Furosemide - izibonakaliso zokusetyenziswa

Ngokuqokelela ngokugqithiseleyo kwamanzi kunye neziganeko ezahlukahlukeneyo, oogqirha badla ngokuqesha uFurosemide. Eli gciwane libhekisela kwi-diuretics esheshayo okanye i-siluretics - i- diuretics enamandla eyandisa ukwanda kwe-chlorine kunye ne-sodium. Ngaphambi kokuba uqalise unyango kubalulekile ukufumanisa ukuba uFurosemide unceda ntoni - izibonakaliso zokusetyenziswa kweziyobisi, iindlela zayo eziphambili zokusebenza kunye nemiphumo eveliswayo.

Imiqondiso yeFurosemide

Isilwanyana esicatshulweyo sisekelwe kwisithako esisebenzayo segama elifanayo. Isiphumo sawo sobungozi ngenxa yoxinzelelo lwe-absorption reverse (reabsorption) ye-ions ye-chlorine ne-sodium. Ngenxa yokwanda kwabo, iamolekyuli zamanzi, i-magnesium kunye ne-calcium ions ziphuculisiwe, kwaye ukuveliswa kweeon i-potassium kwandisiwe.

Njengoko iziphumo zesibini ziphawulwe:

• ukwabiwa kwakhona kwegazi lomnyoba;
• Ukwandiswa kwemifuno emikhulu;
• kuncitshiswe umthwalo wokulayisha kuqala entliziyweni, ukuzalisa i-ventricle ekhohlo;
• kuncipha kwixinzelelo legazi kunye nomthamo opheleleyo wegazi ojikelezayo.

Ngokusekelwe kwezi ngongentla zicaca ukuba i-diurétic Fouromeside imiselwe ukuvuvukala kunye neziganeko ezifanayo ezivela kwimvelaphi eyahlukileyo. Izibonakaliso ezicacileyo zokusetyenziswa kwazo zi:

• i-cirrhosis yesibindi kunye noxinzelelo olwandisiweyo kwi-hepatic portal vein system;
• i-edema yengqondo;
• ntlekele enkulu;
• i-edema yepommonari;
• ukuhluleka komlomo;
• i-toxicosis esele ifikeleleke kwabasetyhini abakhulelweyo (eclampsia);
• ukungaphumeleli kwintliziyo, kunye neengxaki eziqhubekayo kwiingqungquthela ezinkulu kunye ezincinci zokujikeleza kwegazi;
• utyhefu kunye neerbiturates;
• izigaba ezinzima zegazi.

Ukusela njani iFurosemide ekukhukhuleni?

Umyinge we-siluretik ochaziweyo, kwakunye nexesha lokubamba kwawo, lugqitywe ngokuzimeleyo kwaye kuphela ngugqirha.

Ngokuqhelekileyo, i-40 mg yeFurosemide imiselwe 1 ngexesha ngosuku, ngokukhethekileyo kusasa, ngaphandle kokusasa kwasekuseni. Kwezinye iimeko, umthamo unganyuswa ukuya kuma-80-160 mg, kodwa kufuneka uhlulwe ngamanani ahlukeneyo ahlukeneyo, kunye nekhefu phakathi kwabo malunga neeyure ezingama-6.

Kwiimigangatho ezinzima zokungaphumeleli komntu, ukunyuka kwamayeza okunyuka kwimihla ngemihla kunconywa - kufika kuma-320 mg ngosuku. Xa ubunzima beempawu ze-pathology behla kancane, isixa seFurosemide sithathwe sancipha kancane kancane. Ngokuqhelekileyo, ixabiso elincinci lokusebenza ngonyango likhethiweyo.

Kufuneka kuqatshelwe ukuba amayeza acatshulwayo abhekisela kwi-diuretic enamandla, esetyenziswa kwiimeko eziphuthumayo. Ngoko ke, ungaphuzi uFurosemide kunye nokuvuvukala okuncane kwemilenze kunye nezinye izinto ezincinci. Esi sidakamizwa sinemiphumo emibi kakhulu emibi, uluhlu olude lweengqinisiso.

Ngaphezu koko, akuvumelekanga ukusebenzisa i-silvertic eyenziwe ngeenjongo zezonyongiso, umzekelo, ukwenzela ukuthetha ngokukhawuleza okanye ukususa "iibhegi" phantsi kwamehlo. Ngokuqinisekileyo, uFurosemide uya kunciphisa ukuvuvukala ebusweni kunye no-1.5-2 amakhilogremu angaphezulu kwimizuzu engama-30-50 emva kokuqala kokuthatha. Kodwa, okokuqala, umphumo awuyi kuhlala ixesha elide, kuphela iiyure ezingama-2-4. Okwesibini, utywala oluthile oluthile, ngokukodwa ukuba lwungekho kwi-excess, kodwa kwisixa esiqhelekileyo, luza kuzaliswa ngokukhawuleza kwindleko enkulu. Okwesithathu, Ukusetyenziswa okungalawulwayo nokungenangqiqo kaFurosemide, ongavunyelwanga nodokotela ozayo, kunokukhokelela kwimiphumo engathí sina kunye nokuba yingozi, njengale:

• ukubetha;
• ukuhlasela kwentliziyo;
• ingxaki enkulu ye hypotonic;
• ukuwa;
• tshutshisa i-anaphylactic ;
• ukupheliswa kwamanzi.