Spironolactone kunye neHydrochlorothiazide

Umxholo

• Ngaphambi kokuba uthathe i-spironolactone kunye ne-hydrochlorothiazide,
• I-Spironolactone kunye ne-hydrochlorothiazide zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:
• Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

I-Spironolactone ibangele amathumba kwizilwanyana zaselebhu. Thetha nogqirha wakho malunga nomngcipheko kunye nezibonelelo zokusebenzisa eli yeza kwimeko yakho.

Eli yeza akufuneki lisetyenziswe xa uqala unyango lwakho.Kufuneka uthathe eli yeza kuphela emva kokuba iidosi ezifanelekileyo ze-spironolactone kunye ne-hydrochlorothiazide zimiselwe ngugqirha wakho.

Indibaniselwano yespironolactone kunye nehydrochlorothiazide isetyenziselwa ukunyanga uxinzelelo lwegazi. La mayeza asetyenziselwa ukunyanga abaguli abane-edema (ukugcinwa kwamanzi) okubangelwa ziimeko ezahlukeneyo, kubandakanya intliziyo, isibindi, okanye isifo sezintso. I-Spironolactone ikudidi lwamayeza abizwa ngokuba yi-aldosterone receptor antagonists. Ibangela izintso zisuse amanzi angafunekiyo kunye nesodium emzimbeni ukuya emchameni, kodwa kunciphise ilahleko ye potassium emzimbeni. IHydrochlorothiazide ikudidi lwamayeza abizwa ngokuba zii-diuretics ('' iipilisi zamanzi ''). Isebenza ngokubangela ukuba izintso zikhuphe amanzi angafunekiyo kunye netyuwa emzimbeni ziye kumchamo.

Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo kwaye xa lunganyangwa, lunokubangela ukonakala kwengqondo, intliziyo, imithambo yegazi, izintso namanye amalungu omzimba. Ukonakala kula malungu kunokubangela isifo sentliziyo, isifo sentliziyo, ukusilela kwentliziyo, ukubetha, ukusilela kwezintso, ukungaboni kakuhle, kunye nezinye iingxaki. Ukongeza ekuthatheni amayeza, ukwenza utshintsho kwindlela yokuphila kuya kunceda ukulawula uxinzelelo lwegazi. Olu tshintsho lubandakanya ukutya ukutya okunamafutha amancinci kunye netyuwa, ukugcina ubunzima obunempilo, ukusebenzisa ubuncinci imizuzu engama-30 ubuninzi beentsuku, ukungatshayi, kunye nokusebenzisa utywala ngokumodareyitha.

Umdibaniso we-spironolactone kunye ne-hydrochlorothiazide iza njengecwecwe lokuthatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Ukukunceda ukhumbule ukuthatha i-spironolactone kunye ne-hydrochlorothiazide, yithathe malunga nexesha elifanayo yonke imihla. Ukuba uza kuyithatha kube kanye ngemini, yithathe kusasa; ukuba uza kuyithatha kabini ngemini, yithathe kusasa nasemva kwemini ukunqanda ukuya kwigumbi lokuhlambela ebusuku. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-spironolactone kunye ne-hydrochlorothiazide ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Eli yeza lilawula uxinzelelo lwegazi kunye ne-edema, kodwa ayizinyangi ezi meko. Qhubeka uthatha i-spironolactone kunye ne-hydrochlorothiazide nokuba uziva uphilile. Ungayeki ukuthatha i-spironolactone kunye ne-hydrochlorothiazide ngaphandle kokuthetha nogqirha wakho.

