Mankhwala ofunika kwambiri a diuretics (extraure) ndi oprese ya potassium ndi magnesium kuchokera mu thupi pamodzi ndi madzi owonjezera. Veroshpiron ndi ya mankhwala osokoneza bongo omwe samakhudza zowonongeka kwa zinthu izi. Nthaŵi zina, zimathandizanso kuti mubwezeretse msanga pamlingo woyenera.
Veroshpiron - zolemba
Zosakaniza zokhudzana ndi mankhwala omwe akufotokozedwa ndi spironolactone. Ichi ndi chimphona cha mineralocorticoid, chomwe chimapangidwa ndi adrenal glands ndipo chimalimbikitsa kusungunuka kwa chinyezi ndi sodium mu minofu (aldosterone). Mankhwala otchedwa Veroshpiron m'njira zosiyanasiyana amatulutsidwa ali ndi zigawo zothandizira:
- colloidal silicon dioxide;
- talc;
- magnesium stearate;
- lactose monohydrate;
- chimanga cha chimanga;
- sodium lauryl sulfate;
- titaniyamu dioxide;
- gelatin;
- dye.
Kodi Veroshpiron ndi chiyani?
Chotsalira chachikulu chotulutsa spironolactone ndi diuretic. Izi zimachititsa kuti anthu aziphwanya kwambiri, omwe amathandiza Veroshpiron - zochitika zosayembekezereka za chikhalidwe chosiyana ndi chiyambi. Mankhwala omwe akupezekawo amachitidwa ngati njira zotetezera kuchotsa madzi owonjezera, chifukwa sichimasokoneza electrolyte ndi miyezo ya mchere m'thupi.
Veroshpiron - kuwerenga:
- kuperewera kwa mtima ndi matenda okhwima;
- Mavuto oopsa kwambiri (spironolactone akuphatikizidwa mu ndondomeko yovuta);
- kachilombo ka hyperaldosteronism kumbuyo kwa chiwindi cha chiwindi , ascites, zilonda za nephrotic ndi zina zovuta;
- paroxysmal myoplegia;
- chithunzithunzi;
- Matenda a Connes;
- hypokalemia.
Pali malo ena omwe Veroshpiron amagwiritsidwa ntchito - zizindikiro zogwiritsidwa ntchito zimaphatikizapo hyperprolactinemia. Spironolactone ili ndi kuchepetsa kukula kwa adrenal hormone kupanga. Zimalepheretsa kuchulukitsidwa kwa prolactin, choncho nthawi zambiri imatchulidwa ndi amayi a m'magazi-otchedwa endocrinologist omwe ali ndi vuto lomwe limagwirizanitsa ndi ubereki, kuphatikizapo cystic, fibrous and broadcasting.
Kodi mungatani kuti mutenge Veroshpiron?
Zigawo ndi nthawi ya mankhwala ndi spironolactone zimadalira matenda omwe amapezeka ndi zina zomwe zimayambitsa matenda. Mankhwala otchedwa Veroshpiron nthawi zina amaperekedwa mofanana ndi thiazide (loop) diuretics, yomwe imapereka zotsatira zowonjezereka ndi zofulumira. Zigawo ndi nthawi ya mankhwala zikuwerengedwa kokha ndi katswiri. Ndizoopsa kumwa Veroshpiron nokha - mlingo wosankhidwa molakwika ungapangitse zotsatira zoipa. Zomwe zimagwirizanitsa ndi mankhwala opangira amishonale ndi kusokonezeka kwakukulu kwa ntchito ya impso.
Momwe mungatengere Veroshpiron ndi kutupa?
Pankhani ya mtima wosagwira mtima spironolactone akulimbikitsidwa kuti agwiritse ntchito masiku asanu (100) (maximum - 200) mg, ogawanika ndi 2-3. Veroshpiron mu kutupa motsutsana ndi vuto lofunika kwambiri la magazi limaperekedwa kuchuluka kwa 50-100 mg kamodzi patsiku. Pang'onopang'ono (milungu iwiri iliyonse) mlingo umawonjezeka mpaka kufika 200 mg. Njira yoyenera ya mankhwala ndi osachepera masiku 14.
Ngati kukhudzana kumapezeka chifukwa cha chiwindi cha chiwindi, spironolactone imagwiritsidwa ntchito molingana ndi chiŵerengero cha potassium ndi ionamu ioni mu mkodzo. Pamene chiwerengerochi chiposa 1, gawo lililonse la Veroshpiron liri 100 mg. Pakati pa 1, spironolactone imalimbikitsidwa kuchuluka kwa 200-400 mg. Mankhwala osamalidwa omwe anasankhidwa payekha.
Pofuna chithandizo ndi kusiyana kwa hyperaldosteronism ndi nephrotic syndrome, mlingo umodzi umakhala wochokera 100 mpaka 400 mg. Dokotala wake amawerengera pa chidziwitso cha mtundu wa matenda ndi potassium mu magazi. Mlingo wa tsiku ndi tsiku umatenga nthawi 1 kapena 2-4, malinga ndi cholinga cha mankhwala, mlingo wa edema ndi kulekerera kwa mankhwala.
Odwala ambiri sasangalala ndi kumwa Veroshpiron - asanadye chakudya kapena pambuyo, koma kudya kumakhudza kwambiri momwe mankhwalawa amathandizira. Kupezeka kwachilengedwe ndi kukula kwa spironolactone kumawonjezeka ngati kulowa m'thupi limodzi ndi chakudya. Akatswiri amalangiza kugwiritsa ntchito mankhwalawa mwachindunji atatha kudya ndi kumwa ndi magalamu awiri a madzi.
