Furosemide
Zamkati
- Musanatenge furosemide,
- Uzani dokotala wanu ngati zina mwazizindikirozi ndizolimba kapena sizichoka:
- Zotsatira zina zoyipa zingakhale zazikulu. Ngati muli ndi zina mwazizindikirozi kapena zomwe zalembedwa mgawo la MAWUCHITIDWE OYENERA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- Zizindikiro za bongo zingaphatikizepo:
Furosemide ndi diuretic yamphamvu ('mapiritsi amadzi') ndipo imatha kuyambitsa kuchepa kwa madzi m'thupi komanso kusalinganizana kwa ma electrolyte. Ndikofunika kuti mutenge monga momwe dokotala ananenera. Ngati mukumane ndi izi, uzani dokotala nthawi yomweyo: kuchepa pokodza; pakamwa pouma; ludzu; nseru; kusanza; kufooka; kusinza; chisokonezo; kupweteka kwa minofu kapena kukokana; kapena kugunda kwamtima kofulumira kapena kovuta.
Furosemide imagwiritsidwa ntchito yokha kapena kuphatikiza mankhwala ena kuti athetse kuthamanga kwa magazi. Furosemide imagwiritsidwa ntchito pochizira edema (kusungira kwamadzimadzi; madzimadzi owonjezera omwe amakhala m'matumba amthupi) obwera chifukwa cha zovuta zamankhwala, kuphatikizapo mtima, impso, ndi matenda a chiwindi. Furosemide 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 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.
Furosemide imabwera ngati piritsi komanso ngati yankho (madzi) kuti mutenge pakamwa. Nthawi zambiri amatengedwa kamodzi kapena kawiri patsiku. Pogwiritsidwa ntchito pochizira edema, furosemide imatha kumwedwa tsiku lililonse kapena masiku ena sabata. Mukamagwiritsidwa ntchito kuthana ndi matenda oopsa, tengani furosemide mozungulira nthawi yofanana tsiku lililonse. Tsatirani malangizo omwe mwalandira mosamala, ndikufunsani dokotala kapena wamankhwala kuti afotokoze gawo lililonse lomwe simukumvetsa. Tengani furosemide chimodzimodzi monga mwalamulo. Musamamwe pang'ono kapena kumamwa pafupipafupi kuposa momwe adanenera dokotala.
Furosemide amawongolera kuthamanga kwa magazi ndi edema koma samachiritsa izi. Pitirizani kutenga furosemide ngakhale mukumva bwino. Osasiya kumwa furosemide osalankhula ndi dokotala.
Mankhwalawa nthawi zina amapatsidwa ntchito zina; funsani dokotala wanu kapena wamankhwala kuti mudziwe zambiri.
Musanatenge furosemide,
- uzani dokotala wanu komanso wamankhwala ngati simukugwirizana ndi mankhwala a furosemide, mankhwala a sulfonamide, mankhwala ena aliwonse, kapena zosakaniza zilizonse m'mapiritsi a furosemide kapena yankho. 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); ma angiotensin otembenuza enzyme (ACE) zoletsa monga benazepril (Lotensin, ku Lotrel), captopril (Capoten), fosinopril, lisinopril (ku Prinzide, mu Zestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon, Aceon) , 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); aspirin ndi salicylates ena; 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, Meprolone prednisolone (Prelone, ena), prednisone (Deltasone, Meticorten, Sterapred, ena), ndi triamcinolone (Aristocort, Azmacort); cisplatin (Platinol); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin), ethacrynic acid (Edecrin); mankhwala osokoneza bongo (Indocin); mankhwala ofewetsa tuvi tolimba; lifiyamu (Lithobid); mankhwala a shuga, kuthamanga kwa magazi komanso kupweteka; methotrexate (Trexall); zofufuza (Probalan, Probenemid); ndi phenytoin (Dilantin, Phenytek). Dokotala wanu angafunike kusintha kuchuluka kwa mankhwala anu kapena kukuyang'anirani mosamala zotsatira zake.
- ngati mukumwa sucralfate (Carafate), tengani maola 2 musanatenge kapena mutatenga furosemide.
- uzani dokotala wanu ngati muli ndi matenda a impso. Dokotala wanu angakuuzeni kuti musatenge furosemide.
- Uzani dokotala wanu ngati mwakhalapo kapena munakhalapo ndi vuto lililonse lomwe limalepheretsa chikhodzodzo kuchotseratu, matenda ashuga, gout, systemic lupus erythematosus (SLE, matenda otupa), kapena matenda a chiwindi.
- uzani dokotala wanu ngati muli ndi pakati, konzekerani kutenga pakati, kapena mukuyamwitsa. Osamayamwa mukamamwa mankhwalawa. Mukakhala ndi pakati mukatenga furosemide, itanani dokotala wanu.
- ngati mukuchitidwa opaleshoni, uzani dokotala kuti mukugwiritsa ntchito furosemide.
- konzekerani kupeŵa kuwunika kwa dzuwa kosafunikira kapena kwanthawi yayitali komanso kuvala zovala zoteteza, magalasi a dzuwa, ndi zoteteza ku dzuwa. Furosemide imatha kupangitsa khungu lanu kukhala lowala ndi dzuwa.
- Muyenera kudziwa kuti furosemide imatha kuyambitsa chizungulire, mutu wopepuka, komanso kukomoka mukadzuka msanga kuchokera pamalo abodza. Izi ndizofala kwambiri mukayamba kumwa furosemide. 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
- kusawona bwino
- mutu
- kudzimbidwa
- kutsegula m'mimba
Zotsatira zina zoyipa zingakhale zazikulu. Ngati muli ndi zina mwazizindikirozi kapena zomwe zalembedwa mgawo la MAWUCHITIDWE OYENERA, itanani dokotala wanu mwachangu kapena pitani kuchipatala mwadzidzidzi:
- malungo
- kulira m'makutu
- kusamva
- zidzolo
- ming'oma
- matuza kapena khungu losenda
- kuyabwa
- kuvuta kupuma kapena kumeza
- 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). Chotsani njira ya furosemide yosagwiritsidwa ntchito patatha masiku 90.
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
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.
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:
- ludzu lokwanira
- pakamwa pouma
- chizungulire
- chisokonezo
- kutopa kwambiri
- kusanza
- kukokana m'mimba
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 furosemide.
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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