Mea Kākau: Joan Hall
Lā O Ka Hana: 4 Pepeluali 2021
HōʻAno Hou I Ka Lā: 26 Kepakemapa 2024
Anonim
Drugs in Hypertension: Diuretics – Cardiovascular Pharmacology | Lecturio
Wikiō: Drugs in Hypertension: Diuretics – Cardiovascular Pharmacology | Lecturio

Anter

Hoʻohana mau ʻia ʻo Amiloride me ka hui pū me nā diuretics ʻē aʻe ('pills wai') e mālama ai i ke kiʻekiʻe o ke koko a me nā puʻuwai ʻole i nā mea maʻi i loaʻa ka nui o ka potassium i loko o ko lākou mau kino a i ʻole no nā pae potassium haʻahaʻa i loko o ke kino e weliweli. Aia ʻo Amiloride i kahi papa o nā lāʻau i kapa ʻia he diuretics. Hana ia ma ke kumu ʻana i nā puʻupaʻa e kāpae i ka wai i koi ʻole ʻia a me ka paʻakai mai ke kino i ka mimi, akā hoʻemi ia i ka nalo ʻana o ka potassium.

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.


Hele mai ʻo Amiloride ma ke ʻano he papa e lawe ma ka waha. Lawe ʻia ia i hoʻokahi manawa i ka lā me ka meaʻai. E kōkua iā ʻoe e hoʻomanaʻo e lawe i ka amiloride, lawe a puni ka manawa like 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 pono i ka amiloride 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.

Mālama kēia lāʻau i ke kiʻekiʻe o ke koko a me ka puʻuwai o ka puʻuwai akā ʻaʻole ia e hoʻōla i kēia mau ʻano. E hoʻomau i ka lawe amiloride ʻoiai ʻoe e manaʻo maikaʻi. Mai hōʻoki i ka lawe ʻana i ka amiloride 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 amiloride,

  • e haʻi i kāu kauka a me ka kauka inā he maʻi ʻoe i ka amiloride, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hoʻohui i amiloride. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • E haʻi i kāu kauka inā e lawe ana ʻoe i ka spironolactone (Aldactone, ma Aldactazide), nā lāʻau ʻē aʻe i loaʻa ka triamterene, a i ʻole nā ​​pākuʻi potassium a i ʻole nā ​​pāʻina lāʻau potassium. E haʻi paha kāu kauka iā ʻoe ʻaʻole e lawe i ka amiloride inā ʻoe e lawe i hoʻokahi a ʻoi paha o kēia mau lāʻau.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau i nā lāʻau lapaʻau, nā wikamina, nā mea hoʻopihapiha, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe. E hoʻomaopopo pono e ʻōlelo i kekahi o kēia mau mea: angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, ma Lotrel), captopril (Capoten), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic) , perindopril (Aceon), quinapril (Accupril, in Accuretic), ramipril (Altace), and trandolapril (Mavik, in Tarka); angiotensin II receptor antagonists (ARB) e like me azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, ma Atacand HCT), eprosartan (Teveten, ma Teveten HCT), irbesartan (Avapro, ma Avalide), losartan (Cozaar, ma Hyzaar), olmesartan (Benicar, ma Azor, Benicar HCT), telmisartan (Micardis, ma Micardis HCT), a me valsartan (Diovan, ma Diovan HCT, Exforge); cyclosporine (Gengraf, Neoral, Sandimmune); lithium (Lithobid); aiʻole nā ​​lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ibuprofen (Advil, Motrin, nā mea ʻē aʻe), indomethacin (Indocin), a me naproxen (Aleve, Naprosyn, a me nā mea ʻē aʻe); aiʻole tacrolimus (Astagraf XL, Prograf). 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 ʻoe i ka maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe mai lawe i ka amiloride.
  • e haʻi i kāu kauka inā loaʻa a loaʻa paha ʻoe i ka maʻi diabetes a i ʻole ka maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Inā hāpai ʻoe i ka lawe ʻana i amiloride, e kāhea koke i kāu kauka.

Hōʻalo i nā pāʻakai paʻakai i loaʻa i ka paʻakai iā ʻoe e lawe nei i kēia lāʻau. E kamaʻilio me kāu kauka e pili ana i ka nui o nā meaʻai momona potassium (e laʻa me ka maiʻa, pulu, puaʻa, a me ka wai ʻalani) i loaʻa i kāu papaʻai.


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.

Hoʻokumu paha ʻo Amiloride i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • ʻeha poʻo
  • puʻuwai puʻuwai
  • nalo ʻai ʻole
  • nausea
  • pāhoehoe
  • ka luaʻi
  • ʻenekini

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:

  • waha maloo; make wai; numbness a me tingling; huikau; nāwaliwali o ka mākala, ʻeha o ka ʻōpū, a i ʻole nā ​​ʻūpē puʻuwai wikiwiki a me nā hōʻailona ʻē aʻe o ka make wai a me ke kaulike ʻole electrolyte
  • melemele o ka ʻili a me nā maka
  • ʻeha ka umauma
  • hūwī
  • ʻūlili
  • hives
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana

Hoʻokumu paha ʻo Amiloride 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. Mai paʻa hau.

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.

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 amiloride. E kauoha paha kāu kauka i kekahi mau hoʻokolohua lab e nānā i ka pane o kou kino i ka amiloride.

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.

  • Midamor®
Nānā Hou - 03/15/2017

HoʻOmaopopo Mākou

6 ʻōuli kinoea (ʻōpū a me ka ʻōpū)

6 ʻōuli kinoea (ʻōpū a me ka ʻōpū)

ʻO nā ʻōuli o ka ʻōpū a me ka ʻōpū ʻōpū e pinepine pinepine a hoʻokomo i ka manaʻo o kahi ʻōpū momona, ʻoluʻolu iki o ka ʻōpū a me ka paʻa mau, no ka laʻana.ʻO ka maʻamau maʻamau kēia mau ʻōuli ma hop...
ʻO ka momona i ka mimi: he aha ka mea e hiki ai a he aha e hana ai

ʻO ka momona i ka mimi: he aha ka mea e hiki ai a he aha e hana ai

ʻAʻole i manaʻo ʻia ke kū ʻana o ka momona i ka mimi maʻa mau, a pono e noiʻi ʻia ma o nā hoʻokolohua ʻē aʻe e loiloi i ka hana o ke konā, ʻoi loa, a laila pono e hoʻomaka ka lāʻau inā pono.Hiki ke ʻi...