Ob leeg "Furosemide" thiab "Lasix" yog nyob rau hauv chav kawm ntawm cov tshuaj pharmacological uas muaj cov nyhuv diuretic. Hauv qee qhov xwm txheej, kev siv cov nyiaj zoo li no yog kev ncaj ncees. Nyob rau hauv cov nqe lus ntawm muaj pes tsawg leeg, ob yam tshuaj yog zoo tib yam. Lub ntsiab active ingredient nyob rau hauv ob qho tib si yog furosemide, qhov concentration ntawm cov tshuaj no kuj zoo ib yam. Thiab dab tsi zoo dua - "Lasix" lossis "Furosemide"? Muab hais tias cov tshuaj no txawv tsuas yog nyob rau hauv lub teb chaws ntawm lub hauv paus chiv keeb, cia peb sim los mus txiav txim seb cov tshuaj twg yog zoo dua mus yuav.
Vim li cas thiaj li tshuaj diuretics?
Pib nrog, cia peb xav seb vim li cas cov tshuaj diuretics feem ntau tau sau tseg, lawv muaj tshuaj lom npaum li cas, hom kev tso tawm zoo dua. Cov mob no yog cov tsos mob ntawm cov kab mob loj ntawm cov hlab plawv,ob lub raum, ntsws.
Tsis muaj qhov taw tes rau kev noj cov tshuaj diuretics xws li Lasix thiab Furosemide rau qhov mob hauv zos. Piv txwv li, yog tias koj pob taws lossis txhais tes o thaum kawg ntawm hnub ua haujlwm, ces qhov no koj yuav tsum tsis txhob noj cov tshuaj diuretics. Nws kuj tseem ua rau tsis muaj txiaj ntsig los noj diuretic rau edema uas nrog ntshav qab zib. Cov lus qhia rau "Lasix" thiab "Furosemide" qhia tias nws tsis yooj yim sua kom tshem tawm cov puffiness los ntawm kev noj tshuaj. Yog vim li cas rau cov tsos mob ntawm lub zos edema tuaj yeem loj heev - thaiv cov qog ntshav qab zib mellitus, thiab lwm yam. Thiab tsis nco qab noj cov tshuaj diuretic, cov neeg mob ua rau lawv cov mob hnyav dua thiab cov hauv paus ntsiab lus ntawm qhov o tsuas yog zuj zus.
Lub hauv paus ntsiab lus ntawm kev ua ntawm cov tshuaj uas muaj cov nyhuv diuretic yog dab tsi? Hauv ob lub raum, tom qab qee lub sijhawm los ntawm lub sijhawm tswj hwm, cov txheej txheem ntawm reabsorption ntawm potassium, sodium thiab chlorine yog inhibited. Cov electrolytes no pib tawm sai sai los ntawm cov ntaub so ntswg ntawm tus neeg mob lub cev nrog rau cov kua hauv cov zis. Qhov ntim ntawm cov ntshav hauv lub cev txo qis thiab cov ntshav siab txo qis. Yog tias koj noj cov tshuaj diuretics hauv cov koob tshuaj loj, ces tus neeg pib hnov mob heev. Txawm li cas los xij, nyob rau hauv cov koob tshuaj me me, noj Lasix thiab Furosemide kuj muaj kev nyab xeeb thiab ua rau txo qis hauv lub plawv. Diuretics kuj tseem siv rau cov kab mob ntawm daim siab, raum, qhov muag (glaucoma).
