I-Spironolactone

Umxholo

• Ngaphambi kokuba uthathe i-spironolactone,
• I-Spironolactone inokubangela 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:
• Iimpawu libanda kungaquka oku kulandelayo:

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

I-Spironolactone isetyenziselwa ukunyanga izigulana ezithile ezine-hyperaldosteronism (umzimba uvelisa kakhulu i-aldosterone, ihomoni yendalo); amanqanaba aphantsi e-potassium; ukumelwa yintliziyo; nakwizigulana ezine-edema (ukugcinwa kwamanzi) okubangelwa ziimeko ezahlukeneyo, kubandakanya isibindi, okanye isifo sezintso. Isetyenziswa sodwa okanye namanye amayeza ukunyanga uxinzelelo lwegazi oluphezulu. 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.

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.

I-Spironolactone iza njengecwecwe kunye nokumiswa (ulwelo; iCarospir) ukuyithatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Thatha ukumiswa kwe-spironolactone ngokungaguqukiyo kunye nokutya okanye ngaphandle kokutya ngalo lonke ixesha. Thatha i-spironolactone malunga nexesha elifanayo (ii) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-spironolactone ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

Hlanganisa ukunqunyanyiswa komlomo ngaphambi kokuba usebenzise nganye ukuxuba amayeza ngokulinganayo.

Ugqirha wakho unokukuqala kwidosi esezantsi ye-spironolactone kwaye ngokuthe ngcembe wandise idosi yakho.

Amacwecwe e-Spironolactone kunye nokumiswa kukhupha amayeza ngokwahlukileyo emzimbeni wakho kwaye akunakubekwa endaweni yawo. Thatha kuphela imveliso ye-spironolactone emiselwe ngugqirha wakho kwaye ungatshintsheli kwimveliso eyahlukileyo ye-spironolactone ngaphandle kokuba ugqirha wakho uthi kufanele.

I-Spironolactone ilawula uxinzelelo lwegazi oluphezulu, i-edema, ukusilela kwentliziyo, kunye ne-hyperaldosteronism kodwa ayizinyangi ezi meko. Ingathatha malunga neeveki ezi-2 okanye ngaphezulu ngaphambi kokuba isiphumo se-spironolactone sivele. Qhubeka nokuthatha i-spironolactone nokuba uziva uphilile. Sukuyeka ukuthatha i-spironolactone ngaphandle kokuthetha nogqirha wakho.

I-Spironolactone ikwasetyenziswa ngokudibeneyo namanye amayeza ukunyanga ukufikisa ngaphambi kwexesha (imeko ebangela ukuba abantwana bangene ebusheni ngokukhawuleza, okukhokelela kuphuhliso lweempawu zesondo kumantombazana ahlala engaphantsi kweminyaka eyi-8 ubudala kwaye kumakhwenkwe ahlala engaphantsi kweminyaka eyi-9 ubudala ) okanye i-myasthenia gravis (MG, isifo esingasebenzi kakuhle kwimithambo-luvo kwaye abaguli banokufumana ubuthathaka; ukuphazamiseka; ukuphulukana nokulungelelaniswa kwemisipha; kunye neengxaki zombono, intetho, kunye nolawulo lwesinyi). I-Spironolactone nayo inokusetyenziselwa ukunyanga izigulana ezithile zabasetyhini ezineenwele zobuso ezingaqhelekanga. Thetha nogqirha wakho malunga neengozi zokusebenzisa la mayeza kwimeko yakho.

La mayeza ngamanye amaxesha amiselweyo kwezinye izinto; buza ugqirha wakho okanye usokhemesti ngolwazi oluthe kratya.

