongo

Mankhwala osokoneza bongo amagwiritsidwa ntchito pochiza matenda amtima monga kulephera kwamtima kapena arrhythmia, chifukwa amathandizira kukulitsa mphamvu ya kupindika kwa mtima. M'kalasi ili la mankhwala, omwe amagwiritsidwa ntchito kwambiri ndi digoxin.

Digoxin ili ndi chiwonetsero chochepa chamankhwala, ndiye kuti, kusiyanasiyana pang'ono pamlingowu kumatha kuyambitsa zovuta zina. Chifukwa chake, kuti chithandizocho chikhale chotetezeka, muyenera kusamala mosamala, monga:

• Pewani zakudya zamagetsi, monga chimanga cha tirigu, oats, mpunga wofiirira, broccoli kapena kaloti, mwachitsanzo, chifukwa amachepetsa kuyamwa kwa digoxin, kumachepetsa mphamvu zake. Chofunikira ndikutenga digoxin ola limodzi musanadye kapena maola awiri mutadya ndikutsata katswiri wazakudya yemwe angawonetse njira yabwino yochepetsera kudya kwanu popanda kuwononga thanzi lanu. Chongani mndandanda wazakudya zomwe zili ndi fiber zambiri zomwe ziyenera kupewedwa pogwiritsa ntchito digoxin;
• Pewani zowonjezera mavitamini ndi zakudya zokhala ndi vitamini D wambirichifukwa vitamini iyi imatha kuwonjezera calcium mu magazi, zomwe zimabweretsa kuwonjezeka kwa zotsatira za digoxin, zomwe zingayambitse kuledzera ndi zizindikilo za kugona, kukhumudwa, kusokonezeka, kusuta, kusanza, kutsekula m'mimba, kupweteka m'mimba, kusawona bwino kapena kugunda kwamtima mosasinthasintha;
• Pewani madzi amphesa kapena chipatso champhesa, chifukwa msuzi wa chipatso ichi amatha kuwonjezera kuchuluka kwa digoxin m'magazi ndikupangitsa kuledzera kapena bongo.

Kugwiritsa ntchito Digoxin kuyenera kuyang'aniridwa ndikuwunikidwa pafupipafupi ndi katswiri wa zamagetsi kuti asinthe mlingowu pakafunika kutero, kuwunika momwe chithandizocho chilili ndikupewa kuwoneka koyipa.

4. Ma anticoagulants apakamwa

Ma anticoagulants apakamwa, monga warfarin kapena acenocoumarol, amachepetsa njira yotsekera magazi, yomwe imapangitsa magazi kukhala amadzimadzi, amachepetsa chiopsezo cha zovuta zamtima monga stroke, matenda amtima kapena thrombosis.

Mankhwalawa, makamaka warfarin, amagwira ntchito poletsa vitamini K, yemwe ndi vitamini wamkulu yemwe amatenga nawo gawo potseka magazi. Pachifukwa ichi, zakudya zomwe zili ndi vitamini uyu zimapangitsa warfarin kukhala wosagwira ntchito, popewa kugwiritsa ntchito zowonjezera kapena zakudya zokhala ndi vitamini K monga broccoli, kabichi, kale, sipinachi, mpiru ndi mphukira za brussels, mwachitsanzo. Onani mndandanda wonse wa zakudya zokhala ndi vitamini K zomwe ziyenera kupewedwa.

Warfarin imatha kutengedwa m'mimba yathunthu kapena yopanda kanthu, komabe, muyenera kupewa kumwa ndi madzi abuluu, omwe amadziwika kuti kiraniberi, kapena ufa kiraniberi zouma mu makapisozi, makangaza, madzi a blackcurrant ndi mafuta a blackcurrant, chifukwa amatha kuwonjezera mphamvu ya warfarin ndikuwonjezera chiopsezo chakutuluka magazi kapena magazi.

5. Anti-hypercholesterolemics

Mankhwala a anti-hypercholesterolemic, omwe amatchedwanso ma statins, ndi mankhwala omwe amagwira ntchito pochepetsa cholesterol choipa ndi triglycerides yamagazi, monga simvastatin, lovastatin, fluvastatin, pravastatin, rosuvastatin kapena atorvastatin.

