I-drawback engundoqo malunga nayo yonke i-diuretics esebenzayo (i-diuretics) yi-excretion ye-potassium kunye ne-magnesium evela emzimbeni kunye kunye nokukhuphela kwamanzi. I-Veroshpiron yile iqela lezonyango ezingathinteli ukuxinwa kwezi zinto zeekhemikhali. Kwezinye iimeko, kunokukunceda ngokukhawuleza ukubuyisela kumgangatho owamkelekileyo.
Veroshpiron - ukwakheka
Isithako esisebenzayo sonyango oluchazwe yi-spironolactone. Le nkunkuma yinkcitha ye-hormone ye-mineralocorticoid, eyenziwa yi-adrenal glands kwaye ikhuthaza ukuqokelela kobutyu kunye ne-sodium salts kwiishubhu (aldosterone). Isilwanyana iVeroshpiron ngeendlela ezahlukeneyo zokukhululwa iqulethe kunye neenkxaso ezixhasayo:
- i-colloidal silicon dioxide;
- talc;
- i-magnesium stearate;
- lactose monohydrate;
- isitashi sommbila;
- lauryl sulfate;
- titanium dioxide;
- gelatin;
- idayi.
Yintoni iVeroshpiron?
Isiphumo esiphezulu esikhiqizwa yi-spironolactone yi-diuretic. Oku kubangela ukuphulwa okuqhelekileyo, okuye kunceda i-Veroshpiron - iziganeko eziphazamisayo zendalo kunye nemvelaphi eyahlukileyo. Isiza esicetywayo sithathwa njengendlela ekhuselekileyo yokususa umbane ogqithiseleyo, kuba awuphazamisi ne-electrolyte kunye nezilwanyana zetyuwa emzimbeni.
Veroshpiron - ukufundwa:
- ukuhluleka kwentliziyo engapheliyo kunye ne-symmetic edematous;
- Uxinzelelo olusisiseko (i-spironolactone ifakiwe kwiskimu yeendlela ezinzima);
- i-hyperaldosteronism yesibini kwimvelaphi ye- cirrhosis yesibindi , i-ascites, izilonda ze-nephrotic kunye nezinye izifo zentlungu;
- myoplegia;
- hypomagnesemia;
- Isifo seConnes;
- hypokalemia.
Kukho enye indawo apho iVeroshpiron isetyenziswa khona - izibonakaliso zokusetyenziswa ziquka i-hyperprolactinemia. I-Spironolactone inomhlaba wokunciphisa ubukhulu bemveliso ye-horrenone ye-horrenone. Inqanda ukuveliswa kwemveliso yeprolactin, ngoko ke idlalwa ngabagwenyini-endocrinologists kunye neengxaki ezihambelana nenkqubo yokuzala, kuquka i-cystic, i-fibrous and distifse mastopathy.
Indlela yokuthatha iVeroshpiron?
Amacandelo kunye nobude bonyango kunye ne-spironolactone kuxhomekeke kwizifo ezifunyanwe nezifo kunye nezinye izifo. Isidakamizwa iVeroshpiron kwezinye iimeko ilawulwa ngokufanayo ne-thiazide (loop) ye-diuretics, enika umonakalo ogqithisileyo nangokukhawuleza. Iingxenye kunye nobude bonyango zibalwe kuphela yingcali. Kuyingozi ukusela iVeroshpiron ngokwakho - i-dosage ekhethiweyo ngokungalunganga ingakhokelela kwimiphumo emibi. Inkxalabo eqhelekileyo yendlela yokwenza umtsalane kukuphazanyiswa okukhulu kweentsholongwane.
Ungathatha njani iVeroshpiron ngokuvuvukala?
