Munyori: Gregory Harris
Zuva Rekusika: 8 Kubvumbi 2021
Gadziridza Zuva: 18 Mbudzi 2024
Anonim
Kalp Yetmezliğinde ICD ve CRT: Nereden Geldik, Nereye Gidiyoruz
Vhidhiyo: Kalp Yetmezliğinde ICD ve CRT: Nereden Geldik, Nereye Gidiyoruz

Zvemukati

Udza chiremba wako kana iwe uine pamuviri kana kuronga kuva nepamuviri. Usatore musanganiswa wevalsartan uye sacubitril kana iwe uri nepamuviri. Kana iwe ukava nepamuviri iwe uri kutora valsartan uye sacubitril, rega kutora valsartan uye sacubitril uye udana chiremba wako nekukurumidza. Iko kusanganiswa kwevalsartan uye sacubitril kunogona kukonzera kufa kana kukuvara kwakanyanya kune fetus painotorwa mumwedzi mitanhatu yekupedzisira yenhumbu.

Iko kusanganiswa kwevalsartan uye sacubitril inowanzo shandiswa pamwe chete nemimwe mishonga kudzikisa njodzi yekufa nekuchengetwa muchipatara muvakuru vane mamwe marudzi emoyo kukundikana. Iko kusanganiswa kwevalsartan uye sacubitril inoshandiswa zvakare kurapa mamwe marudzi ekushaya kwemoyo muvana vane gore rimwe zera nekure. Valsartan iri mukirasi yemishonga inonzi angiotensin II receptor vanopikisa. Inoshanda nekuvharira kuita kwezvimwe zvinhu zvakasikwa zvinosunga tsinga dzeropa, ichibvumira ropa kuyerera zvakatsetseka uye moyo kupomba zvakanyanya. Sacubitril iri mukirasi yemishonga inonzi neprilysin inhibitors. Inoshanda kubatsira kudzora huwandu hweropa.


Iko kusanganiswa kwevalsartan uye sacubitril kunouya sehwendefa kutora nemuromo. Inowanzo kutorwa kaviri pazuva kana kana pasina chikafu. Kuti ikubatsire kuyeuka kutora musanganiswa wevalsartan uye sacubitril, tora iyo panguva dzakatenderedza nguva dzakafanana zuva rega rega. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora valsartan uye sacubitril chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Kana iwe kana mwana wako usingakwanise kumedza mapiritsi, wemishonga wako anogona kugadzirira uyu mushonga sekumiswa kwemuromo (mvura). Shamba bhodhoro rekumiswa zvakanaka pamberi peimwe dosi.

Chiremba wako anogona kukutanga iwe pane yakaderera dosi ye valsartan uye sacubitril uye zvishoma nezvishoma wedzera yako dose.

Iko kusanganiswa kwevalsartan uye sacubitril inodzora kutadza kwemoyo asi isingarape. Ramba uchitora valsartan uye sacubitril kunyangwe iwe uchinzwa zvakanaka. Usarega kutora valsartan uye sacubitril usina kutaura nachiremba wako.


Kumbira wemishonga wako kana chiremba kopi yemashoko emugadziri wemurwere.

Mushonga uyu unogona kupihwa zvimwe zvinoshandiswa; bvunza chiremba wako kana wemishonga kuti uwane rumwe ruzivo.

