Chlorothiazide

Zamkati

• Musanatenge chlorothiazide,
• Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
• Zotsatira zina zoyipa zingakhale zazikulu. Ngati mukumane ndi izi, pitani kuchipatala nthawi yomweyo kapena pitani kuchipatala mwadzidzidzi:

Chlorothiazide imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Chlorothiazide imagwiritsidwa ntchito pochizira edema (kusungira madzimadzi; madzimadzi owonjezera omwe amakhala m'matumba amthupi) obwera chifukwa cha zovuta zamankhwala, kuphatikiza mtima, impso, ndi chiwindi komanso kuchiza edema yoyambitsidwa ndi mankhwala ena kuphatikiza estrogen ndi corticosteroids. Chlorothiazide ali mgulu la mankhwala otchedwa diuretics ('mapiritsi amadzi'). Zimagwira ntchito ndikupangitsa impso kuchotsa madzi osafunikira ndi mchere kuchokera mthupi kupita mumkodzo.

Kuthamanga kwa magazi ndizofala, ndipo ngati sakuchiritsidwa kumatha kuwononga ubongo, mtima, mitsempha yamagazi, 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.

Chlorothiazide imabwera ngati piritsi ndikuyimitsa (madzi) kuti itenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Mukagwiritsidwa ntchito pochiza matenda oopsa, tengani chlorothiazide mozungulira nthawi kapena tsiku lililonse. Pogwiritsidwa ntchito pochizira edema, chlorothiazide imatha kumwa tsiku lililonse kapena masiku ena okha sabata. Tengani mankhwalawa ndi chakudya kapena chotupitsa. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani chlorothiazide monga momwe mwalangizira. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.

Chlorothizide imayang'anira kuthamanga kwa magazi ndi edema koma siyimachiza izi. Pitirizani kumwa chlorothiazide ngakhale mukumva bwino. Osasiya kumwa mankhwala a chlorothiazide osalankhula ndi dokotala.

Chlorothiazide itha kugwiritsidwanso ntchito pochiza odwala matenda ashuga insipidus komanso kusokonekera kwa ma electrolyte komanso kupewa miyala ya impso mwa odwala calcium yambiri m'magazi awo. Lankhulani ndi dokotala wanu za zoopsa zomwe zingagwiritsidwe ntchito ndi mankhwalawa.

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

Musanatenge chlorothiazide,

• uzani dokotala ndi wamankhwala ngati mankhwala a chlorothiazide, mankhwala a antibiotic a sulfonamide, penicillin, mankhwala ena aliwonse, kapena mankhwala ena aliwonse a mapiritsi a chlorothiazide kapena kuyimitsidwa. 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: barbiturates monga phenobarbital ndi secobarbital (Seconal); corticosteroids monga betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, ena), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol), prednisis, ena), prednisone (Deltasone, Meticorten, Sterapred, ena), ndi triamcinolone (Aristocort, Azmacort); corticotropin (ACTH HP, Acthar Gel); digoxin (Lanoxin); insulin ndi mankhwala akumwa ashuga, lithiamu (Lithobid), mankhwala othamanga kapena kupweteka; ndi mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga ibuprofen (Advil, Motrin, ena) ndi naproxen (Aleve, Naprosyn, ena). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
• ngati mukumwa cholestyramine kapena colestipol, imwitseni ola limodzi musanatenge kapena maola 4 mutalandira chlorothiazide.
• uzani dokotala wanu ngati muli ndi matenda a impso. Dokotala wanu angakuuzeni kuti musatenge chlorothiazide.
• auzeni adotolo ngati mwadwalapo mphumu, matenda ashuga, cholesterol, highic lupus erythematosus (SLE, matenda otupa), gout, kapena chiwindi, kapena matenda amanjenje.
• Uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Mukakhala ndi pakati mukatenga chlorothiazide, itanani dokotala wanu mwachangu.
• konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Chlorothiazide imatha kupangitsa khungu lanu kuzindikira kuwala kwa dzuwa.
• muyenera kudziwa kuti chlorothiazide imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka mwachangu pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa chlorothiazide. 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
• kutuluka kwa minofu
• kusawona bwino
• kudzimbidwa
• kutsegula m'mimba
• kusanza
• kusowa chilakolako
• mutu
• kutayika tsitsi

Zotsatira zina zoyipa zingakhale zazikulu. 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
• malungo
• matuza kapena khungu losenda
• kuvuta kupuma kapena kumeza
• ming'oma
• zidzolo
• kuyabwa
• chikasu cha khungu kapena maso

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). Musalole kuyimitsidwa kwamkamwa kuzizira.

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 ogwira nawo ntchito kuti mukumwa chlorothiazide.

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.

• Chlotride^®¶
• Diuril^®

• Aldochlor^® (yokhala ndi Chlorothiazide, Methyldopa)^¶
• Zosintha^® (yokhala ndi Chlorothiazide, Reserpine)^¶

^¶ Chogulitsa ichi sichikupezeka pamsika. Njira zina zitha kupezeka.