Ingabe lo umuthi womfutho wegazi lakho kanye nenhliziyo yakho? (Eplerenone) Ake sifunde ngamaphilisi!

Ingabe udokotela wakho ukunike iphilisi elibizwa ngokuthi `(Eplerenone)` lomfutho wegazi lakho noma isifo senhliziyo? Noma ingabe ukhona emndenini wakho osebenzisa lo muthi? Mhlawumbe ungathanda ukwazi okwengeziwe ngalo muthi. Ngakho-ke, namuhla sizoxoxa ngalo muthi obizwa ngokuthi `(Eplerenone)` ngendlela elula ongayiqonda.

Uhlobo luni lomuthi `(Eplerenone)`?

Kalula nje, i-`(Eplerenone)` umuthi osetshenziselwa ukwelapha izimo ezinjengomfutho wegazi ophakeme kanye nokwehluleka kwenhliziyo . Futhi ngezinye izikhathi usetshenziselwa ukuvimbela ukulimala okwengeziwe enhliziyweni ngemva kokuhlaselwa yinhliziyo.

Lokhu kusiza kakhulu izinso zakho ukuthi zikhiphe amanzi nosawoti omningi emzimbeni wakho ngomchamo . Kodwa-ke, okubalulekile ngalokhu ukuthi uma ukhipha amanzi nosawoti onjalo , kuvimbela umzimba ekulahlekelweni yi-potassium eningi kakhulu, eyigugu kakhulu emzimbeni wethu. Yingakho ibizwa nangokuthi "i-potassium-sparing diuretic". Lo muthi ungoweqembu le-"diuretics", okusho ukuthi uhlobo lomuthi olulawula izinga loketshezi emzimbeni futhi lukwenze uchame kakhulu.

Lomuthi usetshenziswa nini?

Odokotela bavame ukuncoma lo muthi ku:

• Uma une -high blood pressure .
• Uma unesifo senhliziyo , okusho ukuthi ikhono lokushaya kwenhliziyo yakho libuthakathaka.
• Iphinde isetshenziswe ukuvikela inhliziyo ekulimaleni okwengeziwe ngemva kokuhlaselwa yinhliziyo .

Kodwa-ke, udokotela wakho angase akunike lo muthi nakwezinye izimo zezokwelapha. Ngakho-ke uma unemibuzo, kungcono ukubuza udokotela wakho noma usokhemisi.

Yiziphi izinto okudingeka uzitshele udokotela ngaphambi kokuba uqale ukuthatha lo muthi?

Ngaphambi kokuthi uqale ukusebenzisa i-`(Eplerenone)`, kunezinto ezibalulekile okufanele uzitshele udokotela wakho. Lokhu kungenxa yokuthi lo muthi ungase ungafaneleki kubantu abanezimo ezithile zezokwelapha, noma kungadingeka ukuthi usetshenziswe ngokunakekelwa okukhethekile.

Nazi ezinye zezimo ezinjalo:

• Uma unesifo sika-Addison noma ukusebenza kwezindlala ze-adrenal okuphansi.
• Uma unesifo sikashukela (i-Diabetes Mellitus) .
• Uma amazinga akho e-potassium egazini esephezulu kakade .
• Uma udla ukudla okukhethekile , isibonelo, ukudla okunosawoti omncane, noma uma usebenzisa izinto ezithatha usawoti ekudleni, lokhu kubalulekile ngoba lezi zinto ezithatha usawoti zingase zibe ne-potassium.
• Unesifo sezinso.Uma kukhona.
• Uma unesifo sesibindi .
• Uma uke waba nokusabela kokungezwani komzimba ne-Eplerenone, noma yimuphi omunye umuthi, ukudla, udayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Uma unakho okufana nalokhu, ungakhohlwa ukutshela udokotela ngaphambi kokuqala umuthi, kulungile?

Kulungile, manje ake sibone ukuthi lo muthi kufanele usetshenziswe kanjani ngempela?

Lo muthi uza njengephilisi okufanele uphuzwe ngomlomo. Kubaluleke kakhulu ukuthatha umthamo onqunyiwe, ngesikhathi esifanayo nsuku zonke, njengoba udokotela wakho ekutshelile.

• Ungayithatha lokhu nokudla noma ngaphandle kokudla . Kodwa-ke, uma uzwa ubuhlungu esiswini, kungcono ukuyithatha nokudla.
• Kufanele uqhubeke uthatha lo muthi kuze kube yilapho udokotela wakho ekutshela ukuthi uyeke. Ungawuyeki ngokuthanda kwakho.
• Kubaluleke kakhulu ukungaphuzi ijusi likagrapefruit ngenkathi uthatha lo muthi, njengoba ijusi likagrapefruit lingathinta indlela umuthi omuncwa ngayo.

Ingabe lo muthi unganikezwa izingane?