Kwimeko yokukhubazeka kwentliziyo ye- spironolactone inconywa ukuba isebenzise iintsuku ezingama-5 ze-100 (ubuninzi-200) mg, ezahlula ngamaxesha angama-2-3. I-Veroshpiron ekukhukhuleni ngokubhekiselele kwimvelaphi yexinzelelo oludityanisiweyo imiselwe kwisixa sama-50-100 mg kanye ngosuku. Kancinci (rhoqo kwiiveki ezi-2) umlinganiselo wenyuka ufike kufika ku-200 mg. Inkqubo efanelekileyo yeyeza kunyanga ezili-14.
Ukuba ukudibanisa kwenzeka ngenxa ye-cirrhosis yesibindi, i-spironolactone isetyenziswa ngokuhambelana nomlinganiselo we-potassium kunye ne-sodium ions kumchamo. Xa eli nani li ngaphezu kwe-1, inxalenye yansuku zonke yeVeroshpiron ifikelela kwi-100 mg. Ngomlinganiselo ongaphantsi kwe-1, i-spironolactone inconywa kwisixa seminyaka engu-200 ukuya ku-400 mg. Isondlo sokondliwa ngabanye.
Ukufumana unyango kunye nokuxilongwa ngokuchaseneyo kwe-hyperaldosteronism ne-nephrotic syndrome, umthamo owodwa uvela kwi-100 ukuya ku-400 mg. Ugqirha wakhe ubala ngesiseko sedata ngesimo sesifo kunye nokuxinwa kwe potassium egazini. Imilinganiselo yansuku zonke ithathwa kwi-1 okanye kwi-2-4 maxesha, kuxhomekeke kwinjongo yonyango, izinga le-edema kunye nokunyamezela kweyeza.
Izigulane ezininzi azikhangeki xa usela iVeroshpiron - ngaphambi kokutya okanye emva koko, kodwa ukutya kukuchaphazela kakhulu ukusebenza kweyeza. Ukufumaneka kwezinto eziphilayo kunye nokugaya i-spironolactone kwanda xa kungena emzimbeni kunye nokutya. Iingcali zincoma ukusebenzisa iyeza ngokuthe ngqo emva kokutya nokusela kunye neeklasi ze-0.5.
Ungathatha njani iVeroshpiron ukulahleka kwesisindo?
Isiza esichazwe sisichengisisi esinzulu esiqhekeza ukukhukhumeza okukhulu kunye nokuxhamla. Ukusebenzisa iVeroshpiron ukulahlekelwa isisindo akunakwenzeka, akukhona nje kuphela ukuphumelela, kodwa kuyingozi. I-Spironolactone ayichaphazeli inani lemali edibeneyo, kodwa isusa kuphela umswakama ogqithiseleyo emzimbeni. Ukuba uyisebenzisa njengendlela yokunciphisa umzimba okanye "ukomisa", kunokususa izifo zesistim se-urinary kunye neentso.
Veroshpiron ngexesha lokukhulelwa
Xa kuthwala i-spironolactone iphikisana. Le nkunkuma, ene-high-availability biovailability, ingena kwi-barrier barrier and enters the blood through the child. Ngokukhawuleza emva kokuzalwa, nawe, awukwazi ukusela iVeroshpiron - izibonakaliso zokusetyenziswa ngaphandle kwecatshulwa. Isithako esisebenzayo sesilwanyana sinamathele kuzo zonke i-biofluids kwaye sifinyelela kwi-concentration ye-100%, kuquka ubisi lwebele. I-Veroshpiron kwi-gynecology isetyenziselwa kuphela unyango lwe-hyperprolactinaemia kunye nezifo ezihlobene. Olu luhlu lubandakanya ukukhathazeka kunye nokungasebenzi kwe-endocrine.
UVeroshpiron uthatha ixesha elingakanani?
Ubungakanani benkalo yokwelapha ibalwe ngugqirha emva kokuxilongwa ngokupheleleyo. Musa ukuthatha ixesha elide ukusela iVeroshpiron - ukusetyenziswa kwe-diuretic kwiiveki ezingaphezu kwe-4 kunokubangela ukuphazamiseka kwi-electrolyte, ityuwa kunye nemitha yamanzi. Inkxalabo rhoqo yelo unyango lwexesha elide i-urate diathesis okanye i-hyperuricuria. I-Diuretic Veroshpiron icetyiswa ukuba isebenzise iintsuku ezi-5-15. Ekubeni kukho izibonakaliso, i-dose yokugcina yesondlo ikhethiwe.
