Dzimwe nguva, nekuda kwechirwere chemwoyo, matambudziko eitsvo, kana chirwere chechiropa, muviri wako unounganidza mvura isingadiwi, zvichikonzera kuzvimba mumaoko ako netsoka, handiti? Muzviitiko zvakadaro, nhasi tichataura nezvemushonga unoshandiswa navanachiremba kubvisa mvura yakawandisa nemunyu mumuviri. Mushonga uyu unonzi Ethacrynic Acid.
Chii chinonzi Ethacrynic Acid?
Zvichitaurwa zviri nyore, iyi mushonga wekubvisa mvura mumuviri . Mumutauro wakajairika, i "piritsi remvura," asi rinopihwa sejekiseni. Basa rayo guru nderekukurudzira itsvo dzako uye kubatsira muviri wako kugadzira weti yakawanda. Paunoita weti, inobvisawo munyu nemvura yakawandisa mumuviri wako.
Saka, mushonga uyu unobatsira zvikuru mukuderedza kuzvimba kunokonzerwa nechirwere chemwoyo, chirwere cheitsvo, kana chirwere chechiropa.
Chii chandinofanira kuudza chiremba ndisati ndashandisa mushonga uyu?
Zvakakosha kuti chiremba wako azive zvizere nezvehutano hwako asati asarudza kukupa mushonga uyu. Saka, kana uine chimwe chezvirwere zvinotevera, unofanira kuudza chiremba wako .
- Nezve zvimwe zvirwere zvemwoyo zvaunazvo.
- Kana wakamboonekwa uine huwandu hwakaderera kana hwakawanda hwema electrolytes muropa rako, akadai se potassium , magnesium , kana sodium .
- Kana uine chirwere cheitsvo kana chechiropa.
- Kana uine allergy yemushonga uyu weEthacrynic Acid kana chero mumwe mushonga, chikafu, kana dhayi.
- Kana uine pamuviri kana kuti uri kuedza kubata pamuviri.
- Kana uri amai vari kuyamwisa mwana.
Zvichibva paruzivo urwu, chiremba wako ndiye achasarudza kana mushonga uyu wakakunakira iwe kana kuti kwete.
Ndingakupa sei mushonga uyu?
Uyu hausi mushonga waunogona kunwa kumba. Ijekiseni rinopinda mutsinga . Rinongopihwa muchipatara kana kukiriniki nenyanzvi yezvekurapa yakadzidziswa, senge chiremba kana mukoti.
Kunyangwe vana vadiki vanogona kupihwa mushonga uyu mune dzimwe nguva, asi nekungwarira kukuru uye vachitarisirwa nachiremba.
Kana muchifunga kuti makatora mushonga uyu wakawandisa netsaona, endai kuETU (Emergency Treatment Unit) nekukasika. Kana kufonera National Poisons Information Centre kuColombo National Hospital kuti muwane mazano.
Sezvo mushonga uyu usingashandiswi zuva nezuva uye uchipihwa muchipatara, hauzove nedambudziko rekushaikwa kwemushonga.
Ndeipi mimwe mishonga inogona kupindirana nemushonga uyu?
Mimwe mishonga yauri kutora inogona kukanganisa mashandiro anoita Ethacrynic Acid. Saka ipa chiremba wako runyoro rwakakwana rwemishonga yese, mavhitamini, mishonga yemishonga, uye zvekudya zvinovaka muviri zvauri kutora. Zvakakosha kuudza chiremba wako kana uri kutora chero ipi yemishonga inotevera:
- Mishonga inouraya marwadzo uye inorwisa kuzvimba (semuenzaniso indomethacin)
- Mamwe maantibiotic anopihwa nejekiseni
- Mamwe marudzi e diuretics
- Mishonga yemwoyo (semuenzaniso digoxin )
- Mahormone eSteroid (semuenzaniso cortisone , fludrocortisone, hydrocortisone)
- Lithium
- Mishonga yechirwere cheshuga
- Mishonga yeBP yakakwira
- Mishonga inoderedza ropa (semuenzaniso warfarin )
Zvakakoshawo kuudza chiremba wako kana uchisvuta, uchinwa doro, kana kushandisa zvimwe zvinodhaka.
Ndezvipi zvinhu zvekungwarira pakushandisa mushonga?
Paunenge uchipiwa mushonga uyu, vanachiremba nevanamukoti vachange vachinyatsoongorora mamiriro ako ezvinhu. Vachange vachiongorora zvinhu zvakaita seBP yako, kurova kwemoyo, uye huwandu hweelectrolytes muropa rako. Saka usazvidya mwoyo nazvo. Kana uchinzwa kusagadzikana, taurira chiremba kana nesi nekukasika.
Ndezvipi zvimwe zvingakonzerwa nemushonga uyu?
