Umbhali: Joan Hall
Umhla Wokudalwa: 4 Eyomdumba 2021
Hlaziya Umhla: 23 Eyenkanga 2024
Anonim
How Does Furosemide Work? Understanding Loop Diuretics
Ividiyo: How Does Furosemide Work? Understanding Loop Diuretics

Umxholo

I-Furosemide yidreyiti eyomeleleyo ('ipilisi yamanzi') kwaye inokubangela ukungabikho komzimba kunye nokungalingani kwe-electrolyte. Kubalulekile ukuba uyithathe kanye njengoko uxelelwe ngugqirha wakho. Ukuba ufumana naziphi na kwezi mpawu zilandelayo, tsalela umnxeba ugqirha ngokukhawuleza: ukuncipha kokuchama; umlomo owomileyo; unxano; isicaphucaphu; ukugabha; ubuthathaka; ukozela; ukudideka; iintlungu zezihlunu okanye iicamps; okanye ukubetha kwentliziyo okukhawulezayo okanye okubetha ngamandla.

IFurosemide isetyenziswa yodwa okanye idityaniswe namanye amayeza ukunyanga uxinzelelo lwegazi. IFurosemide isetyenziselwa ukunyanga i-edema (ukugcinwa kwamanzi), ulwelo oluninzi olugcinwe kwizicubu zomzimba) ezibangelwa ziingxaki ezahlukeneyo zonyango, kubandakanya intliziyo, izintso kunye nesifo sesibindi. UFurosemide ukwiklasi yamayeza 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 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-Furosemide iza njengecwecwe kunye nesisombululo (ulwelo) ukuthatha ngomlomo. Ihlala ithathwa kanye okanye kabini ngemini. Xa isetyenziselwa ukunyanga i-edema, i-furosemide inokuthathwa yonke imihla okanye ngeentsuku ezithile zeveki. Xa usetyenziselwa ukunyanga uxinzelelo lwegazi, thabatha i-furosemide malunga nexesha elifanayo (imihla) yonke imihla. Landela izikhokelo kwileyibhile yakho yonyango ngononophelo, kwaye ubuze ugqirha wakho okanye usokhemesti ukuba achaze nayiphi na indawo ongayiqondiyo. Thatha i-furosemide ngokuchanekileyo njengoko kuyalelwe. Musa ukuthatha ngaphezulu okanye ngaphantsi kwayo okanye uthathe rhoqo kunokuba umiselwe ngugqirha wakho.

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

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

Ngaphambi kokuba uthathe i-furosemide,

  • xelela ugqirha wakho kunye nosokhemesti ukuba ngaba uxabisa i-furosemide, amayeza e-sulfonamide, nawaphi na amanye amayeza, okanye nasiphi na isithako kwiipilisi ze-furosemide okanye isisombululo. 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: aminoglycoside antibiotics njengeamikacin, gentamicin (Garamycin), okanye tobramycin (Bethkis, Tobi); i-angiotensin-converting enzyme (ACE) inhibitors enjenge benazepril (Lotensin, eLotrel), captopril (Capoten), fosinopril, lisinopril (ePrinzide, eZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon) , kwiAccuretic), ramipril (Altace), kunye netrandolapril (Mavik, eTarka); ii-angiotensin II receptor antagonists (ARB) ezinje nge-azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, eAtacand HCT), eprosartan (Teveten, eTeveten HCT), irbesartan (Avapro, eAvalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, eAzor, Benicar HCT), telmisartan (Micardis, eMicardis HCT), kunye ne-valsartan (Diovan, eDiovan HCT, Exforge); iasprini kunye nezinye iisylicates; 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-Meprol prednisolone (Prelone, abanye), prednisone (Deltasone, Meticorten, Sterapred, abanye), kunye ne-triamcinolone (Aristocort, Azmacort); i-cisplatin (iPlatinol); icyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin), i-ethacrynic acid (i-Edecrin); indomethacin (Indocin); laxatives; lithium (Lithobid); amayeza eswekile, uxinzelelo lwegazi kunye neentlungu; imethotrexate (Trexall); i-probenecid (i-Probalan, iProbenemid); kunye ne phenytoin (Dilantin, Phenytek). Ugqirha wakho unokufuna ukutshintsha amayeza akho okanye akubeke esweni ngononophelo kwiziphumo ebezingalindelekanga.
  • ukuba uthatha i-sucralfate (Carafate), yithathe iiyure ezi-2 ngaphambi okanye emva kokuba uthathe i-furosemide.
  • xelela ugqirha wakho ukuba unesifo sezintso. Ugqirha wakho unokukuxelela ukuba ungathathi i-furosemide.
  • xelela ugqirha wakho ukuba ukhe wakha wanaso nasiphi na isimo esimisa isinyi sakho ekupheliseni ngokupheleleyo, isifo seswekile, igawuthi, inkqubo ye-lupus erythematosus (SLE, imeko engapheliyo yokudumba), okanye isifo sesibindi.
  • xelela ugqirha wakho ukuba ukhulelwe, cwangcisa ukukhulelwa, okanye uncancisa. Musa ukuncancisa xa uthatha eli yeza. Ukuba ukhulelwa ngelixa uthatha i-furosemide, tsalela ugqirha wakho.
  • ukuba wenza utyando, xelela ugqirha ukuba usebenzisa i-furosemide.
  • cwangcisa ukuthintela ukukhanya elangeni ngokungeyomfuneko okanye ixesha elide kunye nokunxiba impahla ekhuselayo, iiglasi zelanga kunye nescreen selanga. I-Furosemide inokwenza ulusu lwakho lubuthathaka kwilanga.
  • Kuya kufuneka uyazi ukuba i-furosemide inokubangela ukuba ube nesiyezi, ukuba nentloko elula, kunye nokuphelelwa ngamandla xa usukuma ngokukhawuleza kwindawo yokulala. Oku kuqheleke ngakumbi xa uqala ukuthatha i-furosemide. 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
  • ukungaboni kakuhle
  • intloko ebuhlungu
  • ukuqhina
  • urhudo

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

  • ifiva
  • kukhala ezindlebeni
  • ukulahlekelwa kukuva
  • irhashalala
  • urhwebo
  • i-blisters okanye i-peeling skin
  • ukurhawuzelela
  • ubunzima bokuphefumla okanye ukugwinya
  • 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). Lahla isisombululo se-furosemide esingasetyenziswanga emva kweentsuku ezingama-90.

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 zokudlula ngaphezulu zinokubandakanya:

  • ukunxanwa okugqithisileyo
  • umlomo owomileyo
  • isiyezi
  • ukudideka
  • ukudinwa kakhulu
  • ukugabha
  • isisu esiswini

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-furosemide.

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.

  • Lasix®
Ukuhlaziywa kokugqibela-09/15/2017

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