Ngaphambi kokuba uthathe i-spironolactone,

• xelela ugqirha wakho kunye nosokhemisti ukuba ngaba uxabisa kwi-spironolactone; nawaphi na amanye amayeza; okanye nasiphi na isithako esenziwe kwiipilisi ze-spironolactone. Buza usokhemesti wakho uluhlu lwezithako.
• xelela ugqirha wakho ukuba uthatha i-eplerenone (Inspra). Ugqirha wakho unokukuxelela ukuba ungathathi i-spironolactone ukuba uthatha la mayeza.
• 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: aminoglycoside antibiotics ezifana ne-amikacin, gentamicin, kanamycin, neomycin (Neo-Rx, Neo-Fradin), streptomycin, kunye ne-tobramycin (Tobi); i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril (Capoten), enalapril (Vasotec), fosinopril, lisinopril (ePrinzide, eZestoretic), moexipril (Univasc, in Unopic) Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), kunye trandolapril (Mavik, eTarka); abachasi be-angiotensin II (ii-angiotensin receptor blockers; ii-ARBs) ezinje nge-azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten, eTeveten HCT), irbesartan (Avapro, eAvalide), losartan (Cozaar) Hyzaar), olmesartan (Benicar, eAzor, Benicar HCT, Tribenzor), telmisartan (Micardis, eMicardis HCT), kunye ne-valsartan (Diovan, eDiovan HCT, Exforge); i-aspirin kunye nezinye iyeza ezichasayo (i-NSAIDS) ezinje nge-ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex), kunye ne naproxen (Aleve, Naprosyn); i-barbiturates efana ne-phenobarbital; cholestyramine (Prevalite); icisisplatin; idigoxin (Lanoxin); i-diuretics ('iipilisi zamanzi') kubandakanya i-potassium-sparing diuretics enje nge-amiloride (Midamor) kunye ne-triamterene (Dyrenium, eDyazide, eMaxzide); i-heparin okanye i-molecular-weight heparin enoxaparin (Lovenox); lithium (Lithobid); amayeza ukunyanga uxinzelelo lwegazi oluphezulu; amayeza e-narcotic entlungu; i-steroids yomlomo efana ne-dexamethasone, i-methylprednisolone (iMedrol), kunye ne-prednisone (iRayos); izongezo zepotassium; kunye ne-trimethoprim (Primsol, kwiBactrim).
• xelela ugqirha wakho ukuba unesifo iAddison okanye ezinye iimeko ezinokubangela amanqanaba aphezulu egazi potassium, okanye isifo sezintso. Ugqirha wakho unokukuxelela ukuba ungathathi i-spironolactone.
• xelela ugqirha wakho ukuba unesifo sesibindi.
• xelela ugqirha wakho ukuba ukhulelwe, okanye ucwangcise ukukhulelwa, okanye uncancisa. Ukuba ukhulelwa ngelixa uthatha i-spironolactone, tsalela umnxeba ugqirha wakho.
• ukuba uyenziwa utyando, kubandakanya utyando lwamazinyo, xelela ugqirha okanye ugqirha wamazinyo ukuba uthatha i-spironolactone.
• Kuya kufuneka uyazi ukuba ukusela utywala ngala mayeza kunokubangela ukuba ube nesiyezi, ukuba nentloko ebuthathaka, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo olele kuyo. Thetha nogqirha wakho malunga nokusela utywala ngelixa uthatha i-spironolactone.

Landela umkhombandlela kagqirha wakho kwizidlo zakho, kubandakanya neengcebiso malunga nokutya okuncitshisiweyo kwetyuwa (isodiyam) kunye nenkqubo yemithambo yemihla ngemihla. Gwema i-potassium enetyuwa endaweni yamayeza ngelixa usela la mayeza. Thetha nogqirha wakho malunga nenani lokutya okune-potassium (umzekelo, iibhanana, iiprunes, iirisini, kunye nejusi yeorenji) onokuthi ube nayo ekutyeni kwakho.

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.

I-Spironolactone inokubangela iziphumo ebezingalindelekanga. Tshela ugqirha wakho ukuba ngaba ezinye zeempawu zinzima okanye azihambi:

• ukugabha
• urhudo
• isisu esibuhlungu okanye iicramps
• amabele andisiweyo okanye abuhlungu emadodeni okanye kubafazi
• amaxesha okungaqhelekanga okuya exesheni
• ukopha kwilungu lobufazi emva kokuba sexesheni ('emva kotshintsho lobomi', ukuphela kwexesha lokuya exesheni ngenyanga) abasetyhini
• ubunzima bokugcina okanye ukufezekisa ulwakhiwo
• Ukujula kwelizwi
• ukwanda kokukhula kweenwele kumalungu omzimba
• ukozela
• ukudinwa
• ukungazinzi

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

• ubuthathaka bemisipha, iintlungu, okanye iicramps
• iintlungu, ukutshisa, ukuba ndindisholo, okanye ukubetha ezandleni okanye ezinyaweni
• ukungakwazi ukuhambisa iingalo okanye imilenze
• utshintsho kwintliziyo
• ukudideka
• isicaphucaphu
• ukudinwa kakhulu
• umlomo owomileyo, unxano, isiyezi, ukungazinzi, intloko ebuhlungu, okanye ezinye iimpawu zokuphelelwa ngamanzi emzimbeni
• ukopha okungaqhelekanga okanye ukugruzuka
• ukunqongophala kwamandla
• Ukuphelelwa ngumdla wokutya
• iintlungu kwinxalenye ephezulu yesisu
• mthubi ulusu okanye amehlo
• Iimpawu ezinjengomkhuhlane
• irhashalala
• urhwebo
• ukurhawuzelela
• ubunzima bokuphefumla okanye ukugwinya
• ukugabha igazi
• igazi kwizitulo
• ukuncipha kokuchama
• isiqaqa

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).

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

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.

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.

Iimpawu libanda kungaquka oku kulandelayo:

• ukozela
• ukudideka
• irhashalala
• isicaphucaphu
• ukugabha
• isiyezi
• urhudo
• ukurhawuzelela iingalo nemilenze
• ukulahleka kwethoni yezihlunu
• ubuthathaka okanye ubunzima emilenzeni
• ukubetha kwentliziyo okungaqhelekanga okanye okucothayo

Gcina lonke ixesha lokudibana nogqirha wakho kunye nelabhoratri. Ugqirha wakho uya kuyalela iimvavanyo ezithile zebhu ukujonga impendulo yomzimba wakho kwi-spironolactone.

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

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.

• IAldactone^®
• ICarospir^®