Torsemide
Zamkati
- Asanatenge torsemide,
- Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati muli ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
Torsemide imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Torsemide imagwiritsidwa ntchito pochizira edema (kusungira kwamadzimadzi; madzimadzi owonjezera omwe amakhala m'matumba amthupi) amayambitsidwa ndi zovuta zamankhwala, kuphatikizapo mtima, impso, kapena matenda a chiwindi. Torsemide ali mgulu la mankhwala otchedwa diuretics ('mapiritsi amadzi'). Zimagwira ntchito ndikupangitsa impso kuchotsa madzi osafunikira ndi mchere kuchokera mthupi kupita mumkodzo.
Kuthamanga kwa magazi ndichizolowezi, ndipo ngati sakuchiritsidwa 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.
Torsemide imabwera ngati piritsi kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi patsiku. Kukuthandizani kukumbukira kukumbukira kutenga torsemide, tengani mozungulira nthawi yomweyo tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tenga torsemide ndendende monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Torsemide imayang'anira kuthamanga kwa magazi ndi edema koma siyimachiritsa izi. Pitirizani kumwa mafuta ngakhale mutakhala bwino. Osasiya kumwa mankhwalawa musanalankhule ndi dokotala.
Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Asanatenge torsemide,
- Uzani dokotala ndi wazamankhwala ngati muli ndi matupi awo sagwirizana ndi torsemide, mankhwala a sulfonamide, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a torsemide. Funsani wamankhwala wanu kapena onani zambiri za wodwalayo kuti muwone 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: aminoglycoside maantibayotiki monga amikacin, gentamicin (Garamycin), kapena tobramycin (Bethkis, Tobi), aspirin ndi mankhwala osagwiritsa ntchito zotupa (NSAIDs) monga ibuprofen (Advil, Motrin, ena) ndi naproxen (Aleve, Naprosyn, ena); corticosteroids monga betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, ena), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol, Meprolone prednisolone (Prelone, ena), prednisone (Rayos), ndi triamcinolone (Aristocort, Azmacort); corticotropin (ACTH, HP, Acthar Gel); digoxin (Lanoxin), ethacrynic acid (Edecrin), indomethacin (Indocin), lithiamu (Lithobid), mankhwala a kuthamanga kwa magazi kapena kupweteka, ndi probenecid (Probalan, Probenemid). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- ngati mukumwa cholestyramine (Questran), imwanireni maola 4 kapena ola limodzi mutaperekanso.
- uzani dokotala wanu ngati mwakhalapo ndi matenda a impso. Dokotala wanu akhoza kukuwuzani kuti musathenso kupitirira.
- uzani dokotala wanu ngati mwakhala mukudwala matenda a shuga, gout, mtima, kapena chiwindi.
- Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Osamayamwa mukamwa mankhwalawa. Mukakhala ndi pakati mukamamwa mankhwalawa, itanani dokotala wanu.
- muyenera kudziwa kuti kutalika kwa dzuwa kumatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka msanga kuchokera pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa torsemide. 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 wanu wotsatira, dumpha mlingo womwe umasowa ndikupitiliza dongosolo lanu lokhazikika. Musatenge mlingo wawiri kuti mupange omwe mwaphonya.
Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- kukodza pafupipafupi
- chifuwa
- kudzimbidwa
- kutsegula m'mimba
- kutaya kumva
- kulira m'makutu
- chikhure
- mutu
- kukhumudwa m'mimba
Zotsatira zina zoyipa zingakhale zazikulu. Ngati muli ndi zina mwazizindikirozi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala:
- 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
- mofulumira, kuonda kwambiri
- kusanza magazi
- kupweteka pachifuwa
- kuvuta kupuma kapena kumeza
- matuza kapena khungu losenda
- ming'oma
- zidzolo
- kuyabwa
- kupweteka komwe kumayambira m'mimba, koma kumatha kufalikira kumbuyo
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.
Musanapite kukayezetsa labotale, uzani adotolo ndi omwe akuwagwiritsa ntchito kuti mukumwa mankhwalawa.
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.
- Demadex®