Hanyar ma'amala tsakanin kwayoyi da abinci: menene menene kuma yadda za'a guje su

Wadatacce

• 1. Magungunan Hawan jini
• 2. Diuretics
• 3. Magungunan Antiarrhythmic
• 4. Magungunan hana shan magani na baki
• 5. Anti-hypercholesterolemics
• 6. Ciwon suga na baka
• 7. Magungunan rigakafi
• 8. Magungunan Magunguna
• 9. Magungunan rage zafin ciwo da maganin kumburi
• 10. Bronchodilators
• 11. Levothyroxine
• 12. Antineoplastics
• 13. Bisphosphonates
• Ta yaya pH na ciki ke shafar magunguna
• Abin da za a yi kafin fara kowane magani

Cin abinci da abin sha tare da wasu nau'ikan magunguna na iya shafar yadda waɗannan kwayoyi ke aiki, hana su samun tasirin da ake tsammani ko haɓaka damar haifar da illa.

Koyaya, ba duk ma'amala bane ke da kyau, saboda wasu magunguna, idan aka sha su da abinci, na iya ma inganta haɓakar su, wanda ke ƙara tasirin maganin.

Sabili da haka, lokacin fara shan sabon magani ko shan magani na tsawan lokaci, yana da matukar mahimmanci a bi duk shawarwarin likita don lafiya da ingantaccen magani, gami da nasihun abinci.

Abubuwan hulɗa tsakanin magunguna da abinci sun dogara da nau'in maganin da aka yi amfani da su:

1. Magungunan Hawan jini

Magungunan antihypertensive sune manyan magungunan da ake amfani dasu don sarrafa hawan jini saboda suna sassauta jijiyoyin jini, saukaka zagayawar jini da taimakawa zuciya yin ƙarancin ƙoƙari don yin famfo.

Wadannan kwayoyi za'a iya raba su zuwa azuzuwa 3 kuma, ya danganta da ajin, kuna buƙatar samun takamaiman kulawar ciyarwa:

• Angiotensin-converting enzyme (ACE) masu hanawa. . Dangane da maganin kwalliya, musamman, yana da mahimmanci a sha maganin a kan komai a ciki, tunda abinci yana rage karfinsa;
• Masu toshe Beta kamar su propranolol, carvedilol da metoprolol: ya kamata a guji kari ko abinci mai yalwar sinadarin calcium, saboda wannan ma'adanai na iya rage tasirin waɗannan magunguna. Manufa ita ce ɗaukar shan magani sa'o'i 2 bayan cin waɗannan abinci ko kari. Game da propranolol ko metoprolol, yana da kyau a ɗauki kwamfutar tare da ko kuma nan da nan bayan cin abinci don inganta sha da tasirin maganin;
• Masu toshe tashar calcium kamar su nifedipine, amlodipine, nicardipine, verapamil da diltiazem: ya kamata a guji kari ko abinci mai wadataccen sinadarin calcium, saboda wannan ma'adanai yana rage tasirin waɗannan magungunan.

Bugu da kari, ruwan inabi, wanda aka fi sani da garehul, ya kamata a guje shi yayin magani tare da magungunan hawan jini saboda yana rage aikin enzyme da ke da alhakin sarƙar waɗannan ƙwayoyi, wanda na iya haifar da ƙaruwa a sakamakon illa ko maye.

2. Diuretics

Diuretics magunguna ne da yawanci ana amfani dasu don magance hauhawar jini, gazawar zuciya ko tara ruwa da aiki ta hanyar haɓaka kawar da ruwa ta cikin fitsari.

Wasu mahimman hanyoyin kiyaye abinci don waɗanda suke amfani da waɗannan nau'ikan maganin sune:

• Yi amfani da abubuwan ma'adinai: musamman dangane da cutar diuretics wanda kuma yake kawar da mahimman ma'adanai kamar su potassium, magnesium ko calcium. Dole ne likitan ya ba da wannan nau'in ƙarin;
• 1auki 1 to 2 hours kafin abinci: wasu masu yin diuretics, kamar su bumetanide, furosemide da hydrochlorothiazide, na iya samun tsinkewar jikinsu yayin cin abinci tare da su;
• Guji amfani da tsire-tsire masu magani: wasu tsire-tsire masu magani kamar su cascara mai tsarki, foxglove, farin hawthorn, tushen dandelion, ginseng, mackerel, licorice, inabi ursi, alder da St. John's wort, na iya ƙara haɗarin tasirin cututtukan diuretics.