Kufanele kuqashelwe ngokukhethekile lapho unikeza izingane lo muthi. Ngakho-ke, uma unikeza ingane yakho lo muthi, khuluma nodokotela wakho ngawo bese uthola iseluleko.

Yini okufanele uyenze uma uphuza kakhulu? (Umthamo oweqile)

Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze noma ushayele isikhungo sokulawula ubuthi ngokushesha. Kubaluleke kakhulu ukuthatha isinyathelo ngokushesha.

Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu, noma ngabe unezimpawu ezifanayo nezakho.

O, wenzani uma uphuthelwa umthamo?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe umthamo ophindwe kabili ukuze ubuyisele umthamo ophuthelwe. Ukwenza kanjalo kungandisa inani lomuthi owuthathayo.

Yiziphi ezinye izinto ezingasebenzisana nalo muthi? `(Ukusebenzisana)`

Yebo, kuneminye imithi nokudla okungabangela izinkinga uma kuthathwa nge-Eplerenone, noma okungathinta indlela imithi esebenza ngayo. Ngakho-ke, uma uthatha eminye imithi, kubalulekile ukutshela udokotela wakho ngayo yonke.

Imithi elandelayo akufanele isetshenziswe kanye ne-`(Eplerenone):`

• `(I-Boceprevir)`
• `(Ceritinib)`
• Ezinye izinhlobo zama-antibiotic: isibonelo, i-chloramphenicol, i-clarithromycin, i-dalfopristin; i-quinupristin, i-telithromycin
• Amanye ama-diuretics: Isibonelo, i-amiloride, i-spironolactone, kanye ne-triamterene (lena futhi iyimithi egcina i-potassium, ngakho-ke uma ithathwa ne-eplerenone, amazinga e-potassium angakhuphuka ngendlela eyingozi)
• Eminye imithi yokwelapha izifo zesikhunta: Isibonelo, i-itraconazole, i-ketoconazole, i-posaconazole, kanye ne-voriconazole.
• Eminye imithi ye-HIV noma i-AIDS: Isibonelo `(atazanavir)`, `(cobicistat)`, `(darunavir)`, `(delavirdine)`, `(fosamprenavir)`, `(indinavir)`, `(nelfinavir)`, `(ritonavir)`, `(saquinavir eqiniswe nge-ritonavir)`, `(tipranavir)`
• Ijusi le-Grapefruit kanye ne-grapefruit
• `(Ibritumomab tiuxetan)`
• `(Idelalisib)`
• `(Lonafarnib)`
• `(I-Mifepristone)`
• `(Nefazodone)`
• Usawoti we-potassium noma izithasiselo
• `(I-Ribociclib)`
• `(Tucatinib)`

Futhi, imithi elandelayo ingasebenzisana ne-`(Eplerenone)`. Ngakho-ke, kufanele uqaphele kakhulu uma uthatha le mithi:

• Eminye imithi yokwelapha umfutho wegazi ophakeme: Isibonelo, ama-ACE inhibitors noma ama-ARB, njenge-enalapril, i-candesartan, i-lisinopril, kanye ne-valsartan.
• `(I-Erythromycin)` (i-antibiotic)
• `(Fluconazole)` (isidakamizwa sokulwa ne-fungus)
• `(Lithium)` (umuthi wesifo sengqondo)
• `(Ama-NSAID)` - Lezi yimithi yokuqeda izinhlungu kanye nemithi yokulwa nokuvuvukala: isibonelo `(ibuprofen)` noma `(naproxen)`.
• I-Verapamil (umuthi womfutho wegazi ophakeme nesifo senhliziyo)

Lolu hlu aluphelele. Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi leyo enqunywe udokotela wakho, leyo oyithenga ekhemisi, imithi yendabuko, imikhiqizo yamakhambi, amavithamini). Futhi, tshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye zalezi zingathintana nalo muthi.

Yiziphi izinto okufanele uziqaphele lapho uthatha lo muthi?

Udinga ukuqaphela kakhudlwana impilo yakho ngenkathi uthatha i-`(Eplerenone)`.

