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Torsemide vs. Lasix: Bambanci, kamance, kuma wanne ne mafi alheri a gare ku

Magunguna vs. Aboki

Torsemide da Lasix wasu magunguna ne guda biyu da ake amfani da su wajen kula da kumburin ciki da hauhawar jini, ko hawan jini. Edema shine tarin ruwa a cikin kyallen takarda. A cikin al'amuran da suka ci gaba, tara ruwa yana haifar da sanadin kumburin iyakokin.

Torsemide da Lasix duka an lasafta su azaman masu cutar diurewa, kuma musamman suna cikin wani ƙaramin rukuni wanda aka sani da diuretics madauki. Diuretics gabaɗaya magunguna ne da ke taimakawa jiki sarrafa ruwa mai yawa.

Menene manyan bambance-bambance tsakanin torsemide da Lasix?

Torsemide magani ne kawai-kawai magani kuma an san shi azaman madauki. Yana aiki a cikin kodan, musamman a cikin madaurin hawan Henle, ta hanyar toshe sodium da sake dawo da chloride ta hanyar tsangwama tare da sodium, potassium, da chotide cotransport. Wannan yana haifar da saurin fitar ruwa, sodium, da chloride ta kodan cikin fitsari. Ana samun Torsemide azaman kwamfutar baka a ƙarfin 5 MG, 10 MG, 20 MG, da 100 MG. Hakanan ana samun Torsemide azaman mafita don allura a cikin ƙarfin 10 mg / ml.

Lasix magani ne kawai-kawai likitan likita kuma shima madauki ne. Lasix kuma yana tsoma baki tare da sodium, potassium, da jigilar chloride. Wannan yana haifar da yawan ruwa, sodium, potassium, da chloride da jiki ke fitarwa. Lasix yana samuwa azaman kwamfutar hannu ta baka cikin ƙarfin 20 MG, 40 MG, da 80 MG. Hakanan ana samun shi azaman mafita don allura a cikin ƙarfin 10 mg / ml.

Babban bambanci tsakanin torsemide da Lasix
	Torsemide	Lasix
Ajin magani	Madauki diuretic	Madauki diuretic
Alamar alama / ta kowa	Sunan iri da kuma wadatar samfurin	Sunan iri da kuma wadatar samfurin
Menene sunan asali / alama?	Demadex (Nau'in)	Furosemide (na asali)
Wani nau'i (s) ne miyagun ƙwayoyi ya shigo?	Oral kwamfutar hannu da injectable bayani	Rubutun baka, maganin baka, maganin allura
Menene daidaitaccen sashi?	10 MG zuwa 20 MG kowace rana	40 MG zuwa 120 MG kowace rana
Yaya tsawon maganin al'ada?	Gajere (kwanaki zuwa makonni) da kuma dogon lokaci	Gajere (kwanaki zuwa makonni) da kuma dogon lokaci
Wanene yawanci yake amfani da magani?	Manya	Jarirai, yara, da manya

Yanayin da aka kula dashi ta hanyar torsemide da Lasix

Torsemide da Lasix ana amfani da kowannensu wajen gudanar da cutar rashin kumburi a marasa lafiya tare da raunin zuciya da raunin zuciya da ciwan koda. Waɗannan yanayi ne na zuciya da ƙoda, bi da bi, wanda ke haifar da tarin ruwa kuma yana iya zama barazanar rai idan ba a bi da shi a kan kari ba.

Rashin ciwon zuciya na ci gaba shine yanayin ci gaba wanda zuciya ke kasa fitar da jinin oxygenated cikin jiki da kyau. Rashin ciwon zuciya shine yanayin gaggawa mafi sauri inda zuciya ta lalace kuma ta zama ba ta da ƙarfi a yin famfo wanda jini ke ɗebowa a gefen hagu na jiki yana jiran shiga cikin hagu sannan kuma a shaƙa cikin huhu. Wannan abin sanannen sanannen sanannen ɓangaren haɓakar haɓakar haɓakar ƙwanƙwasa ne. Wannan madadin yana haifar da kumburin ciki, riƙe ruwa a cikin kayan kyallen takarda, da kuma yin amfani da diuretics yana taimaka wajan kula da yawan ruwan. Ciwon rashin nasara na zuciya yana nufin canji a cikin alamun rashin ƙarfi na zuciya wanda ke haifar da buƙatar gaggawa don magani. Wasu lokuta ana amfani da waɗannan sharuɗɗan don musayar juna.

