Spironolactone ndi Hydrochlorothiazide

Zamkati

• Musanamwe spironolactone ndi hydrochlorothiazide,
• Spironolactone ndi hydrochlorothiazide zingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

Spironolactone yadzetsa zotupa mu nyama zasayansi. Lankhulani ndi dokotala wanu za kuopsa ndi phindu logwiritsa ntchito mankhwalawa matenda anu.

Mankhwalawa sayenera kugwiritsidwa ntchito mukangoyamba kumene chithandizo chamankhwala.Muyenera kumwa mankhwalawa pokhapokha madokotala atakhazikitsa mlingo woyenera wa spironolactone ndi hydrochlorothiazide.

Kuphatikiza kwa spironolactone ndi hydrochlorothiazide kumagwiritsidwa ntchito pochizira kuthamanga kwa magazi. Mankhwalawa amagwiritsidwanso ntchito kuchiza odwala omwe ali ndi edema (kusungidwa kwamadzimadzi) komwe kumachitika chifukwa cha zinthu zosiyanasiyana, kuphatikiza mtima, chiwindi, kapena matenda a impso. Spironolactone ali mgulu la mankhwala otchedwa aldosterone receptor antagonists. Zimapangitsa impso kuchotsa madzi osafunikira ndi sodium kuchokera mthupi kupita mumkodzo, koma zimachepetsa kutayika kwa potaziyamu mthupi. Hydrochlorothiazide ali mgulu la mankhwala otchedwa okodzetsa ('' mapiritsi amadzi ''). Zimagwira ntchito ndikupangitsa 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.

Kuphatikizana kwa spironolactone ndi hydrochlorothiazide kumabwera ngati piritsi kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Kukuthandizani kukumbukira kukumbukira kutenga spironolactone ndi hydrochlorothiazide, tengani nthawi yomweyo tsiku lililonse. Ngati uyenera kumwa kamodzi pa tsiku, idye m'mawa; ngati ukufuna kuti uzimwa kawiri patsiku, utenge m'mawa ndi madzulo kuti upewe kupita kuchimbudzi usiku. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani spironolactone ndi hydrochlorothiazide ndendende momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Mankhwalawa amalamulira kuthamanga kwa magazi ndi edema, koma samachiritsa izi. Pitirizani kumwa spironolactone ndi hydrochlorothiazide ngakhale mukumva bwino. Osasiya kumwa spironolactone ndi hydrochlorothiazide osalankhula ndi dokotala.

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

Musanamwe spironolactone ndi hydrochlorothiazide,

• uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi spironolactone, hydrochlorothiazide, thiazide diuretics ('' mapiritsi amadzi ''), mankhwala opangidwa ndi sulfa, penicillin, mankhwala ena, kapena chilichonse mwazomwe zimapezeka m'mapiritsi a spironolactone ndi hydrochlorothiazide. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
• Uzani dokotala wanu komanso wamankhwala mankhwala ndi mankhwala osapatsirana, mavitamini, zowonjezera zakudya, ndi mankhwala azitsamba omwe mukumwa kapena omwe mukufuna kumwa. Onetsetsani kuti mwatchulapo izi: aldosterone yoletsa mankhwala monga eplerenone (Inspra), ma enzyme otembenuza angiotensin (ACE) monga benazepril (Lotensin, ku Lotrel), captopril (Capoten), enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (ku Prinzide, mu Zestoretic), moexipril (Univasc, mu Uniretic), perindopril (Aceon), quinapril (Accupril, mu Accuretic, mu Quinaretic), ramipril (Altace), ndi trandolaprka (Mavik, ku Tarik; Otsutsana ndi angiotensin II (angiotensin receptor blockers; ma ARB) monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten, ku Teveten HCT), irbesartan (Avapro, ku Avalide), losartan Coos ku Hyzaar), olmesartan (Benicar, ku Azor, Benicar HCT), telmisartan (Micardis, ku Micardis HCT, ku Twynsta), ndi valsartan (Diovan, ku Diovan HCT, Exforge); aspirin ndi mankhwala ena osagwiritsa ntchito kutupa (NSAIDS) monga ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); digoxin (Lanoxin); heparin ndi otsika maselo heparins monga enoxaparin (Lovenox); lifiyamu (Lithobid); mankhwala a shuga kapena kuthamanga kwa magazi; potaziyamu-osunga ma diuretics ('' mapiritsi amadzi '') monga amiloride (Midamor) kapena triamterene (Dyrenium, ku Dyazide, ku Maxzide); ndi zowonjezera potaziyamu. Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• auzeni dokotala ngati muli ndi calcium kapena potaziyamu wambiri kapena mwakhala mukudwala matenda a Addison kapena matenda ena omwe angayambitse potaziyamu wambiri, kapena matenda a impso kapena chiwindi. Dokotala wanu angakuuzeni kuti musatenge spironolactone ndi hydrochlorothiazide.
• uzani dokotala wanu ngati mwakhalapo ndi mphumu, systemic lupus erythematosus (SLE, matenda otupa), matenda ashuga, kapena gout.
• uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga spironolactone ndi hydrochlorothiazide, itanani dokotala wanu.
• ngati mukuchitidwa opaleshoni, kuphatikizapo opaleshoni ya mano, uzani dokotala kapena dokotala kuti mukumwa spironolactone ndi hydrochlorothiazide.
• muyenera kudziwa kuti mankhwalawa akhoza kukupangitsani kugona. Osayendetsa galimoto kapena kugwiritsa ntchito makina mpaka mutadziwa momwe mankhwalawa amakukhudzirani.
• kumbukirani kuti mowa umatha kuwonjezera ku tulo chifukwa cha mankhwalawa.

Tsatirani malangizo a dokotala wanu kuti azidya zakudya zamchere kapena za sodium pang'ono komanso kuchita masewera olimbitsa thupi tsiku lililonse. Pewani potengera mchere wokhala ndi potaziyamu. Chepetsani kudya zakudya zokhala ndi potaziyamu (mwachitsanzo, nthochi, prunes, zoumba, ndi madzi a lalanje). Funsani dokotala wanu kuti akulangizeni za kuchuluka kwa zakudya zomwe mungakhale nazo.

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.

Spironolactone ndi hydrochlorothiazide zingayambitse zovuta. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:

• nseru
• kusanza
• kutsegula m'mimba
• kusowa chilakolako
• kupweteka m'mimba
• kukodza pafupipafupi
• chizungulire
• mutu
• kukulitsa kapena kupweteka mabere
• kusamba kosasamba
• Kuvuta kusunga kapena kukwaniritsa erection
• Kutuluka magazi kumaliseche atatha msambo ('pambuyo pa kusintha kwa moyo', kutha kwa msambo wamwezi uliwonse) akazi
• Kusinza

Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, itanani dokotala nthawi yomweyo:

• kufooka kwa minofu kapena kukokana
• kusintha kwa masomphenya kapena kupweteka kwa diso
• mofulumira, kuonda kwambiri
• kutopa
• kugunda pang'onopang'ono kapena kosasinthasintha
• kuvulaza kapena kutuluka mwachilendo
• chikasu cha khungu kapena maso
• zotupa pakhungu
• kuyabwa
• malungo
• chisokonezo

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.

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.

• Aldactazide^® (yokhala ndi Spironolactone, Hydrochlorothiazide)