Munyori: William Ramirez
Zuva Rekusika: 19 Gunyana 2021
Gadziridza Zuva: 1 Chikunguru 2024
Anonim
Spironolactone and drug-resistant hypertension - Video Review
Vhidhiyo: Spironolactone and drug-resistant hypertension - Video Review

Zvemukati

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

Spironolactone inoshandiswa kurapa vamwe varwere vane hyperaldosteronism (muviri unoburitsa yakawandisa aldosterone, iyo inowanzoitika mahormone); mashoma potasium mazinga; kutadza kwemoyo; uye mune varwere vane edema (fluid fluid) inokonzerwa nemamiriro akasiyana siyana, kusanganisira chiropa, kana chirwere cheitsvo. Inoshandiswawo yega kana nemimwe mishonga yekurapa yakakwira BP. Spironolactone iri mukirasi yemishonga inonzi aldosterone receptor vanopikisa. Zvinokonzeresa itsvo kubvisa mvura isingadiwe uye sodium kubva mumuviri kupinda mumuti weti asi inoderedza kurasikirwa kwe potassium kubva mumuviri.

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.


Spironolactone inouya sehwendefa uye kuturika (mvura; Carospir) kutora nemuromo. Kazhinji inotorwa kamwe chete kana kaviri pazuva. Tora kumiswa kwespironolactone nguva dzese pamwe nechikafu kana pasina chikafu nguva dzese. Tora spironolactone kwakatenderedza nguva imwechete (ma) mazuva ese. Tevedza zvinongedzo pane yako tsamba yekunyora zvakanyatsonaka, uye bvunza chiremba wako kana wemishonga kuti atsanangure chero chikamu chausinganzwisise. Tora spironolactone chaizvo sekurairwa. Usatore zvimwe kana zvishoma nezvayo kana kuitora kakawanda pane zvakatemwa nachiremba wako.

Zunza kumiswa kwemuromo musati washandisa kusanganisa mishonga zvakaenzana.

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

Spironolactone mapiritsi uye kumiswa zvinoburitsa mushonga nenzira dzakasiyana mumuviri wako uye haugone kutsiviwa. Ingo tora iyo spironolactone chigadzirwa chakatemwa nachiremba wako uye usachinjira kune chakasiyana spironolactone chigadzirwa kunze kwekunge chiremba wako ati iwe unofanirwa kudaro.


Spironolactone inodzora yakakwira BP, edema, moyo kutadza, uye hyperaldosteronism asi hairape aya mamiriro. Zvinogona kutora angangoita mavhiki maviri kana kupfuura isati yaitika mhedzisiro yespironolactone. Ramba uchitora spironolactone kunyangwe iwe uchinzwa zvakanaka. Usarega kutora spironolactone usina kutaura nachiremba wako.

Spironolactone zvakare inoshandiswa musanganiswa nemimwe mishonga kurapa nguva yekuyaruka (chiitiko chinokonzeresa kuti vana vapinde mukuyaruka nekukurumidza, zvichikonzera kukura kwehunhu hwepabonde muvasikana vanowanzove vadiki pane makore masere ekuberekwa uye muvakomana kazhinji vari pasi pemakore mapfumbamwe ekuberekwa. ) kana myasthenia gravis (MG, chirwere umo tsinga dzisingashande nemazvo uye varwere vanogona kushaya simba; kupera simba; kurasikirwa kwekubatana kwemhasuru, uye matambudziko nekuona, kutaura, uye kudzora kwedundira). Spironolactone zvakare inogona kushandiswa kurapa vamwe varwere vechikadzi vane bvudzi rechiso chisina kujairika. Taura nachiremba wako nezve njodzi dzinogona kuitika dzekushandisa mushonga uyu kune ako mamiriro.


