Ka lāʻau "Torcida": aʻo no ka hoʻohana 'ana, ano, haku mele' ana a me ka hōʻike manaʻo. "Torcida": kuhi no ka hoʻohana (papa)

Ma nā makahiki, e increasingly hoomaka laekahi kauka e koi 'ia i kā lākou nā mea maʻi i kēia lāʻau' like "Torcida". Na Ke Kumu no ka hoʻohana kikowaena wale nō ke kumu o ikepili e pono ai no ka maʻamau kanaka e lawe i ka lāʻau, akā, i ka hailona mua kūʻai 'ole ma hope o ka' āpana o ka ho'āʻo e aʻo 'ike hou aku e pili ana i keia mea paahana.

pharmacodynamics

Kēia lāʻau 'He He saluretic. He kuleana no ka manaʻo inhibitionʻaʻa puʻuwai reabsorption o ka paʻakai, a koloriside Ion, a i aia i loko o ka pii aku hapa o Henle ka loop, a ua hōʻike ai i ka lāʻau "torsida" manual.

Pharmacokinetics

Ke kanaka, ma hope o intravenous hooponopono ana o na dala koke hoʻomaka e hōʻike diuretic hopena. Ma keia hihia i ka ke kaupalenaʻana kanawai o ka lāʻau e hoʻomōhala ana i loko o ka mua 3 hola a a laila waiho waho a hiki i 12 hola. Ma ke kāʻei kua o keia palapala noi 'o ia hoʻi diuresis pono e kaukaʻi ma ka mahele lāʻau, a ua i hōʻike ai i ka lāʻau "torsida" manual.

Torasemide degere o ka pū'āʻana i ka wai koko nā polokina like kiʻekiʻe me 99%, a mea he hualoaʻa loa maikai, oiai metabolites M1, M3 a me M5 e ua hoʻopili niioaaonoaaiii ma 86,95 a me 97%. I kā mākou hiki hoʻopau hapa-ola o ka torasemide a me kona likeʻole metabolites i ola? Anoee, HEN, mai ekolu i eha hora, i i hōʻike 'ia ma ka papa o ka lapaʻau e hookolokolo ai.

Huinaʻae o ka waiwai o ma kahi o 40 ml / min.,ʻOiai kaʻaʻa puʻuwaiʻae i kela mea ma kahi o 10 ml / min. Metabolite M5 produces ole diuretic hookoia, oiai he huihui 'ana o ka metabolites M3 a me M1 hoike no ka hola 10% o ka pharmacodynamic ana ka lawe' ana ma luna o ke kanaka kino.

Hiʻona o ka lāʻau i loko o kanaka me ka maʻi likeʻole

Inā ka hoʻomanawanui hoikeia maiʻaʻa puʻuwai ka hoʻokō 'ole, ka mea, aole ia e pili i ka pono hana o kaʻae a me ka hapa-ola o ka torasemide, oiai mahuahua ka wā no nā metabolites M5 a me M3. I ka Ia manawa loa waiho waho puka mua pharmacodynamic ano, akā, no ka lōʻihi like 'ole o ka lāʻau' anaʻaʻa puʻuwai ka hoʻokō 'ole kekahi mea i kanawai, nānā' ole o ka oolea o ka maʻi.

I ka poe e hoomanawanui i ka poe i ike 'ake dysfunction, a i ka naʻau o ka hoʻokō' ole, kekahi mau manawa mahuahua metabolite excretion o torasemide a me M5, a ua hōʻike ai i ka lāʻau "Torcida" manual.

I ka nui o ka waiwai i loko o ka mimi ia auoiaea Ua kokoke loa hoʻopili like i ka huina kālā i ike i loko o nāʻaʻa ola, ma ka pili 'o Randy me ka i ia ia iho torasemide a me kona metabolites aʻole cumulate.

hoike

Ma ka hapanui o na hihia, ua haawiia mea eʻoi aʻeʻeleu lāʻau e lapaau i ka iapaau ana o kekahi mau exudates a edema hōʻike 'ia ma e pili me ka naʻau ole. It E e kaulana ia i ka lāʻau "Torcida" kauoha no ka hoʻohana (papa) Hōʻike i ka mea, ua hoakaka ia, ina he pono, ka mea maʻamau Inc.