Usati watora valsartan uye sacubitril,

  • udza chiremba wako uye wemishonga kana uri weergisi (kuzvimba kwechiso chako, miromo, rurimi, kana huro, kana kunetseka kufema) kune valsartan, mamwe angiotensin receptor blockers (ARB) akadai azilsartan (Edarbi, muEdarbyclor), candesartan (Atacand, muAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, muAvalide), losartan (Cozaar, muHyzaar), olmesartan (Benicar, muAzor, muBenicar HCT, muTribenzor), telmisartan (Micardis, muMicardis HCT, mu Twynsta); angiotensin inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muPrinzide, muZestoretic), moexipril (Univasc, in Unopic) , muPrestalia), quinapril (Accupril, muAccuretic, muQuinaretic), ramipril (Altace), kana trandolapril (Mavik, muTarka); sacubitril; chero mimwe mishonga; kana chimwe chezvinhu zvinoshandiswa mumapiritsi evalsartan uye sacubitril. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako kana uine chirwere cheshuga (shuga yeropa) uye uri kutora aliskiren (Tekturna, Tekturna HCT). Chiremba wako angangokuudza kuti usatora valsartan uye sacubitril; kana uine chirwere cheshuga uye uri kutorawo aliskiren. Uyezve udza chiremba wako kana wemishonga kana uri kutora ACE inhibitor senge benazepril (Lotensin, muLotrel), captopril, enalapril (Vasotec, muVaseretic), fosinopril, lisinopril (muPrinzide, muZestoretic), moexipril (Univasc, mu Uniretic ), perindopril (Aceon, muPrestia), quinapril (Accupril, muAccuretic, muQuinaretic), ramipril (Altace), kana trandolapril (Mavik, muTarka), kana kana iwe wakamira kutora ACE inhibitor mukati maawa makumi matatu apfuura. Chiremba wako anogona kukuudza kuti usatora valsartan uye sacubitril kana iwe uri kutorawo ACE-inhibitor.
  • udza chiremba wako uye wemishonga kuti ndeipi imwe mishonga yekunyorera uye isina kunyoreswa, mavitamini, zvinowedzera zvinovaka muviri, uye mishonga yemiti yauri kutora kana kuronga kutora. Ive neshuwa yekutaura zvinotevera: ARB senge azilsartan (Edarbi, muEdbybyclor), candesartan (Atacand, muAtacand HCT), eprosartan (Teveten), irbesartan (Avapro, muAvalide), losartan (Cozaar, muHyzaar), olmesartan (Benicar, muAzor, muBenicar HCT, muTribenzor), telmisartan (Micardis, muMicardis HCT, muTwynsta); asipurini uye mamwe asiri -steroidal anti-anogumbura mishonga (NSAIDs) senge ibuprofen (Advil, Motrin) uye naproxen (Aleve, Naprosyn) uye inosarudza COX-2 inhibitors senge celecoxib (Celebrex); diuretics ('mapiritsi emvura'), inosanganisira potassium-inodzivirira diuretics senge amiloride (Midamor), spironolactone (Aldactone, muAldactazide), uye triamterene (Dyrenium, muDyazide, muMaxzide); gemfibrozil (Lopid); mimwe mishonga yekurapa yakakwira BP kana dambudziko remwoyo; lithium (Lithobid); uye potasiamu zvinowedzera. Chiremba wako angangoda kushandura madosi emishonga yako kana kukutarisisa nokungwarira mhedzisiro.
  • udza chiremba wako kana iwe kana wakambove nenhaka angioedema (nhaka nhaka mamiriro ayo anokonzeresa zvikamu zvekuzvimba mumaoko, tsoka, kumeso, mweya, kana ura); chirwere cheshuga kana itsvo, kana chirwere chechiropa.
  • udza chiremba wako kana iwe uchiyamwisa. Usamwisa mwana paunenge uchitora valsartan uye sacubutril.
  • iwe unofanirwa kuziva kuti valsartan uye sacubutril zvinogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Izvi zvinowanzoitika kana iwe ukatanga kutora valsartan uye sacubitril. Kuti ubatsire kunzvenga dambudziko iri, simuka pamubhedha zvishoma nezvishoma, uchizorora tsoka dzako pasi kwemaminetsi mashoma usati wasimuka.
  • iwe unofanirwa kuziva kuti manyoka, kurutsa, kusanwa zvinwiwa zvakakwana, uye kudikitira zvakanyanya kunogona kukonzera kudonha kweropa, izvo zvinogona kukonzeresa musoro nekufenda. Udza chiremba wako kana iwe uine chero eaya matambudziko kana kuakurira iwo panguva yekurapa kwako.

Usashandise zvinotsiva munyu zvine potasium usingataure nachiremba wako. Kana chiremba wako akaraira yakaderera-munyu kana yakaderera-sodium kudya, tevera aya maratidziro nokungwarira.


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.

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

  • kukosora
  • kuneta zvakanyanya

Mimwe mhedzisiro inogona kuve yakakomba. Kana iwe ukawana chero yeizvi zviratidzo kana izvo zvakanyorwa mune YAKAKOSHA PRECAUTIONS chikamu, dana chiremba wako nekukurumidza:

  • mapundu
  • kuvava
  • kuzvimba kwemiromo, rurimi, kumeso, kana pahuro
  • kunetseka kufema

Iko kusanganiswa kwevalsartan uye sacubitril kunogona kukonzera mimwe mhedzisiro. Fonera chiremba wako kana uine chero matambudziko asina kujairika uchitora mushonga uyu.

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 iyi mishonga mumudziyo iyo yakauya mukati, yakasungwa yakavharwa, uye isingasvike kune vana. Chengetedza mahwendefa pakushambidza kwemukati uye kure nekupisa kwakanyanya uye hunyoro (kwete muchimbuzi). Chengetedza bhodhoro rekumiswa pamuromo mukati tembiricha yemukati kwemazuva gumi nemashanu; usazviisa mufiriji.

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

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.

Kana zvikaitika zvekudarika, fonera iyo chepfu yekudzora rubatsiro pa1-800-222-1222. Ruzivo rwunowanikwawo online 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. Chiremba wako anogona kuraira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune valsartan uye sacubitril.

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.

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Yekupedzisira Yakagadziridzwa - 01/15/2020

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