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Furosemide sakamako masu illa da yadda za a guje su

Bayanin Bayanin Maganin Furosemide diuretic ne wanda ke kula da kumburi da hauhawar jini amma zai iya haifar da sakamako mai illa. Duba jerin abubuwanda muke da su na yau da kullun.

Furosemide (sunan suna: Lasix ) shine kwayar kwayar cuta wacce take magance edema (riƙe ruwa) saboda cututtukan zuciya, ciwan hanta, ko cutar koda. Furosemide kuma yana magance hauhawar jini (hawan jini) da kuma huhu na huhu (ruwa a cikin huhu).

Furosemide yana kara yawan ruwa da gishirin da ake fitarwa a cikin fitsari, yana rage ruwaye a cikin kayan jikin mutum da kuma cikin hanyoyin jini. A matsayin furotin na madauki, furosemide yana aiki a wani yanki na anatomical a cikin kodan, yana yin tasiri ga mutanen da ke fama da larurar koda.

Kamar kowane maganin rigakafi, furosemide na iya haifar da sakamako masu illa, yin hulɗa tare da wasu magunguna, da kuma munana yanayin lafiyar da ake ciki.

Dangantaka: Ara koyo game da furosemide

Sakamakon illa na yau da kullun na furosemide

Furosemide yana da wasu cututtukan da zasu iya shafar ɗaya ko fiye da tsarin cikin jiki.Tya fi kowa wucin gadi sakamako masu illa hada da:

Yawan fitsari
Levelsananan matakan lantarki (ƙananan sodium, magnesium, calcium, ko matakan potassium)
Dizziness
Ciwan
Amai
Gudawa
Ciwon ciki
Rashin ci
Kwatsam saukar bugun jini lokacin tsayawa (orthostatic hypotension)
Ciwon tsoka
Rashin ƙarfi
Numfashi
Ringing a cikin kunnuwa
Ciwon kai
Duban gani
Matakan hawan jini (hauhawar jini)
Maɗaukakin cholesterol da mai (triglycerides) a cikin jini
Cessarin uric acid (hyperuricemia)
Enara yawan enzymes na hanta
Allura shafin zafi (lokacin bada allurar furosemide)
Rash ko itching
Hankali ga haske (hotuna)

Babban illa na furosemide

Furosemide yana da illa mai yawa da kuma haɗari masu illa. Wadannan sun hada da:

Rashin ruwa
Plearancin lantarki mai tsanani
Volumearamar jini (hypovolemia)
Hawan jini pH (alkalosis na rayuwa)
Lalacewar kunne (ototoxicity) da kuma rashin ji
Ragewa ko asarar aikin kwakwalwa saboda ciwan hanta (ciwon hanta) a cikin mutane masu cutar hanta
Kumburin pankreas ( pancreatitis )
Jaundice
Rikicin jini da suka hada da karancin jini, karancin jini, cutar karancin jini, agranulocytosis, eosinophilia, thrombocytopenia, da leukopenia
Matsanancin rashin lafiyan jiki irin su anaphylaxis, halayen fata mai tsanani, da kumburin jijiyoyin jini (tsarin vasculitis)

Har yaushe tasirin furosemide zai wuce?

Yawancin ƙananan cututtukan furosemide, kamar ƙara yawan fitsari ko matsalolin tsarin narkewar abinci, sun sami sauƙi yayin da maganin ya daina, yawanci a awa shida zuwa takwas . Sauran matsalolin kamar rashin ruwa a jiki, rashin daidaiton wutan lantarki, hauhawar jini, haɓakar ƙwayar cholesterol, da sauƙin halayen rashin lafiyan sun ɗauki tsawon lokaci don warwarewa kuma mai yiwuwa su buƙaci magani.

Wasu cututtukan cututtuka masu tsanani irin su pancreatitis ko rikicewar jini na iya buƙatar maganin asibiti. Rashin ji da tinnitus na iya zama mai juyawa lokacin da aka daina furosemide, amma zai iya zama yanayi na dindindin a wasu mutane. Ciwon hanta na hanta wata illa ce da ke iya kawo barazanar rai wanda ke buƙatar asibiti kuma ya ci gaba don matsakaita 48 hours . Ciwon hanta na hanta shi ne juyawa yanayin, amma ƙimar rayuwa ta yi ƙasa.

Kuskuren Furosemide & gargadi

Furosemide bazai dace da kowa ba. Amfani da ɓarna, yawan abin sama, da canje-canje a cikin yanayin likitancin da ke akwai duk abubuwan da ke tabbatar da lafiyar wannan magani.

