Furosemide - izinkomba zokusetshenziswa

Njengoba kutholakala ngokweqile uketshezi kwezicubu ezithambile kanye neziqephu ezihlukahlukene eziqhubekayo, odokotela bavame ukuqoka uFurosemide. Lesi sidakamizwa sibhekisela kuma-diuretics esheshayo noma ama-siluretics - i- diuretics ejulile eyandisa ukwanda kwe-chlorine ne-sodium. Ngaphambi kokuqala ukwelashwa kubalulekile ukuthola ukuthi uFurosemide uyasiza ngani - izinkomba zokusebenzisa izidakamizwa, izindlela zayo eziyinhloko nezenzo ezikhiqizwayo.

Izinkomba zikaFurosemide

Isidakamizwa esicatshangelwayo sisekelwe kwisithako esisebenzayo segama elifanayo. Impumulo yayo yokudonswa komzimba ingenxa yokucindezelwa kokungenwa kwe-reverse (ukuphindaphinda kabusha) kwe-i-chlorine ne-sodium. Ngenxa yokwehlukaniswa kwazo, ama-molecule yamanzi, i-magnesium ne-calcium ions, futhi ukwanda kwama-i-potassium ions.

Njengoba imiphumela yesibili ibonakala:

• ukuhlelwa kabusha kokugeleza kwegazi lomnyokazi;
• Ukwandiswa kwemifudlana emikhulu;
• kunciphise ukulayisha kuqala enhliziyweni, ukugcwalisa i-ventricle kwesokunxele;
• ukunciphisa kwengcindezi yegazi kanye nenani eliphelele lokujikeleza igazi.

Ngokusekelwe kumaqiniso angenhla kucacile ukuthi i-Fouromeside yesibindi isinqunyelwe izenzakalo zokuvuvukala nezifanayo ezifanayo ezivela emvelaphi ehlukile. Izinkomba eziqondile zokusetshenziswa kwazo ziyi:

• i-cirrhosis yesibindi ngokucindezela okwandayo ohlelweni lwe-hepatic veal vein system;
• i-edema yobuchopho;
• Inkinga enkulu yegazi;
• i-edema yamapulmari;
• ukwehluleka okunamandla nokuhlala njalo;
• i-toxicosis ephuzile ekukheni abesifazane abakhulelwe (eclampsia);
• ukuhluleka kwenhliziyo, kuhambisane nezenzakalo eziqhubekayo emjikelezweni omkhulu futhi omncane wokujikeleza kwegazi;
• ubuthi nge-barbiturates;
• izigaba ezinzima ze-hypertension.

Indlela yokuphuza i-Furosemide ekuvuvukeni?

Umthamo we-siluretik ochazwe, kanye nemvamisa yokudla kwawo, unqunywe ngokuqondile futhi udokotela kuphela.

Ngokuvamile, 40 mg we-Furosemide inqunywe isikhathi 1 ngosuku, mhlawumbe ekuseni, ngaphandle kwasekuseni ngaphambi kwesikhathi. Kwezinye izimo, umthamo ungase ukhuphuke ube ngu-80-160 mg, kodwa kufanele uhlukaniswe ngama-doses ahlukanisiwe amabili, ne-interval phakathi kwabo cishe amahora angu-6.

Ezimweni ezinzima zokwehluleka kwezintuthwane, i-dose yansuku zonke yokwanda kwe-diuretic iyanconywa - kufika ku-320 mg ngosuku. Uma ubukhulu bezimpawu ze-pathology buyancipha kancane, inani le-Furosemide elisithathiwe liyehla kancane kancane. Ngokujwayelekile, kukhethwe inani eliphansi lokusebenza ngetrapeutically.

Kumele kuqashelwe ukuthi imithi ebhekwayo ibhekisela ekutheni i-diuretic enamandla, esetshenziswa ezimweni eziphuthumayo. Ngakho-ke, ungaphuzi i-Furosemide ngokuvuvukala okuncane kwemilenze nezinye iziqephu ezincane ezincane. Lesi sidakamizwa sinemiphumela emibi kakhulu enobungozi, uhlu olude lwama-contraindications.

Ngaphezu kwalokho, kuvinjelwe ukusebenzisa i-silvertic eyethulwa ngezinhloso zezimonyo, isibonelo, ukuveza kancane noma ukususa "izikhwama" ngaphansi kwamehlo. Yiqiniso, i-Furosemide izokhulula ukuvuvukala ebusweni kanye no-1.5-2 amakhilogremu engeziwe ngaphezulu kwemizuzu engama-30-50 emva kokudla kokuqala. Kodwa, okokuqala, umphumela ngeke uhlale isikhathi eside, amahora angu-2-4 kuphela. Okwesibili, uketshezi olutholakala ngokuhlakanipha, ikakhulukazi uma lungenakudlulele ngokweqile, kodwa ngesilinganiso esivamile, luzogcwaliswa masinyane ngomsindo omkhulu nakakhulu. Okwesithathu, Ukusetshenziswa okungalawuleki nokungaqondakali kweFurosemide, okungavunyelwanga nodokotela oya khona, kungabangela imiphumela engathí sina noma engozini, njengalezi:

• ukushaywa;
• ukuhlasela kwenhliziyo;
• Inkinga enkulu ye-hypotonic;
• ukuwa;
• ukuphazamiseka kwe-anaphylactic ;
• ukuphelelwa amandla kwamanzi.