Bugu da ƙari, yayin amfani da maganin ƙyama, mutum ya guji shan licorice saboda wannan abincin na iya rage tasirin maganin.

3. Magungunan Antiarrhythmic

Ana amfani da magungunan antiarrhythmic don magance cututtukan zuciya irin su ciwon zuciya ko arrhythmia, yayin da suke aiki ta hanyar ƙaruwa da ƙarfin bugun zuciya. A cikin wannan rukunin magungunan, abin da aka fi amfani da shi shi ne digoxin.

Digoxin yana da kunkuntar maganin warkewa, ma'ana, ƙananan saɓani a cikin ƙwayar na iya haifar da sakamako mai illa mai tsanani. Sabili da haka, don maganin ya zama mai lafiya, dole ne a bi wasu hanyoyin kariya, kamar su:

• Guji abinci mai yawan fiber, kamar su alkamar alkama, hatsi, shinkafar ruwan kasa, broccoli ko karas, alal misali, yayin da suke rage shan digoxin, suna rage tasirinsa. Manufa ita ce a dauki digoxin awa 1 kafin ko awanni 2 bayan cin abinci sannan a bi sahun wani masanin abinci mai gina jiki wanda zai iya nuna hanya mafi kyau don rage cin fiber ba tare da cutar da lafiyarku ba. Duba jerin kayan abinci masu wadataccen fiber wanda yakamata a guje shi tare da amfani da digoxin;
• Guji kari da abinci mai wadataccen bitamin Dsaboda wannan bitamin na iya kara yawan sinadarin calcium a cikin jini, wanda ke haifar da karin illolin digoxin, wanda kan haifar da maye tare da alamun bacci, karaya, rudani, tashin zuciya, amai, gudawa, ciwon ciki, rashin gani ko bugun zuciya mara kyau;
• Guji ruwan inabi ko garehul, saboda ruwan 'ya'yan wannan' ya'yan na iya kara narkar da digoxin a cikin jini kuma ya haifar da maye ko yawan sa maye.

Ya kamata amfani da digoxin amfani da digoxin a koyaushe ta hanyar likitan zuciya don daidaita yanayin lokacin da ya cancanta, kimanta tasirin maganin da kauce wa bayyanar illolin.

4. Magungunan hana shan magani na baki

Magungunan rigakafi na baka, kamar warfarin ko acenocoumarol, suna jinkirta aiwatar da daskarewar jini, wanda ke sa jini ya zama mai ruwa, yana rage haɗarin rikicewar jijiyoyin zuciya kamar su bugun jini, bugun zuciya ko thrombosis.

Wadannan kwayoyi, musamman warfarin, suna aiki ne ta hanyar hana bitamin K, wanda shine babban bitamin da ke shiga cikin aikin narkar da jini. A saboda wannan dalili, abincin da ke wadataccen wannan bitamin ya sa warfarin ba shi da tasiri, suna guje wa amfani da kari ko abinci mai wadataccen bitamin K kamar su broccoli, kabeji, kale, alayyafo, jujjuyawar fata da brussels sprouts, misali. Bincika cikakken jerin abinci mai wadataccen bitamin K wanda ya kamata a kauce masa.

Ana iya shan Warfarin a kan cikakken ko babu ciki, amma, ya kamata ku guji shan shi tare da ruwan shuɗi, wanda aka fi sani da Cranberry, ko hoda Cranberry bushe a cikin kawunansu, ruwan ruman, ruwan baƙarya da man ƙwarya, saboda suna iya ƙara tasirin warfarin da ƙara haɗarin zubar jini ko zubar jini.

5. Anti-hypercholesterolemics

Magungunan anti-hypercholesterolemic, ana kuma kiran su statins, magunguna ne da ke aiki ta hanyar rage ƙwayar cholesterol da jini triglycerides, kamar simvastatin, lovastatin, fluvastatin, pravastatin, rosuvastatin ko atorvastatin.