Zagi da dogaro

Furosemide baya haifar da dogaro ta zahiri ko ta hankali. Furosemide na iya, duk da haka, haifar da bayyanar cututtuka na ɗan lokaci lokacin daina aiki. Furosemide yana canza tsarin kwayar halittar jikin mutum don tsara fitsari (diuresis), wanda ake kira renin-angiotensin-aldosterone system, ko RAAS. Lokacin da furosemide ya ɗauki tsawon lokaci kuma aka dakatar da shi ba zato ba tsammani, jiki yana ɗaukar nauyi ta hanyar riƙe ruwa da yawa da gishiri, yana haifar da haɓaka ruwa ko hawan jini . Illolin sun lalace a cikin fewan kwanaki, amma mutanen da ke da cututtukan zuciya mai tsanani na iya buƙatar saka idanu a wannan lokacin.

Doara yawan aiki

Yawan furosemide zai haifar da saurin diuresis (kawar da ruwa) wanda zai haifar da bushewar jiki da raguwar lantarki. Alamomin cutar sun hada da tsananin kishin ruwa, jin zafi, rauni, gumi, ko suma. Yawan wuce gona da iri kuma yana haifar da haɗarin rashin jin magana. Idan ana zargin yawan wuce gona da iri, kai tsaye zuwa dakin gaggawa.

Restuntatawa

Furosemide an yarda da FDA don amfani a cikin mutane da yawa, daga jarirai waɗanda ba a haifa ba har zuwa mutanen da suka manyanta. Saboda yiwuwar rashin ruwa a jiki da kuma raguwar wutan lantarki, duk wanda ke shan furosemide za'a sa masa ido don yawan ruwa da matakan wutan lantarki. Mai ba da sabis na kiwon lafiya zai koya wa marasa lafiya alamun rashin ruwa ko ƙarancin lantarki. Ana iya bada shawarar karin sinadarin na potassium don hana ƙananan potassium (hypokalemia).

Ba a ba Furosemide ga mutane:

Wanda kodan sa basa samarda fitsari (anuria)
Wane ne ya sami mummunar rashin lafiyan maganin

Ana amfani da Furosemide tare da taka tsantsan don wasu rukunin shekaru ko yanayin kiwon lafiya:

Yara da wuri na iya buƙatar saka idanu saboda haɗarin tsakuwar koda (nephrolithiasis) ko sinadarin calcium a cikin kodan (nephrocalcinosis).
Mutanen da suka girmi shekaru 65 ana iya farawa a mafi ƙarancin damar da za'a iya sakawa akai-akai.
Ya kamata a kula da mutanen da ke da tarihin cututtukan zuciya.
Mutane tare da matsalolin koda (rashin lafiyar koda) ko matsalolin hanta ƙila a ba mu ƙananan ƙwayoyi da kuma lura akai-akai.
Mutane tare da matsalolin riƙe fitsari iya ganin alamun su sun tsananta saboda ƙarar fitsarin cikin mafitsara.
Furosemide na iya zama mai ƙarancin tasiri kuma mai yuwuwar haifar da rashin ji a cikin mutane tare nephrotic ciwo .
Mutane tare da ciwon sukari za a yi gargadin game da yiwuwar ƙaruwa a cikin sukarin jini. Ana iya tambayar su su lura da matakan sukarin jini akai-akai.
Mutane tare da gout na iya ganin alamun su sun tsananta. Matakan Uric acid a cikin jini na iya buƙatar sa ido.
Furosemide na iya kunnawa ko damuwa Lupus .

Ba a ƙayyade Furosemide azaman amintaccen ɗauka yayin ciki ko shayarwa ba. An shawarci likitoci da su kula sosai da haɓakar ɗan tayi a cikin matan da ke shan furosemide. Hakanan za'a buƙaci hankali yayin shan furosemide yayin jinya. Furosemide duka suna shiga cikin nono kuma yana rage lactation. A kowane hali, likita a hankali zai zayyana haɗari da fa'idar shan furosemide yayin ciki ko jinya.

Furosemide hulɗa

Wasu takardun magani da magunguna (OTC) suna da mahimman hulɗa tare da furosemide. Wani likita, likitan magunguna, ko mai ba da sabis na kiwon lafiya za su kasance da ƙwarewa sosai game da waɗannan mu'amala da ƙwayoyi kuma za su iya shirya mutane don hulɗar miyagun ƙwayoyi.

Saboda hulɗar magunguna, ba a taɓa amfani da furosemide da shi ba desmopressin ko Marplan (isocarboxazid). Hada furosemide da desmopressin na iya haifar da karancin matakan sodium, yayin da isocarboxazid da furosemide na iya haifar da cutar hawan jini mai hadari.

