Mea Kākau: Joan Hall
Lā O Ka Hana: 4 Pepeluali 2021
HōʻAno Hou I Ka Lā: 23 Nowemapa 2024
Anonim
How Does Furosemide Work? Understanding Loop Diuretics
Wikiō: How Does Furosemide Work? Understanding Loop Diuretics

Anter

ʻO Furosemide kahi diuretic ikaika ('pill wai') a hiki ke kumu i ka make wai a me ke kaulike ʻole electrolyte. He mea nui e lawe ʻoe e like me ka mea i haʻi ʻia e kāu kauka. Inā ʻoe e ʻike i kekahi o kēia mau ʻōuli, e kāhea koke i kāu kauka: ua hoʻemi i ka urination; waha maloo; make wai; nausea; ka luaʻi; nāwaliwali; hiamoe; huikau; ʻehaʻeha a ʻūpī paha i ka mākala aiʻole nā ​​kuʻi puʻuwai wikiwiki a kuʻi paha.

Hoʻohana wale ʻia ʻo Furosemide a i ʻole ka hui pū ʻana me nā lāʻau ʻē aʻe e mālama i ke koko kiʻekiʻe. Hoʻohana ʻia ʻo Furosemide e mālama i ka edema (ka paʻa ʻana o ka wai; ka nui o ka wai i paʻa ʻia i nā kino o ke kino) i hoʻokumu ʻia e nā pilikia olakino like ʻole, me ka puʻuwai, nā puʻuwai, a me nā maʻi ate. Aia ʻo Furosemide i kahi 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 koko kiʻekiʻe kahi kūlana maʻamau a ke mālama ʻole ʻia, hiki ke hōʻeha 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 Furosemide ma ke ʻano he papaha a ma ke ʻano he solution (wai) e lawe ma ka waha. Lawe ʻia ia i hoʻokahi a ʻelua paha manawa i ka lā. Ke hoʻohana ʻia e mālama i ka edema, lawe ʻia ka furosemide i kēlā me kēia lā a i ʻole ma kekahi mau lā o ka pule. Ke hoʻohana ʻia e mālama i ke kiʻekiʻe kiʻekiʻe, e lawe i ka furosemide 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. E lawe pololei i ka furosemide. 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 ʻo Furosemide i ke koko kiʻekiʻe a me ka edema akā ʻaʻole ia e hoʻōla i kēia mau ʻano. E hoʻomau i ka lawe ʻana i ka furosemide ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka furosemide me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau i kekahi manawa 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 furosemide,

