Furosemide - zizindikiro zogwiritsidwa ntchito

Pogwiritsa ntchito madzi ambiri m'zinthu zofewa ndi zochitika zosiyanasiyana, madokotala nthawi zambiri amasankha Furosemide. Mankhwalawa amatanthawuza kuti munthu azichita zinthu zolimbitsa thupi kapena siluretics - ma diuretic owonjezera omwe amachulukitsa excretion ya chlorine ndi sodium. Musanayambe kumwa mankhwala ndikofunikira kudziŵa zomwe Furosemide amathandizira ndi - zizindikiro zogwiritsira ntchito mankhwala, njira zake zazikulu ndi zotsatira zake zotuluka.

Zizindikiro za Furosemide

Mankhwala omwe akugwiritsidwa ntchito akugwiritsidwa ntchito pamagulu opangira dzina lomwelo. Mpweya wake umakhala chifukwa cha kuponderezedwa kwa mankhwala omwe amachititsa (reabsorption) ya ion ya chlorine ndi sodium. Chifukwa cha kuchulukana kwawo, madzi a mamolekyu, magnesium ndi calcium ayoni amakula, ndipo mavitoni awonjezeka.

Monga zotsatira zowonjezereka zikudziwika:

• kugawidwa kwa magazi;
• Kukulitsa kwa mitsempha yayikulu;
• adachepetsa kutsogolo pamtima, kudzaza ventricle yakumzere;
• kuchepa kwa kuthamanga kwa magazi ndi kuwerengera kwathunthu kwa kuzungulira magazi.

Malinga ndi mfundo zomwe tafotokozazi zikuwonekeratu kuti Furromeside ya diuretic imayikidwa pa zochitika zowonongeka komanso zofanana zosiyana siyana. Zizindikiro zachindunji za ntchito yake ndi:

• chiwindi cha chiwindi ndi kuwonjezeka kwachitsulo mumtambo wodutsa wamkati;
• edema wa ubongo;
• matenda oopsa kwambiri;
• mpweya;
• kusalimba kwachiwindi ndi kwachilendo;
• kuchepa kwa toxicosis kwa amayi apakati (eclampsia);
• kuperewera kwa mtima, kuphatikizapo zochitika zazikulu m'magazi akuluakulu ndi ang'onoang'ono ozungulira magazi;
• poizoni ndi barbiturates;
• magawo aakulu a matenda oopsa.

Kumwa Furosemide mu kutupa?

Mlingo umene analongosola siluretik, komanso kuchuluka kwa kudya kwake, umatsimikiziridwa payekha ndi dokotala yekha.

Kawirikawiri, 40 mg ya Furosemide amalembedwa 1 nthawi patsiku, makamaka m'mawa, asanadye chakudya cham'mawa. Nthawi zina, mlingowo ukhoza kuwonjezeka mpaka 80-160 mg, koma uyenera kugawidwa mu mlingo wa magawo awiri, ndi nthawi yomwe ili pakati pa maola 6.

Pazigawo zovuta za kuchepa kwa chiwindi, kuwonjezeka kwa mlingo wa tsiku ndi tsiku wa diuretic kumalimbikitsidwa - mpaka 320 mg patsiku. Pamene kuopsa kwa zizindikiro za matendawa kuchepa pang'ono, kuchuluka kwa Furosemide kumatsika pang'onopang'ono. Kawirikawiri, mtengo wosagwiritsidwa ntchito wa thrapeutically umasankhidwa.

Tiyenera kukumbukira kuti mankhwala omwe amalingaliridwa amatanthauza kuti ali ndi diuretic, yomwe imagwiritsidwa ntchito mwamsanga. Choncho, musamamwe Furosemide ndi kutupa pang'ono kwa miyendo ndi zochitika zina zazing'ono zochepa. Mankhwala awa ali ndi zotsatira zoopsa zambiri, mndandanda wautali wa zotsutsana.

Komanso, ndiletsedwa kugwiritsa ntchito silivatiki yopangidwa ndi zodzoladzola, mwachitsanzo, poyerekeza kapena kuchotsa "matumba" m'maso. Inde, Furosemide idzathetsa kutukumula pamaso ndipo 1.5-2 mapaundi owonjezera pamaminiti 30-50 pokhapokha atayamba kudya. Koma, choyamba, zotsatira zake sizikhala motalika, maola 2-4 okha. Chachiwiri, madzi ochotsedwa, makamaka ngati sanali owonjezera, koma muyeso wamba, adzafulumira kubwereranso pamutu waukulu kwambiri. Ndipo chachitatu, Kugwiritsiridwa ntchito kwa Furosemide kosagwiritsidwa ntchito mosagwiritsidwa ntchito komanso kosaganizira, kosagwirizana ndi dokotala yemwe akupezekapo, kungayambitse mavuto aakulu komanso oopsa, monga:

• kupweteka;
• kupweteka kwa mtima;
• vuto lalikulu la hypotonic;
• kugwa;
• anaphylactic mantha ;
• kutaya madzi.