Eli yeza ngamanye amaxesha limiselwa ezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-spironolactone kunye ne-hydrochlorothiazide,

• xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-spironolactone, i-hydrochlorothiazide, i-thiazide diuretics ('' iipilisi zamanzi ''), amayeza asekwe kwisalfa, ipenicillin, amanye amayeza, okanye nasiphi na isithako esikwipilisi ye-spironolactone kunye ne-hydrochlorothiazide. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho kunye nosokhemesti ukuba yeyiphi na amayeza kagqirha kunye nalawo angabhaliswanga, iivithamini, izongezo zesondlo, kunye nemveliso yamayeza owathathayo okanye oceba ukuyithatha. Qiniseka ukuba ukhankanya nayiphi na kwezi zinto zilandelayo: i-aldosterone ethintela amayeza afana ne-eplerenone (Inspra), i-angiotensin-converting enzyme (ACE) inhibitors enje nge-benazepril (Lotensin, eLotrel), captopril (Capoten), enalapril (Vasotec, in Vaseretic), fosinopril, lisinopril (ePrinzide, eZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), kunye trandolaprka (Mavik, eTarik; abachasi be-angiotensin II (ii-angiotensin receptor blockers; ii-ARBs) ezinje nge-azilsartan (Edarbi, e-Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten, e-Teveten HCT), irbesartan (Avapro, eAvalideza, losartan Coos) eHyzaar), olmesartan (Benicar, eAzor, Benicar HCT), telmisartan (Micardis, eMicardis HCT, eTwynsta), nasevalsartan (Diovan, eDiovan HCT, Exforge); i-aspirin kunye nezinye iyeza ezichasayo (i-NSAIDS) ezinje nge-ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); idigoxin (Lanoxin); I-heparin kunye nee-heparins ezinobunzima beemolekyuli ezinje nge-enoxaparin (Lovenox); lithium (Lithobid); amayeza eswekile okanye uxinzelelo oluphezulu lwegazi; i-potassium-sparing diuretics (’’ iipilisi zamanzi ’’) ezifana neamiloride (Midamor) okanye triamterene (Dyrenium, eDyazide, eMaxzide); kunye neepotassium. Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
• xelela ugqirha wakho ukuba unamazinga aphezulu egazi e-calcium okanye i-potassium okanye unesifo i-Addison okanye ezinye iimeko ezinokubangela amanqanaba aphezulu egazi e-potassium, okanye isifo sezintso okanye sesibindi. Ugqirha wakho unokukuxelela ukuba ungathathi i-spironolactone kunye ne-hydrochlorothiazide.
• xelela ugqirha wakho ukuba ukhe wanesifo sombefu, inkquboic lupus erythematosus (SLE, imeko engapheliyo yokudumba), isifo seswekile, okanye igawuthi.
• xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-spironolactone kunye ne-hydrochlorothiazide, tsalela ugqirha wakho.
• ukuba wenza utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-spironolactone kunye ne-hydrochlorothiazide.
• Kuya kufuneka uyazi ukuba eli yeza linokukwenza wozele. Musa ukuqhuba imoto okanye usebenzise oomatshini de ube uyazi indlela elikuchaphazela ngayo eli yeza.
• khumbula ukuba utywala bunokongeza ukozela okubangelwa leli yeza.

Landela izikhokelo zikagqirha wakho ngetyuwa encinci okanye ukutya okunesodiyamu encinci kunye nenkqubo yokuzilolonga yemihla ngemihla. Gwema i-potassium enetyuwa. Nciphisa ukutya kwakho ukutya okune-potassium (umzekelo, iibhanana, iziqhamo, iidiliya, kunye nejusi yeorenji). Buza ugqirha wakho ngengcebiso malunga nokutya okuninzi onokuba nako.

Thatha idosi ephosiweyo ngokukhawuleza nje ukuba uyikhumbule. Nangona kunjalo, ukuba phantse lixesha ledosi elandelayo, tsiba idosi ephosiweyo kwaye uqhubeke neshedyuli yakho yethamo eqhelekileyo. Sukuthatha idosi ephindwe kabini ukwenza eyilahlekileyo.

I-Spironolactone kunye ne-hydrochlorothiazide zinokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• isicaphucaphu
• ukugabha
• urhudo
• Ukuphelelwa ngumdla wokutya
• isisu esibuhlungu
• ukuchama rhoqo
• isiyezi
• intloko ebuhlungu
• amabele andisiweyo okanye abuhlungu
• amaxesha okungaqhelekanga okuya exesheni
• ubunzima bokugcina okanye ukufezekisa ulwakhiwo
• ukopha kwilungu lobufazi emva kokuba sexesheni ('emva kotshintsho lobomi', ukuphela kwexesha lokuya exesheni ngenyanga) abasetyhini
• ukozela

