Mlembi: Janice Evans
Tsiku La Chilengedwe: 3 Kulayi 2021
Sinthani Tsiku: 6 Kuguba 2025
Anonim
Drugs in Hypertension: Diuretics – Cardiovascular Pharmacology | Lecturio
Kanema: Drugs in Hypertension: Diuretics – Cardiovascular Pharmacology | Lecturio

Zamkati

Kuphatikiza kwa amiloride ndi hydrochlorothiazide kumagwiritsidwa ntchito kwaokha kapena kuphatikiza ndi mankhwala ena kuti athetse kuthamanga kwa magazi komanso kulephera kwa mtima kwa odwala omwe ali ndi potaziyamu wochepa m'matupi mwawo kapena omwe potaziyamu wocheperako m'thupi amatha kukhala owopsa. Amiloride ndi hydrochlorothiazide ali mgulu la mankhwala otchedwa diuretics ('mapiritsi amadzi'). Amagwira ntchito popangitsa impso kuchotsa madzi osafunikira ndi mchere kuchokera mthupi kupita mumkodzo.

Kuthamanga kwa magazi ndizofala ndipo ngati sanalandire chithandizo, kumatha kuwononga ubongo, mtima, mitsempha, impso ndi ziwalo zina za thupi. Kuwonongeka kwa ziwalozi kumatha kuyambitsa matenda amtima, matenda amtima, kulephera kwa mtima, sitiroko, impso kulephera, kusawona bwino, ndi mavuto ena. Kuphatikiza pa kumwa mankhwala, kusintha moyo wanu kumathandizanso kuchepetsa kuthamanga kwa magazi. Zosinthazi zikuphatikiza kudya zakudya zopanda mafuta ambiri komanso mchere, kukhalabe ndi thanzi labwino, kuchita masewera olimbitsa thupi osachepera mphindi 30 masiku ambiri, osasuta, komanso kumwa mowa pang'ono.


Kuphatikiza kwa amiloride ndi hydrochlorothiazide kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku m'mawa ndi chakudya. Kukuthandizani kukumbukira kukumbukira kutenga amiloride ndi hydrochlorothiazide, tengani nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani amiloride ndi hydrochlorothiazide monga momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mankhwalawa amaletsa kuthamanga kwa magazi komanso kulephera kwa mtima koma samachiza izi. Pitirizani kumwa amiloride ndi hydrochlorothiazide ngakhale mukumva bwino. Osasiya kumwa amiloride ndi hydrochlorothiazide osalankhula ndi dokotala.

Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.

Musanatenge amiloride ndi hydrochlorothiazide,

  • auzeni adotolo komanso asayansi yanu ngati muli ndi vuto la amiloride, hydrochlorothiazide, sulfonamide wokhala ndi mankhwala, mankhwala ena aliwonse, kapena chilichonse mwa mapiritsi a amiloride ndi hydrochlorothiazide. Funsani wamankhwala wanu kapena onani zambiri za wodwalayo kuti muwone mndandanda wazosakaniza.
  • musatenge amiloride ndi hydrochlorothiazide ngati mukumwa spironolactone (Aldactone, ku Aldactazide), mankhwala ena okhala ndi triamterene, kapena potaziyamu kapena mankhwala okhala ndi potaziyamu.
  • auzeni adotolo komanso asayansi yanu mankhwala ena omwe mungalandire kapena omwe simukulembera, mavitamini, zowonjezera zakudya, komanso mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: zoletsa ma angiotensin zotembenuza enzyme (ACE) monga benazepril (Lotensin, ku Lotrel), captopril (Capoten), fosinopril, lisinopril (ku Prinzide, mu Zestoretic), moexipril (Univasc, in Uniretic) , perindopril (Aceon), quinapril (Accupril, mu Accuretic), ramipril (Altace), ndi trandolapril (Mavik, ku Tarka); angiotensin II receptor antagonists (ARB) monga azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten, ku Teveten HCT), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, ku Azor, Benicar HCT), telmisartan (Micardis, ku Micardis HCT), ndi valsartan (Diovan, ku Diovan HCT, Exforge); barbiturates monga phenobarbital ndi secobarbital (Seconal); corticosteroids monga betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, ena), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol), prednisolone (Prelone, ena), (Rayos), ndi triamcinolone (Aristocort, Azmacort); corticotropin (ACTH HP, Acthar Gel); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin); insulin ndi mankhwala akumwa ashuga; lifiyamu (Lithobid); mankhwala othamanga magazi; kapena nonsteroidal anti-inflammatory drugs (NSAIDs) monga ibuprofen (Advil, Motrin, ena), indomethacin (Indocin), ndi naproxen (Aleve, Naprosyn, ena); kapena tacrolimus (Astagraf XL, Prograf). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
  • ngati mukumwa cholestyramine kapena colestipol, imwani ola limodzi musanathe kapena maola 4 mutamwa amiloride ndi hydrochlorothiazide.
  • uzani dokotala wanu ngati muli ndi matenda a impso. Dokotala wanu angakuuzeni kuti musatenge amiloride ndi hydrochlorothiazide.
  • auzeni dokotala ngati mwakhalapo kapena mwakhalapo ndi matenda ashuga, gout, kapena matenda a chiwindi.
  • uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga amiloride ndi hydrochlorothiazide, itanani dokotala wanu mwachangu.
  • ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa amiloride ndi hydrochlorothiazide.
  • muyenera kudziwa kuti amiloride ndi hydrochlorothiazide zimatha kuyambitsa chizungulire, kupepuka mutu, komanso kukomoka mukadzuka msanga kuchokera pomwe mwakhala mukugona. Izi ndizofala kwambiri mukayamba kumwa amiloride ndi hydrochlorothiazide. Pofuna kupewa vutoli, tulukani pabedi pang'onopang'ono, ndikupumitsa mapazi anu pansi kwa mphindi zingapo musanayimirire. Mowa ungawonjezere ku zotsatirazi.

Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, kapena kudya kapena kumwa zakudya zowonjezera potaziyamu (mwachitsanzo, nthochi, prunes, zoumba, ndi madzi a lalanje) muzakudya zanu, tsatirani malangizowa mosamala.


Tengani mlingo womwe mwaphonya mukangokumbukira. Komabe, ngati ili pafupi nthawi ya mlingo wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.

Amiloride ndi hydrochlorothiazide angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

  • kukhumudwa m'mimba
  • kutsegula m'mimba
  • kusowa chilakolako
  • kupweteka m'mimba
  • mpweya
  • mutu

Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi:

  • pakamwa pouma; ludzu; nseru; kusanza; kufooka, kutopa; kusinza; kusakhazikika; chisokonezo; kufooka kwa minofu, kupweteka, kapena kukokana; kugunda kwamtima mwachangu ndi zisonyezo zina zakusowa kwa madzi m'thupi komanso kusalingana kwa ma elektroni
  • kugunda pang'onopang'ono kapena kosasinthasintha
  • kutuluka mwachilendo kapena kuphwanya
  • chikasu cha khungu kapena maso
  • zidzolo
  • ming'oma
  • kuyabwa
  • kuvuta kupuma kapena kumeza

Mukakumana ndi zovuta zina, inu kapena adokotala mutha kutumiza lipoti ku pulogalamu ya Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting pa intaneti (http://www.fda.gov/Safety/MedWatch) kapena pafoni ( 1-800-332-1088).


Sungani mankhwala awa mu chidebe chomwe munabwera, chatsekedwa mwamphamvu, komanso kuti ana asafikire. Zisungeni kutentha ndi kutali ndi kutentha kwambiri ndi chinyezi (osati kubafa).

Mankhwala osafunikira ayenera kutayidwa munjira zapadera zowonetsetsa kuti ziweto, ana, ndi anthu ena sangamwe. Komabe, simuyenera kuthira mankhwalawa mchimbudzi. M'malo mwake, njira yabwino yoperekera mankhwala anu ndikadongosolo lobwezera mankhwala. Lankhulani ndi wamankhwala wanu kapena lemberani dipatimenti yakunyumba / yobwezeretsanso kwanuko kuti muphunzire zamapulogalamu obwezeretsanso mdera lanu. Onani tsamba la FDA's Disposal of Medicines webusayiti (http://goo.gl/c4Rm4p) kuti mumve zambiri ngati mulibe pulogalamu yobwezera.

Ndikofunika kuti mankhwala onse asamawonekere komanso kuti ana asamafikire ngati muli zidebe zambiri (monga mapiritsi a mlungu ndi mlungu ndi omwe amatsikira m'maso, mafuta, zigamba, ndi opumira) sizolimbana ndi ana ndipo ana aang'ono amatha kuzitsegula mosavuta. Pofuna kuteteza ana ang'ono kuti asatenge poyizoni, nthawi zonse tsekani zipewa zachitetezo ndikuyika mankhwalawo pamalo otetezeka - omwe ali pamwamba ndi kutali komanso osawonekera ndi kufikira. http://www.upandaway.org

Mukadwala mopitirira muyeso, itanani foni yothandizira poyizoni pa 1-800-222-1222. Zambiri zimapezekanso pa intaneti pa https://www.poisonhelp.org/help. Ngati wozunzidwayo wagwa, watenga khunyu, akuvutika kupuma, kapena sangathe kudzutsidwa, nthawi yomweyo itanani anthu azadzidzidzi ku 911.

Sungani maimidwe onse ndi dokotala wanu ndi labotale. Magazi anu amayenera kufufuzidwa pafupipafupi, komanso kuyesa magazi nthawi ndi nthawi.

Musanayezetsedwe kwa labotale, uzani adotolo ndi ogwira nawo ntchito kuti mukumwa amiloride ndi hydrochlorothiazide.

Musalole kuti wina aliyense amwe mankhwala anu. Funsani wamankhwala wanu mafunso aliwonse omwe muli nawo okhudzana ndi kudzaza mankhwala anu.

Ndikofunika kuti musunge mndandanda wamankhwala onse omwe mumalandira komanso osalembetsa (owerengera) omwe mukumwa, komanso zinthu zilizonse monga mavitamini, michere, kapena zakudya zina. Muyenera kubwera nawo pamndandandawu nthawi iliyonse mukapita kukaonana ndi dokotala kapena ngati mwalandiridwa kuchipatala. Ndikofunikanso kuthana nanu pakagwa mwadzidzidzi.

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