Koj tsis tuaj yeem sau tshuaj diuretic ntawm koj tus kheej. Feem ntau, cov neeg mob txaus siab rau tus kws muag tshuaj: qhov twg zoo dua - Lasix lossis Furosemide? Qhov tseeb, ob cov tshuaj no tsis yog diuretics.txwv - kuj tseem muaj thiazide diuretics, potassium-sparing diuretics, thiab lwm yam. Tsuas yog ib tus kws kho mob uas paub txog cov kab mob thiab cov duab kho mob ntawm tus neeg mob tuaj yeem sau cov tshuaj uas muaj kev nyab xeeb rau ib tus neeg mob. Qee tus ntxhais pib noj Lasix thiab Furosemide kom poob phaus. Tsis tas yuav hais, xws li tus cwj pwm tsis muaj lub luag haujlwm rau tus kheej txoj kev noj qab haus huv tuaj yeem ua mob rau tus kheej? Cov kev mob tshwm sim ntawm kev noj cov tshuaj diuretics tau piav qhia hauv qab no. Cov lus qhia rau kev siv rau Lasix thiab Furosemide paub meej tias cov tshuaj no tsis muaj kev phom sij li qhov lawv yuav zoo li thaum xub thawj siab ib muag rau tus neeg tsis paub txog tshuaj.
Kev sib xyaw, daim ntawv tso tawm thiab lub hauv paus ntsiab lus ntawm kev ua yeeb tshuaj
Ob hom tshuaj muaj tib daim ntawv tso tawm - ntsiav tshuaj. Qhov txawv ntawm "Lasix" thiab "Furosemide" yog dab tsi? Hauv ob qho tib si kev npaj, cov khoom xyaw tseem ceeb yog furosemide hauv tib qhov concentration. Qhov sib txawv ntawm cov tshuaj nyob rau hauv cov chaw tsim khoom thiab lub teb chaws tso tawm. Furosemide yog tsim nyob rau hauv Russia los yog Bulgaria (Sopharma), Lasix yog tsim nyob rau hauv Fabkis los yog Is Nrias teb. Yog tias peb sib piv ob cov tshuaj nyob rau hauv cov nqe lus ntawm qhov hnyav ntawm lawv cov tshuaj diuretic, ces tsis muaj qhov sib txawv.
Ob leeg Lasix thiab Furosemide yog qhov hu ua voj diuretics. Raws li txoj cai, lawv raug sau tseg rau qhov ceev tshaj plaws thiab muaj zog tshaj tshem tawm cov kua dej los ntawm lub cev nqaij daim tawv. Txawm tias ob qho tib si tshuaj muaj peev xwmmuas ntawm lub tsev muag tshuaj yam tsis tas yuav muab tshuaj los ntawm kws kho mob, kev tswj tus kheej yog qhov tsis xav tau. Alas, ntau tus poj niam noj cov tshuaj diuretics kom tshem tawm qhov o hauv zos thiab qhov hnyav dhau, uas txo qis vim lub cev qhuav dej.
"Lasix" thiab "Furosemide" - tshuaj los ntawm pab pawg ntawm cov tshuaj diuretics. Qhov no txhais tau hais tias lub ntsiab lus ntawm kev siv cov tshuaj nquag furosemide yog ntu ntu ntawm lub voj ntawm Henle ntawm nephron ntawm lub raum. Raws li qhov no, peb tuaj yeem xaus lus txog cov tshuaj pharmacological ntawm ob qho tshuaj:
- nrawm thiab nce ntshav ntws hauv cov ntaub so ntswg ntawm lub raum;
- tshem tawm cov dej molecules ntawm lub cev nqaij daim tawv;
- tso zis ntau ntxiv ua rau kev ntxuav tawm ntawm ions ntawm qee yam tseem ceeb, uas tuaj yeem ua rau muaj kev phom sij rau lub neej (tshwj xeeb, kev ua haujlwm ntawm cov hlab plawv yuav raug kev txom nyem).
Qhia rau kev siv Lasix
Cov lus qhia rau "Lasix" thiab "Furosemide" yuav luag zoo tib yam, txij li ob qho tshuaj ua haujlwm vim muaj cov khoom sib xyaw ua ke hauv cov khoom xyaw. Cov lus qhia rau kev siv Lasix:
- edema tshwm sim los ntawm pathology ntawm lub raum thiab zais zis, suav nrog nephrotic syndrome;
- edema tshwm sim los ntawm kab mob siab cirrhotic;
- kev kub ntxhov siab;
- mob ntshav siab ntshav siab;
- cerebral edema;
- hypercalcemia;
- eclampsia.
