I-Bumetanide

I-Bumetanide

Uma unokuvuvukala futhi umfutho wegazi ophakeme, udokotela wakho angase atuse i-bumetanide.. I-Bumetanide iyi-diuretic enamandla. Iqaphela ukubaluleka kwayo nokusebenza kahle kwayo, iNhlangano Yezempilo Yomhlaba wonke iye yayifaka ohlwini lwayo Lwemithi Ebalulekile, ebonisa indima yayo ebalulekile ezinhlelweni zokunakekelwa kwezempilo emhlabeni wonke.

Lesi sihloko sinikeza izimpendulo ezicacile mayelana nokusetshenziswa kwe-bumetanide, imiphumela yayo emzimbeni, imihlahlandlela yomthamo, izingozi ezingaba khona, nezinyathelo ezibalulekile zokuphepha. 

Iyini i-Bumetanide?

I-Drug bumetanide ingeyeqembu "amaphilisi amanzi," noma i-loop diuretics, futhi iqondise izinso zakho ukuze umzimba wakho ukwazi ukukhiqiza umchamo omningi ukukhipha usawoti kanye noketshezi owengeziwe. Ungathola kuphela amaphilisi e-bumetanide ngencwadi kadokotela. Umuthi uza njengamaphilisi (0.5mg, 1mg, kanye 2 mg amandla) futhi njengoketshezi kubantu abakuthola kunzima ukugwinya amaphilisi.

Ukusetshenziswa kwethebhulethi yeBumetanide

Odokotela basebenzisa i-bumetanide ukwelapha ukugcinwa koketshezi (i-oedema) ezigulini ezinesifo senhliziyo, isifo sesibindi, kanye nezimo zezinso njenge-nephrotic syndrome. Odokotela bangase bakunikeze ukulawula umfutho wegazi ophakeme, nakuba abalawuli bengakagunyazi ngokusemthethweni lokhu kusetshenziswa. Ukwengeza, kuyasiza ukwelapha i-hypercalcemia eyingozi kwezinye izimo.

Ungawasebenzisa Kanjani Futhi Nini Amathebulethi e-Bumetanide

Udokotela wakho ngokuvamile ukweluleka ukuthatha i-bumetanide kanye ngosuku, ngokuvamile ekuseni noma ntambama. Lapho udokotela wakho ekunika imithamo emibili ngosuku, ungathatha eyodwa ekuseni futhi enye ntambama. Umuthi uqala ukusebenza emaminithini angu-30 ngemva kokuwuphuza, okwenza uchame kakhulu. Ukuthatha i-bumetanide ngaphambi kuka-4pm kukusiza ukuthi ugweme uhambo lokugezela njalo ebusuku olungase luphazamise ukulala kwakho.

Imiphumela Emibi Yamathebulethi e-Bumetanide

Imiphumela emibi evamile ihlanganisa

• Ezwa ukoma
• Umlomo omile
• Ukuphathwa yikhanda
• isiyezi
• Ama-cramp muscle
• Ukudideka

Ukusabela okujulile njenge 

• Ukulimala okungajwayelekile
• ukopha
• Izinga lokushisa eliphezulu
• Izinkinga zokuzwa

Ukungezwani komzimba okunamandla akwenzeki njalo, kodwa udinga usizo lwezokwelapha ngokushesha uma izindebe zakho, umlomo noma umphimbo ukhukhumala, unenkinga yokuphefumula, noma isikhumba sakho sishintsha umbala.

Ukuqapha

• Akufanele uthathe i-bumetanide uma ungezwani ne-loop diuretics noma ungakwazi ukukhiqiza umchamo (i-anuria). 
• Udokotela wakho udinga ukuhlola amazinga akho e-electrolyte njalo njengoba umuthi unganciphisa i-potassium, i-calcium, ne-sodium. 
• Abesifazane abakhulelwe kufanele bakugweme ukuthatha lo muthi.
• Abantu abanesifo sesibindi badinga ukubhekwa udokotela wabo eduze.
• Abantu abadala abangaphezu kweminyaka engama-65 badinga ukulungiswa okukhethekile komthamo.