Torsemide da Lasix duk ana amfani dasu wajen kula da hauhawar jini, ko hawan jini. Lasix wani lokacin ana amfani dashi ta hanyar lakabi don maganin gaggawa na hauhawar jini. Wannan yanayin ne inda hauhawar jini tayi ƙarfi sosai yana iya haifar da ɓarkewar gabobi. An bayyana gaggawa na hauhawar jini a matsayin matsin lamba na jini sama da 180 mmHg ko kuma bugun jini na diastolic akan 110 mmHg. Amfani da Lasix a wannan hanyar ana ɗaukar sa-lakabi saboda ba a yarda da shi ta Hukumar Abinci da Magunguna (FDA) ba don wannan nuni.

Shafin da ke gaba bazai lissafa kowane amfani da torsemide ko Lasix ba. Kwararren likitan ku kawai zai iya tantance ko ɗayan waɗannan kwayoyi sun dace da yanayin ku.

Yanayi	Torsemide	Lasix
Edema hade da cututtukan zuciya (CHF)	Ee	Ee
Edema hade da rashin aiki na koda	Ee	Ee
Maganin haɗin kai na ascites	Ee	Kashe-lakabi
Hawan jini	Ee	Ee
Edema hade da cutar huhu na kullum (CLD)	Ba	Ee
Edema hade da cututtukan nephrotic	Ba	Ee
Gudanar da kumburin huhu wanda ke da alaƙa da ƙarin jini	Ba	Kashe-lakabi
Hawan gaggawa na gaggawa / gaggawa na hauhawar jini	Ba	Kashe-lakabi
Hypercalcemia hade da cutar neoplastic	Ba	Kashe-lakabi

Shin torsemide ko Lasix yafi tasiri?

A kwanan nan meta-bincike idan aka kwatanta da torsemide da Lasix a cikin marasa lafiya masu fama da ciwon zuciya (CHF). Wannan bita ya ƙunshi karatu goma sha tara kuma kusan marasa lafiya 20,000. Sakamakon binciken ya gano cewa amfani da torsemide yana da alaƙa da ƙarancin asibiti na CHF. Har ila yau, Torsemide yana haɗuwa da ƙimar mafi yawan marasa lafiya da ke samun ci gaba na aiki cikin matsayi kamar yadda aka kwatanta da furosemide. An bayyana ingantaccen aiki kamar inganta daga aji III / IV zuwa aji I / II kamar yadda definedungiyar Zuciya ta New York (NYHA) ta bayyana. Hakanan amfani da Torsemide yana da alaƙa da ƙananan haɗarin mutuwar zuciya.

ZUWA dubawa, nazarin rukuni wanda kwalejin nazarin cututtukan zuciya ta Amurka ya wallafa sun gano cewa marasa lafiya da ke fama da ciwon zuciya waɗanda aka kwantar da su ba tare da sun yi amfani da diuretic ba suna da ƙarancin mace-macen da kuma sake komawa asibiti lokacin da aka sallame su a kan madaurin maƙallin.

Magungunan magani da magunguna, ko yadda magungunan ke aiki a jiki, na torsemide da Lasix sun bambanta. Torsemide yana da babban ingancin rayuwa kusan 80% bayan shan kashi a baki. Amfani da Lasix ba shi da tabbas sosai, kuma kasancewar abinci na iya jinkirta amsa. Torsemide yana da ƙarfi sau biyu kamar furosemide akan miligram zuwa kwatancen milligram.

Dangane da waɗannan binciken, mai ba da sabis na kiwon lafiya na iya zaɓar farawa tare da torsemide lokacin magance cututtukan zuciya, amma Lasix zai zama zaɓi mai karɓa. Heartungiyar Zuciya ta Amurka (AHA) ta lissafa torsemide, Lasix, da ɗayan madauki diuretic, bumetanide, azaman zaɓuɓɓukan magani masu karɓa don ciwan zuciya mai ɗorewa . Akwai kuma wasu nau'ikan diuretics waɗanda za a iya amfani da su, ciki har da thiazide diuretics, a cikin maganin ciwon zuciya. Kwararrun likitoci ne kawai zasu iya yanke shawarar wane magani ne mafi kyau a gare ku.

Verageaukar hoto da kwatancen farashi na torsemide vs. Lasix

Torsemide abu ne mai mahimmanci, maganin sayan magani wanda yawanci ya shafi tsarin inshora na inshora na likitanci. Farashin torsemide ba tare da inshora ba kusan $ 36. Tare da takaddun shaida daga SingleCare, zaka iya samun damar rubuttunka na torsemide na ƙasa da $ 9.