Tus kws kho mob tau sau cov tshuaj kom meej meej tom qab qhia meej cov duab kho mob ntawm tus neeg mob tus mob. Cov lus qhia qhia tsuas yog kwv yees ntau npaum li cas. Nyob ntawm qhov siab, qhov hnyav thiab hnub nyoog ntawm tus neeg mob, cov koob tshuaj no tuaj yeem nce lossis txo los ntawm kev txiav txim siab ntawm tus kws kho mob tuaj koom.
Cov lus qhia rau kev siv "Furosemide"
Yog li, peb paub tias cov tshuaj Lasix yog dab tsi. "Furosemide" muaj raws nraim tib yam kev qhia rau kev siv, raws li xav nyob rau hauv cov lus qhia. Muaj tseeb, cov lus qhia rau "Furosemide" yog ntxiv nrog cov ntaub ntawv hais tias nws tseem pom zoo kom siv cov tshuaj rau intoxication nrog tshuaj. Lub hom phiaj ntawm kev noj cov tshuaj nyob rau hauv cov ntaub ntawv no yog ua kom tau yuam diuresis thiab nce tus nqi ntawm excretion ntawm ib tug tshuaj lom nyob rau hauv cov zis.
Nrog cov ntshav siab uas tshwm sim hauv cov neeg mob lub raum tsis ua haujlwm, nws raug nquahu kom siv Furosemide yog tias tus neeg mob tsis tuaj yeem noj thiazide diuretics rau ib qho lossis lwm qhov.
Kev nrawm ntawm kev noj cov tshuaj diuretics kom poob phaus
Koj tuaj yeem pom ntau qhov kev tshuaj xyuas txog "Lasix" thiab "Furosemide", cog lus tias yuav poob sai sai. Puas yog qhov no muaj tseeb thiab nws puas tuaj yeem tshem tawm cov phaus ntxiv yam tsis ua mob rau koj tus kheej? Tau kawg, cov kev tshuaj xyuas no yog ib feem ntawm qhov tseeb. Tom qab noj cov ntsiav tshuaj diuretic thiab peb teev tom qab, sawv ntsugnplai, nws tuaj yeem raug sau tseg tias ib kilogram lossis ob lub evaporated tiag tiag. Tab sis qhov no tsis tau txhais hais tias los ntawm kev noj lwm yam tshuaj, ib tug neeg yuav poob ib kilogram. Qhov tseeb yog tias cov nyhuv "mirculous" yog ua tiav vim lub cev qhuav dej, uas nyob rau hauv nws tus kheej yog qhov txaus ntshai heev.
Koj puas tuaj yeem poob phaus los ntawm kev noj Furosemide? Yog thiab tsis yog. Tom qab noj ib ntsiav tshuaj, qhov hnyav tiag tiag txo los ntawm ib qho, thiab qee zaum txawm tias ob kilograms. Tab sis rog deposits tsis hlawv. Yog li yog tias lub hom phiaj yog kom tshem tawm cov rog yob ntawm lub plab lossis lwm qhov hauv lub cev, ces noj cov tshuaj diuretics rau lub hom phiaj no tsuas yog ruam. Tsis tas li ntawd, tag kis sawv ntxov, lub cev qaug zog yuav rov ua kom cov dej sib npaug, thiab nws muaj peev xwm ua tau nrog cov npoo. Thiab cov lej ntawm cov nplai yuav zoo ib yam, thiab feem ntau txawm siab dua ua ntej noj cov tshuaj diuretic.
Kev tshuaj xyuas ntawm "Furosemide" thiab "Lasix" rau kev poob phaus yog txawv. Raws li txoj cai, thaum xub thawj cov ntxhais zoo siab nrog kev poob qis me ntsis. Txawm li cas los xij, txhua tus paub sai sai tias hnub tom qab qhov poob phaus rov qab los. Tom qab noj cov tshuaj diuretics, ntau tus xav tias tsis muaj zog, ntshav siab hloov pauv thiab ua haujlwm txo qis, cov ntxhiab tsw tsis zoo pib tawm hauv lub cev.