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

Usati watora spironolactone,

  • udza chiremba wako uye wemishonga kana uri weergoria kune spironolactone; chero mimwe mishonga; kana chimwe chezvinhu zvinoshandiswa mumapiritsi e spironolactone. Kumbira wako wemishonga kuti uwane runyorwa rwezvigadzirwa.
  • udza chiremba wako kana uri kutora eplerenone (Inspra). Chiremba wako anogona kukuudza kuti usatore spironolactone kana iwe uri kutora mushonga uyu.
  • 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: aminoglycoside antibiotics akadai seamikacin, gentamicin, kanamycin, neomycin (Neo-Rx, Neo-Fradin), streptomycin, uye tobramycin (Tobi); angiotensin inoshandura enzyme (ACE) inhibitors senge benazepril (Lotensin, muLotrel), Captopril (Capoten), enalapril (Vasotec), fosinopril, lisinopril (muPrinzide, muZestoretic), moexipril (Univasc, in Unopic) Aceon), quinapril (Accupril, muAccuretic, muQuinaretic), ramipril (Altace), uye trandolapril (Mavik, muTarka); angiotensin II vanopikisana (angiotensin receptor blockers; ARBs) senge azilsartan (Edarbi, Edarbyclor), candesartan (Atacand, muAtacand HCT), eprosartan (Teveten, muTeveten HCT), irbesartan (Avapro, muAvalide), losartan (Cozaar Hyzaar), olmesartan (Benicar, muAzor, Benicar HCT, Tribenzor), telmisartan (Micardis, muMicardis HCT), uye valsartan (Diovan, muDiovan HCT, Exforge); asipurini uye mamwe asiri -steroidal anti-anogumbura mishonga (NSAIDS) senge ibuprofen (Advil, Motrin), indomethacin (Indocin, Tivorbex), uye naproxen (Aleve, Naprosyn); barbiturates senge phenobarbital; cholestyramine (Prevalite); cisplatin; digoxin (Lanoxin); diuretics ('mapiritsi emvura') inosanganisira potassium-inodzivirira diuretics senge amiloride (Midamor) uye triamterene (Dyrenium, muDyazide, muMaxzide); heparin kana yakaderera-mamorekuru-huremu heparin enoxaparin (Lovenox); lithium (Lithobid); mishonga yekurapa yakakwira BP; narcotic mishonga yekurwadziwa; muromo steroid senge dexamethasone, methylprednisolone (Medrol), uye prednisone (Rayos); potasiamu zvinowedzera; uye trimethoprim (Primsol, muBactrim).
  • udza chiremba wako kana iwe uine chirwere cheAdisonison kana zvimwewo mamiriro anogona kukonzera kuwanda kweropa potasium, kana chirwere cheitsvo. Chiremba wako anogona kukuudza kuti usatora spironolactone.
  • udza chiremba wako kana iwe une chirwere chechiropa.
  • udza chiremba wako kana iwe uri nepamuviri, kana kuronga kuva nepamuviri, kana uri kuyamwisa. Kana iwe ukava nepamuviri uchitora spironolactone, fonera chiremba wako.
  • kana uri kuvhiyiwa, kusanganisira kuvhiya mazino, udza chiremba kana chiremba wemazino kuti urikutora spironolactone.
  • iwe unofanirwa kuziva kuti kunwa doro nemushonga uyu kunogona kukonzera dzungu, huremu husina musoro, uye kupera simba paunosimuka nekukurumidza kubva panzvimbo yekunyepa. Taura nachiremba wako nezve kunwa doro paunenge uchitora spironolactone.

Tevedza zvirevo zvechiremba wako zvekudya kwako, kusanganisira kuraira kwekudzora-munyu (sodium) kudya uye chirongwa chezuva nezuva chekurovedza muviri. Dzivisa potassium-ine munyu zvinotsiva paunenge uchitora mushonga uyu. Taura nachiremba wako nezve huwandu hwehuwandu hwepotassium-hupfumi (p.

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

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

  • kurutsa
  • manyoka
  • kurwadziwa nemudumbu kana kurwadza
  • akawedzera kana anorwadza mazamu mune varume kana vakadzi
  • zvisina kujairika kumwedzi
  • kubuda ropa kwemadzimai mumashure-menopaopausal ('mushure mekuchinja kwehupenyu', kupera kwemwedzi wekuenda kumwedzi) vakadzi
  • kuoma kuchengetedza kana kuwana erection
  • kudzika kwenzwi
  • yakawedzera bvudzi kukura pane zvikamu zvemuviri
  • kutsimwaira
  • kuneta
  • kusagadzikana

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

  • mhasuru kushaya simba, kurwadziwa, kana kurwadziwa
  • kurwadziwa, kupisa, chiveve, kana kugwinha mumaoko kana tsoka
  • kutadza kufambisa maoko kana makumbo
  • shanduko mukurova kwemoyo
  • kuvhiringidzika
  • kusvotwa
  • kuneta zvakanyanya
  • muromo wakaoma, nyota, dzungu, kusagadzikana, kurwadziwa nemusoro, kana zvimwe zviratidzo zvekushaya mvura mumuviri
  • kubuda ropa zvisina kujairika kana kupwanya
  • kushaya simba
  • kurasikirwa nenzara
  • kurwadziwa kumusoro kwepamusoro chikamu chedumbu
  • yero yeganda kana maziso
  • furu-kunge zviratidzo
  • mapundu
  • mikoko
  • kuvava
  • kunetseka kufema kana kumedza
  • kurutsa ropa
  • ropa muzvigaro
  • kuderera kwekuita weti
  • kufenda

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).

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 runowanikwawo pamhepo pa https://www.poisonhelp.org/help. Kana munhu akabatwa akadonha, akabatwa nepfari, achinetseka kufema, kana kutadza kumutswa, pakarepo danaidza mabasa ekukurumidzira pa911.

Zviratidzo zvekuwedzeredza zvinogona kusanganisira zvinotevera:

  • kutsimwaira
  • kuvhiringidzika
  • mapundu
  • kusvotwa
  • kurutsa
  • dzungu
  • manyoka
  • kurira maoko nemakumbo
  • kurasikirwa kwemhasuru toni
  • kushaya simba kana kurema mumakumbo
  • isina kujairika kana inononoka kurova kwemoyo

Chengetedza zvese zvakagadzwa nachiremba wako uye murabhoritari. Chiremba wako acharaira mamwe marabhoritari bvunzo kuti atarise mhinduro yemuviri wako kune spironolactone.

Usati waita chero bvunzo yerabhoritari, udza chiremba wako uye vashandi veirabhoritari kuti urikutora spironolactone.

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.

  • Aldactone®
  • Carospir®
Yekupedzisira Yakagadziridzwa - 02/15/2018

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