Lasix sunan suna ne, magani na sihiri wanda gabaɗaya ya shafi tsarin inshora na likitanci na kasuwanci da na Medicare. Farashin sunan Lasix ba tare da inshora ba na iya zama sama da $ 50. Tare da takaddar SingleCare, zaka iya samun Lasix na asali don ƙasa da $ 4.

	Torsemide	Lasix
Yawanci inshora ke rufe shi?	Ee	Ee
Yawanci an rufe shi ta Medicare Part D?	Ee	Ee
Yawan	30, 20 MG allunan	30, 20 MG allunan
Hanyar biyan kuɗaɗe na Medicare	Kasa da $ 10	Kasa da $ 10
SingleCare kudin	$ 9- $ 33	$ 4- $ 12

Sakamakon illa na yau da kullun na torsemide vs. Lasix

Ayyukan torsemide da Lasix na iya haifar da wasu cututtukan da ba a so da kuma mummunan yanayi ga wasu marasa lafiya. Saboda aikinsu, yawan yin fitsari abu ne na gama gari. A mafi yawancin lokuta, ana ba da shawarar ka sha kashi na ko dai torsemide ko Lasix a farkon rana saboda yawan fitsari yawanci yafi shahara a cikin sa’o’i jim kaɗan bayan shan maganin ka. Shan wadannan magunguna a rana da daddare na iya haifar da wayewar dare saboda bukatar yin fitsari, kuma hakan na iya shafar ingancin rayuwa.

Ciwon kai da raɗaɗi ana ruwaito su tare da torsemide da Lasix. Waɗannan galibi an fi bayyana su lokacin da kuka fara fara magani amma ya kamata su inganta tare da lokaci. Idan ba su inganta ba ko kuma suna da damuwa musamman, ya kamata ku tattauna waɗannan abubuwan tare da mai ba ku.

Diuretics suna da sakamako mai fa'ida akan ingancin zuciya, kuma waɗannan dole ne a auna su da sakamako masu illa. Jerin mai zuwa ba'a nufin ya zama ya haɗa da sakamakon tasirin waɗannan magunguna ba. Da fatan za a tuntuɓi likitan ku ko ƙwararren likita don cikakken jerin.

	Torsemide	Lasix
Sakamakon sakamako	Ana amfani?	Mitar lokaci	Ana amfani?	Mitar lokaci
Ciwon kai	Ee	7.3	Ee	Ba a ruwaito ba
Yawan fitsari	Ee	6.7	Ee	Ba a ruwaito ba
Dizziness	Ee	3.2	Ee	Ba a ruwaito ba
Rhinitis	Ee	2.8	Ba	n / a
Asthenia	Ee	2.0	Ba	n / a
Gudawa	Ee	2.0	Ee	Ba a ruwaito ba
ECG rashin daidaituwa	Ee	2.0	Ba	n / a
Increaseara tari	Ee	2.0	Ba	n / a
Maƙarƙashiya	Ee	1.8	Ee	Ba a ruwaito ba
Ciwan	Ee	1.8	Ee	Ba a ruwaito ba
Arthralgia	Ee	1.8	Ba	n / a
Dyspepsia	Ee	1.6	Ba	n / a
Ciwon wuya	Ee	1.6	Ba	n / a
Myalgia	Ee	1.6	Ba	n / a
Ciwon kirji	Ee	1.2	Ba	n / a
Rashin bacci	Ee	1.2	Ba	n / a
Ciwan jiki	Ee	1.1	Ee	Ba a ruwaito ba
Pancreatitis	Ba	n / a	Ee	Ba a ruwaito ba
Jaundice	Ba	n / a	Ee	Ba a ruwaito ba
Rashin abinci	Ba	n / a	Ee	Ba a ruwaito ba
Tinnitus / rashin ji	Ba	n / a	Ee	Ba a ruwaito ba
Duban gani	Ba	n / a	Ee	Ba a ruwaito ba
Hypglycemia	Ba	n / a	Ee	Ba a ruwaito ba
Maganin jijiyoyin jiki	Ba	n / a	Ee	Ba a ruwaito ba

Source: DailyMed ( Torsemide ) DailyMed ( Lasix )

Magungunan ƙwayoyi na torsemide vs. Lasix

Torsemide, lokacin da ake amfani da shi tare da opiates kamar codeine ko fentanyl, na iya samun raunin tasirin sauro. Torsemide da Lasix na iya kasancewa mafi yuwuwar haifar da hauhawar jini a cikin marasa lafiya da ke shan magani ko codeine. Tsarin jini na orthostatic yana bayanin yanayin canzawar jini kwatsam wanda ke faruwa yayin da ka tashi ba zato ba tsammani daga zaune ko kwance. Yana iya barin ka jin jiri, raunin kai, suma, tashin zuciya, ko rikicewa. Yana iya wucewa na ɗan lokaci kaɗan. Idan ya dade na dogon lokaci (fiye da fewan mintoci), ya kamata ka tattauna wannan tare da likitanka.

