Mishonga "Lasix": zvairatidza kuti kushandiswa, contraindications, uye wongororo

Izvo zvinoda zvinodhaka "Lasix"? Zvairatidza kuti kushandiswa kwezvinodhaka zvichabviswa pasi apa. Uyezve, isu achakuzivisai zvinodzidziswa contraindications inokurukurwa mubhuku zvinodhaka muchimiro umo anogadzirwa, kuti chikamu chacho, kana akanga chero divi migumisiro uye analogues.

Murwiyo uye chimiro

Pari kuritenga anogona kunzi ane gadziriro zvinotevera siyana:

• "Lasix" mapiritsi. Reviews vanoti kuti yatochena, dzeraundi uye mukana pakati. The kushingaira wemafuta ari medicament ndiyo furosemide. Kunosanganisirawo ebetsero zvinoriumba muchimiro lactose, starch, pregelatinized starch, talc, nesilicon yakasviba colloidal uye magnesium stearate. nemishonga Available ari chisanganiso micheka yakatsemurwa aruminiyamu foil, iyo inoiswa makadhibhokisi kavha.
• A mhinduro intramuscular kana intravenous kutarisira "Lasix" (ampoules). Instruction inoti kuti mamiriro vanzwe fomu iri furosemide.

Features zvinodhaka

Chii chinodhaka "Lasix"? Zvairatidza kuti kushandiswa kwezvinodhaka anorondedzerwa akanyudzwa mirayiridzo. It raanotaura uye mashandiro zvinodhaka chiito.

"Lasix" - kutsanya uye ndakasimba diuretic, iro rinobva sulfonamide. It Zvidhinha kutakurwa hurongwa yavaibvisa uye chloride ions mukati merima vachikwira mutezo mumwe Henle weboka loop. Saka diuretic mugumisiro zvinodhaka kunotsamira yayo chionekeso ari lumen pamusoro renal tubules.

Secondary Migumisiro zvinodhaka vowanda secretion kuti potassium ari distal tubule zvikamu uye weti goho.

Course kurapwa pamwe diuretic zvinodhaka basa haisi ipfupi. Mumoyo kukundikana, mushonga "Lasix" nokururamisira nokukurumidza kunoderedza preload, uyewo kuita iri pulmonary tsinga uye kuruboshwe ventricle.

Viewed medicament ane antihypertensive Chaizvoizvo izvo zviri kukonzerwa kuwedzera yavaibvisa excretion, yakaderera ropa vhoriyamu uye kuderera mvere tsandanyama kuita.

Pharmacokinetics

"Lasix" - mumwe diuretic, iyo yava kunyura kubva nemudumbu. bioavailability Its vanhu akasiyana kunogona kuderedzwa kusvika 30%. Izvi imhaka yokuti zvinogona kukanganisa zvachose zvose zvinhu, kusanganisira runotikurudzira chirwere.

The mushonga anosunga zvakanaka yeplasma (anenge 98%). It rairatidzwa kuchinja chimiro kuburikidza itsvo uye kubudikidza ura.

Zvinofanira kucherechedzwa kuti "Furosemide" Chinopinda akanaka zvakanaka kuburikidza placental chipingamupinyi uye yabudiswa pamwe mukaka.

Drug "Lasix" (majekiseni): zvairatidza yokushandisa

Ndezvipi zvirwere zvinogona kupiwa mishonga muchimiro kugadzirisa? Maererano murayiridzo pakugadzirira "Lasix" (analogues zvichakurukurwa pazasi) rinoshandiswa:

• Edema chirwere mwoyo nokukundikana (refu);
• pfungwa edema;
• Edema chirwere pamwe renal kukundikana (refu);
• vane chirwere cheBP dambudziko;
• chenjera renal insufficiency, kusanganisira avo kuchengetwa kutsva uye pamuviri (kutsigirwa Urume excretion);
• Edema chirwere nephrotic urwere;
• neBP;
• Edema chirwere muna chiropa chirwere;
• mutsigiri muchetura akamanikidza diuresis makemikari itsvo dziri kuchinja chimiro.

Mahwendefa "Lasix": zvairatidza yokushandisa

Vanofanira kutora zvinodhaka nokuda chete nezvikonzero dzave pamusoro apa dziri mahwendefa. Zvisinei, vanamazvikokota vanoti nekuda intramuscular kana intravenous Kutarisirwa, mushonga chinoratidza zvikuru tibudirire.

Contraindications

Chii murwere nemamiriro chinorambidzwa kutora "Lasix"? Contraindications pakushandisa chigadzirwa ichi akarongwa ari akanyudzwa mirayiridzo. Funga iye zvino:

• zvakakomba hyponatremia;
• renal kukundikana pamwe anuria;
• Digitalis kudhaka;
• hepatic precoma uye chaanoziva;
• chenjera glomerulonephritis ;
• zvakakomba hypokalemia;
• panguva pamuviri;
• hypovolemia kana kupera mvura mumuviri;
• achiyamwa;
• vakaratidza vachivavhiringidza water drainage kuti weti;
• hyperuricemia;
• decompensated mitral uye kutsemuka stenosis uye hypertrophic obstructive cardiomyopathy;
• Children pasi makore matatu (Hwendefa chimiro);
• yakakwirira nechepakati venous kumanikidzwa;
• hypersensitivity kuti zvinodhaka;
• chisimbwa kuti furosemide.

