Umlobi: Virginia Floyd
Usuku Lokudalwa: 9 Agasti 2021
Ukuvuselela Usuku: 18 Unovemba 2024
Anonim
Chlorothiazide, Hydrochlorothiazide, and Metolazone - Thiazide Diuretics
Ividiyo: Chlorothiazide, Hydrochlorothiazide, and Metolazone - Thiazide Diuretics

-Delile

IChlorothiazide isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. I-Chlorothiazide isetshenziselwa ukwelapha i-edema (ukugcinwa koketshezi; uketshezi oluningi olugcinwe kwizicubu zomzimba) okudalwa yizinkinga ezahlukahlukene zezokwelapha, kufaka phakathi inhliziyo, izinso, nesifo sesibindi nokwelapha i-edema ebangelwa ukusebenzisa imishanguzo ethile ehlanganisa i-estrogen kanye ne-corticosteroids. IChlorothiazide isekilasini lemithi ebizwa ngama-diuretics ('amaphilisi amanzi'). Isebenza ngokubangela izinso ukuthi zisuse amanzi nosawoti ongadingeki emzimbeni zingene emchameni.

Umfutho wegazi ophakeme yisimo esivamile, futhi uma ungalashwa ungadala umonakalo 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.


IChlorothiazide iza njengethebhulethi nokumiswa (uketshezi) ukuthatha ngomlomo. Imvamisa kuthathwa kanye noma kabili ngosuku. Uma usetshenziselwa ukwelapha umfutho wegazi ophezulu, thatha i-chlorothiazide ngasikhathi sinye nsuku zonke. Lapho isetshenziselwa ukwelapha i-edema, i-chlorothiazide ingathathwa nsuku zonke noma ngezinsuku ezithile zeviki. Thatha le mithi ngokudla noma ngesidlwana. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-chlorothiazide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.

IChlorothizide ilawula umfutho wegazi ophakeme kanye ne-edema kepha ayizelaphi lezi zimo. Qhubeka uthathe i-chlorothiazide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-chlorothiazide ngaphandle kokukhuluma nodokotela wakho.

IChlorothiazide nayo ingasetshenziselwa ukwelapha iziguli ezinesifo sikashukela i-insipidus nokuphazamiseka okuthile kwe-electrolyte nokuvikela amatshe ezinso ezigulini ezinamazinga aphezulu e-calcium egazini lazo. Khuluma nodokotela wakho mayelana nezingozi zokusebenzisa lo muthi ngesimo sakho.


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

Ngaphambi kokuthatha i-chlorothiazide,

  • Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-chlorothiazide, i-sulfonamide imithi elwa namagciwane, i-penicillin, noma imuphi omunye umuthi, noma iziphi izithako ezikumaphilisi e-chlorothiazide noma ukumiswa. 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-barbiturates afana ne-phenobarbital ne-secobarbital (Seconal); 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-prednone abanye), prednisone (Deltasone, Meticorten, Sterapred, abanye), kanye ne-triamcinolone (Aristocort, Azmacort); i-corticotropin (i-ACTH HP, i-Acthar Gel); i-digoxin (i-Lanoxin); i-insulin nemithi yomlomo yesifo sikashukela, i-lithium (Lithobid), imishanguzo yomfutho wegazi ophakeme noma ubuhlungu; kanye nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-ibuprofen (Advil, Motrin, abanye) ne-naproxen (Aleve, Naprosyn, abanye). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
  • uma uthatha i-cholestyramine noma i-colestipol, thatha ihora eli-1 ngaphambi noma amahora amane ngemuva kokuthatha i-chlorothiazide.
  • tshela udokotela wakho uma unesifo sezinso. Udokotela wakho angakutshela ukuthi ungathathi i-chlorothiazide.
  • Tshela udokotela wakho uma uke waba nesifo somoya, isifo sikashukela, i-cholesterol ephezulu, i-systemic lupus erythematosus (i-SLE, isimo esingalapheki sokuvuvukala), i-gout, noma isibindi noma isifo se-parathyroid.
  • utshele udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Uma ukhulelwa ngenkathi uthatha i-chlorothiazide, shayela udokotela wakho ngokushesha.
  • hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. IChlorothiazide ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
  • kufanele wazi ukuthi i-chlorothiazide ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu endaweni yokulala. Lokhu kuvame kakhulu lapho uqala ukuthatha i-chlorothiazide. 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
  • ukuphazamiseka kwemisipha
  • ukungaboni kahle
  • ukuqunjelwa
  • isifo sohudo
  • ukuhlanza
  • ukulahlekelwa isifiso sokudla
  • ikhanda
  • ukulahleka kwezinwele

Eminye imiphumela emibi ingaba mibi. Uma uhlangabezana nenye yalezi zimpawu, shayela udokotela wakho ngokushesha noma funa 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
  • imfiva
  • amabhamuza noma isikhumba esixobukayo
  • ukuphefumula kanzima noma ukugwinya
  • isifuba
  • ukuqubuka
  • ukulunywa
  • ukuphuzi kwesikhumba noma kwamehlo

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). Ungavumeli ukumiswa komlomo kumiswe iqhwa.

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 nabasebenzi belebhuthi ukuthi uthatha i-chlorothiazide.

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.

  • I-chlotride®
  • UDiuril®
  • I-Aldochlor® (equkethe iChlorothiazide, Methyldopa)
  • I-Diupres® (equkethe iChlorothiazide, Reserpine)

Lo mkhiqizo onophawu alusekho emakethe. Ezinye izindlela ezijwayelekile zingatholakala.

Kugcine ukubuyekezwa - 06/15/2017

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