Hydrochlorothiazide ithandiza kuthana ndi kusokonekera kwa magawo osiyanasiyana amthupi. Mankhwalawa amathandizira kukakamizidwa, komanso amathandizanso kuthana ndi miyala ya impso ndi mavuto ena.
Dzinalo Lopanda Padziko Lonse
Dzinali mu Latin ndi Hydrochlorothiazide.
Malinga ndi dzina ladziko lonse losagwirizana ndi malonda komanso lamalonda, mankhwalawa amatchedwa hydrochlorothiazide.
Hydrochlorothiazide ithandiza kuthana ndi kusokonekera kwa magawo osiyanasiyana amthupi.
Ath
Khodi ya ATX ndi C03AA03.
Tulutsani mafomu ndi mawonekedwe ake
Mapiritsi, chinthu chogwira ntchito chimapezeka mwa mtundu wa hydrochlorothiazide. Kuchuluka kwa gawo lake ndi 25 mg kapena 100 mg. Zosakaniza zothandizira ndi:
- wowuma chimanga;
- cellulose;
- lactose monohydrate;
- magnesium wakuba;
- povidone.
Njira yamachitidwe
Gulu la pharmacological la mankhwalawa ndi thiazide diuretics. Chipangizocho chili ndi izi:
- otsitsa anzawo (hypotensive effect);
- amachotsa magnesium ndi potaziyamu ayoni m'thupi;
- misampha ya calcium ayoni;
- imasokoneza kubwezeretsanso kwa chlorine ndi sodium.
Mankhwala hydrochlorothiazide amachepetsa kuthamanga kwa magazi.
Kuwonetsedwa kwa katundu wokhala ndi diuretic kumachitika pambuyo pa maola awiri.
Pharmacokinetics
Mankhwalawa ali ndi mawonekedwe awa:
- ukufika pachimake ndende pambuyo 1.5-5 maola;
- zimapukusidwa mu chiwindi;
- wotupa mu mkodzo wambiri 50-70%;
- amamangirira mapuloteni (40-70%);
- amadziunjikira m'magazi ofiira.
Zomwe zimayikidwa
Mankhwalawa adapangira zochizira odwala omwe akuwonetsa:
- edematous syndrome yamavuto osiyanasiyana, kuphatikiza chifukwa cha kulephera kwa mtima;
- matenda oopsa;
- matenda a shuga a insipidus.
Contraindication
Sichikudziwika pamaso pa pathologies ndi contraindication:
- shuga, yodziwika ndi gawo lovuta la chitukuko;
- Hypersensitivity kwa mankhwala ochokera ku gulu la sulfonamide;
- kulephera kwa chiwindi;
- Matenda a Addison;
- gout kwambiri ikupita patsogolo;
- kulephera kwambiri kwaimpso (ndi kusintha kwa matenda a impso).
Ndi chisamaliro
Kukhalapo kwa zotsatirazi ndi zochitika zina zimafunikira kukonzekera mosamala mankhwala:
- matenda a mtima;
- matenda a chiwindi;
- hypokalemia;
- gout
- kugwiritsa ntchito mankhwala okhudzana ndi mtima glycosides;
- kuchuluka kwa sodium (hyponatremia);
- kuchuluka kwa calcium (hypercalcemia).
Momwe mungatengere hydrochlorothiazide
Kuti muyambe kulandira chithandizo, onetsetsani kuti mwawonana ndi dokotala ndikupeza malangizo. Njira yogwiritsira ntchito mankhwalawa imapangidwira aliyense payekha.
Zomwe zimachitika pakumwa mankhwalawa ndi motere:
- mlingo wa tsiku ndi tsiku - 25-100 mg;
- kuchuluka kwa mankhwalawa ndi 25-50 mg.
Mlingo wa tsiku ndi tsiku wa hydrochlorothiazide ndi 25-100 mg
Pafupipafupi kugwiritsa ntchito mankhwalawa zimatengera zomwe thupi la wodwalayo limadwala komanso matenda omwe alipo.
Ndi matenda ashuga
Kulandila kwa hydrochlorothiazide kumachitika malinga ndi malingaliro a katswiri.
Pa mankhwala, wodwala ayenera kuyang'aniridwa ndi dokotala.
Zotsatira zoyipa
Matumbo
Zotsatira zoyipa zimadziwika ndi kupezeka kwa zizindikiro izi:
- kutsegula m'mimba
- kusanza
- nseru
Nthawi zina, kapamba amawoneka - kuwonongeka kwa minofu ya kapamba.