Contraindications

Aia nō kekahi mau hihia ma i ka hana ana o keia k mea he pili-paipai a hookapu loa. Wehewehe ia pili i ka lāʻau "Torcida" kauoha no ka hoʻohana (papa - noʻonoʻo i ka palapala), mea e i kekahi mau kumu:

• i ke alo o nā mea maʻi me ka arterial hypotension;
• excessive pā lonoaʻili i nā kākoʻo a hana waiwai, e like me nā sulfonylureas;
• i paipai no nā mea maʻi e loaa ana mai ka hakuʻala ole me ka anuria;
• me ka loa ake oihana;
• kela ano keia ano o ka 'aʻe' ana o ka wai-electrolyte koena kahua;
• gout;
• ina o ka hoʻomanawanui ua loaa mai ka loa kāna hana i loko o ka urinary oihana;
• kela ano keia ano o ka 'aʻe' ana o nā lawelawe kiʻekiʻe degere nenoaiu o ka naau;
• pathological loli ma ka pono kiʻi o ke koko a me kaʻakika-kumu kūlana o ke kanaka;
• haunaele ma ka functioning o nā puʻupaʻa, kena ae la ia e nephrotoxic lesions o kekahi mau waiwai.

I waena o nā mea a pau, ka mea, ua i paipai i ka hoʻohana 'ana i kēia mea paahana no na wahine e noho ana ma ke au o ka hāpai keiki a lactation.

Pehea ka mea, ua hoʻohana 'ia?

Inā 'oe e ka hoʻohana' ana i ka waiʻona, i ka hope ai e haawiia mai wale intravenously a lohi, e like me ka mea e hoikeike ma ka lāʻau "Torcida" manual. Ke kumukuai o ka mea paahana (mai ka elima haneri rubles) mea he 'ano ho'āmana, a nolaila ka hapanui kanaka, aole loa no auanei he pilikia ma ka mea e pono like ai me na nāʻikepili no kona hoʻohana.

Ka loiloi mua hookahi mahele lāʻau mea ma kahi o 10 mg no ka lā, a laila 2 ml o keia la hoomalolo. Inā he mea uuku lapaʻau pomaikai, alaila, hiki e mahuahua palua ka mahele lāʻau. Akā, inā e mea e hiki ke hoʻokō pono ka hoʻokōʻana, a laila, hiki ke mahuahua i palua ka mahele lāʻau, akā, i ka iapaau ana, e mau no ka i kā mākou iʻekolu lā.

Huʻi pulmonary edema

I ka hoʻohana 'ana i kēia Agena hoola ana hoi i huʻi pulmonary edema, ke ho mahele lāʻau o 20 mg, oiai ke kaumaha ma muli o ka huina lapaʻau kiʻi o keia mahele lāʻau i ke lawelawe i kela hapalua hora. It E e kaulana ia i loko o ka mea lapaau i ka huina mahele lāʻau e oi aku mamua o 100 milligrams no ka lā torsemide.

No ka pane-i lapaʻau ua paipaiʻia me ke kumu no ka oi ma mua o ka hebedoma, i kekahi hoailona i ka lāʻau "Torcida" kauoha no ka hoʻohana hiki ke hoʻohana 'ia OIeEOEIeAeEIIe, i ku una hooponopono i intravenous E ole e hoʻohana. Price (hōʻike manaʻo e hooiaio aku ia) me ka papa, a me ka kinowai waiwai mea ole i na mea he nui, no laila, me ka piha papa o ka lapaʻau kākaʻikahi kumu no kekahi pilikia. Ma kekahi hihia, i ka i kā mākou hiki i kela la mahele lāʻau e ole oi 100 mg.

hepatic ole

Ma ka hihia o keʻano o nā mea maʻi me ka hepatic hoʻopilikia pono e hana ia me ka i kā mākou mālama nui, e like me ia ma keia hihia he mea i ka pilikia o ka mahuahua nā hoʻohui like o torasemide i loko o ka haku mele 'ana o ke koko wai koko. Ua Ua hoʻomaopopo kaawale i ka lāʻau "torsida" (10 mg) i loko o ka manual (papa paha waiʻona hoomalolo - kumuʻanoʻole maoli).

kūpuna i

No ka iapaau ana o kēia mau hoʻomanawanui iki mai, aole ia i i kekahi kanaka hoʻokokoke ma ka mahele lāʻau koho. He waiwai 'ana i kumumanaʻo o ka mea ua i lawe mai i ole nui lapaʻau haʻawina ma ka hoʻohālike o nā kaʻina hana o ka lapaau opiopio, a me ka poʻeʻelemākule kanaka, a no laila ia mea mau maikaʻi, e kukakuka hou me ka mālama'-palapala hōʻoia no kauka.

A pāʻoihana no ka pahu kui E e lohi lawelawe intravenously, a pela ia mea i loko o kekahi hihia ole intraarterially e Pono nń kaawale i ka lāʻau "torsida" kauoha no ka hoʻohana (ampoules).

ʻaoʻao waiwai

He waiwai 'ana i kumumanaʻo ka mea i ka adverse reactions e loli i ka papa o na nā loko likeʻole, no laila, e manaoia kaawale kēlā me kēia hihia.

