Mea Kākau: Marcus Baldwin
Lā O Ka Hana: 20 Iune 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
Anonim
Chlorthalidone versus Hydrochlorothiazide: What Level of Evidence Is Needed to Change Practice?
Wikiō: Chlorthalidone versus Hydrochlorothiazide: What Level of Evidence Is Needed to Change Practice?

Anter

Mai lawe i ka captopril a me ka hydrochlorothiazide inā hāpai ʻoe. Inā hāpai ʻoe i ka lawe ʻana i ka captopril a me ka hydrochlorothiazide, e kāhea koke aku i kāu kauka. Hiki paha iā C Laptopril a me hydrochlorothiazide ke hōʻeha i ka fetus.

Hoʻohana ʻia ka hui pū ʻana o captopril a me hydrochlorothiazide e mālama i ke koko kiʻekiʻe. Aia ʻo C laptopril i loko o ka papa o nā lāʻau i kapa ʻia ʻo nā angiotensin-hoʻololi i nā ʻenemika (ACE) mea kāohi. Hana ia ma ka hoʻoliʻiliʻi ʻana i kekahi mau kemika e hoʻopaʻa paʻa i nā kīʻaha koko, no laila ke kahe hou aku o ke koko. Aia ʻo Hydrochlorothiazide i ka papa o nā lāʻau i kapa ʻia he diuretics ('pills wai'). Hana ia e ke kīloi ʻana i nā puʻupaʻa e kāpae i ka wai pono ʻole a me ka paʻakai mai ke kino i ka mimi.

ʻO ke kahe koko kiʻekiʻe kahi kūlana maʻamau, a ke mālama ʻole ʻia hiki ke hōʻino i ka lolo, ka puʻuwai, nā kīʻaha koko, nā puʻupaʻa, a me nā ʻāpana ʻē aʻe o ke kino. ʻO ka hōʻino ʻana i kēia mau ʻōpū ke kumu o ka maʻi puʻuwai, kahi puʻuwai puʻuwai, puʻuwai puʻuwai, hahau ʻana, holo pono ʻole ʻana o ka puʻuwai, nalo ʻana o ka ʻike, a me nā pilikia ʻē aʻe. Ma waho aʻe o ka lawe ʻana i ka lāʻau, kōkua ka hoʻololi ʻana i ka nohona i ke kaohi o kou kahe koko. Hoʻopili kēia mau hoʻololi i ka ʻai ʻana i ka papaʻai i haʻahaʻa i ka momona a me ka paʻakai, ka mālama ʻana i ke kaupaona olakino, hoʻoikaika kino ʻana ma ka liʻiliʻi he 30 mau minuke i ka nui o nā lā, ʻaʻole puhipaka, a me ka hoʻohana ʻana i ka wai ʻona me ke akahai.


ʻO ka hui pū ʻana o ka captopril a me ka hydrochlorothiazide e hele mai ana ma ke ʻano he papa e lawe ʻia e ka waha. Lawe pinepine ʻia hoʻokahi a ʻelua mau manawa paha i ka lā ma ka ʻōpū hakahaka, 1 hola ma mua o ka ʻai ʻana. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka captopril a me ka hydrochlorothiazide, e lawe a puni ka manawa like (s) i kēlā me kēia lā. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe i ka captopril a me ka hydrochlorothiazide pololei e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi lāʻau liʻiliʻi o captopril a me hydrochlorothiazide a hoʻonui iki i kāu lāʻau, ʻaʻole ʻoi aku i hoʻokahi manawa i kēlā me kēia 6 a 8 mau pule.

Mālama ʻo C Laptopril a me hydrochlorothiazide i ke koko kiʻekiʻe akā ʻaʻole ia e hoʻōla iā ia. E hoʻomau i ka lawe ʻana i ka captopril a me ka hydrochlorothiazide ʻoiai inā ʻoluʻolu ʻoe. Mai hōʻoki i ka lawe ʻana i ka captopril a me ka hydrochlorothiazide me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.