  • e haʻi i kāu kauka a me ka mea kauka lāʻau inā he maʻi ʻoe i ka furosemide, nā lāʻau sulfonamide, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i loko o ka papa ʻo furosemide a i ʻole ka hopena. E noi i kāu kauka lāʻau a nānā i ka ʻike hoʻomanawanui no kahi papa inoa o nā mea hoʻohui.
  • 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 hoʻopihaʻai, 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: aminoglycoside antibiotics e like me amikacin, gentamicin (Garamycin), a i ʻole tobramycin (Bethkis, Tobi); Angiotensin-hoʻololi i ka enzyme (ACE) mea kāohi e like me benazepril (Lotensin, i Lotrel), captopril (Capoten), fosinopril, lisinopril (i Prinzide, i Zestoretic), moexipril (Univasc, i Uniretic), perindopril (Aceon), quinapril (Accupril , ma Accuretic), ramipril (Altace), a me trandolapril (Mavik, ma 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); aspirin a me nā salicylates ʻē aʻe; nā barbiturates e like me phenobarbital a me secobarbital (Seconal); corticosteroids e like me betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, a me kekahi), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol, Meprol) prednisolone (Prelone, kekahi), prednisone (Deltasone, Meticorten, Sterapred, a me nā mea ʻē aʻe), a me triamcinolone (Aristocort, Azmacort); cisplatin (Platinol); cyclosporine (Gengraf, Neoral, Sandimmune); digoxin (Lanoxin), ethacrynic acid (Edecrin); indomethacin (Indocin); laxatives; lithium (Lithobid); nā lāʻau no ka maʻi kō, ke koko kiʻekiʻe a me ka ʻeha; methotrexate (Trexall); probenecid (Probalan, Probenemid); a me phenytoin (Dilantin, Phenytek). Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • inā ʻoe e lawe sucralfate (Carafate), lawe ia i 2 mau hola ma mua a ma hope paha o kou lawe ʻana i ka furosemide.
  • e haʻi i kāu kauka inā loaʻa ʻoe i ka maʻi puʻuwai. E haʻi paha kāu kauka iā ʻoe mai lawe i ka furosemide.
  • e haʻi i kāu kauka inā loaʻa iā ʻoe a i ʻole loaʻa i kekahi ʻano e kū ana i kāu ʻōpū mai ka waiho ʻana a pau, diabetes, gout, systemic lupus erythematosus (SLE, kahi maʻi mumū mau), a me nā maʻi ate.
  • e haʻi i kāu kauka inā hāpai ʻoe, hoʻolālā e hāpai, a i ʻole e hānai umauma ana. Mai hānai hānai i ka wā e lawe ana i kēia lāʻau. Inā hāpai ʻoe i ka lawe ʻana i ka furosemide, e kāhea i kāu kauka.
  • inā ke ʻoki ʻia ʻoe, e haʻi i ke kauka ke hoʻohana nei ʻoe i ka furosemide.
  • e hoʻolālā e hōʻalo i ka hōʻike kūpono ʻole a hoʻolōʻihi ʻia paha i ka lā a komo i nā lole pale, nā aniani aniani, a me ka sunscreen. Hana paha ʻo Furosemide i kou ʻili i ka lā.
  • pono ʻoe e ʻike ʻo ka furosemide ke kumu o ka hoʻoluhi, hoʻomālamalama, a me ka maʻule ke ala koke ʻoe mai kahi kūlana wahaheʻe. ʻOi aku ka maʻamau o kēia ke hoʻomaka mua ʻoe e lawe i ka furosemide. I mea e hōʻalo ai i kēia pilikia, e hele mālie i waho o kahi moe, e hoʻomaha ana i kou mau wāwae i ka papahele no kekahi mau minuke ma mua o ke kū ʻana i luna. Hiki i ka waiʻona ke hoʻohui i kēia mau hopena.

Inā kuhikuhi kāu kauka i ka paʻakai haʻahaʻa a paʻakai paʻakai paha, a i ʻole e ʻai a inu paha i hoʻonui ʻia ka nui o nā meaʻai waiwai potassium (e laʻa me ka maiʻa, nā huaʻā, nā huaʻā, a me ka wai ʻalani) i kāu papaʻai, e hāhai pono i kēia mau ʻōlelo aʻo.


E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no kāu kaukona 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.

E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • urination pinepine
  • ʻike hihi
  • ʻeha poʻo
  • kōpaʻa
  • pāhoehoe

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā loaʻa iā ʻoe kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻĀINA WAIWAI, e kelepona koke i kāu kauka a i ʻole e ʻimi i nā lāʻau lapaʻau pilikia.

  • fiva
  • kani i nā pepeiao
  • lilo o ka hoʻolohe ʻana
  • hūwī
  • hives
  • pālū a ʻiliʻili paha
  • ʻūlili
  • pilikia i ka hanu ʻana a i ʻole ke ale ʻana
  • melemele o ka ʻili a me nā maka

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 mai 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. E hoʻolei i ka hopena furosemide i hoʻohana ʻole ʻia ma hope o 90 mau lā.

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

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.

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.

Pākuʻi ʻia paha nā ʻōuli o ka overdose:

  • make wai loa
  • waha maloo
  • ʻūpā
  • huikau
  • luhi loa
  • ka luaʻi
  • ʻōpū o 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, a hana ʻia nā hoʻokolohua koko i kekahi manawa.

Ma mua o ka loaʻa ʻana o kahi hoʻokolohua hoʻokolohua, e haʻi i kāu kauka a me nā limahana o ke keʻena hoʻokolohua āu e lawe nei i ka furosemide.

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.

  • Lasix®
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