Cov kev mob tshwm sim thiab qhov tshwm sim ntawm cov ntxhais noj tshuaj diuretic yog dab tsi? Cov kev mob tshwm sim tseem ceeb yog cuam tshuam ntawm kev noj qab haus huv electrolyte tshuav. Lub cev acidity ntawm cov zis yog hloov, raws li qhov tshwm sim ntawm acidosis yuav tshwm sim. Qhov no ua rau muaj kev ua txhaum ntawm cov dej ntws tawmlos ntawm lub cev, ib qho tsis kaj siab tsw zoo li acetone pib tawm ntawm daim tawv nqaij. Nyob rau tib lub sijhawm, tus neeg nws tus kheej yuav tsis hnov qhov tsw no.
Contraindications rau noj
Loop diuretics muaj tus lej loj ntawm contraindications:
- tus neeg intolerance rau furosemide;
- mob raum tsis ua haujlwm, yog tias tus nqi ntawm GFR qis dua 5 ml ib feeb;
- kab mob nrog anuria;
- urethral stenosis;
- mob hyperglycemic;
- mob siab lossis hyperglycemic coma;
- decompensated stenosis ntawm mitral valve lossis aortic orifice;
- gout ntawm txhua theem;
- thaiv lub ureter los ntawm pob zeb, xuab zeb lossis lwm yam suav;
- myocardial infarction;
- Ylupus erythematosus;
- electrolyte imbalance ntawm tej etiology;
- kev haus dej caw ntev, mob hangover;
- mob pancreatitis (nyob ntawm cov kab mob pancreatitis ntev, lub voj diuretics kuj tseem raug txwv);
- hypocalcemia, hypochloremia thiab lwm yam kev cuam tshuam ntawm ntsev metabolism;
- ib lub xeev ntawm intoxication provoked los ntawm kev siv lub plawv glycosides.
txheeb ze contraindications rau kev siv lub voj diuretics:
- mob ntshav qab zib mellitus;
- benign prostatic hyperplasia;
- hypotension thiab circulatory tsis ua haujlwm, uas tuaj yeem ua rau ischemia;
- hypoproteinemia;
- kab mob cirrhotic nyuaj los ntawm ascites.
Muaj peev xwm tshwm sim ntawm kev noj cov tshuaj diuretics
Vim tias Furosemide thiab Lasix yog ib qho thiab tib yam, thiab qhov sib txawv ntawm cov tshuaj no, raws li tau hais dhau los, tsuas yog nyob ntawm qhov chaw tsim khoom, ces cov kev mob tshwm sim thaum siv cov voj diuretics yuav zoo ib yam:
- cuam tshuam hauv kev ua haujlwm ntawm lub paj hlwb, tshwj xeeb yog kiv taub hau, mob taub hau, ua haujlwm tsis zoo, cov leeg tsis muaj zog;
- kev ua haujlwm tsis tu ncua ntawm lub vestibular apparatus;
- apathy, tetany, adynamia, tsis meej pem;
- qhov ncauj qhuav, nqhis dej heev;
- cem quav, plab;
- oliguria, hematuria, impotence thiab lwm yam kab mob ntawm cov kab mob urogenital;
- urticaria, exfoliative dermatitis, vasculitis, eczema multiforme;
- Ua npaws, ua daus no, ua npaws;
- leukopenia, aplastic anemia, thrombocytopenia;
- ua txhaum ntawm dej- ntsev metabolism, lub cev qhuav dej thiab muaj kev pheej hmoo ntawm thrombosis;
- hloov cov ntsuas hauv kev sim kuaj.
Cov cim qhia thiab cov teebmeem ntawm lub cev qhuav dej
Qhov pom tseeb thiab txaus ntshai tshaj plaws ntawm kev noj cov tshuaj diuretics yog kev ua txhaum ntawm cov dej-ntsev sib npaug, vim tias cov ntaub so ntswg thiab cov kabmob ntawm lub cev raug kev txom nyem los ntawm lub cev qhuav dej. Qhov no yog qhov txaus ntshai heev, uas, yog tias pom tau, tuaj yeem ua rau muaj kab mob loj.
