Spironolactone uye Hydrochlorothiazide

Zvemukati

• Usati watora spironolactone uye hydrochlorothiazide,
• Spironolactone uye hydrochlorothiazide inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:
• Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

Spironolactone yakakonzera mamota mune mhuka dzemarabhoritari. Taura nachiremba wako nezve njodzi uye mabhenefiti ekushandisa mushonga uyu kune ako mamiriro.

Mushonga uyu haufanire kushandiswa paunotanga kurapwa kwako.Iwe unofanirwa kutora mushonga uyu chete mushure meakakodzera madhiri e spironolactone uye hydrochlorothiazide zvakasimbiswa nachiremba wako.

Iko kusanganiswa kwe spironolactone uye hydrochlorothiazide inoshandiswa kurapa yakakwira BP. Mushonga uyu unoshandiswa zvakare kurapa varwere vane edema (fluid fluid) inokonzerwa nemamiriro akasiyana siyana, anosanganisira moyo, chiropa, kana chirwere cheitsvo. Spironolactone iri mukirasi yemishonga inonzi aldosterone receptor vanopikisa. Izvo zvinokonzeresa itsvo kubvisa mvura isingadiwe uye sodium kubva mumuviri kupinda mumuti weti, asi inoderedza kurasikirwa kwe potassium kubva mumuviri. Hydrochlorothiazide iri mukirasi yemishonga inonzi diuretics ('' mapiritsi emvura ''). Inoshanda nekukonzera itsvo kubvisa mvura isingadiwe uye munyu kubva mumuviri kuenda kuweti.

Kuwedzera kweropa BP chiitiko chakajairika uye kana chikasarapwa, chinogona kukonzera kukuvara kwehuropi, moyo, tsinga dzeropa, itsvo nedzimwe nhengo dzemuviri. Kukuvara kwenhengo idzi kunogona kukonzera chirwere chemoyo, chirwere chemwoyo, kukundikana kwemoyo, sitiroko, itsvo kutadza, kurasikirwa kwemaonero, uye mamwe matambudziko. Kunze kwekutora mishonga, kuita mararamiro ehupenyu kuchabatsira zvakare kudzora yako BP. Shanduko idzi dzinosanganisira kudya chikafu chisina mafuta nemunyu, kuchengetedza huremu hune hutano, kudzidzira maminetsi makumi matatu mazuva mazhinji, kusasvuta, uye kushandisa doro zvine mwero.

Iko kusanganiswa kwe spironolactone uye hydrochlorothiazide kunouya sehwendefa yekutora nemuromo. Kazhinji inotorwa kamwe chete kana kaviri pazuva. Kuti ikubatsire kuyeuka kutora spironolactone uye hydrochlorothiazide, tora iyo kutenderedza nguva imwechete (nguva) mazuva ese. Kana iwe uchizotora kamwe pazuva, chiitora mangwanani; kana uchizotora kaviri pazuva, tora mangwanani uye nemanheru ekudzivirira kuenda kuchimbuzi panguva yehusiku. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora spironolactone uye hydrochlorothiazide chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Uyu mushonga unodzora kukwirira kweropa uye edema, asi haurape aya mamiriro. Ramba uchitora spironolactone uye hydrochlorothiazide kunyangwe iwe uchinzwa zvakanaka. Usarega kutora spironolactone uye hydrochlorothiazide usina kutaura nachiremba wako.

