Ngezinye izikhathi, ngenxa yesifo senhliziyo, izinkinga zezinso, noma isifo sesibindi, umzimba wakho uqoqa amanzi angadingekile, okubangela ukuvuvukala ezandleni nasezinyaweni zakho, akunjalo? Ezimweni ezinjalo, namuhla sizokhuluma ngomuthi okhethekile osetshenziswa odokotela ukususa amanzi amaningi nosawoti emzimbeni. Lowo umuthi wokugomela obizwa ngokuthi i-Ethacrynic Acid.
Uhlobo luni lomuthi i-Ethacrynic Acid?
Kalula nje, lokhu kuyisidakamizwa sokukhipha isisu . Ngolimi oluvamile, "kuyiphilisi lamanzi," kodwa linikezwa njengomjovo. Umsebenzi walo oyinhloko ukuvuselela izinso zakho nokusiza umzimba wakho ukuthi ukhiqize umchamo owengeziwe. Uma uchama, kususa nosawoti namanzi amaningi emzimbeni wakho.
Ngakho-ke, lo muthi uwusizo kakhulu ekunciphiseni ukuvuvukala okubangelwa yisifo senhliziyo, isifo sezinso, noma isifo sesibindi.
Yini okufanele ngiyitshele udokotela ngaphambi kokusebenzisa lo muthi?
Kubalulekile ukuthi udokotela wakho azi kahle isimo sakho sempilo ngaphambi kokunquma ukukunikeza lo muthi. Ngakho-ke, uma unezinye zezimo ezilandelayo, kufanele utshele udokotela wakho .
- Mayelana nezinye izifo zenhliziyo onazo.
- Uma uke watholakala ukuthi unamazinga aphansi noma aphezulu ama-electrolyte egazini lakho, njenge -potassium , i-magnesium , noma i-sodium .
- Uma unesifo sezinso noma sesibindi esivele sikhona.
- Uma une-allergy kule mithi ye-Ethacrynic Acid noma kunoma yimuphi omunye umuthi, ukudla, noma idayi.
- Uma ukhulelwe noma uzama ukukhulelwa.
- Uma ungumama oncelisa ingane.
Ngokusekelwe kulolu lwazi, udokotela wakho uzonquma ukuthi lo muthi ukulungele yini noma cha.
Ngingakunika kanjani lo muthi?
Lona akuwona umuthi ongawuthatha ekhaya. Ungumjovo emthanjeni . Unikezwa kuphela esibhedlela noma emtholampilo nguchwepheshe wezokwelapha oqeqeshiwe, njengodokotela noma umhlengikazi.
Ngisho nezingane ezincane zinganikwa lo muthi ezimweni ezithile ezikhethekile, kodwa kuphela ngokuqapha okukhulu nangaphansi kokuqashwa ngudokotela.
Uma usola ukuthi ngephutha uthathe lo muthi omningi kakhulu, iya e-ETU (Emergency Treatment Unit) ngokushesha. Noma shayela iNational Poisons Information Centre eColombo National Hospital ukuze uthole iseluleko.
Njengoba lo muthi ungasetshenziswa nsuku zonke futhi unikezwa esibhedlela, ngeke ube nenkinga yokuphuthelwa umthamo.
Yimiphi eminye imithi engasebenzisana nalo muthi?
Eminye imithi oyithathayo ingathinta indlela esebenza ngayo i-Ethacrynic Acid. Ngakho-ke nikeza udokotela wakho uhlu oluphelele lwazo zonke imithi, amavithamini, imithi yamakhambi, kanye nezithasiselo ozithathayo. Kubaluleke kakhulu ukutshela udokotela wakho uma uthatha noma yimiphi yale mithi elandelayo:
- Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (isib. i-indomethacin)
- Amanye ama-antibiotic anikezwa ngomjovo
- Ezinye izinhlobo ze-diuretics
- Imithi yenhliziyo (isib. i-digoxin )
- Ama-hormone e-steroid (isib. i- cortisone , i-fludrocortisone, i-hydrocortisone)
- I-Lithium
- Imithi yesifo sikashukela
- Imithi yomfutho wegazi ophezulu
- Izinto zokunciphisa igazi (isib. i-warfarin )
Kubalulekile futhi ukutshela udokotela wakho uma ubhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa.
Yiziphi izinto okufanele uziqaphele lapho uthatha umuthi?
Ngesikhathi unikezwa lo muthi, odokotela nabahlengikazi bazoqapha isimo sakho eduze. Bazohlola izinto ezifana nomfutho wegazi lakho, izinga lokushaya kwenhliziyo, kanye namazinga e-electrolyte egazini lakho. Ngakho ungakhathazeki ngakho. Uma uzizwa ungakhululekile, tshela udokotela noma umhlengikazi ngokushesha.
Yimiphi imiphumela emibi engaba khona yalo muthi?