Njira zina zofunika kusamala pakudya mukamagwiritsa ntchito mankhwalawa ndi awa:

• Tenga usiku, chifukwa kaphatikizidwe wa cholesterol m'mthupi amasiyanasiyana masana, kufikira pachimake pakati pausiku mpaka 5 kapena 6 m'mawa;
• Pewani zakudya zokhala ndi fiber kapena pectin, popeza amatha kusokoneza kuyamwa kwa ma statins;
• Pewani kumwa madzi amphesa kapena chipatso champhesa makamaka mukamagwiritsa ntchito atorvastatin, lovastatin kapena simvastatin, popeza madzi awa amachulukitsa milingo ya mankhwalawa m'magazi komanso chiopsezo cha zotsatirapo monga kupweteka kwa minofu, kufooka kwambiri, malungo, malaise kapena mkodzo wakuda.

Ma statin ena monga fluvastatin, pravastatin ndi rosuvastatin sagwirizana ndi madzi amphesa ndipo amakhala ndi chiopsezo chotsika kwambiri.

6. Antibiabetics apakamwa

Ma antidiabetics apakamwa, monga metformin, glimepiride, acarbose kapena glipizide, amagwira ntchito pochepetsa magazi m'magazi kuti athetse matenda ashuga motero amapewa zovuta za matendawa.

Metformin, glimepiride kapena glibenclamide, acarbose ayenera kumwedwa nthawi yomweyo kumayambiriro kwa chakudya monga kadzutsa kapena chakudya choyamba chamasana, mwachitsanzo. Kutulutsa kwa glipizide, glimepiride, glibenclamide kapena gliclazide kuyenera kuperekedwa mphindi 30 musanadye kuti athandizidwe bwino.

7. Maantibayotiki

Maantibayotiki ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda omwe amabwera chifukwa cha bakiteriya ndipo amagwira ntchito popewa kuchulukana kapena kupha mabakiteriya omwe adayambitsa matendawa.

Mukamagwiritsa ntchito maantibayotiki, ndikofunikira kuti nthawi zonse muzimwa ndi kapu yamadzi, popeza zopangira mkaka monga mkaka ndi mkaka zimakhala ndi mchere, monga calcium ndi magnesium, zomwe zimalepheretsa kuyamwa kwake, kudula mphamvu yake. Kuphatikiza apo, zowonjezera zomwe zili ndi mchere siziyenera kumwa nthawi imodzimodzi ndi kumwa kwa maantibayotiki, osachepera maola 2 pakati pa maantibayotiki ndi othandizira.

Njira zina zodzitetezera ndi maantibayotiki ena ndi monga:

• Ciprofloxacino: pewani kumwa ndi msuzi wazipatso, chifukwa umachepetsa kuyamwa kwa mankhwalawa, ndipo muyenera kudikirira maola 2 kuchokera pamene mukumwa mankhwalawa ndi kumwa madzi amtundu wina wa zipatso;
• Azithromycin: ayenera kumwedwa pamimba yopanda kanthu, chifukwa chakudya chimachepetsa kuyamwa kwake. Chofunika ndikumwa mankhwalawa ola limodzi musanadye kapena maola awiri mutatha kudya;
• Tetracycline, doxycycline kapena minocycline: ayenera kumwedwa pamimba yopanda kanthu kuti akwaniritse kuyamwa kwawo, chifukwa chake, pakadutsa maola awiri pakati pa kudya ndi kumwa mankhwala;
• Penicillin, monga amoxicillin kapena ampicillin: ayenera kumwedwa kumayambiriro kwa chakudya chopepuka kuti muchepetse kukwiya m'mimba. Komabe, pewani kudya zakudya monga mkaka ndi mkaka pamodzi ndi maantibayotiki;
• Erythromycin: ayenera kumwedwa opanda kanthu chakudya chikamachepetsa kuyamwa kwa mankhwalawa. Momwemo, imwani mankhwalawa mphindi 30 isanakwane kapena maola awiri mutadya.

Ndikofunikanso kupewa kumwa zakumwa zoledzeretsa mukamamwa mankhwala aliwonse amtundu wa maantibayotiki, chifukwa mowa umatha kuwononga chiwindi ndikusokoneza kagayidwe ka maantibayotiki, komwe kumapangitsa kuchepa kwa mphamvu, kuledzera kapena kuchuluka kwa zovuta zina.

8. Mankhwala opatsirana pogonana

Antidepressants ndi mankhwala omwe amagwiritsidwa ntchito pochiza kukhumudwa, nkhawa, schizophrenia, kusagwira bwino ntchito kapena matenda ogona, mwachitsanzo.

