Mankhwala "Lasix": zikuonetsa ntchito, contraindications, ndi ndemanga

Imene imafuna mankhwala "Lasix"? Zikuonetsa ntchito mankhwala adzakhala ali m'munsiwa. Komanso angakuuzeni zimene contraindications ali m'nkhani mawonekedwe mankhwala umene umatulutsa, kuti ali gawo la izo, ngati iye anali zovuta zilizonse ndi analogues.

Kapangidwe ndi mawonekedwe

Panopa, kugula tinganene kuti ndi kukonzekera m'njira zotsatirazi:

• "Lasix" mankhwala. Reviews kuti mwayera, zozungulira ndi chiopsezo pakati. The yogwira pophika medicament ndi furosemide. Kumaphatikizaponso zigawo wothandiza mu mawonekedwe a lactose, wowuma, wowuma pregelatinized, talc, pakachitsulo woipa colloidal ndi magnesium stearate. Mukhozanso mankhwala mu n'kupanga chosakanizira cha aluminum zojambulazo, amene anayikidwa mu makatoni ma CD.
• A njira yothetsera mu mnofu kapena mtsempha makonzedwe "Lasix" (ampoules). Malangizo limanena kuti zinthu ziliri pa fomu iyi ndi furosemide.

Features mankhwala

ndi mankhwala "Lasix" n'chiyani? Zikuonetsa ntchito mankhwala anafotokoza malangizo akachita. Iwo mwachindunji ndi limagwirira kanthu mankhwala.

"Lasix" - kusala komanso wamphamvu ndithu diuretic, amene ndilochokera ku sulfonamide. Iwo midadada dongosolo mayendedwe a soda ndi mankhwala enaake ayoni mu wandiweyani akwera nthambi ya Henle magawano kuzungulira. Choncho, zotsatira diuretic mankhwala zimatengera pa chiphaso ake mu lumen wa tubules ndi aimpso.

Zotsatira Secondary mankhwala ndi kuchuluka katulutsidwe wa potaziyamu mu zigawo wapotalikira tubule ndi mkodzo linanena bungwe.

Inde mankhwala ndi ntchito diuretic mankhwala si yafupika. Mu matenda a mtima, mankhwala "Lasix" mwachilungamo msanga kumachepetsa preload, komanso kuthamanga mu mtsempha wamagazi m'mapapo mwanga ndi ventricle kumanzere.

Ankaona medicament lili ndi zotsatira antihypertensive, amene amayamba ndi excretion kuwonjezeka sodium, m'munsi buku magazi ndi kuchepa minofu yosalala anachita.

Pharmacokinetics

"Lasix" - ndi diuretic, amene mofulumira odzipereka kwa mundawo m'mimba. bioavailability ake a anthu osiyana zikhoza kuchepetsedwa ndi 30%. Ichi ndi chifukwa chakuti akhoza kudwala mwamtheradi zifukwa zonse, kuphatikizapo matenda chachikulu.

Mankhwala chimamanga bwino plasma mapuloteni (98%). Iwo anasonyeza mwa mawonekedwe zikutsatiridwa ndi impso ndi kudzera intestine lapansi.

Iwo ayenera kukumbukira kuti "Furosemide" Chifalikira wabwino mwa chotchinga placental ndipo excreted ndi mkaka wa m'mawere.

Mankhwala "Lasix" (jakisoni): zikuonetsa ntchito

Amene matenda awerenge mankhwala mu mawonekedwe a yankho? Malinga ndi malangizo kukonzekera "Lasix" (analogues Adzaperekedwa pansipa) ntchito:

• Edema syndrome kulephera mtima (aakulu);
• ubongo edema;
• Edema syndrome ndi kulephera aimpso (aakulu);
• hypertensive mavuto;
• pachimake aimpso insufficiency, kuphatikizapo anati mu amayaka ndipo mimba (thandizo madzimadzi excretion);
• Edema syndrome nephrotic syndrome;
• oopsa;
• Edema syndrome matenda chiwindi;
• monga kuthandiza poyizoni amakakamizidwa diuresis mankhwala kuti impso mu mawonekedwe sichinasinthe.

Miyala "Lasix": zikuonetsa ntchito

Kodi kutenga mankhwala pa zifukwa zomwezo zimene zakhala tafotokozazi mu mawonekedwe a mapiritsi. Komabe, akatswiri amanena kuti chifukwa mu mnofu kapena makonzedwe mtsempha, yankho akutsimikizira zambiri aluso.

contraindications

Kodi alili ndi amaletsedwa kujambula "Lasix"? Contraindications ntchito mankhwala zalembedwa mu malangizo akachita. Taganizirani iwo tsopano:

• aakulu hyponatremia;
• kulephera aimpso ndi anuria;
• digitalis kuledzera;
• kwa chiwindi precoma ndi chikomokere;
• pachimake glomerulonephritis ;
• aakulu hypokalemia;
• pa mimba;
• hypovolemia kapena kuchepa madzi m'thupi;
• Kuyamwitsa;
• anasonyeza chisokonezo outflow ya mkodzo;
• hyperuricemia;
• decompensated mitral ndi kung'ambika stenosis ndi hypertrophic obstructive cardiomyopathy;
• Ana osaposera zaka zitatu (piritsi mawonekedwe);
• okwera chapakati venous kuthamanga;
• hypersensitivity kuti mankhwala;
• ziwengo kuti furosemide.