Ma mua o ka lawe ʻana i ka captopril a me ka hydrochlorothiazide,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka captopril (Capoten); hydrochlorothiazide (HCTZ; Microzide, Oretic); Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), enalapril (Vasotec, ma Vaseretic), fosinopril (Monopril), lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic), perindopril ( Aceon), quinapril (Accupril, ma Accuretic, ma Quinaretic), ramipril (Altace), a me trandolapril (Mavik, ma Tarka); lāʻau lāʻau sulfa; nā lāʻau lapaʻau ʻē aʻe; aiʻole i kekahi o nā mea hoʻohui i loko o ka papa captopril a me hydrochlorothiazide. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a kauka paha inā e lawe ana ʻoe i ka valsartan a me ka sacubitril (Entresto) a i ʻole inā ua oki ʻoe i ka lawe ʻana i loko o 36 mau hola i hala. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka captopril a me ka hydrochlorothiazide, inā ʻoe e lawe pū nei i ka valsartan a me ka sacubitril.Eia kekahi, e haʻi i kāu kauka inā he maʻi diabetes ʻoe a ke lawe nei ʻoe i ka aliskiren (Tekturna, ma Amturnide, ma Tekamlo, ma Tekturna HCT). E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka captopril a me ka hydrochlorothiazide inā he maʻi diabetes kou a ke lawe nei hoʻi ʻoe i ka aliskiren.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻowaiwai a me nā huahana lāʻau āu e lawe nei. E haʻi pono i kekahi o kēia mau mea: amphotericin B (Ambisome, Amphotec, a me nā mea ʻē aʻe); anticoagulants ('blood thinners') e like me warfarin (Coumadin, Jantoven); aspirin a me nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me indomethacin (Indocin, Tivorbex); pākuʻi kalipuna; nā lāʻau chemotherapy chemotherapy; cholestyramine (Prevalite); colestipol (Colestid); digoxin (Lanoxin); ka insulin a i ʻole nā ​​lāʻau oral no ka maʻi diabetes; lithium (Lithobid); nā lāʻau no ka gout e like me probenecid (Probalan); nā lāʻau e kāohi i ka ʻōnaehana pale e like me methenamine (Hiprex, Urex); monoamine oxidase (MAO) mea kāohi e like me phenelzine (Nardil) a me tranylcypromine (Parnate); nitrates e like me isosorbide dinitrate (Isordil, ma Bidil), isosorbide mononitrate (Monoket), a me nitroglycerin (Nitro-Dur, Nitrostat, a me nā mea ʻē aʻe); nā steroid ʻo waha e like me dexamethasone, methylprednisolone (Medrol), a me prednisone (Rayos); nā diuretics ʻē aʻe; nā lāʻau lapaʻau ʻē aʻe no ke koko kiʻekiʻe; lāʻau lapaʻau ʻeha; phenobarbital (Luminal); a me nā pākuʻi potassium. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa paha iā ʻoe kahi lupus; scleroderma (kahi kūlana e ulu ai nā mea keu i ka ʻili a me kekahi mau mea); puʻuwai puʻuwai; mimikō; maʻi ʻaʻai; hānō; aiʻole ka ate a me nā maʻi pākī.
  • e haʻi i kāu kauka inā e hānai ana ʻoe i ka waiū.
  • inā ke ʻoki ʻia ʻoe, e like me ke ʻoki niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka captopril a me ka hydrochlorothiazide.
  • e nīnau i kāu kauka e pili ana i ka hoʻohana palekana o nā mea inu ʻona ʻoiai ʻoe e lawe nei i ka captopril a me ka hydrochlorothiazide. Hiki i ka waiʻona ke hoʻomāhuahua i nā hopena o captopril a me hydrochlorothiazide.
  • pono ʻoe e ʻike ʻo ka palahī, ka luaʻi ʻana, ka inu ʻole ʻana i ka wai a lawa, a me ka hou nui ʻana i ka pauma ke kumu o ke kulu o ke koko, ka mea e hoʻomālamalama ai a maule ai hoʻi.

E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i nā paʻakai paʻakai i loko o ka potassium. Inā kau kauka i ka papaʻai sodium haʻahaʻa (haʻahaʻa paʻakai), e hāhai pono i kēlā mau ʻaoʻao.


E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hiki i ka C Laptopril a me ka hydrochlorothiazide ke kumu i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻūhā
  • dizziness a i ʻole ʻālohilohi
  • loli ka ʻono
  • hūwī
  • ʻūlili

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka:

  • ka pehu o ka maka, ka ʻāʻī, ke alelo, nā lehelehe, nā maka, nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo
  • hulahula
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • fiva, ʻeha ka ʻāʻī, haʻalulu, a me nā ʻōuli ʻē aʻe o ka maʻi
  • melemele o ka ʻili a me nā maka
  • waha maloo
  • make wai
  • nāwaliwali
  • nele i ka ikaika
  • hoʻomaha ʻole
  • ʻeha nā mākala a i ʻole nā ​​ʻūlū
  • urination pinepine ʻole
  • hoʻohuhū ʻōpū
  • ka luaʻi
  • maule ana
  • ʻeha ka umauma
  • wikiwiki, kuʻi, a i ʻole kuʻi puʻuwai puʻuwai

Hiki i ka C Laptopril a me ka hydrochlorothiazide ke kumu i nā hopena ʻē aʻe. Kāhea i kāu kauka inā he pilikia ʻokoʻa kāu i ka lawe ʻana i kēia lāʻau.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • hiamoe
  • koma
  • paʻakikī i ka hanu ʻana
  • ʻeha ka ʻōpū

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. Pono e nānā pinepine i kou kaomi koko e hoʻoholo i kāu pane i ka captopril a me ka hydrochlorothiazide. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka captopril a me ka hydrochlorothiazide.

Ma mua o ka hoʻāʻo ʻana o kahi keʻena hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua e lawe nei ʻoe i ka captopril a me ka hydrochlorothiazide.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

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Nānā Hou - 05/15/2019

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