Pali mitundu yambiri ya antidepressants, koma pakati pawo, pali kalasi yomwe imafunikira chisamaliro chapadera chazakudya. Kalasiyi imatchedwa monoaminoxidase inhibitors ndipo imaphatikizapo amitriptyline, clomipramine, imipramine, phenelzine, tranylcypromine, isocarboxazide kapena selegiline. Mankhwalawa amatha kuyanjana ndi chakudya chokhala ndi tyramine ndipo imayambitsa matenda oopsa omwe ali ndi zizungulire, kuchuluka kwa thukuta, kutopa kwambiri, kusawona bwino, mantha, kusokonezeka, kupweteka mutu komanso kupweteka m'khosi.

Tyramine imatha kupezeka makamaka muzakudya zofufumitsa kapena mu zakudya zakale monga tchizi wochiritsidwa, nyama yankhumba, masoseji, salami, ham, sipinachi, kabichi, msuzi wa soya, mowa ndi vinyo, mwachitsanzo. Zakudya izi ziyenera kupewedwa mukamamwa mankhwala a monoamine oxidase inhibitors.

9. Mankhwala opha ululu ndi odana ndi zotupa

Ma Painkiller ndi mankhwala oletsa kutupa amagwiritsidwa ntchito pochiza kupweteka pang'ono ndi kutentha thupi ndipo amatha kulumikizana ndi zakudya zina:

• Paracetamol: ayenera kumwedwa opanda kanthu m'mimba chifukwa zakudya, makamaka zomwe zili ndi pectin, zimachepetsa kuyamwa kwawo, zimachepetsa mphamvu zawo. Kuphatikiza apo, munthu ayenera kupewa kumwa zakumwa zoledzeretsa chifukwa zimatha kuyambitsa poyizoni wa chiwindi ndikuthandizira kuwoneka kwa matenda enaake kapena matenda a chiwindi. Onani mndandanda wazakudya zolemera mu pectin zomwe ziyenera kupewedwa.
• Acetylsalicylic acid, ibuprofen, naproxen ndi ketoprofen: ayenera kumwedwa ndi chakudya popewa kukwiya m'mimba.

Kuphatikiza apo, mankhwala ena monga St. John's wort kapena ginkgo biloba ayenera kupewedwa mukamagwiritsa ntchito anti-inflammatories, chifukwa zimatha kuwonjezera ngozi yakukwiya kapena kutuluka magazi m'mimba.

10. Omwe amapanga bronchodilator

Bronchodilators ndi mankhwala omwe amagwiritsidwa ntchito pochizira ndikupewa kuwukira kwa anthu omwe ali ndi vuto la kupuma monga mphumu, bronchitis yanthawi yayitali, emphysema kapena matenda osokoneza bongo.

Njira zina zodzitetezera ndi chakudya, makamaka mukamagwiritsa ntchito ma bronchodilator kwanthawi yayitali, ndi:

• Pewani ndi mankhwala a foxglove chomera chifukwa imatha kukulitsa zoyipa zama bronchodilator kapena kuyambitsa kuledzera;
• Pewani kumwa zakudya ndi zakumwa zomwe zili ndi caffeine, monga khofi, tiyi wobiriwira, tiyi wakuda, chokoleti, zakumwa zozizilitsa kukhosi kapena zakumwa zamphamvu, chifukwa zimatha kuwonjezera ngozi zoyipa, monga kusakhazikika, mantha kapena kugunda kwamtima mwachangu;
• Pewani kumwa mowa, makamaka pakugwiritsa ntchito theophylline chifukwa mowa umatha kuonjezera ngozi zoyipa, monga nseru, kusanza, kupweteka mutu kapena kukwiya.

Ma bronchodilator ena, makamaka salbutamol ndi theophylline, akagwiritsidwa ntchito kwa nthawi yayitali, amatha kuyambitsa kuchepa kwa mchere monga calcium, magnesium ndi potaziyamu ndipo chifukwa chake kugwiritsa ntchito zowonjezera zomwe dokotala akuwonetsa kungakhale kofunikira.

11. Levothyroxine

Levothyroxine ndimadzimadzi opanga chithokomiro omwe amagwiritsidwa ntchito pochizira hypothyroidism kapena pakakhala kusowa kwa hormone iyi m'magazi.

Izi mankhwala ayenera kumwedwa pa chopanda kanthu m'mimba, monga chakudya amachepetsa mayamwidwe ake, amachepetsa mphamvu yake. Chifukwa chake, tikulimbikitsidwa kumwa levothyroxine m'mawa wopanda kanthu, osachepera 30 mpaka 60 mphindi musanadye chakudya cham'mawa.

