Ese uyu ni umuti uvura umuvuduko w'amaraso n'umutima wawe? (Eplerenone) Reka twige ku binini!

Ese muganga wawe yakwandikiye ikinini cyitwa `(Eplerenone)` ku muvuduko w'amaraso cyangwa indwara y'umutima? Cyangwa hari umuntu wo mu muryango wawe ukoresha uyu muti? Wenda wifuza kumenya byinshi kuri uyu muti. Rero, uyu munsi turaganira kuri uyu muti witwa `(Eplerenone)` mu buryo bworoshye ushobora kumva.

Ni ubuhe bwoko bw'umuti uyu `(Eplerenone)`?

Mu magambo make, `(Eplerenone)` ni umuti ukoreshwa mu kuvura indwara nk'umuvuduko ukabije w'amaraso n'umutima unanirwa . Hari n'igihe ukoreshwa mu gukumira kwangirika k'umutima nyuma yo gurwara indwara y'umutima.

Ibi bifasha cyane cyane impyiko zawe gusohora amazi n'umunyu urenze urugero mu mubiri wawe binyuze mu nkari . Ariko, ikidasanzwe kuri ibi ni uko iyo usohoye ayo mazi n'umunyu , bibuza umubiri gutakaza imyunyu ngugu ya potasiyumu, ifite agaciro gakomeye ku mubiri wacu. Niyo mpamvu yitwa kandi "potassium-sparing diuretic". Uyu muti uri mu itsinda rya "diuretics", bivuze ko ari ubwoko bw'umuti ugenzura urugero rw'amazi mu mubiri kandi ugatuma unyara cyane.

Uyu muti ukoreshwa ryari?

Ubusanzwe abaganga batanga inama kuri uyu muti:

• Niba ufite umuvuduko w'amaraso ukabije .
• Niba ufite ikibazo cy'umutima , bivuze ko ubushobozi bw'umutima wawe bwo gutera amaraso buba bugabanuka.
• Ikoreshwa kandi mu kurinda umutima kwangirika nyuma yo gukubita umutima .

Ariko, muganga wawe ashobora kukwandikira uyu muti no ku zindi ndwara. Niba rero ufite ikibazo icyo ari cyo cyose, ni byiza kubaza muganga wawe cyangwa umufarumasiye.

Ni ibihe bintu ugomba kubwira muganga mbere yo gutangira gufata uyu muti?

Mbere yo gutangira gukoresha `(Eplerenone)`, hari ibintu by'ingenzi ugomba kubwira muganga wawe. Ibi biterwa nuko uyu muti ushobora kuba udakwiriye abantu bafite indwara zimwe na zimwe, cyangwa ushobora gukenera gukoreshwa witonze cyane.

Dore zimwe muri izo mimerere:

• Niba ufite indwara ya Addison cyangwa imikorere y'uturemangingo tw'inkende idafite ireme.
• Niba urwaye diyabete (Diabetes Mellitus) .
• Niba urugero rwa potasiyumu mu maraso yawe rumaze kuba hejuru .
• Niba urya indyo yihariye , urugero, indyo idafite umunyu mwinshi, cyangwa niba ukoresha imiti isimbura umunyu mu mirire, ibi ni ingenzi kuko iyi miti isimbura umunyu ishobora kuba irimo potasiyumu.
• Urwaye impyiko.Niba ihari.
• Niba ufite indwara y'umwijima .
• Niba waragize ikibazo cyo kugira ubwivumbure kuri Eplerenone, undi muti, ibiryo, irangi, cyangwa imiti irinda ubushyuhe.
• Niba utwite cyangwa ugerageza gutwita .
• Niba uri umubyeyi wonsa .

Niba ufite ikintu nk'iki, ntukibagirwe kubibwira muganga mbere yo gutangira imiti, sibyo?

Noneho reka turebe uburyo uyu muti wakoreshwa neza?

Uyu muti uza nk'ikinini cyo kunywa ukoresheje umunwa. Ni ngombwa cyane gufata ingano yagenwe, icyarimwe buri munsi, nk'uko muganga wawe yabikubwiye.

• Ushobora kubifata uri mu biryo cyangwa utabirya . Ariko, niba ugize ikibazo cyo mu gifu, ni byiza kubifata uri mu biryo.
• Ugomba gukomeza gufata uyu muti kugeza igihe muganga wawe azakubwiriye kuwuhagarika. Ntuwuhagarike uko ubyishakiye.
• Ni ngombwa cyane kutanywa umutobe w'imbuto z'umuhondo mu gihe ufata uyu muti, kuko umutobe w'imbuto z'umuhondo ushobora kugira ingaruka ku buryo umuti winjizwamo.

Ese uyu muti ushobora guhabwa abana?

Ugomba kwitonda cyane mu gihe uha abana uyu muti. Kubwibyo, niba uha umwana wawe uyu muti, vugana na muganga wawe kandi umugire inama.

Wakora iki niba unywa inzoga nyinshi? (Ingano irenze urugero)

Niba ubona ko wafashe uyu muti urenze urugero, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro biri hafi yawe cyangwa uhamagare ikigo gishinzwe kurwanya uburozi vuba. Ni ngombwa cyane kugira icyo ukora vuba.

