I-Furosemide

I-Furosemide

Abantu abaningi bahlushwa uketshezi olunqwabelene emizimbeni yabo, okungaholela ekuvuvukeni nasekuphefumuleni kanzima. I-Furosemide isiza izigidi zeziguli ukuthi zilawule lezi zimpawu eziyinselele ngempumelelo. Lo mhlahlandlela obanzi uchaza yonke into iziguli okudingeka zikuqonde ngomuthi we-furosemide, kusukela ekusetshenzisweni kwawo okufanele kanye nezinzuzo kuya emiphumeleni engemihle engaba khona kanye nezinyathelo zokuphepha ezidingekayo. 

Iyini iFurosemide?

I-Furosemide umuthi onamandla we-loop diuretic oyingxenye yemithi eyaziwa ngokuthi amaphilisi amanzi.

Lo muthi oguquguqukayo uza ngezindlela eziningi ukuze uvumelane nezidingo zesiguli ezahlukene. Odokotela bangasebenzisa i-furosemide ngokusebenzisa:

• Amaphilisi omlomo noma uketshezi
• Ukujova ngomjovo
• Umjovo wemisipha
• Ukuphathwa kwe-subcutaneous

I-Furosemide ibonakale iwusizo ikakhulukazi ekwelapheni izimo ezihlukahlukene zezokwelapha. Isebenza njengenketho yokwelashwa ebalulekile ezigulini ezibhekene nalokhu:

• Ukugcinwa koketshezi (i-oedema) okuvela enhliziyweni, esibindini, noma ezimeni zezinso
• Umfutho wegazi ophakeme, kungaba uwedwa noma neminye imithi
• Okumnandi i-pulmonary edema redinga ukwelashwa ngokushesha
• Ukuminyana kubantu abadala abanokwehluleka kwenhliziyo okungapheli

Ukusetshenziswa kwe-Furosemide

Odokotela batusa amaphilisi e-furosemide ezimweni ezimbalwa ezibalulekile zempilo. Lo muthi onamandla usebenza njengendlela yokwelapha ebalulekile ezigulini ezibhekene nezinselele ezihlukahlukene zempilo. Isebenza kahle kakhulu uma kudingeka uketshezi olusheshayo olukhishwayo, njengalapho kukhona i-acute pulmonary edema.

Ukusetshenziswa okuyinhloko kwe-furosemide ukwelapha ukugcinwa koketshezi (i-oedema) ezigulini ezine:

• Ukuhluleka kwenhliziyo ukulahla
• Isifo sesibindi noma i-cirrhosis
• Ukuphazamiseka kwezinso, kuhlanganise nephrotic syndrome
• Umfutho wegazi ophakeme (umfutho wegazi ophezulu)

Ungawasebenzisa kanjani amaphilisi e-Furosemide

Ukuthatha amaphilisi e-furosemide ngendlela efanele kuqinisekisa imiphumela engcono kakhulu yomuthi. Iziguli zingaphuza lawa maphilisi ngokudla noma ngaphandle kokudla ngoba ngokuvamile awabangeli ukucasuka kwesisu.

Nazi iziqondiso ezibalulekile zokuthatha amaphilisi e-furosemide:

• Gweba amaphilisi wonke ngengilazi yamanzi
• Landela umthamo oqondile onqunywe udokotela
• Thatha imithamo ngezikhathi ezijwayelekile njengoba kuyalelwe
• Ukuze uthole umuthi owuketshezi, sebenzisa kuphela umshini wokulinganisa onikezwe ikhemisi
• Ungalokothi usebenzise ithisipuni yasekhishini ukukala umuthi owuketshezi

Imiphumela Emibi Yethebhulethi ye-Furosemide

Imiphumela engemihle evamile ngokuvamile engadingi ukunakwa ngokushesha ihlanganisa:

• Ukwanda kokuchama (ikakhulukazi phakathi namahora ambalwa okuqala)
• Isiyezi esincane noma ikhanda elilula
• bekhanda
• Umbono ophundlekile
• Ama-cramp muscle
• ukoma
• Umlomo omile

Imiphumela Emibi Kakhulu:

• Ukusabela okukhulu kwe-allergic (ukuqubuka, ukulunywa, ukuvuvukala)
• Ukusuka okungavamile noma ukulimaza
• Ubuhlungu obukhulu besisu
• Izinkinga zokuzwa noma ukukhala ezindlebeni
• Ukuphuzi kwesikhumba noma amehlo
• Ubuthakathaka obukhulu noma ukukhathala
• Ukushaya kwenhliziyo okungavamile

