UFurosemide
-Delile
- Ngaphambi kokuthatha i-furosemide,
- Tshela udokotela wakho uma kukhona kulezi zimpawu ezinzima noma ezingapheli:
- Eminye imiphumela emibi ingaba mibi. Uma unanoma iyiphi yalezi zimpawu noma lezo ezisohlwini lwesigaba ESIBALULEKILE SEZIXWAYISO, shayela udokotela wakho ngokushesha noma funa ukwelashwa okuphuthumayo:
- Izimpawu zokudlula ngokweqile zingafaka:
IFurosemide iyi-diuretic enamandla ('iphilisi lamanzi') futhi ingadala ukoma nokungalingani kwe-electrolyte. Kubalulekile ukuthi uyithathe njengoba nje utshelwe udokotela wakho. Uma uhlangabezana nalezi zimpawu ezilandelayo, shayela udokotela wakho ngokushesha: ukuncipha kokuchama; umlomo owomile; ukoma; isicanucanu; ukuhlanza; ubuthakathaka; ukozela; ukudideka; ubuhlungu bemisipha noma amajaqamba; noma ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla.
IFurosemide isetshenziswa yodwa noma ihlanganiswe neminye imithi yokwelapha umfutho wegazi ophezulu. IFurosemide isetshenziselwa ukwelapha i-edema (ukugcinwa koketshezi; uketshezi oluningi olugcinwe kwizicubu zomzimba) okubangelwa izinkinga ezahlukahlukene zezokwelapha, kufaka phakathi isifo senhliziyo, sezinso nesibindi. UFurosemide 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 ungelashwa, 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.
IFurosemide iza njengethebhulethi futhi njengesisombululo (uketshezi) ukuthatha ngomlomo. Imvamisa kuthathwa kanye noma kabili ngosuku. Lapho isetshenziselwa ukwelapha i-edema, i-furosemide ingathathwa nsuku zonke noma ngezinsuku ezithile zeviki. Uma usetshenziselwa ukwelapha umfutho wegazi ophezulu, thatha i-furosemide ngasikhathi sinye nsuku zonke. Landela izinkomba ezikulebuli kadokotela wakho ngokucophelela, bese ubuza udokotela noma usokhemisi wakho ukuthi akuchaze nganoma iyiphi ingxenye ongayiqondi. Thatha i-furosemide njengoba nje kuqondisiwe. Ungayithathi kancane noma uyithathe kaningi kunokuyalelwa ngudokotela wakho.
IFurosemide ilawula umfutho wegazi ophakeme kanye ne-edema kepha ayizelaphi lezi zimo. Qhubeka uthathe i-furosemide noma ngabe uzizwa uphilile. Ungayeki ukuthatha i-furosemide ngaphandle kokukhuluma nodokotela wakho.
Lo muthi kwesinye isikhathi ubekelwa okunye ukusetshenziswa; buza udokotela wakho noma usokhemisi ukuthola eminye imininingwane.