Uyu muti wanditswe kuri wewe gusa. Ntuwuhe undi muntu uwo ari we wese, kabone n'iyo yaba afite ibimenyetso nk'ibyo ufite.

Ukora iki niba wabuze dose?

Niba wabuze dose, fata vuba uko wibuka. Ariko, niba igihe cyo gufata dose ikurikira kigeze, jya usimbuka dose ikurikira hanyuma ufate dose ikurikira ku gihe cyagenwe. Ntukigere ufata dose ebyiri kugira ngo wishyure dose ibura. Kubikora bishobora kongera ingano y'umuti ufata.

Ni ibihe bintu bindi bishobora kugira ingaruka kuri uyu muti? `(Imikoranire)`

Yego, hari indi miti n'ibiribwa bishobora guteza ibibazo iyo bifashwe na Eplerenone, cyangwa bishobora kugira ingaruka ku mikorere y'umuti. Kubwibyo, niba ufata indi miti iyo ari yo yose, ni ngombwa kubimenyesha muganga wawe byose.

Imiti ikurikira ntigomba gufatwa hamwe na `(Eplerenone):`

• `(Boceprevir)`
• `(Ceritinib)`
• Amwe mu moko ya antibiyotike: urugero, chloramphenicol, clarithromycin, dalfopristin; quinupristin, telithromycin
• Imiti imwe n'imwe igabanya ubushyuhe: Urugero, amiloride, spironolactone, na triamterene (iyi na yo ni imiti igabanya ubushyuhe bwa potasiyumu, bityo iyo ifashwe na eplerenone, urugero rwa potasiyumu rushobora kwiyongera mu buryo buteje akaga)
• Imiti imwe n'imwe ivura indwara z'ibihumyo: Urugero, itraconazole, ketoconazole, posaconazole, na voriconazole.
• Imiti imwe n'imwe ivura virusi itera SIDA: Urugero `(atazanavir)`, `(cobicistat)`, `(darunavir)`, `(delavirdine)`, `(fosamprenavir)`, `(indinavir)`, `(nelfinavir)`, `(ritonavir)`, `(saquinavir yongerewe hamwe na ritonavir)`, `(tipranavir)`
• Umutobe w'imbuto z'umuzabibu n'umutobe w'imbuto z'umuzabibu
• `(Ibritumomab tiuxetan)`
• `(Idelalisib)`
• `(Lonafarnib)`
• `(Mifepristone)`
• `(Nefazodone)`
• Umunyu wa potasiyumu cyangwa inyongeramusaruro
• `(Ribociclib)`
• `(Tucatinib)`

Nanone, imiti ikurikira ishobora kugira ingaruka kuri `(Eplerenone)`. Kubwibyo, ugomba kwitonda cyane niba ufata iyi miti:

• Indi miti ivura umuvuduko ukabije w'amaraso: Urugero, imiti igabanya ubukana bwa ACE cyangwa ARB, nka enalapril, candesartan, lisinopril, na valsartan.
• `(Erythromycin)` (umuti urwanya udukoko)
• `(Fluconazole)` (umuti urwanya udukoko)
• `(Lithium)` (umuti uvura indwara zo mu mutwe)
• `(NSAIDs)` - Iyi ni imiti igabanya ububabare n'imiti igabanya ububabare: urugero `(ibuprofen)` cyangwa `(naproxen)`.
• Verapamil (umuti uvura umuvuduko ukabije w'amaraso n'indwara z'umutima)

Uru rutonde ntabwo rurambuye. Bwira muganga wawe imiti yose ufata (harimo n'iyo muganga wawe yaguze, iyo uguze muri farumasi, imiti gakondo, ibikomoka ku bimera, vitamine). Nanone, bwira muganga wawe niba unywa itabi, unywa inzoga, cyangwa ukoresha indi miti. Imwe muri iyi miti ishobora kugira ingaruka kuri uyu muti.

Ni ibihe bintu ugomba kwitondera mu gihe ufata uyu muti?

Ugomba kwitondera ubuzima bwawe mu gihe ufata umuti wa `(Eplerenone)`.