Ukuqapha

Izimo Zezokwelapha Ezibalulekile ezidinga ukunakwa okukhethekile zihlanganisa:

• Isifo sezinso noma izinkinga zokuchama
• Isifo sesibindi (cirrhosis)
• Diabetes
• sifo
• I-prostate ekhulisiwe
• I-Systemic lupus erythematosus
• Ukungalingani kwe-Electrolyte

Izindlela zokuphepha zokuphila ngenkathi uthatha i-furosemide zifaka:

• Ukugwema ukunyakaza okungazelelwe lapho usukuma ukuze uvimbele ukuba nesiyezi
• Ukugcina i-hydration efanele njengoba iqondiswa udokotela
• Ukusebenzisa ukuvikela ilanga, njengoba umuthi ungandisa ukuzwela ukukhanya kwelanga
• Ukunciphisa ukusetshenziswa kotshwala
• Ukulandela izincomo zokudla, ikakhulukazi mayelana nokudla kukasawoti

Isebenza kanjani i-Furosemide Tablets

Le diuretic enamandla iqondise ingxenye ethile yezinso ebizwa ngokuthi iluphu yeHenle ukuze ikhiphe uketshezi oluningi emzimbeni.

Lapho isiguli sithatha i-furosemide, iya ezinso futhi ivimbe amaprotheni akhethekile abizwa ngokuthi i-sodium-potassium-chloride cotransporters. Lesi senzo sokuvimba sivimbela izinso ekubeni ziphinde zimunce usawoti namanzi, okwandisa ukukhiqizwa komchamo.

Imiphumela yomuthi ihlanganisa:

• Ukwanda kwe-sodium ne-chloride excretion
• Ukususwa kwamanzi okuthuthukisiwe emzimbeni
• Uketshezi okwehlisiwe emithanjeni yegazi
• Umfutho wegazi ophansi
• Ukuncipha kokuvuvukala kwezicubu

Ngingathatha I-Furosemide Ngeminye Imithi?

Iziguli ezithatha i-furosemide kufanele ziqaphele ukusebenzisana kwayo neminye imithi. Ukuxhumana okubalulekile kwemithi kuhlanganisa:

• Enye i-diuretic
• Imishanguzo yegazi
• Imithi yomdlavuza njenge-cisplatin
• Imithi yenhliziyo efana i-amiodaroneI-digoxin, i-sotalol
• I-Methotrexate
• Imithi yezempilo yengqondo efana ne-lithium ne-risperidone
• Izidambisi zinhlungu (ama-NSAID), okuhlanganisa ibuprofen ne-naproxen
• Imithi ye-ulcer sucralfate

Ulwazi Lomthamo

Kubantu abadala, imithamo yokuqala ejwayelekile yile:

• Nge-edema: 20 kuya ku-80 mg kanye ngosuku
• Ngomfutho wegazi ophakeme: 40 mg kabili ngosuku
• Ukugcina uketshezi olunzima: Kufika ku-600 mg nsuku zonke ezimeni ezimbi kakhulu

Izingane zithola ukucatshangelwa okukhethekile uma kuziwa ekudongeni. Inani lemithi yabo libalwa ngokusekelwe esisindweni somzimba, ngokuvamile siqala ku-2 mg ngekhilogremu yesisindo somzimba nsuku zonke. Umthamo omkhulu wezingane akufanele udlule u-6 mg/kg wesisindo somzimba nsuku zonke.

Odokotela bangalungisa umthamo kuye ngokuthi iziguli zisabela kahle kangakanani ekwelashweni. Bangase banyuse inani ngo-20 kuye ku-40 mg uma kudingeka, kodwa kuphela ngemva kokulinda amahora angu-6 kuya kwangu-8 kusukela kumthamo wangaphambilini.

Isiphetho

I-Furosemide ime njengomuthi obalulekile ezigidini zeziguli ezibhekene nokugcina uketshezi kanye nomfutho wegazi ophakeme. Leli philisi lamanzi elinamandla lisiza abantu ukuthi balawule izimo zabo ngendlela efanele uma bephuzwa njengoba beyalelwe futhi beqashwe ngodokotela.

Iziguli eziqondayo ukuthi zithathwe kanjani i-furosemide ngendlela efanele, qaphela imiphumela yako engemihle, futhi ulandele izinyathelo zokuphepha ezifanele uzothola imiphumela engcono kakhulu ekwelapheni kwabo. Ukuhlolwa njalo kwezokwelapha, ukufakwa kwamanzi okwanele, nokuxhumana okukhululekile nodokotela kusabalulekile kulo lonke uhambo lokwelashwa.