Wasu mahimman hanyoyin kiyaye abinci yayin amfani da wannan nau'in magani sune:

• Dare da dare, saboda hada kwalastarar da jiki ke yi ya bambanta a rana, ya kai matsakaiciyar tsaka tsakanin tsakar dare zuwa 5 ko 6 na safe;
• Guji abinci mai wadataccen fiber ko pectin, kamar yadda zasu iya tsoma baki tare da shayarwar statins;
• A guji shan ruwan inabi ko garehul musamman lokacin amfani da atorvastatin, lovastatin ko simvastatin, saboda wannan ruwan yana kara yawan wadannan kwayoyi a cikin jini da kuma barazanar illoli kamar su ciwon tsoka, yawan rauni, zazzabi, rashin lafiya ko fitsari mai duhu.

Sauran yanayin kamar fluvastatin, pravastatin da rosuvastatin basa hulɗa da ruwan inabi kuma suna da ƙananan haɗarin illa.

6. Ciwon suga na baka

Magungunan cututtukan baka na baka, kamar metformin, glimepiride, acarbose ko glipizide, suna aiki ta rage matakan glucose na jini don sarrafa ciwon sukari kuma ta haka ne ke hana rikitarwa na cutar.

Metformin, glimepiride ko glibenclamide, acarbose ya kamata a ɗauka nan da nan a farkon cin abinci kamar karin kumallo ko abincin farko na farko na yini, misali. Sakin-fitowar glipizide, glimepiride, glibenclamide ko gliclazide ya kamata a gudanar da su mintina 30 kafin cin abinci don ingantaccen magani.

7. Magungunan rigakafi

Magungunan rigakafi magunguna ne da ake amfani dasu don magance cututtukan da kwayar cuta ta haifar da aiki ta hana yaduwa ko kashe ƙwayoyin cutar da suka haifar da cutar.

Lokacin amfani da maganin kashe kwayoyin cuta, yana da mahimmanci koyaushe a sha shi da gilashin ruwa, saboda kayan kiwo kamar su madara da kayayyakin kiwo suna dauke da ma'adanai, kamar su sinadarin calcium da magnesium, wadanda ke hana shi sha, suna yanke tasirin sa. Bugu da kari, kar a dauki abubuwan da ke dauke da ma'adanai a lokaci guda da na kwayoyin, tare da a kalla awanni 2 tsakanin maganin rigakafin da kari.

Sauran kiyayewa tare da wasu takamaiman maganin rigakafi sun haɗa da:

• Ciprofloxacino: guji shan shi da ruwan 'ya'yan itace, saboda yana rage shan wannan kwayoyin, kuma ya kamata a jira awanni 2 tsakanin shan magani da shan wani nau'in ruwan' ya'yan itace;
• Azithromycin: ya kamata a sha a kan komai a ciki, saboda abinci yana rage karfinsa. Manufa ita ce a sha wannan magani awa 1 kafin ko awa 2 bayan cin abinci;
• Tetracycline, doxycycline ko minocycline: dole ne a dauke su a kan komai a ciki don inganta shan su; saboda haka, aƙalla awanni 2 ya kamata ya wuce tsakanin cin abinci da kuma maganin na kwayoyin cuta;
• Penicillins, kamar amoxicillin ko ampicillin: ya kamata a sha a farkon abinci mai sauƙi don rage bacin rai na ciki. Koyaya, guji cin abinci kamar su madara da kayayyakin kiwo tare da waɗannan magungunan ƙwayoyin cuta;
• Erythromycin: ya kamata a sha a kan fankar ciki saboda abinci yana rage shan wannan kwayoyin. Da kyau, ɗauki wannan magani minti 30 kafin ko awanni 2 bayan cin abinci.

Yana da mahimmanci a guji shan giya yayin shan magani tare da kowane nau'in kwayoyin cuta, saboda giya na iya cutar da hanta da tsoma baki tare da maganin ta rigakafin, ta haifar da raguwar sakamako, maye ko kuma karuwar tasirin.