Sauran hulɗar miyagun ƙwayoyi na buƙatar kulawa da kulawa da hankali. Wadannan magunguna sun hada da:

Laxatives, corticosteroids, proton-pump hanawa, da bronchodilators (beta-2 agonists): Haɗa furosemide tare da ɗayan waɗannan magungunan zai ɗaga haɗarin rashin ruwa da kuma rashin daidaiton lantarki.
Aminoglycoside maganin rigakafi: Hada furosemide tare da wasu magungunan ototoxic yana kara barazanar lalacewar kunne da rashin jin magana.
NSAIDs (nonsteroidal anti-mai kumburi kwayoyi) da kuma salicylates
Magungunan ciwon daji na Platinum: Hada furosemide da kwayoyi kamar cisplatin ko karboplatin kara yiwuwar wadannan kwayoyi masu lalata kodan, kashin baya, ko kunnuwa.
Hawan jini: Hada furosemide tare da wasu kwayoyi wadanda suke rage hawan jini zai iya haifar da cutar hawan jini mai karfi (hypotension).
Antipsychotics, masu kwantar da hankali, barbiturates, opioids, da magunguna marasa ƙarfi: Hada waɗannan kwayoyi tare da furosemide yana ƙara haɗarin hauhawar jini, don haka mutanen da ke da ƙananan hawan jini na iya zama dole a sa musu ido akai-akai ko kuma a canza allurai.

Yadda za a guji tasirin furosemide

Furosemide galibi ana ba shi cikin hanzari a cikin marasa lafiya na asibiti, amma yawancin mutane za su sha maganin azaman kwamfutar hannu ko maganin baka sau ɗaya ko sama da haka a kowace rana. Babu iyaka a kan tsawon lokacin da za a iya amfani da furosemide, amma mutanen da ke shan furosemide a kai a kai ya kamata su bi wasu 'yan shawarwari don taimakawa wajen gudanar da illa.

1. Faɗa wa likita duk yanayin lafiya da magunguna

Kafin a tsara furosemide, gaya wa likita ko likitan kiwon lafiya game da:

Duk yanayin kiwon lafiya na yanzu, musamman cutar koda, cutar hanta, matsalolin yin fitsari (kamar su kara girman prostate ko toshewar mafitsara), gout, lupus, ciwon suga, rashin daidaiton lantarki, bugun zuciya da rashin karfin jini, ko kuma rashin lafiyan jini na sulfonamides (magungunan sulfa)
Ciki, shayarwa, ko duk wani shiri na ciki
Duk wani gwajin jini mai zuwa
Duk wani binciken likita mai zuwa wanda zai hada da dyes mai banbancin rediyo
Duk wani tiyata mai zuwa
Duk OTC da magungunan ƙwayoyi, kari, da magungunan gargajiya ana shan su, musamman desmopressin ko Marplan (isocarboxazid)

2. furoauki furosemide kamar yadda aka umurta

Bi duk kwatance kan lakabin takardar sayan magani ko bayar da ƙwararren likita. Kar ka dauki kari ko kasa da yadda aka kayyade maka har sai ka tuntubi likita ko kwararren likita.

3. Guji zama mai bushewa ko ƙarancin lantarki

Furosemide na iya haifar da ruwa da wutan lantarki a jiki su sauka kasa sosai. Tsananin bushewar jiki na iya haifar da lahani ga koda da ruɓaɓɓen magudanar jini. Rushewar wutan lantarki na iya zama cikin manyan matsaloli ciki har da suma, kamuwa, da ciwon zuciya. Tambayi maikacin kiwon lafiya nawa da wane irin ruwa za a sha bayan an sha furosemide. Hakanan za'a iya buƙatar potassium ko wasu abubuwan kari.

Lokacin shan furosemide, kasance a kan ido don alamun rashin ruwa kamar bushe baki, bushe idanu, ciwon tsoka, ciwon tsoka, bacci, gajiya, da rauni. Kuna iya shan ruwa don magance matsalar, amma idan an taƙaita abubuwan sha, kira ƙwararren likita don shawara na likita.

4. Kulawa da illoli

Wasu mutane ana iya tambayar su su kula da yanayin lafiyar su kamar hawan jini ko matakan glucose na jini. Bincika waɗannan ƙimar da aminci kuma ku rikodin su a cikin littafin shan magani. Idan dabi'un ba na al'ada bane, kira likita ko wasu masu ba da kiwon lafiya don taimako.

5. Guji NSAIDs da laxatives

Shahararrun masu magance radadin ciwo kamar su asfirin da ibuprofen na iya rage tasirin furosemide tare da kara kasada ga koda ko ji. Hakanan ya shafi kamfanin bismuth , sinadarin aiki a Pepto-Bismol . Yana da alaƙa da asfirin kuma zai haifar da irin wannan matsalar idan aka haɗa shi da furosemide.

Laxatives yana kara asarar ruwa, saboda haka suna kara kasadar bushewar jiki, raguwar lantarki, da lalata koda yayin shan furosemide. Yi magana da likita ko wasu ƙwararrun likitocin kiwon lafiya kafin ɗaukar ɗayan waɗannan magungunan OTC yayin shan furosemide.