• Jyana na muganga wawe buri gihe kugira ngo arebe uko umeze. Jyana na muganga wawe isuzuma ry'umuvuduko w'amaraso yawe nk'uko muganga wawe abikubwira. Baza muganga wawe umuvuduko w'amaraso wawe ugomba kuba umeze n'icyo wakora niramuka uhindutse. Ashobora kandi gutumiza ibizamini kugira ngo arebe urugero rwa potasiyumu mu mubiri wawe.
• Iyo ufata uyu muti, banza ubaze muganga wawe mbere yo gufata umuti uwo ari wo wose wo kuvura inkorora, ibicurane, cyangwa ubundi bubabare. Hari imiti ishobora kongera umuvuduko w'amaraso yawe.
• Kuri woweBwira muganga wawe niba ufite impiswi ikomeye, isesemi, kuruka, cyangwa ibyuya byinshi. Ibi biterwa nuko bishobora guteza akaga gufata uyu muti niba utakaje amazi menshi mu mubiri wawe.
• Ushobora gusabwa gukurikiza indyo yihariye . Baza muganga wawe ibi. Baza kandi amazi ukwiye kunywa ku munsi.
• Uyu muti ushobora gutuma usinzirira cyangwa uzungera . Kubwibyo, irinde gutwara imodoka, gukoresha imashini, cyangwa gukora ikintu icyo ari cyo cyose gisaba kwitonda kugeza igihe umenye uko uyu muti ukugiraho ingaruka. Ntugahagarare cyangwa ngo wicare giturumbuka, cyane cyane niba ugeze mu zabukuru. Kubikora bishobora gutera urujijo no kugwa.
• Irinde kunywa inzoga. Inzoga zishobora kubangamira imikorere y'uyu muti.
• Keretse muganga wawe abikubwiye by’umwihariko, ntugakoreshe imiti isimbura umunyu. Imiti myinshi isimbura umunyu iba irimo potasiyumu. Kubera ko uyu muti unabika potasiyumu, ushobora gutuma urugero rwa potasiyumu mu mubiri wawe rwiyongera bitari ngombwa.

Ni izihe ngaruka mbi zishobora guterwa n'uyu muti?

Kimwe n'indi miti yose, Eplerenone ishobora gutera ingaruka zimwe na zimwe. Si buri wese uzibona, ariko hari n'abantu bazibona.

Niba ubonye kimwe muri ibi bimenyetso, ugomba kubimenyesha muganga wawe vuba bishoboka:

• Indwara zo kugira ubwivumbure: Kuryarya uruhu, kuribwa, ibibyimba mu maso, iminwa, ururimi no mu muhogo.
• Ubwinshi bwa potasiyumu mu maraso: Ibimenyetso birimo intege nke z'imitsi, umutima utera vuba cyangwa utari umeze neza. Ibi bishobora guteza akaga.
• Gukomereka kw'impyiko: Kugabanuka k'inkari, kubyimba utubuto tw'amaguru, amaboko, cyangwa ibirenge.

Ingaruka mbi zikurikira ubusanzwe ntabwo ari mbi, ariko niba zikomeje cyangwa zikakubangamira, bwira muganga wawe:

• Kubabara cyangwa kubabara mu ibere.
• Impinduka mu byifuzo by'imibonano mpuzabitsina cyangwa imikorere yayo.
• Kuzungera.
• Umutwe .
• Ukwezi kudasanzwe cyangwa kugaragara kw'ibihumyo ku bagore.
• Gukura kw'imitsi y'amabere mu buryo butunguranye ku bagabo.

Uru rutonde ntirugaragaza ingaruka mbi zose zishobora kubaho. Niba ubonye ibimenyetso bidasanzwe, nyamuneka gana muganga wawe.

Ni gute wabika imiti mu buryo butekanye? (Ububiko)

• Bika uyu muti ahantu abana n'amatungo batagera .
• Bika ahantu hari ubushyuhe bw'icyumba (hafi dogere selisiyusi 25 / dogere selisiyusi 77).
• Ntugakoreshe imiti yarengeje igihe. Ijugunye.

Ni gute wajugunya imiti idakoreshejwe?

Si byiza kujugunya umuti mu myanda cyangwa kuwujugunya mu musarani.

• Niba bishoboka, tanga imiti kuri "gahunda yo gufata imiti." Ushobora kumenya amakuru yerekeye ahantu nk'aho muri farumasi yawe cyangwa polisi.
• Niba atari byo, reba agapaki k'imiti cyangwa agapapuro karimo kugira ngo urebe niba gafite amabwiriza y'uko umuti wajugunywa mu myanda cyangwa mu bwiherero. Niba utabizi neza, baza muganga wawe cyangwa umufarumasiye wawe.
• Niba ivuga ko nta kibazo cyo kujugunya imyanda mu ipaki, kuraho umuti mu ipaki, uwuvange n'imyanda y'injangwe, ubutaka, ikawa, cyangwa ibindi bintu bitari uburozi, shyira mu gikapu cyangwa mu gikoresho gifunga, hanyuma uwujugunye mu myanda.

Hanyuma, hari ibintu by'ingenzi ugomba kwibuka:

Eplerenone ni umuti w'ingenzi cyane ku ndwara z'umutima n'umuvuduko ukabije w'amaraso. Ifasha mu kugenzura urugero rw'amazi n'umunyu mu mubiri wawe, ndetse inafasha mu kubungabunga urugero rwa potasiyumu.

Wibuke ko mu gihe ukoresha uyu muti, ari ingenzi cyane gukurikiza amabwiriza ya muganga wawe neza, kuvuga icyo ugomba kuvuga utabihishe, no kumenya ingaruka mbi.

Niba ufite ibindi bibazo kuri uyu muti, nyamuneka ntutindiganye kubaza muganga wawe, umufarumasiye, cyangwa undi muganga. Ubuzima bwawe ni ingenzi!

Eplerenone , umuvuduko ukabije w'amaraso, indwara z'umutima, diuretics, potasiyumu, ingaruka mbi ku miti