I-Veroshpiron - iziphumo ezibi
Iziganeko ezingenanto kunye ne-spironolactone azinqabile, kodwa ziquka uluhlu olubanzi lweemeko zesifo. I-Veroshpiron - iziphumo ezichaphazelekayo zesicelo:
- ukuhlanza;
- isifo sohudo;
- isicefe
- gastritis;
- isilonda kwizitho zesondlo sesisu;
- ukuqothulwa;
- colic intestinal;
- intlungu e-epigastrium;
- ukuphulwa kwemisebenzi yesibindi;
- ukungcola;
- ataxia;
- kulala;
- ukulibala;
- ukudideka kwengqondo;
- u buqhetseba;
- intloko;
- thrombocytopenia;
- agranulocytosis;
- megaloblastosis;
- hypercreatininaemia;
- hyperuricemia;
- alkalosis;
- hyponatremia;
- acidosis;
- hyperkalemia;
- ilizwi elibi;
- gynecomastia;
- dysmenorrhea;
- ukuphulwa komjikelo;
- hirsutism;
- metrorrhagia;
- i-humorrhea;
- ukukhanda kwesikhumba;
- urticaria;
- umkhuhlane;
- hypertrichosis;
- ukuhluleka kwezintso;
- alopecia;
- zixhala;
- izihlunu zesistim.
Veroshpiron - ukuchasene
Kukho izifo apho i-spironolactone ingavunyelwe ngokupheleleyo, kunye neemeko xa zingasetyenziswa ngokuqaphela. Kwimeko yokuqala, kufuneka ubeke endaweni yeVeroshpiron - isenzo sonyango siyakwenza nje ukulimaza. Ukuchasana ngqo ngokusetyenziswa:
- hyperkalemia;
- Isifo sika-Addison ;
- ukungafihli komzimba kwisigaba esinzima;
- hyponatremia;
- ukuxinezeleka kwelactose;
- anuria;
- isifo se-glucose okanye i-galactose engafanelekiyo;
- khulelwa;
- ukusilela kwe-lactase;
- uneminyaka engama-3;
- lactation;
- i-hypersensitivity kwanoma yiyiphi isithako kwisilwanyana.
Kwezinye iimeko, ugqirha kuphela ogqibayo ukulungelelanisa indlela efanelekileyo yokumisela i-Veroshpiron - izibonakaliso zokusetyenziswa zingabandakanya izifo ezilandelayo apho kusetshenziselwa ukusetyenziswa ngokucokisekileyo kwesidyoyurethi:
- acidosis;
- hypercalcemia;
- isifo sikashukela;
- AV ivimbela;
- izifo zesifo;
- ukungabi namandla;
- nephropathy ;
- Ukwandiswa okungavumelekanga kweengcambu zentloko;
- i-cirrhosis yesibindi;
- ubudala.
I-Veroshpiron - izifaniso zokulungiselela
Misela indawo ye-diuretic ngamachiza anomphumo ofanayo. Ukuba iVeroshpiron inezibonakaliso zokusetyenziswa, ngokuhambelana ngokupheleleyo negama elifanayo, kubalulekile ukungezelela ngokuqinisekileyo izakhiwo ze-generic. Kufuneka kuthintele i-leaching yam magnesium kunye ne-potassium isaliti, ngelixa igcina ukulinganisela kwe-electrolyte kwimimiselo. I-Veroshpiron - efana nezibonakaliso ezifanayo zokusetyenziswa:
- I-Spironolactone (ngqo);
- Epletor;
- Ukuhlaziya;
- Eridanus;
- Dekriz;
- Epplepres;
- Inspra;
- Espiro.