12. Mankhwala opatsirana m'mimba

Antineoplastic agents ndi mankhwala omwe amagwiritsidwa ntchito pochiza khansa ndipo amatha kuchepa mphamvu ngati atamwa ndi zakudya zina. Zitsanzo zina ndi izi:

• Tamoxifen: wina ayenera kupewa kudya zakudya ndi zinthu ndi soya pamene amachepetsa tamoxifen, amachepetsa mphamvu yake pochiza khansa ya m'mawere;
• Mercaptopurine: ayenera kumamwa opanda kanthu ndipo nthawi zonse ndimamwa madzi, osamwetsa mkaka. Chakudya amachepetsa mayamwidwe ake, kuchepetsa mphamvu ya mankhwala a khansa ya m'magazi. Chofunika ndikumwa mankhwalawa ola la 1 musanadye kapena maola awiri mutadya;
• Mphamvu: ayenera kumwedwa mkati mwa mphindi 30 mutatha kudya, popeza chakudya chimakulitsa kuyamwa kwake, komwe kumawonjezera mphamvu ya chithandizo cha khansa ya m'mawere, matumbo kapena m'mimba.

Poyambitsa chithandizo cha khansa, the oncologist kapena oncology pharmacist ayenera kulangiza pazomwe zimachitika ndi antineoplastic agents ndi chakudya payekha, malinga ndi mankhwala ndi mtundu wa chithandizo.

13. Bisphosphonates

Bisphosphonates ndi mankhwala omwe amagwiritsidwa ntchito popewera ndi kuchiza matenda osiyanasiyana amfupa, monga kufooka kwa mafupa, khansa yokhala ndi mafupa, kuwonjezeka kwa calcium m'magazi kapena angapo myeloma.

Mankhwalawa ayenera kumwa mopanda kanthu, osachepera mphindi 30 musanadye, popeza kupezeka kwa chakudya m'mimba kumachepetsa kuyamwa ndikuchepetsa mphamvu yothandizirayo.

Momwe m'mimba pH imakhudzira mankhwala

Mankhwala ena amadalira pH ya m'mimba kuti igwire bwino ntchito, monga omeprazole kapena esomeprazole, mwachitsanzo, omwe amafunikira asidi wam'mimba kuti atsegulidwe ndikuchita, ndipo ayenera kumwa mopanda kanthu.

Chitsanzo china chabwino ndi ma antifungals, monga ketoconazole, omwe amagwira ntchito bwino pakakhala pH acidic m'mimba. Poterepa, mwina mungalimbikitsidwe kusankha kumwa mankhwala mukatha kudya ndi acidic, monga dzira, tchizi kapena nsomba. Kuphatikiza apo, tikulimbikitsidwa kuti tipewe kugwiritsa ntchito mankhwala azitsamba, mwachitsanzo.

Momwemonso, maantibiotiki amagwiranso ntchito bwino pakakhala malo ocheperako pang'ono m'mimba. Chifukwa chake, lingaliro labwino ndikumwa maantibiotiki mukatha kudya pang'ono, monga chotupitsa m'mawa, makamaka chomwe chili ndi zakudya zomwe zimalimbikitsa acidity pang'ono, monga mkaka kapena yogurt. Onani mndandanda wathunthu wazakudya zazikulu za acidic.

Nthawi yomwe mankhwala amatha kuchepetsedwa ndi asidi m'mimba kapena omwe angayambitse kukhumudwa m'mimba, piritsi kapena kapisozi akhoza kukhala ndi zokutira, zotchedwa enteric zokutira, kuti mankhwalawo alowerere mwachindunji kudzera m'matumbo, kupewa kuchepa kwa mphamvu ndi mbali zotsatira monga kutentha pa chifuwa, kutentha kapena kupweteka m'mimba, mwachitsanzo.

Zomwe muyenera kuchita musanayambe mankhwala aliwonse

Malangizo ena ofunikira mukamayamba kugwiritsa ntchito mankhwala ndi awa:

• Nthawi zonse tengani mankhwala ndi kapu yamadzi, kupewa timadziti kapena mkaka;
• Funsani dokotala kapena wamankhwala za zakudya zomwe zingadye kapena kusadyeka mukamamwa mankhwala;
• Nthawi zonse tsatirani zitsogozo zamankhwala zokhudzana ndi ndandanda yamankhwala komanso ngati mankhwala ayenera kumwa mopanda kanthu kapena opanda kanthu;
• Uzani dokotala wanu nthawi yomweyo ngati mukumana ndi zovuta zina.

Kuphatikiza apo, ndikofunikira kudziwitsa adotolo zamankhwala onse, mankhwala azitsamba kapena zowonjezera zowonjezera zomwe zimagwiritsidwa ntchito popewa kuwonjezera kapena kuchepetsa mphamvu ya mankhwala.