Mushonga uyu dzimwe nguva unonyorerwa kumwe kushandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora spironolactone uye hydrochlorothiazide,

• udza chiremba wako uye wemishonga kana iwe uri weergoriki kune spironolactone, hydrochlorothiazide, thiazide diuretics ('' mapiritsi emvura ''), mishonga inogadziriswa nesulfa, penicillin, mimwe mishonga, kana chero chinhu chinowanikwa mune spironolactone uye mahwendefa ehydrochlorothiazide. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
• udza chiremba wako uye wemishonga kuti ndeipi mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvekuwedzera pane zvekudya, uye mishonga yemakwenzi yauri kutora kana kuronga kutora. Ive neshuwa yekutaura chero eanotevera: aldosterone inodzivirira mishonga senge eplerenone (Inspra), angiotensin-inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), captopril (Capoten), enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muPrinzide, muZestoretic), moexipril (Univasc, muUniretic), perindopril (Aceon), quinapril (Accupril, in Accuretic, in Quinaretic), ramipril (Altace), uye trandolaprka (Mavik, Tarik; angiotensin II vanopikisa (angiotensin receptor blockers; ARBs) senge azilsartan (Edarbi, muEdbybyclor), candesartan (Atacand, muAtacand HCT), eprosartan (Teveten, muTeveten HCT), irbesartan (Avapro, muAvalideza), losartan ( muHyzaar), olmesartan (Benicar, muAzor, Benicar HCT), telmisartan (Micardis, muMicardis HCT, muTwynsta), uye valsartan (Diovan, muDiovan HCT, Exforge); asipurini uye mamwe nonsteroidal anti-anogumbura mishonga (NSAIDS) senge ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex); cholestyramine (Prevalite); digoxin (Lanoxin); heparin uye yakaderera mamorekuru uremu heparini senge enoxaparin (Lovenox); lithium (Lithobid); mishonga yechirwere cheshuga kana kuwedzerwa kweropa; potassium-sparing diuretics ('' mapiritsi emvura '') senge amiloride (Midamor) kana triamterene (Dyrenium, muDyazide, muMaxzide); uye potasiamu zvinowedzera. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
• udza chiremba wako kana iwe uine huwandu hweropa hwecalcium kana potasium kana uine kana wakambove nechirwere cheAdisonison kana zvimwewo mamiriro anogona kukonzera kuwanda kweropa potasium, kana itsvo kana chirwere chechiropa. Chiremba wako anogona kukuudza kuti usatore spironolactone uye hydrochlorothiazide.
• udza chiremba wako kana iwe wakambove neasthma, systemic lupus erythematosus (SLE, chirwere chisingaperi chisingaperi), chirwere cheshuga, kana gout.
• udza chiremba wako kana iwe uri nepamuviri, ronga kuve nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora spironolactone uye hydrochlorothiazide, fonera chiremba wako.
• kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora spironolactone uye hydrochlorothiazide.
• iwe unofanirwa kuziva kuti uyu mushonga unogona kukuita iwe kukotsira. Usatyaire mota kana kushandisa michina kusvikira iwe waziva kuti uyu mushonga unokubata sei.
• rangarira kuti doro rinogona kuwedzera kuhope dzinokonzerwa nemushonga uyu.

Tevedza zvirevo zvechiremba wako kune yakaderera-munyu kana yakaderera-sodium kudya uye zuva nezuva chirongwa chekurovedza muviri Dzivisa potasium-ine munyu zvinotsiva. Deredza kudya kwako kwe-potassium-rich foods (semuenzaniso, mabhanana, prunes, mazambiringa akaomeswa, uye jisi reorenji). Kumbira chiremba wako kuti akupe mazano pane zvakawanda zvekudya iwe unogona kuva nazvo.

Tora dosi rakarasika nekukurumidza kana uchinge warangarira. Zvisinei, kana yava nguva yenguva inotevera, svetuka chirwere chakarasika uye ramba uchiita purogiramu yako yenguva dzose. Usatore dosi yakapetwa kaviri kuti uwane imwe yakarasika.