8. Magungunan Magunguna

Antidepressants sune magungunan da ake amfani dasu don magance baƙin ciki, tashin hankali, schizophrenia, hyperactivity ko matsalar bacci, misali.

Akwai nau'ikan maganin rage zafin ciki, amma daga cikinsu, akwai aji wanda yake bukatar takamaiman kulawar abinci. Ana kiran wannan aji monoaminoxidase inhibitors kuma ya hada da amitriptyline, clomipramine, imipramine, phenelzine, tranylcypromine, isocarboxazide ko selegiline. Wadannan kwayoyi na iya mu'amala da abinci mai dauke da sinadarin tyramine kuma suna haifar da rikici mai hauhawar jini tare da alamomin juji, karuwar zufa, yawan gajiya, hangen nesa, tashin hankali, tashin hankali, ciwon kai da zafi a wuya.

Ana iya samun Tyramine musamman a cikin abinci mai ƙanshi ko a cikin abinci mai tsufa kamar su cuku mai laushi, naman alade, tsiran alade, salami, naman alade, alayyafo, kabeji, waken soya, giya da giya, misali. Ya kamata a guji waɗannan abincin a yayin jiyya tare da masu hana ƙwayoyin cuta na monoamine.

9. Magungunan rage zafin ciwo da maganin kumburi

Ana amfani da magungunan kashe zafin ciwo da magungunan kumburi don magance raunin matsakaici zuwa matsakaici da zazzaɓi kuma suna iya hulɗa tare da wasu abinci:

• Paracetamol: ya kamata a sha a kan komai a ciki saboda abinci, musamman wadanda ke dauke da pectin, na iya rage shan su, rage tasirin su. Bugu da kari, ya kamata mutum ya guji shan giya saboda yana iya haifar da cutar hanta da saukaka bayyanar cirrhosis ko maganin hepatitis. Duba jerin kayan abinci masu wadataccen pectin wanda yakamata a kiyaye su.
• Acetylsalicylic acid, ibuprofen, naproxen da ketoprofen: ya kamata a sha da abinci don kauce wa cutar ciki.

Bugu da kari, wasu tsire-tsire masu magani kamar su St. John's wort ko ginkgo biloba ya kamata a guji su yayin amfani da cututtukan kumburi, saboda suna iya ƙara haɗarin fushi ko zubar jini a cikin ciki.

10. Bronchodilators

Bronchodilatter magunguna ne da ake amfani dasu don magancewa da hana kai hari ga mutane masu matsalar numfashi kamar asma, ciwan mashako, emphysema ko cututtukan huhu mai tsauri.

Wasu mahimman hanyoyin kiyayewa tare da abinci, musamman lokacin amfani da magungunan maye na dogon lokaci, sune:

• Guji tare da tsire-tsire mai magani na foxglove saboda yana iya kara illolin cututtukan buradi ko haifar da maye;
• Guji cin abinci da abin sha waɗanda ke ƙunshe da maganin kafeyin, kamar su kofi, koren shayi, baƙar shayi, cakulan, abubuwan sha mai laushi ko abin sha na makamashi, saboda suna iya ƙara haɗarin illa, kamar tashin hankali, firgita ko bugun zuciya;
• Guji shan giya, akasari a cikin amfani da theophylline saboda barasa na iya ƙara haɗarin illolin, kamar tashin zuciya, amai, ciwon kai ko jin haushi.

Wasu masanan, musamman salbutamol da theophylline, idan aka yi amfani da su na tsawan lokaci, na iya haifar da asarar ma'adanai kamar su calcium, magnesium da potassium sannan, saboda haka, amfani da abubuwan kari da likita ya nuna na iya zama dole.

11. Levothyroxine

Levothyroxine shine maganin maganin kawan da ake amfani dashi don magance hypothyroidism ko lokacin da rashin wannan hormone a cikin jini.

Wannan magani ya kamata a sha a kan komai a ciki, saboda abinci yana rage shan sa, yana rage tasirin sa. Sabili da haka, ana ba da shawarar shan levothyroxine da safe a cikin komai a ciki, aƙalla mintuna 30 zuwa 60 kafin karin kumallo.

