Eplerenone
Zamkati
- Musanatenge eplerenone,
- Eplerenone angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
- Zizindikiro za bongo zingaphatikizepo:
Eplerenone imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Eplerenone ali mgulu la mankhwala otchedwa mineralocorticoid receptor antagonists. Zimagwira ntchito poletsa zochita za aldosterone, chinthu chachilengedwe m'thupi chomwe chimakweza kuthamanga kwa magazi.
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.
Eplerenone amabwera ngati piritsi kuti atenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku, popanda chakudya. Kukuthandizani kukumbukira kukumbukira kutenga eplerenone, imwani nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani eplerenone ndendende monga momwe akuuzira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Dokotala wanu akhoza kukuyambitsani pamlingo wochepa wa eplerenone ndikuwonjezera mlingo wanu pakatha milungu inayi.
Eplerenone imayendetsa kuthamanga kwa magazi koma siyichiza. Zitha kutenga milungu 4 kapena kupitilira apo musanapindule ndi eplerenone. Pitirizani kumwa eplerenone ngakhale mutakhala bwino. Osasiya kumwa eplerenone osalankhula ndi dokotala.
Mankhwalawa amatha kupatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge eplerenone,
- uzani dokotala wanu komanso wamankhwala ngati muli ndi vuto la eplerenone, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a eplerenone. Funsani wamankhwala wanu kuti awonetse mndandanda wazosakaniza.
- musamamwe eplerenone ngati mukumwa amiloride (Midamor), amiloride ndi hydrochlorothiazide, itraconazole (Onmel, Sporanox), ketoconazole (Nizoral), zowonjezera potaziyamu, spironolactone (Aldactone), spironolactone ndi hydrochlorothiazide (Aldactazide, Aldactazide, Aldactazide, Aldactazide, Aldactazide) triamterene ndi hydrochlorothiazide (Dyazide, Maxzide).
- Uzani dokotala ndi wazamankhwala mankhwala ena omwe mumalandira, mavitamini, ndi zakudya zina zomwe mumamwa. Onetsetsani kuti mwatchulapo izi: angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril (Capoten), enalapril (Vasotec, mu Vaseretic), fosinopril, lisinopril (mu Prinzide, mu Zestoretic), ndi quinapril (Accupril, mu Accuretic, mu Quinaretic); Otsutsana ndi angiotensin II monga azilsartan (Edarbi, ku Edarbyclor), candesartan (Atacand, ku Atacand HCT), eprosartan (Teveten), irbesartan (Avapro, ku Avalide), losartan (Cozaar, ku Hyzaar), olmesartan (Benicar, Azariya , mu 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) ndi naproxen (Aleve, Naprosyn); cimetidine (Tagamet); clarithromycin (Biaxin); danazol; delavirdine (Wolemba) diltiazem (Cardizem, Dilacor, Tiazac, ena); erythromycin (EES, E-Mycin, Erythrocin); fluconazole (Diflucan); fluoxetine (Prozac, Sarafem, Selfemra); fluvoxamine (Luvox); HIV protease inhibitors monga indinavir (Crixivan), ritonavir (Norvir, ku Kaletra), ndi saquinavir (Invirase); isoniazid (Laniazid, ku Rifamate, Rifater); lifiyamu (Lithobid); metronidazole (Flagyl); nefazodone; verapamil (Calan, Covera, Verelan, ku Tarka); ndi zafirlukast (Wokwanira). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- uzani dokotala wanu za mankhwala azitsamba omwe mukumwa, makamaka wort ya St.
- Uzani dokotala wanu ngati mwakhalapo ndi potaziyamu, shuga, gout, kapena chiwindi kapena matenda a impso.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga eplerenone, itanani dokotala wanu.
Lankhulani ndi dokotala wanu za kumwa zakumwa zamadzimadzi mukamamwa mankhwalawa.
Osagwiritsa ntchito potengera mchere wokhala ndi potaziyamu mukamamwa eplerenone. Ngati dokotala wanu akupatsani zakudya zamchere kapena za sodium, 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.
Eplerenone angayambitse mavuto. Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- mutu
- chizungulire
- kutsegula m'mimba
- kupweteka m'mimba
- chifuwa
- kutopa kwambiri
- zizindikiro ngati chimfine
- kukulitsa m'mawere kapena kufatsa
- kutuluka mwazi kumaliseche
Zotsatira zina zoyipa zingakhale zazikulu. Zizindikiro zotsatirazi sizachilendo, koma ngati mungakumane ndi zina mwazi, itanani dokotala wanu mwachangu:
- kupweteka pachifuwa
- kumva kulira kwa mikono ndi miyendo
- kutayika kwa minofu
- kufooka kapena kulemera kwa miyendo
- chisokonezo
- kusowa mphamvu
- ozizira, otuwa khungu
- kugunda kwamtima kosasintha
Eplerenone imatha kubweretsa zovuta zina. Itanani dokotala wanu ngati muli ndi zovuta zina mukamamwa mankhwalawa.
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 chidabwera, chatsekedwa mwamphamvu, komanso chosafikira ana. 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.
Zizindikiro za bongo zingaphatikizepo:
- kukomoka
- chizungulire
- kusawona bwino
- kukhumudwa m'mimba
- kumva kulira kwa mikono ndi miyendo
- kutayika kwa minofu
- kufooka kapena kulemera kwa miyendo
- chisokonezo
- kusowa mphamvu
- ozizira, otuwa khungu
- kugunda kosasinthasintha kapena kosachedwa
Sungani maimidwe onse ndi dokotala wanu ndi labotale. Dokotala wanu amayang'ana kuthamanga kwa magazi kwanu pafupipafupi ndikulamula mayeso ena a labu kuti muwone momwe thupi lanu limayankhira eplerenone.
Musalole kuti aliyense azimwa 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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