• Bona udokotela wakho njalo ukuze uhlole isimo sakho. Hlola umfutho wegazi lakho njengoba udokotela wakho ekutshela. Buza udokotela wakho ukuthi umfutho wegazi lakho kufanele ube yini nokuthi yini okufanele uyenze uma ushintsha. Angase futhi acele ukuhlolwa ukuze kuhlolwe amazinga akho e-potassium.
• Uma uthatha lo muthi, buza udokotela wakho ngaphambi kokuthatha noma yimuphi umuthi wokukhwehlela, umkhuhlane, noma obunye ubuhlungu. Eminye imithi ingakhuphula umfutho wegazi lakho.
• KuweTshela udokotela wakho uma unesifo sohudo esibi, isicanucanu, ukuhlanza, noma ujuluka kakhulu. Lokhu kungenxa yokuthi kungaba yingozi ukuphuza lo muthi uma ulahlekelwa amanzi amaningi emzimbeni wakho.
• Ungase ucelwe ukuthi ulandele ukudla okukhethekile . Buza udokotela wakho ngalokhu. Futhi, buza ukuthi kufanele uphuze amanzi angakanani ngosuku.
• Lomuthi ungakwenza uzizwe ulele noma unesizungu . Ngakho-ke, gwema ukushayela, ukusebenzisa imishini, noma ukwenza noma yini edinga ukugxilisa ingqondo uze wazi ukuthi lomuthi uthinta kanjani wena. Ungami noma uhlale ngokuzumayo, ikakhulukazi uma usukhulile. Ukwenza kanjalo kungabangela isizungu nokuwa.
• Gwema ukuphuza utshwala. Utshwala bungaphazamisa ukusebenza kahle kwalomuthi.
• Ngaphandle kokuthi udokotela wakho akutshele ngokuqondile, ungasebenzisi izinto ezithatha usawoti. Izinto eziningi ezithatha usawoti ziqukethe i-potassium. Njengoba lo muthi ugcina ne-potassium, ungabangela amazinga akho e-potassium ukuba akhuphuke ngokungadingekile.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Eplerenone ingabangela imiphumela emibi. Akuwona wonke umuntu oyitholayo, kodwa abanye abantu bayayithola.

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, kufanele utshele udokotela wakho ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: Ukuqubuka kwesikhumba, ukulunywa, amaqhubu, ukuvuvukala kobuso, izindebe, ulimi kanye nomphimbo.
• Izinga eliphezulu le-potassium egazini: Izimpawu zifaka phakathi ubuthakathaka bemisipha, ukushaya kwenhliziyo okusheshayo noma okungajwayelekile. Lokhu kungaba yingozi.
• Ukulimala kwezinso: Ukwehla kokukhishwa komchamo, ukuvuvukala kwamaqakala, izandla, noma izinyawo.

Imiphumela emibi engezansi ngokuvamile ayiyona ingozi, kodwa uma iqhubeka noma ikukhathaza, tshela udokotela wakho:

• Ubuhlungu noma ukuqaqamba kwebele.
• Ushintsho ekuthandweni noma ekusebenzeni kocansi.
• Isiyezi.
• Ikhanda elibuhlungu .
• Ukuya esikhathini okungajwayelekile noma ukubonakala kwamabala kwabesifazane.
• Ukukhula kwezicubu zebele okungalindelekile kwabesilisa.

Lolu hlu alufaki yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, sicela uxhumane nodokotela wakho.

Ungayigcina kanjani imithi ngokuphephile? `(Isitoreji)`

• Gcina lo muthi kude nezingane nezilwane ezifuywayo .
• Gcina ekamelweni lokushisa (cishe ama-degree Celsius angu-25 / ama-degree Fahrenheit angu-77).
• Ungayisebenzisi imithi ephelelwe yisikhathi. Yilahle.

Ulahla kanjani umuthi ongasetshenziswanga?

Akuyona into enhle ukumane ulahle umuthi emgqonyeni kadoti noma uwulahle endlini yangasese.

• Uma kungenzeka, nikeza imithi "ohlelweni lokubuyisela imithi." Ungathola ngezindawo ezinjalo ekhemisi lakho noma emaphoyiseni.
• Uma kungenjalo, hlola iphakethe lemithi noma incwajana engaphakathi kwalo ukuze ubone ukuthi linemiyalelo yokuthi umuthi ungalahlwa kanjani emgqonyeni kadoti noma endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ithi kuphephile ukulahla udoti, khipha umuthi ephaketheni, uwuxube nodoti wekati, inhlabathi, ikhofi eligayiwe, noma okunye okungewona ubuthi, uwufake esikhwameni noma esitsheni esivalekayo, bese uwuphonsa kudoti.

Okokugcina, ezinye izinto ezibalulekile okufanele uzikhumbule:

I-Eplerenone iwumuthi obaluleke kakhulu womfutho wegazi ophakeme kanye nesifo senhliziyo. Isiza ukulawula amazinga amanzi nosawoti emzimbeni wakho, kuyilapho futhi isiza ukugcina amazinga e-potassium.

Khumbula, uma usebenzisa lo muthi, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo, ukusho lokho okudingeka ukusho ngaphandle kokukufihla, nokuqaphela imiphumela emibi.

Uma uneminye imibuzo mayelana nalomuthi, sicela ungangabazi ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Impilo yakho ibalulekile!

I- Eplerenone, umfutho wegazi ophakeme, isifo senhliziyo, ama-diuretics, i-potassium, ukusebenzisana kwezidakamizwa, imiphumela emibi