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba ufumana nayiphi na le mpawu, biza ugqirha wakho ngokukhawuleza:

• ubuthathaka bemisipha okanye iicramps
• utshintsho kumbono okanye iintlungu zamehlo
• ngokukhawuleza, ukunciphisa umzimba ngokweqile
• ukudinwa
• ukubetha kwentliziyo kancinci okanye okungaqhelekanga
• ukugruzuka okanye ukopha okungaqhelekanga
• mthubi ulusu okanye amehlo
• irhashalala
• ukurhawuzelela
• ifiva
• ukudideka

Ukuba uhlangabezana neziphumo ebezingalindelekanga ezimandundu, wena okanye ugqirha wakho ungathumela ingxelo kwiNkqubo yoKutya kunye nezoLawulo (i-FDA) yeMedWatch yeNkqubo yokuNgxelo ngezeMeko eziGwenxa kwi-Intanethi (http://www.fda.gov/Safety/MedWatch) okanye ngomnxeba ( 1-800-332-1088).

Gcina eli yeza kwisikhongozeli elingene ngaphakathi, livalwe ngokuqinileyo, kwaye lingenakufikelela ebantwaneni. Yigcine kubushushu begumbi kwaye kude nobushushu obuninzi kunye nokufuma (hayi kwigumbi lokuhlambela).

Amayeza angafunekiyo kufuneka achithwe ngeendlela ezizodwa zokuqinisekisa ukuba izilwanyana zasekhaya, abantwana kunye nabanye abantu abanakuzisebenzisa. Nangona kunjalo, akufuneki uligungxule eli yeza kwindlu yangasese. Endaweni yoko, eyona ndlela yokulahla amayeza akho yinkqubo yokubuyisa amayeza. Thetha kumayeza wakho okanye unxibelelane nesebe lakho lenkunkuma / lokurisayikilisha ukuze ufunde malunga neenkqubo zokubuyisa kwindawo ohlala kuyo. Jonga i-FDA's Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) ngolwazi oluthe kratya ukuba awunakho ukufikelela kwinkqubo yokubuyisa.

Kubalulekile ukugcina onke amayeza ngaphandle kwamehlo kunye nokufikelela kwabantwana njengezikhongozeli ezininzi (ezinje ngeeveki zeepilisi zeveki kunye nezo zamehlo, iikhrim, iipatches, kunye ne-inhalers) azinyangeki kwaye abantwana abancinci banokuzivula ngokulula. Ukukhusela abantwana abancinci kwiityhefu, soloko ukhiya iminqwazi yokhuseleko kwaye ubeke amayeza kwindawo ekhuselekileyo-leyo iphakame kwaye iphakame kwaye ingabonakali kubo kwaye ifikelele kuyo. http://www.upandaway.org

Kwimeko yokugqithisa, fowunela umnxeba wolawulo lwetyhefu kwi-1-800-222-1222. Ulwazi lukwafumaneka kwi-Intanethi kwi-https: //www.poisonhelp.org/help. Ukuba ixhoba liye lawa, laxhuzula, linengxaki yokuphefumla, okanye alikwazi ukuvuswa, ngoko nangoko lifowunele iinkonzo zongxamiseko ngo-911.

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Uxinzelelo lwegazi kufuneka luhlolwe rhoqo, kwaye uvavanyo lwegazi kufuneka lwenziwe ngamanye amaxesha.

Ungavumeli nabani na ukuba athathe amayeza akho. Buza usokhemesti wakho nayiphi na imibuzo onayo malunga nokuzalisa amayeza akho.

Kubalulekile ukuba ugcine uluhlu olubhaliweyo lwawo onke amayeza owasebenzisayo amayeza owasebenzisayo, kunye nezinye iimveliso ezinjengeevithamini, iiminerali, okanye ezinye izongezo zokutya. Kuya kufuneka uze nolu luhlu qho xa undwendwela ugqirha okanye ungeniswe esibhedlele. Kukwabalulekile ulwazi ukuba uphathe nawe xa kukho imeko kaxakeka.

• IAldactazide^® (equlathe iSpironolactone, Hydrochlorothiazide)