Lasix ndi mankhwala omwe amadziwika ndi ntchito yamphamvu, yofulumira. Amapereka mankhwala mosamala, ndipo ntchito yake popanda chidziwitso cha katswiri ndi yovuta kwambiri. Tiyeni tione, ndi zizindikiro zotani zomwe zimagwiritsidwa ntchito ndi zotsutsana ndi kukonzekera Lasix.
Maonekedwe, mawonekedwe a Lasix
Lasix ndi diuretic (diuretic), chomwe chimagwiritsidwa ntchito kwambiri ndi chipangizo cha furosemide. Mankhwalawa amaperekedwa mwa mawonekedwe a mapiritsi otsogolera pakamwa, komanso njira yothetsera jekeseni.
Kupanga mankhwala kwa mankhwala a Lasix
Pogwiritsa ntchito mankhwalawa, mbali zina za impso zimakhudzidwa, chifukwa cha kuyamwa kwa sodium ndi chlorine ions kutsekedwa. Panthawi imodzimodziyo, kuyamwa kwa mamolekyu a potaziyamu ndi koletsedwa. Zotsatira zake, pali kuwonjezeka kwa mapangidwe ndi msanganizo wa mkodzo, pamodzi ndi zomwe calcium ndi magnesium ions zimatulutsidwa mwamphamvu kuchokera ku thupi.
Kuonjezerapo, kugwiritsa ntchito Lasix kumawonjezera kuwala kwa ziwiya zina. Pachifukwachi, izi, kuphatikizapo kuchotsedwa kwa madzi owonjezera m'thupi, zimapangitsa kuchepetsa kuthamanga kwa magazi. Komabe, zotsatirazi ndi kasamalidwe kamodzi ka mankhwalawa sichifotokozedwa bwino.
Mukamagwiritsa ntchito jekeseni wa Lasix, zotsatira zake zimachitika patatha pafupifupi mphindi 20-30, nthawi yokhala ndi mankhwala amatha pafupifupi maola atatu. Pambuyo poyendetsa pamlomo mankhwalawa, zotsatira zomwe zimafunidwa zimapezeka pakatha 30 mpaka 50 mphindi ndikukhala pafupifupi maola 4. Mankhwalawa amachotsedwa makamaka mwa impso.
Zisonyezo za kusankhidwa kwa Lasix
Ganizirani zomwe akulimbikitsidwa kuti mutenge mapiritsi a Lasix, komanso mankhwala osokoneza bongo. Zizindikiro zazikulu ndi izi:
- matenda osokoneza bongo m'mbuyo mwa kulephera kwa mtima ;
- kuperewera kwa nkhumba kuphatikizapo kutupa;
- matenda a nephrotic;
- matenda a chiwindi ndi matenda okondweretsa;
- chisokonezo cha edema;
- matenda oopsa (ngati ali ovuta);
- mavuto owopsa;
- kufunika kwa diuresis kukakamizidwa poizoni ndi mankhwala ena.
Kodi mungagwiritse ntchito bwanji Lasix?
Nthaŵi zambiri, Lasix amalembedwa mwa mapiritsi. Komabe, ngati kutsegula pamlomo sikungatheke (mwachitsanzo, ngati kuyamwa kwa mankhwala m'thupi mwachisawawa kuli kovuta), kapena ngati pakufunika kuthandizira kwambiri, mankhwalawa amaperekedwa mwachangu. Majekeseni amtundu wa Lasix amagwiritsidwa ntchito nthawi zambiri.
Pogwiritsira ntchito mankhwalawa, tikulimbikitsidwa kuti tigwiritse ntchito mankhwala omwe ali otsika kwambiri, omwe angakwanire kukwaniritsa zotsatira zochiritsira. Mlingo, mafupipafupi a kayendetsedwe ka nthawi ndi nthawi ya chithandizo cha mankhwalawa zimadalira matenda omwe akudwala komanso matendawa.
Zotsutsana ndi kugwiritsa ntchito Lasix:
- anuria pambali pa kulephera kwa chiwonongeko;
- chithunzithunzi;
- kusowa kwa potaziyamu mu thupi;
- kuchepetsedwa kwapakati pa kuzungulira magazi;
- kutaya thupi kwa thupi;
- kusokonezeka kwa mkodzo;
- kuledzera ndi glycosides ya mtima;
- glomerulonephritis;
- kuwonjezera uric asidi m'magazi;
- kuwonjezeka kwakukulu kwa mpweya wa mpweya;
- aortic opatsika ndi mitral stenosis;
- njira yowonongeka ya hypertrophic cardiomyopathy;
- hypersensitivity kwa zigawo zikuluzikulu za mankhwala, komanso zowonjezereka kwa sulfonamides (zotheka kupatsirana ndi furosemide);
- nthawi ya mimba ndi lactation.