Ngaphambi kokuthatha i-furosemide,
- Tshela udokotela wakho kanye nosokhemisi uma unegciwane ku-furosemide, imithi ye-sulfonamide, noma imuphi omunye umuthi, noma iziphi izithako ezibhebheni ze-furosemide noma isixazululo. 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. Qinisekisa ukusho noma yikuphi kokulandelayo: ama-antibiotic e-aminoglycoside afana ne-amikacin, i-gentamicin (i-Garamycin), noma i-tobramycin (i-Bethkis, i-Tobi); i-angiotensin-converting enzyme (ACE) inhibitors efana ne-benazepril (Lotensin, eLotrel), captopril (Capoten), fosinopril, lisinopril (ePrinzide, ngesiZestoretic), moexipril (Univasc, in Uniretic), perindopril (Aceon) , ngesi-Accuretic), ramipril (Altace), kanye netrandolapril (Mavik, eTarka); ama-angiotensin II receptor antagonists (ARB) afana ne-azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, e-Atacand HCT), eprosartan (Teveten, eTeveten HCT), irbesartan (Avapro, e-Avalide), losartan (Cozaar, e-Hyzaar), olmesartan (Benicar, e-Azor, Benicar HCT), telmisartan (Micardis, eMicardis HCT), nase-valsartan (Diovan, eDiovan HCT, Exforge); i-aspirin namanye ama-salicylate; ama-barbiturates afana ne-phenobarbital ne-secobarbital (Seconal); i-corticosteroids efana ne-betamethasone (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-Deltasone, i-Meticorten, i-Sterapred, abanye), ne-triamcinolone (i-Aristocort, i-Azmacort); i-cisplatin (iPlatinol); i-cyclosporine (Gengraf, Neoral, Sandimmune); i-digoxin (i-Lanoxin), i-ethacrynic acid (i-Edecrin); indomethacin (Indocin); laxatives; i-lithium (i-Lithobid); imithi yesifo sikashukela, umfutho wegazi ophakeme nobuhlungu; i-methotrexate (Trexall); ama-probenecid (i-Probalan, i-Probenemid); kanye ne-phenytoin (iDilantin, Phenytek). Udokotela wakho angadinga ukushintsha imithamo yemithi yakho noma akuqaphele ngokucophelela ngemiphumela emibi.
- uma uthatha i-sucralfate (Carafate), thatha amahora amabili ngaphambi noma ngemuva kokuthatha i-furosemide.
- tshela udokotela wakho uma unesifo sezinso. Udokotela wakho angakutshela ukuthi ungathathi i-furosemide.
- Tshela udokotela wakho uma ngabe uke waba nanoma yisiphi isimo esivimbela isinye sakho ekuqedeni ngokuphelele, isifo sikashukela, i-gout, i-systemic lupus erythematosus (i-SLE, isimo esingelapheki sokuvuvukala), noma isifo sesibindi.
- tshela udokotela wakho uma ukhulelwe, hlela ukukhulelwa, noma uncelisa. Ungancelisi ibele ngenkathi usebenzisa lo muthi. Uma ukhulelwa ngenkathi uthatha i-furosemide, shayela udokotela wakho.
- uma uhlinzwa, tshela udokotela ukuthi usebenzisa i-furosemide.
- hlela ukugwema ukuvezwa yilanga ngokungadingekile noma isikhathi eside futhi ugqoke izingubo zokuzivikela, izibuko zelanga, nesikhumba selanga. I-Furosemide ingenza isikhumba sakho sizwele ekukhanyeni kwelanga.
- kufanele wazi ukuthi i-furosemide ingadala isizungu, ikhanda elikhanyayo, nokuquleka lapho uvuka ngokushesha okukhulu kusuka endaweni elele. Lokhu kuvame kakhulu lapho uqala ukuthatha i-furosemide. 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
- ukungaboni kahle
- ikhanda
- ukuqunjelwa
- isifo sohudo
Eminye imiphumela emibi ingaba mibi. Uma unanoma iyiphi yalezi zimpawu noma lezo ezisohlwini lwesigaba ESIBALULEKILE SEZIXWAYISO, shayela udokotela wakho ngokushesha noma funa ukwelashwa okuphuthumayo:
- imfiva
- kukhala ezindlebeni
- ukulahlekelwa ukuzwa
- ukuqubuka
- isifuba
- amabhamuza noma isikhumba esixobukayo
- ukulunywa
- ukuphefumula kanzima noma ukugwinya
- 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). Lahla isisombululo se-furosemide esingasetshenziswanga ngemuva kwezinsuku ezingama-90.
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
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.
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.
Izimpawu zokudlula ngokweqile zingafaka:
- ukoma ngokweqile
- umlomo owomile
- isiyezi
- ukudideka
- ukukhathala ngokweqile
- ukuhlanza
- amajaqamba esiswini
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 baselebhu ukuthi uthatha i-furosemide.
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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