Lokacin da aka ɗauka tare da torsemide ko Lasix, magungunan da ba na steroidal ba (NSAIDs) na iya haifar da raguwar aikin koda da rage tasirin diuretic. Celecoxib, COX-2 NSAID, ana amfani dashi ta hanyar enzyme wanda aka hana shi ta hanyar torsemide. Wannan yana haifar da damar haɓakar ƙwayar plasma mafi girma na selecoxib a cikin jiki. Wadannan haɓakar ƙwayar plasma mafi girma a tsawon lokaci suna ɗaukar haɗarin bugun jini da wasu abubuwa masu haɗari na zuciya da jijiyoyin jini.

Tebur mai zuwa ba ana nufin haɗawa da duk ma'amalar magungunan ƙwayoyi ba. Da fatan za a tuntuɓi likitan ku ko likitan magunguna don cikakken jerin. Kafin a baka torsemide ko Lasix, ka tabbata cewa likitanka ya san duk magungunan da kake sha.

Drug	Ajin magani	Torsemide	Lasix
Codein Tramadol Fentanyl	Opiate zafi sauƙaƙe	Ee	Ee
Phenylephrine Pseudoephedrine	Maganin cire hanci	Ee	Ee
Alendronate Ibandronate	Bisphosphonates	Ee	Ee
Aliskiren	Renin-masu hanawa	Ee	Ee
Gentamicin Tobramycin Neomycin Streptomycin	Aminoglycosides	Ee	Ee
Amiodarone	Antiarrhythmic	Ee	Ee
Benazepril Captopril Enalapril Lisinopril Quinapril	Angiotensin-maida enzyme masu hanawa (ACE masu hanawa)	Ee	Ee
Ibuprofen Naproxen Celecoxib Meloxicam	NSAIDs	Ee	Ee
Candesartan Losartan Olmesartan Telmisartan Valsartan	Iotwararrun masu karɓa na Angiotensin (ARBs)	Ee	Ee
Omeprazole Esomeprazole Pantoprazole Lansoprazole	Proton famfo masu hanawa	Ee	Ee
Warfarin	Mai rage jini	Ee	Ba
Phenytoin	Antiepileptic	Ee	Ee
Metronidazole	Mai rigakafin cutar	Ee	Ba
Fluconazole Miconazole	Antifungals	Ee	Ba
Fluoxetine Citalopram Escitalopram Sertraline	Zabi serotonin reuptake masu hanawa	Ee	Ee

Gargadi na torsemide da Lasix

Torsemide da Lasix suna da haɗarin tinnitus da raunin ji na ɗan lokaci ko na dogon lokaci. Wannan nau'in rashin aikin ya bayyana ya fi zama ruwan dare lokacin da ake aiwatar da Lasix ta hanyar allura da sauri, a cikin marasa lafiya masu larurar koda, ko kuma lokacin da shan waɗannan magunguna ya fi yadda aka ba da shawara. Hakanan yana iya faruwa tare da maganin torsemide na baka. Saboda wannan dalili, ana fifita jigilar jigilar jini a cikin allura mai sauri, kuma ya kamata a sanya ido a cikin marasa lafiya da ƙarancin koda.

Lokacin amfani da Lasix a cikin ƙarin maganin ascites, an fi dacewa da farawa a cikin asibiti. Rushewar ruwa kwatsam da rashin daidaiton lantarki na iya haifar da cututtukan hanta a cikin marasa lafiya da ke fama da cutar hanta ko kuma cirrhosis. Kulawa akan asalin mai haƙuri da halin ci gaba akan farawar fara aiki shine mafi kyau a cikin saitin asibiti. Yin amfani da Lasix a cikin ascites kawai ana nufin ya kasance ƙari ne ga masu ƙin aldosterone.