• Mea'ōnaehana mānowai koko nenoaiu. Ma keia hihia, oiai e lawe ana i ka lāʻau 'hiki e noho likeʻole kāna hana o ka loli a me ka electrolyte kaulike, oiai ma kekahi pohihihi keia hihia i māhuahua metabolic alkalosis. Eia hou, i kekahi waeʻano o nā mea maʻi hoʻomōhala ka hilahila, thrombosis, hypotension, cerebral a me ka cardiac ischemia, huʻi myocardial infarction, angina a me ka syncope.
• ʻO ko mākou hopohopo nenoaiu. Ma pohihihi keia hoopii, o ka oi aku ma ka kakahiaka kahua o ka lapaʻau, ma laila i e headache, excessive luhi, pōniuniu, a me ka Muscle cramps.
• Ka digestive nenoaiu. Ma pohihihi keia hoopii, e noho pū kāna hana no ka digestive'ōnaehana i loko o ke kaʻina hana o ana e pili i ka lapaau "Torcida". Na Ke Kumu no ka hoʻohana memo na kēiaʻaoʻao ole: nausea, nele o ka ikaika loa ka makemake, ka luaʻi, diarrhea,'ōpū eha. Ua hiki no hoi ia e ike excessively kiʻekiʻe pae o hepatic nā'ūhū.
• Ke urinary nenoaiu. E hoomanawanui i ka poe i 'ike likeʻole ka haunaele ma ka urination nenoaiu, aia no he' ano mālama nui urination, a hiki e ho'ōla mai hookuu hoi ia e hookaulua a oi aku ka ikaika kīkoʻo kū'ē i ka bladder. Ma pohihihi keia hoopii, ka mea e hoike inflated uku o ka creatinine a me ka urea i loko o ke koko.
• Pūnao. Ma pohihihi keia hoopii, e hoomanawanui i kākau mea ulu i loko o ka nohona ma pae o uricʻakika, lipids a me ka monakō koko i loko o ke koko.
• koko nenoaiu. I loa pohihihi he nui, hoemiia i ka huina helu o nā erythrocytes, leukocytes a me platelets.
• Ka'ōnaehana paleʻea nenoaiu. Ma pohihihi keia hihia, he poʻe noʻonoʻoʻole, photosensitivity, pruritus. Ma ka lāʻau "torsida" (injections) kuhi no ka hana e hoike ana i loko o kekahi mau hihia ma hope o intravenous hooponopono e hoʻomaka e hoʻomōhala huʻi hypersensitivity reactions, ai ke hoʻomanawanui maximally hookeai kōkua E e hoomakaukau ai. Ma kekahi mau hihia, oe e 'ike loa ili reactions.

Inā mākou e kamailio e pili ana i ka emi nui hopena, i ka nānā paraesthesia, a me ka maloo waha. Eia hou, E nō e nānā 'ana i ka mea i loko o mea pohihihi keia hihia i loko o kānaka he mea kekahi pilikia makapō hoʻopilikia, e like me ka muli o tinnitus, a piha poho o ka hālāwai hoʻolohe manaʻo.

overdose

Typical symptoms ma na hihia o ka lāʻau overdose i ka manawa i ike ole. Manual Hōʻike i loko o ka wā pōʻino o ka overdose i e ike ko lakou ikaika, diuresis, a me ka pilikia o ka loa lilo ana o electrolytes a me ka wai, a me ka drowsiness amential maʻi pale. I waena o nā mea a pau, he overdose hana mea'ōnaehana mānowai koko ole, hypotension a me ka likeʻole kāna hana i loko o ka digestive'āpana.

Pehea e hana?

Kekahi mau 'antidote no ka manawa i ole ia'ku. Ma ka hapanui o na hihia, na symptoms mai ana intoxication, nalo loa ma hope o laʻau heluna ka ho'ēmiʻana a piha hoʻopau o ka pono o keia k, a ina kūpono a hoʻopiha nō ia electrolytes a me fluids e e hoʻolako, a e halihaliia oia iwaho ma lalo o na kumu o kā mākou e hooponopono. Torasemide mea maʻaʻohe ala loko mai o ke koko ma ka hemodialysis.

'O kēia ke kumu o ike e pili ana i ka "Torcida" ko lakou hoomakaukau ana (aʻo no ka hoʻohana' ana, uku, hōʻike manaʻo). Analogs o ka mea paahana ( "Britomal", "Sutrilneo") ma ka hapanui o na hihia oko likeʻole, a me kaʻaoʻao waiwai, akā, ia mea he mea ia e lapaau pinepine ia e like me kekahi o ka loa mana i loko o kona pae.