General mlingo wa mankhwala ndi njira zake ntchito

Kodi kutenga "Lasix"? Mlingo wa mankhwala zimatengera mtundu wa matenda.

Mapiritsi ayenera kumwedwa wonse, pa chopanda kanthu m'mimba. Poika mankhwala ayenera kugwiritsidwa ntchito pa mlingo osachepera kuti ndi okwanira kukwaniritsa zotsatira achire.

Analimbikitsa pazipita mlingo patsiku kwa akulu ndi 1500 mg. Ana, izo zimatengera kulemera kwa wodwalayo (2 mg / kg pa, koma osapitirira 40 mg wa pa tsiku). Kutalika kwa mankhwala anatsimikiza ndi katswiri anthu paokhapaokha ndi zimadalira umboni.

zotsatira zoyipazi

Tsopano inu amadziwa "Lasix". Gwiritsani ntchito mankhwala okha ndiwo ayenera zotchulidwa dokotala. Ichi ndi chifukwa chakuti ali ndi chiwerengero mwachilungamo lalikulu zosiyanasiyana chokhwima. Taonani mndandanda wa iwo pakali pano.

• mutu, minofu kufooka, chisokonezo, osasamba kugunda, kukomoka;
• somnolence, dyspepsia, kufooka, kugwa, youma pakamwa;
• hypomagnesemia, chloropenia, hyponatremia, hypocalcemia, hypokalemia, kagayidwe kachakudya alkalosis;
• chizungulire, utachepa shuga kulolerana, kuchuluka seramu kaperekedwe ka triglycerides ndi mafuta;
• nseru, hematuria, kusanza, amaika kutsitsa magazi, utachepa potency;
• m'mimba, kumva imfa, kudzimbidwa, tinnitus, syndrome nephrotic;
• thupi lawo siligwirizana: interstitial nephritis, pruritus, leukopenia, urticaria, exfoliative dermatitis, zotupa bullous, malungo, polymorphic erythema, eosinophilia, purpura, vasculitis, photosensitivity;
• agranulocytosis, thrombocytopenia, hemolytic kapena aplastic magazi m'thupi.

Mwanjira mankhwala

Malinga ndi malangizo kukonzekera "Lasix" mavoti amene anapereka hereinafter, izi ankachita mankhwala:

• "Carbenoxolone" mankhwala ndi liquorice pa mlingo waukulu ndi ntchito yaitali ya mankhwala ofewetsa tuvi osakaniza furosemide azitaya hypokalemia.
• Mankhwala ndi zotsatira nephrotoxic cha kuchuluka chiopsezo zotsatira nephrotoxic.
• Aminoglycosides pamene ntchito furosemide azitaya nephrotoxicity ndi ototoxicity Chinthu choyamba.
• Mkulu Mlingo wa cephalosporins azitaya nephrotoxicity.
• NSAIDs acid acetylsalicylic amachepetsa zotsatira diuretic wa furosemide.
• "Phenytoin" amachepetsa zotsatira diuretic wa furosemide.
• "Methotrexate" ndi "Probenecid" kuchepetsa zotsatira za furosemide.
• Ndi kuphatikiza "Cyclosporin A" ndi furosemide kuchuluka chiopsezo gouty nyamakazi.

ayamikira enieni kugwiritsa ntchito mankhwala

Musanagwiritse ntchito mankhwala "Lasix", zizindikiro zimene anali kuperekedwa pamwamba, m'pofunika kuti achotse pamaso pa matenda amalembedwa ya mkodzo outflow.

Pa mankhwala ayenera nthawi zonse kuwunika woipa seramu wa potassium sodium, ndi creatinine.

Mankhwalawa "Lasix" izo m'pofunika kudya zakudya zokhala ndi potaziyamu. Nthawi zina mwina wodwala kudya mankhwala potaziyamu-yosalekerera.

Analogs medicament

Kandalama analogues ankaona mankhwala (yogwira wothandizila) ndi mankhwala monga "Furosemide", "Furon" ndi "Fursemid". Komanso mankhwala "Lasix" akhoza m'malo "Akripamidom", "Brinaldiksom", "veroshpiron", "hydrochlorothiazide", "Diuverom", "Indap", "Klopamid", "Lorvasom," "mannitol", "Spironolom", "Uraktonom" ndi mankhwala ena.

Umboni za mankhwala

Tsopano, inu mukudziwa, zolinga zimene zinafotokozedwa mankhwala "Lasix". Zikuonetsa ntchito mankhwala akhala tafotokozazi. Kodi odwala ndinene za iye? Pafupifupi anthu onse kumwa mankhwala, onani Mwachangu ake okwezeka. Komabe, odwala ambiri amadandaula ambiri zosiyanasiyana chokhwima (mutu, nseru, etc.). Komabe, akatswiri amanena kuti pamene akumwabe Mlingo kochepa zotsatira n'zochepa kwambiri.