Hematopoietic ziwalo
Kumbali ya ziwalo za hematopoietic ndi hemostasis nthawi zina, zomwe zimachitika pakumwedwa zimatenga mankhwalawa.
- yafupika ndende ya granulocytes;
- kuchepa kwa chiwerengero cha maselo a magazi m'magazi.
Zomwe zimachitika potenga hydrochlorothiazide zitha kukhala kuchepa kwa kuchuluka kwa mapulosi m'magazi.
Pakati mantha dongosolo
Wodwala ali ndi mawonekedwe ofananawo:
- idachepetsa chidwi;
- kutopa ndi kufooka;
- chizungulire.
Pa mbali ya ziwalo zamasomphenya
Nthawi zina, mtundu wa masomphenya umachepa mwa odwala.
Kuchokera pamtima
Mwambiri, izi zimawonekera:
- kuchuluka kwa mtima;
- hypotension ya orthostatic mtundu;
- kusokonezeka kwa mtima.
Mukamagwiritsa ntchito hydrochlorothiazide, pakhoza kukhala kuphwanya mzere wamtima.
Dongosolo la Endocrine
Ngati zoyipa zimakhudza dongosolo la endocrine, ndiye kuti mulingo wa potaziyamu m'magazi umakwera.
Matupi omaliza
Mawonekedwe ndi osowa. Nthawi zambiri, odwala amakhala ndi dermatitis.
Malangizo apadera
Kuyenderana ndi mowa
Sizoletsedwa kumwa mankhwala ndi zinthu zomwe zimakhala ndi mowa nthawi yomweyo.
Zokhudza mphamvu pakuwongolera njira
Mankhwalawa atha kubweretsa kuchepa kwa ndende, zomwe zimakhudza kayendedwe ka mayendedwe.
Gwiritsani ntchito pa nthawi yoyembekezera
Munthawi ya kubereka mwana, mankhwala amathandizidwa pokhapokha pazifukwa zaumoyo, chifukwa Pali zoopsa kwa mwana wosabadwa. Mukamayamwitsa, sikulimbikitsidwa kugwiritsa ntchito mankhwalawa chifukwa cholowerera zinthu zomwe zimagwira mkaka.
Mukamayamwa, sikulimbikitsidwa kumwa hydrochlorothiazide.
Kapangidwe ka hydrochlorothiazide mu ana
Mankhwala amatchulidwa kuganizira thupi - 1-2 mg pa 1 makilogalamu. Zochizira ana osakwana zaka 2, mankhwalawa sagwiritsidwa ntchito.
Gwiritsani ntchito mu ukalamba
Okalamba amasankha mlingo wotsika wa mankhwalawa.
The ntchito aimpso kuwonongeka
Ndikofunikira kuyendetsa chilolezo cha creatinine komanso kuchuluka kwa plasma electrolyte. Zovuta zolakwika mu aimpso ntchito ndi contraindication kumwa mankhwala.
Gwiritsani ntchito ntchito yolakwika ya chiwindi
Ndi zoletsedwa kumwa mankhwalawa chifukwa cha kuwonongeka kwa chiwindi, kuphatikizapo kulephera.
Bongo
Mankhwala osokoneza bongo amaphatikizidwa ndi mawonekedwe a zizindikiro:
- kamwa yowuma
- utachepa tsiku lililonse mkodzo;
- kudzimbidwa
- kutopa
- arrhythmias.
Mankhwala osokoneza bongo a hydrochlorothiazide amathandizana ndi mawonekedwe a arrhythmia.
Kuchita ndi mankhwala ena
Zotsatirazi ndizomwe zilipo:
- mphamvu ya othandizira a hypoglycemic amachepetsa;
- kuzindikira kwa tubocurarine kumawonjezeka;
- kuchuluka kwa neurotoxicity ya salicylates;
- mwayi wokhala ndi hypokalemia chifukwa cha corticosteroids ukuwonjezeka;
- mphamvu ya hydrochlorothiazide amachepetsa kugwiritsa ntchito cholestyramine;
- Hypotensive zotsatira zimachepetsedwa mukamagwiritsa ntchito mankhwala osapatsa-anti -idalidal, kuphatikizapo indomethacin;
- mphamvu ya diuretic imachulukitsidwa chifukwa chogwiritsa ntchito NSAIDs, anticoagulants osagwirizana komanso clofibrate.