General chipimo chemushonga zvinodhaka uye ayo nzira kushandiswa

Sei kutora "Lasix"? The chipimo chemushonga zvinodhaka kunoenderana worudzii chirwere.

Mahwendefa zvinofanira kutorwa seboka, usina chawadya. In kugadzwa zvinodhaka inofanira kushandiswa panguva shoma chipimo chemushonga iri zvakakwana kuti apore kushanda.

Zvavakabvumirana kunonyanyisa dose pazuva nokuda nevakura 1500 MG. Nokuti vana, izvozvo zvinoenderana kurema murwere (2 MG / makirogiramu, asi kwete kupfuura 40 MG pazuva). Ya ARV kunoyerwa nyanzvi nomunhu uye kunobva uchapupu.

nemishonga

Zvino munoziva kuti kutora "Lasix". Shandisa mushonga ichi chete inofanira kupiwa nachiremba. Izvi imhaka yokuti ane kumbonyanya vakawanda nenjodzi. Funga Nyora wavo iye zvino.

• nomusoro, tsandanyama simba, kuvhiringidzika, mugari kurova kwehana, pfari;
• somnolence, dyspepsia, utera, pakaparara, muromo yakaoma;
• hypomagnesemia, chloropenia, hyponatremia, hypocalcemia, hypokalemia, metabolic alkalosis;
• dzungu, ungaderedza shuga kushivirira, vakawedzera serum kwevari triglycerides uye remafuta akawandisa;
• kuda kurutsa, hematuria, kurutsa, kunyanyisa richikwidibira ropa kumanikidzwa, ungaderedza potency;
• manyoka, kusanzwa, kupatira, tinnitus, nephrotic urwere;
• neutachiona: interstitial nephritis, pruritus, leukopenia, urticaria, exfoliative dermatitis, bullous ganda maronda, fivha, polymorphic erythema, eosinophilia, purpura, vasculitis, photosensitivity;
• agranulocytosis, thrombocytopenia, hemolytic kana aplastic kupererwa neropa.

zvinodhaka kwavatori

Maererano murayiridzo pakugadzirira "Lasix" ratings zviri kukurukurwa hereinafter, zvinotevera zvinodhaka mukukurukurirana:

• "Carbenoxolone" steroids uye liquorice huru mishonga uye kushandisa mazhinji pamusoro laxatives akabatana furosemide zvinowedzera mukana hypokalemia.
• Zvinodhaka nephrotoxic mugumisiro kuwedzera pangozi nephrotoxic migumisiro.
• Aminoglycosides vachishandisa furosemide zvinowedzera mukana nephrotoxicity uye ototoxicity kekutanga.
• High mishonga ine cephalosporins kuwedzera mukana nephrotoxicity.
• NSAIDs uye acetylsalicylic asidhi akazoita diuretic mugumisiro furosemide.
• "Phenytoin" akazoita diuretic mugumisiro furosemide.
• "Methotrexate" uye "Probenecid" kuderedza furosemide.
• Tiine wemishonga "Cyclosporin A" ne furosemide vakawedzera mukana gouty chearthritis.

Dzinenge kurumbidza yokushandisa zvinodhaka

Asati kushandisa chigadzirwa "Lasix", zvinoratidza zvakanga kukurukurwa kumusoro, zvakakodzera haabatanidzi kuvapo wakatarwa kusagadzikana weti water drainage.

Panguva mushonga vanofanira kugara richiona nezvezvabuda serum kuwanda potassium, yavaibvisa, uye creatinine.

In pakurapa "Lasix" zvinokurudzirwa kudya zvokudya potassium yakawanda. Mune zvimwe zviitiko anogona varumbidzwa yaunodya zvinodhaka potassium-kukudzivirirai.

Analogs medicament

Structural analogues vaiona zvinodhaka (active mumiririri) vari zvinodhaka akadai "Furosemide", "Furon" uye "Fursemid". Uyewo mishonga "Lasix" unogona kutsiva "Akripamidom", "Brinaldiksom", "veroshpiron", "hydrochlorothiazide", "Diuverom", "Indap", "Klopamid", "Lorvasom," "mannitol", "Spironolom", "Uraktonom" uye nezvimwe mishonga.

Testimonials pamusoro mushonga

Zvino, munoziva, nokuti zvinangwa chii ushandiswe mishonga "Lasix". Zvairatidza kuti kushandisa zvinodhaka ichi kunge inorondedzerwa pamusoro. Chii varwere nezvake? Vanenge vose vanhu achitora mishonga, dzinoti yakakwirira kunyatsoshanda kwayo. Zvisinei, varwere vakawanda chokunyunyuta pamusoro vakawanda nenjodzi (nemusoro, kuda kurutsa, etc.). Zvisinei, vanamazvikokota vanoti kuti vachitsigira usingashandi mishonga Migumisiro aya apo neapo.