Isebenza kanjani ithebhulethi yeBumetanide

I-loop yezinso zakho ye-Henle ilawula ibhalansi kasawoti kanye namanzi emzimbeni wakho, futhi i-bumetanide iqondise le ndawo ngokuqondile. Umuthi uvimba umzimba wakho ukuthi ungaphinde ubambe i-sodium ne-chloride, okwenza izinso zakho zikhiphe amanzi amaningi. Uzoqala ukuchama kakhulu ngemva kwemizuzu engu-30 uphuze iphilisi. Umuthi uphinde uguqule amazinga e-potassium ngokusekelwe kumthamo. I-Bumetanide isebenza ngokushesha kodwa ayihlali isikhathi eside njengamanye ama-diuretics, nemiphumela ehlala amahora angu-3-4 kuphela.

Ngingakwazi Ukuthatha I-Bumetanide Ngeminye Imithi?

Imithi elandelayo ingabangela izinkinga uma ithathwa nge-bumetanide:

• Ama-antibiotic e-aminoglycoside 
• Imithi oyiphuzayo yomfutho wegazi 
• Imithi yesifo sikashukela
• Digoxin 
• Lithium
• Ama-NSAID (indomethacin) 

Udokotela wakho udinga ukwazi ngayo yonke imithi oyiphuzayo ukuze uqinisekise ukwelashwa okuphephile.

Ulwazi Lomthamo

Abantu abadala bavame ukuthatha i-0.5mg kuya ku-2 mg kanye ngosuku. Ukugcinwa koketshezi olunenkani kungase kudinge imithamo emibili ngosuku, ethathwe ngokuhlukana kwamahora angu-4-5. Odokotela ngeke banikeze ngaphezu kwe-10mg ngosuku. 

Uma unenkinga yesibindi, udokotela wakho angase akunike imithamo emincane ukuze ugcine ama-electrolyte akho elinganisela.

Isiphetho

I-Bumetanide umuthi obalulekile ezigulini ezinenkinga yokugcinwa uketshezi kanye nezinkinga zempilo ezihlobene nazo. Le diuretic enamandla ye-loop isiza ukususa amanzi amaningi nosawoti emzimbeni. Imithi isebenza kangcono kubantu abanesifo senhliziyo, isifo sesibindi, nezimo zezinso.

Umthamo ofanele osuselwe esimweni sempilo yesiguli uzonikeza inzuzo enkulu enezingozi ezincane. Iziguli eziningi kufanele ziphuze imithamo yazo ekuseni ukuze zilale kangcono ebusuku. Umuthi uthatha cishe imizuzu engama-30 ukusebenza, esiza ukuhlela imisebenzi yansuku zonke. Ukuqonda okucacile kwenhloso yayo, ukusetshenziswa, kanye nemiphumela engaba khona kwenza iziguli zibambe iqhaza elibonakalayo ekuhlangenwe nakho kwazo kwezempilo. Ulwazi ngemithi ludlala indima ebalulekile ekwelashweni okuphumelelayo kanye nemiphumela yezempilo engcono.

Imibuzo Evame Ukubuzwa

1. Ingabe i-bumetanide isengozini enkulu?

I-Bumetanide ingeyesigaba semithi eyingozi kakhulu yama-diuretics. Izinto eziyingozi zihlanganisa iminyaka yobudala, ukuncika emsebenzini wansuku zonke, ukuxilongwa kokuwohloka komqondo, imikhawulo yoketshezi, ukugula kwakamuva nge oluhlanzayo or isifo sohudo, kanye nesimo sezulu esishisayo.