Marasa lafiya a kowane irin kwayar cuta, gami da mahimmin buguwa na madauki, suna cikin haɗari na ƙarewar ruwa da rashin daidaiton lantarki. Marasa lafiya a kan torsemide da Lasix ya kamata a kula don alamu da alamu irin su bushewar baki, ƙishirwa, rauni, kasala, ciwon tsoka da raɗaɗin jiki, hauhawar jini, da tachycardia (ƙarin bugun zuciya). Rashin daidaiton wutan lantarki na iya hadawa da sinadarin chloride, sodium, da / ko potassium. Tare da madaurin diuretics, hypokalemia, ko ƙarancin potassium, ɗayan ɗayan rashin daidaitattun lantarki ne. Levelsara yawan matakan urea nitrogen (BUN) na iya faruwa. Kwararka na iya yin aikin jini na lokaci-lokaci don lura da matakan lantarki.

Tambayoyi akai-akai game da torsemide vs. Lasix

Menene torsemide?

Torsemide magani ne na likitanci da ake amfani da shi wajen kula da cutar kumburi da hauhawar jini. Yana da madauki diuretic kuma yana aiki ta cire ruwa mai yawa daga sararin samaniya na tsokoki. Ana samun Torsemide a cikin allunan baka cikin ƙarfin 5 MG, 10 MG, da 20 MG. Hakanan ana samun shi azaman allurar allura a cikin ƙimar 10 mg / ml.

Menene Lasix?

Lasix magani ne na maganin sayan magani da ake amfani dashi wajen kula da rashin ruwa da hauhawar jini. Hakanan mahimmin madauki ne. Ana samun Lasix a cikin allunan baka cikin ƙarfin 20 MG, 40 MG, da 80 MG. Hakanan ana samun shi azaman allurar allura a cikin ƙimar 10 mg / ml.

Shin torsemide da Lasix iri daya ne?

Torsemide da Lasix duka maganin madaukai ne amma ba daidai suke ba. Torsemide ya ninka na Lasix ninki biyu. Lasix tana ɗauke da alamun nuni don amfani.

Shin torsemide ko Lasix shine mafi kyau?

Torsemide yana haɗuwa da ƙananan ƙarancin asibiti na CHF idan aka kwatanta da Lasix. Hakanan yana haɗuwa da mafi girman ci gaba na asibiti a cikin marasa lafiyar CHF da ƙananan yawan mace-mace masu alaƙa da cututtukan zuciya yayin da aka kwatanta su kai tsaye zuwa Lasix.

Zan iya amfani da torsemide ko Lasix yayin da nake da juna biyu?

Torsemide rukuni ne na B mai ciki, ma'ana babu karatun dabbobi wanda ya nuna cutarwar tayi kuma babu karatu a cikin mata masu ciki. Kada a yi amfani da shi sai in ya zama dole. Lasix shine rukunin masu ciki C, ma'ana babu ingantattun hanyoyin gwaji na asibiti don tabbatar da aminci. Ya kamata a yi amfani da Lasix ne kawai lokacin da fa'idodi ya wuce haɗarin.

Zan iya amfani da torsemide ko Lasix tare da barasa?

Shan barasa na iya haifar da rashin ruwa a jiki da kuma rashin daidaiton lantarki. Torsemide da Lasix, lokacin da aka sha su da giya, na iya haɓaka haɗarin rashin ruwa mai tsanani da rashin daidaiton lantarki.

Shin torsemide yafi tasiri fiye da furosemide cikin gazawar zuciya?

Wani bincike-bincike na baya-bayan nan da aka kwatanta da torsemide da furosemide ya nuna cewa torsemide na iya kasancewa tare da kyakkyawan sakamakon asibiti a cikin marasa lafiya masu fama da ciwon zuciya idan aka kwatanta da furosemide, gami da ƙarancin asibiti, inganta yanayin aiki, da rage cututtukan zuciya. Torsemide shima yana da rabin rai kuma yana aiki na tsawon lokaci a jiki.

Shin torsemide yana da wuya a kan kodan?

Ya kamata a yi amfani da ƙwayar Torsemide sosai a hankali cikin haƙuri da cutar koda. Hypovolemia, ko ƙarancin ruwa, wanda ya kamu da cutar ta diuretic, na iya zama mai haɗari musamman ga marasa lafiya da ke fama da cutar koda.

Wane irin maganin diuretic ne ya fi Lasix ƙarfi?

Torsemide ya ninka ƙarfi kamar Lasix a cikin milligram a kowace miligram kuma an haɗa shi da ingantaccen sakamakon asibiti idan aka kwatanta da Lasix.

Menene madadin Lasix?

Torsemide shine madadin Lasix lokacin da ba a cimma sakamakon asibiti tare da Lasix ba. Dukansu diuretics ne masu amfani da madaidaiciya waɗanda aka yi amfani dasu a kulawar edema da maganin hauhawar jini, amma an nuna cewa torsemide ya fi ƙarfi.