Kodi mutenga bwanji Veroshpiron kuti muwonongeke?
Mankhwala omwe amawafotokozera ndi mankhwala oopsa omwe amathetsa kutupa kwakukulu komanso kuphulika kwa mankhwala. Kugwiritsa ntchito Veroshpiron kulemera kwake sikungatheke, sizowonongeka chabe, komanso ndizoopsa. Spironolactone imakhudza kuchuluka kwa mafuta, koma imachotsa chinyezi chochuluka kuchokera mthupi. Ngati mumagwiritsa ntchito ngati njira yochepetsera thupi kapena "kuyanika", ikhoza kuyambitsa matenda a urinary system ndi impso.
Veroshpiron pa nthawi yoyembekezera
Pakubereka spironolactone ndi contraindicated. Thupi ili, lokhala ndi chiwopsezo chokwanira, limalowa mkati mwachitsulo chachikulu ndikulowa m'magazi a mwanayo. Pambuyo pa kubadwa, inunso simungathe kumwa Veroshpiron - zizindikiro zogwiritsiridwa ntchito mosasamala ndi lactation. Zosakaniza za mankhwalawa zimalowa m'zigawo zonse ndipo zimakhala pafupifupi 100%, kuphatikizapo mkaka wa m'mawere. Veroshpiron m'maganizo a amayi amagwiritsidwa ntchito pokhapokha pa matenda a hyperprolactinaemia ndi matenda okhudzana. Mndandandanda uwu umaphatikizapo kusamala komanso kusamalidwa.
Veroshpiron amatenga nthawi yaitali bwanji?
Kutalika kwa njira yopaleshoni kumawerengedwa ndi dokotala ataphunzira bwinobwino. Musatenge nthawi yaitali kuti mumwe Veroshpiron - kugwiritsa ntchito diuretic kwa milungu yoposa 4 kungayambitse kusokonezeka mu electrolyte, mchere ndi madzi. Kusagwirizana kawirikawiri kwa chithandizo cha nthawi yaitali ndi urate diathesis kapena hyperuricuria. Diuretic Veroshpiron analimbikitsa kugwiritsa ntchito masiku 5-15. Pamaso pa zizindikiro, mlingo wosachepera wosamalira mankhwalawo wasankhidwa.
Veroshpiron - zotsatira
Zochitika zopanda pake ndi spironolactone sizodziwika, koma zikuphatikizapo mndandanda wambiri wa matenda. Veroshpiron - zotsatira za ntchitoyi:
- kusanza;
- kutsekula m'mimba;
- chisokonezo;
- gastritis;
- zilonda m'ziwalo za m'mimba;
- kudzimbidwa;
- colic m'mimba;
- ululu pa epigastrium;
- kuphwanya kwa chiwindi kugwira ntchito;
- chizungulire;
- ataxia;
- kugona;
- kuchepetsa;
- kusokonezeka kwa chidziwitso;
- chiwonetsero;
- mutu;
- chithandizo;
- agranulocytosis;
- megaloblastosis;
- hypercreatininaemia;
- chithandizo;
- chithandizo;
- hyponatremia;
- mankhwala;
- chithandizo;
- mawu omveka;
- gynecomastia;
- dysmenorrhea;
- Kuphwanya kozungulira;
- hirsutism;
- mchitidwe;
- chithunzi;
- kuyabwa kwa khungu;
- urticaria;
- malungo;
- hypertrichosis;
- impso kulephera;
- alopecia;
- phokoso;
- mitsempha ya minofu.
Veroshpiron - zotsutsana
Pali matenda omwe spironolactone imaletsedweratu, ndi momwe angagwiritsire ntchito mosamala. Pachiyambi choyamba, mutengere Veroshpiron - ntchito ya mankhwala imangopweteka. Zotsutsana ndizomwe zimagwiritsidwa ntchito:
- chithandizo;
- Matenda a Addison ;
- kuperewera kwa nsomba mu siteji yoyipa;
- hyponatremia;
- lactose kusagwirizana;
- anuria;
- matenda osokoneza shuga kapena galactose;
- mimba;
- kusowa kwa lactase;
- zaka mpaka zaka zitatu;
- lactation;
- hypersensitivity kwa chilichonse chophatikizapo mankhwala.
Nthawi zina, dokotala yekha ndi amene akuganiza kuti ndibwino kuti apereke Veroshpiron - zizindikiro zomwe zingagwiritsidwe ntchito zingakhalepo ndi matenda awa omwe muyenera kugwiritsa ntchito mosamala za diuretic:
- mankhwala;
- chithandizo;
- shuga;
- AV blockade;
- kusamba kwa msambo;
- chidziwitso chodziletsa;
- matenda ashuga ;
- kutambasula kosazolowereka kwa glands za mammary;
- chiwindi cha chiwindi;
- ukalamba.
Veroshpiron - zofanana za kukonzekera
Ikani diuretic ndi mankhwala omwe amachititsa chimodzimodzi. Ngati Veroshpiron ali ndi zizindikiro zogwiritsiridwa ntchito, zogwirizana ndi mawu ofanana, ndikofunikira kuonjezeranso kuti zimakhala zotani. Izi ziyenera kuteteza leaching ya magnesium ndi salitsi ya potaziyamu, pokhalabe ndi mphamvu ya electrolyte. Veroshpiron - ofanana ndi zizindikiro zomwe zimagwiritsidwa ntchito:
- Spironolactone (mwachindunji);
- Zofalitsa;
- Kukonza;
- Eridanus;
- Dekriz;
- Epplepres;
- Mzimu;
- Espiro.