Impumelelo nge-furosemide incike ekulandeleni ishejuli yemithamo enqunyiwe kanye nokugcina ukuqwashisa ngokusebenzelana okungaba khona neminye imithi. Nakuba imiphumela engemihle ingenzeka, iziguli eziningi zithola izinzuzo zokulawula ukugcinwa koketshezi lwazo kanye nomfutho wegazi ophakeme kunezingozi lapho zisebenzisa lo muthi ngaphansi kokuqondisa kwezokwelapha okufanele.

Imibuzo Evame Ukubuzwa

1. Ingabe i-furosemide iyisidakamizwa esiyingozi kakhulu?

I-Furosemide idinga ukugadwa ngokucophelela kwezokwelapha njengoba iyi-diuretic enamandla engathinta uketshezi kanye nebhalansi ye-electrolyte. Nakuba ngokuvamile kuphephile uma kuthathwa njengoba kushiwo, iziguli zidinga ukuqapha njalo umfutho wegazi nokusebenza kwezinso ukuvimbela izinkinga.

2. I-furosemide ithatha isikhathi esingakanani ukusebenza?

Umuthi uqala ukusebenza ngokushesha emzimbeni. Iziguli ngokuvamile zibona imiphumela yamaphilisi omlomo lingakapheli ihora elingu-1, futhi isenzo esiphezulu senzeka ehoreni lokuqala noma lesibili. Uma inikezwe ngomthambo, iqala ukusebenza phakathi nemizuzu emi-5.

3. Kwenzekani uma ngiphuthelwa umthamo?

Uma uphuthelwa umthamo, thatha ngokushesha lapho ukhumbula. Nokho, uma kungemuva kuka-4 ntambama, kufanele weqe umthamo we-furosemide ogejiwe futhi uqhubeke nesimiso sakho esivamile. Ungalokothi uphindwe kabili umthamo wakho ukuze ubuyisele ogejiwe.

4. Kwenzekani uma ngiphuza ngokweqile?

I-Furosemide overdose ingaba yingozi. Izimpawu ezijwayelekile zihlanganisa:

• Ukukhathala okukhulu
• Ukoma okukhulu
• Ukushaya kwenhliziyo okungavamile
• Very umfutho wegazi ophansi
• Ukudideka noma ukozela

5. Ubani ongakwazi ukuthatha i-furosemide?

Iziguli akufanele zithathe i-furosemide uma zine:

• Ukuhluleka kwezinso ngokuphelele (i-anuria)
• Ukuncipha okukhulu kwe-electrolyte
• Ukungezwani komzimba ku-furosemide
• Isifo sesibindi esibi ngokudideka

6. Zingaki izinsuku okufanele ngiphuze i-furosemide?

Ubude besikhathi somuthi buyahlukahluka kuye ngesimo sezempilo elashwayo. Ezinye iziguli zingase ziyidinge isikhathi esifushane, kanti ezinye zingadinga ukwelashwa isikhathi eside. Odokotela banquma ubude besikhathi esifanele ngokusekelwe ezidingweni zesiguli ngasinye.

7. Kufanele uyeke nini i-furosemide?

Iziguli akufanele ziyeke ukuthatha i-furosemide kungazelelwe ngaphandle kokubonana nodokotela wazo. Ukuma kungazelelwe kungabangela umfutho wegazi ukuthi ukhuphuke futhi kwandise ingozi yezinkinga.

8. Ingabe i-furosemide iphephile ezinso?

Nakuba i-furosemide ingasiza ekulawuleni ukugcinwa koketshezi oluhlobene nezinso, idinga ukuqapha ngokucophelela. Umuthi ungaphazamisa ukusebenza kwezinso, ikakhulukazi ezigulini ezinezinkinga zezinso ezikhona. Ukuhlolwa njalo kwezokwelapha kusiza ukuqinisekisa ukusetshenziswa okuphephile.

9. Kungani uthatha i-furosemide ebusuku?

Ucwaningo lubonisa ukuthi ukuthatha i-furosemide phakathi kuka-11 ebusuku no-5 am kungaholela ekuphumeni okungcono komchamo kwezinye iziguli. Kodwa-ke, kufanele uxoxe nesikhathi nodokotela njengoba izidingo zomuntu ngamunye ziyahlukahluka.