Koj tuaj yeem qhia tau yog tias koj lub cev qhuav dej los ntawm cov tsos mob hauv qab no:
- qaug zog;
- kiv taub hau;
- xav kom pw, leeg tsis muaj zog;
- mob taub hau;
- nce plawv dhia;
- ntshav siab.
Kev sib cuam tshuam nrog lwm yam tshuaj
Nrog rau kev siv ib txhij ntawm Furosemide thiab Lasix nrog ethacrynic acid, aminoglycosides, cisplatin, qhov concentration hauv cov ntshav tom kawg nce.
Thaum noj ib txhij nrog "Theophylline" thiab "Dazoxide", lawv cov tshuaj ua haujlwm tau zoo dua qub. Nws yuav tsum tau muab sau tseg tias kev siv lub voj diuretics txo tus nqi ntawm lub raum excretion ntawm lithium, thiaj li hais tias txoj kev pheej hmoo ntawm intoxication nrog nws nce.
Kev txais lub voj diuretics ua rau kom cov hlab ntsha blockade provoked los ntawm kev noj cov nqaij tsis depolarizing. Qhov tseem ceeb txo cov nyhuv uas tsis yog-depolarizing relaxants.
Kev siv lub voj diuretics nrog lub plawv glycosides yog fraught nrog kev txhim kho cov tshuaj lom vim txo cov poov tshuaj hauv cov ntshav.
Lasix thiab Furosemide: Dab tsi yog qhov txawv?
Qhov txawv tsuas yog ob yam tshuaj no yog tsim los ntawm cov chaw sib txawv. Cov muaj pes tsawg leeg, qhov concentration ntawm cov tshuaj nquag, daim ntawv tso tawm, indications thiab contraindications rau kev nkag - tag nrho cov yam ntxwv yog tib yam rau Lasix thiab Furosemide.
Qhov txawv tsuas yog nyob rau hauv cov chaw tsim khoom thiab lub tebchaws uas tsim cov tshuaj. Tshuaj "Furosemide"yog tsim los ntawm Sopharma cog nyob rau hauv Russia los yog Bulgaria, Lasix yog tsim nyob rau hauv Fabkis los yog Is Nrias teb.
Yuav xaiv tshuaj twg yog qhov muaj pes tsawg leeg?
Yog li, dab tsi yog qhov zoo dua - "Lasix" lossis "Furosemide" Cov neeg mob tshuaj xyuas qhia tias koj yuav tsum tsis txhob txwm muab qhov nyiam rau ib qho ntawm cov tshuaj. Tsis tas li ntawd, feem ntau cov kws kho mob tau sau tshuaj Furosemide, vim nws ib txwm muaj nyob rau ntawm lub tsev muag tshuaj thiab pheej yig dua. Tus nqi ntawm "Lasix" kuj qis thiab hloov pauv ib puag ncig ib puas rubles, tab sis "Furosemide" tseem pheej yig dua (kwv yees li 70 rubles ib pob).
Vim tias cov yam ntxwv tseem ceeb thiab lub hauv paus ntsiab lus ntawm kev ua ntawm ob qho tshuaj yog tib yam, nws tsis muaj kev nkag siab rau txhob txwm nrhiav ib qho tshwj xeeb. Yog tias Furosemide tsis muaj nyob hauv lub tsev muag tshuaj, yuav Lasix, thiab rov ua dua. Kev tswj hwm tus kheej tuaj yeem ua rau muaj kev phiv ntau. Tsis tas li ntawd, ntau tus neeg mob tau txais cov tshuaj diuretics rau kev poob phaus, uas ua rau muaj kev cuam tshuam tsis zoo rau lub xeev ntawm lub cev tag nrho. Nws yog qhov pom zoo kom noj cov tshuaj diuretics tsuas yog tom qab kws kho mob sau ntawv thiab ntawm cov tshuaj uas nws pom zoo. Txwv tsis pub, muaj kev pheej hmoo siab ntawm muaj kev phiv hauv txhua qhov lawv tshwm sim.