Spironolactone uye hydrochlorothiazide inogona kukonzera mhedzisiro. Udza chiremba wako kana chimwe chezviratidzo izvi chakanyanya kana kuti chisingaendi:

• kusvotwa
• kurutsa
• manyoka
• kurasikirwa nenzara
• kurwadziwa nemudumbu
• kugara uchiita weti
• dzungu
• musoro
• akawedzera kana anorwadza mazamu
• zvisina kujairika kumwedzi
• kuoma kuchengetedza kana kuwana erection
• kubuda ropa kwemadzimai mumashure-menopaopausal ('mushure mekuchinja kwehupenyu', kupera kwemwedzi wekuenda kumwedzi) vakadzi
• kutsimwaira

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukasangana nechimwe cheizvi zviratidzo, danaidza chiremba wako nekukasira:

• mhasuru kushaya simba kana kurwadza
• shanduko mukuona kana kurwadziwa kweziso
• kukurumidza, kunyanyisa kuonda
• kuneta
• inononoka kana isina kujairika kurova kwemoyo
• kupwanya kusingawanzo kana kubuda ropa
• yero yeganda kana maziso
• kuputika kweganda
• kuvava
• kupindwa nechando
• kuvhiringidzika

Kana iwe ukawana chakakomba mhedzisiro, iwe kana chiremba wako ungatumira chirevo kuchirongwa cheKudya neDrug Administration's (FDA) MedWatch Yakashata Chiitiko Chirongwa online (http://www.fda.gov/Safety/MedWatch) kana nefoni ( 1-800-332-1088).

Chengetedza mushonga uyu mumudziyo wawakauya nawo, wakavharwa zvakasimba, uye usingaonekwe nevana. Zvichengetedze pane tembiricha yemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi).

Mishonga isingadiwe inofanirwa kuraswa nenzira dzakakosha kuona kuti zvipfuyo, vana, nevamwe vanhu havagone kuzvidya. Nekudaro, iwe haufanire kuburitsa uyu mushonga pasi pechimbuzi. Pane kudaro, nzira yakanakisa yekurasa yako mishonga ndeye kuburikidza neyekurapa-kudzosa chirongwa. Taura nachiremba wako kana kuti taura nedhipatimendi rako remarara / rekudzokorora kuti udzidze nezve zvirongwa zvekudzosa munharaunda yako. Ona iyo FDA's Safe Disposal yeMedicine webhusaiti (http://goo.gl/c4Rm4p) kuti uwane rumwe ruzivo kana iwe usina mukana wekutora-kudzoka chirongwa.

Izvo zvakakosha kuti chengetedza mishonga yese isingaonekwe nekusvikwa kwevana semidziyo yakawanda (senge vhiki nevhiki mapiritsi epfungwa uye ayo emadonhwe eziso, makirimu, zvigamba, uye inhalers) hazvirambe vana uye vana vadiki vanogona kuvhura zviri nyore. Kuchengetedza vana vadiki kubva kune chepfu, gara wakakiya makofia ekuchengetedza uye nekukurumidza isa mishonga munzvimbo yakachengeteka - imwe iri kumusoro uye kure uye isingaonekwe nevanosvika. http://www.upandaway.org

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo runowanikwawo pamhepo pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Ropa rako rinofanirwa kuongororwa nguva dzose, uye kuongororwa kweropa kunofanira kuitwa nguva nenguva.

Usarega mumwe munhu achitora mushonga wako. Kumbira wemishonga wako chero mibvunzo yauinayo nezvekuzadza tsamba yako.

Izvo zvakakosha kuti iwe uchengete yakanyorwa rondedzero yeese emushonga uye asiri ekunyora (pamusoro-e-pikisheni) mishonga yauri kutora, pamwe nezvimwe zvigadzirwa zvakaita sevhitamini, zvicherwa, kana zvimwe zvekuwedzera zvekudya. Iwe unofanirwa kuuya nerondedzero iyi iwe nguva imwe neimwe paunoshanyira chiremba kana kana iwe uchigamuchirwa kuchipatara. Izvo zvakare zvakakosha ruzivo kutakura newe kana zvikaitika zvechimbi-chimbi.

• Aldactazide^® (iine Spironolactone, Hydrochlorothiazide)