Umlobi: Marcus Baldwin
Usuku Lokudalwa: 21 Ujuni 2021
Ukuvuselela Usuku: 16 Unovemba 2024
Anonim
Furosemide, Torsemide, and Bumetanide - Loop Diuretics
Ividiyo: Furosemide, Torsemide, and Bumetanide - Loop Diuretics

-Delile

I-Torsemide isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. I-Torsemide isetshenziselwa ukwelapha i-edema (ukugcinwa koketshezi; uketshezi oluningi olugcinwe kwizicubu zomzimba) okubangelwa izinkinga ezahlukahlukene zezokwelapha, kufaka phakathi isifo senhliziyo, sezinso noma sesibindi. UTorsemide usesigabeni semithi ebizwa nge-diuretics ('amaphilisi amanzi'). Isebenza ngokubangela izinso ukuthi zisuse amanzi nosawoti ongadingeki emzimbeni zingene emchameni.

Umfutho wegazi ophezulu yisimo esivamile, futhi uma ungalashwa ungadala ukulimala ebuchosheni, enhliziyweni, emithanjeni yegazi, ezinso nakwezinye izingxenye zomzimba. Ukulimala kwalezi zitho kungadala isifo senhliziyo, isifo senhliziyo, ukwehluleka kwenhliziyo, isifo sohlangothi, ukwehluleka kwezinso, ukungaboni, nezinye izinkinga. Ngaphezu kokuthatha umuthi, ukwenza ushintsho endleleni ophila ngayo kuzosiza nasekulawuleni umfutho wegazi. Lezi zinguquko zifaka phakathi ukudla ukudla okunamafutha nosawoti omncane, ukugcina isisindo esinempilo, ukuzivocavoca okungenani imizuzu engama-30 izinsuku eziningi, ukungabhemi, nokusebenzisa utshwala ngokulinganisela.


I-Torsemide iza njengethebhulethi ezothathwa ngomlomo. Imvamisa kuthathwa kanye ngosuku. Ukukusiza ukuthi ukhumbule ukuthatha i-torsemide, yithathe ngesikhathi esifanayo nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-torsemide njengoba nje uqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

I-Torsemide ilawula umfutho wegazi ophakeme kanye ne-edema kepha ayizelaphi lezi zimo. Qhubeka nokusebenzisa i-torsemide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-torsemide ngaphandle kokukhuluma nodokotela wakho.

Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.

Ngaphambi kokuthatha i-torsemide,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-torsemide, imithi ye-sulfonamide, noma imuphi omunye umuthi, noma iziphi izithako kumathebulethi e-torsemide. Buza usokhemisi wakho noma uhlole imininingwane yesiguli ukuthola uhlu lwezithako.
  • Tshela udokotela wakho kanye nosokhemisi ukuthi imiphi imishanguzo kadokotela neyokungabhalisi, amavithamini, izithako zokudla okunempilo, nemikhiqizo yamakhambi oyithathayo noma ohlela ukuyithatha. Qiniseka ukuthi usho noma yikuphi okulandelayo: ama-antibiotic e-aminoglycoside afana ne-amikacin, i-gentamicin (i-Garamycin), noma i-tobramycin (i-Bethkis, i-Tobi), i-aspirin kanye nemithi engewona ama-anti-inflammatory (ama-NSAID) njenge-ibuprofen (Advil, Motrin, abanye) ne-naproxen (Aleve, Naprosyn, abanye); i-corticosteroids efana ne-betamethasone (i-Celestone), i-budesonide (i-Entocort), i-cortisone (i-Cortone), i-dexamethasone (i-Decadron, i-Dexpak, i-Dexasone, abanye), i-fludrocortisone (i-Floriner), i-hydrocortisone (i-Cortef, i-Hydrocortone), i-methylprednisolone (i-Medrol, i-Meprol i-prednisolone (Prelone, abanye), i-prednisone (i-Rayos), ne-triamcinolone (i-Aristocort, i-Azmacort); i-corticotropin (ACTH, HP, Acthar Gel); i-digoxin (i-Lanoxin), i-ethacrynic acid (i-Edecrin), i-indomethacin (i-Indocin), i-lithium (i-Lithobid), imishanguzo yomfutho wegazi ophakeme noma ubuhlungu, ne-probenecid (i-Probalan, i-Probenemid). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • uma uthatha i-cholestyramine (i-Questran), yithathe amahora amane ngaphambi noma ihora eli-1 ngemuva kokusatshalaliswa kabusha.
  • Tshela udokotela wakho uma uke waba nesifo sezinso noma wake waba naso. Udokotela wakho angakutshela ukuthi ungathathi kabusha imali.
  • Tshela udokotela wakho uma uke waba nesifo sikashukela, isifo segciwane, senhliziyo noma sesibindi.
  • utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Ungancelisi ibele ngenkathi uthatha lo muthi. Uma ukhulelwa ngenkathi usebenzisa i-torsemide, shayela udokotela wakho.
  • kufanele wazi ukuthi i-torsemide ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-torsemide. Ukugwema le nkinga, phuma embhedeni kancane, uphumule izinyawo zakho phansi imizuzu embalwa ngaphambi kokuma. Utshwala bungangezela kule miphumela emibi.

Uma udokotela wakho ekuyala ukudla okunosawoti ophansi noma okune-sodium eningi, noma ukudla noma ukuphuza inani elinyukile lokudla okunothe nge-potassium (isb., Ubhanana, umlimi unquma, omisiwe nejusi le-orange) ekudleni kwakho, landela le miyalo ngokucophelela.