Sezvinongoita chero mushonga upi zvawo, pane mukana wekuti mushonga uyu unogona kukonzera migumisiro yakaipa. Mimwe yacho inogona kunge yakakomba, asi mimwe isiri yakanyanya kuipa.
| Mhedzisiro yedivi | Tsananguro nezviratidzo |
|---|---|
| Migumisiro yakakomba inofanira kutaurwa kuna chiremba wako nekukasika | |
| Kusawirirana kwemuviri | Mapundu paganda, kuvaviwa, kuzvimba kwechiso, miromo kana rurimi. |
| Kuchinja kwekuona kana kunzwa | Kuona zvisina kujeka, kunzwa kushoma, kurira munzeve. |
| Kuchinja kwemazinga eshuga muropa | Shuga yakakwira muropa: Nzara yakawandisa, nyota, kuita weti nguva nenguva, kuneta zvakanyanya. Shuga shoma muropa: kuzvidya mwoyo, dzungu, kudedera, kudikitira zvakanyanya, kurova kwemoyo nekukurumidza. |
| Kukuvara kweitsvo | Kuomerwa nekuita weti kana kuchinja huwandu hweweti yaunobuda nayo. |
| Kuderera kwemazinga e electrolyte | Kushaikwa kwePotassium/Magnesium: Kutadza kufema zvakanaka, kurwadziwa pachipfuva, kurova kwemoyo zvisina kurongeka, kugwinha kwetsandanyama, uye kushaya simba. |
| Zvimwe zviratidzo zvakakomba | Manyoka akanyanya, kudikitira zvakanyanya, kurasikirwa nechido chekudya. |
| Migumisiro inowanzo fanirwa kuudzwa chiremba kana ikaramba iripo kana kuti ichinetsa | |
| Kuderera kweropa | Dzungu, kupera simba, kunzwa sekunge hausi kunzwa zvakanaka. |
| Mamwe maitiro akajairika | Musoro , fivha, zviratidzo zvakaita sedzihwa, kurwadziwa mudumbu, kurutsa, kuoma kumedza. |
Rondedzero iyi haisanganisiri mimwe migumisiro yese inogona kuitika. Kana ukaona zvimwe zviratidzo, taura nachiremba wako nezvazvo.
Mharidzo Yekuenda Nayo Kumba
- Ethacrynic Acid ijekiseni rine simba rekubvisa mvura mumuviri rinoderedza kuchengetedzwa kwemvura mumuviri uye kuzvimba kunokonzerwa nezvirwere zvemwoyo, itsvo, kana chiropa.
- Izvi zvinongopihwa muchipatara kana kiriniki chete, pasi pekutarisirwa nachiremba. Hamutenderwi kuenda nazvo kumba mozvishandisa.
- Iva nechokwadi chekuzivisa chiremba wako nezvemimwe mishonga yose yauri kutora uye chero matambudziko ehutano auri kusangana nawo.
- Udza chiremba wako kana mukoti wako nekukasika kana ukasangana nematambudziko akakomba, akadai sekuchinja kwekuona, kurasikirwa nekunzwa, mapundu akanyanya, kana kuti allergic reactions.
- Kana muine mibvunzo nezvemushonga uyu, musazeza kubvunza chiremba wenyu.
👩🏽⚕️ Mibvunzo yekuwedzera (Mibvunzo Inowanzo bvunzwa)
💬 Chii chinonzi Ethacrynic Acid Injection / Edecrin?
Uyu ndiwo mushonga we'Loop Diuretic' wakanyanya uye une simba zvikuru unowanikwa muma pharmacy! Kana mapapu/musoro kana muviri wese wemurwere ukangoerekana wazara nemvura/mvura (Edema) zvekuti haakwanise kufema uye ava kuda kufa, nekuda kwekushaya simba kwemoyo, kutadza kushanda kweitsvo/chiropa, jekiseni iri rinopinzwa mutsinga muchipatara uye mvura (marita mashoma) inozadzwa mumuviri inoburitswa pakarepo seweti.
💬 Mushonga uyu (Ethacrynic Acid) unobatsira sei kuburitsa mvura yakaungana mumapapu kuburikidza neweti?
Izvi zvinorwisa zvakananga fekitari ye'Loop of Henle' iri muitsvo dzedu. Kazhinji, kana itsvo dzichipinza sodium/munyu mumuviri, mvura inopindawo muura nayo. Kana mushonga uyu (Ethacrynic Acid) ukatorwa, muchina wekupinza sodium (Na-K-2Cl cotransporter) unotyoka/kuvharika 100%. Kana sodium isisapinzwe mumuviri, mvura yese mumuviri wese inosanganiswa nemunyu iwoyo uye inobuda nemunzira yeweti semvura huru!
💬 Sei uchifanira kushandisa izvi kana paine mishonga yekubvisa mvura mumuviri (Furosemide / Lasix) yakajairika? Ndeipi migumisiro yakaipa?
Chinhu chikuru chemushonga uyu ndechekuti hauna makemikari akasimba (Sulfa)! Vamwe vanhu pasi rose vane allergy yakanyanya nemushonga unozivikanwa weFurosemide (Lasix). Uyu ndiwo 'mushonga wega' wekuti varasikirwe nemvura. Asi mhedzisiro ine njodzi zvikuru yeizvi ndeyekuti yakasimba zvekuti inogona kuparadza tsinga dzedu dzekunzwa uye kukonzera 'kurasikirwa nekunzwa kwechigarire (Ototoxicity/Deafness)'! (Zvakare, potassium/munyu wese unobuda uye muviri unoshaya mvura).
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