12. Antineoplastics

Magungunan antineoplastic sune magungunan da ake amfani dasu don maganin ciwon daji kuma yana iya rage tasirin su idan aka sha su da wasu abinci. Wasu misalai sune:

• Tamoxifen: ya kamata mutum ya guji cin abinci da kayan masarufi tare da waken soya yayin da suke rage aikin tamoxifen, suna rage tasirinsa wajen magance cutar sankarar mama;
• Kayan kasuwa: ya kamata a sha a kan komai a ciki kuma koyaushe tare da gilashin ruwa, ba tare da madara ba. Abinci yana rage yawan shan sa, yana rage tasirin maganin cutar sankarar bargo. Manufa ita ce a sha wannan maganin awa 1 kafin ko awa 2 bayan cin abinci;
• Capecitabine: ya kamata a sha tsakanin minti 30 bayan cin abinci, saboda abincin na inganta shan shi, wanda ke kara tasirin maganin nono, hanji ko ciwon daji na ciki.

Lokacin fara maganin kansar, masanin ilimin sanko ko likitan kanshi yakamata ya bada shawara kan hulɗar wakilan antineoplastic tare da abinci daban-daban, gwargwadon magani da nau'in magani.

13. Bisphosphonates

Bisphosphonates magunguna ne da ake amfani dasu wajen rigakafi da magani na cututtukan ƙashi daban-daban, kamar su osteoporosis, ciwon daji tare da metastasis na ƙashi, ƙaruwar alli a cikin jini ko myeloma mai yawa.

Wadannan kwayoyi ya kamata a sha a kan komai a ciki, a kalla mintuna 30 kafin cin abinci, saboda kasancewar abinci a cikin hanjin ciki yana rage sha kuma yana rage tasirin maganin.

Ta yaya pH na ciki ke shafar magunguna

Wasu magunguna sun dogara da pH na ciki don yin aiki daidai, kamar omeprazole ko esomeprazole, alal misali, waɗanda ke buƙatar ruwan ciki don kunnawa kuma suna da ayyukansu, kuma dole ne a sha su a cikin fanko.

Wani misali mai kyau shine antifungals, kamar ketoconazole, wanda ke aiki mafi kyau yayin da akwai acid pH a ciki. A wannan yanayin, ana iya ba da shawarar zaɓin shan magani bayan cin abinci tare da abinci mai guba, kamar kwai, cuku ko kifi. Kari akan haka, ana bada shawara don kaucewa amfani da magungunan antacid, misali.

Hakanan, maganin rigakafi yana aiki mafi kyau yayin da akwai ƙaramin yanayi mai ƙanshi a ciki. Sabili da haka, kyakkyawar shawara ita ce ɗaukar maganin bayan an ɗan cin abinci, kamar abin ciye-ciye na safe, zai fi dacewa dauke da abinci da ke inganta matsakaicin acid, kamar su madara ko yogurt. Duba cikakken jerin manyan abincin mai guba.

A cikin yanayin da magani zai iya rage aikinsa ta cikin ruwan ciki ko kuma wanda zai iya haifar da jin haushi na ciki, kwamfutar hannu ko kawun na iya samun abin shafawa, wanda ake kira shigar ciki, don haka maganin ya sha kansa kai tsaye ta hanji, yana guje wa rage tasiri da gefe sakamako kamar ƙwannafi, jin zafi ko ciwon ciki, misali.

Abin da za a yi kafin fara kowane magani

Wasu shawarwari masu mahimmanci yayin fara amfani da magunguna sun haɗa da:

• Koyaushe ku sha magunguna tare da gilashin ruwa, ku guje wa ruwan 'ya'yan itace ko madara;
• Tambayi likita ko likitan magunguna game da abincin da ƙila ba za a ci ba yayin magani;
• Koyaushe bi jagororin likitanci game da jadawalin shan magani da kuma ko ya kamata a sha maganin a kan ciki ko fanko;
• Faɗa wa likitanka nan da nan idan kun sami sakamako masu illa.

Bugu da kari, yana da mahimmanci a sanar da likitan dukkan magunguna, shuke-shuke masu magani ko kayan abincin da ake amfani dasu don kaucewa kara ko rage tasirin maganin.