Umbhali: Virginia Floyd
Umhla Wokudalwa: 9 Eyethupha 2021
Hlaziya Umhla: 16 Eyenkanga 2024
Anonim
Chlorothiazide, Hydrochlorothiazide, and Metolazone - Thiazide Diuretics
Ividiyo: Chlorothiazide, Hydrochlorothiazide, and Metolazone - Thiazide Diuretics

Umxholo

I-Chlorothiazide isetyenziswa yodwa okanye idityaniswe namanye amayeza ukunyanga uxinzelelo lwegazi. I-Chlorothiazide isetyenziselwa ukunyanga i-edema (ukugcinwa kwamanzi), ulwelo oluninzi olugcinwe kwizicubu zomzimba) ezibangelwa ziingxaki ezahlukeneyo zonyango, kubandakanya intliziyo, izintso kunye nesifo sesibindi kunye nokunyanga i-edema ebangelwa kukusebenzisa amayeza athile kubandakanya i-estrogen kunye ne-corticosteroids. I-Chlorothiazide ikudidi lwamayeza abizwa ngokuba yi-diuretics ('iipilisi zamanzi'). Isebenza ngokubangela ukuba izintso zikhuphe amanzi angafunekiyo kunye netyuwa emzimbeni ziye kumchamo.

Uxinzelelo lwegazi oluphezulu yimeko eqhelekileyo, kwaye xa inganyangwa inokubangela umonakalo kwingqondo, entliziyweni, kwimithambo yegazi, kwizintso nakwamanye 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.


I-Chlorothiazide iza njengecwecwe kunye nokumiswa (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Xa usetyenziselwa ukunyanga uxinzelelo lwegazi, thabatha i-chlorothiazide malunga nexesha elifanayo (ii) imihla ngemihla. Xa isetyenziselwa ukunyanga i-edema, i-chlorothiazide inokuthathwa yonke imihla okanye ngeentsuku ezithile zeveki. Thatha la mayeza ngokutya okanye kwi-snack. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-chlorothiazide ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

I-Chlorothizide ilawula uxinzelelo lwegazi kunye ne-edema kodwa ayizinyangi ezi meko. Qhubeka nokuthatha i-chlorothiazide nokuba uziva uphilile. Ungayeki ukuthatha i-chlorothiazide ngaphandle kokuthetha nogqirha wakho.

I-Chlorothiazide inokusetyenziselwa ukunyanga abaguli abanesifo seswekile i-insipidus kunye nokuphazamiseka okuthile kwe-electrolyte kunye nokuthintela amatye kwizintso kwizigulana ezinamanqanaba aphezulu e-calcium egazini. Thetha nogqirha wakho malunga neengozi zokusebenzisa eli yeza kwimeko yakho.


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

Ngaphambi kokuba uthathe i-chlorothiazide,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabana ne-chlorothiazide, amayeza e-sulfonamide antibiotics, ipenicillin, nawaphi na amanye amayeza, okanye naziphi na izithako ezikwiipilisi ze-chlorothiazide okanye ukumiswa. Buza usokhemesti wakho okanye ujonge ulwazi lwesigulana 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-barbiturates efana ne-phenobarbital kunye ne-secobarbital (Seconal); i-corticosteroids efana ne-betamethasone (i-Celestone), i-budesonide (i-Entocort), i-cortisone (i-Cortone), i-dexamethasone (i-Decadron, i-Dexpak, i-Dexasone, abanye), i-fludrocortisone (i-Floriner), i-hydrocortisone (i-Cortef, i-Hydrocortone), i-methylprednisolone (i-Medrol), i-prednone abanye), prednisone (Deltasone, Meticorten, Sterapred, abanye), kunye ne-triamcinolone (Aristocort, Azmacort); i-corticotropin (i-ACTH HP, i-Acthar Gel); idigoxin (Lanoxin); I-insulin kunye namayeza omlomo eswekile, i-lithium (Lithobid), amayeza oxinzelelo lwegazi okanye iintlungu; kunye ne-nonsteroidal anti-inflammatory drug (NSAIDs) ezinje nge-ibuprofen (Advil, Motrin, abanye) kunye ne-naproxen (Aleve, Naprosyn, abanye). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • ukuba uthatha icholestyramine okanye i-colestipol, thatha iyure e-1 ngaphambi okanye kwiiyure ezi-4 emva kokuthatha i-chlorothiazide.
  • xelela ugqirha wakho ukuba unesifo sezintso. Ugqirha wakho unokukuxelela ukuba ungathathi i-chlorothiazide.
  • xelela ugqirha wakho ukuba ubukhe wanesifo sombefu, isifo seswekile, icholesterol ephezulu, isifo se-systemic lupus erythematosus (SLE, isifo esinganyangekiyo sokudumba), igawuthi, okanye isibindi, okanye isifo separathyroid.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-chlorothiazide, biza ugqirha ngokukhawuleza.
  • cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. I-Chlorothiazide inokwenza ulusu lwakho lubuthathaka kwilanga.
  • Kuya kufuneka uyazi ukuba i-chlorothiazide inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Oku kuqheleke ngakumbi xa uqala ukuthatha i-chlorothiazide. Ukuthintela le ngxaki, phuma kancinci ebhedini, uphumle iinyawo zakho phantsi imizuzu embalwa ngaphambi kokuba ume. Utywala bunokongeza kwezi ziphumo bezingalindelekanga.

Ukuba ugqirha wakho ukumisela ukutya okunetyuwa encinci okanye ukutya okunesodiyam ephantsi, okanye ukutya okanye ukusela ukutya okune-potassium eninzi (umzekelo, iibhanana, iiprimon, iidiliya, kunye nejusi yeorenji) kwisidlo sakho, landela le miyalelo ngononophelo.


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

Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

  • ukuchama rhoqo
  • ukudumba kwezihlunu
  • ukungaboni kakuhle
  • ukuqhina
  • urhudo
  • ukugabha
  • Ukuphelelwa ngumdla wokutya
  • intloko ebuhlungu
  • ukulahleka kweenwele

Ezinye iziphumo ebezingalindelekanga zinokuba nzulu. Ukuba unazo naziphi na kwezi mpawu, tsalela umnxeba kwangoko okanye ufune unyango olungxamisekileyo:

  • umlomo owomileyo; unxano; isicaphucaphu; ukugabha; ubuthathaka, ukudinwa; ukozela; ukungazinzi; ukudideka; ubuthathaka bemisipha, iintlungu, okanye iicramps; ukubetha kwentliziyo okukhawulezayo kunye neminye imiqondiso yokuphelelwa ngamanzi emzimbeni kunye nokungalingani kwe-electrolyte
  • ifiva
  • i-blisters okanye i-peeling skin
  • ubunzima bokuphefumla okanye ukugwinya
  • urhwebo
  • irhashalala
  • ukurhawuzelela
  • mthubi ulusu okanye amehlo

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). Musa ukuvumela ukunqunyanyiswa ngomlomo kubanda.

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.

Ngaphambi kokuba uvavanywe elebhu, xelela ugqirha wakho kunye nabasebenzi baselebhu ukuba uthatha i-chlorothiazide.

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.

  • IChlotride®
  • UDiuril®
  • IAldochlor® (iqulethe iChlorothiazide, Methyldopa)
  • Iidiyasi® (iqulethe iChlorothiazide, Reserpine)

Le mveliso inophawu akusekho kwimarike. Ezinye iindlela ezinokubakho zinokubakho.

Ukuhlaziywa kokugqibela-06/15/2017

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