2. I-bumetanide ithatha isikhathi esingakanani ukusebenza?

Umuthi uqala ukusebenza phakathi nehora elingu-1. Uzobona ukwanda kokuchama imizuzu engama-30-60 ngemuva kokuyithatha.

3. Kwenzekani uma ngiphuthelwa umthamo?

Thatha umthamo ogejiwe ngokushesha, ngaphandle kwalapho kungemuva kuka-4pm. Yeqe uma kusebusuku. Ungalokothi uthathe imithamo emibili ndawonye ukuze uvale okugejiwe.

4. Kwenzekani uma ngiphuza ngokweqile?

Izimpawu zokweqisa izidakamizwa zihlanganisa ubuhlungu bekhanda, isiyezi, ukushaya kwenhliziyo okungavamile, ukuquleka, ukoma, ubuthakathaka, ukudideka nokuhlanza. Shayela abezimo eziphuthumayo ngokushesha.

5. Ubani ongakwazi ukuthatha i-bumetanide?

Lo muthi awubafanele abantu abane-hypersensitivity ku-bumetanide noma i-sulfonamides, i-anuria (ukungakwazi ukuchama), isifo sesibindi esibi kakhulu noma i-hepatic coma.

6. Kufanele ngiyithathe nini i-bumetanide?

Thatha umthamo wakho kanye ngosuku ekuseni noma ntambama. Akutuseki ukuthi uyithathe ngemva kuka-4 ntambama ukuze ulale ngokuthula ngaphandle kohambo lokugezela oluvamile ebusuku.

7. Zingaki izinsuku zokuphuza i-bumetanide?

Udokotela wakho uzosetha ubude besikhathi sakho sokwelashwa ngokusekelwe esimweni sakho. Qhubeka uyithatha kuze kube yilapho udokotela wakho ekutshela ngenye indlela.

8. Ungamisa nini i-bumetanide?

Hlala ukhuluma nodokotela wakho ngaphambi kokumisa i-bumetanide. Ukuma kungazelelwe kungaholela ekwakhekeni koketshezi emzimbeni wakho.

9. Ingabe kuphephile ukuphuza i-bumetanide nsuku zonke?

I-Bumetanide ihlala iphephile ukuthi isetshenziswe isikhathi eside, kodwa uzodinga ukuhlolwa njalo. Udokotela wakho kufanele ahlele ukuhlolwa kwegazi nomchamo ukuze aqaphe amakhemikhali egazi lakho. Lezi zivivinyo zibaluleka ikakhulukazi uma umthamo wakho ushintsha noma unezinye izimo zezempilo. Ucwaningo lubonisa iziguli ziwuphatha kahle lo muthi ngesikhathi sokwelashwa okunwetshiwe.

10. Yisiphi isikhathi esingcono kakhulu sokuthatha i-bumetanide?

Odokotela batusa ukuthatha i-bumetanide ekuseni noma ekuseni kakhulu. Ukuyithatha ngemva kuka-4pm noma ebusuku kungase kuphazamise ukulala kwakho ngokuvakasha kwakho endlini yokugezela. Umuthi uqala ukusebenza phakathi kwemizuzu engama-30-60 futhi uthatha amahora angama-4-6.

11. Yini okufanele uyigweme lapho uthatha i-bumetanide?

Ngenkathi usebenzisa i-bumetanide, gwema:

• Utshwala—bungakwehlisa umfutho wegazi futhi bukwenze ube nesiyezi noma uquleke
• Usawoti omningi ovela ekudleni okugayiwe
• Izithako zikasawoti ezenziwe nge-potassium
• Amakhambi e-diuretic 

12. Ingabe i-bumetanide ibangela ukukhuluphala?

Cha. Ungase ulahlekelwe isisindo ekuqaleni, kodwa lokhu kuvela ekulahlekelweni kwamanzi, hhayi ekunciphiseni amafutha. Khumbula ukuphuza lo muthi kuphela njengoba kunqunywe udokotela wakho.