Thatha umthamo ongabanjwanga ngokushesha nje lapho uwukhumbula. Kodwa-ke, uma sekuyisikhathi sedosi yakho elandelayo, weqa umthamo ophuthelwe bese uqhubeka nesimiso sakho sokulinganisa. Ungathathi umthamo ophindwe kabili ukwenza okulahlekile.

Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:

  • ukuchama kaningi
  • ukukhwehlela
  • ukuqunjelwa
  • isifo sohudo
  • ukulahlekelwa ukuzwa
  • kukhala ezindlebeni
  • Umphimbo obuhlungu
  • ikhanda
  • isisu esibuhlungu

Eminye imiphumela emibi ingaba mibi. Uma unanoma iyiphi yalezi zimpawu, shayela udokotela wakho ngokushesha noma uthole ukwelashwa okuphuthumayo:

  • umlomo owomile; ukoma; isicanucanu; ukuhlanza; ubuthakathaka, ukukhathala; ukozela; ukungahlaliseki; ukudideka; ubuthakathaka bemisipha, ubuhlungu, noma amajaqamba; ukushaya kwenhliziyo okusheshayo nezinye izimpawu zokuphelelwa amandla kwamanzi nokungalingani kwe-electrolyte
  • okusheshayo, okweqile kwesisindo
  • ukuhlanza igazi
  • ubuhlungu besifuba
  • ukuphefumula kanzima noma ukugwinya
  • amabhamuza noma isikhumba esixobukayo
  • isifuba
  • ukuqubuka
  • ukulunywa
  • ubuhlungu obuqhubekayo obuqala endaweni yesisu, kepha bungasabalala baye emuva

Uma uthola imiphumela emibi kakhulu, wena noma udokotela wakho ungathumela umbiko kuhlelo lwe-Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting online (http://www.fda.gov/Safety/MedWatch) noma ngocingo ( 1-800-332-1088).


Gcina lo muthi esitsheni owangena ngawo, uvalwe waqina, futhi lapho izingane zingafinyeleleki khona. Gcina ekamelweni lokushisa futhi kude nokushisa okweqile nomswakama (hhayi endlini yangasese).

Imithi engadingeki kufanele ilahlwe ngezindlela ezikhethekile zokuqinisekisa ukuthi izilwane ezifuywayo, izingane nabanye abantu abakwazi ukuzidla. Kodwa-ke, akufanele ukhiphe le mithi ethoyilethi. Esikhundleni salokho, indlela engcono kakhulu yokulahla imithi yakho ngohlelo lokubuyisa umuthi. Khuluma nosokhemisi wakho noma uthinte umnyango wangakini wokulahla udoti / wokusebenzisa kabusha ukuze ufunde ngezinhlelo zokubuyisa emphakathini wakho. Bheka iwebhusayithi yakwa-FDA's Safe Disposal of Medicines (http://goo.gl/c4Rm4p) ukuthola eminye imininingwane uma ungakwazi ukufinyelela kuhlelo lokubuyisa.

Kubalulekile ukugcina yonke imishanguzo ingabonakali futhi ifinyeleleke ezinganeni njengoba iziqukathi eziningi (njengezingqondo zamaphilisi zamasonto onke kanye nalawo amaconsi wamehlo, okhilimu, amabala, kanye nama-inhalers) azimeleki ezinganeni futhi izingane ezincane zingazivula kalula. Ukuvikela izingane ezisencane ekufakeni ubuthi, hlala uvala amakepisi okuphepha bese ubeka umuthi endaweni ephephile - eyodwa ephezulu futhi engekho futhi engabonakali kubo futhi efinyelela kuyo. http://www.upandaway.org

Uma kwenzeka ukweqisa ngokweqile, shayela ucingo losizo lokulawula ubuthi ku-1-800-222-1222. Imininingwane iyatholakala online ku-https: //www.poisonhelp.org/help. Uma isisulu siwile, saba nokuquleka, sinenkinga yokuphefumula, noma singakwazi ukuvuswa, shayela ngokushesha abezimo eziphuthumayo ku-911.

Gcina wonke ama-aphoyintimenti nodokotela wakho kanye nelabhorethri. Umfutho wegazi lakho kufanele uhlolwe njalo, futhi ukuhlolwa kwegazi kufanele kwenziwe ngezikhathi ezithile.

Ngaphambi kokwenza noma yiluphi uvivinyo lwelabhoratri, tshela udokotela wakho kanye nabasebenzi belebhuthi ukuthi usebenzisa i-torsemide.

Ungavumeli omunye umuntu athathe umuthi wakho. Buza usokhemisi wakho noma imiphi imibuzo onayo mayelana nokugcwalisa umuthi wakho.

Kubalulekile ukuthi ugcine uhlu olubhaliwe lwayo yonke imishanguzo oyisebenzisayo kadokotela kanye nokungabhaliswanga (ngaphezulu kokuthenga), kanye nanoma yimiphi imikhiqizo efana namavithamini, amaminerali, noma ezinye izithako zokudla. Kufanele uze nalolu hlu njalo uma uvakashela udokotela noma uma ungeniswa esibhedlela. Kubaluleke kakhulu futhi nemininingwane ebalulekile ukuthi uphathe uma kwenzeka kunezimo eziphuthumayo.

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Kugcine ukubuyekezwa - 01/15/2018

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