Mankhwala otsatirawa atha kuwonjezera kukondoweza kwa hydrochlorothiazide:
- Diazepam;
- ma tridclic antidepressants;
- beta-blockers;
- barbiturates;
- vasodilators.
Kutenga hydrochlorothiazide kumachepetsa mphamvu ya othandizira a hypoglycemic.
Analogi
Mankhwala otsatirawa ali ndi vuto lofananalo:
- Hypothiazide;
- Britomar;
- Furosemide;
- Ramipril;
- Captopril;
- Trifas;
- Enalapril;
- Valsartan;
- Indapamide;
- Torasemide;
- Veroshpiron;
- Lowetsani;
- Trigrim;
- Bufenox.
Hypothiazide pa matenda a matenda oopsaKukhala wamkulu! Mankhwala ndi dzuwa. Furosemide. (07.14.2017)Kapoten ndi Captopril - mankhwala othandizira matenda oopsa komanso kulephera kwa mtimaMwachangu za mankhwala osokoneza bongo. EnalaprilMwachangu za mankhwala osokoneza bongo. Valsartan
Kupita kwina mankhwala
Pamafunika mankhwala omwe dokotala wathu wa Chilatini amauza.
Kodi ndingagule popanda kulandira mankhwala?
Mankhwala amaperekedwa mosamalitsa malinga ndi mankhwala.
Mtengo wa hydrochlorothiazide
Mtengo wa mankhwalawa umachokera ku 60 mpaka 280 rubles.
Zosungidwa zamankhwala
Zogulitsa siziyenera kukhala m'malo omwe ana amafikirako. Mankhwalawa ayenera kutetezedwa kuti asaonekere ku kutentha kwambiri ndi dzuwa.
Hydrochlorothiazide sayenera kukhala m'malo omwe ana amafikirako.
Tsiku lotha ntchito
Mankhwalawa ndi oyenera zaka 5 kuyambira tsiku lotulutsidwa. Sizoletsedwa kugwiritsa ntchito mankhwalawa ndi moyo wa alumali womwe watha.
Wopanga
Mankhwalawa amapangidwa ndi makampani otsatirawa:
- LECFARM;
- Borschagovsky Chemical-Mankhwala Chomera;
- Valenta Mankhwala.
Ndemanga za Hydrochlorothiazide
Madokotala
Sergey Olegovich, katswiri wamtima
The peculiarity ya hydrochlorothiazide imagwirizanitsidwa pang'ono komanso pang'ono, chifukwa cha omwe odwala sangathe kukumana ndi zovuta. Mankhwalawa amatha kugwiritsidwa ntchito mu monotherapy kapena ngati njira yophatikizika, zimatengera momwe wodwalayo alili komanso mtundu wa kuphwanya komwe kulipo.
Viktor Konstantinovich, katswiri wamkulu
Mankhwala ndi a sing'anga-okodzetsa. Mankhwala ndiwothandiza pamaso pa edema komanso kuthamanga kwa magazi. Komabe, muyenera kugwiritsa ntchito mankhwalawa mosamala panthawi ya shuga, yomwe imalumikizidwa ndi kumwa mankhwala kuti muchepetse shuga.
Mankhwala hydrochlorothiazide ali ndi zotsatira zabwino pazapanikizidwe.
Odwala
Larisa, wazaka 47, Syktyvkar
M'malo mwa hydrochlorothiazide, anali kumwa mankhwala okwera mtengo. Adathandizanso, koma sindimamva ngati ndikugwiritsa ntchito ndalama zochuluka pa mankhwala. Ndinapita kwa dokotala, mapiritsi a hydrochlorothiazide. Thupi limalolera kuti mankhwalawo alowe m'malo mwake, ndipo panthawi ya mankhwalawo panalibe zizindikiro zakunja.
Margarita, wazaka 41, Yekaterinburg
Mwamuna wake adalembedwa mapiritsi a hydrochlorothiazide. Chowonadi ndi chakuti mkaziyo adayamba kukhala ndi mavuto a impso. Pozindikira, adapeza mwala m'thupi, motero adalemba ndalama zothandizira. M'mawa, mwamunayo adadzuka ndi edema chifukwa cha mankhwalawa, choncho adotolo adati atenge piritsi limodzi la hydrochlorothiazide. Zinthu zinasintha pambuyo pa masiku awiri, kutupa kunachepa.