Njenganoma yimuphi umuthi, kungenzeka ukuthi lo muthi ungabangela imiphumela emibi. Eminye yale miphumela ingaba mibi kakhulu, kanti eminye ayibi mibi kangako.
| Umphumela ongemuhle | Incazelo kanye nezimpawu |
|---|---|
| Imiphumela emibi kakhulu okufanele ibikwe kudokotela wakho ngokushesha | |
| Ukusabela kokungezwani komzimba | Ukuqubuka kwesikhumba, ukulunywa, ukuvuvukala kobuso, izindebe noma ulimi. |
| Izinguquko embonweni noma ekuzweni | Ukubona okufiphele, ukuncipha kokuzwa, ukukhala ezindlebeni. |
| Izinguquko emazingeni kashukela egazini | Ushukela ophezulu egazini: Indlala eningi, ukoma, ukuchama njalo, ukukhathala okukhulu. Ushukela ophansi egazini: ukukhathazeka, isiyezi, ukuthuthumela, ukujuluka ngokweqile, ukushaya kwenhliziyo okusheshayo. |
| Ukulimala kwezinso | Ubunzima bokuchama noma ushintsho enanini lomchamo owudlulayo. |
| Amazinga e-electrolyte anciphile | Ukuntuleka kwe-Potassium/Magnesium: Ubunzima bokuphefumula, ubuhlungu besifuba, ukushaya kwenhliziyo okungajwayelekile, ukudikiza kwemisipha, kanye nobuthakathaka. |
| Ezinye izimpawu ezinkulu | Uhudo olubi kakhulu, ukujuluka ngokweqile, ukulahlekelwa yisifiso sokudla. |
| Imiphumela emibi evamile okufanele ibikwe kudokotela uma iqhubeka noma ikhathaza | |
| Umfutho wegazi ophansi | Ukuzizwa unesizungu, ukuphelelwa yithemba, umuzwa wokungaphilile kahle. |
| Ezinye izici ezijwayelekile | Ikhanda elibuhlungu , umkhuhlane, izimpawu ezifana nomkhuhlane, ubuhlungu besisu, ukuhlanza, nobunzima bokugwinya. |
Lolu hlu aluhlanganisi yonke imiphumela emibi engaba khona. Uma uhlangabezana nanoma yiziphi ezinye izimpawu, khuluma nodokotela wakho ngazo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ethacrynic Acid iwumjovo onamandla wokukhipha isisu onikezwa ukunciphisa ukugcinwa koketshezi nokuvuvukala emzimbeni ngenxa yesifo senhliziyo, sezinso, noma sesibindi.
- Lokhu kunikezwa esibhedlela noma emtholampilo kuphela, ngaphansi kokuqashwa kwezokwelapha. Awuvunyelwe ukuyithatha uye nayo ekhaya uyoyisebenzisa.
- Qiniseka ukuthi wazisa udokotela wakho ngayo yonke eminye imithi oyithathayo kanye nanoma yiziphi izimo zezokwelapha onazo.
- Tshela udokotela wakho noma umhlengikazi wakho ngokushesha uma uhlangabezana nanoma yimiphi imiphumela emibi, njengokushintsha kombono, ukulahlekelwa ukuzwa, amaqhubu amakhulu, noma ukusabela kokungezwani komzimba.
- Uma unemibuzo mayelana nalomuthi, ungangabazi ukubuza udokotela wakho.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Kuyini i-Ethacrynic Acid Injection / i-Edecrin?
Lona 'i-Loop Diuretic' enamandla kakhulu futhi enamandla kakhulu etholakala emakhemisi! Lapho amaphaphu/ikhanda noma umzimba wonke wesiguli ugcwala ngokuzumayo 'amanzi/uketshezi (i-Edema)' olungabekezeleleki ngenxa yokwehluleka kwenhliziyo, ukwehluleka kwezinso/isibindi, futhi ungakwazi ukuphefumula futhi usuzokufa, lo mjovo ufakwa emthanjeni esibhedlela bese amanzi (amalitha ambalwa) agcwele umzimba akhishwa ngokushesha njengomchamo.
💬 Uma lo muthi (i-Ethacrynic Acid) ufakwa emzimbeni, ukhipha kanjani amanzi aqongeleleke emaphashini ngomchamo?
Lokhu kuhlasela ngqo ifektri ethi 'Loop of Henle' ezinso zethu. Ngokuvamile, lapho i-sodium/usawoti umuncwa yizinso, amanzi nawo aya emathunjini nawo. Uma lo muthi (i-Ethacrynic Acid) uthathwa, lowo mshini wokumunca i-sodium (i-Na-K-2Cl cotransporter) uphuka/uvalwe ngokuphelele. Uma i-sodium ingasamuncwa emzimbeni, wonke amanzi emzimbeni wonke ahlangana nalowo sawoti bese ephuma ngomchamo njengempophoma enkulu!
💬 Kungani kufanele usebenzise lokhu uma kunemithi yokukhipha isisu ejwayelekile (i-Furosemide / i-Lasix)? Iyini imiphumela emibi?
Inzuzo enkulu yalo muthi wokugomela ukuthi awunayo ikhemikhali ebizwa ngokuthi i-Sulfa! Abanye abantu emhlabeni bane-allergy enkulu nomuthi ovamile i-Furosemide (Lasix). Lesi 'yisisombululo kuphela' sokuba balahlekelwe amanzi. Kodwa umphumela oyingozi kakhulu walokhu ukuthi unamandla kangangokuthi ungabhubhisa izinzwa zethu zokuzwa futhi ubangele 'ukulahlekelwa ukuzwa unomphela (Ototoxicity/Deafness)'! (Futhi, yonke i-potassium/usawoti iyaphuma bese umzimba uphelelwa amanzi).
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